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Sample records for mupirocin strengths weaknesses

  1. Mupirocin

    MedlinePlus

    Mupirocin, an antibiotic, is used to treat impetigo as well as other skin infections caused by bacteria. It is not effective against fungal or viral infections.This medication is sometimes prescribed ...

  2. Strengths only or strengths and relative weaknesses? A preliminary study.

    PubMed

    Rust, Teri; Diessner, Rhett; Reade, Lindsay

    2009-10-01

    Does working on developing character strengths and relative character weaknesses cause lower life satisfaction than working on developing character strengths only? The present study provides a preliminary answer. After 76 college students completed the Values in Action Inventory of Strengths (C. Peterson & M. E. P. Seligman, 2004), the authors randomly assigned them to work on 2 character strengths or on 1 character strength and 1 relative weakness. Combined, these groups showed significant gains on the Satisfaction With Life Scale (E. Diener, R. A. Emmons, R. J. Larsen, & S. Griffin, 1985), compared with a 32-student no-treatment group. However, there was no significant difference in gain scores between the 2-strengths group and the 1-character-strength-and-1-relative-character-weakness group. The authors discuss how focusing on relative character weaknesses (along with strengths) does not diminish-and may assist in increasing-life satisfaction.

  3. Weakness

    MedlinePlus

    Lack of strength; Muscle weakness ... feel weak but have no real loss of strength. This is called subjective weakness. It may be ... flu. Or, you may have a loss of strength that can be noted on a physical exam. ...

  4. Cultural Capital: Strengths, Weaknesses and Two Advancements

    ERIC Educational Resources Information Center

    van de Werfhorst, Herman G.

    2010-01-01

    In this paper I discuss two weaknesses in Bourdieu's work on cultural capital, both of which are related to his integration of the multidimensional nature of social space in different domains of life: social mobility, lifestyle differentiation, and political orientation. First, there is an anomaly between the work on social mobility and on…

  5. The Hidden Strengths of Weak Theories

    PubMed Central

    Keil, Frank

    2012-01-01

    There has been a strong tradition of assuming that concepts, and their patterns of formation might be best understood in terms of how they are embedded in theory-like sets of beliefs. Although such views of concepts as embedded in theories have been criticized on five distinct grounds, there are reasonable responses to each of these usual objections. There is, however, a newly emerging concern that is much more challenging to address – people’s intuitive theories seem to be remarkably impoverished. In fact, they are so impoverished it is difficult to see how they could provide the necessary structure to explain differences between concepts and how they might form in development. One response to this recent challenge is to abandon all views of concept structure as being related to people’s intuitive theories and see concepts as essentially structure-free atoms. The alternative proposed here argues that our very weak theories might in fact do a great deal of work in explaining how we form concepts and are able to use them to successfully refer. PMID:25309684

  6. School-Based Sexuality Education in Portugal: Strengths and Weaknesses

    ERIC Educational Resources Information Center

    Rocha, Ana Cristina; Leal, Cláudia; Duarte, Cidália

    2016-01-01

    Portugal, like many other countries, faces obstacles regarding school-based sexuality education. This paper explores Portuguese schools' approaches to implementing sexuality education at a local level, and provides a critical analysis of potential strengths and weaknesses. Documents related to sexuality education in a convenience sample of 89…

  7. Patterns of Strengths and Weaknesses in Children's Knowledge about Fractions

    ERIC Educational Resources Information Center

    Hecht, Steven A.; Vagi, Kevin J.

    2012-01-01

    The purpose of this study was to explore individual patterns of strengths and weaknesses in children's mathematical knowledge about common fractions. Tasks that primarily measure either conceptual or procedural aspects of mathematical knowledge were assessed with the same children in their fourth- and fifth-grade years (N = 181, 56% female and 44%…

  8. School-Based Sexuality Education in Portugal: Strengths and Weaknesses

    ERIC Educational Resources Information Center

    Rocha, Ana Cristina; Leal, Cláudia; Duarte, Cidália

    2016-01-01

    Portugal, like many other countries, faces obstacles regarding school-based sexuality education. This paper explores Portuguese schools' approaches to implementing sexuality education at a local level, and provides a critical analysis of potential strengths and weaknesses. Documents related to sexuality education in a convenience sample of 89…

  9. Major strengths and weaknesses of the lod score method.

    PubMed

    Ott, J

    2001-01-01

    Strengths and weaknesses of the lod score method for human genetic linkage analysis are discussed. The main weakness is its requirement for the specification of a detailed inheritance model for the trait. Various strengths are identified. For example, the lod score (likelihood) method has optimality properties when the trait to be studied is known to follow a Mendelian mode of inheritance. The ELOD is a useful measure for information content of the data. The lod score method can emulate various "nonparametric" methods, and this emulation is equivalent to the nonparametric methods. Finally, the possibility of building errors into the analysis will prove to be essential for the large amount of linkage and disequilibrium data expected in the near future.

  10. The future of Jungian analysis: strengths, weaknesses, opportunities, threats ('SWOT').

    PubMed

    Samuels, Andrew

    2017-11-01

    Using a methodology derived from management and organizational studies, the author reviews the future of Jungian analysis. The methodology is termed SWOT - strengths, weaknesses, opportunities, threats. A selected list in each of these categories is presented. The author is transparent in allowing for the fact that the paper not only derives from a public lecture on the topic, but also retains the immediacy and the contrarian and opinionated style of such a lecture. © 2017, The Society of Analytical Psychology.

  11. [Strength and weaknesses of the German digital health economy].

    PubMed

    Leppert, Florian; Gerlach, Jan; Ostwald, Dennis A; Greiner, Wolfgang

    2017-07-26

    There are high expectations from digitalization of health care, ehealth and telemedicine. Nevertheless, the diffusion of these services falls short of expectations. This study analyses the strength and weaknesses of the German digital health economy. Thereby, we specially focus on small and medium-sized enterprises (SME). The study is based on a literature review, interviews of experts and a workshop. The digital health economy is influenced by a heterogeneous environment with both promotive and obstructive factors. One of the largest weaknesses results from a lack of business models. There is a lack of possibilities of reimbursement by the Statutory Health Insurance (SHI). In addition, private users only have a small willingness to pay for digital services. The large number of regulations makes the implementation even harder, especially for SMEs. Thus, the current environment hampers fast diffusion of digital services in the German health care market. © Georg Thieme Verlag KG Stuttgart · New York.

  12. TU(R)NING WEAKNESS TO STRENGTH MECHANOMUTABLE BIOINSPIRED MATERIALS

    DTIC Science & Technology

    2017-04-03

    AFRL-AFOSR-VA-TR-2017-0067 TU(R)NING WEAKNESS TO STRENGTH - MECHANOMUTABLE BIOINSPIRED MATERIALS Markus Buehler MASSACHUSETTS INSTITUTE OF... MATERIALS 5a.  CONTRACT NUMBER 5b.  GRANT NUMBER FA9550-11-1-0199 5c.  PROGRAM ELEMENT NUMBER 61102F 6.  AUTHOR(S) Markus Buehler 5d.  PROJECT NUMBER...proving both the nanoscale mechanisms and mechanical behavior predictions. 15.  SUBJECT TERMS hybrid materials , low density materials 16.  SECURITY

  13. Strength of a weak bond connecting flexible polymer chains.

    PubMed Central

    Evans, E; Ritchie, K

    1999-01-01

    Bond dissociation under steadily rising force occurs most frequently at a time governed by the rate of loading (Evans and Ritchie, 1997 Biophys. J. 72:1541-1555). Multiplied by the loading rate, the breakage time specifies the force for most frequent failure (called bond strength) that obeys the same dependence on loading rate. The spectrum of bond strength versus log(loading rate) provides an image of the energy landscape traversed in the course of unbonding. However, when a weak bond is connected to very compliant elements like long polymers, the load applied to the bond does not rise steadily under constant pulling speed. Because of nonsteady loading, the most frequent breakage force can differ significantly from that of a bond loaded at constant rate through stiff linkages. Using generic models for wormlike and freely jointed chains, we have analyzed the kinetic process of failure for a bond loaded by pulling the polymer linkages at constant speed. We find that when linked by either type of polymer chain, a bond is likely to fail at lower force under steady separation than through stiff linkages. Quite unexpectedly, a discontinuous jump can occur in bond strength at slow separation speed in the case of long polymer linkages. We demonstrate that the predictions of strength versus log(loading rate) can rationalize conflicting results obtained recently for unfolding Ig domains along muscle titin with different force techniques. PMID:10233061

  14. Postpoliomyelitis muscle weakness: a prospective study of quadriceps strength.

    PubMed

    Munin, M C; Jaweed, M M; Staas, W E; Satinsky, A R; Gutierez, G; Herbison, G J

    1991-09-01

    The objective of this study was to evaluate the presence of progressive postpoliomyelitis muscle weakness (PPMW) in affected individuals 20 to 40 years after the initial polio infection. Over a three-year period, the isometric and isokinetic strength of the quadriceps femoris muscle was studied in seven symptomatic patients with previous poliomyelitis (mean = 38.3 years from infection) to determine if quadriceps strength decreased during the three years. Each patient had a quadriceps affected by polio on one side and a clinically nonaffected quadriceps on the contralateral limb. The maximal isometric force and the peak isokinetic force of the affected quadriceps (AQ) and nonaffected quadriceps (NQ) muscles were tested on a computerized isokinetic dynamometer machine at six-month intervals. Isometric force increased significantly, by 29% per year (p less than .02) in the AQ and by 14% per year (p less than .05) in the NQ. Paired analysis to determine the change in strength between the affected and nonaffected muscles for the isometric data showed a mean nonsignificant increase in the AQ of 14% per year (p = .01). The change in peak isokinetic force demonstrated a significant increase in the AQ of 35% per year (p less than .05); whereas, the NQ peak isokinetic force increased 15% per year which was not statistically significant. Paired analysis to determine the change in strength between the affected and nonaffected muscles for the isokinetic data showed a nonsignificant relative increase in the AQ of 20% per year (p less than .06).(ABSTRACT TRUNCATED AT 250 WORDS)

  15. Big Data and Health Economics: Strengths, Weaknesses, Opportunities and Threats.

    PubMed

    Collins, Brendan

    2016-02-01

    'Big data' is the collective name for the increasing capacity of information systems to collect and store large volumes of data, which are often unstructured and time stamped, and to analyse these data by using regression and other statistical techniques. This is a review of the potential applications of big data and health economics, using a SWOT (strengths, weaknesses, opportunities, threats) approach. In health economics, large pseudonymized databases, such as the planned care.data programme in the UK, have the potential to increase understanding of how drugs work in the real world, taking into account adherence, co-morbidities, interactions and side effects. This 'real-world evidence' has applications in individualized medicine. More routine and larger-scale cost and outcomes data collection will make health economic analyses more disease specific and population specific but may require new skill sets. There is potential for biomonitoring and lifestyle data to inform health economic analyses and public health policy.

  16. Environmental metabolomics: a SWOT analysis (strengths, weaknesses, opportunities, and threats).

    PubMed

    Miller, Marion G

    2007-02-01

    Metabolomic approaches have the potential to make an exceptional contribution to understanding how chemicals and other environmental stressors can affect both human and environmental health. However, the application of metabolomics to environmental exposures, although getting underway, has not yet been extensively explored. This review will use a SWOT analysis model to discuss some of the strengths, weaknesses, opportunities, and threats that are apparent to an investigator venturing into this relatively new field. SWOT has been used extensively in business settings to uncover new outlooks and identify problems that would impede progress. The field of environmental metabolomics provides great opportunities for discovery, and this is recognized by a high level of interest in potential applications. However, understanding the biological consequence of environmental exposures can be confounded by inter- and intra-individual differences. Metabolomic profiles can yield a plethora of data, the interpretation of which is complex and still being evaluated and researched. The development of the field will depend on the availability of technologies for data handling and that permit ready access metabolomic databases. Understanding the relevance of metabolomic endpoints to organism health vs adaptation vs variation is an important step in understanding what constitutes a substantive environmental threat. Metabolomic applications in reproductive research are discussed. Overall, the development of a comprehensive mechanistic-based interpretation of metabolomic changes offers the possibility of providing information that will significantly contribute to the protection of human health and the environment.

  17. Strengths Weaknesses Opportunities and Threats of Blended Learning: Students’ Perceptions

    PubMed Central

    Hande, S

    2014-01-01

    Background: Blended learning (BL) in a cell biology course of the premedical program at the Kasturba Medical College International Centre, Manipal, India, commenced in 2006. The program provides training in basic sciences to students, especially from the United States and Canada. The approach to the study was phenomenographic, with a qualitative study design using an open-ended questionnaire, focused interviews and empirical observations. Aim: The aim of this study was to identify the strengths, weaknesses, opportunities and threats (SWOT) of BL in a premedical class. Subjects and Methods: It was a cross-sectional study. Ninety six students in a premedical cell biology class participated in the study. SWOT analysis of students’ perceptions was conducted manually. Statistical analysis included content analysis of qualitative data to classify data and aligning them into the SWOT analysis matrix. Results: The outcomes of the study revealed student perceptions in terms of SWOT of BL and the potential uses of this strategy. Conclusions: The study provides background for educators and curriculum experts to plan their modules while incorporating a BL approach. PMID:24971204

  18. Lithological strength but chemical weakness controls granitic tor formation

    NASA Astrophysics Data System (ADS)

    Stroeven, A. P.; Goodfellow, B. W.; Skelton, A.; Jansson, K. N.; Hättestrand, C.

    2010-12-01

    The origins of tors have long inspired wonder and are usually attributed to differential weathering according to variations in bedrock joint spacing and/or initial regolith depths. In this study, we investigate the origins of granitic tors in the Cairngorm Mountains, NE Scotland. Specifically, we examine whether: (i) joint spacing correlates with bedrock chemistry, mineralogy, or texture, and (ii) tor size correlates with any of these lithological attributes and/or topographic parameters such as slope, surface curvature, and tor position. Presently, our results indicate that: (i) bedrock joint spacing increases with feldspar crystal size, (ii) tor dimensions increase with joint spacing, particularly along the axis perpendicular to the regional foliation, and (iii) there is a strong positive correlation between joint spacing and tor volume. In addition, the largest tors occur where granite contains comparatively moderate quantities of biotite. If more biotite is present, then grusification, largely driven by the oxidation of Fe in biotite, proceeds too rapidly for large tors to form. Conversely, in granites containing lower quantities of biotite, it appears that the potential for differential weathering between exposed and regolith-covered bedrock is insufficient to produce large tors. Both lithological strength and chemical weakness therefore contribute to granitic tor formation.

  19. Strengths weaknesses opportunities and threats of blended learning: students' perceptions.

    PubMed

    Hande, S

    2014-05-01

    Blended learning (BL) in a cell biology course of the premedical program at the Kasturba Medical College International Centre, Manipal, India, commenced in 2006. The program provides training in basic sciences to students, especially from the United States and Canada. The approach to the study was phenomenographic, with a qualitative study design using an open-ended questionnaire, focused interviews and empirical observations. The aim of this study was to identify the strengths, weaknesses, opportunities and threats (SWOT) of BL in a premedical class. It was a cross-sectional study. Ninety six students in a premedical cell biology class participated in the study. SWOT analysis of students' perceptions was conducted manually. Statistical analysis included content analysis of qualitative data to classify data and aligning them into the SWOT analysis matrix. The outcomes of the study revealed student perceptions in terms of SWOT of BL and the potential uses of this strategy. The study provides background for educators and curriculum experts to plan their modules while incorporating a BL approach.

  20. Patterns of strengths and weaknesses in children's knowledge about fractions.

    PubMed

    Hecht, Steven A; Vagi, Kevin J

    2012-02-01

    The purpose of this study was to explore individual patterns of strengths and weaknesses in children's mathematical knowledge about common fractions. Tasks that primarily measure either conceptual or procedural aspects of mathematical knowledge were assessed with the same children in their fourth- and fifth-grade years (N=181, 56% female and 44% male). Procedural knowledge was regressed on levels of conceptual knowledge, and vice versa, to obtain residual scores. Residual scores capture variability in each kind of math knowledge that is not shared with the other type of knowledge. Cluster analysis using residuals indicated four distinct knowledge profiles in fourth graders: (a) higher than expected conceptual knowledge and relatively lower procedural knowledge, (b) relatively lower conceptual knowledge and higher procedural knowledge, (c) lower concepts but expected levels of procedural knowledge, and (d) relatively higher than expected levels of both procedural and conceptual knowledge. In fifth grade, another cluster emerged that showed lower procedures but expected levels of conceptual knowledge. In general, students with relatively lower than expected conceptual knowledge showed poorer accuracy on measures used to form the clusters and also word problem setups and estimation of sums. Implications for explaining seemingly conflicting results from prior work across studies are discussed.

  1. 21 CFR 524.1465 - Mupirocin.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., FEEDS, AND RELATED PRODUCTS OPHTHALMIC AND TOPICAL DOSAGE FORM NEW ANIMAL DRUGS § 524.1465 Mupirocin. (a... in § 510.600(c) of this chapter. (c) Conditions of use in dogs—(1) Amount. Apply twice daily...

  2. 21 CFR 524.1465 - Mupirocin.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ..., FEEDS, AND RELATED PRODUCTS OPHTHALMIC AND TOPICAL DOSAGE FORM NEW ANIMAL DRUGS § 524.1465 Mupirocin. (a..., and 051672 in § 510.600(c) of this chapter. (c) Conditions of use in dogs—(1) Amount. Apply twice...

  3. 21 CFR 524.1465 - Mupirocin.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., FEEDS, AND RELATED PRODUCTS OPHTHALMIC AND TOPICAL DOSAGE FORM NEW ANIMAL DRUGS § 524.1465 Mupirocin. (a..., and 051672 in § 510.600(c) of this chapter. (c) Conditions of use in dogs—(1) Amount. Apply twice...

  4. The thermal index: its strengths, weaknesses, and proposed improvements.

    PubMed

    Bigelow, Timothy A; Church, Charles C; Sandstrom, Kurt; Abbott, John G; Ziskin, Marvin C; Edmonds, Peter D; Herman, Bruce; Thomenius, Kai E; Teo, Tat Jin

    2011-05-01

    The thermal index (TI) has been used as a relative indicator of thermal risk during diagnostic ultrasound examinations for many years. It is useful in providing feedback to the clinician or sonographer, allowing assessment of relative, potential risks to the patient of an adverse effect due to a thermal mechanism. Recently, several shortcomings of the TI formulations in quantifying the risk to the patient have been identified by members of the basic scientific community, and possible improvements to address these shortcomings have been proposed. For this reason, the Output Standards Subcommittee of the American Institute of Ultrasound in Medicine convened a subcommittee to review the strengths of the TI formulations as well as their weaknesses and proposed improvements. This article summarizes the findings of this subcommittee. After a careful review of the literature and an assessment of the cost of updating the TI formulations while maximizing the quality of patient care, the Output Standards Subcommittee makes the following recommendations: (1) some inconsistencies in the current TI formulations should be resolved, and the break point distance should be redefined to take focusing into consideration; (2) an entirely new indicator of thermal risk that incorporates the time dependence not be implemented at this time but be included in continuing efforts toward standards or consensus documents; (3) the exponential dependence of risk on temperature not be incorporated into a new definition of the TI formulations at this time but be included in continuing efforts toward standards or consensus documents; (4) the TI formulations not be altered to include nonlinear propagation at this time but be included in continuing efforts toward standards or consensus documents; and (5) a new indicator for risk from thermal mechanisms should be developed, distinct from the traditional TI formulations, for new imaging modalities such as acoustic radiation force impulse imaging, which

  5. "Union is strength": how weak hydrogen bonds become stronger.

    PubMed

    Melandri, Sonia

    2011-08-21

    Recently reported rotational spectroscopic studies on small dimers and oligomers bound by weak hydrogen bonds show that the driving forces, the spatial arrangement and the dynamical features displayed are very different from those involved in stronger and conventional hydrogen bonds. The very small binding energies (similar to those of van der Waals interactions) imply that the stabilization of the dimer is often obtained by networks of weak hydrogen bonds. Even in the presence of multiple bonds the partner molecules show a high degree of internal freedom within the complex. This paper analyses several examples of molecular adducts bound by weak hydrogen bonds formed in free jet expansions and recently characterized by rotational spectroscopy. They include weakly bound complexes of weak donors with strong acceptors (C-H···O,N, S-H···O,N), strong donors (O-H, N-H) with weak acceptors such as the halogen atoms and π systems but also the elusive interactions between weak donors and weak acceptors (C-H···π and C-H···halogen). Examples are also given where rotational spectroscopy highlights that weak hydrogen bonds are extremely important in chiral recognition phenomena and as driving forces of the conformational landscape of important biomolecules.

  6. Committee Effectiveness in Higher Education: The Strengths and Weaknesses of Group Decision Making

    ERIC Educational Resources Information Center

    Bates, Stephen B.

    2014-01-01

    Focusing on five models of committee effectiveness for purposes of this assessment will lend insight into the strengths and weaknesses of utilizing a structured action plan as a guide to achieving and maintaining optimum committee effectiveness in higher education. In the compilation of the strengths and weaknesses of committee decision making,…

  7. Strengths and Weaknesses of NESTs and NNESTs: Perceptions of NNESTs in Hong Kong

    ERIC Educational Resources Information Center

    Ma, Lai Ping Florence

    2012-01-01

    Since non-native English speaking teachers (NNESTs) are always compared with native English speaking teachers (NESTs) on linguistic grounds, their strengths and weaknesses as English teachers are worthy of investigation. This paper reports on a mixed methods study which examines the strengths and weaknesses of NNESTs and NESTs through the…

  8. An Overview of the Alleged Strengths and Weaknesses of the Small School.

    ERIC Educational Resources Information Center

    North Central Association of Colleges and Schools, Chicago, IL.

    The first step toward the renaissance of the small school must be the determination of its inherent strengths and the identification of its structural weaknesses. Steps can then be taken to build program and procedures on those strengths, while at the same time devising expedients to reduce if not eliminate the weaknesses. However, it should be…

  9. Strengths and Weaknesses of NESTs and NNESTs: Perceptions of NNESTs in Hong Kong

    ERIC Educational Resources Information Center

    Ma, Lai Ping Florence

    2012-01-01

    Since non-native English speaking teachers (NNESTs) are always compared with native English speaking teachers (NESTs) on linguistic grounds, their strengths and weaknesses as English teachers are worthy of investigation. This paper reports on a mixed methods study which examines the strengths and weaknesses of NNESTs and NESTs through the…

  10. Acquired weakness, handgrip strength, and mortality in critically ill patients.

    PubMed

    Ali, Naeem A; O'Brien, James M; Hoffmann, Stephen P; Phillips, Gary; Garland, Allan; Finley, James C W; Almoosa, Khalid; Hejal, Rana; Wolf, Karen M; Lemeshow, Stanley; Connors, Alfred F; Marsh, Clay B

    2008-08-01

    ICU-acquired paresis (ICUAP) is common in survivors of critical illness. There is significant associated morbidity, including prolonged time on the ventilator and longer hospital stay. However, it is unclear whether ICUAP is independently associated with mortality, as sicker patients are more prone and existing studies have not adjusted for this. To test the hypothesis that ICUAP is independently associated with increased mortality. Secondarily, to determine if handgrip dynamometry is a concise measure of global strength and is independently associated with mortality. A prospective multicenter cohort study was conducted in intensive care units (ICU) of five academic medical centers. Adults requiring at least 5 days of mechanical ventilation without evidence of preexisting neuromuscular disease were followed until awakening and were then examined for strength. We measured global strength and handgrip dynamometry. The primary outcome was in-hospital mortality and secondary outcomes were hospital and ICU-free days, ICU readmission, and recurrent respiratory failure. Subjects with ICUAP (average MRC score of < 4) had longer hospital stays and required mechanical ventilation longer. Handgrip strength was lower in subjects with ICUAP and had good test performance for diagnosing ICUAP. After adjustment for severity of illness, ICUAP was independently associated with hospital mortality (odds ratio [OR], 7.8; 95% confidence interval [CI], 2.4-25.3; P = 0.001). Separately, handgrip strength was independently associated with hospital mortality (OR, 4.5; 95% CI, 1.5-13.6; P = 0.007). ICUAP is independently associated with increased hospital mortality. Handgrip strength is also independently associated with poor hospital outcome and may serve as a simple test to identify ICUAP. Clinical trial registered with www.clinicaltrials.gov (NCT00106665).

  11. [Archaeology and criminology--Strengths and weaknesses of interdisciplinary cooperation].

    PubMed

    Bachhiesl, Christian

    2015-01-01

    Interdisciplinary cooperation of archaeology and criminology is often focussed on the scientific methods applied in both fields of knowledge. In combination with the humanistic methods traditionally used in archaeology, the finding of facts can be enormously increased and the subsequent hermeneutic deduction of human behaviour in the past can take place on a more solid basis. Thus, interdisciplinary cooperation offers direct and indirect advantages. But it can also cause epistemological problems, if the weaknesses and limits of one method are to be corrected by applying methods used in other disciplines. This may result in the application of methods unsuitable for the problem to be investigated so that, in a way, the methodological and epistemological weaknesses of two disciplines potentiate each other. An example of this effect is the quantification of qualia. These epistemological reflections are compared with the interdisciplinary approach using the concrete case of the "Eulau Crime Scene".

  12. Nuclear energy: Its strengths, weaknesses and role in Finland

    NASA Astrophysics Data System (ADS)

    Ruuskanen, A.

    Nuclear energy has, in principle, various strengths as an energy form. In spite of the drawbacks of nuclear power, the benefits exceed its cost. That is why power companies in Finland have decided to apply for the construction, of the fifth nuclear power plant during Spring 1991. Electricity consumption is increasing, and new power producing capacity will be needed. Nuclear power is seen as the best alternative for producing baseload power in Finnish conditions.

  13. 75 FR 79295 - New Animal Drugs; Mupirocin

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-20

    ... HUMAN SERVICES Food and Drug Administration 21 CFR Parts 510 and 524 New Animal Drugs; Mupirocin AGENCY...) is amending the animal drug regulations to reflect approval of an abbreviated new animal drug... 510 and 524 are amended as follows: PART 510--NEW ANIMAL DRUGS 0 1. The authority citation for 21...

  14. Do Processing Patterns of Strengths and Weaknesses Predict Differential Treatment Response?

    ERIC Educational Resources Information Center

    Miciak, Jeremy; Williams, Jacob L.; Taylor, W. Pat; Cirino, Paul T.; Fletcher, Jack M.; Vaughn, Sharon

    2016-01-01

    No previous empirical study has investigated whether the learning disabilities (LD) identification decisions of proposed methods to operationalize processing strengths and weaknesses approaches for LD identification are associated with differential treatment response. We investigated whether the identification decisions of the…

  15. Do Processing Patterns of Strengths and Weaknesses Predict Differential Treatment Response?

    ERIC Educational Resources Information Center

    Miciak, Jeremy; Williams, Jacob L.; Taylor, W. Pat; Cirino, Paul T.; Fletcher, Jack M.; Vaughn, Sharon

    2016-01-01

    No previous empirical study has investigated whether the learning disabilities (LD) identification decisions of proposed methods to operationalize processing strengths and weaknesses approaches for LD identification are associated with differential treatment response. We investigated whether the identification decisions of the…

  16. Orbital Resonances in the Solar Nebula: Strengths and Weaknesses

    NASA Technical Reports Server (NTRS)

    Malhotra, Renu

    1993-01-01

    A planetesimal moving in the Solar Nebula experiences an aero- dynamic drag which causes its orbit to circularize and shrink. However, resonant perturbations from a protoplanet interior to the planetesimal's orbit ran counteract both the orbital decay and the damping of the eccentricity: the planetesimal can be captured into an orbital resonance and its eccentricity pumped up to a modestly high equilibrium value. Thus, orbital resonances constitute (partial) barriers to the delivery of planetesimals into the feeding zone of the protoplanet. We have established the characteristics of the phenomenon of resonance capture by gas drag in the circular restricted three-body approximation. We have determined the strengths of the equilibrium resonant orbits with respect to impulsive velocity perturbations. We conclude that planetesimals captured in orbital resonances are quite vulnerable to being dislocated from these orbits by mutual planetesimal interactions, but that the resonances are effective in slowing down the rate of orbital decay of planetesimals. Only very small bodies, less or approx. equal to 100 m, are able to reach a approx. 1 mass of the earth protoplanet without being slowed down by resonances.

  17. Health Education in India: A Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis

    ERIC Educational Resources Information Center

    Sharma, Manoj

    2005-01-01

    The purpose of this study was to conduct a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the health education profession and discipline in India. Materials from CINAHL, ERIC, MEDLINE, and Internet were collected to conduct the open coding of the SWOT analysis. Strengths of health education in India include an elaborate…

  18. Objective Evaluation of Muscle Strength in Infants with Hypotonia and Muscle Weakness

    ERIC Educational Resources Information Center

    Reus, Linda; van Vlimmeren, Leo A.; Staal, J. Bart; Janssen, Anjo J. W. M.; Otten, Barto J.; Pelzer, Ben J.; Nijhuis-van der Sanden, Maria W. G.

    2013-01-01

    The clinical evaluation of an infant with motor delay, muscle weakness, and/or hypotonia would improve considerably if muscle strength could be measured objectively and normal reference values were available. The authors developed a method to measure muscle strength in infants and tested 81 typically developing infants, 6-36 months of age, and 17…

  19. Objective Evaluation of Muscle Strength in Infants with Hypotonia and Muscle Weakness

    ERIC Educational Resources Information Center

    Reus, Linda; van Vlimmeren, Leo A.; Staal, J. Bart; Janssen, Anjo J. W. M.; Otten, Barto J.; Pelzer, Ben J.; Nijhuis-van der Sanden, Maria W. G.

    2013-01-01

    The clinical evaluation of an infant with motor delay, muscle weakness, and/or hypotonia would improve considerably if muscle strength could be measured objectively and normal reference values were available. The authors developed a method to measure muscle strength in infants and tested 81 typically developing infants, 6-36 months of age, and 17…

  20. Antimicrobial properties of Pseudomonas strains producing the antibiotic mupirocin.

    PubMed

    Matthijs, Sandra; Vander Wauven, Corinne; Cornu, Bertrand; Ye, Lumeng; Cornelis, Pierre; Thomas, Christopher M; Ongena, Marc

    2014-10-01

    Mupirocin is a polyketide antibiotic with broad antibacterial activity. It was isolated and characterized about 40 years ago from Pseudomonas fluorescens NCIMB 10586. To study the phylogenetic distribution of mupirocin producing strains in the genus Pseudomonas a large collection of Pseudomonas strains of worldwide origin, consisting of 117 Pseudomonas type strains and 461 strains isolated from different biological origins, was screened by PCR for the mmpD gene of the mupirocin gene cluster. Five mmpD(+) strains from different geographic and biological origin were identified. They all produced mupirocin and were strongly antagonistic against Staphylococcus aureus. Phylogenetic analysis showed that mupirocin production is limited to a single species. Inactivation of mupirocin production leads to complete loss of in vitro antagonism against S. aureus, except on certain iron-reduced media where the siderophore pyoverdine is responsible for the in vitro antagonism of a mupirocin-negative mutant. In addition to mupirocin some of the strains produced lipopeptides of the massetolide group. These lipopeptides do not play a role in the observed in vitro antagonism of the mupirocin producing strains against S. aureus.

  1. [A SWOT (strengths, weaknesses, opportunities, threats) analysis of the current immunization program in Zhejiang Province].

    PubMed

    He, Han-Qing; Ling, Luo-Ya; Xu, Xu-Qing

    2009-02-01

    To know the status of Immunization program in Zhejiang Province. The investigation on immunization program in zhejiang province was conducted, and the SWOT analysis was corducted to make a comprehensive evaluation. 11 cities, 22 counties and 44 towns were investigated in this study, and the current immunization program in Zhejiang province were explored by SWOT analysis. The SWOT Matrix, includes SO (strength-opportunity), ST (strength-threat), WO (weakness-opportunity) and WT (weakness-threat) can apply to make optimal strategy for the development of expanded program on immunization.

  2. Pitted keratolysis: successful management with mupirocin 2% ointment monotherapy.

    PubMed

    Greywal, Tanya; Cohen, Philip R

    2015-08-15

    Pitted keratolysis is a benign dermatosis that occurs on plantar skin. We describe a man with pitted keratolysis that was successfully treated with mupirocin 2% ointment monotherapy. We reviewed PubMed for the following terms: mupirocin, ointment, pitted keratolysis, treatment. We also reviewed papers containing these terms and their references. Complete resolution of pitted keratolysis occurred following monotherapy with twice daily application of mupirocin 2% ointment for a duration of three weeks. There was no recurrence at a follow-up visit eight weeks later. Several topical and oral treatments are available to successfully manage pitted keratolysis. Our patient confirms previous reports of pitted keratolysis resolving with mupirocin 2% ointment treatment. Monotherapy with mupirocin 2% ointment should be considered as a primary treatment alternative for pitted keratolysis.

  3. Patterns of Cognitive Strengths and Weaknesses and Relationships to Math Errors

    ERIC Educational Resources Information Center

    Koriakin, Taylor; White, Erica; Breaux, Kristina C.; DeBiase, Emily; O'Brien, Rebecca; Howell, Meiko; Costa, Michael; Liu, Xiaochen; Pan, Xingyu; Courville, Troy

    2017-01-01

    This study investigated cognitive patterns of strengths and weaknesses (PSW) and their relationship to patterns of math errors on the Kaufman Test of Educational Achievement (KTEA-3). Participants, ages 5 to 18, were selected from the KTEA-3 standardization sample if they met one of two PSW profiles: high crystallized ability (Gc) paired with low…

  4. Patterns of Cognitive Strengths and Weaknesses: Identification Rates, Agreement, and Validity for Learning Disabilities Identification

    ERIC Educational Resources Information Center

    Miciak, Jeremy; Fletcher, Jack M.; Stuebing, Karla K.; Vaughn, Sharon; Tolar, Tammy D.

    2014-01-01

    Few empirical investigations have evaluated learning disabilities (LD) identification methods based on a pattern of cognitive strengths and weaknesses (PSW). This study investigated the reliability and validity of two proposed PSW methods: the concordance/discordance method (C/DM) and cross battery assessment (XBA) method. Cognitive assessment…

  5. Memory Profiles in Children with Mild Intellectual Disabilities: Strengths and Weaknesses

    ERIC Educational Resources Information Center

    Van der Molen, Mariet J.; Van Luit, Johannes E. H.; Jongmans, Marian J.; Van der Molen, Maurits W.

    2009-01-01

    Strengths and weaknesses in short-term memory (STM) and working memory (WM) were identified in children with mild intellectual disabilities (MID) by comparing their performance to typically developing children matched on chronological age (CA children) and to younger typically developing children with similar mental capacities (MA children).…

  6. Internationally Adopted Children in the Early School Years: Relative Strengths and Weaknesses in Language Abilities

    ERIC Educational Resources Information Center

    Glennen, Sharon

    2015-01-01

    Purpose: This study aimed to determine the relative strengths and weaknesses in language and verbal short-term memory abilities of school-age children who were adopted from Eastern Europe. Method: Children adopted between 1;0 and 4;11 (years;months) of age were assessed with the Clinical Evaluation of Language Fundamentals-Preschool, Second…

  7. Profiles of Strengths and Weaknesses in Dyslexia and Other Learning Difficulties

    ERIC Educational Resources Information Center

    Everatt, John; Weeks, Sally; Brooks, Peter

    2008-01-01

    A total of 83 children with different special educational needs (SEN) assessments were contrasted with a control group (N = 40) without special needs on measures that aimed to identify potential areas of strengths as well as weaknesses in these SEN groups. Carefully selected groups of dyslexics, dyspraxics, children with specific language…

  8. Internationally Adopted Children in the Early School Years: Relative Strengths and Weaknesses in Language Abilities

    ERIC Educational Resources Information Center

    Glennen, Sharon

    2015-01-01

    Purpose: This study aimed to determine the relative strengths and weaknesses in language and verbal short-term memory abilities of school-age children who were adopted from Eastern Europe. Method: Children adopted between 1;0 and 4;11 (years;months) of age were assessed with the Clinical Evaluation of Language Fundamentals-Preschool, Second…

  9. Profiles of Strengths and Weaknesses in Dyslexia and Other Learning Difficulties

    ERIC Educational Resources Information Center

    Everatt, John; Weeks, Sally; Brooks, Peter

    2008-01-01

    A total of 83 children with different special educational needs (SEN) assessments were contrasted with a control group (N = 40) without special needs on measures that aimed to identify potential areas of strengths as well as weaknesses in these SEN groups. Carefully selected groups of dyslexics, dyspraxics, children with specific language…

  10. Memory Profiles in Children with Mild Intellectual Disabilities: Strengths and Weaknesses

    ERIC Educational Resources Information Center

    Van der Molen, Mariet J.; Van Luit, Johannes E. H.; Jongmans, Marian J.; Van der Molen, Maurits W.

    2009-01-01

    Strengths and weaknesses in short-term memory (STM) and working memory (WM) were identified in children with mild intellectual disabilities (MID) by comparing their performance to typically developing children matched on chronological age (CA children) and to younger typically developing children with similar mental capacities (MA children).…

  11. Insiders' Perspectives on Strengths and Weaknesses of the Mexican Education System.

    ERIC Educational Resources Information Center

    Rippberger, Susan

    This study examines strengths and weaknesses of Mexican public education as perceived by educators within the system. Forty teachers and administrators from various levels in the public school system were interviewed in 1988. Interviewees were primarily located in southern Mexican cities. Mexico's public educational structure is highly…

  12. CASP Position Paper: Specific Learning Disabilities and Patterns of Strengths and Weaknesses

    ERIC Educational Resources Information Center

    Christo, Catherine; Ponzuric, Jenny

    2017-01-01

    California Association of School Psychologists (CASP) adopted a Position Paper in March, 2014 intended to support school psychologists in California in electing to use a process known as Patterns of Strengths and Weaknesses (PSW) as one of three methods specified in IDEA 2014 and California Code of Regulations, Title 5, to identify students being…

  13. Do Cognitive Patterns of Strengths and Weaknesses Differentially Predict Errors on Reading, Writing, and Spelling?

    ERIC Educational Resources Information Center

    Liu, Xiaochen; Marchis, Lavinia; DeBiase, Emily; Breaux, Kristina C.; Courville, Troy; Pan, Xingyu; Hatcher, Ryan C.; Koriakin, Taylor; Choi, Dowon; Kaufman, Alan S.

    2017-01-01

    This study investigated the relationship between specific cognitive patterns of strengths and weaknesses (PSWs) and the errors children make in reading, writing, and spelling tests from the Kaufman Test of Educational Achievement-Third Edition (KTEA-3). Participants were selected from the KTEA-3 standardization sample based on five cognitive…

  14. Patterns of Cognitive Strengths and Weaknesses and Relationships to Math Errors

    ERIC Educational Resources Information Center

    Koriakin, Taylor; White, Erica; Breaux, Kristina C.; DeBiase, Emily; O'Brien, Rebecca; Howell, Meiko; Costa, Michael; Liu, Xiaochen; Pan, Xingyu; Courville, Troy

    2017-01-01

    This study investigated cognitive patterns of strengths and weaknesses (PSW) and their relationship to patterns of math errors on the Kaufman Test of Educational Achievement (KTEA-3). Participants, ages 5 to 18, were selected from the KTEA-3 standardization sample if they met one of two PSW profiles: high crystallized ability (Gc) paired with low…

  15. The Strengths and Weaknesses of Total Quality Management in Higher Education.

    ERIC Educational Resources Information Center

    Hazzard, Terry

    This paper defines Total Quality Management (TQM), discusses its origins, and identifies its strengths and weaknesses as they apply to higher education. The paper defines TQM as a philosophy of organizations that defines quality and improves organizational performance and administrative systems. The system originated from statistical quality…

  16. Patterns of Cognitive Strengths and Weaknesses: Identification Rates, Agreement, and Validity for Learning Disabilities Identification

    ERIC Educational Resources Information Center

    Miciak, Jeremy; Fletcher, Jack M.; Stuebing, Karla K.; Vaughn, Sharon; Tolar, Tammy D.

    2014-01-01

    Few empirical investigations have evaluated learning disabilities (LD) identification methods based on a pattern of cognitive strengths and weaknesses (PSW). This study investigated the reliability and validity of two proposed PSW methods: the concordance/discordance method (C/DM) and cross battery assessment (XBA) method. Cognitive assessment…

  17. Strength trapped within weakness/ weakness trapped within strength: the influence of family of origin experiences on the lives of abused women.

    PubMed

    Buchbinder, Eli; Birnbaum, Liora

    2010-06-01

    By conceptualizing abused women as victims or survivors, the literature offers two contradictory narratives of abused women. The aim of this article is to show that these two narratives are not mutually exclusive but rather can be used simultaneously to represent battered women's existential experiences. The study sample was comprised of 20 Israeli battered women. Three in-depth interviews were conducted with each participant-twice for data collection purposes and once for validating the themes that emerged from the content analysis. "Strength trapped in weakness/weakness trapped in strength" was found to be a dominant theme in the life narratives of the interviewees. Most interviewees grew up in families of origin in distress; most were abused physically and emotionally. Although this anguish colored their lives with pain and turmoil, their experiences were the key to their ability to overcome difficulties. From the onset, interviewees' lives were marked by a sense of threat and deprivation, but these very difficulties were also the source of a sense of power that emerged from the women's struggle with their past. In their attempts to cope with and transcend the legacies of their past, interviewees' feelings oscillated continuously between past and present, creating a unique powerful sense of simultaneously being victims and survivors. Implications for intervention are suggested.

  18. The power of the mind: the cortex as a critical determinant of muscle strength/weakness.

    PubMed

    Clark, Brian C; Mahato, Niladri K; Nakazawa, Masato; Law, Timothy D; Thomas, James S

    2014-12-15

    We tested the hypothesis that the nervous system, and the cortex in particular, is a critical determinant of muscle strength/weakness and that a high level of corticospinal inhibition is an important neurophysiological factor regulating force generation. A group of healthy individuals underwent 4 wk of wrist-hand immobilization to induce weakness. Another group also underwent 4 wk of immobilization, but they also performed mental imagery of strong muscle contractions 5 days/wk. Mental imagery has been shown to activate several cortical areas that are involved with actual motor behaviors, including premotor and M1 regions. A control group, who underwent no interventions, also participated in this study. Before, immediately after, and 1 wk following immobilization, we measured wrist flexor strength, voluntary activation (VA), and the cortical silent period (SP; a measure that reflect corticospinal inhibition quantified via transcranial magnetic stimulation). Immobilization decreased strength 45.1 ± 5.0%, impaired VA 23.2 ± 5.8%, and prolonged the SP 13.5 ± 2.6%. Mental imagery training, however, attenuated the loss of strength and VA by ∼50% (23.8 ± 5.6% and 12.9 ± 3.2% reductions, respectively) and eliminated prolongation of the SP (4.8 ± 2.8% reduction). Significant associations were observed between the changes in muscle strength and VA (r = 0.56) and SP (r = -0.39). These findings suggest neurological mechanisms, most likely at the cortical level, contribute significantly to disuse-induced weakness, and that regular activation of the cortical regions via imagery attenuates weakness and VA by maintaining normal levels of inhibition. Copyright © 2014 the American Physiological Society.

  19. Does Weak Turbulence Impact PMSEs' Strengths Closer To The Northern Pole?

    NASA Astrophysics Data System (ADS)

    Swarnalingam, N.; Hocking, W. K.; Janches, D.; Nicolls, M. J.

    2015-12-01

    Existing 51.0 MHz VHF radar at Eureka (80N, 86W) in northern Canada is located closer to both the northern magnetic and geomagnetic poles. A recent calibrated study of Polar Mesosphere Summer Echoes (PMSE) using this radar supports the previous results by other radars that the absolute signal strength of PMSE in this region is relatively weak compared with the radar observations located at high latitudes. Although very cold temperature and existence of charged ice particles are the most important ingredient required for PMSE to appear, several other factors could potentially influence the absolute signal strengths of these echoes. One of them is neutral air turbulence. Previous studies indicate that upper mesospheric turbulence's strength decreases with latitudes, especially in the very high latitudes [Becker, 2004; Lubken et. al., 2009]. In this study, we investigate long-term mesospheric turbulence strengths at Eureka and study how they could be associated with the weak PMSE signal strengths compared with other high latitude conditions, where PMSE are strong.

  20. Role of editors and journals in detecting and preventing scientific misconduct: strengths, weaknesses, opportunities, and threats.

    PubMed

    Marusic, Ana; Katavic, Vedran; Marusic, Matko

    2007-09-01

    Scientific journals have a central place in protecting research integrity because published articles are the most visible documentation of research. We used SWOT analysis to audit (S)trengths and (W)eaknesses as internal and (O)pportunities and (T)hreats as external factors affecting journals' responsibility in addressing research integrity issues. Strengths include editorial independence, authority and expertise, power to formulate editorial policies, and responsibility for the integrity of published records. Weaknesses stem from having no mandate for legal action, reluctance to get involved, and lack of training. Opportunities for editors are new technologies for detecting misconduct, policies by editorial organization or national institutions, and greater transparency of published research. Editors face threats from the lack of legal regulation and culture of research integrity in academic communities, lack of support from stakeholders in scientific publishing, and different pressures. Journal editors cannot be the policing force of the scientific community but they should actively ensure the integrity of the scientific record.

  1. Strengths and weaknesses of McNamara's evolutionary psychological model of dreaming.

    PubMed

    Olliges, Sandra

    2010-10-07

    This article includes a brief overview of McNamara's (2004) evolutionary model of dreaming. The strengths and weaknesses of this model are then evaluated in terms of its consonance with measurable neurological and biological properties of dreaming, its fit within the tenets of evolutionary theories of dreams, and its alignment with evolutionary concepts of cooperation and spirituality. McNamara's model focuses primarily on dreaming that occurs during rapid eye movement (REM) sleep; therefore this article also focuses on REM dreaming.

  2. Weak > strong: the ironic effect of argument strength on supportive advocacy.

    PubMed

    Akhtar, Omair; Paunesku, David; Tormala, Zakary L

    2013-09-01

    When people seek support for a cause, they typically present the strongest case they can muster. The present research suggests that under some conditions, the opposite strategy may be superior-in particular, presenting weak rather than strong arguments might stimulate greater advocacy and action. Across four studies, we show that when individuals already agree with a cause (i.e., it is pro-attitudinal), receiving weak arguments in its favor can prompt them into advocating more on its behalf. Perceived argumentation efficacy mediates this effect such that people exposed to weak arguments are more likely to think they have something valuable to contribute. Moreover, consistent with the notion that it is driven by feelings of increased efficacy, the effect is more likely to emerge when initial argumentation efficacy and attitude certainty are moderate or low. Individuals with high argumentation efficacy and high certainty generally advocate more, regardless of the strength of arguments received.

  3. Targeting cancer’s weaknesses (not its strengths): Therapeutic strategies suggested by the atavistic model

    PubMed Central

    Lineweaver, Charles H.; Davies, Paul C.W.; Vincent, Mark D.

    2014-01-01

    In the atavistic model of cancer progression, tumor cell dedifferentiation is interpreted as a reversion to phylogenetically earlier capabilities. The more recently evolved capabilities are compromised first during cancer progression. This suggests a therapeutic strategy for targeting cancer: design challenges to cancer that can only be met by the recently evolved capabilities no longer functional in cancer cells. We describe several examples of this target-the-weakness strategy. Our most detailed example involves the immune system. The absence of adaptive immunity in immunosuppressed tumor environments is an irreversible weakness of cancer that can be exploited by creating a challenge that only the presence of adaptive immunity can meet. This leaves tumor cells more vulnerable than healthy tissue to pathogenic attack. Such a target-the-weakness therapeutic strategy has broad applications, and contrasts with current therapies that target the main strength of cancer: cell proliferation. PMID:25043755

  4. SWOT analysis: strengths, weaknesses, opportunities and threats of the Israeli Smallpox Revaccination Program.

    PubMed

    Huerta, Michael; Balicer, Ran D; Leventhal, Alex

    2003-01-01

    During September 2002, Israel began its current revaccination program against smallpox, targeting previously vaccinated "first responders" among medical and emergency workers. In order to identify the potential strengths and weaknesses of this program and the conditions under which critical decisions were reached, we conducted a SWOT analysis of the current Israeli revaccination program, designed to identify its intrinsic strengths and weaknesses, as well as opportunities for its success and threats against it. SWOT analysis--a practical tool for the study of public health policy decisions and the social and political contexts in which they are reached--revealed clear and substantial strengths and weaknesses of the current smallpox revaccination program, intrinsic to the vaccine itself. A number of threats were identified that may jeopardize the success of the current program, chief among them the appearance of severe complications of vaccination. Our finding of a lack of a generation of knowledge on smallpox vaccination highlights the need for improved physician education and dissipation of misconceptions that are prevalent in the public today.

  5. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing

    PubMed Central

    Chui, Michelle A

    2012-01-01

    Objective This paper explored pharmacy staff perceptions of the strengths and weaknesses of electronic prescribing (e-prescribing) design in retail pharmacies using the sociotechnical systems framework. This study examined how adoption of e-prescribing technology is affecting clinical practice and patient care. Materials and methods Direct observations and think aloud protocols were used to collect data from seven retail pharmacies. Results Pharmacists and pharmacy technicians reported strengths of e-prescribing design that facilitated pharmacy work which included: legibility, ease of archiving, quick access to prescriptions and consistency in the format of electronic prescriptions (e-prescriptions). Design weaknesses and potential hazards to patient care associated with e-prescribing systems were due to differences between pharmacy and prescriber computer systems which resulted in the selection of wrong patient or drug (name, directions, dose, strength, formulation, package sizes). There were unique strengths and weaknesses in the design of e-prescriptions peculiar to the three pharmacy computer systems examined in this study. Discussion Findings from this study can help inform policy on creating e-prescribing design standards for pharmacy. e-Prescribing system developers can use the results of this study to identify and apply the most usable features of the three main pharmacy computer systems to design systems that support dispensing efficiency and safety. Conclusions This is the first study to highlight design flaws with e-prescribing in retail pharmacies. The sociotechnical systems framework was useful in providing an indepth understanding of the pharmacist and pharmacy technician's interface with e-prescribing technology. This information can be used by policy makers to create e-prescribing standards for pharmacies. PMID:22753809

  6. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing.

    PubMed

    Odukoya, Olufunmilola; Chui, Michelle A

    2012-01-01

    This paper explored pharmacy staff perceptions of the strengths and weaknesses of electronic prescribing (e-prescribing) design in retail pharmacies using the sociotechnical systems framework. This study examined how adoption of e-prescribing technology is affecting clinical practice and patient care. Direct observations and think aloud protocols were used to collect data from seven retail pharmacies. Pharmacists and pharmacy technicians reported strengths of e-prescribing design that facilitated pharmacy work which included: legibility, ease of archiving, quick access to prescriptions and consistency in the format of electronic prescriptions (e-prescriptions). Design weaknesses and potential hazards to patient care associated with e-prescribing systems were due to differences between pharmacy and prescriber computer systems which resulted in the selection of wrong patient or drug (name, directions, dose, strength, formulation, package sizes). There were unique strengths and weaknesses in the design of e-prescriptions peculiar to the three pharmacy computer systems examined in this study. Findings from this study can help inform policy on creating e-prescribing design standards for pharmacy. e-Prescribing system developers can use the results of this study to identify and apply the most usable features of the three main pharmacy computer systems to design systems that support dispensing efficiency and safety. This is the first study to highlight design flaws with e-prescribing in retail pharmacies. The sociotechnical systems framework was useful in providing an indepth understanding of the pharmacist and pharmacy technician's interface with e-prescribing technology. This information can be used by policy makers to create e-prescribing standards for pharmacies.

  7. Strength of iron at core pressures and evidence for a weak Earth’s inner core

    SciTech Connect

    Gleason, A. E.; Mao, W. L.

    2013-05-12

    The strength of iron at extreme conditions is crucial information for interpreting geophysical observations of the Earth’s core and understanding how the solid inner core deforms. However, the strength of iron, on which deformation depends, is challenging to measure and accurately predict at high pressure. Here we present shear strength measurements of iron up to pressures experienced in the Earth’s core. Hydrostatic X-ray spectroscopy and non-hydrostatic radial X-ray diffraction measurements of the deviatoric strain in hexagonally close-packed iron uniquely determine its shear strength to pressures above 200 GPa at room temperature. Applying numerical modelling of the rheologic behaviour of iron under pressure, we extrapolate our experimental results to inner-core pressures and temperatures, and find that the bulk shear strength of hexagonally close-packed iron is only ~ 1 GPa at the conditions of the Earth’s centre, 364 GPa and 5,500 K. This suggests that the inner core is rheologically weak, which supports dislocation creep as the dominant creep mechanism influencing deformation.

  8. Internationally adopted children in the early school years: relative strengths and weaknesses in language abilities.

    PubMed

    Glennen, Sharon

    2015-01-01

    This study aimed to determine the relative strengths and weaknesses in language and verbal short-term memory abilities of school-age children who were adopted from Eastern Europe. Children adopted between 1;0 and 4;11 (years;months) of age were assessed with the Clinical Evaluation of Language Fundamentals-Preschool, Second Edition (CELF-P2) and the Clinical Evaluation of Language Fundamentals, Fourth Edition (CELF-4) at age 5 and ages 6-7. Language composites and subtests were compared across time. All CELF-P2 and CELF-4 mean scores fell in the average range. Receptive composites were 102.74 and 103.86, and expressive composites were 100.58 and 98.42, at age 5 and ages 6-7, respectively. Age of adoption did not correlate to test scores. At ages 6-7, receptive language, sentence formulation, and vocabulary were areas of strength, with subtest scores significantly better than test norms. Verbal short-term memory and expressive grammar subtest scores were within the average range but significantly worse than test norms. A high percentage of children scored 1 standard deviation below the mean on these 2 subtests (27.3%-34.1%). Eastern European adoptees had average scores on a variety of language tests. Vocabulary was a relative strength; enriching the environment substantially improved this language area. Verbal short-term memory and expressive grammar were relative weaknesses. Children learning a language later in life may have difficulty with verbal short-term memory, which leads to weaknesses in expressive syntax and grammar.

  9. A Historical Perspective on the Development of the Allan Variances and Their Strengths and Weaknesses.

    PubMed

    Allan, David W; Levine, Judah

    2016-04-01

    Over the past 50 years, variances have been developed for characterizing the instabilities of precision clocks and oscillators. These instabilities are often modeled as nonstationary processes, and the variances have been shown to be well-behaved and to be unbiased, efficient descriptors of these types of processes. This paper presents a historical overview of the development of these variances. The time-domain and frequency-domain formulations are presented and their development is described. The strengths and weaknesses of these characterization metrics are discussed. These variances are also shown to be useful in other applications, such as in telecommunication.

  10. [Analysing strengths and weaknesses: opportunities and threats for service providers in the German health care system].

    PubMed

    Hensen, Peter; Wollert, Silke; Schawrz, Thomas; Luger, Thomas; Roeder, Norbert

    2003-05-01

    Hospitals in the German health care system are confronted with increasing economic competition due to paradigm shifts in funding inpatient treatment. Major hospitals, such as university hospitals, will be under significantly greater pressure to keep up the ability to compete by uniform per case payment. The new hospital funding system based on a Diagnosis Related Group (DRG) system and the economic competition involved require analyses of organisational and locational factors. Cooperativeness and efficient utilisation of resources, properties and staff will be determining factors to secure existence. Adequate responses and strategies are essential to cope with the growing operating requirements. Carrying out an analysis identifying one's own strengths and weaknesses, opportunities and threats will help to focus activities and sustainable strategies into areas where the strengths and the greatest opportunities lie. An example of the process of strategic planning and positioning is shown for a university department of dermatology.

  11. Vocabulary Abilities of Children with Williams Syndrome: Strengths, Weaknesses, and Relation to Visuospatial Construction Ability

    PubMed Central

    Mervis, Carolyn B.; John, Angela E.

    2008-01-01

    Purpose This project was designed to identify relative strengths and weaknesses in vocabulary ability for children with Williams syndrome (WS) and to demonstrate the importance of stringent matching criteria for cross-group comparisons. Methods Children with WS and typically developing (TD) children completed standardized assessments of intellectual and language ability. Children with WS also completed a visuospatial construction ability assessment. Results Study 1: Concrete and relational vocabulary standard scores were significantly lower for 5 – 7-year-olds with WS than for TD children. Children with WS earned significantly higher standard scores for concrete than for relational vocabulary. When groups were stringently matched for relational vocabulary size, children with WS did not evidence a specific weakness in spatial vocabulary. Study 2: Standard scores for relational vocabulary were similar to those for visuospatial construction ability for 5 – 7-year-olds with WS. Study 3: 9 – 11-year-olds with WS demonstrated very limited relational vocabulary ability; relational vocabulary ability at 5 – 7 years was highly correlated with later relational language ability. Conclusions Concrete vocabulary is a relative strength for children with WS; relational vocabulary ability is very limited and is at about the level of visuospatial construction ability. Accurate determination of group comparison results depends on stringent group matching. PMID:18658065

  12. Biotic indices for assessing the status of coastal waters: a review of strengths and weaknesses.

    PubMed

    Martínez-Crego, Begoña; Alcoverro, Teresa; Romero, Javier

    2010-05-01

    Biotic indices have become key assessment tools in most recent national and trans-national policies aimed at improving the quality of coastal waters and the integrity of their associated ecosystems. In this study we analyzed 90 published biotic indices, classified them into four types, and analyzed the strengths and weaknesses of each type in relation to the requirements of these policies. We identified three main type-specific weaknesses. First, the problems of applicability, due to practical and conceptual difficulties, which affect most indices related to ecosystem function. Second, the failure of many indices based on structural attributes of the community (e.g. taxonomic composition) to link deterioration with causative stressors, or to provide an early-detection capacity. Third, the poor relevance to the ecological integrity of indices based on attributes at the sub-individual level (e.g. multi-biomarkers). Additionally, most indices still fail on two further aspects: the broad-scale applicability and the definition of reference conditions. Nowadays, the most promising approach seems to be the aggregation of indices with complementary strengths, and obtained from different biological communities.

  13. Motivated Implicit Theories of Personality: My Weaknesses Will Go Away, but My Strengths Are Here to Stay.

    PubMed

    Steimer, Andreas; Mata, André

    2016-04-01

    Across six studies, this research found consistent evidence for motivated implicit theories about personality malleability: People perceive their weaknesses as more malleable than their strengths. Moreover, motivation also influences how people see themselves in the future, such that they expect their present strengths to remain constant, but they expect their present weaknesses to improve in the future. Several additional findings suggest the motivational nature of these effects: The difference in perceived malleability for strengths versus weaknesses was only observed for the self, not for other people. When the desirability of possessing a certain trait was manipulated, that trait was perceived to be more malleable when it was depicted as undesirable. And these different beliefs that people have about how malleable their traits are, and how they will develop in the future, were associated with their desire for change, which is higher for weaknesses versus strengths.

  14. Programme coordinators' perceptions of strengths, weaknesses, opportunities and threats associated with school nutrition programmes.

    PubMed

    Valaitis, Renata F; Hanning, Rhona M; Herrmann, Isabela S

    2014-06-01

    As part of a larger evaluation of school nutrition programmes (SNP), the present study examined programme coordinators' perceptions of strengths, weaknesses, opportunities and threats (SWOT) regarding their SNP and public health professionals' support. Qualitative interviews were conducted with twenty-two of eighty-one programme coordinators who had completed a programme evaluation survey. Interviews followed a SWOT framework to evaluate programmes and assessed coordinators' perceptions regarding current and future partnerships with public health professionals. The study was conducted in a large, urban region within Ontario. The twenty-two coordinators who participated represented a cross-section of elementary, secondary, Public and Catholic schools. SNP varied enormously in foods/services offered, how they offered them and perceived needs. Major strengths included universality, the ability to reach needy students and the provision of social opportunities. Major weaknesses included challenges in forming funding partnerships, lack of volunteers, scheduling and timing issues, and coordinator workload. Common threats to effective SNP delivery included lack of sustainable funding, complexity in tracking programme use and food distribution, unreliable help from school staff, and conflicts with school administration. Opportunities for increased public health professionals' assistance included menu planning, nutrition education, expansion of programme food offerings, and help identifying community partners and sustainable funding. The present research identified opportunities for improving SNP and strategies for building on strengths. Since programmes were so diverse, tailored strategies are needed. Public health professionals can play a major role through supporting menu planning, food safety training, access to healthy foods, curriculum planning and by building community partnerships.

  15. Animal Study Registries: Results from a Stakeholder Analysis on Potential Strengths, Weaknesses, Facilitators, and Barriers

    PubMed Central

    Wieschowski, Susanne; Silva, Diego S.; Strech, Daniel

    2016-01-01

    Publication bias in animal research, its extent, its predictors, and its potential countermeasures are increasingly discussed. Recent reports and conferences highlight the potential strengths of animal study registries (ASRs) in this regard. Others have warned that prospective registration of animal studies could diminish creativity, add administrative burdens, and complicate intellectual property issues in translational research. A literature review and 21 international key-informant interviews were conducted and thematically analyzed to develop a comprehensive matrix of main- and subcategories for potential ASR-related strengths, weaknesses, facilitators, and barriers (SWFBs). We identified 130 potential SWFBs. All stakeholder groups agreed that ASRs could in various ways improve the quality and refinement of animal studies while allowing their number to be reduced, as well as supporting meta-research on animal studies. However, all stakeholder groups also highlighted the potential for theft of ideas, higher administrative burdens, and reduced creativity and serendipity in animal studies. Much more detailed reasoning was captured in the interviews than is currently found in the literature, providing a comprehensive account of the issues and arguments around ASRs. All stakeholder groups highlighted compelling potential strengths of ASRs. Although substantial weaknesses and implementation barriers were highlighted as well, different governance measures might help to minimize or even eliminate their impact. Such measures might include confidentiality time frames for accessing prospectively registered protocols, harmonized reporting requirements across ASRs, ethics reviews, lab notebooks, and journal submissions. The comprehensive information gathered in this study could help to guide a more evidence-based debate and to design pilot tests for ASRs. PMID:27832101

  16. Animal Study Registries: Results from a Stakeholder Analysis on Potential Strengths, Weaknesses, Facilitators, and Barriers.

    PubMed

    Wieschowski, Susanne; Silva, Diego S; Strech, Daniel

    2016-11-01

    Publication bias in animal research, its extent, its predictors, and its potential countermeasures are increasingly discussed. Recent reports and conferences highlight the potential strengths of animal study registries (ASRs) in this regard. Others have warned that prospective registration of animal studies could diminish creativity, add administrative burdens, and complicate intellectual property issues in translational research. A literature review and 21 international key-informant interviews were conducted and thematically analyzed to develop a comprehensive matrix of main- and subcategories for potential ASR-related strengths, weaknesses, facilitators, and barriers (SWFBs). We identified 130 potential SWFBs. All stakeholder groups agreed that ASRs could in various ways improve the quality and refinement of animal studies while allowing their number to be reduced, as well as supporting meta-research on animal studies. However, all stakeholder groups also highlighted the potential for theft of ideas, higher administrative burdens, and reduced creativity and serendipity in animal studies. Much more detailed reasoning was captured in the interviews than is currently found in the literature, providing a comprehensive account of the issues and arguments around ASRs. All stakeholder groups highlighted compelling potential strengths of ASRs. Although substantial weaknesses and implementation barriers were highlighted as well, different governance measures might help to minimize or even eliminate their impact. Such measures might include confidentiality time frames for accessing prospectively registered protocols, harmonized reporting requirements across ASRs, ethics reviews, lab notebooks, and journal submissions. The comprehensive information gathered in this study could help to guide a more evidence-based debate and to design pilot tests for ASRs.

  17. Continental Rifts: Lithospheric Weakness and Strength Contrasts as Triggers for Necking Instabilities

    NASA Astrophysics Data System (ADS)

    Wenker, S.; Beaumont, C.

    2014-12-01

    Rifted margin geometry is too complex and diverse to be explained by simple kinematic models. Instead, we consider the effects of strain localization and the growth of necking instabilities as they apply to rifted margins. The intrinsic layering of the lithosphere will affect the growth rate of necking instabilities, leading to depth-dependent extension. In addition, continents are far from homogeneous after multiple cycles of collision, strike-slip motion and rifting. The resulting inherited heterogeneities may serve to localize strain and initiate necking instabilities. We use 2D finite element models containing embedded finite weak zones in the crust and/or mantle as well as a vertical lithospheric boundary across which lithospheric layering changes resulting in an overall strength contrast. We show that there are two controls on the style of rifting: Control 1, the stiff/pliable nature of the lithospheric layers and; Control 2, the distribution of the background strain rate in the lithosphere. Control 1 depends on the lithospheric rheology, such that necking instabilities grow faster in a stiff, dominantly plastic, layer than in equivalent layers with a pliable, mostly viscous, rheology. Control 2 is important where a strength contrast at a lithospheric boundary influences the distribution of the background strain rate. Necking is a mechanism that amplifies the background strain rate, which implies faster necking in parts of the lithosphere where background strain rates are highest. In a laterally homogeneous lithosphere, the background strain rate will be uniform in each layer and Control 1 will dominate giving necking in stiff layers. However, juxtaposed lithospheres with different strengths will distribute strain giving the weaker lithosphere the higher strain rate, implying the fastest necking may occur under Control 2 in pliable layers with the higher strain rate. An end-member case is where strong lithosphere acts as a rigid block. Here, no necking

  18. Drug utilization review of mupirocin ointment in a Korean university-affiliated hospital

    PubMed Central

    Youn, Sung Hee; Kim, Sukyeon; Lee, Jeong-a; Kim, Bum Joon; Kim, Jounghee; Han, Hye-kyung; Kim, Jae-Seok

    2015-01-01

    Background/Aims Intranasal mupirocin and chlorhexidine bathing are candidate strategies to prevent healthcare-associated infections caused by methicillin-resistant Staphylococcus aureus (MRSA). In Korea, intranasal mupirocin is not available, and mupirocin ointment, an over-the-counter drug, has been used indiscriminately. Furthermore, because it is covered by health insurance, mupirocin is easy to prescribe within hospitals. Methods We performed a mupirocin drug utilization review (DUR) within Hallym University Sacred Heart Hospital. Annual use of mupirocin was investigated between 2003 and 2013, and monthly consumption of mupirocin was assessed during the final 2-year period. The DUR focused on August 2012, the period of highest use of mupirocin. Also, we investigated trends in mupirocin resistance in MRSA between 2011 and 2013. Results Annual consumption of mupirocin increased from 3,529 tubes in 2003 to 6,475 tubes in 2013. During August 2012, 817 tubes were prescribed to 598 patients; of these, 84.9% were prescribed to outpatients, and 77.6% at the dermatology department. The most common indication was prevention of skin infections (84.9%), and the ointment was combined with systemic antibiotics in 62.9% of cases. The average duration of systemic antibiotic administration was about 7.8 days. The rate of low-level mupirocin resistance in MRSA increased from 8.0% to 22.0%, and that of high-level mupirocin resistance increased from about 4.0% to about 7.5%. Conclusions Inappropriate use of mupirocin is prevalent. Considering the increase in resistance and the future application of intranasal mupirocin, prophylactic use of mupirocin in dermatology departments should be reconsidered. PMID:26161018

  19. Strengths and weaknesses of Problem Based Learning from the professional perspective of registered nurses 1

    PubMed Central

    Cónsul-Giribet, María; Medina-Moya, José Luis

    2014-01-01

    OBJECTIVE: to identify competency strengths and weaknesses as perceived by nursing professionals who graduated with a integrated curriculum and competency-based through Problem Based Learning in small groups. METHOD: an intrinsic case study method was used, which analyzes this innovation through former students (from the first class) with three years of professional experience. The data were collected through a questionnaire and discussion groups. RESULTS: the results show that their competency level is valued in a very satisfactory manner. This level paradoxically contrasts with the lack of theoretical knowledge they perceived at the end of their education, when they started working in clinical practice. CONCLUSIONS: the teaching strategy was key to motivate an in-depth study and arouse the desire to know. In addition, Problem Based Learning favors and reinforces the decision to learn, which is that necessary in the course of professional life. PMID:25493666

  20. 3D printing from MRI Data: Harnessing strengths and minimizing weaknesses.

    PubMed

    Ripley, Beth; Levin, Dmitry; Kelil, Tatiana; Hermsen, Joshua L; Kim, Sooah; Maki, Jeffrey H; Wilson, Gregory J

    2017-03-01

    3D printing facilitates the creation of accurate physical models of patient-specific anatomy from medical imaging datasets. While the majority of models to date are created from computed tomography (CT) data, there is increasing interest in creating models from other datasets, such as ultrasound and magnetic resonance imaging (MRI). MRI, in particular, holds great potential for 3D printing, given its excellent tissue characterization and lack of ionizing radiation. There are, however, challenges to 3D printing from MRI data as well. Here we review the basics of 3D printing, explore the current strengths and weaknesses of printing from MRI data as they pertain to model accuracy, and discuss considerations in the design of MRI sequences for 3D printing. Finally, we explore the future of 3D printing and MRI, including creative applications and new materials.

  1. Lateral flow (immuno)assay: its strengths, weaknesses, opportunities and threats. A literature survey.

    PubMed

    Posthuma-Trumpie, Geertruida A; Korf, Jakob; van Amerongen, Aart

    2009-01-01

    Lateral flow (immuno)assays are currently used for qualitative, semiquantitative and to some extent quantitative monitoring in resource-poor or non-laboratory environments. Applications include tests on pathogens, drugs, hormones and metabolites in biomedical, phytosanitary, veterinary, feed/food and environmental settings. We describe principles of current formats, applications, limitations and perspectives for quantitative monitoring. We illustrate the potentials and limitations of analysis with lateral flow (immuno)assays using a literature survey and a SWOT analysis (acronym for "strengths, weaknesses, opportunities, threats"). Articles referred to in this survey were searched for on MEDLINE, Scopus and in references of reviewed papers. Search terms included "immunochromatography", "sol particle immunoassay", "lateral flow immunoassay" and "dipstick assay".

  2. Strengths and weaknesses of Problem Based Learning from the professional perspective of registered nurses.

    PubMed

    Cónsul-Giribet, María; Medina-Moya, José Luis

    2014-10-01

    To identify competency strengths and weaknesses as perceived by nursing professionals who graduated with a integrated curriculum and competency-based through Problem Based Learning in small groups. An intrinsic case study method was used, which analyzes this innovation through former students (from the first class) with three years of professional experience. The data were collected through a questionnaire and discussion groups. The results show that their competency level is valued in a very satisfactory manner. This level paradoxically contrasts with the lack of theoretical knowledge they perceived at the end of their education, when they started working in clinical practice. The teaching strategy was key to motivate an in-depth study and arouse the desire to know. In addition, Problem Based Learning favors and reinforces the decision to learn, which is that necessary in the course of professional life.

  3. The Janus-faced nature of comparative psychology--strength or weakness?

    PubMed

    Burghardt, Gordon M

    2013-07-18

    What is the nature of comparative psychology and how does or should it relate to evolutionary psychology? This is a time of reassessment of both fields and this article reviews the history of comparative psychology and its relationships with evolutionary psychology, ethology, and other approaches to behavior from the perspective of a former editor of the Journal of Comparative Psychology who has spent many decades engaged in research in animal behavior. Special attention is given to a reassessment of comparative psychology that was carried out in 1987. The various tensions and orientations that seem endemic to comparative psychology may, in fact, be both a strength and weakness as comparative psychology and evolutionary approaches to human psychology return to issues prominent in the late 19th Century, when both fields were just becoming established.

  4. The voluntary community health movement in India: a strengths, weaknesses, opportunities, and threats (SWOT) analysis.

    PubMed

    Sharma, M; Bhatia, G

    1996-12-01

    There has been a prolific growth of voluntary organizations in India since independence in 1947. One of the major areas of this growth has been in the field of community health. The purpose of this article is to historically trace the voluntary movement in community health in India, analyze the current status, and predict future trends of voluntary efforts. A review of the literature in the form of a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis was the method of this study. Some of the key trends which emerged as the priority areas for progress and for strengthening voluntary organizations in the future were enhancing linkages between health and development; building upon collective force; greater utilization of participatory training; establishing egalitarian and effectual linkages for decision making at the international level; developing self-reliant community-based models; and the need for attaining holistic empowerment at individual, organizational, and community levels through "duty consciousness" as opposed to merely asking for rights.

  5. Evidences on weaknesses and strengths from health financing after decentralization: lessons from Latin American countries.

    PubMed

    Arredondo, Armando; Orozco, Emanuel; De Icaza, Esteban

    2005-01-01

    The main objective was to identify trends and evidence on health financing after health care decentralization. Evaluative research with a before-after design integrating qualitative and quantitative analysis. Taking into account feasibility, political and technical criteria, three Latin American countries were selected as study populations: Mexico, Nicaragua and Peru. The methodology had two main phases. In the first phase, the study referred to secondary sources of data and documents to obtain information about the following variables: type of decentralization implemented, source of finance, funds of financing, providers, final use of resources and mechanisms for resource allocation. In the second phase, the study referred to primary data collected in a survey of key personnel from the health sectors of each country. The trends and evidence reported in all five financing indicators may identify major weaknesses and strengths in health financing. Weaknesses: a lack of human resources trained in health economics who can implement changes, a lack of financial resource independence between the local and central levels, the negative behavior of the main macro-economic variables, and the difficulty in developing new financing alternatives. Strengths: the sharing between the central level and local levels of responsibility for financing health services, the implementation of new organizational structures for the follow-up of financial changes at the local level, the development and implementation of new financial allocation mechanisms taking as a basis the efficiency and equity principles, new technique of a per-capita adjustment factor corrected at the local health needs, and the increase of financing contributions from households and local levels of government.

  6. Traits-based approaches in bioassessment and ecological risk assessment: strengths, weaknesses, opportunities and threats.

    PubMed

    Van den Brink, Paul J; Alexander, Alexa C; Desrosiers, Mélanie; Goedkoop, Willem; Goethals, Peter L M; Liess, Matthias; Dyer, Scott D

    2011-04-01

    We discuss the application of traits-based bioassessment approaches in retrospective bioassessment as well as in prospective ecological risk assessments in regulatory frameworks. Both approaches address the interaction between species and stressors and their consequences at different levels of biological organization, but the fact that a specific species may be less abundant in a potentially impacted site compared with a reference site is, regrettably, insufficient to provide diagnostic information. Species traits may, however, overcome the problems associated with taxonomy-based bioassessment. Trait-based approaches could provide signals regarding what environmental factors may be responsible for the impairment and, thereby, provide causal insight into the interaction between species and stressors. For development of traits-based (TBA), traits should correspond to specific types of stressors or suites of stressors. In this paper, a strengths, weaknesses, opportunities, and threats (SWOT) analysis of TBA in both applications was used to identify challenges and potentials. This paper is part of a series describing the output of the TERA (Traits-based ecological risk assessment: Realising the potential of ecoinformatics approaches in ecotoxicology) Workshop held between 7 and 11 September, 2009, in Burlington, Ontario, Canada. The recognized strengths were that traits are transferrable across geographies, add mechanistic and diagnostic knowledge, require no new sampling methodology, have an old tradition, and can supplement taxonomic analysis. Weaknesses include autocorrelation, redundancy, and inability to protect biodiversity directly. Automated image analysis, combined with genetic and biotechnology tools and improved data analysis to solve autocorrelation problems were identified as opportunities, whereas low availability of trait data, their transferability, their quantitative interpretation, the risk of developing nonrelevant traits, low quality of historic

  7. Partitioning in aqueous two-phase systems: Analysis of strengths, weaknesses, opportunities and threats.

    PubMed

    Soares, Ruben R G; Azevedo, Ana M; Van Alstine, James M; Aires-Barros, M Raquel

    2015-08-01

    For half a century aqueous two-phase systems (ATPSs) have been applied for the extraction and purification of biomolecules. In spite of their simplicity, selectivity, and relatively low cost they have not been significantly employed for industrial scale bioprocessing. Recently their ability to be readily scaled and interface easily in single-use, flexible biomanufacturing has led to industrial re-evaluation of ATPSs. The purpose of this review is to perform a SWOT analysis that includes a discussion of: (i) strengths of ATPS partitioning as an effective and simple platform for biomolecule purification; (ii) weaknesses of ATPS partitioning in regard to intrinsic problems and possible solutions; (iii) opportunities related to biotechnological challenges that ATPS partitioning may solve; and (iv) threats related to alternative techniques that may compete with ATPS in performance, economic benefits, scale up and reliability. This approach provides insight into the current status of ATPS as a bioprocessing technique and it can be concluded that most of the perceived weakness towards industrial implementation have now been largely overcome, thus paving the way for opportunities in fermentation feed clarification, integration in multi-stage operations and in single-step purification processes.

  8. Reading a single qubit system using weak measurement with variable strength

    NASA Astrophysics Data System (ADS)

    Younes, Ahmed

    2017-05-01

    The information contents of an unknown qubit system is usually read using sharp measurement. Sharp measurement is an irreversible operation that will cause the superposition to collapse to one of the two possible states in a probabilistic way. This paper will propose a quantum algorithm to read the information contents of an unknown qubit without applying sharp measurement on that qubit. A quantum feedback control scheme will be introduced where sharp measurement will be applied iteratively on an auxiliary qubit weakly entangled with the unknown qubit. It will be shown that the information contents can be read by counting the outcomes from the sharp measurement on the auxiliary qubit which will make the amplitudes of the superposition move in a random walk manner. The effect of this operation on the unknown qubit can be reversed to decrease the disturbance introduced to the system. The strength of the weak measurement can then be defined and can be controlled using an arbitrary number of dummy qubits (virtual qubits) μ to be added to the system. This can slowdown the measurement process to an arbitrary scale to reach the effect of the sharp measurement after O(μ2) measurements on the auxiliary qubit.

  9. Cannabis social clubs in Belgium: organizational strengths and weaknesses, and threats to the model.

    PubMed

    Decorte, Tom

    2015-02-01

    Cannabis Social Clubs (CSCs) are private organizations or clubs of users that produce cannabis for non-profit distribution to adult members to meet their personal needs without having to turn to the black market. CSCs can be found in many countries, but the term often covers very different empirical realities. Inspired by the Spanish CSCs and similarly taking advantage of a grey area in the Belgian cannabis legislation, Belgian cannabis activists set up the first Belgian CSC in 2006, and there are now at least 5 Belgian CSCs. The paper's main objective is to analyse the (internal) strengths and weaknesses and the (external) opportunities and threats of the model, as it exists today. The paper draws on a review of international literature and qualitative data on the Belgian cannabis social clubs. Field visits and interviews were conducted with each club. We analysed membership application forms, cultivation protocols and contracts with growers, cannabis ownership certificates of members, information leaflets, the clubs' websites, and all media articles and documentaries on the clubs in the Belgian media. The paper describes the membership criteria and house rules, the members' profile, the organization and protocols for cannabis production, the distribution of cannabis through 'exchange fairs', the administrative features of the clubs and their contacts with other CSCs and with local authorities, the drug sector and the media. Belgian CSCs seem not profit-driven, and operate as a system in which cannabis is not too easily available. The clubs have fairly direct control over the quality and the potency of the cannabis they distribute. The model offers important potential opportunities, in terms of economic advantages and monitoring consumption patterns. The main threats to Belgian CSCs consist of attempts to criminalize the model, the emergence of profit-driven clubs and systemic violence from criminal entrepreneurs. Weaknesses of the model relate to the unstable or

  10. THE STRENGTHS, WEAKNESSES, OPPORTUNITIES, AND THREATS (SWOTs) ANALYSES OF THE EBOLA VIRUS - PAPER RETRACTED.

    PubMed

    Babalola, Michael Oluyemi

    2016-01-01

    Owing to the extreme virulence and case fatality rate of ebola virus disease (EVD), there had been so much furore, panic and public health emergency about the possible pandemic from the recent West African outbreak of the disease, with attendant handful research, both in the past and most recently. The magnitude of the epidemic of ebola virus disease has prompted global interest and urgency in the discovery of measures to mitigate the impact of the disease. Researchers in the academia and the industry were pressured to only focus on the development of effective and safe ebola virus vaccines, without consideration of the other aspects to this virus, which may influence the success or otherwise of a potential vaccine. The objective of this review was to adopt the SWOT concept to elucidate the biological Strengths, Weaknesses, Opportunities, and Threats to Ebola virus as a pathogen, with a view to understanding and devising holistic strategies at combating and overcoming the scourge of EVD. This systematic review and narrative synthesis utilized Medline, PubMed, Google and other databases to select about 150 publications on ebola and ebola virus disease using text word searches to generate the specific terms. Relevant publications were reviewed and compared, findings were synthesized using a narrative method and summarized qualitatively. Some of the identified strengths of ebola virus include: Ebola virus is an RNA virus with inherent capability to mutate, reassort and recombine to generate mutant or reassortant virulent strains; Ebola virus has a broad cellular tropism; Natural Reservoir of ebola virus is unconfirmed but fruit bats, arthropods, and plants are hypothesized; Ebola virus primarily targets and selectively destroys the immune system; Ebola viruses possess accessory proteins that inhibits the host' immune responses; Secreted glycoprotein (sGP), a truncated soluble protein that triggers immune activation and increased vascular permeability is uniquely

  11. THE STRENGTHS, WEAKNESSES, OPPORTUNITIES, AND THREATS (SWOTs) ANALYSES OF THE EBOLA VIRUS – PAPER RETRACTED

    PubMed Central

    Babalola, Michael Oluyemi

    2016-01-01

    Background: Owing to the extreme virulence and case fatality rate of ebola virus disease (EVD), there had been so much furore, panic and public health emergency about the possible pandemic from the recent West African outbreak of the disease, with attendant handful research, both in the past and most recently. The magnitude of the epidemic of ebola virus disease has prompted global interest and urgency in the discovery of measures to mitigate the impact of the disease. Researchers in the academia and the industry were pressured to only focus on the development of effective and safe ebola virus vaccines, without consideration of the other aspects to this virus, which may influence the success or otherwise of a potential vaccine. The objective of this review was to adopt the SWOT concept to elucidate the biological Strengths, Weaknesses, Opportunities, and Threats to Ebola virus as a pathogen, with a view to understanding and devising holistic strategies at combating and overcoming the scourge of EVD. Method: This systematic review and narrative synthesis utilized Medline, PubMed, Google and other databases to select about 150 publications on ebola and ebola virus disease using text word searches to generate the specific terms. Relevant publications were reviewed and compared, findings were synthesized using a narrative method and summarized qualitatively. Results: Some of the identified strengths of ebola virus include: Ebola virus is an RNA virus with inherent capability to mutate, reassort and recombine to generate mutant or reassortant virulent strains; Ebola virus has a broad cellular tropism; Natural Reservoir of ebola virus is unconfirmed but fruit bats, arthropods, and plants are hypothesized; Ebola virus primarily targets and selectively destroys the immune system; Ebola viruses possess accessory proteins that inhibits the host’ immune responses; Secreted glycoprotein (sGP), a truncated soluble protein that triggers immune activation and increased vascular

  12. Development of microsponges for topical delivery of mupirocin.

    PubMed

    Amrutiya, Netal; Bajaj, Amrita; Madan, Madhu

    2009-01-01

    The goal of the present study was to develop and evaluate microsponge-based topical delivery system of mupirocin for sustained release and enhanced drug deposition in the skin. Microsponges containing mupirocin were prepared by an emulsion solvent diffusion method. The effect of formulation and process variables such as internal phase volume and stirring speed on the physical characteristics of microsponges were examined on optimized drug/polymer ratio by 3(2) factorial design. The optimized microsponges were incorporated into an emulgel base. In vitro drug release, ex vivo drug deposition, and in vivo antibacterial activity of mupirocin-loaded formulations were studied. Developed microsponges were spherical and porous, and there was no interaction between drug and polymer molecules. Emulgels containing microsponges showed desired physical properties. Drug release through cellulose dialysis membrane showed diffusion-controlled release pattern and drug deposition studies using rat abdominal skin exhibited significant retention of active in skin from microsponge-based formulations by 24 h. The optimized formulations were stable and nonirritant to skin as demonstrated by Draize patch test. Microsponges-based emulgel formulations showed prolonged efficacy in mouse surgical wound model infected with S. aureus. Mupirocin was stable in topical emulgel formulations and showed enhanced retention in the skin indicating better potential of the delivery system for treatment of primary and secondary skin infections, such as impetigo, eczema, and atopic dermatitis.

  13. Nuclear structure properties and stellar weak rates for 76Se: Unblocking of the Gamow Teller strength

    NASA Astrophysics Data System (ADS)

    Nabi, Jameel-Un; Ishfaq, Mavra; Böyükata, Mahmut; Riaz, Muhammad

    2017-10-01

    At finite temperatures (≥ 107K), 76Se is abundant in the core of massive stars and electron capture on 76Se has a consequential role to play in the dynamics of core-collapse. The present work may be classified into two main categories. In the first phase we study the nuclear structure properties of 76Se using the interacting boson model-1 (IBM-1). The IBM-1 investigations include the energy levels, B (E 2) values and the prediction of the geometry. We performed the extended consistent-Q formalism (ECQF) calculation and later the triaxial formalism calculation (constructed by adding the cubic term to the ECQF). The geometry of 76Se can be envisioned within the formalism of the potential energy surface based on the classical limit of IBM-1 model. In the second phase, we reconfirm the unblocking of the Gamow-Teller (GT) strength in 76Se (a test case for nuclei having N > 40 and Z < 40). Using the deformed pn-QRPA model we calculate GT transitions, stellar electron capture cross section (within the limit of low momentum transfer) and stellar weak rates for 76Se. The distinguishing feature of our calculation is a state-by-state evaluation of stellar weak rates in a fully microscopic fashion. Results are compared with experimental data and previous calculations. The calculated GT distribution fulfills the Ikeda sum rule. Rates for β-delayed neutrons and emission probabilities are also calculated. Our study suggests that at high stellar temperatures and low densities, the β+-decay on 76Se should not be neglected and needs to be taken into consideration along with electron capture rates for simulation of presupernova evolution of massive stars.

  14. Study skills and habits in Shiraz dental students; strengths and weaknesses

    PubMed Central

    Zarshenas, Ladan; Danaei, Shahla Momeni; Mazarei, Elham; Najafi, Hooman Zarif; Shakour, Mahsa

    2014-01-01

    Introduction: The dental students, the same as other students, during their academic courses are required to learn a wide range of scientific subjects. Obviously, choosing the inappropriate method of study leads to confuse and disenchantment of students and it causes wasting of their energy. The purpose of this study was to assess the existing strengths and weaknesses of the skills and study habits in Dental Students of Shiraz University of Medical Sciences in 2009-10. Materials and Methods: In this cross-sectional study, all of the dental students (n = 274), who studied at the time of study at all levels in the academic year of 2009-10, were selected by the census. Data were collected by using the Huston University questionnaire consisted of two parts of demographic questions and 64 specific areas of study skills in eight domains of time management, concentration/memory, study aids/note taking, test strategies, information processing, motivation, self-assessment/reading, and writing skills. Following the retranslation of the questionnaire, the validity was confirmed by using the content validity method. The reliability was obtained by using the Cronbach's Alpha of 0.92. The data were analyzed with SPSS software version 17 and using analytical statistic tests. Results: Students who have previously participated in the study skills workshops had stronger skills in comparison with the students who had not participated in these workshops. Time management skills (P = 0.04), motivation (P = 0.0001) and information processing (P = 0.03) in students with professional status were in a more favorable position and showed significant differences in terms of educational levels. The study skills mean score of the students living in student housings in comparison with the other students were significantly higher (P = 0.04). Marital status showed no significant differences in reading skills. Conclusion and Recommendations: The review of study skills in the undergraduate and post

  15. Study skills and habits in Shiraz dental students; strengths and weaknesses.

    PubMed

    Zarshenas, Ladan; Danaei, Shahla Momeni; Mazarei, Elham; Zarif Najafi, Hooman; Shakour, Mahsa

    2014-01-01

    The dental students, the same as other students, during their academic courses are required to learn a wide range of scientific subjects. Obviously, choosing the inappropriate method of study leads to confuse and disenchantment of students and it causes wasting of their energy. The purpose of this study was to assess the existing strengths and weaknesses of the skills and study habits in Dental Students of Shiraz University of Medical Sciences in 2009-10. In this cross-sectional study, all of the dental students (n = 274), who studied at the time of study at all levels in the academic year of 2009-10, were selected by the census. Data were collected by using the Huston University questionnaire consisted of two parts of demographic questions and 64 specific areas of study skills in eight domains of time management, concentration/memory, study aids/note taking, test strategies, information processing, motivation, self-assessment/reading, and writing skills. Following the retranslation of the questionnaire, the validity was confirmed by using the content validity method. The reliability was obtained by using the Cronbach's Alpha of 0.92. The data were analyzed with SPSS software version 17 and using analytical statistic tests. Students who have previously participated in the study skills workshops had stronger skills in comparison with the students who had not participated in these workshops. Time management skills (P = 0.04), motivation (P = 0.0001) and information processing (P = 0.03) in students with professional status were in a more favorable position and showed significant differences in terms of educational levels. The study skills mean score of the students living in student housings in comparison with the other students were significantly higher (P = 0.04). Marital status showed no significant differences in reading skills. The review of study skills in the undergraduate and post-graduate dental students indicated that the residents had higher reading skills

  16. Strengths and weaknesses of in-tube solid-phase microextraction: A scoping review.

    PubMed

    Fernández-Amado, M; Prieto-Blanco, M C; López-Mahía, P; Muniategui-Lorenzo, S; Prada-Rodríguez, D

    2016-02-04

    In-tube solid-phase microextraction (in-tube SPME or IT-SPME) is a sample preparation technique which has demonstrated over time its ability to couple with liquid chromatography (LC), as well as its advantages as a miniaturized technique. However, the in-tube SPME perspectives in the forthcoming years depend on solutions that can be brought to the environmental, industrial, food and biomedical analysis. The purpose of this scoping review is to examine the strengths and weaknesses of this technique during the period 2009 to 2015 in order to identify research gaps that should be addressed in the future, as well as the tendencies that are meant to strengthen the technique. In terms of methodological aspects, this scoping review shows the in-tube SPME strengths in the coupling with LC (LC-mass spectrometry, capillary LC, ultra-high-pressure LC), in the new performances (magnetic IT-SPME and electrochemically controlled in-tube SPME) and in the wide range of development of coatings and capillaries. Concerning the applicability, most in-tube SPME studies (around 80%) carry out environmental and biomedical analyses, a lower number food analyses and few industrial analyses. Some promising studies in proteomics have been performed. The review makes a critical description of parameters used in the optimization of in-tube SPME methods, highlighting the importance of some of them (i.e. type of capillary coatings). Commercial capillaries in environmental analysis and laboratory-prepared capillaries in biomedical analysis have been employed with good results. The most consolidated configuration is in-valve mode, however the cycle mode configuration is frequently chosen for biomedical analysis. This scoping review revealed that some aspects such as the combination of in-tube SPME with other sample treatment techniques for the analysis of solid samples should be developed in depth in the near future.

  17. Patterns of cognitive strengths and weaknesses: Identification rates, agreement, and validity for learning disabilities identification.

    PubMed

    Miciak, Jeremy; Fletcher, Jack M; Stuebing, Karla K; Vaughn, Sharon; Tolar, Tammy D

    2014-03-01

    Few empirical investigations have evaluated learning disabilities (LD) identification methods based on a pattern of cognitive strengths and weaknesses (PSW). This study investigated the reliability and validity of two proposed PSW methods: the concordance/discordance method (C/DM) and cross battery assessment (XBA) method. Cognitive assessment data for 139 adolescents demonstrating inadequate response to intervention was utilized to empirically classify participants as meeting or not meeting PSW LD identification criteria using the two approaches, permitting an analysis of: (a) LD identification rates, (b) agreement between methods, and (c) external validity. LD identification rates varied between the 2 methods depending upon the cut point for low achievement, with low agreement for LD identification decisions. Comparisons of groups that met and did not meet LD identification criteria on external academic variables were largely null, raising questions of external validity. This study found low agreement and little evidence of validity for LD identification decisions based on PSW methods. An alternative may be to use multiple measures of academic achievement to guide intervention. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  18. Analysis of the strengths and weaknesses of acid rain electronic data reports

    SciTech Connect

    Schott, J.

    1997-12-31

    Entergy Corporation is a Phase II utility with a fossil generation base composed primarily of natural gas and low sulfur coal. This paper presents an analysis of a large Phase II utility`s continuous emissions monitoring data reported to EPA under Title IV Acid Rain. Electric utilities currently report hourly emissions of NO{sub x}, SO{sub 2}, CO{sub 2}, fuel use, and generation through electronic data reports to EPA. This paper describes strengths and weaknesses of the data reported to EPA as determined through an analysis of 1995 data. Emissions reported by this company under acid rain for SO{sub 2} and NO{sub x} are very different from emissions reported to state agencies for annual emission inventory purposes in past years and will represent a significant break with historic trends. A comparison of emissions has been made of 1995 emissions reported under Electronic Data Reports to the emissions that would have been reported using emission factors and fuel data in past years. In addition, the paper examines the impacts of 40 CFR Part 75 Acid Rain requirements such as missing data substitution and monitor bias adjustments. Measurement system errors including stack flow measurement and false NO{sub x}Lb/MMBtu readings at very low loads are discussed. This paper describes the implications for public policy, compliance, emissions inventories, and business decisions of Part 75 acid rain monitoring and reporting requirements.

  19. Evidence-based practice and speech-language pathology: strengths, weaknesses, opportunities and threats.

    PubMed

    Dodd, Barbara

    2007-01-01

    Speech-language pathologists are increasingly required to demonstrate that their practice is based on evidence. While the concept of evidence-based practice has strengths, there have been some weaknesses in its application in speech-language pathology. Nevertheless, since current health care demands compliance, the profession must consider the opportunities and threats that evidence-based practice poses. This paper reviews the literature to provide an understanding of the relevance of evidence-based practice for speech-language pathology. It considers the assumptions on which definitions of evidenced-based practice rely and reviews the ways in which clinicians might base their practice on evidence. While the medical model of evidence-based practice research is controversial even in the medical field, the concept provides opportunities for the profession of speech-language pathology. Evidence-based practice has the potential to improve intervention for people with communication disorders, increase resources for services and enhance perception of the profession. Copyright 2007 S. Karger AG, Basel.

  20. Patterns of Strengths and Weaknesses in Children’s Knowledge about Fractions

    PubMed Central

    Hecht, Steven A.; Vagi, Kevin J.

    2011-01-01

    The purpose of this study was to explore individual patterns of strengths and weaknesses in children’s mathematical knowledge about common fractions. Tasks that primarily measure either conceptual or procedural aspects of mathematical knowledge were assessed with the same children in their fourth and fifth grade years (n = 181; 56% female). Procedural knowledge was regressed on levels of conceptual knowledge, and vice versa, to obtain residual scores. Residual scores capture variability in each kind of math knowledge that is not shared with the other type of knowledge. Cluster analysis using residuals indicated four distinct knowledge profiles in fourth graders: a) higher than expected conceptual knowledge and relatively lower procedural knowledge, b) relatively lower conceptual knowledge and higher procedural knowledge, c) lower concepts but expected levels of procedural knowledge, and d) relatively higher than expected levels of both procedural and conceptual knowledge. In fifth grade, another cluster emerged that showed lower procedures but expected levels of conceptual knowledge. In general, students with relatively lower than expected conceptual knowledge showed poorer accuracy on measures used to form the clusters and also word problem set-ups and estimation of sums. Implications for explaining seemingly conflicting results from prior work across studies were discussed. PMID:21945345

  1. The global health concept of the German government: strengths, weaknesses, and opportunities

    PubMed Central

    Bozorgmehr, Kayvan; Bruchhausen, Walter; Hein, Wolfgang; Knipper, Michael; Korte, Rolf; Razum, Oliver; Tinnemann, Peter

    2014-01-01

    Recognising global health as a rapidly emerging policy field, the German federal government recently released a national concept note for global health politics (July 10, 2013). As the German government could have a significant impact on health globally by making a coherent, evidence-informed, and long-term commitment in this field, we offer an initial appraisal of the strengths, weaknesses, and opportunities for development recognised in this document. We conclude that the national concept is an important first step towards the implementation of a coherent global health policy. However, important gaps were identified in the areas of intellectual property rights and access to medicines. In addition, global health determinants such as trade, economic crises, and liberalisation as well as European Union issues such as the health of migrants, refugees, and asylum seekers are not adequately addressed. Furthermore, little information is provided about the establishment of instruments to ensure an effective inter-ministerial cooperation. Finally, because implementation aspects for the national concept are critical for the success of this initiative, we call upon the newly elected 2013 German government to formulate a global health strategy, which includes a concrete plan of action, a time scale, and measurable goals. PMID:24560258

  2. Patterns of Cognitive Strengths and Weaknesses: Identification Rates, Agreement, and Validity for Learning Disabilities Identification

    PubMed Central

    Miciak, Jeremy; Fletcher, Jack M.; Stuebing, Karla; Vaughn, Sharon; Tolar, Tammy D.

    2014-01-01

    Purpose Few empirical investigations have evaluated LD identification methods based on a pattern of cognitive strengths and weaknesses (PSW). This study investigated the reliability and validity of two proposed PSW methods: the concordance/discordance method (C/DM) and cross battery assessment (XBA) method. Methods Cognitive assessment data for 139 adolescents demonstrating inadequate response to intervention was utilized to empirically classify participants as meeting or not meeting PSW LD identification criteria using the two approaches, permitting an analysis of: (1) LD identification rates; (2) agreement between methods; and (3) external validity. Results LD identification rates varied between the two methods depending upon the cut point for low achievement, with low agreement for LD identification decisions. Comparisons of groups that met and did not meet LD identification criteria on external academic variables were largely null, raising questions of external validity. Conclusions This study found low agreement and little evidence of validity for LD identification decisions based on PSW methods. An alternative may be to use multiple measures of academic achievement to guide intervention. PMID:24274155

  3. The global health concept of the German government: strengths, weaknesses, and opportunities.

    PubMed

    Bozorgmehr, Kayvan; Bruchhausen, Walter; Hein, Wolfgang; Knipper, Michael; Korte, Rolf; Razum, Oliver; Tinnemann, Peter

    2014-12-01

    Recognising global health as a rapidly emerging policy field, the German federal government recently released a national concept note for global health politics (July 10, 2013). As the German government could have a significant impact on health globally by making a coherent, evidence-informed, and long-term commitment in this field, we offer an initial appraisal of the strengths, weaknesses, and opportunities for development recognised in this document. We conclude that the national concept is an important first step towards the implementation of a coherent global health policy. However, important gaps were identified in the areas of intellectual property rights and access to medicines. In addition, global health determinants such as trade, economic crises, and liberalisation as well as European Union issues such as the health of migrants, refugees, and asylum seekers are not adequately addressed. Furthermore, little information is provided about the establishment of instruments to ensure an effective inter-ministerial cooperation. Finally, because implementation aspects for the national concept are critical for the success of this initiative, we call upon the newly elected 2013 German government to formulate a global health strategy, which includes a concrete plan of action, a time scale, and measurable goals.

  4. Regenerative medicine in Huntington's disease: Strengths and weaknesses of preclinical studies.

    PubMed

    Tartaglione, A M; Popoli, P; Calamandrei, G

    2017-02-20

    Huntington's disease (HD) is an inherited neurodegenerative disorder, characterized by impairment in motor, cognitive and psychiatric domains. Currently, there is no specific therapy to act on the onset or progression of HD. The marked neuronal death observed in HD is a main argument in favour of stem cells (SCs) transplantation as a promising therapeutic perspective to replace the population of lost neurons and restore the functionality of the damaged circuitry. The availability of rodent models of HD encourages the investigation of the restorative potential of SCs transplantation longitudinally. However, the results of preclinical studies on SCs therapy in HD are so far largely inconsistent; this hampers the individuation of the more appropriate model and precludes the comparative analysis of transplant efficacy on behavioural end points. Thus, this review will describe the state of the art of in vivo research on SCs therapy in HD, analysing in a translational perspective the strengths and weaknesses of animal studies investigating the therapeutic potential of cell transplantation on HD progression.

  5. The global health concept of the German government: strengths, weaknesses, and opportunities.

    PubMed

    Bozorgmehr, Kayvan; Bruchhausen, Walter; Hein, Wolfgang; Knipper, Michael; Korte, Rolf; Razum, Oliver; Tinnemann, Peter

    2014-01-01

    Recognising global health as a rapidly emerging policy field, the German federal government recently released a national concept note for global health politics (July 10, 2013). As the German government could have a significant impact on health globally by making a coherent, evidence-informed, and long-term commitment in this field, we offer an initial appraisal of the strengths, weaknesses, and opportunities for development recognised in this document. We conclude that the national concept is an important first step towards the implementation of a coherent global health policy. However, important gaps were identified in the areas of intellectual property rights and access to medicines. In addition, global health determinants such as trade, economic crises, and liberalisation as well as European Union issues such as the health of migrants, refugees, and asylum seekers are not adequately addressed. Furthermore, little information is provided about the establishment of instruments to ensure an effective inter-ministerial cooperation. Finally, because implementation aspects for the national concept are critical for the success of this initiative, we call upon the newly elected 2013 German government to formulate a global health strategy, which includes a concrete plan of action, a time scale, and measurable goals.

  6. Examining the global health arena: strengths and weaknesses of a convention approach to global health challenges.

    PubMed

    Haffeld, Just Balstad; Siem, Harald; Røttingen, John-Arne

    2010-01-01

    The article comprises a conceptual framework to analyze the strengths and weaknesses of a global health convention. The analyses are inspired by Lawrence Gostin's suggested Framework Convention on Global Health. The analytical model takes a starting-point in events tentatively following a logic sequence: Input (global health funding), Processes (coordination, cooperation, accountability, allocation of aid), Output (definition of basic survival needs), Outcome (access to health services), and Impact (health for all). It then examines to what degree binding international regulations can create order in such a sequence of events. We conclude that a global health convention could be an appropriate instrument to deal with some of the problems of global health. We also show that some of the tasks preceding a convention approach might be to muster international support for supra-national health regulations, negotiate compromises between existing stakeholders in the global health arena, and to utilize WHO as a platform for further discussions on a global health convention. © 2010 American Society of Law, Medicine & Ethics, Inc.

  7. Research reveals co-ordination and collaboration strengths and weaknesses in population education.

    PubMed

    1991-01-01

    The strengths and weaknesses of population education programs in Sri Lanka, Nepal, and the Maldives, based on descriptive research studies, are identified. The research topics were devised at a Subregional Meeting on Joint Research studies in Population Education for South Asia Subregion in 1990, as well as motivational strategies for promoting the small family norm in Bangladesh and Pakistan. Results were presented at a 1991 meeting held in UNESCO PROAP. The results were that 3 very different collaborative modalities operate in these countries. Sri Lanka had a formal national population committee for coordinating functions. The Maldives had no national formal structures, but there were linkages between population programs. Nepal had a formal structure but had failures in coordination. The Sri Lanka Population Committee, which began in 1972, established population education when the entire educational system was being reformed. The curriculum development committee consisted of representatives from a variety of disciplines and worked as a cohesive unit. As a consequence, junior secondary schools taught population education in such courses as social studies and science. Regional departments of education provided inservice training to the junior secondary school teachers. At the policy level, the education plan of 1972/73-77 was implemented within the National 5 Year Plan and the Population Committee functioned under a senior government Minister, which provided greater credibility and implementation. It also ensured linkage with other departments, agencies, and development programs. In the Maldives, the linkage was between the Population Education Program of the Educational Development Center (EDC) and the Allied Health Service Training Center's (AHSTC) child-spacing program. The small scale size may be a factor in the coordination and resource sharing and effective linkages without a formal national committee umbrella. The weakness was in multiplicity of effort

  8. Validation of the Chinese Strengths and Weaknesses of ADHD-Symptoms and Normal-Behaviors Questionnaire in Hong Kong

    ERIC Educational Resources Information Center

    Lai, Kelly Y. C.; Leung, Patrick W. L.; Luk, Ernest S. L.; Wong, Ann S. Y.; Law, Lawrence S. C.; Ho, Karen K. Y.

    2013-01-01

    Objective: Unlike rating scales that focus on the severity of ADHD symptoms, the Strengths and Weaknesses of ADHD-Symptoms and Normal-Behaviors (SWAN) rating scale is phrased in neutral or positive terms for carers to compare the index child's behaviors with that of their peers. This study explores its psychometric properties when applied to…

  9. Cavities of Weak Magnetic Field Strength in the Wake of FTEs: Results from Global Magnetospheric MHD Simulations

    NASA Technical Reports Server (NTRS)

    Kuznetsova, M. M.; Sibeck, D. G.; Hesse, M.; Wang, Y.; Rastaetter, L.; Toth, G.; Ridley, A.

    2009-01-01

    We use the global magnetohydrodynamic (MHD) code BATS-R-US to model multipoint observations of Flux Transfer Event (FTE) signatures. Simulations with high spatial and temporal resolution predict that cavities of weak magnetic field strength protruding into the magnetosphere trail FTEs. These predictions are consistent with recently reported multi-point Cluster observations of traveling magnetopause erosion regions (TMERs).

  10. Validation of the Chinese Strengths and Weaknesses of ADHD-Symptoms and Normal-Behaviors Questionnaire in Hong Kong

    ERIC Educational Resources Information Center

    Lai, Kelly Y. C.; Leung, Patrick W. L.; Luk, Ernest S. L.; Wong, Ann S. Y.; Law, Lawrence S. C.; Ho, Karen K. Y.

    2013-01-01

    Objective: Unlike rating scales that focus on the severity of ADHD symptoms, the Strengths and Weaknesses of ADHD-Symptoms and Normal-Behaviors (SWAN) rating scale is phrased in neutral or positive terms for carers to compare the index child's behaviors with that of their peers. This study explores its psychometric properties when applied to…

  11. In the students' own words: what are the strengths and weaknesses of the dental school curriculum?

    PubMed

    Henzi, David; Davis, Elaine; Jasinevicius, Roma; Hendricson, William

    2007-05-01

    Dental students have little input into the selection of course topics and subject matter included in their dental curricula. Curriculum requirements are framed by the Commission on Dental Accreditation, which has stipulated competencies and associated biomedical and clinical knowledge that must be addressed during dental school. Although these competency requirements restrict the variance of educational experiences, students are eager to share their views on the curriculum within the realm of their educational experience. The objective of this research project was to elicit the perspectives of dental students from a broad cross-section of U.S. and Canadian dental schools about their education. A total of 605 students (285 sophomores, 220 seniors, 100 residents) from twenty North American dental schools completed a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis to communicate their perceptions of the curriculum. Students were also asked to provide their impressions of the overall quality of the educational program in an open-ended written format. The students' qualitative comments were then reviewed and categorized into key issues or themes. Resulting themes for each category of the Curriculum SWOT (C-SWOT) analysis were the following. Strengths: 1) clinical learning experience, and 2) opportunity to work with knowledgeable faculty. Weaknesses: 1) disorganized and inefficient clinical learning environment, 2) teaching and testing that focus on memorization, 3) poor quality instruction characterized by curricular disorganization, and 4) inconsistency among instructors during student evaluations. Opportunities: 1) develop strategies to provide students with more exposure to patients, especially early in the curriculum, and 2) opportunities to learn new technology/techniques. Threats: 1) cost of dental education, 2) students' concerns about faculty "brain drain," i.e., lack of sufficient numbers of dental faculty capable of providing high

  12. Macroeconomics of Natural Disasters: Strengths and Weaknesses of Meta-Analysis Versus Review of Literature.

    PubMed

    A G van Bergeijk, Peter; Lazzaroni, Sara

    2015-06-01

    We use the case of the macroeconomic impact of natural disasters to analyze strengths and weaknesses of meta-analysis in an emerging research field. Macroeconomists have published on this issue since 2002 (we identified 60 studies to date). The results of the studies are contradictory and therefore the need to synthesize the available research is evident. Meta-analysis is a useful method in this field. An important aim of our article is to show how one can use the identified methodological characteristics to better understand the robustness and importance of new findings. To provide a comparative perspective, we contrast our meta-analysis and its findings with the major influential research synthesis in the field: the IPCC's 2012 special report Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation. We show that the IPCC could have been more confident about the negative economic impact of disasters and more transparent on inclusion and qualification of studies, if it had been complemented by a meta-analysis. Our meta-analysis shows that, controlling for modeling strategies and data set, the impact of disasters is significantly negative. The evidence is strongest for direct costs studies where we see no difference between our larger sample and the studies included in the IPCC report. Direct cost studies and indirect cost studies differ significantly, both in terms of the confidence that can be attached to a negative impact of natural disasters and in terms of the sources of heterogeneity of the findings reported in the primary studies.

  13. Evaluation of Practicing sustainable Industrial Solid Waste Minimization by Manufacturing Firms in Malaysia: Strengths and Weaknesses.

    PubMed

    Mallak, Shadi Kafi; Bakri Ishak, Mohd; Mohamed, Ahmad Fariz

    2016-09-13

    Malaysia is facing an increasing trend in industrial solid waste generation due to industrial development.Thus there is a paramount need in taking a serious action to move toward sustainable industrial waste management. The main aim of this study is to assess practicing solid waste minimization by manufacturing firms in Shah Alam industrial state, Malaysia. This paper presents a series of descriptive and inferential statistical analysis regarding the level and effects of practicing waste minimization methods, and seriousness of barriers preventing industries from practicing waste minimization methods. For this purpose the survey questions were designed such that both quantitative (questionnaire) and qualitative (semi-structures interview) data were collected concurrently. Analysis showed that, the majority of firms (92%) dispose their wastes rather than practice other sustainable waste management options. Also waste minimization methods such as segregation of wastes, on-site recycle and reuse, improve housekeeping and equipment modification were found to have significant contribution in waste reduction (p<0.05). Lack of expertise (M=3.50), lack of enough information (M= 3.54), lack of equipment modification (M= 3.16) and lack of specific waste minimization guidelines (M=3.49) have higher mean scores comparing with other barriers in different categories. These data were interpreted for elaborating of SWOT and TOWS matrix to highlight strengths, weaknesses, threats and opportunities. Accordingly, ten policies were recommended for improvement of practicing waste minimization by manufacturing firms as the main aim of this research. Implications This manuscript critically analysis waste minimization practices by manufacturing firms in Malaysia. Both qualitative and quantitative data collection and analysis were conducted to formulate SWOT and TOWS matrix in order to recommend policies and strategies for improvement of solid waste minimization by manufacturing industries

  14. Do Processing Patterns of Strengths and Weaknesses Predict Differential Treatment Response?

    PubMed Central

    Miciak, Jeremy; Williams, Jacob L.; Taylor, W. Pat; Cirino, Paul T.; Fletcher, Jack M.; Vaughn, Sharon

    2015-01-01

    Objective No previous empirical study has investigated whether the LD identification decisions of proposed methods to operationalize processing strengths and weaknesses (PSW) approaches for LD identification are associated with differential treatment response. We investigated whether the identification decisions of the concordance/discordance model (C/DM; Hale & Fiorello, 2004) and Cross Battery Assessment approach (XBA method; Flanagan, Ortiz, & Alfonso, 2007) were consistent and whether they predicted intervention response beyond that accounted for by pretest performance on measures of reading. Method Psychoeducational assessments were administered at pretest to 203 4th graders with low reading comprehension and individual results were utilized to identify students who met LD criteria according to the C/DM and XBA methods and students who did not. Resulting group status permitted an investigation of agreement for identification methods and whether group status at pretest (LD or not LD) was associated with differential treatment response to an intensive reading intervention. Results The LD identification decisions of the XBA and C/DM demonstrated poor agreement with one another (κ = −.10). Comparisons of posttest performance for students who met LD criteria and those who did not meet were largely null, with small effect sizes across all measures. Conclusions LD status, as identified through the C/DM and XBA approaches, was not associated with differential treatment response and did not contribute educationally meaningful information about how students would respond to intensive reading intervention. These results do not support the value of cognitive assessment utilized in this way as part of the LD identification process. PMID:27616784

  15. Neomycin Sulfate Improves the Antimicrobial Activity of Mupirocin-Based Antibacterial Ointments

    PubMed Central

    Blanchard, Catlyn; Brooks, Lauren; Beckley, Andrew; Colquhoun, Jennifer; Dewhurst, Stephen

    2015-01-01

    In the midst of the current antimicrobial pipeline void, alternative approaches are needed to reduce the incidence of infection and decrease reliance on last-resort antibiotics for the therapeutic intervention of bacterial pathogens. In that regard, mupirocin ointment-based decolonization and wound maintenance practices have proven effective in reducing Staphylococcus aureus transmission and mitigating invasive disease. However, the emergence of mupirocin-resistant strains has compromised the agent's efficacy, necessitating new strategies for the prevention of staphylococcal infections. Herein, we set out to improve the performance of mupirocin-based ointments. A screen of a Food and Drug Administration (FDA)-approved drug library revealed that the antibiotic neomycin sulfate potentiates the antimicrobial activity of mupirocin, whereas other library antibiotics did not. Preliminary mechanism of action studies indicate that neomycin's potentiating activity may be mediated by inhibition of the organism's RNase P function, an enzyme that is believed to participate in the tRNA processing pathway immediately upstream of the primary target of mupirocin. The improved antimicrobial activity of neomycin and mupirocin was maintained in ointment formulations and reduced S. aureus bacterial burden in murine models of nasal colonization and wound site infections. Combination therapy improved upon the effects of either agent alone and was effective in the treatment of contemporary methicillin-susceptible, methicillin-resistant, and high-level mupirocin-resistant S. aureus strains. From these perspectives, combination mupirocin-and-neomycin ointments appear to be superior to that of mupirocin alone and warrant further development. PMID:26596945

  16. Improvement of mupirocin E-test for susceptibility testing of Staphylococcus aureus.

    PubMed

    Mondino, Pedro Juan José; Dos Santos, Kátia Regina Netto; de Freire Bastos, Maria do Carmo; Giambiagi-deMarval, Marcia

    2003-05-01

    Interpretation of the mupirocin E-test for low-level mupirocin-resistant Staphylococcus aureus strains has been improved by adding the indicator dye tetrazolium. E-tests were compared with agar dilution methods for assessing mupirocin susceptibility. MICs obtained by the agar dilution method and E-tests showed 89.3% agreement within 2 log(2) dilution criteria. The agreement between MICs increased to 100% in the 1 log(2) dilution definition when the indicator dye tetrazolium was added to the E-test. The use of the E-test with tetrazolium reduction is more accurate for determining mupirocin MICs for S. aureus strains.

  17. Strengths and weaknesses of parent-staff communication in the NICU: a survey assessment.

    PubMed

    Wigert, Helena; Dellenmark, Michaela Blom; Bry, Kristina

    2013-05-07

    Parents of infants hospitalized in the neonatal intensive care unit (NICU) find themselves in a situation of emotional strain. Communication in the NICU presents special challenges due to parental stress and the complexity of the highly technologized environment. Parents' need for communication may not always be met by the NICU staff. This study aimed to describe strengths and weaknesses of parent-nurse and parent-doctor communication in a large level III NICU in Sweden in order to improve our understanding of parents' communication needs. Parents were asked to complete a survey consisting of sixteen questions about their experiences of communication with nurses and doctors in the NICU. In each question the parents evaluated some aspect of communication on a five- or six-point Likert scale. They also had the opportunity on each question to comment on their experiences in their own words. Data were analyzed using IBM SPSS Statistics 20.0 and qualitative manifest content analysis. 270 parents (71.4%) completed the survey. Parents generally rated communication with the staff in the NICU positively and appreciated having received emotional support and regular information about their child´s care. Although a large majority of the parents were satisfied with their communication with doctors and nurses, only about half of the parents felt the nurses and doctors understood their emotional situation very well. Some parents would have desired easier access to conversations with doctors and wanted medical information to be given directly by doctors rather than by nurses. Parents' communication with the staff was hampered when many different nurses were involved in caring for the infant or when the transfer of information in connection with shift changes or between the maternity ward and NICU was poor. Parents also desired to be present during doctors' rounds on their infant. Training both doctors and nurses in communication skills, especially in how to meet parents

  18. Strengths and weaknesses of parent–staff communication in the NICU: a survey assessment

    PubMed Central

    2013-01-01

    Background Parents of infants hospitalized in the neonatal intensive care unit (NICU) find themselves in a situation of emotional strain. Communication in the NICU presents special challenges due to parental stress and the complexity of the highly technologized environment. Parents’ need for communication may not always be met by the NICU staff. This study aimed to describe strengths and weaknesses of parent–nurse and parent–doctor communication in a large level III NICU in Sweden in order to improve our understanding of parents’ communication needs. Methods Parents were asked to complete a survey consisting of sixteen questions about their experiences of communication with nurses and doctors in the NICU. In each question the parents evaluated some aspect of communication on a five- or six-point Likert scale. They also had the opportunity on each question to comment on their experiences in their own words. Data were analyzed using IBM SPSS Statistics 20.0 and qualitative manifest content analysis. Results 270 parents (71.4%) completed the survey. Parents generally rated communication with the staff in the NICU positively and appreciated having received emotional support and regular information about their child´s care. Although a large majority of the parents were satisfied with their communication with doctors and nurses, only about half of the parents felt the nurses and doctors understood their emotional situation very well. Some parents would have desired easier access to conversations with doctors and wanted medical information to be given directly by doctors rather than by nurses. Parents’ communication with the staff was hampered when many different nurses were involved in caring for the infant or when the transfer of information in connection with shift changes or between the maternity ward and NICU was poor. Parents also desired to be present during doctors’ rounds on their infant. Conclusions Training both doctors and nurses in communication

  19. Evaluation of the strengths and weaknesses of community-based education from the viewpoint of students

    PubMed Central

    MOKHTARPOUR, SEDIGHEH; AMINI, MITRA; MOUSAVINEZHAD, HOURI; CHOOBINEH, ALIREZA; NABEIEI, PARISA

    2016-01-01

    Introduction: Responsive medicine is an appropriate training method which trains the graduates who can act effectively in initial and secondary aspects of health issues in the society. Methods: This was a cross-sectional descriptive-analytic study which was done using quantitative method. The target population of this study was all the students of the Nutrition and Health School of Shiraz University of Medical Sciences. The sample was randomly selected in this study and 75 students were selected based on the methodologist’s comments and similar studies and random-number table from a list obtained from the school’s department of education. This questionnaire was a researcher-made one which consisted of 23 questions in 2 sections with 21 closed-ended questions and 2 open-ended questions; 70 questionnaires were completed correctly. The closed-ended questions had 4 aspects (completely agree to completely disagree) answered in 5-point Likert scale type. Its face validity was confirmed by 4 faculty members. The construct validity of the questionnaire was analyzed by factor analysis test and its reliability was assessed by a pilot on 20 students with a Cronbach’s alpha of 0.85. The data were analyzed using descriptive statistical tests (mean, standard deviation, …) and the Pearson coefficient (p<0.001). Results: The results of this study showed that the maximum mean score was 3.58±0.65 which was related to the context of these courses and the minimum mean was 2.66±1.14 which was related to the logbook implementation. The 2 open-ended questions indicated that the most important strengths were the use of logbooks as a guide and determining the minimum training; of the weaknesses was the mismatch between the theoretical education and the practical activities. Also, developing the minimum training that an expert should know and using the common topics related to theoretical education were the most important points mentioned by the respondents. Conclusions: The

  20. Strength of chrysotile-serpentinite gouge under hydrothermal conditions: Can it explain a weak San Andreas fault?

    USGS Publications Warehouse

    Moore, Diane E.; Lockner, D.A.; Summers, R.; Shengli, M.; Byerlee, J.D.

    1996-01-01

    Chrysotile-bearing serpentinite is a constituent of the San Andreas fault zone in central and northern California. At room temperature, chrysotile gouge has a very low coefficient of friction (?? ??? 0.2), raising the possibility that under hydrothermal conditions ?? might be reduced sufficiently (to ???0.1) to explain the apparent weakness of the fault. To test this hypothesis, we measured the frictional strength of a pure chrysotile gouge at temperatures to 290??C and axial-shortening velocities as low as 0.001 ??m/s. As temperature increases to ???100??C, the strength of the chrysotile gouge decreases slightly at low velocities, but at temperatures ???200??C, it is substantially stronger and essentially independent of velocity at the lowest velocities tested. We estimate that pure chrysotile gouge at hydrostatic fluid pressure and appropriate temperatures would have shear strength averaged over a depth of 14 km of 50 MPa. Thus, on the sole basis of its strength, chrysotile cannot be the cause of a weak San Andreas fault. However, chrysotile may also contribute to low fault strength by forming mineral seals that promote the development of high fluid pressures.

  1. Model-based drug development: strengths, weaknesses, opportunities, and threats for broad application of pharmacometrics in drug development.

    PubMed

    Wetherington, Jeffrey D; Pfister, Marc; Banfield, Christopher; Stone, Julie A; Krishna, Rajesh; Allerheiligen, Sandy; Grasela, Dennis M

    2010-09-01

    Systematic implementation of model-based drug development (MBDD) to drug discovery and development has the potential to significantly increase the rate of medical breakthroughs and make available new and better treatments to patients. An analysis of the strengths, weaknesses, opportunities, and threats (ie, SWOT) was conducted through focus group discussions that included 24 members representing 8 pharmaceutical companies to systematically assess the challenges to implementing MBDD into the drug development decision-making process. The application of the SWOT analysis to the successful implementation of MBDD yielded 19 strengths, 27 weaknesses, 34 opportunities, and 22 threats, which support the following conclusions. The shift from empirical drug development to MBDD requires a question-based mentality; early, proactive planning; dynamic access to multisource data; quantitative knowledge integration; multidisciplinary collaboration; effective communication and leadership skills; and innovative, impactful application of pharmacometrics focused on enhancing quantitative decision making. The ultimate goal of MBDD is to streamline discovery and development of innovative medicines to benefit patients.

  2. Hamstring and Quadriceps Isokinetic Strength Deficits Are Weak Risk Factors for Hamstring Strain Injuries: A 4-Year Cohort Study.

    PubMed

    van Dyk, Nicol; Bahr, Roald; Whiteley, Rodney; Tol, Johannes L; Kumar, Bhavesh D; Hamilton, Bruce; Farooq, Abdulaziz; Witvrouw, Erik

    2016-07-01

    hamstring eccentric strength and lower quadriceps concentric strength with HSIs can only be considered as weak risk factors. The identification of these risk factors still does not allow the identification of individual players at risk. The use of isokinetic testing to determine the association between strength differences and HSIs is not supported. © 2016 The Author(s).

  3. Analysis of Strengths, Weaknesses, Opportunities, and Threats as a Tool for Translating Evidence into Individualized Medical Strategies (I-SWOT).

    PubMed

    von Kodolitsch, Yskert; Bernhardt, Alexander M; Robinson, Peter N; Kölbel, Tilo; Reichenspurner, Hermann; Debus, Sebastian; Detter, Christian

    2015-06-01

    It is the physicians' task to translate evidence and guidelines into medical strategies for individual patients. Until today, however, there is no formal tool that is instrumental to perform this translation. We introduce the analysis of strengths (S) and weaknesses (W) related to therapy with opportunities (O) and threats (T) related to individual patients as a tool to establish an individualized (I) medical strategy (I-SWOT). The I-SWOT matrix identifies four fundamental types of strategy. These comprise "SO" maximizing strengths and opportunities, "WT" minimizing weaknesses and threats, "WO" minimizing weaknesses and maximizing opportunities, and "ST" maximizing strengths and minimizing threats. Each distinct type of strategy may be considered for individualized medical strategies. We describe four steps of I-SWOT to establish an individualized medical strategy to treat aortic disease. In the first step, we define the goal of therapy and identify all evidence-based therapeutic options. In a second step, we assess strengths and weaknesses of each therapeutic option in a SW matrix form. In a third step, we assess opportunities and threats related to the individual patient, and in a final step, we use the I-SWOT matrix to establish an individualized medical strategy through matching "SW" with "OT". As an example we present two 30-year-old patients with Marfan syndrome with identical medical history and aortic pathology. As a result of I-SWOT analysis of their individual opportunities and threats, we identified two distinct medical strategies in these patients. I-SWOT is a formal but easy to use tool to translate medical evidence into individualized medical strategies.

  4. Analysis of Strengths, Weaknesses, Opportunities, and Threats as a Tool for Translating Evidence into Individualized Medical Strategies (I-SWOT)

    PubMed Central

    von Kodolitsch, Yskert; Bernhardt, Alexander M.; Robinson, Peter N.; Kölbel, Tilo; Reichenspurner, Hermann; Debus, Sebastian; Detter, Christian

    2015-01-01

    Background It is the physicians’ task to translate evidence and guidelines into medical strategies for individual patients. Until today, however, there is no formal tool that is instrumental to perform this translation. Methods We introduce the analysis of strengths (S) and weaknesses (W) related to therapy with opportunities (O) and threats (T) related to individual patients as a tool to establish an individualized (I) medical strategy (I-SWOT). The I-SWOT matrix identifies four fundamental types of strategy. These comprise “SO” maximizing strengths and opportunities, “WT” minimizing weaknesses and threats, “WO” minimizing weaknesses and maximizing opportunities, and “ST” maximizing strengths and minimizing threats. Each distinct type of strategy may be considered for individualized medical strategies. Results We describe four steps of I-SWOT to establish an individualized medical strategy to treat aortic disease. In the first step, we define the goal of therapy and identify all evidence-based therapeutic options. In a second step, we assess strengths and weaknesses of each therapeutic option in a SW matrix form. In a third step, we assess opportunities and threats related to the individual patient, and in a final step, we use the I-SWOT matrix to establish an individualized medical strategy through matching “SW” with “OT”. As an example we present two 30-year-old patients with Marfan syndrome with identical medical history and aortic pathology. As a result of I-SWOT analysis of their individual opportunities and threats, we identified two distinct medical strategies in these patients. Conclusion I-SWOT is a formal but easy to use tool to translate medical evidence into individualized medical strategies. PMID:27069939

  5. Preoperative muscle weakness as defined by handgrip strength and postoperative outcomes: a systematic review

    PubMed Central

    2012-01-01

    Background Reduced muscle strength- commonly characterized by decreased handgrip strength compared to population norms- is associated with numerous untoward outcomes. Preoperative handgrip strength is a potentially attractive real-time, non-invasive, cheap and easy-to-perform "bedside" assessment tool. Using systematic review procedure, we investigated whether preoperative handgrip strength was associated with postoperative outcomes in adults undergoing surgery. Methods PRISMA and MOOSE consensus guidelines for reporting systematic reviews were followed. MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Clinical Trials (1980-2010) were systematically searched by two independent reviewers. The selection criteria were limited to include studies of preoperative handgrip strength in human adults undergoing non-emergency, cardiac and non-cardiac surgery. Study procedural quality was analysed using the Newcastle-Ottawa Quality Assessment score. The outcomes assessed were postoperative morbidity, mortality and hospital stay. Results Nineteen clinical studies (17 prospective; 4 in urgent surgery) comprising 2194 patients were identified between1980-2010. Impaired handgrip strength and postoperative morbidity were defined inconsistently between studies. Only 2 studies explicitly ensured investigators collecting postoperative outcomes data were blinded to preoperative handgrip strength test results. The heterogeneity of study design used and the diversity of surgical procedures precluded formal meta-analysis. Despite the moderate quality of these observational studies, lower handgrip strength was associated with increased morbidity (n = 10 studies), mortality (n = 2/5 studies) and length of hospital stay (n = 3/7 studies). Conclusions Impaired preoperative handgrip strength may be associated with poorer postoperative outcomes, but further work exploring its predictive power is warranted using prospectively acquired, objectively defined measures of

  6. While Heisenberg Is Not Looking: The Strength of "Weak Measurements" in Educational Research

    ERIC Educational Resources Information Center

    Geelan, David R.

    2015-01-01

    The concept of "weak measurements" in quantum physics is a way of "cheating" the Uncertainty Principle. Heisenberg stated (and 85 years of experiments have demonstrated) that it is impossible to know both the position and momentum of a particle with arbitrary precision. More precise measurements of one decrease the precision…

  7. While Heisenberg Is Not Looking: The Strength of "Weak Measurements" in Educational Research

    ERIC Educational Resources Information Center

    Geelan, David R.

    2015-01-01

    The concept of "weak measurements" in quantum physics is a way of "cheating" the Uncertainty Principle. Heisenberg stated (and 85 years of experiments have demonstrated) that it is impossible to know both the position and momentum of a particle with arbitrary precision. More precise measurements of one decrease the precision…

  8. Scoring the Strengths and Weaknesses of Underage Drinking Laws in the United States

    PubMed Central

    Fell, James C.; Thomas, Sue; Scherer, Michael; Fisher, Deborah A.; Romano, Eduardo

    2015-01-01

    Several studies have examined the impact of a number of minimum legal drinking age 21 (MLDA-21) laws on underage alcohol consumption and alcohol-related crashes in the United States. These studies have contributed to our understanding of how alcohol control laws affect drinking and driving among those who are under age 21. However, much of the extant literature examining underage drinking laws use a “Law/No law” coding which may obscure the variability inherent in each law. Previous literature has demonstrated that inclusion of law strengths may affect outcomes and overall data fit when compared to “Law/No law” coding. In an effort to assess the relative strength of states’ underage drinking legislation, a coding system was developed in 2006 and applied to 16 MLDA-21 laws. The current article updates the previous endeavor and outlines a detailed strength coding mechanism for the current 20 MLDA-21 laws. PMID:26097775

  9. Scoring the Strengths and Weaknesses of Underage Drinking Laws in the United States.

    PubMed

    Fell, James C; Thomas, Sue; Scherer, Michael; Fisher, Deborah A; Romano, Eduardo

    2015-03-01

    Several studies have examined the impact of a number of minimum legal drinking age 21 (MLDA-21) laws on underage alcohol consumption and alcohol-related crashes in the United States. These studies have contributed to our understanding of how alcohol control laws affect drinking and driving among those who are under age 21. However, much of the extant literature examining underage drinking laws use a "Law/No law" coding which may obscure the variability inherent in each law. Previous literature has demonstrated that inclusion of law strengths may affect outcomes and overall data fit when compared to "Law/No law" coding. In an effort to assess the relative strength of states' underage drinking legislation, a coding system was developed in 2006 and applied to 16 MLDA-21 laws. The current article updates the previous endeavor and outlines a detailed strength coding mechanism for the current 20 MLDA-21 laws.

  10. Registration of weak ULF/ELF oscillations of the surface electric field strength

    NASA Astrophysics Data System (ADS)

    Boldyrev, A. I.; Vyazilov, A. E.; Ivanov, V. N.; Kemaev, R. V.; Korovin, V. Ya.; Melyashinskii, A. V.; Pamukhin, K. V.; Panov, V. N.; Shvyrev, Yu. N.

    2016-07-01

    Measurements of the atmospheric electric field strength made by an electrostatic fluxmeter with a unique threshold sensitivity for such devices (6 × 10-2-10-3 V m-1 Hz-1/2 in the 10-3-25 Hz frequency range) and wide dynamic (120 dB) and spectral (0-25 Hz) ranges, are presented. The device parameters make it possible to observe the electric component of global electromagnetic Schumann resonances and long-period fluctuations in the atmospheric electric field strength.

  11. Relationship between muscle mass and physical performance: is it the same in older adults with weak muscle strength?

    PubMed

    Kim, Kyoung-Eun; Jang, Soong-Nang; Lim, Soo; Park, Young Joo; Paik, Nam-Jong; Kim, Ki Woong; Jang, Hak Chul; Lim, Jae-Young

    2012-11-01

    the relationship between muscle mass and physical performance has not been consistent among studies. to clarify the relationship between muscle mass and physical performance in older adults with weak muscle strength. cross-sectional analysis using the baseline data of 542 older men and women from the Korean Longitudinal Study on Health and Aging. dual X-ray absorptiometry, isokinetic dynamometer and the Short Physical Performance Battery (SPPB) were performed. Two muscle mass parameters, appendicular skeletal mass divided by weight (ASM/Wt) and by height squared (ASM/Ht(2)), were measured. We divided the participants into a lower-quartile (L25) group and an upper-three-quartiles (H75) group based on the knee-extensor peak torque. Correlation analysis and logistic regression models were used to assess the association between muscle mass and low physical performance, defined as SPPB scores <9, after controlling for confounders. in the L25 group, no correlation between mass and SPPB was detected, whereas the correlation between peak torque and SPPB was significant and higher than that in the H75 group. Results from the logistic models also showed no association between muscle mass and SPPB in the L25 group, whereas muscle mass was associated with SPPB in the H75 group. muscle mass was not associated with physical performance in weak older adults. Measures of muscle strength may be of greater clinical importance in weak older adults than is muscle mass per se.

  12. Analysis of strengths, weaknesses, opportunities, and threats in the development of a health technology assessment program in Turkey.

    PubMed

    Kahveci, Rabia; Meads, Catherine

    2008-01-01

    The Turkish healthcare system is currently undergoing reform, and efficient use of resources has become a key factor in determining the allocation of resources. The objective of this study was to analyze strengths, weaknesses, opportunities, and threats (SWOT) in the development of a health technology assessment (HTA) program in Turkey. A SWOT analysis was performed using a literature review and interviews with key people in the Turkish Ministry of Health and Ministry of Labor and Social Security. Regarding recent reforms in health care, investments for information network and databank are the strengths, but the traditional "expert-based" decision making, poor availability of data, and poor quality of data could be seen as some of the weaknesses. Another major weakness is lack of general awareness of HTA. Increasing demand for transparency in decision making, demand for evidence, and demand for credibility by decision makers are some of the opportunities, and current healthcare reforms, i.e., restructuring of healthcare and general health insurance, could also be seen as major opportunities. These opportunities unfortunately could be threatened by lack of funding, and resources are challenged by large, recent national investments. There is a good opportunity for Turkey to use the skills in HTA currently being developed through activities in Europe and the Americas to assist in the development of a much more cost-effective and transparent healthcare system in Turkey.

  13. The expression and interpretation of uncertain forensic science evidence: verbal equivalence, evidence strength, and the weak evidence effect.

    PubMed

    Martire, Kristy A; Kemp, Richard I; Watkins, Ian; Sayle, Malindi A; Newell, Ben R

    2013-06-01

    Standards published by the Association of Forensic Science Providers (2009, Standards for the formulation of evaluative forensic science expert opinion, Science & Justice, Vol. 49, pp. 161-164) encourage forensic scientists to express their conclusions in the form of a likelihood ratio (LR), in which the value of the evidence is conveyed verbally or numerically. In this article, we report two experiments (using undergraduates and Mechanical Turk recruits) designed to investigate how much decision makers change their beliefs when presented with evidence in the form of verbal or numeric LRs. In Experiment 1 (N = 494), participants read a summary of a larceny trial containing inculpatory expert testimony in which evidence strength (low, moderate, high) and presentation method (verbal, numerical) varied. In Experiment 2 (N = 411), participants read the same larceny trial, this time including either exculpatory or inculpatory expert evidence that varied in strength (low, high) and presentation method (verbal, numerical). Both studies found a reasonable degree of correspondence in observed belief change resulting from verbal and numeric formats. However, belief change was considerably smaller than Bayesian calculations would predict. In addition, participants presented with evidence weakly supporting guilt tended to "invert" the evidence, thereby counterintuitively reducing their belief in the guilt of the accused. This "weak evidence effect" was most apparent in the verbal presentation conditions of both experiments, but only when the evidence was inculpatory. These findings raise questions about the interpretability of LRs by jurors and appear to support an expectancy-based account of the weak evidence effect.

  14. A Review of Meta-Analyses in Education: Methodological Strengths and Weaknesses

    ERIC Educational Resources Information Center

    Ahn, Soyeon; Ames, Allison J.; Myers, Nicholas D.

    2012-01-01

    The current review addresses the validity of published meta-analyses in education that determines the credibility and generalizability of study findings using a total of 56 meta-analyses published in education in the 2000s. Our objectives were to evaluate the current meta-analytic practices in education, identify methodological strengths and…

  15. Gifted Students with Spatial Strengths and Sequential Weaknesses: An Overlooked and Underidentified Population

    ERIC Educational Resources Information Center

    Mann, Rebecca L.

    2005-01-01

    Gifted students with spatial strengths are often overlooked and underserved in American schools. These students have remarkable areas of talent but often have verbal learning difficulties that prevent them from being identified for gifted services. This article focuses on definitions of spatial ability, characteristics of these learners, possible…

  16. A Review of Meta-Analyses in Education: Methodological Strengths and Weaknesses

    ERIC Educational Resources Information Center

    Ahn, Soyeon; Ames, Allison J.; Myers, Nicholas D.

    2012-01-01

    The current review addresses the validity of published meta-analyses in education that determines the credibility and generalizability of study findings using a total of 56 meta-analyses published in education in the 2000s. Our objectives were to evaluate the current meta-analytic practices in education, identify methodological strengths and…

  17. Lessons from dwarf8 on the strengths and weaknesses of structured association mapping

    USDA-ARS?s Scientific Manuscript database

    The strengths of association mapping lie in its resolution and allelic richness, but spurious associations arising from historical relationships and selection patterns need to be accounted for in statistical analyses. Here we reanalyze one of the first generation structured association mapping studi...

  18. Strength of weak layers in cascading failures on multiplex networks: case of the international trade network.

    PubMed

    Lee, Kyu-Min; Goh, K-I

    2016-05-23

    Many real-world complex systems across natural, social, and economical domains consist of manifold layers to form multiplex networks. The multiple network layers give rise to nonlinear effect for the emergent dynamics of systems. Especially, weak layers that can potentially play significant role in amplifying the vulnerability of multiplex networks might be shadowed in the aggregated single-layer network framework which indiscriminately accumulates all layers. Here we present a simple model of cascading failure on multiplex networks of weight-heterogeneous layers. By simulating the model on the multiplex network of international trades, we found that the multiplex model produces more catastrophic cascading failures which are the result of emergent collective effect of coupling layers, rather than the simple sum thereof. Therefore risks can be systematically underestimated in single-layer network analyses because the impact of weak layers can be overlooked. We anticipate that our simple theoretical study can contribute to further investigation and design of optimal risk-averse real-world complex systems.

  19. Strength of weak layers in cascading failures on multiplex networks: case of the international trade network

    NASA Astrophysics Data System (ADS)

    Lee, Kyu-Min; Goh, K.-I.

    2016-05-01

    Many real-world complex systems across natural, social, and economical domains consist of manifold layers to form multiplex networks. The multiple network layers give rise to nonlinear effect for the emergent dynamics of systems. Especially, weak layers that can potentially play significant role in amplifying the vulnerability of multiplex networks might be shadowed in the aggregated single-layer network framework which indiscriminately accumulates all layers. Here we present a simple model of cascading failure on multiplex networks of weight-heterogeneous layers. By simulating the model on the multiplex network of international trades, we found that the multiplex model produces more catastrophic cascading failures which are the result of emergent collective effect of coupling layers, rather than the simple sum thereof. Therefore risks can be systematically underestimated in single-layer network analyses because the impact of weak layers can be overlooked. We anticipate that our simple theoretical study can contribute to further investigation and design of optimal risk-averse real-world complex systems.

  20. Strength of weak layers in cascading failures on multiplex networks: case of the international trade network

    PubMed Central

    Lee, Kyu-Min; Goh, K.-I.

    2016-01-01

    Many real-world complex systems across natural, social, and economical domains consist of manifold layers to form multiplex networks. The multiple network layers give rise to nonlinear effect for the emergent dynamics of systems. Especially, weak layers that can potentially play significant role in amplifying the vulnerability of multiplex networks might be shadowed in the aggregated single-layer network framework which indiscriminately accumulates all layers. Here we present a simple model of cascading failure on multiplex networks of weight-heterogeneous layers. By simulating the model on the multiplex network of international trades, we found that the multiplex model produces more catastrophic cascading failures which are the result of emergent collective effect of coupling layers, rather than the simple sum thereof. Therefore risks can be systematically underestimated in single-layer network analyses because the impact of weak layers can be overlooked. We anticipate that our simple theoretical study can contribute to further investigation and design of optimal risk-averse real-world complex systems. PMID:27211291

  1. Effect of solubilizing agents on mupirocin loading into and release from PEGylated nanoliposomes.

    PubMed

    Cern, Ahuva; Nativ-Roth, Einat; Goldblum, Amiram; Barenholz, Yechezkel

    2014-07-01

    Mupirocin was identified by quantitative structure property relationship models as a good candidate for remote liposomal loading. Mupirocin is an antibiotic that is currently restricted to topical administration because of rapid hydrolysis in vivo to its inactive metabolite. Formulating mupirocin in PEGylated nanoliposomes may potentially expand its use to parenteral administration by protecting it from degradation in the circulation and target it (by the enhanced permeability effect) to the infected tissue. Mupirocin is slightly soluble in aqueous medium and its solubility can be increased using solubilizing agents. The effect of the solubilizing agents on mupirocin remote loading was studied when the solubilizing agents were added to the drug loading solution. Propylene glycol was found to increase mupirocin loading, whereas polyethylene glycol 400 showed no effect. Hydroxypropyl-β-cyclodextrin (HPCD) showed a concentration-dependent effect on mupirocin loading; using the optimal HPCD concentration increased loading, but higher concentrations inhibited it. The inclusion of HPCD in the liposome aqueous phase while forming the liposomes resulted in increased drug loading and substantially inhibited drug release in serum.

  2. Neomycin Sulfate Improves the Antimicrobial Activity of Mupirocin-Based Antibacterial Ointments.

    PubMed

    Blanchard, Catlyn; Brooks, Lauren; Beckley, Andrew; Colquhoun, Jennifer; Dewhurst, Stephen; Dunman, Paul M

    2016-02-01

    In the midst of the current antimicrobial pipeline void, alternative approaches are needed to reduce the incidence of infection and decrease reliance on last-resort antibiotics for the therapeutic intervention of bacterial pathogens. In that regard, mupirocin ointment-based decolonization and wound maintenance practices have proven effective in reducing Staphylococcus aureus transmission and mitigating invasive disease. However, the emergence of mupirocin-resistant strains has compromised the agent's efficacy, necessitating new strategies for the prevention of staphylococcal infections. Herein, we set out to improve the performance of mupirocin-based ointments. A screen of a Food and Drug Administration (FDA)-approved drug library revealed that the antibiotic neomycin sulfate potentiates the antimicrobial activity of mupirocin, whereas other library antibiotics did not. Preliminary mechanism of action studies indicate that neomycin's potentiating activity may be mediated by inhibition of the organism's RNase P function, an enzyme that is believed to participate in the tRNA processing pathway immediately upstream of the primary target of mupirocin. The improved antimicrobial activity of neomycin and mupirocin was maintained in ointment formulations and reduced S. aureus bacterial burden in murine models of nasal colonization and wound site infections. Combination therapy improved upon the effects of either agent alone and was effective in the treatment of contemporary methicillin-susceptible, methicillin-resistant, and high-level mupirocin-resistant S. aureus strains. From these perspectives, combination mupirocin-and-neomycin ointments appear to be superior to that of mupirocin alone and warrant further development. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

  3. Strengths, weaknesses, opportunities and threats of the pig health monitoring systems used in England.

    PubMed

    Stärk, K D C; Nevel, A

    2009-10-17

    Several systems are being used in England to record information about the health of pigs. The British Pig Health Scheme (BPHS), the National Animal Disease Information System (NADIS), the Zoonoses Action Plan (ZAP) for Salmonella and the Veterinary Investigation Diagnosis Analysis (VIDA) system have been assessed to make recommendations for their future separate or joint development. The structure, organisation, processes, data quality, dissemination, utilisation and acceptance of each system have been assessed. Information was extracted from documents and websites, and informal interviews were conducted with technical experts and stakeholders. The systems covered a broad range of objectives, used variable approaches and operated at very different scales and budgets. There was a high level of awareness and involvement by the industry. Common weaknesses of the systems were the lack of in-depth quantitative analysis of the data, the lack of assessment of each system's impact, and the unknown level of bias as a result of the voluntary or selective participation in them.

  4. [Strengths and weaknesses of a cervical cancer detection and control program: a qualitative evaluation in San Luis Potosi, Mexico].

    PubMed

    Tejada-Tayabas, Luz María; Hernández-Ibarra, Luis Eduardo; Pastor-Durango, María del Pilar

    2012-01-01

    To identify, from the perspective of the health staff, the strengths and weaknesses of the program for the detection and control of cervical cancer through a qualitative assessment implemented in three health centers in the city of San Luis Potosi, Mexico, from August 2008 to November 2009. A qualitative evaluation was performed. Nine providers participated in the study. The providers were selected by purposeful sampling using a voluntary participation criterion. Initially, information on the characteristics and the context in which the program operates was obtained from the health centers. Later, 18 semi-structured interviews were conducted with nine informants to probe their perspective. A directed content analysis was used. The strengths reported by staff were the fact that the program is free of charge, the availability of material resources, and the strategies that helped encourage the recruitment of women and their access to screening. The main weaknesses consisted of limitations in human resources and physical infrastructure, inefficient organization of activities, the staff's poor technical training, limited promotion of activities, and limitations in monitoring women with positive results. This study reveals the need for increased human resources, changes in regulations and reorganization of the program's actions in some health centers to ensure the quality of the service, meet women's needs, and promote coverage in all the program's actions. Copyright © 2011 SESPAS. Published by Elsevier España, S.L. All rights reserved.

  5. A thematic analysis of the strengths and weaknesses of manufacturers' submissions to the NICE Single Technology Assessment (STA) process.

    PubMed

    Carroll, Christopher; Kaltenthaler, Eva; FitzGerald, Patrick; Boland, Angela; Dickson, Rumona

    2011-10-01

    The NICE Single Technology Appraisal (STA) process in the UK has been underway for five years. Evidence Review Groups (ERGs) critically appraise submissions from manufacturers on the clinical and cost effectiveness of new technologies. This study analysed the ERGs' assessment of the strengths and weaknesses of 30 manufacturers' submissions to the STA process. Thematic analysis was performed on the textual descriptions of the strengths and weakness of manufacturer submissions, as outlined by the ERGs in their reports. Various themes emerged from the data. These themes related to the processes applied in the submissions; the content of the submission (e.g. the amount and quality of evidence); the reporting of the submissions' review and analysis processes; the reliability and validity of the submissions' findings; and how far the submission had satisfied the STA process objectives. STA submissions could be improved if attention were paid to transparency in the reporting, conduct and justification of review and modelling processes and analyses, as well as greater robustness in the choice of data and closer adherence to the scope or decision problem. Where this adherence is not possible, more detailed justification of the choice of evidence or data is required. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  6. The Strengths and Weaknesses of Logic Formalisms to Support Mishap Analysis

    NASA Technical Reports Server (NTRS)

    Johnson, C. W.; Holloway, C. M.

    2002-01-01

    The increasing complexity of many safety critical systems poses new problems for mishap analysis. Techniques developed in the sixties and seventies cannot easily scale-up to analyze incidents involving tightly integrated software and hardware components. Similarly, the realization that many failures have systemic causes has widened the scope of many mishap investigations. Organizations, including NASA and the NTSB, have responded by starting research and training initiatives to ensure that their personnel are well equipped to meet these challenges. One strand of research has identified a range of mathematically based techniques that can be used to reason about the causes of complex, adverse events. The proponents of these techniques have argued that they can be used to formally prove that certain events created the necessary and sufficient causes for a mishap to occur. Mathematical proofs can reduce the bias that is often perceived to effect the interpretation of adverse events. Others have opposed the introduction of these techniques by identifying social and political aspects to incident investigation that cannot easily be reconciled with a logic-based approach. Traditional theorem proving mechanisms cannot accurately capture the wealth of inductive, deductive and statistical forms of inference that investigators routinely use in their analysis of adverse events. This paper summarizes some of the benefits that logics provide, describes their weaknesses, and proposes a number of directions for future research.

  7. I. The neurocognitive profile of Williams Syndrome: a complex pattern of strengths and weaknesses.

    PubMed

    Bellugi, U; Lichtenberger, L; Jones, W; Lai, Z; St George, M

    2000-01-01

    The rare, genetically based disorder, Williams syndrome (WMS), produces a constellation of distinctive cognitive, neuroanatomical, and electrophysiological features which we explore through the series of studies reported here. In this paper, we focus primarily on the cognitive characteristics of WMS and begin to forge links among these characteristics, the brain, and the genetic basis of the disorder. The distinctive cognitive profile of individuals with WMS includes relative strengths in language and facial processing and profound impairment in spatial cognition. The cognitive profile of abilities, including what is 'typical' for individuals with WMS is discussed, but we also highlight areas of variability across the group of individuals with WMS that we have studied. Although the overall cognitive abilities (IQs) of individuals with WMS are typically in the mild-to-moderate range of mental retardation, the peaks and valleys within different cognitive domains make this syndrome especially intriguing to study across levels. Understanding the brain basis (and ultimately the genetic basis) for higher cognitive functioning is the goal we have begun to undertake with this line of interdisciplinary research.

  8. OECI accreditation of the European Institute of Oncology of Milan: strengths and weaknesses.

    PubMed

    Deriu, Pietro L; Basso, Silvia; Mastrilli, Fabrizio; Orecchia, Roberto

    2015-01-01

    The European Institute of Oncology began the process to reach the accreditation promoted by the Organisation of European Cancer Institutes (OECI) in 2012. This accreditation integrates the quality and safety path started in 2001 with accreditation by the Joint Commission International. Despite the presence of diversified accreditations and certifications and the clear need of time, effort, and commitment, the models are complementary. Each model is not to be considered as an end but as a tool for improvement: e.g., mixing accreditation standards led to an improvement in the quality and safety of processes. The present article details the OECI accreditation experience of the European Institute of Oncology, in particular the following strengths of OECI standards: collaboration among several involved parties (patient, volunteer, patient's general practitioner) in the clinical and quality/safety processes; a larger involvement of support personnel (psycho-oncologists, dieticians, physical therapists); and the development of clinical/translational research and innovation in prevention, diagnosis, and treatment to guarantee the best available practice in diagnosis and treatment. The OECI accreditation is specific to oncology and therefore its standards are tailored to a cancer center, both in terms of language used in the standards manual and in terms of patient needs. The OECI accreditation system puts an auditor team with a standards manual in charge of verifying quality and confirms the definition of IEO as a Comprehensive Cancer Center.

  9. Comparing strengths and weaknesses of three ecosystem services modelling tools in a diverse UK river catchment.

    PubMed

    Sharps, Katrina; Masante, Dario; Thomas, Amy; Jackson, Bethanna; Redhead, John; May, Linda; Prosser, Havard; Cosby, Bernard; Emmett, Bridget; Jones, Laurence

    2017-01-29

    Ecosystem services modelling tools can help land managers and policy makers evaluate the impacts of alternative management options or changes in land use on the delivery of ecosystem services. As the variety and complexity of these tools increases, there is a need for comparative studies across a range of settings, allowing users to make an informed choice. Using examples of provisioning and regulating services (water supply, carbon storage and nutrient retention), we compare three spatially explicit tools - LUCI (Land Utilisation and Capability Indicator), ARIES (Artificial Intelligence for Ecosystem Services) and InVEST (Integrated Valuation of Ecosystem Services and Tradeoffs). Models were parameterised for the UK and applied to a temperate catchment with widely varying land use in North Wales. Although each tool provides quantitative mapped output, can be applied in different contexts, and can work at local or national scale, they differ in the approaches taken and underlying assumptions made. In this study, we focus on the wide range of outputs produced for each service and discuss the differences between each modelling tool. Model outputs were validated using empirical data for river flow, carbon and nutrient levels within the catchment. The sensitivity of the models to land-use change was tested using four scenarios of varying severity, evaluating the conversion of grassland habitat to woodland (0-30% of the landscape). We show that, while the modelling tools provide broadly comparable quantitative outputs, each has its own unique features and strengths. Therefore the choice of tool depends on the study question.

  10. Socio-cognitive understanding: a strength or weakness in Down's syndrome?

    PubMed

    Wishart, J G

    2007-12-01

    Social understanding is often thought to be relatively 'protected' in children with Down's syndrome (DS) and to underlie the outgoing personality characteristically attributed to them. This paper draws together findings from our studies of behaviours during object concept testing, generally considered a theoretically 'pure' measure of early cognitive ability, and from more recent work focusing on two key socio-cognitive skills: recognising facial expressions of emotion and collaborative learning. Age range of children studied was 4 months to 18 years. Using standardised hiding tasks, object concept ability was assessed cross-sectionally and longitudinally in children with DS and in age- or stage-matched typically developing (TD) children. Stability of cognitive advances was assessed and similarities/differences in developmental pathways explored. In the emotion recognition studies, the ability to distinguish six primary emotions was measured, with performance compared with that of developmentally-matched TD children and age-matched children with intellectual disabilities of similar severity but differing aetiology [non-specific intellectual disability (NSID) or fragile X syndrome (FXS)]. In the collaborative learning study, the impact on sorting skills of working with a peer on a conceptually related task was measured, with outcomes compared in DS, NSID and TD child pairings. Evidence of counterproductive, socially-based strategies being inappropriately applied by children with DS in learning contexts was found in both the object concept and collaborative learning studies, along with inefficient use of current cognitive and linguistic abilities. Emotion recognition weaknesses were also identified, although deficits were relative rather than absolute and individual variability was marked. In line with emerging evidence from other research teams, findings suggest possible difficulties in some core aspects of interpersonal functioning in DS, with both qualitative and

  11. Development of a topical mupirocin spray for antibacterial and wound-healing applications.

    PubMed

    Sritharadol, Rutthapol; Nakpheng, Titpawan; Wan Sia Heng, Paul; Srichana, Teerapol

    2017-10-01

    The aim of this study was to develop mupirocin topical spray using Eudragit E100 as a film-forming agent for the treatment of bacterial skin infections as well as to promote wound healing. Twenty-seven of mupirocin formulations were formulated containing Eudragit E100 and other excipients. Mupirocin spray was prepared by aerosol crimping and filling machine using HFA-134a as a propellant. The formulations were evaluated for their stability and physicochemical properties. The factorial study was applied to evaluate the effects of glycerol and PEG400 on mupirocin-loaded Eudragit E100 films. The optimized formulation was assessed of drug release, antibacterial activities and in vitro cell line studies in comparison to the ointment formulation. Mupirocin sprays were formulated and optimized to obtain the formulation with excellent physicochemical and mechanical properties of the dressing film. The formulation had an excellent stability up to a year with more than 80% of mupirocin content. Mupirocin was released from the film up to 90% within 2 h. The formulation had a potent antibacterial effect against S. aureus and S. epidermidis. The formulation was safe to use as a topical formulation that had no toxicity to keratinocytes, fibroblasts and monocytes. The formulation also had an antiendotoxin effect without stimulating the production of NO and inflammatory cytokines (IL-1β and TNF-α). Mupirocin topical spray was successful developed as a topical formulation and can be used instead of the ointment formulation. Animal experiments are warranted to further emphasize the safe use in the human skin.

  12. An appraisal of the strengths and weaknesses of newborn and juvenile rat models for researching gastrointestinal development.

    PubMed

    Henare, S J; Mellor, D J; Lentle, R G; Moughan, P J

    2008-07-01

    Research on the impact of bioactive compounds on the development and functional maturation of the gastrointestinal (GI) tract using newborn and juvenile rats has greatly contributed to the knowledge of GI physiology and to the improved clinical management of both premature and full-term newborns. Of the animal models available, two types have been described for use with young rats--maintenance models and substitution models. Maintenance models are those in which the young are reared with the dam and therefore benefit from continuation of natural nutrition and maternal care. Substitution models are those in which the young are reared in the absence of the dam using artificially formulated milk delivered by various means into specific GI sites. In this review, we describe these models and their operation, and discuss the strengths and weaknesses of each. Attention is also given to questions of scientific validity and some animal welfare issues raised by the use of these models.

  13. Application of strengths, weaknesses, opportunities and threats analysis in the development of a health technology assessment program.

    PubMed

    Gibis, B; Artiles, J; Corabian, P; Meiesaar, K; Koppel, A; Jacobs, P; Serrano, P; Menon, D

    2001-10-01

    There has been recent interest in developing a health technology assessment (HTA) function in Estonia. A group of individuals knowledgeable about HTA in Canada, Germany, Romania and Spain, along with representatives of the University of Tartu, Estonia, was convened by the Institute of Health Economics in Edmonton, Canada, to consider options for such a function. In a one-day workshop strengths, weaknesses, opportunities and threats (SWOT) analyses of HTA were conducted, first at a 'global' level, and then of the Estonian situation. The 'global' SWOT analysis yielded a large number of items that pertain to institutionalized HTA in a generic sense, i.e. not based on any individual HTA agency. The 'Estonian' SWOT yielded a subset of items, which pertain to development of HTA in that country. Ten actionable steps were then developed on the basis of this subset, which could be used to initiate the creation of an HTA body in Estonia.

  14. Nonuniform Weakness in the Paretic Knee and Compensatory Strength Gains in the Nonparetic Knee Occurs after Stroke

    PubMed Central

    Lomaglio, Melanie J.; Eng, Janice J.

    2015-01-01

    Background This study was designed to quantify torque production at different joint angles in the paretic and non-paretic knee joints of individuals with stroke. Methods Extension and flexion torques were measured at 6 angles of the knee joint and normalized to peak torque in 19 subjects with stroke and 19 controls. Results Paretic knee extension torque was lower than controls when the knee was positioned near extension. In contrast, nonparetic knee extension and flexion torques were higher than controls when the knee was positioned near full flexion. Conclusions The paretic knee extensors demonstrated exaggerated weakness at short muscle lengths and the nonparetic knee extensors and flexors demonstrated selective strength gains. Clinicians should therefore consider paretic knee extensor strengthening near full extension and promote symmetrical use of the legs to prevent compensatory overuse of the non-paretic leg. PMID:18946213

  15. REDUCTION OF PREOPERATIVE CONJUNCTIVAL BACTERIAL FLORA WITH THE USE OF MUPIROCIN NASAL OINTMENT

    PubMed Central

    Alexandrou, Terry J.; Hariprasad, Seenu M.; Benevento, Joseph; Rubin, Michael P.; Saidel, Michael; Ksiazek, Susan; Thompson, Kenneth; Boonlayangoor, Sue; Mieler, William F.

    2006-01-01

    Purpose To determine whether the use of mupirocin ointment for preoperative eradication of nasal bacterial carriage was effective in reducing conjunctival bacterial flora. Methods Prospective, double-arm, blinded clinical trial of 37 eyes of 37 patients undergoing intraocular surgery (cataract extraction or pars plana vitrectomy) randomized to either control or mupirocin treatment groups. Treated patients received mupirocin nasal ointment twice daily for 5 days prior to surgery. Nasal cultures were obtained in all patients. All patients received a standard 5% povidone-iodine preparation before the surgical procedure, and conjunctival cultures were obtained in all patients before and after the povidone-iodine preparation. Results All 37 patient nasal swabs were positive for bacterial growth (cultures were obtained prior to the use of mupirocin ointment in the treatment group). One of 15 eyes (6.7%) in the treatment group had positive conjunctival cultures prior to povidone-iodine preparation, compared with nine of 22 eyes (41%) in the control group (P < .05). Even after povidone-iodine preparation, eight of 22 eyes (36%) in the control group demonstrated persistent positive cultures, whereas one (6.7%) of the treatment eyes exhibited growth (P < .05). Conclusions Prophylactic use of mupirocin nasal ointment resulted in significant reduction of conjunctival flora with or without preoperative topical 5% povidone-iodine preparation. The use of mupirocin nasal ointment prior to intraocular surgery or intravitreal injections is a novel method for reducing conjunctival contamination rates, which theoretically should reduce the incidence of endophthalmitis. PMID:17471340

  16. A new medium containing mupirocin, acetic acid, and norfloxacin for the selective cultivation of bifidobacteria.

    PubMed

    Vlková, Eva; Salmonová, Hana; Bunešová, Věra; Geigerová, Martina; Rada, Vojtěch; Musilová, Šárka

    2015-08-01

    Various culture media have been proposed for the isolation and selective enumeration of bifidobacteria. Mupirocin is widely used as a selective factor along with glacial acetic acid. TOS (transgalactosylated oligosaccharides) medium supplemented with mupirocin is recommended by the International Dairy Federation for the detection of bifidobacteria in fermented milk products. Mupirocin media with acetic acid are also reliable for intestinal samples in which bifidobacteria predominate. However, for complex samples containing more diverse microbiota, the selectivity of mupirocin media is limited. Resistance to mupirocin has been demonstrated by many anaerobic bacteria, especially clostridia. The objective was to identify an antibiotic that inhibits the growth of clostridia and allows the growth of bifidobacteria, and to use the identified substance to develop a selective cultivation medium for bifidobacteria. The susceptibility of bifidobacteria and clostridia to 12 antibiotics was tested on agar using the disk diffusion method. Only norfloxacin inhibited the growth of clostridia and did not affect the growth of bifidobacteria. Using both pure cultures and faecal samples from infants, adults, calves, lambs, and piglets, the optimal concentration of norfloxacin in solid cultivation media was determined to be 200 mg/L. Our results showed that solid medium containing norfloxacin (200 mg/L) in combination with mupirocin (100 mg/L) and glacial acetic acid (1 mL/L) is suitable for the enumeration and isolation of bifidobacteria from faecal samples of different origins. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Randomized clinical trial of topical mupirocin versus oral erythromycin for impetigo.

    PubMed Central

    Goldfarb, J; Crenshaw, D; O'Horo, J; Lemon, E; Blumer, J L

    1988-01-01

    The safety and efficacy of a new topical antiinfective agent, mupirocin, was compared with that of oral erythromycin ethylsuccinate in the treatment of impetigo in children. Sixty-two children aged 5 months to 13 years with impetigo were assigned to be treated with either mupirocin in three daily applications or erythromycin ethylsuccinate (40 mg/kg of body weight per day divided into four doses) according to a randomized treatment schedule. On the initial visit, exudate or cleansed infected sites or both were cultured and therapy was begun. All patients were treated for 8 days. Patients were seen again on days 4 to 5 of therapy, at the end of therapy, and 7 days after the end of therapy. Sites of infection were comparable between the groups, as were bacteriologic responses. At the first visit, 24 of 30 children in the mupirocin group and 14 of 32 children in the erythromycin group were cured or had at least a 75% reduction in size of the lesions. At the end of the study, all 29 of the children in the mupirocin group who came to follow-up, compared with 27 of 29 in the erythromycin group, were cured. Side effects were few. Five children in the erythromycin group developed mild diarrhea. Thus, mupirocin appears to be safe and effective in treating impetigo in children. Our data show a trend toward more rapid clinical response with mupirocin than with erythromycin. PMID:3149884

  18. Mupirocin and Chlorhexidine Resistance in Staphylococcus aureus in Patients with Community-Onset Skin and Soft Tissue Infections

    PubMed Central

    Fritz, Stephanie A.; Hogan, Patrick G.; Camins, Bernard C.; Ainsworth, Ali J.; Patrick, Carol; Martin, Madeline S.; Krauss, Melissa J.; Rodriguez, Marcela

    2013-01-01

    Decolonization measures, including mupirocin and chlorhexidine, are often prescribed to prevent Staphylococcus aureus skin and soft tissue infections (SSTI). The objective of this study was to determine the prevalence of high-level mupirocin and chlorhexidine resistance in S. aureus strains recovered from patients with SSTI before and after mupirocin and chlorhexidine administration and to determine whether carriage of a mupirocin- or chlorhexidine-resistant strain at baseline precluded S. aureus eradication. We recruited 1,089 patients with community-onset SSTI with or without S. aureus colonization. In addition to routine care, 483 patients were enrolled in a decolonization trial: 408 received intranasal mupirocin (with or without antimicrobial baths), and 258 performed chlorhexidine body washes. Patients were followed for up to 12 months with repeat colonization cultures. All S. aureus isolates were tested for high-level mupirocin and chlorhexidine resistance. At baseline, 23/1,089 (2.1%) patients carried a mupirocin-resistant S. aureus strain and 10/1,089 (0.9%) patients carried chlorhexidine-resistant S. aureus. Of 4 patients prescribed mupirocin, who carried a mupirocin-resistant S. aureus strain at baseline, 100% remained colonized at 1 month compared to 44% of the 324 patients without mupirocin resistance at baseline (P = 0.041). Of 2 patients prescribed chlorhexidine, who carried a chlorhexidine-resistant S. aureus strain at baseline, 50% remained colonized at 1 month compared to 48% of the 209 patients without chlorhexidine resistance at baseline (P = 1.0). The overall prevalence of mupirocin and chlorhexidine resistance is low in S. aureus isolates recovered from outpatients, but eradication efforts were less successful in patients carrying a mupirocin-resistant S. aureus strain at baseline. PMID:23147738

  19. Mupirocin and chlorhexidine resistance in Staphylococcus aureus in patients with community-onset skin and soft tissue infections.

    PubMed

    Fritz, Stephanie A; Hogan, Patrick G; Camins, Bernard C; Ainsworth, Ali J; Patrick, Carol; Martin, Madeline S; Krauss, Melissa J; Rodriguez, Marcela; Burnham, Carey-Ann D

    2013-01-01

    Decolonization measures, including mupirocin and chlorhexidine, are often prescribed to prevent Staphylococcus aureus skin and soft tissue infections (SSTI). The objective of this study was to determine the prevalence of high-level mupirocin and chlorhexidine resistance in S. aureus strains recovered from patients with SSTI before and after mupirocin and chlorhexidine administration and to determine whether carriage of a mupirocin- or chlorhexidine-resistant strain at baseline precluded S. aureus eradication. We recruited 1,089 patients with community-onset SSTI with or without S. aureus colonization. In addition to routine care, 483 patients were enrolled in a decolonization trial: 408 received intranasal mupirocin (with or without antimicrobial baths), and 258 performed chlorhexidine body washes. Patients were followed for up to 12 months with repeat colonization cultures. All S. aureus isolates were tested for high-level mupirocin and chlorhexidine resistance. At baseline, 23/1,089 (2.1%) patients carried a mupirocin-resistant S. aureus strain and 10/1,089 (0.9%) patients carried chlorhexidine-resistant S. aureus. Of 4 patients prescribed mupirocin, who carried a mupirocin-resistant S. aureus strain at baseline, 100% remained colonized at 1 month compared to 44% of the 324 patients without mupirocin resistance at baseline (P = 0.041). Of 2 patients prescribed chlorhexidine, who carried a chlorhexidine-resistant S. aureus strain at baseline, 50% remained colonized at 1 month compared to 48% of the 209 patients without chlorhexidine resistance at baseline (P = 1.0). The overall prevalence of mupirocin and chlorhexidine resistance is low in S. aureus isolates recovered from outpatients, but eradication efforts were less successful in patients carrying a mupirocin-resistant S. aureus strain at baseline.

  20. The ICMJE Recommendations and pharmaceutical marketing--strengths, weaknesses and the unsolved problem of attribution in publication ethics.

    PubMed

    Matheson, Alastair

    2016-04-04

    The International Committee of Medical Journal Editors (ICMJE) Recommendations set ethical and editorial standards for article publication in most leading medical journals. Here, I examine the strengths and weaknesses of the Recommendations in the prevention of commercial bias in industry-financed journal literature, on three levels - scholarly discourse, article content, and article attribution. With respect to overall discourse, the most important measures in the ICMJE Recommendations are for enforcing clinical trial registration and controlling duplicate publication. With respect to article content, the ICMJE promotes stringent author accountability and adherence to established reporting standards. However, the ICMJE accepts the use of commercial editorial teams to produce manuscripts, which is a potential source of bias, and accepts private company ownership and analysis of clinical trial data. New ICMJE guidance on data sharing will address but not eliminate problems of commercial data access. With respect to attribution, the Recommendations oppose guest authorship and encourage clear documentation of author contributions. However, they exclude writers from coauthorship; provide no specific advice on the attribution of commercial literature, for instance with respect to company authorship, author sequence or prominent commercial labeling; and endorse the use of fine print and euphemism. The ICMJE requires detailed author interest disclosures, but overlooks the interests of non-authors and companies, and does not recommend that interests most salient to the publication are highlighted. Together, these weaknesses facilitate "advocacy"-based marketing, in which literature planned, financed and produced by companies is fronted by academics, enabling commercial messages to be presented to customers by their respected clinical peers rather than companies themselves. The ICMJE Recommendations set important research and reporting standards, without which commercial

  1. Strengths and weaknesses of the humanitarian Cluster Approach in relation to sexual and reproductive health services in northern Uganda.

    PubMed

    Landegger, Justine; Hau, Monica; Kaducu, Felix; Sondorp, Egbert; Mayhew, Susannah; Roberts, Bayard

    2011-06-01

    Implementation of the Cluster Approach has been a major recent development in the humanitarian system. The aim of this study was to explore the strengths and weaknesses of the humanitarian Cluster Approach in relation to services for sexual and reproductive health (SRH) [including gender-based violence (GBV)] in northern Uganda, which is recovering from over 20 years of armed conflict. Face-to-face and telephone, semistructured, qualitative interviews were conducted in 2009 with purposively selected key informants from governmental, non-governmental, United Nations and donor agencies working in northern Uganda. Respondents noted a number of contributions of the Cluster Approach, including improved co-ordination of SRH services and stronger advocacy. However, concerns were raised about the low prioritisation, limited leadership and capacity, and standard setting for SRH services. Concerns were also raised about limited planning and capacity for dissolution of the Clusters in the transition to recovery and development in northern Uganda. Despite a number of contributions made by the Cluster Approach, particularly for responding to GBV, there were many concerns about its limited influence on SRH services. There were also concerns that the transition to recovery and development in northern Uganda may not result in reproductive health services being sufficiently strengthened.

  2. The Effect of Achievement Test Selection on Identification of Learning Disabilities within a Patterns of Strengths and Weaknesses Framework

    PubMed Central

    Miciak, Jeremy; Taylor, Pat; Denton, Carolyn A.; Fletcher, Jack M.

    2014-01-01

    Purpose Few empirical investigations have evaluated learning disabilities (LD) identification methods based on a pattern of cognitive strengths and weaknesses (PSW). This study investigated the reliability of LD classification decisions of the concordance/discordance method (C/DM) across different psychoeducational assessment batteries. Methods C/DM criteria were applied to assessment data from 177 second grade students based on two psychoeducational assessment batteries. The achievement tests were different, but were highly correlated and measured the same latent construct. Resulting LD identifications were then evaluated for agreement across batteries on LD status and the academic domain of eligibility. Results The two batteries identified a similar number of participants as having LD (80 and 74). However, indices of agreement for classification decisions were low (kappa = .29), especially for percent positive agreement (62%). The two batteries demonstrated agreement on the academic domain of eligibility for only 25 participants. Conclusions Cognitive discrepancy frameworks for LD identification are inherently unstable because of imperfect reliability and validity at the observed level. Methods premised on identifying a PSW profile may never achieve high reliability because of these underlying psychometric factors. An alternative is to directly assess academic skills to identify students in need of intervention. PMID:25243467

  3. Patient experience with mupirocin or povidone-iodine nasal decolonization.

    PubMed

    Maslow, Jed; Hutzler, Lorraine; Cuff, Germaine; Rosenberg, Andrew; Phillips, Michael; Bosco, Joseph

    2014-06-01

    Led by the federal government, the payers of health care are enacting policies designed to base provider reimbursement on the quality of care they render. This study evaluated and compared patient experiences and satisfaction with nasal decolonization with either nasal povidone-iodine (PI) or nasal mupirocin ointment (MO). A total of 1903 patients were randomized to undergo preoperative nasal decolonization with either nasal MO or PI solution. All randomized patients were also given 2% chlorhexidine gluconate topical wipes. Patients were interviewed prior to discharge to assess adverse events and patient experience with their assigned preoperative antiseptic protocol. Of the 1903 randomized patients, 1679 (88.1%) were interviewed prior to discharge. Of patients receiving PI, 3.4% reported an unpleasant or very unpleasant experience, compared with 38.8% of those using nasal MO (P<.0001). Sixty-seven percent of patients using nasal MO believed it to be somewhat or very helpful in reducing surgical site infections, compared with 71% of patients receiving PI (P>.05). Being recruited as an active participant in surgical site infection prevention was a positive experience for 87.2% of MO patients and 86.3% of PI patients (P=.652). Those assigned to receive PI solution preoperatively reported significantly fewer adverse events than the nasal MO group (P<.01). Preoperative nasal decolonization with either nasal PI or MO was considered somewhat or very helpful by more than two-thirds of patients. Copyright 2014, SLACK Incorporated.

  4. Mupirocin-mucin agar for selective enumeration of Bifidobacterium bifidum.

    PubMed

    Pechar, Radko; Rada, Vojtech; Parafati, Lucia; Musilova, Sarka; Bunesova, Vera; Vlkova, Eva; Killer, Jiri; Mrazek, Jakub; Kmet, Vladimir; Svejstil, Roman

    2014-11-17

    Bifidobacterium bifidum is a bacterial species exclusively found in the human intestinal tract. This species is becoming increasingly popular as a probiotic organism added to lyophilized products. In this study, porcine mucin was used as the sole carbon source for the selective enumeration of B. bifidum in probiotic food additives. Thirty-six bifidobacterial strains were cultivated in broth with mucin. Only 13 strains of B. bifidum utilized the mucin to produce acids. B. bifidum was selectively enumerated in eight probiotic food supplements using agar (MM agar) containing mupirocin (100 mg/L) and mucin (20 g/L) as the sole carbon source. MM agar was fully selective if the B. bifidum species was presented together with Bifidobacterium animalis subsp. lactis, Bifidobacterium breve, and Bifidobacterium longum subsp. longum species and with lactic acid bacteria (lactobacilli, streptococci). Isolated strains of B. bifidum were identified using biochemical, PCR, MALDI-TOF procedures and 16S rRNA gene sequencing. The novel selective medium was also suitable for the isolation of B. bifidum strains from human fecal samples.

  5. Nasal carriage of MRSA: the role of mupirocin and outlook for resistance.

    PubMed

    Hill, R L; Casewell, M W

    1990-01-01

    Since the first attempts (1) to eradicate nasal carriage of Staphylococcus aureus with local applications of penicillin, many other topical and systemic antimicrobial agents have been tested, all with limited success. More recently, mupirocin has been much more successful and, in a controlled trial, nasal carriage of S. aureus was eliminated in all subjects and when re-colonisation eventually took place, only 29% had relapsed with their pre-treatment strain. During an MRSA outbreak at a London hospital, standard infection control measures failed to prevent colonisation and infection of more than two hundred patients, but the use of mupirocin was associated with epidemiological control. Of forty patients and thirty-two staff studied, 98.6% of staff and 90.1% of patient-weeks were free of nasal MRSA after treatment. Although resistance to at least 40 mg/l of mupirocin can be produced in vitro and resistant S. aureus have been isolated from patients undergoing prolonged skin treatment with mupirocin, there has been no evidence for the emergence of mupirocin resistance as a mechanism for the relapse of nasal carriage.

  6. Special Education and Rehabilitation in Georgia: Strengths, Weakness, Opportunities, and Threats in a Newly-Independent State of the Former Soviet Union.

    ERIC Educational Resources Information Center

    Hobbs, Tim; Szydlowski, Steven; West, Daniel, Jr.; Germava, Otar

    2002-01-01

    Forty-nine Georgian professionals from the fields of health, education, and rehabilitation were brought together for a week-long workshop to discuss issues related to disability, rehabilitation, and special education. Workshop activities included a SWOT (strengths, weaknesses, opportunities, and threats) analysis of special education in Georgia.…

  7. A Study of Strengths and Weaknesses of Descriptive Assessment from Principals, Teachers and Experts Points of View in Chaharmahal and Bakhteyari Primary Schools

    ERIC Educational Resources Information Center

    Sharief, Mostafa; Naderi, Mahin; Hiedari, Maryam Shoja; Roodbari, Omolbanin; Jalilvand, Mohammad Reza

    2012-01-01

    The aim of current study is to determine the strengths and weaknesses of descriptive evaluation from the viewpoint of principals, teachers and experts of Chaharmahal and Bakhtiari province. A descriptive survey was performed. Statistical population includes 208 principals, 303 teachers, and 100 executive experts of descriptive evaluation scheme in…

  8. An Examination of the Strengths, Weaknesses, Opportunities, and Threats Associated with the Adoption of Moodle[TM] by eXtension

    ERIC Educational Resources Information Center

    Hightower, Tayla Elise; Murphrey, Theresa Pesl; Coppernoll, Susanna Mumm; Jahedkar, Jennifer; Dooley, Kim E.

    2011-01-01

    The use of technology to deliver programming across Extension has been addressed widely; however, little research has been conducted concerning the use of Moodle[TM] as a course management system for Extension. The purpose of the study reported here was to identify the strengths, weaknesses, opportunities, and threats associated with the use of…

  9. Wildfire Prevention and Suppression plans enhancing: a first overview on strength and weakness in Italian stakeholders experiences and perception.

    NASA Astrophysics Data System (ADS)

    Bonora, Laura; Conese, Claudio; Barbati, Anna

    2014-05-01

    Fires and wildfires represent an element of vulnerability for forests, considering that have now reached a level beyond which further burning would seriously endanger the ecosystem services and their sustainable management. It is fundamental to support fire-fighting Centres by giving them tools, useful to faces future trends; in this sense the first step is to examine technical and operative procedures to evaluate their strong and weak aspects, in collaboration with personnel responsible of risk management, suppression coordination and patrol responsible of direct attack. The aims this work is to identify present elements of strength ad problematic aspects to tuning the wildfire suppression actions to future changes; this is a crucial challenge both for policy and territory planners and managers. Historical investigation lines on forest fire covered the basilar and fundamental dynamics which understanding was necessary to confine and fight the wildfire phenomenon. At the present all the competences, knowledge and connections acquired are translating and including in the Plans, sharing innovative strategies -with the "direct involved actors"- trying to decrease the fire trend. Stakeholders underlined that collaboration between research and territorial Institutions are producing positive results, showing the conceptual rightness and the well-run of the in-progress implementations. The Italian framework of wildfire prevention plans is very peculiar because the Plans related to prevention and active intervention procedure are coincident. Normative, procedural, economic and logistic aspects are considered and handled in the same general document; each year the local structures, designed by the Regions, have in charge the draft of the operative plan, defining and managing the means and patrols distribution and turnover. In the present work 3 Italian Regions (Tuscany, Puglia and Sardinia, with different territorial and vegetation characteristics and affected by different

  10. ScienceToGo.org: The Strengths and Weaknesses of Communicating Climate Change through Mass Transit Advertising Spaces

    NASA Astrophysics Data System (ADS)

    Lustick, D. S.; Lohmeier, J.; Chen, R. F.; Wilson, R.; Rabkin, D.; Thompson, S. R.

    2016-02-01

    Engaging urban populations with climate change science is a difficult challenge since cities can seem so removed from the `natural environment.' However, mass transit provides an inherent means of communicating environmental messages with a cross section of the urban population. The Out of Home Media (OHM) spaces found on platforms and inside train cars provide a potentially effective means of bringing informal science learning opportunities directly to an underserved STEM audience. Our team felt that any messaging curriculum for a coastal urban subway system must complement the scary reality of the impacts of a changing climate (i.e. rising sea levels) with current examples of how the city is preparing for a more sustainable future. Urban areas such as Boston must develop adaptation and mitigation strategies that will help them not only survive, but thrive in a changing environment. In 2013-14, ScienceToGo.org ran a series of 12 engaging posters and placards staring `Ozzie the Ostrich' on the Massachusetts Bay Transit Authority's Red and Orange subway lines targeting an audience of more than 400,000 riders per day. The 12 month curriculum was divided into three phases: reality, relevance, and hope. During the presentation, we will present the results of our quasi-experimental research which identifies, quantifies, and explains the observed impacts of the campaign on adult riders. The strengths and weaknesses of the communication strategy will be discussed. Finally, we will conclude with some recommendations for how this work could improve and inform other urban informal science learning initiatives.

  11. AERONET-OC: Strengths and Weaknesses of a Network for the Validation of Satellite Coastal Radiometric Products

    NASA Technical Reports Server (NTRS)

    Zibordi, Giuseppe; Holben, Brent; Slutsker, Ilya; Giles, David; D'Alimonte, Davide; Melin, Frederic; Berthon, Jean-Francois; Vandemark, Doug; Feng, Hui; Schuster, Gregory; hide

    2008-01-01

    The Ocean Color component of the Aerosol Robotic Network (AERONET-OC) has been implemented to support long-term satellite ocean color investigations through cross-site consistent and accurate measurements collected by autonomous radiometer systems deployed on offshore fixed platforms. The ultimate purpose of AERONET-OC is the production of standardized measurements performed at different sites with identical measuring systems and protocols, calibrated using a single reference source and method, and processed with the same code. The AERONET-OC primary data product is the normalized water leaving radiance determined at center-wavelengths of interest for satellite ocean color applications, with an uncertainty lower than 5% in the blue-green spectral regions and higher than 8% in the red. Measurements collected at 6 sites counting the northern Adriatic Sea, the Baltic Proper, the Gulf of Finland, the Persian Gulf, and, the northern and southern margins of the Middle Atlantic Bay, have shown the capability of producing quality assured data over a wide range of bio-optical conditions including Case-2 yellow substance- and sedimentdominated waters. This work briefly introduces network elements like: deployment sites, measurement method, instrument calibration, processing scheme, quality-assurance, uncertainties, data archive and products accessibility. Emphases is given to those elements which underline the network strengths (i.e., mostly standardization of any network element) and its weaknesses (i.e., the use of consolidated, but old-fashioned technology). The work also addresses the application of AERONET-OC data to the validation of primary satellite radiometric products over a variety of complex coastal waters and finally provides elements for the identification of new deployment sites most suitable to support satellite ocean color missions.

  12. AERONET-OC: Strengths and Weaknesses of a Network for the Validation of Satellite Coastal Radiometric Products

    NASA Technical Reports Server (NTRS)

    Zibordi, Giuseppe; Holben, Brent; Slutsker, Ilya; Giles, David; D'Alimonte, Davide; Melin, Frederic; Berthon, Jean-Francois; Vandemark, Doug; Feng, Hui; Schuster, Gregory; Fabbri, Bryan E.; Kaitala, Seppo; Seppala, Jukka

    2008-01-01

    The Ocean Color component of the Aerosol Robotic Network (AERONET-OC) has been implemented to support long-term satellite ocean color investigations through cross-site consistent and accurate measurements collected by autonomous radiometer systems deployed on offshore fixed platforms. The ultimate purpose of AERONET-OC is the production of standardized measurements performed at different sites with identical measuring systems and protocols, calibrated using a single reference source and method, and processed with the same code. The AERONET-OC primary data product is the normalized water leaving radiance determined at center-wavelengths of interest for satellite ocean color applications, with an uncertainty lower than 5% in the blue-green spectral regions and higher than 8% in the red. Measurements collected at 6 sites counting the northern Adriatic Sea, the Baltic Proper, the Gulf of Finland, the Persian Gulf, and, the northern and southern margins of the Middle Atlantic Bay, have shown the capability of producing quality assured data over a wide range of bio-optical conditions including Case-2 yellow substance- and sedimentdominated waters. This work briefly introduces network elements like: deployment sites, measurement method, instrument calibration, processing scheme, quality-assurance, uncertainties, data archive and products accessibility. Emphases is given to those elements which underline the network strengths (i.e., mostly standardization of any network element) and its weaknesses (i.e., the use of consolidated, but old-fashioned technology). The work also addresses the application of AERONET-OC data to the validation of primary satellite radiometric products over a variety of complex coastal waters and finally provides elements for the identification of new deployment sites most suitable to support satellite ocean color missions.

  13. Muscle strength is only a weak to moderate predictor of gait performance in persons with late effects of polio.

    PubMed

    Flansbjer, Ulla-Britt; Brogårdh, Christina; Lexell, Jan

    2013-01-01

    To assess muscle strength in the knee extensors, knee flexors and ankle dorsiflexors in persons with late effects of polio, and determine how much muscle strength, gender, age and BMI are related to gait performance. Ninety community-dwelling ambulant persons (47 men and 43 women; mean age 64 years SD 8) with late effects of polio participated. Isokinetic concentric knee extensor and flexor muscle strength was measured at 60°/s and ankle dorsiflexor muscle strength at 30°/s. Gait performance was assessed by the Timed "Up & Go", the Comfortable and Fast Gait Speed tests, and the 6-Minute Walk test. There were significant correlations between knee extensor and flexor muscle strength and gait performance (p < 0.01), and between ankle dorsiflexor muscle strength and gait performance (p < 0.05), for both lower limbs. Muscle strength in the knee extensors and flexors explained 7% to 37% and 9% to 47%, respectively, of the variance in gait performance. Strength in the ankle dorsiflexors explained 4% to 24%, whereas gender, age and BMI contributed at most an additional 9%. Knee muscle strength, and to some extent ankle dorsiflexor muscle strength, are predictors of gait performance in persons with late effects of polio, but the strength of the relationships indicates that other factors are also important.

  14. Strengths and weaknesses of guideline approaches to safeguard voluntary informed consent of patients within a dependent relationship.

    PubMed

    Dekking, Sara A S; van der Graaf, Rieke; van Delden, Johannes J M

    2014-03-24

    It is thought that a dependent relationship between patients and physicians who enroll their own patients in research compromises voluntary informed consent. Therefore, several ethical guidelines for human subject research provide approaches to mitigate these compromises. Currently, these approaches have not been critically evaluated. In this article, we analyze the approaches of ethical guidelines to manage the influence of a dependent relationship between patients and physicians on voluntary informed consent and discuss the strengths and weaknesses of these approaches. We performed a review of international ethical guidance documents on human subject research, listed in the Oxford Textbook of Clinical Research Ethics and found through cross referencing. We also searched Global Ethics Observatory (GEObs) and the World Health Organization (WHO) website. Guidelines from all years were eligible for inclusion. The date last searched was December 2013. We identified two basic guideline approaches: 1. A process approach, which focuses on the person who obtains informed consent, that is, an independent individual, such as a research nurse or counselor; and 2. A content approach, emphasizing the voluntary nature of participation. Both approaches are valuable, either because the influence of the physician may diminish or because it empowers patients to make voluntary decisions. However, the approaches also face challenges. First, research nurses are not always independent. Second, physician-investigators will be informed about decisions of their patients. Third, involvement of a counselor is sometimes unfeasible. Fourth, the right to withdraw may be difficult to act upon in a dependent relationship. Current guideline approaches to protect voluntary informed consent within a dependent relationship are suboptimal. To prevent compromises to voluntary informed consent, consent should not only be obtained by an independent individual, but this person should also emphasize the

  15. Strengths and weaknesses of guideline approaches to safeguard voluntary informed consent of patients within a dependent relationship

    PubMed Central

    2014-01-01

    Background It is thought that a dependent relationship between patients and physicians who enroll their own patients in research compromises voluntary informed consent. Therefore, several ethical guidelines for human subject research provide approaches to mitigate these compromises. Currently, these approaches have not been critically evaluated. In this article, we analyze the approaches of ethical guidelines to manage the influence of a dependent relationship between patients and physicians on voluntary informed consent and discuss the strengths and weaknesses of these approaches. Methods We performed a review of international ethical guidance documents on human subject research, listed in the Oxford Textbook of Clinical Research Ethics and found through cross referencing. We also searched Global Ethics Observatory (GEObs) and the World Health Organization (WHO) website. Guidelines from all years were eligible for inclusion. The date last searched was December 2013. Discussion We identified two basic guideline approaches: 1. a process approach, which focuses on the person who obtains informed consent, that is, an independent individual, such as a research nurse or counselor; and 2. a content approach, emphasizing the voluntary nature of participation. Both approaches are valuable, either because the influence of the physician may diminish or because it empowers patients to make voluntary decisions. However, the approaches also face challenges. First, research nurses are not always independent. Second, physician-investigators will be informed about decisions of their patients. Third, involvement of a counselor is sometimes unfeasible. Fourth, the right to withdraw may be difficult to act upon in a dependent relationship. Conclusions Current guideline approaches to protect voluntary informed consent within a dependent relationship are suboptimal. To prevent compromises to voluntary informed consent, consent should not only be obtained by an independent individual

  16. Prevalence of qacA/B Genes and Mupirocin Resistance Among Methicillin-Resistant Staphylococcus aureus (MRSA) Isolates in the Setting of Chlorhexidine Bathing Without Mupirocin.

    PubMed

    Warren, David K; Prager, Martin; Munigala, Satish; Wallace, Meghan A; Kennedy, Colleen R; Bommarito, Kerry M; Mazuski, John E; Burnham, Carey-Ann D

    2016-05-01

    We aimed to determine the frequency of qacA/B chlorhexidine tolerance genes and high-level mupirocin resistance among MRSA isolates before and after the introduction of a chlorhexidine (CHG) daily bathing intervention in a surgical intensive care unit (SICU). Retrospective cohort study (2005-2012) SETTING: A large tertiary-care center Patients admitted to SICU who had MRSA surveillance cultures of the anterior nares A random sample of banked MRSA anterior nares isolates recovered during (2005) and after (2006-2012) implementation of a daily CHG bathing protocol was examined for qacA/B genes and high-level mupirocin resistance. Staphylococcal cassette chromosome mec (SCCmec) typing was also performed. Of the 504 randomly selected isolates (63 per year), 36 (7.1%) were qacA/B positive (+) and 35 (6.9%) were mupirocin resistant. Of these, 184 (36.5%) isolates were SCCmec type IV. There was a significant trend for increasing qacA/B (P=.02; highest prevalence, 16.9% in 2009 and 2010) and SCCmec type IV (P<.001; highest prevalence, 52.4% in 2012) during the study period. qacA/B(+) MRSA isolates were more likely to be mupirocin resistant (9 of 36 [25%] qacA/B(+) vs 26 of 468 [5.6%] qacA/B(-); P=.003). A long-term, daily CHG bathing protocol was associated with a change in the frequency of qacA/B genes in MRSA isolates recovered from the anterior nares over an 8-year period. This change in the frequency of qacA/B genes is most likely due to patients in those years being exposed in prior admissions. Future studies need to further evaluate the implications of universal CHG daily bathing on MRSA qacA/B genes among hospitalized patients.

  17. Resistance Training for Muscle Weakness in Multiple Sclerosis: Direct Versus Contralateral Approach in Individuals With Ankle Dorsiflexors' Disparity in Strength.

    PubMed

    Manca, Andrea; Cabboi, Maria Paola; Dragone, Daniele; Ginatempo, Francesca; Ortu, Enzo; De Natale, Edoardo Rosario; Mercante, Beniamina; Mureddu, Giovanni; Bua, Guido; Deriu, Franca

    2017-07-01

    To compare effects of contralateral strength training (CST) and direct strength training of the more affected ankle dorsiflexors on muscle performance and clinical functional outcomes in people with multiple sclerosis (MS) exhibiting interlimb strength asymmetry. Randomized controlled trial. University hospital. Individuals with relapsing-remitting MS (N=30) and mild-to-moderate disability (Expanded Disability Status Scale score ≤6) presenting with ankle dorsiflexors' strength disparity. Participants were randomly assigned to a CST (n=15) or direct strength training (n=15) group performing 6 weeks of maximal intensity strength training of the less or more affected dorsiflexors, respectively. Maximal strength, endurance to fatigue, and mobility outcomes were assessed before, at the intervention end, and at 12-week follow-up. Strength and fatigue parameters were measured after 3 weeks of training (midintervention). In the more affected limb of both groups, pre- to postintervention significant increases in maximal strength (P≤.006) and fatigue endurance (P≤.04) were detected along with consistent retention of these improvements at follow-up (P≤.04). At midintervention, the direct strength training group showed significant improvements (P≤.002), with no further increase at postintervention, despite training continuation. Conversely, the CST group showed nonsignificant strength gains, increasing to significance at postintervention (P≤.003). In both groups, significant pre- to postintervention improvements in mobility outcomes (P≤.03), not retained at follow-up, were observed. After 6 weeks of training, CST proved as effective as direct strength training in enhancing performance of the more affected limb with a different time course, which may have practical implications in management of severely weakened limbs where direct strength training is not initially possible. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc

  18. Emergence of resistance in staphylococci after long-term mupirocin application in patients on continuous ambulatory peritoneal dialysis.

    PubMed

    Cavdar, Caner; Atay, Tuba; Zeybel, Mujdat; Celik, Ali; Ozder, Ayse; Yildiz, Serkan; Gulay, Zeynep; Camsari, Taner

    2004-01-01

    In the present study, we evaluated the effects of once-weekly mupirocin application to catheter exit sites on Staphylococcus aureus and coagulase-negative staphylococcus (CNS) colonization and investigated the resistance of those bacteria to methicillin (MeR) and mupirocin (MuR). We enrolled 36 continuous ambulatory peritoneal dialysis (CAPD) patients (mean age: 55.1 +/- 1.4 years) into the study. The patients (men/women: 21/15) had been applying mupirocin to the catheter exit site once weekly before the start of the study (mupirocin treatment duration: 3.1 +/- 2.0 years). During the study period, swabs were taken monthly from the nares, axillae, inguinal area, and catheter exit site. The swabs were inoculated on blood plates. Methicillin and mupirocin susceptibility were tested by disc diffusion according to the interpretative criteria of the National Committee for Clinical Laboratory Standards. We evaluated a total of 144 cultures. Among CNS isolates, the MuR was 66%, and the MeR was 38.8%. At the start of the study period, 3 patients were S. aureus nasal carriers. In nasal swabs, no MeR S. aureus was identified, and only 1 MuR S. aureus was found. Once-weekly application of mupirocin at the exit site in CAPD patients led to comparable rates of colonization by MuR S. aureus as did thrice-weekly or more frequent application. Clinical results showing high mupirocin and methicillin resistance in CNS are controversial.

  19. Strengths and weaknesses of weak-strong cluster problems: A detailed overview of state-of-the-art classical heuristics versus quantum approaches

    NASA Astrophysics Data System (ADS)

    Mandrà, Salvatore; Zhu, Zheng; Wang, Wenlong; Perdomo-Ortiz, Alejandro; Katzgraber, Helmut G.

    2016-08-01

    To date, a conclusive detection of quantum speedup remains elusive. Recently, a team by Google Inc. [V. S. Denchev et al., Phys. Rev. X 6, 031015 (2016), 10.1103/PhysRevX.6.031015] proposed a weak-strong cluster model tailored to have tall and narrow energy barriers separating local minima, with the aim to highlight the value of finite-range tunneling. More precisely, results from quantum Monte Carlo simulations as well as the D-Wave 2X quantum annealer scale considerably better than state-of-the-art simulated annealing simulations. Moreover, the D-Wave 2X quantum annealer is ˜108 times faster than simulated annealing on conventional computer hardware for problems with approximately 103 variables. Here, an overview of different sequential, nontailored, as well as specialized tailored algorithms on the Google instances is given. We show that the quantum speedup is limited to sequential approaches and study the typical complexity of the benchmark problems using insights from the study of spin glasses.

  20. Efficacy of a New Cream Formulation of Mupirocin: Comparison with Oral and Topical Agents in Experimental Skin Infections

    PubMed Central

    Gisby, John; Bryant, Joanna

    2000-01-01

    A new cream formulation of mupirocin developed to improve patient compliance was compared with systemic and topical antibiotics commonly used to treat primary and secondary skin infections. A mouse surgical wound model infected with Staphylococcus aureus or Streptococcus pyogenes was used. Topical treatment was applied at 4 and 10 h postinfection or oral treatment at a clinically relevant dose was administered 4, 8, and 12 h postinfection; treatments were continued three times daily for a further 3 days. Mupirocin cream was significantly more effective than (P < 0.01; two of eight studies) or not significantly different from (six of eight studies) mupirocin ointment in reducing bacterial numbers. Mupirocin cream was similar in efficacy to oral flucloxacillin but significantly more effective (P < 0.001) than oral erythromycin. It was also similar in efficacy to cephalexin against S. pyogenes but superior against S. aureus (P < 0.01). Mupirocin cream had a similar efficacy to fusidic acid cream against S. aureus but was significantly superior against S. pyogenes (P < 0.01). A hamster impetigo model infected with S. aureus was also used. Topical or oral treatment was administered at 24 and 30 h postinfection (also 36 h postinfection for oral therapy) and then three times daily for a further 2 days. On day 5, mupirocin cream was significantly more effective than mupirocin ointment in one study (P < 0.01) and of similar efficacy in the other two studies. Mupirocin cream was not significantly different from fusidic acid cream or neomycin-bacitracin cream, but it was significantly superior (P < 0.01) to oral erythromycin and cephalexin. Mupirocin cream was as effective as, or superior to, oral and other topical agents commonly used for skin infections. PMID:10639346

  1. Staphylococcus aureus nasal colonization in a nursing home: eradication with mupirocin.

    PubMed

    Cederna, J E; Terpenning, M S; Ensberg, M; Bradley, S F; Kauffman, C A

    1990-01-01

    Recent reports have emphasized an increase in both infection and colonization with methicillin-resistant Staphylococcus aureus (MRSA) in institutionalized older patients. We studied whether or not local treatment with mupirocin ointment could eliminate nasal colonization with S aureus. A total of 102 patients in a Veterans Administration nursing home were screened for S aureus nasal colonization. Thirty-nine patients (38.2%) were colonized, 18 with methicillin-sensitive Saureus (MSSA) and 21 with MRSA. Almost half of all colonized patients were in the most dependent functional category and there was a significant association of MRSA colonization, but not MSSA colonization, with poor functional status. Colonized patients were treated with mupirocin ointment applied to the anterior nares twice daily for seven days. After treatment, MSSA persisted in only two patients and MRSA in only one patient; thus, nasal colonization was eliminated in 91.4% of colonized patients. At one month and two months follow-up, 11 patients became transiently recolonized and three became persistently recolonized with S aureus. Mupirocin was well tolerated with no side effects noted. Mupirocin ointment may be useful in controlling nasal colonization with S aureus in the nursing home setting.

  2. Clinical Effectiveness of Mupirocin for Preventing Staphylococcus aureus Infections in Nonsurgical Settings: A Meta-analysis.

    PubMed

    Nair, Rajeshwari; Perencevich, Eli N; Blevins, Amy E; Goto, Michihiko; Nelson, Richard E; Schweizer, Marin L

    2016-03-01

    A systematic literature review and meta-analysis was performed to identify effectiveness of mupirocin decolonization in prevention of Staphylococcus aureus infections, among nonsurgical settings. Of the 15 662 unique studies identified up to August 2015, 13 randomized controlled trials, 22 quasi-experimental studies, and 1 retrospective cohort study met the inclusion criteria. Studies were excluded if mupirocin was not used for decolonization, there was no control group, or the study was conducted in an outbreak setting. The crude risk ratios were pooled (cpRR) using a random-effects model. We observed substantial heterogeneity among included studies (I(2) = 80%). Mupirocin was observed to reduce the risk for S. aureus infections by 59% (cpRR, 0.41; 95% confidence interval [CI], .36-.48) and 40% (cpRR, 0.60; 95% CI, .46-.79) in both dialysis and nondialysis settings, respectively. Mupirocin decolonization was protective against S. aureus infections among both dialysis and adult intensive care patients. Future studies are needed in other settings such as long-term care and pediatrics. Published by Oxford University Press for the Infectious Diseases Society of America 2015. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  3. Mupirocin in the Treatment of Staphylococcal Infections in Chronic Rhinosinusitis: A Meta-Analysis.

    PubMed

    Kim, Jong Seung; Kwon, Sam Hyun

    2016-01-01

    Saline irrigation of the nasal cavity is a classic and effective treatment for acute or chronic rhinosinusitis. Topical antibiotics such as mupirocin have been widely used for recalcitrant chronic rhinosinusitis. Therefore, the purpose of this study was to evaluate the effect of saline irrigation using mupirocin. A systematic literature review and meta-analysis of mupirocin saline irrigation were performed using EMBASE, MEDLINE, and Cochrane library through December 2015. Data were analyzed with R 3.2.2 software. A random effects model was used because of the diversity of included studies. Sensitivity analysis of particular tested groups and single proportion tests were also performed. The main outcome measure was residual staphylococcal infection, as confirmed by culture or PCR. Two RCTs, two prospective studies and two retrospective studies were included. A random effects model meta-analysis of the pooled data identified a relative risk of residual infection of 0.13 (95% CI: 0.06-0.26, p<0.05) with low heterogeneity (I2 = 0%). The proportion of residual staphylococcal infections after 1 month was 0.08 (95% CI: 0.04-0.16). However, this proportion increased to 0.53 at 6 months (95% CI: 0.27-0.78). The short-term use of mupirocin has a strongly reductive effect on staphylococcal infection in chronic rhinosinusitis. Although there is currently a lack of clear evidence, future studies with well-designed inclusion criteria and randomized controlled trials are needed to examine mupirocin's long-term effect on chronic rhinosinusitis.

  4. Weak faults in a strong crust: Geodynamic constraints on fault strength, stress in the crust, and the vertical distribution of strength in the lithosphere.

    NASA Astrophysics Data System (ADS)

    Fay, N.; Humphreys, G.

    2005-12-01

    We present results of steady-state dynamic finite element numerical models for the state of stress and strain rate in the crust and upper mantle in the vicinity of a transform fault. Model rheology is elastic-viscous-plastic where plastic mechanical behavior is used as a proxy for pressure-dependent friction of the seismogenic crust. Viscous flow is incorporated as temperature dependent, power-law creep. We assume that the crust outside the fault zone is at or near its frictional yield strength (i.e., `strong', e.g., Townend and Zoback, 2001) predicted by Byerlee's Law and aim to determine the acceptable range of fault strength and viscosity distributions that satisfy the observations that seismic faulting extends to typically 15 km and that the tectonic strain rate of fault-bounding blocks is small. Assuming the traditional `christmas-tree' strength distribution of the lithosphere (e.g., Brace and Kohlstedt, 1980), our primary results are the following. The upper limit of fault strength is approximately 30 MPa (averaged over 15 km), the majority (>50%) of the vertically integrated strength of the lithosphere resides in the uppermost mantle, and the depth to which frictional deformation occurs in the crustal blocks depends on the strength of nearby faults and viscosity of the lower crust and should not exceed approximately 6-9 km, below which relatively low strain rate viscous creep is the dominant deformation mechanism. We also incorporate the thermal feedback effects of viscous and frictional shear heating and explore the controls on the distribution of shear strain in the lower crust and upper mantle.

  5. Prevalence of muscle weakness based on different diagnostic criteria in community-dwelling older adults: A comparison of grip strength dynamometers.

    PubMed

    Kim, Miji; Shinkai, Shoji

    2017-05-18

    The present study compared the performance of the Jamar and Smedley dynamometers for the measurement of grip strength, and the two dynamometers were used to determine the prevalence rate of weakness in a large, community-dwelling, older adult population, based on different diagnostic criteria. A total of 467 community-dwelling older adults aged 69-89 years were recruited into the study. Grip strength was measured with two dynamometers; the Jamar hydraulic hand dynamometer was used as the reference device. To assess agreement between grip strength measurements by the two dynamometers, linear regression and Bland-Altman analyses were carried out. In a comparison of the dynamometers, high coefficients of determination (R(2) ) were obtained for grip strength (R(2)  = 0.80, standard error of the estimate 2.68 kg in male participants, and R(2)  = 0.75, standard error of the estimate = 1.95 kg in female participants). There was systematic bias with underestimation of grip strength (bias 3.09 kg, 95% confidence interval 2.77 to 3.41 for men; bias 2.60 kg, 95% confidence interval 2.31 to 2.89 for women) by the Smedley dynamometer. In both sexes, no proportional bias was noted between the two dynamometers for measurement of grip strength (r = 0.030, P = 0.611 for male participants; r = -0.033, P = 0.653 for female participants). The prevalence of weakness ranged from 1.8 to 19.9% in male participants, and 0.5 to 27.4% in female participants. The present study shows that despite the excellent correlation between the two dynamometers, there is a statistically significant difference in grip strength measurements. The Smedley dynamometer showed a higher prevalence of weakness than did the Jamar dynamometer. Geriatr Gerontol Int 2017; ••: ••-••. © 2017 Japan Geriatrics Society.

  6. Supraspinatus and infraspinatus weakness in overhead athletes with scapular dyskinesis: strength assessment before and after restoration of scapular musculature balance.

    PubMed

    Merolla, Giovanni; De Santis, Elisa; Campi, Fabrizio; Paladini, Paolo; Porcellini, Giuseppe

    2010-12-01

    A disturbance in scapulohumeral rhythm may cause negative biomechanic effects on rotator cuff (RC). Alteration in scapular motion and shoulder pain can influence RC strength. Purpose of this study was to assess supraspinatus and infraspinatus strength in 29 overhead athletes with scapular dyskinesis, before and after 3 and 6 months of rehabilitation aimed to restore scapular musculature balance. A passive posterior soft tissues stretching was prescribed to balance shoulder mobility. Scapular dyskinesis patterns were evaluated according to Kibler et al. Clinical assessment was performed with the empty can (EC) test and infraspinatus strength test (IST). Strength values were recorded by a dynamometer; scores for pain were assessed with VAS scale. Changes of shoulder IR were measured. The force values increased at 3 months (P < 0.01) and at 6 months (P < 0.01). Changes of glenohumeral IR and decrease in pain scores were found at both follow-up. Outcomes registered on pain and strength confirm the role of a proper scapular position for an optimal length-tension relationship of the RC muscles. These data should encourage those caring for athletes to consider restoring of scapular musculature balance as essential part of the athletic training.

  7. In vitro activity of lysostaphin, mupirocin, and tea tree oil against clinical methicillin-resistant Staphylococcus aureus.

    PubMed

    LaPlante, Kerry L

    2007-04-01

    Colonization of methicillin-resistant Staphylococcus aureus (MRSA) commonly leads to infection by the same strain. We examined the activity of lysostaphin, mupirocin, and tea tree oil against clinical MRSA (n = 98) isolates. MIC(50) (range) were as follows: lysostaphin, 0.125 mg/L (0.125-0.25); mupirocin, 0.5 mg/L (0.19-1024); tea tree oil, 1024 mg/L (512-2048). High- and low-level mupirocin resistance was noted in 9.2% of our MRSA isolates. Time kill results indicate MRSA activity at 24 h was lysostaphin = gentamicin = vancomycin (P mupirocin > tea tree oil (P >or= .05). Checkerboard testing indicated a synergistic relationship between lysostaphin and mupirocin in combination with gentamicin. Antagonism was observed with the combination of vancomycin and tea tree oil; time kill studies confirmed this result. Decolonization options are limited and resistance to mupirocin exists. Lysostaphin and tea tree oil may offer additional therapeutic options for the decolonization of MRSA where current treatment alternatives are limited.

  8. The effect of a weak W/SiC interface on the strength of sigma silicon carbide monofilament

    PubMed

    Dyos; Shatwell

    1999-11-01

    Fractography studies have shown that the strength-determining flaws in silicon carbide monofilaments are generally at the core/silicon carbide interface or in the vicinity of the outside, carbon-based coating. In tungsten-cored monofilaments like DERA Sigma, the W/SiC flaws primarily determine the strength. Fracture is accompanied by brittle failure of the tungsten. The crack propagates simultaneously outwards through the silicon carbide, inwards through the tungsten and also around the W/SiC interface before being deflected into the tungsten or out through the silicon carbide. Experiments depositing boundary layers between the tungsten and silicon carbide have resulted in significantly different fracture behaviour. The tungsten fails in a ductile manner and the strength-determining flaws are located predominantly at the outside surface of the silicon carbide. This behaviour is discussed in terms of models proposed by E. Martin and W. Curtin. It is thought that the work will ultimately lead to a significantly stronger, tungsten-based monofilament.

  9. Molecular Characterization of High-Level Mupirocin Resistance in Staphylococcus pseudintermedius

    PubMed Central

    Pérez-Roth, Eduardo; Pintarić, Selma; Šeol Martinec, Branka

    2013-01-01

    The genetic analysis of high-level mupirocin resistance (Hi-Mupr) in a Staphylococcus pseudintermedius isolate from a dog is presented. The Hi-Mupr ileS2 gene flanked by a novel rearrangement of directly repeated insertion sequence IS257 elements was located, together with the aminoglycoside resistance aacA-aphD determinant, on a conjugative plasmid related to the pSK41/pGO1 family plasmids. PMID:23269741

  10. Mupirocin in the Treatment of Staphylococcal Infections in Chronic Rhinosinusitis: A Meta-Analysis

    PubMed Central

    2016-01-01

    Background Saline irrigation of the nasal cavity is a classic and effective treatment for acute or chronic rhinosinusitis. Topical antibiotics such as mupirocin have been widely used for recalcitrant chronic rhinosinusitis. Therefore, the purpose of this study was to evaluate the effect of saline irrigation using mupirocin. Methods A systematic literature review and meta-analysis of mupirocin saline irrigation were performed using EMBASE, MEDLINE, and Cochrane library through December 2015. Data were analyzed with R 3.2.2 software. A random effects model was used because of the diversity of included studies. Sensitivity analysis of particular tested groups and single proportion tests were also performed. The main outcome measure was residual staphylococcal infection, as confirmed by culture or PCR. Results Two RCTs, two prospective studies and two retrospective studies were included. A random effects model meta-analysis of the pooled data identified a relative risk of residual infection of 0.13 (95% CI: 0.06–0.26, p<0.05) with low heterogeneity (I2 = 0%). The proportion of residual staphylococcal infections after 1 month was 0.08 (95% CI: 0.04–0.16). However, this proportion increased to 0.53 at 6 months (95% CI: 0.27–0.78). Conclusions The short-term use of mupirocin has a strongly reductive effect on staphylococcal infection in chronic rhinosinusitis. Although there is currently a lack of clear evidence, future studies with well-designed inclusion criteria and randomized controlled trials are needed to examine mupirocin’s long-term effect on chronic rhinosinusitis. PMID:27907108

  11. Comparison of mupirocin-based media for selective enumeration of bifidobacteria in probiotic supplements.

    PubMed

    Bunesova, Vera; Musilova, Sarka; Geigerova, Martina; Pechar, Radko; Rada, Vojtech

    2015-02-01

    An international standard already exists for the selective enumeration of bifidobacteria in milk products. This standard uses Transgalactosylated oligosaccharides (TOS) propionate agar supplemented with mupirocin. However, no such standard method has been described for the selective enumeration of bifidobacteria in probiotic supplements, where the presence of bifidobacteria is much more variable than in milk products. Therefore, we enumerated bifidobacteria by colony count technique in 13 probiotic supplements using three media supplemented with mupirocin (Mup; 100mg/l): TOS, Bifidobacteria selective medium (BSM) and modified Wilkins-Chalgren anaerobe agar with soya peptone (WSP). Moreover, the potential growth of bifidobacterial strains often used in probiotic products was performed in these media. All 13 products contained members of the genus Bifidobacterium, and tested mupirocin media were found to be fully selective for bifidobacteria. However, the type strain Bifidobacterium bifidum DSM 20456 and collection strain B. bifidum DSM 20239 showed statistically significant lower counts on TOS Mup media, compared to BSM Mup and WSP Mup media. Therefore, the TOS Mup medium recommended by the ISO standard cannot be regarded as a fully selective and suitable medium for the genus Bifidobacterium. In contrast, the BSM Mup and WSP Mup media supported the growth of all bifidobacterial species.

  12. Comparing the strengths and weaknesses of observational and experimental studies using a postmarketing surveillance study as a protypic example.

    PubMed

    Furst, D E

    1993-10-01

    A recent prospective, observational study in rheumatoid arthritis patients indicated that the addition of hydroxychloroquine to either aspirin or methotrexate therapy decreased the incidence of hepatic enzyme abnormalities. This interesting finding is of potential clinical importance, but its validity needs to be examined in terms of the potential confounders inherent in observational studies. Although one of the study's strengths is its derivation from "real-life" data, some potential confounders that might weaken the data include a need to examine whether any scientific rationale can be discerned for the observation; examination of control-case matching (issues of randomization and baseline disease characteristics); the potential for attribution bias; data-collection methods (prospective versus retrospective, uniform versus chart review); and equivalency of treatment protocols, dosing regimens, and concomitant medications. Potential scientific rationale exists for the observed interaction, and data collection is both uniform and prospective. These strengths are confounded by the inevitable lack of randomization in observational studies, the potential for differences in baseline disease characteristics, attribution bias, a lack of controlled dosing regimens and treatment protocols, and an assumption that all nonsteroid antiinflammatory drugs are alike (which is not true). On balance, the hypothesis generated by these data is compelling enough to deserve further testing in both observational and experimental settings.

  13. French Version of the Strengths and Weaknesses of ADHD Symptoms and Normal Behaviors (SWAN-F) Questionnaire

    PubMed Central

    Robaey, Philippe; Amre, Devendra; Schachar, Russell; Simard, Louise

    2007-01-01

    Objective To evaluate internal and external consistency of a French adaptation of the SWAN (a 7-point rating strength-based scale, from far below to far above average) and its accuracy as a diagnostic test among children with Attention Deficit/Hyperactivity Disorder (ADHD). Method Parents of 88 children referred for ADHD were interviewed using the SWAN-F, a structured interview (DISC-4.0) and the Conners’ Rating Scale. Internal consistency and divergent and convergent validity of the SWAN-F were examined using the DISC-4.0 and Conners’ Rating Scales as reference standards for four dimensions: Inattention, Hyperactivity/Impulsivity, ADHD, Oppositional Defiant Disorder. Results The internal consistency of SWAN-F was within acceptable ranges for all dimensions (Cronbach’s alpha greater than 0.80). Scores of the SWAN-F subscales were strongly associated with the DISC-4.0 diagnostic assignments and Conners’ Rating Scales, following logical patterns of correspondence between diagnoses. Its accuracy as a diagnostic test was comparable to Conners’ Rating Scale, with a lower rate of false positives. Conclusions The information gathered with the SWAN-F is compatible with that obtained using the DISC-4.0 and Conners’ Rating Scale. Strength-based rating scales have the potential to evaluate the normal distribution of behaviors and to provide reliable cut-off defining abnormal behavior. PMID:18392156

  14. Floods and health in Gambella region, Ethiopia: a qualitative assessment of the strengths and weaknesses of coping mechanisms

    PubMed Central

    Wakuma Abaya, Samson; Mandere, Nicodemus; Ewald, Göran

    2009-01-01

    Background Floods are the most frequent and devastating type of natural disaster worldwide, causing unprecedented deaths, diseases, and destruction of property and crops. Flooding has a greater impact in developing countries due to lack of sufficient disaster management structures and a lack of economic resources. Objective This study was conducted with the aim of contributing to the knowledge base of development strategies that reduce flood-related health risks in developing countries. The study focused particularly on assessing the flood risks and health-related issues in the Gambella region of Ethiopia; with the intent of producing relevant information to assist with the improvements in the efficacy of the current flood coping strategies in the region. Methods Data were gathered through interviews with 14 officers from different government and non-governmental organizations and a questionnaire survey given to 35 flood victims in Itang woreda. A qualitative approach was applied and the data were analyzed using content analysis. Results It was found that flooding is a common problem in Gambella region. The findings also indicate that the flood frequency and magnitude has increased rapidly during the last decade. The increase in floods was driven mainly by climate change and changes in land use, specifically deforestation. The reported main impacts of flooding on human health in Gambella region were deaths, injuries, and diseases such as malaria and diarrhea. Another notable consequence of flooding was crop destruction and subsequent malnutrition. Conclusions Three weaknesses that were identified in the current coping strategies for flood-related health impacts in Gambella region were a lack of flood-specific policy, absence of risk assessment, and weak institutional capacity. This study recommends new policy approaches that will increase the effectiveness of the current flood coping strategies to sustainably address the impact of flooding on human health. PMID

  15. Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members.

    PubMed

    Schildmeijer, Kristina; Nilsson, Lena; Perk, Joep; Arestedt, Kristofer; Nilsson, Gunilla

    2013-09-24

    The aim was to describe the strengths and weaknesses, from team member perspectives, of working with the Global Trigger Tool (GTT) method of retrospective record review to identify adverse events causing patient harm. A qualitative, descriptive approach with focus group interviews using content analysis. 5 Swedish hospitals in 2011. 5 GTT teams, with 5 physicians and 11 registered nurses. 5 focus group interviews were carried out with the five teams. Interviews were taped and transcribed verbatim. 8 categories emerged relating to the strengths and weaknesses of the GTT method. The categories found were: Usefulness of the GTT, Application of the GTT, Triggers, Preventability of harm, Team composition, Team tasks, Team members' knowledge development and Documentation. Gradually, changes in the methodology were made by the teams, for example, the teams reported how the registered nurses divided up the charts into two sets, each being read respectively. The teams described the method as important and well functioning. Not only the most important, but also the most difficult, was the task of bringing the results back to the clinic. The teams found it easier to discuss findings at their own clinics. The GTT method functions well for identifying adverse events and is strengthened by its adaptability to different specialties. However, small, gradual methodological changes together with continuingly developed expertise and adaption to looking at harm from a patient's perspective may contribute to large differences in assessment over time.

  16. SWOT analysis of Banff: strengths, weaknesses, opportunities and threats of the international Banff consensus process and classification system for renal allograft pathology.

    PubMed

    Mengel, M; Sis, B; Halloran, P F

    2007-10-01

    The Banff process defined the diagnostic histologic lesions for renal allograft rejection and created a standardized classification system where none had existed. By correcting this deficit the process had universal impact on clinical practice and clinical and basic research. All trials of new drugs since the early 1990s benefited, because the Banff classification of lesions permitted the end point of biopsy-proven rejection. The Banff process has strengths, weaknesses, opportunities and threats (SWOT). The strength is its self-organizing group structure to create consensus. Consensus does not mean correctness: defining consensus is essential if a widely held view is to be proved wrong. The weaknesses of the Banff process are the absence of an independent external standard to test the classification; and its almost exclusive reliance on histopathology, which has inherent limitations in intra- and interobserver reproducibility, particularly at the interface between borderline and rejection, is exactly where clinicians demand precision. The opportunity lies in the new technology such as transcriptomics, which can form an external standard and can be incorporated into a new classification combining the elegance of histopathology and the objectivity of transcriptomics. The threat is the degree to which the renal transplant community will participate in and support this process.

  17. Health care systems of developed non-U.S. nations: strengths, weaknesses, and recommendations for the United States--observations from internationally recognized imaging specialists.

    PubMed

    Brubaker, Lauren M; Picano, Eugenio; Breen, David J; Marti-Bonmati, Luis; Semelka, Richard C

    2011-01-01

    The purpose of this article is to survey imaging experts from developed nations on their impression of their own health care system and recommendations for the U.S. health care system as it seeks to enact health care reform. A survey was sent to individual imaging experts from developed nations requesting information on their health care systems (type of system, strengths, and weaknesses) and their recommendations for the United States. Eighteen respondents from 17 developed nations completed the survey. All respondents reported universal health care coverage: four with government-operated health care, one with mixed government and private insurance-operated health care, 10 with predominantly government run with private insurance supplementation health care, and one with predominantly private insurance with government-operated supplementation health care. The most commonly cited strength was universal health care coverage for all citizens. The most commonly cited weakness was prolonged wait times. Notably absent was concern by the respondent physicians about malpractice litigation. The most commonly cited recommendation was the implementation of a universal health care coverage program. In our survey of 18 imaging experts from 17 nations outside the United States, most respondents thought that their nations offered adequate universal health care coverage for their citizens, with the primary drawback of long wait times.

  18. Postantibiotic Effect and Postantibiotic Sub-MIC Effect of LTX-109 and mupirocin on Staphylococcus aureus Blood Isolates.

    PubMed

    Saravolatz, Louis D; Pawlak, Joan; Martin, Hayley; Saravolatz, Stephanie; Johnson, Leonard; Wold, Hedda; Husbyn, Mette; Olsen, Wenche Marie

    2017-08-12

    The development of new synthetic antimicrobial peptides like LTX-109 provides a new class of drugs for the treatment of Staphylococcus aureus infections. We evaluated LTX-109 and mupirocin for pharmacodynamic parameters against 10 methicillin-resistant S. aureus isolates. The post antibiotic effect (PAE) is defined as the length of time that bacterial growth is suppressed following a brief exposure to an antibiotic. We also determined the sub-MIC effect (SME) which measures the direct effect of sub-inhibitory levels on strains that have not previously been exposed to antibiotics. The post antibiotic sub-MIC effect (PA-SME) is a combination of the PAE and SME. LTX-109 had an average PAE of 5.51 h versus 1.04 h for mupirocin. The PA-SME of LTX-109 ranged from 2.51-9.33 h as the concentration increased from 0.2 to 0.4 times the minimal inhibitory concentration (MIC). The PA-SME range for mupirocin was 0.93-2.58 h. LTX-109, as compared to mupirocin, demonstrated prolonged time of effect for these pharmacodynamic parameters, which supports persistent activity for several hours after the drug is no longer present or is below the MIC. The pharmacodynamic parameters studied here suggest LTX-109 is less likely than mupirocin to generate resistance to S.aureus. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  19. Genotypic and phenotypic characterization of methicillin-resistant Staphylococcus aureus (MRSA) clones with high-level mupirocin resistance.

    PubMed

    González-Domínguez, María; Seral, Cristina; Potel, Carmen; Sáenz, Yolanda; Álvarez, Maximiliano; Torres, Carmen; Castillo, Francisco Javier

    2016-06-01

    A high proportion of methicillin-resistant Staphylococcus aureus isolates recovered in one year period showed high-level mupirocin-resistance (HLMUPR-MRSA) in our environment (27.2%). HLMUPR-MRSA isolates were mainly collected from skin and soft tissue samples, and diabetes was the main related comorbidity condition. These isolates were more frequently found in vascular surgery. HLMUPR-MRSA was more resistant to aminoglycosides than mupirocin-susceptible MRSA, linked to the presence of bifunctional and/or nucleotidyltransferase enzymes with/without macrolide resistance associated with the msr(A) gene. Most of HLMUPR-MRSA isolates belonged to ST125/t067. Nine IS257-ileS2 amplification patterns (p3 was the most frequent) were observed in HLMUPR-MRSA isolates, suggesting the presence of several mupirocin-resistance-carrying plasmids in our environment and promoting the emergence of mupirocin resistance. The presence of the same IS257-ileS2 amplification pattern p3 in 65% of HLMUPR-MRSA, all of them ST125/t067, suggests a clonal spread in our hospital and community environment which could explain the high prevalence of HLMUPR-MRSA during the study period. An outbreak situation or an increase in mupirocin consumption was not observed.

  20. Strength and Function Response to Clinical Interventions of Older Women Categorized by Weakness and Low Lean Mass Using Classifications From the Foundation for the National Institute of Health Sarcopenia Project

    PubMed Central

    Fragala, Maren S.; Dam, Thuy-Tien L.; Barber, Vanessa; Judge, James O.; Studenski, Stephanie A.; Cawthon, Peggy M.; McLean, Robert R.; Harris, Tamara B.; Ferrucci, Luigi; Guralnik, Jack M.; Kiel, Douglas P.; Kritchevsky, Stephen B.; Shardell, Michelle D.; Vassileva, Maria T.

    2015-01-01

    Background. The Foundation for the National Institutes of Health Sarcopenia Project developed data-driven cut-points for clinically meaningful weakness and low lean body mass. This analysis describes strength and function response to interventions based on these classifications. Methods. In data from four intervention studies, 378 postmenopausal women with baseline and 6-month data were evaluated for change in grip strength, appendicular lean mass corrected for body mass index, leg strength and power, and short physical performance battery (SPPB). Clinical interventions included hormones, exercise, and nutritional supplementation. Differences in outcomes were evaluated between (i) those with and without weakness and (ii) those with weakness and low lean mass or with one but not the other. We stratified analyses by slowness (walking speed ≤ 0.8 m/s) and by treatment assignment. Results. The women (72±7 years; body mass index of 26±5kg/m2) were weak (33%), had low lean mass (14%), or both (6%). Those with weakness increased grip strength, lost less leg power, and gained SPPB score (p < .05) compared with nonweak participants. Stratified analyses were similar for grip strength and SPPB. With lean mass in the analysis, individuals with weakness had larger gains in grip strength and SPPB scores regardless of low lean mass (p < .01). Conclusions. Older women with clinically meaningful muscle weakness increased grip strength and SPPB, regardless of the presence of low lean mass following treatment with interventions for frailty. Thus, results suggest that muscle weakness, as defined by the Foundation for the National Institutes of Health Sarcopenia Project, appears to be a treatable symptom. PMID:25135999

  1. Tissue-engineering with muscle fiber fragments improves the strength of a weak abdominal wall in rats.

    PubMed

    Jangö, Hanna; Gräs, Søren; Christensen, Lise; Lose, Gunnar

    2017-02-01

    Alternative approaches to reinforce the native tissue in patients with pelvic organ prolapse (POP) are needed to improve surgical outcome. Our aims were to develop a weakened abdominal wall in a rat model to mimic the weakened vaginal wall in women with POP and then evaluate the regenerative potential of a quickly biodegradable synthetic scaffold, methoxypolyethylene glycol polylactic-co-glycolic acid (MPEG-PLGA), seeded with autologous muscle fiber fragments (MFFs) using this model. In an initial pilot study with 15 animals, significant weakening of the abdominal wall and a feasible technique was established by creating a partial defect with removal of one abdominal muscle layer. Subsequently, 18 rats were evenly divided into three groups: (1) unrepaired partial defect; (2) partial defect repaired with MPEG-PLGA; (3) partial defect repaired with MPEG-PLGA and MFFs labeled with PKH26-fluorescence dye. After 8 weeks, we performed histopathological and immunohistochemical testing, fluorescence analysis, and uniaxial biomechanical testing. Both macroscopically and microscopically, the MPEG-PLGA scaffold was fully degraded, with no signs of an inflammatory or foreign-body response. PKH26-positive cells were found in all animals from the group with added MFFs. Analysis of variance (ANOVA) showed a significant difference between groups with respect to load at failure (p = 0.028), and post hoc testing revealed that the group with MPEG-PLGA and MFFs showed a significantly higher strength than the group with MPEG-PLGA alone (p = 0.034). Tissue-engineering with MFFs seeded on a scaffold of biodegradable MPEG-PLGA might be an interesting adjunct to future POP repair.

  2. Review and analysis of strengths and weaknesses of agro-ecosystem models for simulating C and N fluxes.

    PubMed

    Brilli, Lorenzo; Bechini, Luca; Bindi, Marco; Carozzi, Marco; Cavalli, Daniele; Conant, Richard; Dorich, Cristopher D; Doro, Luca; Ehrhardt, Fiona; Farina, Roberta; Ferrise, Roberto; Fitton, Nuala; Francaviglia, Rosa; Grace, Peter; Iocola, Ileana; Klumpp, Katja; Léonard, Joël; Martin, Raphaël; Massad, Raia Silvia; Recous, Sylvie; Seddaiu, Giovanna; Sharp, Joanna; Smith, Pete; Smith, Ward N; Soussana, Jean-Francois; Bellocchi, Gianni

    2017-11-15

    Biogeochemical simulation models are important tools for describing and quantifying the contribution of agricultural systems to C sequestration and GHG source/sink status. The abundance of simulation tools developed over recent decades, however, creates a difficulty because predictions from different models show large variability. Discrepancies between the conclusions of different modelling studies are often ascribed to differences in the physical and biogeochemical processes incorporated in equations of C and N cycles and their interactions. Here we review the literature to determine the state-of-the-art in modelling agricultural (crop and grassland) systems. In order to carry out this study, we selected the range of biogeochemical models used by the CN-MIP consortium of FACCE-JPI (http://www.faccejpi.com): APSIM, CERES-EGC, DayCent, DNDC, DSSAT, EPIC, PaSim, RothC and STICS. In our analysis, these models were assessed for the quality and comprehensiveness of underlying processes related to pedo-climatic conditions and management practices, but also with respect to time and space of application, and for their accuracy in multiple contexts. Overall, it emerged that there is a possible impact of ill-defined pedo-climatic conditions in the unsatisfactory performance of the models (46.2%), followed by limitations in the algorithms simulating the effects of management practices (33.1%). The multiplicity of scales in both time and space is a fundamental feature, which explains the remaining weaknesses (i.e. 20.7%). Innovative aspects have been identified for future development of C and N models. They include the explicit representation of soil microbial biomass to drive soil organic matter turnover, the effect of N shortage on SOM decomposition, the improvements related to the production and consumption of gases and an adequate simulations of gas transport in soil. On these bases, the assessment of trends and gaps in the modelling approaches currently employed to

  3. The Reliability and Validity of the English and Spanish Strengths and Weaknesses of ADHD and Normal Behavior Rating Scales in a Preschool Sample: Continuum Measures of Hyperactivity and Inattention

    ERIC Educational Resources Information Center

    Lakes, Kimberley D.; Swanson, James M.; Riggs, Matt

    2012-01-01

    Objective: To evaluate the reliability and validity of the English and Spanish versions of the Strengths and Weaknesses of ADHD-symptom and Normal-behavior (SWAN) rating scale. Method: Parents of preschoolers completed both a SWAN and the well-established Strengths and Difficulties Questionnaire (SDQ) on two separate occasions over a span of 3…

  4. The Reliability and Validity of the English and Spanish Strengths and Weaknesses of ADHD and Normal Behavior Rating Scales in a Preschool Sample: Continuum Measures of Hyperactivity and Inattention

    ERIC Educational Resources Information Center

    Lakes, Kimberley D.; Swanson, James M.; Riggs, Matt

    2012-01-01

    Objective: To evaluate the reliability and validity of the English and Spanish versions of the Strengths and Weaknesses of ADHD-symptom and Normal-behavior (SWAN) rating scale. Method: Parents of preschoolers completed both a SWAN and the well-established Strengths and Difficulties Questionnaire (SDQ) on two separate occasions over a span of 3…

  5. Strategic analyses in nursing schools: attracting, educating, and graduating more nursing students: part I--strengths, weaknesses, opportunities, and threats analysis.

    PubMed

    Crow, Stephen M; Hartman, Sandra J; Mahesh, Sathiadev; McLendon, Christy L; Henson, Steve W; Jacques, Paul

    2008-01-01

    The shortage of nurses in the United States remains a persistent problem. Faced with this reality, nursing programs in colleges and universities continue to struggle to expand enrollment levels to meet the spiraling demand. This research uses familiar tools in strategic management: the strengths, weaknesses, opportunities, and threats (SWOT) analysis and stakeholder analysis as initial steps to draw more students to the profession of nursing. In a 2-round modified Delphi survey, chief administrators of schools of nursing identify the main SWOT of schools of nursing and the important internal and external stakeholders that influence nursing school success. The authors of the research suggest ways to use that knowledge to increase the enrollment level of nursing students. Part I of this research focuses on the SWOT analyses.

  6. Transfer of mupirocin resistance from Staphylococcus haemolyticus clinical strains to Staphylococcus aureus through conjugative and mobilizable plasmids.

    PubMed

    Rossi, Ciro C; Ferreira, Natália C; Coelho, Marcus L V; Schuenck, Ricardo P; Bastos, Maria do Carmo de F; Giambiagi-deMarval, Marcia

    2016-07-01

    Coagulase-negative staphylococci are thought to act as reservoirs of antibiotic resistance genes that can be transferred to Staphylococcus aureus, thus hindering the combat of this bacterium. In this work, we analyzed the presence of plasmids conferring resistance to the antibiotic mupirocin-widely used to treat and prevent S. aureus infections in hospital environments-in nosocomial S. haemolyticus strains. About 12% of the 75 strains tested were resistant to mupirocin, and this phenotype was correlated with the presence of plasmids. These plasmids were shown to be diverse, being either conjugative or mobilizable, and capable of transferring mupirocin resistance to S. aureus Our findings reinforce that S. haemolyticus, historically and mistakenly considered as a less important pathogen, is a reservoir of resistance genes which can be transferred to other bacteria, such as S. aureus, emphasizing the necessity of more effective strategies to detect and combat this emergent opportunistic pathogen.

  7. Applicability of SWOT analysis for measuring quality of public oral health services as perceived by adult patients in Finland. Strengths, weaknesses, opportunities and threats.

    PubMed

    Toivanen, T; Lahti, S; Leino-Kilpi, H

    1999-10-01

    To determine the applicability of SWOT analysis for measuring the quality of public oral health services from the adult client's perspective. Data were collected using a structured questionnaire developed in an earlier study. The study group consisted of all adult (over 18 years of age) clients (n = 256) using public municipal oral health services in Kirkkonummi, Finland, during 2 weeks in 1995. Before treatment, patients filled out a questionnaire that measured the importance of their expectations in different aspects of oral care. After the appointment, they filled out a similar questionnaire that measured the enactment of these expectations in the treatment situation. The response rate was 51%. The difference between subjective importance and enactment of expectations was tested by Wilcoxon's signed rank test. Results were interpreted using both a conventional analysis of "expectation enacted or not" and SWOT analysis, which is used in strategic planning to identify areas of strengths (S), weaknesses (W), opportunities (O) and threats (T) in an organisation. In 28 statements out of 35, the two analyses revealed similar interpretations. In most areas the patient-perceived quality of the services was good. Weaknesses were found in the following areas: communicating to patients the causes and risk of developing oral diseases, informing them about different treatment possibilities, and including patients in decision-making when choosing restorative materials. SWOT analysis provided more structured interpretation of the results, and can be more easily transferred to development of services.

  8. Chlorhexidine and Mupirocin Susceptibility of Methicillin-Resistant Staphylococcus aureus Isolates in the REDUCE-MRSA Trial.

    PubMed

    Hayden, Mary K; Lolans, Karen; Haffenreffer, Katherine; Avery, Taliser R; Kleinman, Ken; Li, Haiying; Kaganov, Rebecca E; Lankiewicz, Julie; Moody, Julia; Septimus, Edward; Weinstein, Robert A; Hickok, Jason; Jernigan, John; Perlin, Jonathan B; Platt, Richard; Huang, Susan S

    2016-11-01

    Whether targeted or universal decolonization strategies for the control of methicillin-resistant Staphylococcus aureus (MRSA) select for resistance to decolonizing agents is unresolved. The REDUCE-MRSA trial (ClinicalTrials registration no. NCT00980980) provided an opportunity to investigate this question. REDUCE-MRSA was a 3-arm, cluster-randomized trial of either screening and isolation without decolonization, targeted decolonization with chlorhexidine and mupirocin, or universal decolonization without screening to prevent MRSA infection in intensive-care unit (ICU) patients. Isolates from the baseline and intervention periods were collected and tested for susceptibility to chlorhexidine gluconate (CHG) by microtiter dilution; mupirocin susceptibility was tested by Etest. The presence of the qacA or qacB gene was determined by PCR and DNA sequence analysis. A total of 3,173 isolates were analyzed; 2 were nonsusceptible to CHG (MICs, 8 μg/ml), and 5/814 (0.6%) carried qacA or qacB At baseline, 7.1% of MRSA isolates expressed low-level mupirocin resistance, and 7.5% expressed high-level mupirocin resistance. In a mixed-effects generalized logistic regression model, the odds of mupirocin resistance among clinical MRSA isolates or MRSA isolates acquired in an ICU in intervention versus baseline periods did not differ across arms, although estimates were imprecise due to small numbers. Reduced susceptibility to chlorhexidine and carriage of qacA or qacB were rare among MRSA isolates in the REDUCE-MRSA trial. The odds of mupirocin resistance were no different in the intervention versus baseline periods across arms, but the confidence limits were broad, and the results should be interpreted with caution. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

  9. Crystal structure of mupirocin form I, C26H44O9

    SciTech Connect

    Kaduk, James A.; Zhong, Kai; Gindhart, Amy M.; Blanton, Thomas N.

    2016-04-08

    The crystal structure of mupirocin Form I has been solved and refined using synchrotron X-ray powder diffraction data, and optimized using density functional techniques. Mupirocin Form I crystallizes in space groupP21(#4) witha= 12.562 81(16),b= 5.103 63(4),c= 21.713 34(29) Å,β= 100.932(1)°,V= 1366.91(2) Å3, andZ= 2. Although the three hydroxyl groups and the carboxylic acid participate in a three-dimensional hydrogen bond network, the crystal energy appears to be dominated by van der Waals interactions. The Rietveld-refined and density functional optimized structures differ significantly. The powder pattern has been submitted to ICDD for inclusion in the Powder Diffraction File.

  10. Spatial Noise in Coupling Strength and Natural Frequency within a Pacemaker Network; Consequences for Development of Intestinal Motor Patterns According to a Weakly Coupled Phase Oscillator Model.

    PubMed

    Parsons, Sean P; Huizinga, Jan D

    2016-01-01

    Pacemaker activities generated by networks of interstitial cells of Cajal (ICC), in conjunction with the enteric nervous system, orchestrate most motor patterns in the gastrointestinal tract. It was our objective to understand the role of network features of ICC associated with the myenteric plexus (ICC-MP) in the shaping of motor patterns of the small intestine. To that end, a model of weakly coupled oscillators (oscillators influence each other's phase but not amplitude) was created with most parameters derived from experimental data. The ICC network is a uniform two dimensional network coupled by gap junctions. All ICC generate pacemaker (slow wave) activity with a frequency gradient in mice from 50/min at the proximal end of the intestine to 40/min at the distal end. Key features of motor patterns, directly related to the underlying pacemaker activity, are frequency steps and dislocations. These were accurately mimicked by reduction of coupling strength at a point in the chain of oscillators. When coupling strength was expressed as a product of gap junction density and conductance, and gap junction density was varied randomly along the chain (i.e., spatial noise) with a long-tailed distribution, plateau steps occurred at pointsof low density. As gap junction conductance was decreased, the number of plateaus increased, mimicking the effect of the gap junction inhibitor carbenoxolone. When spatial noise was added to the natural interval gradient, as gap junction conductance decreased, the number of plateaus increased as before but in addition the phase waves frequently changed direction of apparent propagation, again mimicking the effect of carbenoxolone. In summary, key features of the motor patterns that are governed by pacemaker activity may be a direct consequence of biological noise, specifically spatial noise in gap junction coupling and pacemaker frequency.

  11. The strengths and weaknesses in verbal short-term memory and visual working memory in children with hearing impairment and additional language learning difficulties.

    PubMed

    Willis, Suzi; Goldbart, Juliet; Stansfield, Jois

    2014-07-01

    To compare verbal short-term memory and visual working memory abilities of six children with congenital hearing-impairment identified as having significant language learning difficulties with normative data from typically hearing children using standardized memory assessments. Six children with hearing loss aged 8-15 years were assessed on measures of verbal short-term memory (Non-word and word recall) and visual working memory annually over a two year period. All children had cognitive abilities within normal limits and used spoken language as the primary mode of communication. The language assessment scores at the beginning of the study revealed that all six participants exhibited delays of two years or more on standardized assessments of receptive and expressive vocabulary and spoken language. The children with hearing-impairment scores were significantly higher on the non-word recall task than the "real" word recall task. They also exhibited significantly higher scores on visual working memory than those of the age-matched sample from the standardized memory assessment. Each of the six participants in this study displayed the same pattern of strengths and weaknesses in verbal short-term memory and visual working memory despite their very different chronological ages. The children's poor ability to recall single syllable words in relation to non-words is a clinical indicator of their difficulties in verbal short-term memory. However, the children with hearing-impairment do not display generalized processing difficulties and indeed demonstrate strengths in visual working memory. The poor ability to recall words, in combination with difficulties with early word learning may be indicators of children with hearing-impairment who will struggle to develop spoken language equal to that of their normally hearing peers. This early identification has the potential to allow for target specific intervention that may remediate their difficulties. Copyright © 2014. Published

  12. Spatial Noise in Coupling Strength and Natural Frequency within a Pacemaker Network; Consequences for Development of Intestinal Motor Patterns According to a Weakly Coupled Phase Oscillator Model

    PubMed Central

    Parsons, Sean P.; Huizinga, Jan D.

    2016-01-01

    Pacemaker activities generated by networks of interstitial cells of Cajal (ICC), in conjunction with the enteric nervous system, orchestrate most motor patterns in the gastrointestinal tract. It was our objective to understand the role of network features of ICC associated with the myenteric plexus (ICC-MP) in the shaping of motor patterns of the small intestine. To that end, a model of weakly coupled oscillators (oscillators influence each other's phase but not amplitude) was created with most parameters derived from experimental data. The ICC network is a uniform two dimensional network coupled by gap junctions. All ICC generate pacemaker (slow wave) activity with a frequency gradient in mice from 50/min at the proximal end of the intestine to 40/min at the distal end. Key features of motor patterns, directly related to the underlying pacemaker activity, are frequency steps and dislocations. These were accurately mimicked by reduction of coupling strength at a point in the chain of oscillators. When coupling strength was expressed as a product of gap junction density and conductance, and gap junction density was varied randomly along the chain (i.e., spatial noise) with a long-tailed distribution, plateau steps occurred at pointsof low density. As gap junction conductance was decreased, the number of plateaus increased, mimicking the effect of the gap junction inhibitor carbenoxolone. When spatial noise was added to the natural interval gradient, as gap junction conductance decreased, the number of plateaus increased as before but in addition the phase waves frequently changed direction of apparent propagation, again mimicking the effect of carbenoxolone. In summary, key features of the motor patterns that are governed by pacemaker activity may be a direct consequence of biological noise, specifically spatial noise in gap junction coupling and pacemaker frequency. PMID:26869875

  13. Multiplex PCR assay for identification of six different Staphylococcus spp. and simultaneous detection of methicillin and mupirocin resistance.

    PubMed

    Campos-Peña, E; Martín-Nuñez, E; Pulido-Reyes, G; Martín-Padrón, J; Caro-Carrillo, E; Donate-Correa, J; Lorenzo-Castrillejo, I; Alcoba-Flórez, J; Machín, F; Méndez-Alvarez, S

    2014-07-01

    We describe a new, efficient, sensitive, and fast single-tube multiple-PCR protocol for the identification of the most clinically significant Staphylococcus spp. and the simultaneous detection of the methicillin and mupirocin resistance loci. The protocol identifies at the species level isolates belonging to S. aureus, S. epidermidis, S. haemolyticus, S. hominis, S. lugdunensis, and S. saprophyticus.

  14. Microbiological effect of mupirocin and chlorhexidine for Staphylococcus aureus decolonization in community and nursing home based adults.

    PubMed

    Roghmann, Mary-Claire; Lydecker, Alison D; Langenberg, Patricia; Mongodin, Emmanuel F; Johnson, J Kristie

    2017-05-01

    To compare the presence of Staphylococcus aureus and pathogenic Gram-negative rods (GNR) in the anterior nares, posterior pharynx and three skin sites in community-based adults and nursing home-based adults before and after treatment with nasal mupirocin and topical chlorhexidine. S. aureus-colonized adults were recruited from the community (n=26) and from nursing homes (n=8). Eligible participants were cultured for S. aureus and GNR during two study visits and then received intranasal mupirocin and topical chlorhexidine for 5days, with a 2-month follow-up period. After decolonization, we found sustained decreases of S. aureus colonization in nose, throat and skin sites over 4-8weeks in both populations. Intranasal mupirocin did not increase GNR colonization in nose or throat. Chlorhexidine did not decrease GNR colonization in skin sites. Decolonization with mupirocin and chlorhexidine leads to a sustained effect on S. aureus colonization without affecting GNR colonization. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Increased Peritoneal Dialysis Exit Site Infections Using Topical Antiseptic Polyhexamethylene Biguanide Compared to Mupirocin: Results of a Safety Interim Analysis of an Open-Label Prospective Randomized Study

    PubMed Central

    Findlay, Andrew; Serrano, Charelle; Punzalan, Sally

    2013-01-01

    Prophylactic mupirocin for peritoneal catheter exit sites reduces exit site infection (ESI) risk but engenders antibiotic resistance. We present early interim safety analysis of an open-label randomized study comparing polyhexamethylene biguanide (PHMB) and mupirocin. A total of 106 patients randomized to 53 in each group were followed up for a mean of 12.68 months per patient. On safety analysis, the PHMB group had a significantly greater ESI rate than the mupirocin group (odds ratio [OR], 0.26; 95% confidence interval [CI], 0.09 to 0.80), leading to discontinuation of the trial. PMID:23403425

  16. Analysis of the strengths, weaknesses, opportunities and threats of the network form of organization of traumatic brain injury service delivery systems.

    PubMed

    Lamontagne, Marie-Eve; Swaine, Bonnie R; Lavoie, André; Careau, Emmanuelle

    2011-01-01

    Networks are an increasingly popular way to deal with the lack of integration of traumatic brain injury (TBI) care. Knowledge of the stakes of the network form of organization is critical in deciding whether or not to implement a TBI network to improve the continuity of TBI care. To report the strengths, weaknesses, opportunities, and threats of a TBI network and to consider these elements in a discussion about whether networks are a suitable solution to fragmented TBI care. In-depth interviews with 12 representatives of network organization members. Interviews were qualitatively analyzed using the EGIPSS model of performance. The majority of elements reported were related to the network's adaptation to its environment and more precisely to its capacity to acquire resources. The issue of value maintenance also received considerable attention from participants. The network form of organization seems particularly sensitive to environmental issues, such as resource acquisition and legitimacy. The authors suggest that the network form of organization is a suitable way to increase the continuity of TBI care if the following criteria are met: (1) expectations toward network effectiveness to increase continuity of care are moderate and realistic; (2) sufficient resources are devoted to the design, implementation, and maintenance of the network; (3) a network's existence and actions are deemed legitimate by community and organization member partners; and (4) there is a good collaborative climate between the organizations.

  17. Clinical utility of the Chinese Strengths and Weaknesses of ADHD-Symptoms and Normal-Behaviors questionnaire (SWAN) when compared with DISC-IV.

    PubMed

    Chan, Grace Fong-Chun; Lai, Kelly Yee-Ching; Luk, Ernest Siu-Luen; Hung, Se-Fong; Leung, Patrick Wing-Leung

    2014-01-01

    Attention-deficit/hyperactivity disorder (ADHD) is a common and impairing child and adolescent psychiatric disorder. Early identification and prompt treatment are essential. Rating scales are commonly used by clinicians and researchers to assess ADHD children. In the current study, we aimed to examine the clinical utility of the Chinese version of the Strengths and Weaknesses of ADHD Symptoms and Normal Behaviors (SWAN) questionnaire. We validated its subscale scores against the Diagnostic Interview Schedule for Children Version IV (DISC-IV) and looked into its ability to identify ADHD in a psychiatric clinic setting. We also tested age and gender effects on SWAN scores. Specific subscale cutoff scores of SWAN were subsequently determined. A total of 290 children aged 6-12 years old studying in local mainstream primary schools were recruited from a clinic setting and interviewed with the parent version of DISC-IV. Their parents and teachers completed the corresponding version of SWAN. Both parent and teacher versions of SWAN were found to have good concurrent validity with DISC-IV. It could identify ADHD well in a clinic sample. Gender-specific cutoff scores were determined. Sensitivities and specificities were found to be satisfactory. SWAN was also found to perform equally well in identifying ADHD in those with and without comorbid Autistic Spectrum Disorder. SWAN was proven to be a useful tool to aid the assessment of ADHD in a clinic sample.

  18. A Randomized Controlled Trial Comparing Mupirocin and Polysporin Triple Ointments in Peritoneal Dialysis Patients: The MP3 Study

    PubMed Central

    McQuillan, Rory F.; Chiu, Ernest; Nessim, Sharon; Lok, Charmaine E.; Roscoe, Janet M.; Tam, Paul; Jassal, Sarbjit Vanita

    2012-01-01

    Summary Background and objectives Infectious complications remain a significant cause of peritoneal dialysis (PD) technique failure. Topical ointments seem to reduce peritonitis; however, concerns over resistance have led to a quest for alternative agents. This study examined the effectiveness of applying topical Polysporin Triple ointment (P3) against mupirocin in a multi-centered, double-blind, randomized controlled trial. Design, setting, participants, & measurements PD patients routinely applied either P3 or mupirocin ointment to their exit site. Patients were followed for 18 months or until death or catheter removal. The primary study outcome was a composite endpoint of exit-site infection (ESI), tunnel infection, or peritonitis. Results Seventy-five of 201 randomized patients experienced a primary outcome event (51 peritonitis episodes, 24 ESIs). No difference was seen in the time to first event for P3 (13.2 months; 95% confidence interval, 11.9–14.5) and mupirocin (14.0 months; 95% confidence interval, 12.7–15.4) (P=0.41). Twice as many patients reported redness at the exit site in the P3 group (14 versus 6, P=0.10). Over the complete study period, a higher rate per year of fungal ESIs was seen in patients using P3 (0.07 versus 0.01; P=0.02) with a corresponding increase in fungal peritonitis (0.04 versus 0.00, respectively; P<0.05). Conclusions This study shows that P3 is not superior to mupirocin in the prophylaxis of PD-related infections. Colonization of the exit site with fungal organisms is of concern and warrants further study. As such, the use of P3 over mupirocin is not advocated in the prophylaxis of PD-related infections. PMID:22134627

  19. A randomized controlled trial comparing mupirocin and polysporin triple ointments in peritoneal dialysis patients: the MP3 Study.

    PubMed

    McQuillan, Rory F; Chiu, Ernest; Nessim, Sharon; Lok, Charmaine E; Roscoe, Janet M; Tam, Paul; Jassal, Sarbjit Vanita

    2012-02-01

    Infectious complications remain a significant cause of peritoneal dialysis (PD) technique failure. Topical ointments seem to reduce peritonitis; however, concerns over resistance have led to a quest for alternative agents. This study examined the effectiveness of applying topical Polysporin Triple ointment (P(3)) against mupirocin in a multi-centered, double-blind, randomized controlled trial. PD patients routinely applied either P(3) or mupirocin ointment to their exit site. Patients were followed for 18 months or until death or catheter removal. The primary study outcome was a composite endpoint of exit-site infection (ESI), tunnel infection, or peritonitis. Seventy-five of 201 randomized patients experienced a primary outcome event (51 peritonitis episodes, 24 ESIs). No difference was seen in the time to first event for P(3) (13.2 months; 95% confidence interval, 11.9-14.5) and mupirocin (14.0 months; 95% confidence interval, 12.7-15.4) (P=0.41). Twice as many patients reported redness at the exit site in the P(3) group (14 versus 6, P=0.10). Over the complete study period, a higher rate per year of fungal ESIs was seen in patients using P(3) (0.07 versus 0.01; P=0.02) with a corresponding increase in fungal peritonitis (0.04 versus 0.00, respectively; P<0.05). This study shows that P(3) is not superior to mupirocin in the prophylaxis of PD-related infections. Colonization of the exit site with fungal organisms is of concern and warrants further study. As such, the use of P(3) over mupirocin is not advocated in the prophylaxis of PD-related infections.

  20. COMPARISON OF TOPICAL CHLORHEXIDINE AND MUPIROCIN FOR THE PREVENTION OF EXIT-SITE INFECTION IN INCIDENT PERITONEAL DIALYSIS PATIENTS.

    PubMed

    Htay, Htay; Johnson, David W; Wu, Sin Yan; Oei, Elizabeth L; Foo, Marjorie Wai Yin; Choo, Jason C

    2017-02-09

    ♦ Objective: Prevention of exit-site infection (ESI) is of paramount importance to peritoneal dialysis (PD) patients. The aim of this study was to evaluate the effectiveness of chlorhexidine in the prevention of ESI in incident PD patients compared with mupirocin. ♦ Methods: This retrospective, pre-test/post-test observational study included all incident PD patients at Singapore General Hospital from 2012 to 2015. Patients received daily topical exit-site application of either mupirocin (2012 - 2013) or chlorhexidine (2014 - 2015) in addition to routine exit-site cleaning with 10% povidone-iodine. The primary outcome was ESI rate during the 2 time periods. Secondary outcomes were peritonitis rate, times to first ESI and peritonitis, hospitalization rate, and infection-related catheter removal. Event rates were analyzed using Poisson regression, and infection-free survival was estimated using Kaplan-Meier and Cox regression survival analyses. ♦ Results: The study included 162 patients in the mupirocin period (follow-up 141.5 patient-years) and 175 patients in the chlorhexidine period (follow-up 136.9 patient-years). Compared with mupirocin-treated patients, chlorhexidine-treated patients experienced more frequent ESIs (0.22 vs 0.12 episodes/patient-year, p = 0.048), although this was no longer statistically significant following multivariable analysis (incidence rate ratio [IRR] 1.78, 95% confidence interval [CI] 0.98 - 3.26, p = 0.06). No significant differences were observed between the 2 groups with respect to time to first ESI (p = 0.10), peritonitis rate (p = 0.95), time to first peritonitis (p = 0.60), hospitalization rate (p = 0.21) or catheter removal rate (0.03 vs 0.04/patient-year, p = 0.56). ♦ Conclusions: Topical exit-site application of chlorhexidine cream was associated with a borderline significant, higher rate of ESI in incident PD patients compared with mupirocin cream.

  1. The effect of mupirocin- and fusidic acid–nasal packings, placed after septoplasty, on the nasal bacterial profile

    PubMed Central

    Bilici, Suat; Yigit, Ozgur; Karatas, Aysel; Cimen, Cansu; Fincancı, Muzaffer; Gökduman, Ali Rıza

    2016-01-01

    Aim: To examine the effects, after septoplasty, of local antibiotic pomades as an alternative to prophylactic antibiotic use, which is a controversial matter among the otolaryngologists, on nasal flora and bacterial growth. Material and Method: Nasal packings placed after septoplasty surgery to provide septal stabilization and bleeding control pose a risk in terms of infection. In this study, 106 patients, who were examined by comparing mupirocin- and fusidic acid–soaked packings and antibiotic-free packings, were divided into three groups. Nasal cultures were obtained from each patient twice, before the surgery and on the second day immediately after the packings were removed, and the culture results were statistically compared. Results: In the mupirocin group (group 2), postoperative normal flora growth rate was significantly higher than in the fusidic acid group (group 3) and the antibiotic-free group (group 1) (p < 0.024). In the mupirocin group (group 2), the gram-positive growth rate in the postoperative period showed a significant decrease when compared when the preoperative period (p < 0.05) (5.7%). In the fusidic acid group (group 3), the postoperative gram-positive rate showed a significant decrease compared with the preoperative period (p < 0.05). In group 2, the postoperative methicillin-resistant Staphylococcus aureus rate showed a significant decrease than in the preoperative period (2.9%) (p < 0.05). Similarly, in group 3, the postoperative methicillin-resistant S. aureus rate showed a significant decrease compared with that of the preoperative period (11.1%) (p < 0.05). Conclusion: Use of mupirocin- and fusidic acid–soaked nasal packings after septoplasty significantly decreased, especially, postoperative gram-positive bacterial growth in nasal cultures. Although systemic antibiotherapy was not administered, the lack of local and systemic infection findings was an important result that we obtained in terms of clinical use. Usage advantages of

  2. Patterns of Strengths and Weaknesses on the WISC-V, DAS-II, and KABC-II and Their Relationship to Students' Errors in Oral Language, Reading, Writing, Spelling, and Math

    ERIC Educational Resources Information Center

    Breaux, Kristina C.; Avitia, Maria; Koriakin, Taylor; Bray, Melissa A.; DeBiase, Emily; Courville, Troy; Pan, Xingyu; Witholt, Thomas; Grossman, Sandy

    2017-01-01

    This study investigated the relationship between specific cognitive patterns of strengths and weaknesses and the errors children make on oral language, reading, writing, spelling, and math subtests from the Kaufman Test of Educational Achievement-Third Edition (KTEA-3). Participants with scores from the KTEA-3 and either the Wechsler Intelligence…

  3. Patterns of Strengths and Weaknesses on the WISC-V, DAS-II, and KABC-II and Their Relationship to Students' Errors in Oral Language, Reading, Writing, Spelling, and Math

    ERIC Educational Resources Information Center

    Breaux, Kristina C.; Avitia, Maria; Koriakin, Taylor; Bray, Melissa A.; DeBiase, Emily; Courville, Troy; Pan, Xingyu; Witholt, Thomas; Grossman, Sandy

    2017-01-01

    This study investigated the relationship between specific cognitive patterns of strengths and weaknesses and the errors children make on oral language, reading, writing, spelling, and math subtests from the Kaufman Test of Educational Achievement-Third Edition (KTEA-3). Participants with scores from the KTEA-3 and either the Wechsler Intelligence…

  4. Strengths and Weaknesses of Global Positioning System (GPS) Data-Loggers and Semi-structured Interviews for Capturing Fine-scale Human Mobility: Findings from Iquitos, Peru

    PubMed Central

    Paz-Soldan, Valerie A.; Reiner, Robert C.; Morrison, Amy C.; Stoddard, Steven T.; Kitron, Uriel; Scott, Thomas W.; Elder, John P.; Halsey, Eric S.; Kochel, Tadeusz J.; Astete, Helvio; Vazquez-Prokopec, Gonzalo M.

    2014-01-01

    Quantifying human mobility has significant consequences for studying physical activity, exposure to pathogens, and generating more realistic infectious disease models. Location-aware technologies such as Global Positioning System (GPS)-enabled devices are used increasingly as a gold standard for mobility research. The main goal of this observational study was to compare and contrast the information obtained through GPS and semi-structured interviews (SSI) to assess issues affecting data quality and, ultimately, our ability to measure fine-scale human mobility. A total of 160 individuals, ages 7 to 74, from Iquitos, Peru, were tracked using GPS data-loggers for 14 days and later interviewed using the SSI about places they visited while tracked. A total of 2,047 and 886 places were reported in the SSI and identified by GPS, respectively. Differences in the concordance between methods occurred by location type, distance threshold (within a given radius to be considered a match) selected, GPS data collection frequency (i.e., 30, 90 or 150 seconds) and number of GPS points near the SSI place considered to define a match. Both methods had perfect concordance identifying each participant's house, followed by 80–100% concordance for identifying schools and lodgings, and 50–80% concordance for residences and commercial and religious locations. As the distance threshold selected increased, the concordance between SSI and raw GPS data increased (beyond 20 meters most locations reached their maximum concordance). Processing raw GPS data using a signal-clustering algorithm decreased overall concordance to 14.3%. The most common causes of discordance as described by a sub-sample (n = 101) with whom we followed-up were GPS units being accidentally off (30%), forgetting or purposely not taking the units when leaving home (24.8%), possible barriers to the signal (4.7%) and leaving units home to recharge (4.6%). We provide a quantitative assessment of the strengths and

  5. Strengths and weaknesses of Global Positioning System (GPS) data-loggers and semi-structured interviews for capturing fine-scale human mobility: findings from Iquitos, Peru.

    PubMed

    Paz-Soldan, Valerie A; Reiner, Robert C; Morrison, Amy C; Stoddard, Steven T; Kitron, Uriel; Scott, Thomas W; Elder, John P; Halsey, Eric S; Kochel, Tadeusz J; Astete, Helvio; Vazquez-Prokopec, Gonzalo M

    2014-06-01

    Quantifying human mobility has significant consequences for studying physical activity, exposure to pathogens, and generating more realistic infectious disease models. Location-aware technologies such as Global Positioning System (GPS)-enabled devices are used increasingly as a gold standard for mobility research. The main goal of this observational study was to compare and contrast the information obtained through GPS and semi-structured interviews (SSI) to assess issues affecting data quality and, ultimately, our ability to measure fine-scale human mobility. A total of 160 individuals, ages 7 to 74, from Iquitos, Peru, were tracked using GPS data-loggers for 14 days and later interviewed using the SSI about places they visited while tracked. A total of 2,047 and 886 places were reported in the SSI and identified by GPS, respectively. Differences in the concordance between methods occurred by location type, distance threshold (within a given radius to be considered a match) selected, GPS data collection frequency (i.e., 30, 90 or 150 seconds) and number of GPS points near the SSI place considered to define a match. Both methods had perfect concordance identifying each participant's house, followed by 80-100% concordance for identifying schools and lodgings, and 50-80% concordance for residences and commercial and religious locations. As the distance threshold selected increased, the concordance between SSI and raw GPS data increased (beyond 20 meters most locations reached their maximum concordance). Processing raw GPS data using a signal-clustering algorithm decreased overall concordance to 14.3%. The most common causes of discordance as described by a sub-sample (n=101) with whom we followed-up were GPS units being accidentally off (30%), forgetting or purposely not taking the units when leaving home (24.8%), possible barriers to the signal (4.7%) and leaving units home to recharge (4.6%). We provide a quantitative assessment of the strengths and weaknesses of

  6. Targeted intranasal mupirocin to prevent colonization and infection by community-associated methicillin-resistant Staphylococcus aureus strains in soldiers: a cluster randomized controlled trial.

    PubMed

    Ellis, Michael W; Griffith, Matthew E; Dooley, David P; McLean, Joseph C; Jorgensen, James H; Patterson, Jan E; Davis, Kepler A; Hawley, Joshua S; Regules, Jason A; Rivard, Robert G; Gray, Paula J; Ceremuga, Julia M; Dejoseph, Mary A; Hospenthal, Duane R

    2007-10-01

    Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) is an emerging pathogen that primarily manifests as uncomplicated skin and soft tissue infections. We conducted a cluster randomized, double-blind, placebo-controlled trial to determine whether targeted intranasal mupirocin therapy in CA-MRSA-colonized soldiers could prevent infection in the treated individual and prevent new colonization and infection within their study groups. We screened 3,447 soldiers comprising 14 training classes for CA-MRSA colonization from January to December 2005. Each training class was randomized to either the mupirocin or placebo study group, and the participants identified as CA-MRSA colonized were treated with either mupirocin or placebo. All participants underwent repeat screening after 8 to 10 weeks and were monitored for 16 weeks for development of infection. Of 3,447 participants screened, 134 (3.9%) were initially colonized with CA-MRSA. Five of 65 (7.7%; 95% confidence interval [95% CI], 4.0% to 11.4%) placebo-treated participants and 7 of 66 (10.6%; 95% CI, 7.9% to 13.3%) mupirocin-treated participants developed infections; the difference in the infection rate of the placebo- and mupirocin-treated groups was -2.9% (95% CI, -7.5% to 1.7%). Of those not initially colonized with CA-MRSA, 63 of 1,459 (4.3%; 95% CI, 2.7% to 5.9%) of the placebo group and 56 of 1,607 (3.5%; 95% CI, 2.6% to 5.2%) of the mupirocin group developed infections; the difference in the infection rate of the placebo and mupirocin groups was 0.8% (95% CI, -1.0% to 2.7%). Of 3,447 participants, 3,066 (89%) were available for the second sampling and completed follow-up. New CA-MRSA colonization occurred in 24 of 1,459 (1.6%; 95% CI, 0.05% to 2.8%) of the placebo group participants and 23 of 1,607 (1.4%; 95% CI, 0.05% to 2.3%) of the mupirocin group participants; the difference in the infection rate of the placebo and mupirocin groups was 0.2% (95% CI, -1.3% to 1.7%). Despite CA

  7. A high prevalence of mupirocin and macrolide resistance determinant among Staphylococcus aureus strains isolated from burnt patients.

    PubMed

    Shahsavan, Shadi; Emaneini, Mohammad; Noorazar Khoshgnab, Behshad; Khoramian, Babak; Asadollahi, Parisa; Aligholi, Marzieh; Jabalameli, Fereshteh; Eslampour, Mohammad Amin; Taherikalani, Morovat

    2012-05-01

    Infections due to Staphylococcus aureus have become increasingly common among burn patients. The antibiotic resistance profile of S. aureus isolates and inducible resistance against clindamycin were investigated in this study. The presence of mecA gene, mupA gene and macrolide resistance genes were detected using PCR and multiplex-PCR. The resistance rate to methicillin, erythromycin and mupirocin were 58.5%, 58% and 40%, respectively. The prevalence of constitutive and inducible resistance among macrolide resistant isolates was 75% and 25%, respectively. Ninety five percent of the isolates were positive for one or more erm genes. The most common genes were ermA (75%), ermC (72%) and ermB (69%), respectively. The ermA gene predominated in the strains with the inducible phenotype, while ermC was more common in the isolates with the constitutive phenotype. The msrA gene was only found in one MRSA isolate with the constitutive phenotype. A total of 27 isolates (25%) carried the mupA gene. All the mupirocin resistant isolates and almost all the erythromycin resistant isolates were also resistant against methicillin which may indicate an outbreak of MRSA isolates with high-level mupirocin and erythromycin resistance in the burn unit assessed. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

  8. A novel chimeric lysin shows superiority to mupirocin for skin decolonization of methicillin-resistant and -sensitive Staphylococcus aureus strains.

    PubMed

    Pastagia, Mina; Euler, Chad; Chahales, Peter; Fuentes-Duculan, Judilyn; Krueger, James G; Fischetti, Vincent A

    2011-02-01

    Staphylococcus aureus is a major human pathogen responsible for a number of serious and sometimes fatal infections. One of its reservoirs on the human body is the skin, which is known to be a source of invasive infection. The potential for an engineered staphylococcus-specific phage lysin (ClyS) to be used for topical decolonization is presented. We formulated ClyS into an ointment and applied it to a mouse model of skin colonization/infection with S. aureus. Unlike the standard topical antibacterial agent mupirocin, ClyS eradicated a significantly greater number of methicillin-susceptible S. aureus (MSSA) and -resistant S. aureus (MRSA) bacteria: a 3-log reduction with ClyS as opposed to a 2-log reduction with mupirocin in our model. The use of ClyS also demonstrated a decreased potential for the development of resistance by MRSA and MSSA organisms compared to that from the use of mupirocin in vitro. Because antibodies may affect enzyme function, we tested antibodies developed after repeated ClyS exposure for their effect on ClyS killing ability. Our results showed no inhibition of ClyS activity at various antibody titers. These data demonstrate the potential of developing ClyS as a novel class of topical antimicrobial agents specific to staphylococcus.

  9. Sol-gel processed mupirocin silica microspheres loaded collagen scaffold: a synergistic bio-composite for wound healing.

    PubMed

    Perumal, Sathiamurthi; Ramadass, Satiesh kumar; Madhan, Balaraman

    2014-02-14

    Development of a bio-composite using synergistic combination is a promising strategy to address various pathological manifestations of acute and chronic wounds. In the present work, we have combined three materials viz., mupirocin as an antimicrobial drug, sol-gel processed silica microsphere as drug carrier for sustained delivery of drug and collagen, an established wound healer as scaffold. The mupirocin-loaded silica microspheres (Mu-SM) and Mu-SM loaded collagen scaffold were characterized for surface morphology, entrapment efficiency and distribution homogeneity, in vitro drug release, water uptake capacity, cell proliferation and antibacterial activity. In vivo wound healing efficacy of the bio-composite was experimented using full thickness excision wound model in Wistar albino rats. The Mu-SM incorporated collagen scaffold showed good in vitro characteristics in terms of better water uptake, sustained drug availability and antimicrobial activity. The wound closure analysis revealed that the complete epithelialisation was observed at 14.2 ± 0.44 days for Mu-SM loaded collagen, whereas this was 17.4 ± 0.44 days and 20.6 ± 0.54 days for collagen and control groups, respectively. Consequently, the synergistic strategy of combining mupirocin-loaded silica microspheres and collagen as a Mu-SM loaded collagen dressing material would be an ideal biomaterial for the treatment of surface wounds, burns and foot ulcers.

  10. Parallel inhibition of active force and relaxed fiber stiffness by caldesmon fragments at physiological ionic strength and temperature conditions: additional evidence that weak cross-bridge binding to actin is an essential intermediate for force generation.

    PubMed

    Kraft, T; Chalovich, J M; Yu, L C; Brenner, B

    1995-06-01

    Previously we showed that stiffness of relaxed fibers and active force generated in single skinned fibers of rabbit psoas muscle are inhibited in parallel by actin-binding fragments of caldesmon, an actin-associated protein of smooth muscle, under conditions in which a large fraction of cross-bridges is weakly attached to actin (ionic strength of 50 mM and temperature of 5 degrees C). These results suggested that weak cross-bridge attachment to actin is essential for force generation. The present study provides evidence that this is also true for physiological ionic strength (170 mM) at temperatures up to 30 degrees C, suggesting that weak cross-bridge binding to actin is generally required for force generation. In addition, we show that the inhibition of active force is not a result of changes in cross-bridge cycling kinetics but apparently results from selective inhibition of weak cross-bridge binding to actin. Together with our previous biochemical, mechanical, and structural studies, these findings support the proposal that weak cross-bridge attachment to actin is an essential intermediate on the path to force generation and are consistent with the concept that isometric force mainly results from an increase in strain of the attached cross-bridge as a result of a structural change associated with the transition from a weakly bound to a strongly bound actomyosin complex. This mechanism is different from the processes responsible for quick tension recovery that were proposed by Huxley and Simmons (Proposed mechanism of force generation in striated muscle. Nature. 233:533-538.) to represent the elementary mechanism of force generation.

  11. New Quadriplex PCR Assay for Detection of Methicillin and Mupirocin Resistance and Simultaneous Discrimination of Staphylococcus aureus from Coagulase-Negative Staphylococci

    PubMed Central

    Zhang, Kunyan; Sparling, Jennifer; Chow, Barbara L.; Elsayed, Sameer; Hussain, Zafar; Church, Deirdre L.; Gregson, Daniel B.; Louie, Thomas; Conly, John M.

    2004-01-01

    Major challenges in diagnostic molecular microbiology are to develop a simple assay to distinguish Staphylococcus aureus from the less virulent but clinically important coagulase-negative staphylococci (CoNS) and to simultaneously determine their antibiotic resistance profiles. Multiplex PCR assays have been developed for the detection of methicillin- and mupirocin-resistant S. aureus and CoNS but not for the simultaneous discrimination of S. aureus from CoNS. We designed a new set of Staphylococcus genus-specific primers and developed a novel quadriplex PCR assay targeting the 16S rRNA (Staphylococcus genus specific), nuc (S. aureus species specific), mecA (a determinant of methicillin resistance), and mupA (a determinant of mupirocin resistance) genes to identify most staphylococci, to discriminate S. aureus from CoNS and other bacteria, and to simultaneously detect methicillin and mupirocin resistance. Validation of the assay with 96 ATCC control strains and 323 previously characterized clinical isolates, including methicillin- and mupirocin-sensitive and -resistant S. aureus and CoNS isolates and other bacteria, demonstrated 100% sensitivity, specificity, and accuracy. This assay represents a simple, rapid, accurate, and reliable approach for the detection of methicillin- and mupirocin-resistant staphylococci and offers the hope of preventing their widespread dissemination through early and reliable detection. PMID:15528678

  12. Treatment of familial staphylococcal infection--comparison of mupirocin nasal ointment and chlorhexidine/neomycin (Naseptin) cream in eradication of nasal carriage.

    PubMed

    Leigh, D A; Joy, G

    1993-06-01

    Twenty-six families with recurrent staphylococcal infections were treated with either mupirocin nasal ointment (group M) or chlorhexidine neomycin (Naseptin) cream (group N) to the anterior nares, each combined with chlorhexidine soap for washing and chlorhexidine powder applied to other possible carriage sites. Patients receiving mupirocin following failure with chlorhexidine/neomycin (group M/N) were also treated. Treatment was given for seven days to 99 patients, 32 index (infected) patients and 67 family members. Follow-up swabs were collected by a study nurse 8, 14, 28, and 91 days after starting treatment. The carriage of Staphylococcus aureus in the anterior nares was 67%, in the axillae 22%, in the groin 23%, and perianal 19%. The carriage rates in the index patients was higher than family members, in all sites. The eradication of S. aureus from the nasal carriage site after therapy at 8 days was 95% in group M, 85% in group M/N and 61% in group N. Recolonization during the follow-up period was much less in those treated with mupirocin: 57% of patients in group M and 42% in group M/N were not carriers at 91 days, whereas 89% of patients group N were again colonized. Assessment clinically and in terms of prevention of further infective lesions showed that there was a higher response to mupirocin than to chlorhexidine/neomycin. Mupirocin nasal is a successful therapy for removing nasal carriage of S. aureus and has a prolonged effect on recolonization.

  13. A randomized controlled trial comparing mupirocin versus Polysporin Triple for the prevention of catheter-related infections in peritoneal dialysis patients (the MP3 study).

    PubMed

    Jassal, Sarbjit V; Lok, Charmaine E

    2008-01-01

    Peritonitis remains the most serious complication of peritoneal dialysis (PD). Gram-positive organisms are among the most common causes of PD peritonitis; however, recent trends show increasing rates of gram-negative and fungal infections. Strategies to prevent peritonitis include the use of prophylactic topical mupirocin at the site where the PD catheter exits from the abdominal wall; however, mupirocin does not afford protection against gram-negative or fungal infections. The aim of this study is to determine if the incidence of catheter-related infections (exit-site infection, tunnel infection, or peritonitis) is significantly reduced by the routine application of Polysporin Triple antibiotic ointment (Pfizer Canada, Markham, Ontario, Canada) in comparison to mupirocin ointment. The Mupirocin Versus Polysporin Triple Study (MP3) is a multicenter, randomized, double-blinded controlled study comparing Polysporin Triple (P3) against the current standard of care. The aim of the study is to recruit 200 patients being treated with or starting on PD and randomize them to receive either mupirocin or P3 at the catheter exit site. Patients will be followed for 18 months or until death or transfer from PD to an alternate treatment modality. The primary outcome will be the time to first catheter-related infection. Catheter-related infections will be strictly defined using current guidelines and categorized into exit-site infections, infective peritonitis, or tunnel infections. The primary analysis will be an intention-to-treat analysis. The results of this study will help determine if the use of P3 is superior to mupirocin ointment in the prevention of catheter-related infections and will help guide evidence-based best practices.

  14. Emergence of a Staphylococcus aureus Clone Resistant to Mupirocin and Fusidic Acid Carrying Exotoxin Genes and Causing Mainly Skin Infections.

    PubMed

    Doudoulakakis, Anastassios; Spiliopoulou, Iris; Spyridis, Nikolaos; Giormezis, Nikolaos; Kopsidas, John; Militsopoulou, Maria; Lebessi, Evangelia; Tsolia, Maria

    2017-08-01

    Skin and soft tissue infections (SSTIs) caused by mupirocin-resistant Staphylococcus aureus strains have recently increased in number in our settings. We sought to evaluate the characteristics of these cases over a 43-month period. Data for all community-acquired staphylococcal infections caused by mupirocin-resistant strains were retrospectively reviewed. Genes encoding products producing high-level resistance (HLR) to mupirocin (mupA), fusidic acid resistance (fusB), resistance to macrolides and lincosamides (ermC and ermA), Panton-Valentine leukocidin (PVL) (lukS/lukF-PV), exfoliative toxins (eta and etb), and fibronectin binding protein A (fnbA) were investigated by PCRs in 102 selected preserved strains. Genotyping was performed by SCCmec and agr typing, whereas clonality was determined by pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST). A total of 437 cases among 2,137 staphylococcal infections were recorded in 2013 to 2016; they were all SSTIs with the exception of 1 case of primary bacteremia. Impetigo was the predominant clinical entity (371 cases [84.9%]), followed by staphylococcal scalded skin syndrome (21 cases [4.8%]), and there were no abscesses. The number of infections detected annually increased during the study years. All except 3 isolates were methicillin susceptible. The rates of HLR to mupirocin and constitutive resistance to clindamycin were 99% and 20.1%, respectively. Among the 102 tested strains, 100 (98%) were mupA positive and 97 (95%) were fusB positive, 26/27 clindamycin-resistant strains (96.3%) were ermA positive, 83 strains (81.4%) were lukS/lukF positive, 95 (93%) carried both eta and etb genes, and 99 (97%) were fnbA positive. Genotyping of methicillin-sensitive S. aureus (MSSA) strains revealed that 96/99 (96.7%) belonged to one main pulsotype, pulsotype 1, classified as sequence type 121 (ST121). The emergence of a single MSSA clone (ST121) causing impetigo was documented. Resistance to topical

  15. Development of Resistance to Ciprofloxacin, Rifampin, and Mupirocin in Methicillin-Susceptible and -Resistant Staphylococcus aureus Isolates

    PubMed Central

    Schmitz, Franz-Josef; Fluit, Ad C.; Hafner, Dieter; Beeck, Andreas; Perdikouli, Mirella; Boos, Mechthild; Scheuring, Sybille; Verhoef, Jan; Köhrer, Karl; Von Eiff, Christof

    2000-01-01

    A relationship between resistance to methicillin and resistance to fluoroquinolones, rifampin, and mupirocin has been described for Staphylococcus aureus. Differences in resistance rates may be explainable by a higher spontaneous mutation rate (MR) or a faster development of resistance (DIFF) in methicillin-resistant S. aureus (MRSA). No differences in MR, DIFF, and mutations in grlA and gyrA were detected between methicillin-susceptible S. aureus and MRSA. The higher resistance rates in MRSA are not the result of hypermutability of target genes or a faster emergence of different mutations and may be the consequence of clonal spread of multiresistant MRSA. PMID:11036061

  16. Weak and electromagnetic interactions

    NASA Astrophysics Data System (ADS)

    Salam, Abdus

    One of the recurrent dreams in elementary particle physics is that of a possible fundamental synthesis between electromagnetism and weak interaction. The idea has its origin in the following shared characteristics: 1. Both forces affect equally all forms of matter -leptons as well as hadrons. 2. Both are vector in character. 3. Both (individually) possess universal coupling strengths.

  17. The persistence of Staphylococcus aureus decolonization after mupirocin and topical chlorhexidine: implications for patients requiring multiple or delayed procedures.

    PubMed

    Immerman, Igor; Ramos, Nicholas L; Katz, Gregory M; Hutzler, Lorraine H; Phillips, Michael S; Bosco, Joseph A

    2012-06-01

    Preoperative screening and decolonization of methicillin-sensitive and methicillin-resistant Staphylococcus aureus (MSSA and MRSA, respectively) are advocated to reduce surgical site infections. We determined the rate and duration of decolonization in patients undergoing elective orthopedic surgery. Patients undergoing elective orthopedic surgery were seen in our preoperative testing program (PAT) and had their anterior nares cultured for MRSA and MSSA. All patients were treated with intranasal mupirocin and a topical chlorhexidine solution. A cohort of patients returned to PAT before a subsequent elective procedure and were recultured. All culture results and time between PAT visits were recorded, and the rates of successful initial and persistent decolonization were determined. Six hundred ten patients visited PAT 1290 times. Overall, 94 (70.1%) of 134 patients with initially MRSA- or MSSA-positive cultures remained decolonized at a mean time of 156 days (SD=140), whereas 40 patients (29.9%) were not decolonized by the time of repeat testing at a mean time of 213 days (SD=187). At repeat testing, there were 2 newly MRSA-positive and 35 newly MSSA-positive patients. Staphylococcus aureus decolonization with intranasal mupirocin and topical chlorhexidine was effective but not persistent in a significant proportion of patients. A small number of previously uncolonized patients became colonized. Staphylococcus aureus screening and decolonization protocols must be repeated before any readmission, regardless of prior colonization status. Copyright © 2012 Elsevier Inc. All rights reserved.

  18. Liposomes-in-Hydrogel Delivery System with Mupirocin: In Vitro Antibiofilm Studies and In Vivo Evaluation in Mice Burn Model

    PubMed Central

    Hurler, Julia; Sørensen, Karen K.; Vuorela, Pia; Škalko-Basnet, Nataša

    2013-01-01

    Previously, we have proposed mupirocin-in-liposomes-in-hydrogel delivery system as advanced delivery system with the potential in treatment of burns. In the current studies, we evaluated the system for its cytotoxicity, ability to prevent biofilm formation, act on the mature biofilms, and finally determined its potential as wound treatment in in vivo mice burn model. The system was found to be nontoxic against HaCaT cells, that is, keratinocytes. It was safe for use and exhibited antibiofilm activity against S. aureus biofilms, although the activity was more significant against planktonic bacteria and prior to biofilm formation than against mature biofilms as shown in the resazurin and the crystal violet assays. An in vivo mice burn model was used to evaluate the biological potential of the system and the healing of burns observed over 28 days. The in vivo data suggest that the delivery system enhances wound healing and is equally potent as the marketed product of mupirocin. Histological examination showed no difference in the quality of the healed scar tissue, whereas the healing time for the new delivery system was shorter as compared to the marketed product. Further animal studies and development of more sophisticated in vivo model are needed for complete evaluation. PMID:24369533

  19. The Use of Technology for Estimating Body CompositionStrengths and Weaknesses of Common Modalities in a Clinical Setting [Formula: see text].

    PubMed

    Teigen, Levi M; Kuchnia, Adam J; Mourtzakis, Marina; Earthman, Carrie P

    2017-02-01

    Assessment of body composition, both at single time points and longitudinally, is particularly important in clinical nutrition practice. It provides a means for the clinician to characterize nutrition status at a single time point, aiding in the identification and diagnosis of malnutrition, and to monitor changes over time by providing real-time information on the adequacy of nutrition interventions. Objective body composition measurement tools are available clinically but are often underused in nutrition care, particularly in the United States. This is, in part, due to a number of factors concerning their use in a clinical context: cost and accessibility of equipment, as well as interpretability of the results. This article focuses on the factors influencing interpretation of results in a clinical setting. Body composition assessment, regardless of the method, is inherently limited by its indirect nature. Therefore, an understanding of the strengths and limitations of any method is essential for meaningful interpretation of its results. This review provides an overview of body composition technologies available clinically (computed tomography, dual-energy x-ray absorptiometry, bioimpedance, ultrasound) and discusses the strengths and limitations of each device.

  20. Strengths and weaknesses in the supply of school food resulting from the procurement of family farm produce in a municipality in Brazil.

    PubMed

    Soares, Panmela; Martinelli, Suellen Secchi; Melgarejo, Leonardo; Davó-Blanes, Mari Carmen; Cavalli, Suzi Barletto

    2015-06-01

    The objective of this study was to assess compliance with school food programme recommendations for the procurement of family farm produce. This study consists of an exploratory descriptive study utilising a qualitative approach based on semistructured interviews with key informants in a municipality in the State of Santa Catarina in Brazil. Study participants were managers and staff of the school food programme and department of agriculture, and representatives of a farmers' organisation. The produce delivery and demand fulfilment stages of the procurement process were carried out in accordance with the recommendations. However, nonconformities occurred in the elaboration of the public call for proposals, elaboration of the sales proposal, and fulfilment of produce quality standards. It was observed that having a diverse range of suppliers and the exchange of produce by the cooperative with neighbouring municipalities helped to maintain a regular supply of produce. The elaboration of menus contributed to planning agricultural production. However, agricultural production was not mapped before elaborating the menus in this case study and an agricultural reform settlement was left out of the programme. A number of weaknesses in the programme were identified which need to be overcome in order to promote local family farming and improve the quality of school food in the municipality.

  1. Evaluation of hospital palliative care teams: strengths and weaknesses of the before-after study design and strategies to improve it.

    PubMed

    Simon, S; Higginson, I J

    2009-01-01

    Hospital palliative care teams (HPCTs) are well established as multi-professional services to provide palliative care in an acute hospital setting and are increasing in number. However, there is still limited evaluation of them, in terms of efficacy and effectiveness. The gold standard method of evaluation is a randomised control trial, but because of methodological (e.g., randomisation), ethical and practical difficulties such trials are often not possible. HPCT is a complex intervention, and the specific situation in palliative care makes it challenging to evaluate (e.g., distress and cognitive impairment of patients). The quasi-experimental before-after study design has the advantage of enabling an experimental character without randomisation. But this has other weaknesses and is prone to bias, for example, temporal trends and selection bias. As for every study design, avoidance and minimisation of bias is important to improve validity. Therefore, strategies of selecting an appropriate control group or time series and applying valid outcomes and measurement tools help reducing bias and strengthen the methods. Special attention is needed to plan and define the design and applied method.

  2. Weak bond screening system

    NASA Astrophysics Data System (ADS)

    Chuang, S. Y.; Chang, F. H.; Bell, J. R.

    Consideration is given to the development of a weak bond screening system which is based on the utilization of a high power ultrasonic (HPU) technique. The instrumentation of the prototype bond strength screening system is described, and the adhesively bonded specimens used in the system developmental effort are detailed. Test results obtained from these specimens are presented in terms of bond strength and level of high power ultrasound irradiation. The following observations were made: (1) for Al/Al specimens, 2.6 sec of HPU irradiation will screen weak bond conditions due to improper preparation of bonding surfaces; (2) for composite/composite specimens, 2.0 sec of HPU irradiation will disrupt weak bonds due to under-cured conditions; (3) for Al honeycomb core with composite skin structure, 3.5 sec of HPU irradiation will disrupt weak bonds due to bad adhesive or oils contamination of bonding surfaces; and (4) for Nomex honeycomb with Al skin structure, 1.3 sec of HPU irradiation will disrupt weak bonds due to bad adhesive.

  3. Anticlostridial agent 8-hydroxyquinoline improves the isolation of faecal bifidobacteria on modified Wilkins-Chalgren agar with mupirocin.

    PubMed

    Novakova, J; Vlkova, E; Salmonova, H; Pechar, R; Rada, V; Kokoska, L

    2016-04-01

    The need for suitable selective cultivation media for the isolation of Bifidobacterium spp. continues to be a real concern in the field of intestinal microbiology. Isolation of bifidobacteria from human and animal faecal samples using selective agar plating may be problematic especially in samples with increased clostridial counts than bifidobacterial counts. Due to the absence of anticlostridial agents in existing selective media, clostridia can displace bifidobacteria resulting in incorrect estimation of their counts. Therefore, we supplemented the existing selective medium 'modified Wilkins Chalgren agar with mupirocin' (MWM) with 90 mg l(-1) of 8-hydroxyquinoline (8HQ), which was recently proved to act selectively against clostridia. The newly composed 'modified Wilkins-Chalgren agar with 8HQ' (MWMQ) was tested on pure bifidobacterial and clostridial strains, their mixtures, and using faecal samples of mammalian origin; its selectivity was evaluated by genus-specific identification of isolates. The results demonstrated that the presence of 8HQ in this agar eliminated the growth of nonbifidobacterial strains on MWMQ compared to that on MWM, whereas the recovery of bifidobacterial counts was at satisfactory levels. In conclusion, MWMQ could be recommended for bifidobacterial isolation from human and animal faeces especially when bifidobacteria are not numerically dominant and there are chances of clostridial contamination. Routine isolation of bifidobacteria from mammalian faeces does not use a reliable selective agar with an anticlostridial agent. Overgrowth of clostridia may result in incorrect estimation of bifidobacterial counts. Thus, in order to improve the selectivity of existing media for bifidobacterial isolation, we chose the modified Wilkins-Chalgren agar with mupirocin and supplemented it with 8-hydroxyquinoline (8HQ), a molecule that shows anticlostridial activity without affecting the growth of bifidobacteria. This newly composed medium showed

  4. The reliability and validity of the English and Spanish Strengths and Weaknesses of ADHD and Normal behavior rating scales in a preschool sample: continuum measures of hyperactivity and inattention.

    PubMed

    Lakes, Kimberley D; Swanson, James M; Riggs, Matt

    2012-08-01

    To evaluate the reliability and validity of the English and Spanish versions of the Strengths and Weaknesses of ADHD-symptom and Normal-behavior (SWAN) rating scale. Parents of preschoolers completed both a SWAN and the well-established Strengths and Difficulties Questionnaire (SDQ) on two separate occasions over a span of 3 months; instruments were in the primary language of the family (English or Spanish). Psychometric properties for the English and Spanish versions of the SWAN were adequate, with high internal consistency and moderate test-retest reliability. Skewness and kurtosis statistics for the SWAN were within the range expected for a normally distributed population. The SWAN also demonstrated adequate convergent and discriminant validity in correlations with the various subscales of the SDQ. Psychometric properties of both the English and Spanish versions of the SWAN indicate that it is a reliable and valid instrument for measuring child attention and hyperactivity. The stability of ratings over time in this preschool sample was moderate, which may reflect the relative instability of these characteristics in preschool children.

  5. The Reliability and Validity of the English and Spanish Strengths and Weaknesses of ADHD and Normal Behavior Rating Scales in a Preschool Sample: Continuum Measures of Hyperactivity and Inattention

    PubMed Central

    Lakes, Kimberley D.; Swanson, James M.; Riggs, Matt

    2013-01-01

    Objective To evaluate the reliability and validity of the English and Spanish versions of the Strengths and Weaknesses of ADHD-symptom and Normal-behavior (SWAN) rating scale. Method Parents of preschoolers completed both a SWAN and the well-established Strengths and Difficulties Questionnaire (SDQ) on two separate occasions over a span of 3 months; instruments were in the primary language of the family (English or Spanish). Results Psychometric properties for the English and Spanish versions of the SWAN were adequate, with high internal consistency and moderate test–retest reliability. Skewness and kurtosis statistics for the SWAN were within the range expected for a normally distributed population. The SWAN also demonstrated adequate convergent and discriminant validity in correlations with the various subscales of the SDQ. Conclusion Psychometric properties of both the English and Spanish versions of the SWAN indicate that it is a reliable and valid instrument for measuring child attention and hyperactivity. The stability of ratings over time in this preschool sample was moderate, which may reflect the relative instability of these characteristics in preschool children. PMID:21807955

  6. The interRAI Acute Care instrument incorporated in an eHealth system for standardized and web-based geriatric assessment: strengths, weaknesses, opportunities and threats in the acute hospital setting

    PubMed Central

    2013-01-01

    Background The interRAI Acute Care instrument is a multidimensional geriatric assessment system intended to determine a hospitalized older persons’ medical, psychosocial and functional capacity and needs. Its objective is to develop an overall plan for treatment and long-term follow-up based on a common set of standardized items that can be used in various care settings. A Belgian web-based software system (BelRAI-software) was developed to enable clinicians to interpret the output and to communicate the patients’ data across wards and care organizations. The purpose of the study is to evaluate the (dis)advantages of the implementation of the interRAI Acute Care instrument as a comprehensive geriatric assessment instrument in an acute hospital context. Methods In a cross-sectional multicenter study on four geriatric wards in three acute hospitals, trained clinical staff (nurses, occupational therapists, social workers, and geriatricians) assessed 410 inpatients in routine clinical practice. The BelRAI-system was evaluated by focus groups, observations, and questionnaires. The Strengths, Weaknesses, Opportunities and Threats were mapped (SWOT-analysis) and validated by the participants. Results The primary strengths of the BelRAI-system were a structured overview of the patients’ condition early after admission and the promotion of multidisciplinary assessment. Our study was a first attempt to transfer standardized data between home care organizations, nursing homes and hospitals and a way to centralize medical, allied health professionals and nursing data. With the BelRAI-software, privacy of data is guaranteed. Weaknesses are the time-consuming character of the process and the overlap with other assessment instruments or (electronic) registration forms. There is room for improving the user-friendliness and the efficiency of the software, which needs hospital-specific adaptations. Opportunities are a timely and systematic problem detection and continuity of

  7. The interRAI Acute Care instrument incorporated in an eHealth system for standardized and web-based geriatric assessment: strengths, weaknesses, opportunities and threats in the acute hospital setting.

    PubMed

    Devriendt, Els; Wellens, Nathalie I H; Flamaing, Johan; Declercq, Anja; Moons, Philip; Boonen, Steven; Milisen, Koen

    2013-09-05

    The interRAI Acute Care instrument is a multidimensional geriatric assessment system intended to determine a hospitalized older persons' medical, psychosocial and functional capacity and needs. Its objective is to develop an overall plan for treatment and long-term follow-up based on a common set of standardized items that can be used in various care settings. A Belgian web-based software system (BelRAI-software) was developed to enable clinicians to interpret the output and to communicate the patients' data across wards and care organizations. The purpose of the study is to evaluate the (dis)advantages of the implementation of the interRAI Acute Care instrument as a comprehensive geriatric assessment instrument in an acute hospital context. In a cross-sectional multicenter study on four geriatric wards in three acute hospitals, trained clinical staff (nurses, occupational therapists, social workers, and geriatricians) assessed 410 inpatients in routine clinical practice. The BelRAI-system was evaluated by focus groups, observations, and questionnaires. The Strengths, Weaknesses, Opportunities and Threats were mapped (SWOT-analysis) and validated by the participants. The primary strengths of the BelRAI-system were a structured overview of the patients' condition early after admission and the promotion of multidisciplinary assessment. Our study was a first attempt to transfer standardized data between home care organizations, nursing homes and hospitals and a way to centralize medical, allied health professionals and nursing data. With the BelRAI-software, privacy of data is guaranteed. Weaknesses are the time-consuming character of the process and the overlap with other assessment instruments or (electronic) registration forms. There is room for improving the user-friendliness and the efficiency of the software, which needs hospital-specific adaptations. Opportunities are a timely and systematic problem detection and continuity of care. An actual shortage of

  8. Strengths and Weaknesses: The Impediments of Formalism

    ERIC Educational Resources Information Center

    Rozycki, Edward G.

    2005-01-01

    We tend to overlook the fact that we judge performances in context. That is why people who are generally competent outside the classroom can appear so inept inside it. "Can you read this text?" is not merely a demand to make some sense of it, but often, in school, to identify plot, character, author intent, or at a minimum, to be ready to recast…

  9. The Zirconia Ceramic: Strengths and Weaknesses

    PubMed Central

    Daou, Elie E.

    2014-01-01

    Metal ceramic restorations were considered the gold standard as reliable materials. Increasing demand for esthetics supported the commercialization of new metal free restorations. A growing demand is rising for zirconia prostheses. Peer-reviewed articles published till July 2013 were identified through a Medline (Pubmed and Elsevier). Emphasizing was made on zirconia properties and applications. Zirconia materials are able to withstand posterior physiologic loads. Although zirconia cores are considered as reliable materials, these restorations are not problem free. PMID:24851138

  10. Efficacy of Skin and Nasal Povidone-Iodine Preparation against Mupirocin-Resistant Methicillin-Resistant Staphylococcus aureus and S. aureus within the Anterior Nares

    PubMed Central

    Anderson, Michele J.; David, Maren L.; Scholz, Matt; Bull, Sally J.; Morse, Dan; Hulse-Stevens, Michelle

    2015-01-01

    Mupirocin decolonization of nasal Staphylococcus aureus prior to surgery decreases surgical-site infections; however, treatment requires 5 days, compliance is low, and resistance occurs. In 2010, 3M Company introduced povidone-iodine (PVP-I)-based skin and nasal antiseptic (Skin and Nasal Prep [SNP]). SNP has rapid, broad-spectrum antimicrobial activity. We tested SNP's efficacy using full-thickness tissue (porcine mucosal [PM] and human skin) explant models and human subjects. Prior to or following infection with methicillin-resistant Staphylococcus aureus (MRSA) (mupirocin sensitive and resistant), explants were treated with Betadine ophthalmic preparation (Bet), SNP, or mupirocin (Bactroban nasal ointment [BN]) or left untreated. One hour posttreatment, explants were washed with phosphate-buffered saline (PBS) plus 2% mucin. One, 6, or 12 h later, bacteria were recovered and enumerated. Alternatively, following baseline sampling, human subjects applied two consecutive applications of SNP or saline to their anterior nares. One, 6, and 12 h after application of the preparation (postprep), nasal swabs were obtained, and S. aureus was enumerated. We observed that treatment of infected PM or human skin explants with SNP resulted in >2.0 log10 CFU reduction in MRSA, regardless of mupirocin sensitivity, which was significantly different from the values for BN- and Bet-treated explants and untreated controls 1 h, 6 h, and 12 h after being washed with PBS plus mucin. Swabbing the anterior nares of human subjects with SNP significantly reduced resident S. aureus compared to saline 1, 6, and 12 h postprep. Finally, pretreatment of PM explants with SNP, followed by a mucin rinse prior to infection, completely prevented MRSA infection. We conclude that SNP may be an attractive alternative for reducing the bioburden of anterior nares prior to surgery. PMID:25733504

  11. Efficacy of skin and nasal povidone-iodine preparation against mupirocin-resistant methicillin-resistant Staphylococcus aureus and S. aureus within the anterior nares.

    PubMed

    Anderson, Michele J; David, Maren L; Scholz, Matt; Bull, Sally J; Morse, Dan; Hulse-Stevens, Michelle; Peterson, Marnie L

    2015-05-01

    Mupirocin decolonization of nasal Staphylococcus aureus prior to surgery decreases surgical-site infections; however, treatment requires 5 days, compliance is low, and resistance occurs. In 2010, 3M Company introduced povidone-iodine (PVP-I)-based skin and nasal antiseptic (Skin and Nasal Prep [SNP]). SNP has rapid, broad-spectrum antimicrobial activity. We tested SNP's efficacy using full-thickness tissue (porcine mucosal [PM] and human skin) explant models and human subjects. Prior to or following infection with methicillin-resistant Staphylococcus aureus (MRSA) (mupirocin sensitive and resistant), explants were treated with Betadine ophthalmic preparation (Bet), SNP, or mupirocin (Bactroban nasal ointment [BN]) or left untreated. One hour posttreatment, explants were washed with phosphate-buffered saline (PBS) plus 2% mucin. One, 6, or 12 h later, bacteria were recovered and enumerated. Alternatively, following baseline sampling, human subjects applied two consecutive applications of SNP or saline to their anterior nares. One, 6, and 12 h after application of the preparation (postprep), nasal swabs were obtained, and S. aureus was enumerated. We observed that treatment of infected PM or human skin explants with SNP resulted in >2.0 log10 CFU reduction in MRSA, regardless of mupirocin sensitivity, which was significantly different from the values for BN- and Bet-treated explants and untreated controls 1 h, 6 h, and 12 h after being washed with PBS plus mucin. Swabbing the anterior nares of human subjects with SNP significantly reduced resident S. aureus compared to saline 1, 6, and 12 h postprep. Finally, pretreatment of PM explants with SNP, followed by a mucin rinse prior to infection, completely prevented MRSA infection. We conclude that SNP may be an attractive alternative for reducing the bioburden of anterior nares prior to surgery. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

  12. Double-blind study comparing erythromycin and mupirocin for treatment of impetigo in children: implications of a high prevalence of erythromycin-resistant Staphylococcus aureus strains.

    PubMed Central

    Dagan, R; Bar-David, Y

    1992-01-01

    Staphylococcus aureus has been consistently isolated from a high proportion of impetiginous lesions, and in several recent studies, it was present in the majority of the cases. Since recently a large proportion of S. aureus strains in our community showed erythromycin resistance, we undertook a prospective double-blind controlled study comparing topical mupirocin with oral erythromycin to determine (i) the prevalence of erythromycin-resistant S. aureus strains in impetigo and (ii) whether an increased rate of failure of erythromycin treatment was associated with such resistance. A total of 102 patients 3 to 185 months old (median = 49 months) were enrolled. Culture was positive for 97 of 102 (95%) patients, and S. aureus was present in 93% of the patients for whom cultures were positive. S. aureus was the single pathogen in 64% of these patients. Erythromycin-resistant S. aureus strains were present in 27 of 91 (28%) patients for whom cultures were positive. In all cases but one, S. aureus was resistant to penicillin, and in all cases it was sensitive to mupirocin. A marked difference was observed in favor of mupirocin in the clinical courses of the disease. However, only patients with erythromycin-resistant S. aureus strains had unfavorable courses compared with those treated with mupirocin (failure rate, 47 versus 2%, respectively). Patients with erythromycin-susceptible S. aureus strains who received erythromycin had a failure rate of 8%. In four patients, S. aureus strains initially susceptible to erythromycin became resistant during treatment. We conclude that erythromycin-resistant S. aureus strains are commonly isolated from impetigo in our region.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1605593

  13. Weak Interactions

    DOE R&D Accomplishments Database

    Lee, T. D.

    1957-06-01

    Experimental results on the non-conservation of parity and charge conservation in weak interactions are reviewed. The two-component theory of the neutrino is discussed. Lepton reactions are examined under the assumption of the law of conservation of leptons and that the neutrino is described by a two- component theory. From the results of this examination, the universal Fermi interactions are analyzed. Although reactions involving the neutrino can be described, the same is not true of reactions which do not involve the lepton, as the discussion of the decay of K mesons and hyperons shows. The question of the invariance of time reversal is next examined. (J.S.R.)

  14. [Screening childhood behavior problems using short questionnaires II.: The Hungarian version of the SWAN-scale (Strength and Weakness of ADHD-symptoms and Normal-behavior) for screening attention deficit/hyperactivity disorder].

    PubMed

    Lakatos, Krisztina; Birkás, Emma; Tóth, Ildikó; Gervai, Judit

    2010-01-01

    The SWAN (Strength and Weakness of ADHD-symptoms and Normal-behavior) Questionnaire is a short instrument suitable for screening attention deficit/hyperactivity disorder. Its completion by parents or teachers requires a few minutes. Positive re-wording of attention- and activity-related behaviors and the extended 7- point rating scale anchored to average behavior make the instrument especially suitable for normal populations. Here, we report the Hungarian version of SWAN and compare its scales with relevant scales of the Child Behavior Checklist (CBCL) and the Strengths and Difficulties Questionnaire (SDQ). Questionnaire data were collected from parents of 156 six-year-old children in a community sample. Of the 156 children 89 were participants of the longitudinal Budapest Infant-Parent Study (BIPS). Internal consistency of the Hungarian SWAN scales was excellent (Cronbach alfa: 0.87-0.93), correlations with relevant CBCL and SDQ scales were as expected (0.40-0.49 and 0.67-0.74) showing that the short questionnaire was suitable for detection of attention and hyperactivity problems. SWAN scores in our sample were normally distributed and scale means were also similar to foreign studies. These initial Hungarian data confirm international experience with the SWAN. Psychometric indices, distribution of scale scores in the sample and across the sexes were consistent with foreign studies. Following collection of normative data, the Hungarian version of SWAN might be suitable for assessing mental health of children and adolescents, and for screening problem cases. Due to the wider range and the normal distribution of scores, SWAN provides a more suitable phenotype for genetic studies, than symptom scales.

  15. Muscle Weakness

    PubMed Central

    Al Kaissi, Ali; Ryabykh, Sergey; Ochirova, Polina; Kenis, Vladimir; Hofstätter, Jochen G.; Grill, Franz; Ganger, Rudolf; Kircher, Susanne Gerit

    2017-01-01

    Marked ligamentous hyperlaxity and muscle weakness/wasting associated with awkward gait are the main deficits confused with the diagnosis of myopathy. Seven children (6 boys and 1 girl with an average age of 8 years) were referred to our department because of diverse forms of skeletal abnormalities. No definitive diagnosis was made, and all underwent a series of sophisticated investigations in other institutes in favor of myopathy. We applied our methodology through the clinical and radiographic phenotypes followed by targeted genotypic confirmation. Three children (2 boys and 1 girl) were compatible with the diagnosis of progressive pseudorheumatoid chondrodysplasia. The genetic mutation was correlated with the WISP 3 gene actively expressed by articular chondrocytes and located on chromosome 6. Klinefelter syndrome was the diagnosis in 2 boys. Karyotyping confirmed 47,XXY (aneuploidy of Klinefelter syndrome). And 2 boys were finally diagnosed with Morquio syndrome (MPS type IV A) as both showed missense mutations in the N-acetylgalactosamine-sulfate sulfatase gene. Misdiagnosis can lead to the initiation of a long list of sophisticated investigations. PMID:28210640

  16. Risk factors for central line-associated bloodstream infection in patients with major burns and the efficacy of the topical application of mupirocin at the central venous catheter exit site.

    PubMed

    Tao, Liju; Zhou, Junyi; Gong, Yali; Liu, Wen; Long, Ting; Huang, Xianhui; Luo, Gaoxing; Peng, Yizhi; Wu, Jun

    2015-12-01

    The aim of this study was to evaluate the efficacy of the topical administration of mupirocin and other practices in central venous catheter (CVC) care to prevent central line-associated bloodstream infections (CLABSI) in patients with major burns. Patients with major burns admitted to a burn ICU were divided into four groups and disinfected at the CVC exit site with single povidone iodine (PVP-I) or PVP-I plus topical mupirocin ointment three times a day or once a day, respectively. The bacterial colonization of the skin at the CVC exit site and CVC tips and the incidence of CLABSI were recorded, and the risk factors were analyzed. Administering mupirocin (RR=0.316, p=0.001), increasing the frequency of insertion-site care (RR=0.604, p=0.008), and avoiding cannulation at the burn site (RR=0.148, p<0.001) reduced skin colonization at the CVC insertion site. Topical administration of mupirocin significantly reduces both the bacterial colonization rate at CVC tips (RR=0.316, p=0.001) and the incidence of CLABSI (5.3 vs. 29.1 per 1000 catheter days, p<0.001). Mupirocin is effective in the prophylaxis of CLABSI. Other CVC care practices were also found to affect the level of bacterial colonization, but their efficacy in preventing CLABSI needs to be evaluated further. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  17. Antimicrobial activity of mupirocin, daptomycin, linezolid, quinupristin/dalfopristin and tigecycline against vancomycin-resistant enterococci (VRE) from clinical isolates in Korea (1998 and 2005).

    PubMed

    Lee, Do Kyung; Kim, Yuna; Park, Kun Sup; Yang, Jae Wook; Kim, Kyungjae; Ha, Nam Joo

    2007-11-30

    It is a hot clinical issue whether newly approved antimicrobial agents such as daptomycin, linezolid, quinupristin/dalfopristin (synercid) and tigecycline are active enough to be used for infections caused by vancomycin resistant bacteria. We performed susceptibility tests for mupirocin, which is in widespread clinical use in Korea, and four new antimicrobials, daptomycin, linezolid, quinupristin/dalfopristin and tigecycline, against vancomycin-resistant Enterococcus faecalis and Enterococcus faecium isolated from Korean patients in 1998 and 2005 to evaluate and compare the in vitro activity of these antimicrobials. Among these agents, quinupristin/dalfopristin, which is rarely used in hospitals in Korea, showed relatively high resistance to several vancomycin-resistant enterococci (VRE) isolated in 2005. Likewise, daptomycin, linezolid and tigecycline have not yet been in clinical use in Korea. However, our results showed that most of the 2005 VRE isolates were already resistant to linezolid and daptomycin (highest minimum inhibitory concentration (MIC) value >100 microg/ml). Compared with the other four antimicrobial agents tested in this study, tigecycline generally showed the greatest activity against VRE. However, four strains of 2005 isolates exhibited resistance against tigecycline (MIC >12.5 microg/ml). Almost all VRE were resistant to mupirocin, whereas all E. faecium isolated in 1998 were inhibited at concentrations between 0.8 to approximately 1.6 microg/ml. In conclusion, resistances to these new antimicrobial agents were exhibited in most of VRE strains even though these new antibiotics have been rarely used in Korean hospitals.

  18. Quantum discord with weak measurements

    SciTech Connect

    Singh, Uttam Pati, Arun Kumar

    2014-04-15

    Weak measurements cause small change to quantum states, thereby opening up the possibility of new ways of manipulating and controlling quantum systems. We ask, can weak measurements reveal more quantum correlation in a composite quantum state? We prove that the weak measurement induced quantum discord, called as the “super quantum discord”, is always larger than the quantum discord captured by the strong measurement. Moreover, we prove the monotonicity of the super quantum discord as a function of the measurement strength and in the limit of strong projective measurement the super quantum discord becomes the normal quantum discord. We find that unlike the normal discord, for pure entangled states, the super quantum discord can exceed the quantum entanglement. Our results provide new insights on the nature of quantum correlation and suggest that the notion of quantum correlation is not only observer dependent but also depends on how weakly one perturbs the composite system. We illustrate the key results for pure as well as mixed entangled states. -- Highlights: •Introduced the role of weak measurements in quantifying quantum correlation. •We have introduced the notion of the super quantum discord (SQD). •For pure entangled state, we show that the SQD exceeds the entanglement entropy. •This shows that quantum correlation depends not only on observer but also on measurement strength.

  19. Spin effects in the weak interaction

    SciTech Connect

    Freedman, S.J. Chicago Univ., IL . Dept. of Physics Chicago Univ., IL . Enrico Fermi Inst.)

    1990-01-01

    Modern experiments investigating the beta decay of the neutron and light nuclei are still providing important constraints on the theory of the weak interaction. Beta decay experiments are yielding more precise values for allowed and induced weak coupling constants and putting constraints on possible extensions to the standard electroweak model. Here we emphasize the implications of recent experiments to pin down the strengths of the weak vector and axial vector couplings of the nucleon.

  20. Reduced Costs for Staphylococcus aureus Carriers Treated Prophylactically with Mupirocin and Chlorhexidine in Cardiothoracic and Orthopaedic Surgery

    PubMed Central

    Baak, Diane A.; Kluytmans, Jan A. J. W.; Vos, Margreet C.

    2012-01-01

    Background A multi centre double-blind randomised-controlled trial (M-RCT), carried out in the Netherlands in 2005–2007, showed that hospitalised patients with S. aureus nasal carriage who were treated prophylactically with mupirocin nasal ointment and chlorhexidine gluconate medicated soap (MUP-CHX), had a significantly lower risk of health-care associated S. aureus infections than patients receiving placebo (3.4% vs. 7.7%, RR 0.42, 95% CI 0.23–0.75). The objective of the present study was to determine whether treatment of patients undergoing elective cardiothoracic or orthopaedic surgery with MUP-CHX (screen-and-treat strategy) affected the costs of patient care. Methods We compared hospital costs of patients undergoing cardiothoracic or orthopaedic surgery (n = 415) in one of the participating centres of the M-RCT. Data from the ‘Planning and Control’ department were used to calculate total hospital costs of the patients. Total costs were calculated including nursing days, costs of surgery, costs for laboratory and radiological tests, functional assessments and other costs. Costs for personnel, materials and overhead were also included. Mean costs in the two treatment arms were compared using the t-test for equality of means (two-tailed). Subgroup analysis was performed for cardiothoracic and orthopaedic patients. Results An investigator-blinded analysis revealed that costs of care in the treatment arm (MUP-CHX, n = 210) were on average €1911 lower per patient than costs of care in the placebo arm (n = 205) (€8602 vs. €10513, p = 0.01). Subgroup analysis showed that MUP-CHX treated cardiothoracic patients cost €2841 less (n = 280, €9628 vs €12469, p = 0.006) and orthopaedic patients €955 less than non-treated patients (n = 135, €6097 vs €7052, p = 0.05). Conclusions In conclusion, in patients undergoing cardiothoracic or orthopaedic surgery, screening for S. aureus nasal carriage and treating carriers

  1. Weak values in continuous weak measurements of qubits

    NASA Astrophysics Data System (ADS)

    Qin, Lupei; Liang, Pengfei; Li, Xin-Qi

    2015-07-01

    For continuous weak measurements of qubits, we obtain exact expressions for weak values (WVs) from the postselection restricted average of measurement outputs, by using both the quantum-trajectory equation (QTE) and the quantum Bayesian approach. The former is applicable to short-time weak measurement, while the latter can relax the measurement strength to finite. We find that even in the "very" weak limit the result can be essentially different from the one originally proposed by Aharonov, Albert, and Vaidman (AAV), in the sense that our result incorporates nonperturbative correction which could be important when the AAV WV is large. Within the Bayesian framework, we obtain also elegant expressions for finite measurement strength and find that the amplifier's noise in quantum measurement has no effect on the WVs. In particular, we obtain very useful results for homodyne measurement in a circuit-QED system, which allows for measuring the real and imaginary parts of the AAV WV by simply tuning the phase of the local oscillator. This advantage can be exploited as an efficient state-tomography technique.

  2. Multidrug and mupirocin resistance in environmental methicillin-resistant Staphylococcus aureus (MRSA) collected from the homes of people diagnosed with a community-onset (CO-) MRSA infection.

    PubMed

    Shahbazian, J H; Hahn, P D; Ludwig, S; Ferguson, J; Baron, P; Christ, A; Spicer, K; Tolomeo, P; Torrie, A M; Bilker, W B; Cluzet, V C; Hu, B; Julian, K; Nachamkin, I; Rankin, S C; Morris, D O; Lautenbach, E; Davis, M F

    2017-09-22

    Patients with community-onset methicillin-resistant Staphylococcus aureus (CO-MRSA) infections contribute to MRSA contamination of the home environment, and may be re-exposed to MRSA strains from this reservoir. This study evaluates One Health risk factors that focus on the relationship between humans, animals and the environment for increased prevalence of multiple antimicrobial resistant MRSA in the home environment. During a trial of patients with CO-MRSA infection, MRSA was isolated from the household environment at baseline and three months later, following randomization of patients and household members to mupirocin-based decolonization therapy or education control. Up to two environmental MRSA isolates per visit were tested. MRSA isolates were identified in 68% (65/95) of homes at baseline (n=104 isolates) and 51% (33/65) of homes three months later (n=56 isolates). Rates of MDR were 61% at baseline and 55% at the three-month visit. At baseline, 100% (14/14) of MRSA isolates from rural homes were MDR. While antimicrobial use in humans or pets was associated with an increased risk for the isolation of MDR MRSA from the environment, clindamycin use was not associated risk for isolation of MDR MRSA. Two (5%) of 39 homes that were randomized to mupirocin treatment, but none of the control families, had incident low-level mupirocin resistant MRSA isolated at three months. Among patients recently treated for a CO-MRSA infection, MRSA and MDR MRSA were common contaminants in the home environment. This study contributes to evidence that occupant use of antimicrobial drugs--except clindamycin--is associated with MDR MRSA in the home environmental reservoir.Importance: MRSA is a common bacterial agent implicated in skin and soft tissue infections (SSTIs) in both community and healthcare settings. Patients with CO-MRSA infections contribute to MRSA contamination and may be re-exposed to MRSA strains from these reservoirs. People interact with natural and built

  3. Methicillin-resistant Staphylococcus aureus whole-body decolonization among hospitalized patients with variable site colonization by using mupirocin in combination with octenidine dihydrochloride.

    PubMed

    Rohr, U; Mueller, C; Wilhelm, M; Muhr, G; Gatermann, S

    2003-08-01

    The object of this study was to investigate the efficacy of a methicillin-resistant Staphylococcus aureus (MRSA) multisite carriage decolonization in 32 hospitalized carriers--25 from surgical and seven from medical wards. Twenty-four of the patients had wounds (e.g. chronic ulcers, surgical sites) and 17 were spinal cord injury patients. Decolonization was performed by intranasal application of mupirocin, combined with an octenidine dihydrochloride bodywash over a period of five days. Samples from the nose, forehead, neck, axilla and groin were taken 24-48 h before beginning decolonization (sample point I, N=32) and 24-48 h afterwards (sample point II, N=32). Further samples, were taken seven to nine days after the procedure (sample point III, N=25). Contact sheep blood agar plates (24 cm2) were used to quantify MRSA colonies on forehead and neck. MRSA from other sample sites was determined semi-quantitatively. All patients were proven to be MRSA positive at one or more extranasal site(s); 18.8% did not have nasal carriage. The overall decolonization rate for all sites was 53.1% (sample point II) and 64% (sample point III), respectively. The reduction was significant for every site, showing a rate of 88.5% for nose (II, III) and of 56.3% (II) and 68% (III) for all extranasal sites together. Of 32 patients, a median of 6.5 cfu MRSA/24 cm2 was obtained for the forehead before decolonization and 0.5 cfu MRSA/24 cm2 for the neck. A significant reduction (0 cfu MRSA/24 cm2) from both sites was shown after treatment. Before decolonization procedures, median MRSA levels for the nose, groin and axilla were 55, 6 and 0 cfu/swab. After treatment, MRSA from each of these sites was significantly reduced. We conclude that nasal mupirocin combined with octenidine dihydrochloride whole-body wash is effective in eradicating MRSA from patients with variable site colonization.

  4. Eradication of methicillin-resistant Staphylococcus aureus with an antiseptic soap and nasal mupirocin among colonized patients – an open uncontrolled clinical trial

    PubMed Central

    Kampf, Günter; Kramer, Axel

    2004-01-01

    Background Aim of the study was to determine the clinical efficacy of a new antiseptic liquid soap (Stellisept® scrub), based on the combination of undecylenamidopropyltrimonium methosulphate (4%) and phenoxyethanol (2%), for eradication of MRSA among colonized patients who do not receive antibiotic therapy. Methods Over two years 50 MRSA patients in 6 hospitals were observed. Treatment was defined as the daily application of Stellisept scrub for the antiseptic body and hair wash (at least 60 s) in combination with nasal mupirocin. A treatment cycle was a minimum of 5 days treatment. Screening was carried out at least 48 h after the treatment cycle was finished, with 24 h between each of the requested three or more samplings, which included the nasopharynx, groin, axilla, perineum and other MRSA-positive skin areas. Results Fifteen cases were retrospectively excluded (lack of outcome documentation, concomitant antibiotic therapy, open wounds). All 35 patients had colonization with MRSA before antiseptic treatment on the skin, in the groin (80%), the axilla (25.7%), the perineum (20%) or other skin areas (14.3%). Colonization at more than one skin sites was found in 34.3%. Nasal colonization was found in 21 of 28 patients (75%), 7 patients were without nasal screening prior to the antiseptic treatment. After one treatment cycle MRSA was eradicated in 25 patients (71.4%), after a second cycle the total eradication rate was 91.4%, after a third cycle the rate increased to 94.2%. No patient discontinued the antiseptic treatment due to dermal intolerance of the product. Conclusions Progressive eradication of MRSA carriage was observed with the antiseptic soap and mupirocin. The eradication rate was not biased by concomitant antibiotic treatment, screening during treatment or lack of evidence for colonization in contrast to other studies with other preparations. PMID:15175106

  5. Dynamic of nasal colonization by methicillin-resistant Staphylococcus aureus ST398 and ST1 after mupirocin treatment in a family in close contact with pigs.

    PubMed

    Lozano, Carmen; Aspiroz, Carmen; Lasarte, Juan J; Gómez-Sanz, Elena; Zarazaga, Myriam; Torres, Carmen

    2011-01-01

    Nasal colonization by methicillin-resistant Staphylococcus aureus (MRSA) was evaluated after a mupirocin treatment in a family previously colonized by MRSA sequence type ST398 and ST1, who lived close to a pig farm. Eight nasal samples were swabbed from each of the four family members on different moments after mupirocin treatment. The efficacy of treatment was low in those family members who worked in the farm, and higher in the remaining two family members with sporadic contact with pigs. In addition, nasal and skin swabs from randomly selected pigs of the farm were taken. MRSA were detected in 33% of pigs tested. All MRSA isolates obtained were characterized by Staphylococcal-Cassette-Chromosome mec (SCCmec) determination, Multilocus-Sequence-Typing (MLST), spa- and agr-typing, Pulsed-field-gel-electrophoresis (PFGE), antimicrobial susceptibility, detection of antimicrobial resistance genes, and toxin gene profiling. Spa-types t011, t1255 and t1197 were detected in humans and animals, with indistinguishable PFGE patterns, suggesting animal to human MRSA transmission. Each spa-type was ascribed to a specific pulsotype. Spa-types t127 and t108 were only detected in MRSA isolates obtained from humans, and t012 only in those from animals. MRSA ST1-t127 isolates and some ST398-t011 and ST398-t1197 isolates presented a multiantimicrobial-resistance phenotype. None of them harbored lukF/lukS, tst, eta and etb virulence genes. This study showed that the efficacy of nasal MRSA decolonization in healthy people with very close contact with pigs is especially low. Copyright © 2010 Elsevier Ltd. All rights reserved.

  6. Resistance pattern of mupirocin in methicillin-resistant Staphylococcus aureus in trauma patients and comparison between disc diffusion and E-test for better detection of resistance in low resource countries.

    PubMed

    Rajkumari, Nonika; Mathur, Purva; Bhardwaj, Nidhi; Gupta, Gunjan; Dahiya, Rajrani; Behera, Bijayini; Misra, Mahesh Chandra

    2014-07-01

    Mupirocin is an effective antibiotic for elimination of methicillin-resistant Staphylococcus aureus (MRSA) from nasal colonization and has been used to control outbreaks. Current reports show an increasing trend of resistance to this antibiotic. This study was conducted to analyze the resistance pattern of MRSA to mupirocin among the patients admitted following trauma to an apex trauma care center of India and to compare the efficacy between two methods of antimicrobial sensitivity testing. A total of 150 isolates of MRSA from various clinical samples of trauma patients over a period of 2 years were included in this study. These strains were confirmed for MRSA using VITEK(®) 2 Compact and the Clinical Laboratory Standard Institute disc diffusion methods. The mupirocin susceptibility of the strains was tested by using E-test and 5 μg mupirocin disc in parallel each time, and the results were compared. Clear zones of inhibition were observed in both tests. Though, good correlation was observed between the disc diffusion and E-tests in >98%, E-test showed a tendency to show lower minimum inhibitory concentration (MIC) in the remaining. These finding did not affect the final interpretation or outcomes. Of the total 150 strains, 138 (92%) showed sensitivity with the zone size in the range of 30-45 mm by 5 μg disc; rest (8%) showed sensitivity with the zone in the range of 18-30 mm by 5 μg disc, but 143 (95%) showed MIC ≤ 0.094 μg/ml and 8 (5%) gave MIC ≤ 0.75 μg/ml but ≥0.094 μg/ml by E-test. However, when both tests were compared, 5 (3.3%) showed zone size between 14 and 25 mm with ≤0.75 but >0.25 μg/ml MIC; 7 (5%) falling between 25 and 30 mm zone with MIC of ≤0.25 but >0.094 μg/ml and 138 (92%) showed zone >30 mm with MIC ≤0.094 but >0.064 μg/ml. All the MRSA isolates in our study were sensitive to mupirocin which is an encouraging finding. Though good screening for sensitivity can be done with 5 μg mupirocin disc, E-test provides a much clear

  7. Resistance pattern of mupirocin in methicillin-resistant Staphylococcus aureus in trauma patients and comparison between disc diffusion and E-test for better detection of resistance in low resource countries

    PubMed Central

    Rajkumari, Nonika; Mathur, Purva; Bhardwaj, Nidhi; Gupta, Gunjan; Dahiya, Rajrani; Behera, Bijayini; Misra, Mahesh Chandra

    2014-01-01

    Introduction: Mupirocin is an effective antibiotic for elimination of methicillin-resistant Staphylococcus aureus (MRSA) from nasal colonization and has been used to control outbreaks. Current reports show an increasing trend of resistance to this antibiotic. Objective: This study was conducted to analyze the resistance pattern of MRSA to mupirocin among the patients admitted following trauma to an apex trauma care center of India and to compare the efficacy between two methods of antimicrobial sensitivity testing. Materials and Methods: A total of 150 isolates of MRSA from various clinical samples of trauma patients over a period of 2 years were included in this study. These strains were confirmed for MRSA using VITEK® 2 Compact and the Clinical Laboratory Standard Institute disc diffusion methods. The mupirocin susceptibility of the strains was tested by using E-test and 5 μg mupirocin disc in parallel each time, and the results were compared. Results: Clear zones of inhibition were observed in both tests. Though, good correlation was observed between the disc diffusion and E-tests in >98%, E-test showed a tendency to show lower minimum inhibitory concentration (MIC) in the remaining. These finding did not affect the final interpretation or outcomes. Of the total 150 strains, 138 (92%) showed sensitivity with the zone size in the range of 30-45 mm by 5 μg disc; rest (8%) showed sensitivity with the zone in the range of 18-30 mm by 5 μg disc, but 143 (95%) showed MIC ≤ 0.094 μg/ml and 8 (5%) gave MIC ≤ 0.75 μg/ml but ≥0.094 μg/ml by E-test. However, when both tests were compared, 5 (3.3%) showed zone size between 14 and 25 mm with ≤0.75 but >0.25 μg/ml MIC; 7 (5%) falling between 25 and 30 mm zone with MIC of ≤0.25 but >0.094 μg/ml and 138 (92%) showed zone >30 mm with MIC ≤0.094 but >0.064 μg/ml. Conclusions: All the MRSA isolates in our study were sensitive to mupirocin which is an encouraging finding. Though good screening for sensitivity

  8. Weak neutral current chemistry

    NASA Astrophysics Data System (ADS)

    Mohan, R.

    1996-07-01

    Metal cluster organic complexes, neither atomic nor solid but in analogy to atomic nuclei and to mesoscopic systems, have unusual dynamics and catalytic properties. Organo-metal clusters as quintessence prebiotic enzymes could have originated the homochirality of the molecules from achiral precursors, controlled from the atomic-nucleus, with the initial product itself serving subsequently as chiral auxiliary transferring and amplifying the chirality in the autocatalytic process now. High resolution spectroscopic studies of diatomic molecules beginning now may lead to upper estimates of the interaction strength of weak neutral currents (WNG) with valence electrons of metal clusters and suggest kinetic pathways to dynamic symmetry breaking in the asymmetric synthesis of chiral molecules. An estimate of 10-5 kT (thousand times larger than for radiolysis) for the parity violating energy (PVE) could be sufficient to run an entropy driven spin-catalyzed asymmetric synthesis. Expect then, wherever there are metal clusters in interstellar dust or under the sea chiral molecular production.

  9. Weak neutral current chemistry

    SciTech Connect

    Mohan, R.

    1996-07-01

    Metal cluster organic complexes, neither atomic nor solid but in analogy to atomic nuclei and to mesoscopic systems, have unusual dynamics and catalytic properties. Organo-metal clusters as quintessence prebiotic enzymes could have originated the homochirality of the molecules from achiral precursors, controlled from the atomic-nucleus, with the initial product itself serving subsequently as chiral auxiliary transferring and amplifying the chirality in the autocatalytic process now. High resolution spectroscopic studies of diatomic molecules beginning now may lead to upper estimates of the interaction strength of weak neutral currents (WNG) with valence electrons of metal clusters and suggest kinetic pathways to dynamic symmetry breaking in the asymmetric synthesis of chiral molecules. An estimate of 10{sup {minus}5} kT (thousand times larger than for radiolysis) for the parity violating energy (PVE) could be sufficient to run an entropy driven spin-catalyzed asymmetric synthesis. Expect then, wherever there are metal clusters in interstellar dust or under the sea chiral molecular production. {copyright} {ital 1996 American Institute of Physics.}

  10. Weak scale supersymmetry

    SciTech Connect

    Hall, L.J. California Univ., Berkeley, CA . Dept. of Physics)

    1990-11-12

    An introduction to the ideas and current state of weak scale supersymmetry is given. It is shown that LEP data on Z decays has already excluded two of the most elegant models of weak scale supersymmetry. 14 refs.

  11. Postselected weak measurement beyond the weak value

    SciTech Connect

    Geszti, Tamas

    2010-04-15

    Closed expressions are derived for the quantum measurement statistics of pre- and postselected Gaussian particle beams. The weakness of the preselection step is shown to compete with the nonorthogonality of postselection in a transparent way. The approach is shown to be useful in analyzing postselection-based signal amplification, allowing measurements to be extended far beyond the range of validity of the well-known Aharonov-Albert-Vaidman limit. Additionally, the present treatment connects postselected weak measurement to the topic of phase-contrast microscopy.

  12. Quantum correlation cost of the weak measurement

    SciTech Connect

    Zhang, Jun; Wu, Shao-xiong; Yu, Chang-shui

    2014-12-15

    Quantum correlation cost (QCC) characterizing how much quantum correlation is used in a weak-measurement process is presented based on the trace norm. It is shown that the QCC is related to the trace-norm-based quantum discord (TQD) by only a factor that is determined by the strength of the weak measurement, so it only catches partial quantumness of a quantum system compared with the TQD. We also find that the residual quantumness can be ‘extracted’ not only by the further von Neumann measurement, but also by a sequence of infinitesimal weak measurements. As an example, we demonstrate our outcomes by the Bell-diagonal state.

  13. Alternating Mupirocin/Gentamicin is Associated with Increased Risk of Fungal Peritonitis as Compared with Gentamicin Alone - Results of a Randomized Open-Label Controlled Trial.

    PubMed

    Wong, Ping-Nam; Tong, Gensy M W; Wong, Yuk-Yi; Lo, Kin-Yee; Chan, Shuk-Fan; Lo, Man-Wai; Lo, Kwok-Chi; Ho, Lo-Yi; Tse, Cindy W S; Mak, Siu-Ka; Wong, Andrew K M

    2016-01-01

    ♦ Catheter-related infection, namely exit-site infection (ESI) and peritonitis, is a major infectious complication and remains a main cause of technique failure for patients receiving peritoneal dialysis (PD). Topical application of antibiotic cream might reduce catheter-related infection but emergence of resistant or opportunistic organisms could be a concern. Optimal topical agents and regimens remain to be determined. We did a study to examine the effect of an alternating topical antibiotic regimen in preventing catheter-related infection. ♦ We performed a single-center, randomized, open-label study to compare daily topical application of gentamicin cream with a gentamicin/mupirocin alternate regimen to the exit site. Patients randomized to alternating regimen were asked to have daily application of gentamicin cream in odd months and mupirocin cream in even months. Primary outcomes were ESI and peritonitis. Secondary outcomes were catheter removal or death caused by catheter-related infection. A total of 146 patients (71, gentamicin group; 75, alternating regimen group) were enrolled with a total follow-up duration of 174 and 181 patient-years for gentamicin and alternating groups, respectively. All patients were followed up until catheter removal, death, transfer to another unit, transplantation or the end of the study on March 31, 2014. There were no significant differences in the age, sex, dialysis vintage, and rate of diabetes, helper-assisted dialysis and methicillin-resistant Staphylococcus aureus (MRSA) carriage state. ♦ No difference was seen in the time to first ESI or peritonitis. However, the time to first gram-negative peritonitis seemed longer for the gentamicin group (p = 0.055). The 2 groups showed a similar rate of ESI (0.17/yr vs 0.19/yr, p = 0.93) but P. aeruginosa ESI was less common in the gentamicin group (0.06/yr vs 0.11/yr, p < 0.001). There was no difference in the incidence of ESI due to non-tuberculous mycobacteria. Peritonitis

  14. Aperiodic Weak Topological Superconductors.

    PubMed

    Fulga, I C; Pikulin, D I; Loring, T A

    2016-06-24

    Weak topological phases are usually described in terms of protection by the lattice translation symmetry. Their characterization explicitly relies on periodicity since weak invariants are expressed in terms of the momentum-space torus. We prove the compatibility of weak topological superconductors with aperiodic systems, such as quasicrystals. We go beyond usual descriptions of weak topological phases and introduce a novel, real-space formulation of the weak invariant, based on the Clifford pseudospectrum. A nontrivial value of this index implies a nontrivial bulk phase, which is robust against disorder and hosts localized zero-energy modes at the edge. Our recipe for determining the weak invariant is directly applicable to any finite-sized system, including disordered lattice models. This direct method enables a quantitative analysis of the level of disorder the topological protection can withstand.

  15. Experimental noiseless linear amplification using weak measurements

    NASA Astrophysics Data System (ADS)

    Ho, Joseph; Boston, Allen; Palsson, Matthew; Pryde, Geoff

    2016-09-01

    The viability of quantum communication schemes rely on sending quantum states of light over long distances. However, transmission loss can degrade the signal strength, adding noise. Heralded noiseless amplification of a quantum signal can provide a solution by enabling longer direct transmission distances and by enabling entanglement distillation. The central idea of heralded noiseless amplification—a conditional modification of the probability distribution over photon number of an optical quantum state—is suggestive of a parallel with weak measurement: in a weak measurement, learning partial information about an observable leads to a conditional back-action of a commensurate size. Here we experimentally investigate the application of weak, or variable-strength, measurements to the task of heralded amplification, by using a quantum logic gate to weakly couple a small single-optical-mode quantum state (the signal) to an ancilla photon (the meter). The weak measurement is carried out by choosing the measurement basis of the meter photon and, by conditioning on the meter outcomes, the signal is amplified. We characterise the gain of the amplifier as a function of the measurement strength, and use interferometric methods to show that the operation preserves the coherence of the signal.

  16. Robust Weak Measurements

    NASA Astrophysics Data System (ADS)

    Tollaksen, Jeff; Aharonov, Yakir

    2006-03-01

    We introduce a new type of weak measurement which yields a quantum average of weak values that is robust, outside the range of eigenvalues, extends the valid regime for weak measurements, and for which the probability of obtaining the pre- and post-selected ensemble is not exponentially rare. This result extends the applicability of weak values, shifts the statistical interpretation previously attributed to weak values and suggests that the weak value is a property of every pre- and post-selected ensemble. We then apply this new weak measurement to Hardy's paradox. Usually the paradox is dismissed on grounds of counterfactuality, i.e., because the paradoxical effects appear only when one considers results of experiments which do not actually take place. We suggest a new set of measurements in connection with Hardy's scheme, and show that when they are actually performed, they yield strange and surprising outcomes. More generally, we claim that counterfactual paradoxes point to a deeper structure inherent to quantum mechanics characterized by weak values (Aharonov Y, Botero A, Popescu S, Reznik B, Tollaksen J, Physics Letters A, 301 (3-4): 130-138, 2002).

  17. Weakly Hamiltonian actions

    NASA Astrophysics Data System (ADS)

    Martínez Torres, David; Miranda, Eva

    2017-05-01

    In this paper we generalize constructions of non-commutative integrable systems to the context of weakly Hamiltonian actions on Poisson manifolds. In particular we prove that abelian weakly Hamiltonian actions on symplectic manifolds split into Hamiltonian and non-Hamiltonian factors, and explore generalizations in the Poisson setting.

  18. Development of a selective culture medium for bifidobacteria, Raffinose-Propionate Lithium Mupirocin (RP-MUP) and assessment of its usage with Petrifilm™ Aerobic Count plates.

    PubMed

    Miranda, Rodrigo Otávio; de Carvalho, Antonio Fernandes; Nero, Luís Augusto

    2014-05-01

    This study aimed to develop a selective culture media to enumerate bifidobacteria in fermented milk and to assess this medium when used with Petrifilm™ AC plates. For this purpose, Bifidobacterium spp., Lactobacillus spp. and Streptococcus thermophilus strains were tested to verify their fermentation patterns for different carbohydrates. All bifidobacteria strains were able to use raffinose. Based on these characteristic, a selective culture medium was proposed (Raffinose-Propionate Lithium Mupirocin, RP-MUP), used with Petrifilm™ AC plates, and was used to enumerate bifidobacteria in fermented milk. RP-MUP performance was assessed by comparing the results with this medium to reference protocols and culture media for bifidobacteria enumeration. RP-MUP, whether used or not with Petrifilm™ AC, presented similar performance to TOS-MUP (ISO 29981), with no significant differences between the mean bifidobacteria counts (p < 0.05) and with high correlation indices (r = 0.99, p < 0.05). As an advantage, reliable results were obtained after just 48 h of incubation when RP-MUP was used with Petrifilm™ AC, instead of the 72 h described in the ISO 29981 protocol. Copyright © 2013 Elsevier Ltd. All rights reserved.

  19. Frequency of biocide-resistant genes and susceptibility to chlorhexidine in high-level mupirocin-resistant, methicillin-resistant Staphylococcus aureus (MuH MRSA).

    PubMed

    Liu, Qingzhong; Zhao, Huanqiang; Han, Lizhong; Shu, Wen; Wu, Qiong; Ni, Yuxing

    2015-08-01

    The aim of this study was to determine the prevalence of biocide-resistant determinants and the susceptibility to chlorhexidine in high-level mupirocin-resistant, methicillin-resistant Staphylococcus aureus (MuH MRSA). Fifty-three MuH MRSA isolates were analyzed for plasmid-borne genes (qacA/B, smr, qacG, qacH, and qacJ) by polymerase chain reaction (PCR); for chromosome-mediated genes (norA, norB, norC, mepA, mdeA, sepA, and sdrM) by PCR and quantitative reverse transcription-PCR (qRT-PCR); and for susceptibility to chlorhexidine by MIC and minimum bactericidal concentration (MBC). Furthermore, disinfectant efficacy was tested in the presence of 3.0% bovine serum albumin (BSA) in MBC detection. The plasmid-borne genes qacA/B (83.0%) and smr (77.4%) and overexpressions of chromosome-mediated genes norA (49.0%) and norB (28.8%) were predominantly found in isolates studied, and 90.6% of the isolates revealed tolerance to chlorhexidine. In the presence of BSA, the average MBC of chlorhexidine for these isolates rose to 256 μg/mL. Altogether, our results suggest that surveillance of sensitivity to biocides among MuH MRSA isolates is essential for hospital infection control.

  20. Idiopathic isolated orbicularis weakness

    PubMed Central

    MacVie, O P; Majid, M A; Husssin, H M; Ung, T; Manners, R M; Ormerod, I; Pawade, J; Harrad, R A

    2012-01-01

    Purpose Orbicularis weakness is commonly associated with seventh nerve palsy or neuromuscular and myopathic conditions such as myotonic dystrophy and myasethenia gravis. We report four cases of idiopathic isolated orbicularis weakness. Methods All four cases were female and the presenting symptoms of ocular irritation and epiphora had been present for over 7 years in three patients. All patients had lagophthalmos and three had ectropion. Three patients underwent full investigations which excluded known causes of orbicularis weakness. Two patients underwent oribularis oculi muscle biopsy and histological confirmation of orbicularis atrophy. Results All patients underwent surgery to specifically address the orbicularis weakness with satisfactory outcomes and alleviation of symptoms in all cases. Isolated orbicularis weakness may be a relatively common entity that is frequently overlooked. Conclusion Early recognition of this condition may lead to better management and prevent patients undergoing unnecessary surgical procedures. PMID:22322997

  1. Hanle effect driven by weak localization.

    PubMed

    Lyubinskiy, I S; Kachorovskii, V Yu

    2005-02-25

    The influence of weak localization on the Hanle effect in a two-dimensional system with a spin-split spectrum is considered. We show that weak localization drastically changes the dependence of a stationary spin polarization S on an external magnetic field B. In particular, the nonanalytic dependence of S on B is predicted for III-V-based quantum wells grown in the [110] direction and for the [100]-grown quantum wells having equal strengths of Dresselhaus and Bychkov-Rashba spin-orbit coupling. It is shown that in a weakly localized regime the components of S are discontinuous at B = 0. At low B, the magnetic field-induced rotation of the stationary polarization is determined by quantum interference effects. This implies that the Hanle effect in such systems is totally driven by weak localization.

  2. History of Weak Interactions

    DOE R&D Accomplishments Database

    Lee, T. D.

    1970-07-01

    While the phenomenon of beta-decay was discovered near the end of the last century, the notion that the weak interaction forms a separate field of physical forces evolved rather gradually. This became clear only after the experimental discoveries of other weak reactions such as muon-decay, muon-capture, etc., and the theoretical observation that all these reactions can be described by approximately the same coupling constant, thus giving rise to the notion of a universal weak interaction. Only then did one slowly recognize that the weak interaction force forms an independent field, perhaps on the same footing as the gravitational force, the electromagnetic force, and the strong nuclear and sub-nuclear forces.

  3. Electromagnetic and Weak Interactions

    NASA Astrophysics Data System (ADS)

    Salam, A.; Ward, J. C.

    One of the recurrent dreams in elementary particles physics is that of a possible fundamental synthesis between electro-magnetism and weak interactions [1]. The idea has its origin in the following shared characteristics…

  4. Nuclear Weak Rates and Detailed Balance in Stellar Conditions

    NASA Astrophysics Data System (ADS)

    Misch, G. Wendell

    2017-07-01

    Detailed balance is often invoked in discussions of nuclear weak transitions in astrophysical environments. Satisfaction of detailed balance is rightly touted as a virtue of some methods of computing nuclear transition strengths, but I argue that it need not necessarily be strictly obeyed in astrophysical environments, especially when the environment is far from weak equilibrium. I present the results of shell model calculations of nuclear weak strengths in both charged-current and neutral-current channels at astrophysical temperatures, finding some violation of detailed balance. I show that a slight modification of the technique to strictly obey detailed balance has little effect on the reaction rates associated with these strengths under most conditions, though at high temperature the modified technique in fact misses some important strength. I comment on the relationship between detailed balance and weak equilibrium in astrophysical conditions.

  5. Strong Plate, Weak Slab Dichotomy

    NASA Astrophysics Data System (ADS)

    Petersen, R. I.; Stegman, D. R.; Tackley, P.

    2015-12-01

    Models of mantle convection on Earth produce styles of convection that are not observed on Earth.Moreover non-Earth-like modes, such as two-sided downwellings, are the de facto mode of convection in such models.To recreate Earth style subduction, i.e. one-sided asymmetric recycling of the lithosphere, proper treatment of the plates and plate interface are required. Previous work has identified several model features that promote subduction. A free surface or pseudo-free surface and a layer of material with a relatively low strength material (weak crust) allow downgoing plates to bend and slide past overriding without creating undue stress at the plate interface. (Crameri, et al. 2012, GRL)A low viscosity mantle wedge, possibly a result of slab dehydration, decouples the plates in the system. (Gerya et al. 2007, Geo)Plates must be composed of material which, in the case of the overriding plate, are is strong enough to resist bending stresses imposed by the subducting plate and yet, as in the case of the subducting plate, be weak enough to bend and subduct when pulled by the already subducted slab. (Petersen et al. 2015, PEPI) Though strong surface plates are required for subduction such plates may present a problem when they encounter the lower mantle.As the subducting slab approaches the higher viscosity, lower mantle stresses are imposed on the tip.Strong slabs transmit this stress to the surface.There the stress field at the plate interface is modified and potentially modifies the style of convection. In addition to modifying the stress at the plate interface, the strength of the slab affects the morphology of the slab at the base of the upper mantle. (Stegman, et al 2010, Tectonophysics)Slabs that maintain a sufficient portion of their strength after being bent require high stresses to unbend or otherwise change their shape.On the other hand slabs that are weakened though the bending process are more amenable to changes in morphology. We present the results of

  6. Demystifying Weak Measurements

    NASA Astrophysics Data System (ADS)

    Kastner, R. E.

    2017-05-01

    A large literature has grown up around the proposed use of `weak measurements' (i.e., unsharp measurements followed by post-selection) to allegedly provide information about hidden ontological features of quantum systems. This paper attempts to clarify the fact that `weak measurements' involve strong (projective) measurements on one (pointer) member of an entangled system. The only thing `weak' about such measurements is that the correlation established via the entanglement does not correspond to eigenstates of the `weakly measured observable' for the remaining component system(s) subject to the weak measurement. All observed statistics are straightforwardly and easily predicted by standard quantum mechanics. Specifically, it is noted that measurement of the pointer steers the remaining degree(s) of freedom into new states with new statistical properties—constituting a non-trivial (even if generally small) disturbance. In addition, standard quantum mechanics readily allows us to conditionalize on a final state if we choose, so the `post-selection' that features prominently in time-symmetric formulations is also equipment from standard quantum theory. Assertions in the literature that weak measurements leave a system negligibly disturbed, and/or that standard quantum theory is cumbersome for computing the predicted measurement results, are therefore unsupportable, and ontological claims based on such assertions need to be critically reassessed.

  7. Dark-matter particles without weak-scale masses or weak interactions.

    PubMed

    Feng, Jonathan L; Kumar, Jason

    2008-12-05

    We propose that dark matter is composed of particles that naturally have the correct thermal relic density, but have neither weak-scale masses nor weak interactions. These models emerge naturally from gauge-mediated supersymmetry breaking, where they elegantly solve the dark-matter problem. The framework accommodates single or multiple component dark matter, dark-matter masses from 10 MeV to 10 TeV, and interaction strengths from gravitational to strong. These candidates enhance many direct and indirect signals relative to weakly interacting massive particles and have qualitatively new implications for dark-matter searches and cosmological implications for colliders.

  8. Coupling-deformed pointer observables and weak values

    NASA Astrophysics Data System (ADS)

    Zhang, Yu-Xiang; Wu, Shengjun; Chen, Zeng-Bing

    2016-03-01

    While the novel applications of weak values have recently attracted wide attention, weak measurement, the usual way to extract weak values, suffers from risky approximations and severe quantum noises. In this paper, we show that the weak-value information can be obtained exactly in strong measurement with postselections, via measuring the coupling-deformed pointer observables, i.e., the observables selected according to the coupling strength. With this approach, we keep all the advantages claimed by weak-measurement schemes and at the same time solve some widely criticized problems thereof, such as the questionable universality, systematical bias, and drastic inefficiency.

  9. Quantum-memory-assisted entropic uncertainty relations under weak measurements

    NASA Astrophysics Data System (ADS)

    Li, Lei; Wang, Qing-Wen; Shen, Shu-Qian; Li, Ming

    2017-08-01

    We investigate quantum-memory-assisted entropic uncertainty relations (EURs) based on weak measurements. It is shown that the lower bound of EUR revealed by weak measurements is always larger than that revealed by the corresponding projective measurements. A series of lower bounds of EUR under both weak measurements and projective measurements are presented. Interestingly, the quantum-memory-assisted EUR based on weak measurements is a monotonically decreasing function of the strength parameter. Furthermore, some information-theoretic inequalities associated with weak measurements are also derived.

  10. Apple Strength Issues

    SciTech Connect

    Syn, C

    2009-12-22

    Strength of the apple parts has been noticed to decrease, especially those installed by the new induction heating system since the LEP campaign started. Fig. 1 shows the ultimate tensile strength (UTS), yield strength (YS), and elongation of the installed or installation-simulated apples on various systems. One can clearly see the mean values of UTS and YS of the post-LEP parts decreased by about 8 ksi and 6 ksi respectively from those of the pre-LEP parts. The slight increase in elongation seen in Fig.1 can be understood from the weak inverse relationship between the strength and elongation in metals. Fig.2 shows the weak correlation between the YS and elongation of the parts listed in Fig. 1. Strength data listed in Figure 1 were re-plotted as histograms in Figs. 3 and 4. Figs. 3a and 4a show histograms of all UTS and YS data. Figs. 3b and 4b shows histograms of pre-LEP data and Figs. 3c and 4c of post-LEP data. Data on statistical scatter of tensile strengths have been rarely published by material suppliers. Instead, only the minimum 'guaranteed' strength data are typically presented. An example of strength distribution of aluminum 7075-T6 sheet material, listed in Fig. 5, show that its scatter width of both UTS and YS for a single sheet can be about 6 ksi and for multi-lot scatter can be as large as 11 ksi even though the sheets have been produced through well-controlled manufacturing process. By approximating the histograms shown in Figs. 3 and 4 by a Gaussian or similar type of distribution curves, one can plausibly see the strength reductions in the later or more recent apples. The pre-LEP data in Figs. 3b and 4b show wider scatter than the post-LEP data in Figs. 3c and 4c and seem to follow the binomial distribution of strength indicating that the apples might have been made from two different lots of material, either from two different vendors or from two different melts of perhaps slightly different chemical composition by a single vendor. The post

  11. Networked Learning a Relational Approach: Weak and Strong Ties

    ERIC Educational Resources Information Center

    Jones, C. R.; Ferreday, D.; Hodgson, V.

    2008-01-01

    In this paper, we explore the idea of weak ties in networked learning. We go back to the original conception of the strength of weak ties and relate this to Bakhtin and a dialogic understanding of networked learning. These theoretical ideas are applied to the examination of two networked settings in which educational leaders exchange ideas and…

  12. Weak mutually unbiased bases

    NASA Astrophysics Data System (ADS)

    Shalaby, M.; Vourdas, A.

    2012-02-01

    Quantum systems with variables in { Z}(d) are considered. The properties of lines in the { Z}(d)\\times { Z}(d) phase space of these systems are studied. Weak mutually unbiased bases in these systems are defined as bases for which the overlap of any two vectors in two different bases is equal to d-1/2 or alternatively to one of the d-1/2i, 0 (where di is a divisor of d apart from d, 1). They are designed for the geometry of the { Z}(d)\\times { Z}(d) phase space, in the sense that there is a duality between the weak mutually unbiased bases and the maximal lines through the origin. In the special case of prime d, there are no divisors of d apart from 1, d and the weak mutually unbiased bases are mutually unbiased bases.

  13. Weak lensing and cosmology

    NASA Astrophysics Data System (ADS)

    Lombardi, Marco; Bertin, Giuseppe

    1999-02-01

    Recently, it has been shown that it is possible to reconstruct the projected mass distribution of a cluster from weak lensing provided that both the geometry of the universe and the probability distribution of galaxy redshifts are known; actually, when additional photometric data are taken to be available, the galaxy redshift distribution could be determined jointly with the cluster mass from the weak lensing analysis. In this paper we develop, in the spirit of a ``thought experiment,'' a method to constrain the geometry of the universe from weak lensing, provided that the redshifts of the source galaxies are measured. The quantitative limits and merits of the method are discussed analytically and with a set of simulations, in relation to point estimation, interval estimation, and test of hypotheses for homogeneous Friedmann-Lema\\^\\i tre models. The constraints turn out to be significant when a few thousand source galaxies are used.

  14. Current methods of gene prediction, their strengths and weaknesses.

    PubMed

    Mathé, Catherine; Sagot, Marie-France; Schiex, Thomas; Rouzé, Pierre

    2002-10-01

    While the genomes of many organisms have been sequenced over the last few years, transforming such raw sequence data into knowledge remains a hard task. A great number of prediction programs have been developed that try to address one part of this problem, which consists of locating the genes along a genome. This paper reviews the existing approaches to predicting genes in eukaryotic genomes and underlines their intrinsic advantages and limitations. The main mathematical models and computational algorithms adopted are also briefly described and the resulting software classified according to both the method and the type of evidence used. Finally, the several difficulties and pitfalls encountered by the programs are detailed, showing that improvements are needed and that new directions must be considered.

  15. Cognitive Strengths and Weaknesses Associated with Prader-Willi Syndrome.

    ERIC Educational Resources Information Center

    Conners, Frances A.; Rosenquist, Celia J.; Atwell, Julie A.; Klinger, Laura Grofer

    2000-01-01

    Nine adults with Prader-Willi syndrome (PWS) and nine age- and IQ-matched adults with PWS completed standardized tests of long-term and short-term memory, visual and auditory processing, and reading and mathematics achievement. Contrary to previous findings, long-term memory in PWS subjects was strong relative to IQ and there was no evidence that…

  16. Nonexperimental Research: Strengths, Weaknesses and Issues of Precision

    ERIC Educational Resources Information Center

    Reio, Thomas G., Jr.

    2016-01-01

    Purpose: Nonexperimental research, defined as any kind of quantitative or qualitative research that is not an experiment, is the predominate kind of research design used in the social sciences. How to unambiguously and correctly present the results of nonexperimental research, however, remains decidedly unclear and possibly detrimental to applied…

  17. Metformin in patients with chronic kidney disease: strengths and weaknesses.

    PubMed

    Rocha, Ana; Almeida, Marta; Santos, Josefina; Carvalho, André

    2013-01-01

    A wide array of benefits has been attributed to metformin. These include attenuation of abnormal glucose metabolism (diabetes treatment and prevention), weight neutrality or weight loss, improvement in the pathophysiologic components of metabolic syndrome (insulin resistance, subclinical inflammation, and endothelial dysfunction), lipid-lowering properties, cardiovascular protection, and antineoplastic potential. Metformin itself is not a nephrotoxic drug. Initially appointed as the safest hypoglycemic agent in chronic kidney disease, its use has been limited in these patients because of the perceived risk of lactic acidosis. A fear perpetuated by numerous case reports in which it is implicated. Current guidelines stipulate that it must be used with caution in estimated glomerular filtration rates (eGFRs) of less than 60 mL/minute and not at all in eGFRs of less than 30 mL/minute. Identified risk factors for metformin-associated lactic acidosis include acute kidney injury, hypoxemia, sepsis, alcohol abuse, liver failure, myocardial infarction, and shock. Treatment may include supportive care and dialysis techniques. On the other hand, it is likely that the use of metformin would be beneficial in many with chronic kidney disease according to the advantages associated with attenuation of metabolic syndrome and cardiovascular protection. The reality of severe metformin-induced lactic acidosis in the absence of chronic renal impairment raises the question of limitation of its use in these patients.

  18. Sleep maintenance insomnia: strengths and weaknesses of current pharmacologic therapies.

    PubMed

    Rosenberg, Russell P

    2006-01-01

    Although insomnia is highly prevalent, sleep disturbances often go unrecognized and untreated. When insomnia is recognized, considerable emphasis has been placed on improving sleep onset; however, there is growing evidence that improving sleep maintenance is an equally important treatment goal. A MEDLINE literature search was performed using the search parameters "insomnia," "zolpidem," "zaleplon," "flurazepam," "estazolam," "quazepam," "triazolam," and "temazepam," as these agents are FDA-approved for the treatment of insomnia. Per reviewer comments, the search criteria was later expanded to include lorazepam. A literature search using the terms "trazodone" and "insomnia" was also performed, as this is the second-most commonly prescribed agent for treating insomnia. Sleep efficacy endpoints from randomized, placebo-controlled clinical trials in adult populations and key review articles published between 1975 and 2004 were included in this review. As only one randomized placebo-controlled trial evaluated trazodone use in primary insomnia, the trazodone search was expanded to include all clinical trials that evaluated trazodone use in insomnia. Relevant texts and other articles that evaluated side effect profiles of these agents were also included, one of which was published in January of 2005. In all publications, impact of treatment on sleep maintenance parameters (wake time after sleep onset, number of awakenings) and measures of next-day functioning were evaluated, in addition to sleep onset parameters (sleep latency, time to sleep onset/induction) and sleep duration data (total sleep time). Many of the currently available agents used to treat insomnia, including the antidepressant trazodone, the non-benzodiazepine hypnotics zolpidem and zaleplon, and some of the benzodiazepines, have not consistently demonstrated effectiveness in promoting sleep maintenance. Furthermore, the benzodiazepines with established sleep maintenance efficacy are associated with next-day sedation, the risk of tolerance and dependence, or both. New agents that offer relief of sleep maintenance insomnia without residual next day impairment while improving next day function are needed. Several compounds currently under development may offer clinicians a more effective and safer treatment for this common disorder.

  19. Strengths and weaknesses of common sustainability indices for multidimensional systems.

    PubMed

    Mayer, Audrey L

    2008-02-01

    Sustainability is rapidly moving from an abstract concept to a measurable state of dynamic human-ecological systems. The large number of economic, social, and environmental indicators currently available provides an unwieldy view of system sustainability. To aid policy decisions, these indicators are therefore either presented in the context of a conceptual framework, or quantitatively aggregated into indices. Due to the quantitative nature of sustainability indices, their results may be given more weight by scientists and policy-makers. However, policy decisions can be ineffective or even counterproductive if they do not consider factors which influence index behavior: the scale of the available data and choice of system boundaries; the inclusion, transformation, and weighting of indicator data; and the aggregation method used. As previous reviews have demonstrated, sustainability indices do not rank countries consistently, even when using some of the same indicator data. Several improvements would increase the utility of sustainability indices for policy decisions, particularly the identification of biases introduced by the index methodology and data inclusion. The discrepancy of current sustainability indices due to theoretical or methodological differences supports the use of several complementary indices.

  20. [Strengths and weaknesses of home management of diarrhea].

    PubMed

    Gamboa-Salcedo, Tamara; Gutiérrez-Camacho, Claudia; Mota-Hernández, Felipe

    2006-01-01

    The aim of the study was to analyze mothers home practices among children with acute diarrhea. A cross sectional study was carried out in a group of 260 mothers of children with diarrhea. Mothers were requested to answer the "verbal biopsy" questionnaire to assess their practices concerning effective diarrhea management at home according to the World Health Organization and corresponding to the Norma Oficial Mexicana recommendations. Descriptive statistics and Chi square for differences were used. Two groups of mothers' were identified: those who had consulted a physician before attending the hospital (n = 191), and those who came to the hospital as their first choice (n = 69). The first group used antibiotics, antiemetics, breast-feeding and Oral Hydration Therapy more frequently than the second group (p < 0.05). The "verbal biopsy " instrument was useful to assess home management of children with diarrhea. This questionnaire was also useful to detect medical malpractice (unjustified prescription of antibiotics and antiemetics) as well as to identify best practices (continued breast feeding and oral hydration).

  1. Mathematical Strengths and Weaknesses of Preservice Agricultural Education Teachers

    ERIC Educational Resources Information Center

    Stripling, Christopher T.; Roberts, T. Grady; Stephens, Carrie A.

    2014-01-01

    The purpose of this study was to describe the mathematics ability of preservice agricultural education teachers related to each of the National Council of Teachers of Mathematics (NCTM) content/process areas and their corresponding sub-standards that are cross-referenced with the National Agriculture, Food and Natural Resources Career Cluster…

  2. The Strengths and Weaknesses of ISO 9000 in Vocational Education

    ERIC Educational Resources Information Center

    Bevans-Gonzales, Theresa L.; Nair, Ajay T.

    2004-01-01

    ISO 9000 is a set of quality standards that assists an organization to identify, correct and prevent errors, and to promote continual improvement. Educational institutions worldwide are implementing ISO 9000 as they face increasing external pressure to maintain accountability for funding. Similar to other countries, in the United States vocational…

  3. Nonexperimental Research: Strengths, Weaknesses and Issues of Precision

    ERIC Educational Resources Information Center

    Reio, Thomas G., Jr.

    2016-01-01

    Purpose: Nonexperimental research, defined as any kind of quantitative or qualitative research that is not an experiment, is the predominate kind of research design used in the social sciences. How to unambiguously and correctly present the results of nonexperimental research, however, remains decidedly unclear and possibly detrimental to applied…

  4. The Strengths and Weaknesses of ISO 9000 in Vocational Education

    ERIC Educational Resources Information Center

    Bevans-Gonzales, Theresa L.; Nair, Ajay T.

    2004-01-01

    ISO 9000 is a set of quality standards that assists an organization to identify, correct and prevent errors, and to promote continual improvement. Educational institutions worldwide are implementing ISO 9000 as they face increasing external pressure to maintain accountability for funding. Similar to other countries, in the United States vocational…

  5. Finnish Vocational Education and Training in Comparison: Strengths and Weaknesses

    ERIC Educational Resources Information Center

    Virolainen, Maarit; Stenström, Marja-Leena

    2014-01-01

    The study investigates how the Finnish model of providing initial vocational education and training (IVET) has succeeded in terms of enhancing educational progress and employability. A relatively high level of participation in IVET makes the Finnish model distinctive from those of three other Nordic countries: Denmark, Norway and Sweden. All four…

  6. Finnish Vocational Education and Training in Comparison: Strengths and Weaknesses

    ERIC Educational Resources Information Center

    Virolainen, Maarit; Stenström, Marja-Leena

    2014-01-01

    The study investigates how the Finnish model of providing initial vocational education and training (IVET) has succeeded in terms of enhancing educational progress and employability. A relatively high level of participation in IVET makes the Finnish model distinctive from those of three other Nordic countries: Denmark, Norway and Sweden. All four…

  7. Strength Testing.

    ERIC Educational Resources Information Center

    Londeree, Ben R.

    1981-01-01

    Postural deviations resulting from strength and flexibility imbalances include swayback, scoliosis, and rounded shoulders. Screening tests are one method for identifying strength problems. Tests for the evaluation of postural problems are described, and exercises are presented for the strengthening of muscles. (JN)

  8. Strength Testing.

    ERIC Educational Resources Information Center

    Londeree, Ben R.

    1981-01-01

    Postural deviations resulting from strength and flexibility imbalances include swayback, scoliosis, and rounded shoulders. Screening tests are one method for identifying strength problems. Tests for the evaluation of postural problems are described, and exercises are presented for the strengthening of muscles. (JN)

  9. Weaknesses in Underperforming Schools

    ERIC Educational Resources Information Center

    van de Grift, Wim; Houtveen, Thoni

    2007-01-01

    In some Dutch elementary schools, the average performance of students over several years is significantly below the level that could be expected of them. This phenomenon is known as "underperformance." The most important identifiable weaknesses that go along with this phenomenon are that (a) learning material offered at school is…

  10. In praise of weakness

    NASA Astrophysics Data System (ADS)

    Steinberg, Aephraim; Feizpour, Amir; Rozema; Mahler; Hayat

    2013-03-01

    Quantum physics is being transformed by a radical new conceptual and experimental approach known as weak measurement that can do everything from tackling basic quantum mysteries to mapping the trajectories of photons in a Young's double-slit experiment. Aephraim Steinberg, Amir Feizpour, Lee Rozema, Dylan Mahler and Alex Hayat unveil the power of this new technique.

  11. Hypernuclear Weak Decays

    NASA Astrophysics Data System (ADS)

    Itonaga, K.; Motoba, T.

    The recent theoretical studies of Lambda-hypernuclear weak decaysof the nonmesonic and pi-mesonic ones are developed with the aim to disclose the link between the experimental decay observables and the underlying basic weak decay interactions and the weak decay mechanisms. The expressions of the nonmesonic decay rates Gamma_{nm} and the decay asymmetry parameter alpha_1 of protons from the polarized hypernuclei are presented in the shell model framework. We then introduce the meson theoretical Lambda N -> NN interactions which include the one-meson exchanges, the correlated-2pi exchanges, and the chiral-pair-meson exchanges. The features of meson exchange potentials and their roles on the nonmesonic decays are discussed. With the adoption of the pi + 2pi/rho + 2pi/sigma + omega + K + rhopi/a_1 + sigmapi/a_1 exchange potentials, we have carried out the systematic calculations of the nonmesonic decay observables for light-to-heavy hypernuclei. The present model can account for the available experimental data of the decay rates, Gamma_n/Gamma_p ratios, and the intrinsic asymmetry parameters alpha_Lambda (alpha_Lambda is related to alpha_1) of emitted protons well and consistently within the error bars. The hypernuclear lifetimes are evaluated by converting the total weak decay rates Gamma_{tot} = Gamma_pi + Gamma_{nm} to tau, which exhibit saturation property for the hypernuclear mass A ≥ 30 and agree grossly well with experimental data for the mass range from light to heavy hypernuclei except for the very light ones. Future extensions of the model and the remaining problems are also mentioned. The pi-mesonic weak processes are briefly surveyed, and the calculations and predictions are compared and confirmed by the recent high precision FINUDA pi-mesonic decay data. This shows that the theoretical basis seems to be firmly grounded.

  12. Weak Interactions and Instability Cascades.

    PubMed

    Kadoya, Taku; McCann, Kevin S

    2015-07-29

    Food web theory states that a weak interactor which is positioned in the food web such that it tends to deflect, or mute, energy away from a potentially oscillating consumer-resource interaction often enhances community persistence and stability. Here we examine how adding other weak interactions (predation/harvesting) on the stabilizing weak interactor alters the stability of food web using a set of well-established food web models/modules. We show that such "weak on weak" interaction chains drive an indirect dynamic cascade that can rapidly ignite a distant consumer-resource oscillator. Nonetheless, we also show that the "weak on weak" interactions are still more stable than the food web without them, and so weak interactions still generally act to stabilize food webs. Rather, these results are best interpreted to say that the degree of the stabilizing effect of a given important weak interaction can be severely compromised by other weak interactions (including weak harvesting).

  13. Weak Finsler structures and the Funk weak metric

    NASA Astrophysics Data System (ADS)

    Papadopoulos, Athanase; Troyanov, Marc

    2009-04-01

    We discuss general notions of metrics and of Finsler structures which we call weak metrics and weak Finsler structures. Any convex domain carries a canonical weak Finsler structure, which we call its tautological weak Finsler structure. We compute distances in the tautological weak Finsler structure of a domain and we show that these are given by the so-called Funk weak metric. We conclude the paper with a discussion of geodesics, of metric balls and of convexity properties of the Funk weak metric.

  14. Strength Training

    MedlinePlus

    ... strengthens your heart and lungs. When you strength train with weights, you're using your muscles to ... see there are lots of different ways to train with weights. Try a few good basic routines ...

  15. Weak Gravitational Lensing

    NASA Astrophysics Data System (ADS)

    Pires, Sandrine; Starck, Jean-Luc; Leonard, Adrienne; Réfrégier, Alexandre

    2012-03-01

    This chapter reviews the data mining methods recently developed to solve standard data problems in weak gravitational lensing. We detail the different steps of the weak lensing data analysis along with the different techniques dedicated to these applications. An overview of the different techniques currently used will be given along with future prospects. Until about 30 years ago, astronomers thought that the Universe was composed almost entirely of ordinary matter: protons, neutrons, electrons, and atoms. The field of weak lensing has been motivated by the observations made in the last decades showing that visible matter represents only about 4-5% of the Universe (see Figure 14.1). Currently, the majority of the Universe is thought to be dark, that is, does not emit electromagnetic radiation. The Universe is thought to be mostly composed of an invisible, pressure less matter - potentially relic from higher energy theories - called "dark matter" (20-21%) and by an even more mysterious term, described in Einstein equations as a vacuum energy density, called "dark energy" (70%). This "dark" Universe is not well described or even understood; its presence is inferred indirectly from its gravitational effects, both on the motions of astronomical objects and on light propagation. So this point could be the next breakthrough in cosmology. Today's cosmology is based on a cosmological model that contains various parameters that need to be determined precisely, such as the matter density parameter Omega_m or the dark energy density parameter Omega_lambda. Weak gravitational lensing is believed to be the most promising tool to understand the nature of dark matter and to constrain the cosmological parameters used to describe the Universe because it provides a method to directly map the distribution of dark matter (see [1,6,60,63,70]). From this dark matter distribution, the nature of dark matter can be better understood and better constraints can be placed on dark energy

  16. Weakly supervised glasses removal

    NASA Astrophysics Data System (ADS)

    Wang, Zhicheng; Zhou, Yisu; Wen, Lijie

    2015-03-01

    Glasses removal is an important task on face recognition, in this paper, we provide a weakly supervised method to remove eyeglasses from an input face image automatically. We choose sparse coding as face reconstruction method, and optical flow to find exact shape of glasses. We combine the two processes iteratively to remove glasses more accurately. The experimental results reveal that our method works much better than these algorithms alone, and it can remove various glasses to obtain natural looking glassless facial images.

  17. Composite weak bosons

    SciTech Connect

    Suzuki, M.

    1988-04-01

    Dynamical mechanism of composite W and Z is studied in a 1/N field theory model with four-fermion interactions in which global weak SU(2) symmetry is broken explicitly by electromagnetic interaction. Issues involved in such a model are discussed in detail. Deviation from gauge coupling due to compositeness and higher order loop corrections are examined to show that this class of models are consistent not only theoretically but also experimentally.

  18. Memory strength and recency judgments.

    PubMed

    Hintzman, Douglas L

    2005-10-01

    Two experiments were done to examine the effect of memory strength on numerical judgment of recency (JOR). In one experiment, the strong versus weak manipulation was defined by stimulus type (pictures vs. names); and in the other, it was defined by long versus short study durations of pictures. Two hypotheses were contrasted: (1) that strong items seem more recent than weak items (the activation hypothesis), and (2) that JORs are more accurate for strong items than for weak items (the accuracy hypothesis). Results of both experiments supported the activation hypothesis. On the basis of these and previous results, it is argued that recency is inferred partly from a memory's strength or activation and partly from some other time-related clue to the age of the memory.

  19. A Review of the Theory and Research Underlying the StrengthsQuest Program for Students. The Quest for Strengths

    ERIC Educational Resources Information Center

    Hodges, Timothy D.; Harter, James K.

    2005-01-01

    StrengthsQuest is a student program that focuses on strengths rather than weaknesses. It is intended to lead students to discover their natural talents and gain unique and valuable insights into how to develop such talents into strengths--strengths that equip them to succeed and to make important decisions that enable them to balance the demands…

  20. `Weak A' phenotypes

    PubMed Central

    Cartron, J. P.; Gerbal, A.; Hughes-Jones, N. C.; Salmon, C.

    1974-01-01

    Thirty-five weak A samples including fourteen A3, eight Ax, seven Aend, three Am and three Ae1 were studied in order to determine their A antigen site density, using an IgG anti-A labelled with 125I. The values obtained ranged between 30,000 A antigen sites for A3 individuals, and 700 sites for the Ae1 red cells. The hierarchy of values observed made it possible to establish a quantitative relationship between the red cell agglutinability of these phenotypes measured under standard conditions, and their antigen site density. PMID:4435836

  1. Weakly broken galileon symmetry

    SciTech Connect

    Pirtskhalava, David; Santoni, Luca; Trincherini, Enrico; Vernizzi, Filippo

    2015-09-01

    Effective theories of a scalar ϕ invariant under the internal galileon symmetryϕ→ϕ+b{sub μ}x{sup μ} have been extensively studied due to their special theoretical and phenomenological properties. In this paper, we introduce the notion of weakly broken galileon invariance, which characterizes the unique class of couplings of such theories to gravity that maximally retain their defining symmetry. The curved-space remnant of the galileon’s quantum properties allows to construct (quasi) de Sitter backgrounds largely insensitive to loop corrections. We exploit this fact to build novel cosmological models with interesting phenomenology, relevant for both inflation and late-time acceleration of the universe.

  2. Inherent weaknesses of cosmology

    NASA Technical Reports Server (NTRS)

    Chiu, H.-Y.

    1986-01-01

    Sources of astrophysical evidence necessary to verify a cosmological model are reviewed. Cosmological history of the universe is divided into four epochs, each unique in its physical conditions related to observability at present. The current epoch, started after recombination of hydrogen in the universe, offers the most in observability. In earlier epochs, verifiable astrophysical evidence gradually disappeared. It seems that no astrophysical evidence has been left behind from the singularity epoch of the Universe. The gradual disappearance of astrophysical evidence ascertainable at present is the result of physical conditions structured within the cosmological models, hence indicating certain inherent weaknesses of cosmology as a verifiable physical theory.

  3. Weak scale superstrings

    SciTech Connect

    Lykken, J.D.

    1996-09-01

    Recent developments in string duality suggest that the string scale may not be irrevocably tied to the Planck scale. Two explicit but unrealistic examples are described where the ratio of the string scale to the Planck scale is arbitrarily small. Solutions that are more realistic may exist in the intermediate coupling or {open_quote}{open_quote}truly strong coupling{close_quote}{close_quote} region of the heterotic string. Weak scale superstrings have dramatic experimental consequences for both collider physics and cosmology. {copyright} {ital 1996 The American Physical Society.}

  4. Weakly Interacting Disordered Electron Systems

    NASA Astrophysics Data System (ADS)

    Ekuma, C. E.; Terletska, H.; Yang, S.; Tam, K.-M.; Vidhyadhiraja, N. S.; Moreno, J.; Jarrell, M.

    2015-03-01

    We report on the interplay of interactions and disorder within the typical medium dynamical cluster approximation using the Anderson-Hubbard model. By the systematical incorporation of non-local spatial correlations and the diagonal disorder on an equal footing, we study the initial effects of electron interactions (U) in one (1D), two (2D), and three (3D) dimensions. Treating the interacting non-local cluster self-energy (Σc(SOPT) [ cal G ~ ] (i , j ≠ i)) up to U2 order in the perturbation expansion, we obtain the ground-state phase diagram in 3D for the disorder induced paramagnetic metal to insulator transition in the presence of weak interactions. We find that the critical disorder strength (Wc), required to localize all states, increases with increasing U; implying that the metallic phase is stabilized by interactions. In 2D, our results agree with previous findings on the destruction of the insulating phase by U, while in 1D, we find strong competition between both phases. This work is supported by the NSF EPSCoR EPS-1003897. Supercomputer support is provided by LONI and HPC@LSU.

  5. ICU-Acquired Weakness.

    PubMed

    Jolley, Sarah E; Bunnell, Aaron E; Hough, Catherine L

    2016-11-01

    Survivorship after critical illness is an increasingly important health-care concern as ICU use continues to increase while ICU mortality is decreasing. Survivors of critical illness experience marked disability and impairments in physical and cognitive function that persist for years after their initial ICU stay. Newfound impairment is associated with increased health-care costs and use, reductions in health-related quality of life, and prolonged unemployment. Weakness, critical illness neuropathy and/or myopathy, and muscle atrophy are common in patients who are critically ill, with up to 80% of patients admitted to the ICU developing some form of neuromuscular dysfunction. ICU-acquired weakness (ICUAW) is associated with longer durations of mechanical ventilation and hospitalization, along with greater functional impairment for survivors. Although there is increasing recognition of ICUAW as a clinical entity, significant knowledge gaps exist concerning identifying patients at high risk for its development and understanding its role in long-term outcomes after critical illness. This review addresses the epidemiologic and pathophysiologic aspects of ICUAW; highlights the diagnostic challenges associated with its diagnosis in patients who are critically ill; and proposes, to our knowledge, a novel strategy for identifying ICUAW. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  6. Neurogenic Orofacial Weakness and Speech in Adults With Dysarthria.

    PubMed

    Solomon, Nancy Pearl; Makashay, Matthew J; Helou, Leah B; Clark, Heather M

    2017-08-15

    This study compared orofacial strength between adults with dysarthria and neurologically normal (NN) matched controls. In addition, orofacial muscle weakness was examined for potential relationships to speech impairments in adults with dysarthria. Matched groups of 55 adults with dysarthria and 55 NN adults generated maximum pressure (Pmax) against an air-filled bulb during lingual elevation, protrusion and lateralization, and buccodental and labial compressions. These orofacial strength measures were compared with speech intelligibility, perceptual ratings of speech, articulation rate, and fast syllable-repetition rate. The dysarthria group demonstrated significantly lower orofacial strength than the NN group on all tasks. Lingual strength correlated moderately and buccal strength correlated weakly with most ratings of speech deficits. Speech intelligibility was not sensitive to dysarthria severity. Individuals with severely reduced anterior lingual elevation Pmax (< 18 kPa) had normal to profoundly impaired sentence intelligibility (99%-6%) and moderately to severely impaired speech (26%-94% articulatory imprecision; 33%-94% overall severity). Results support the presence of orofacial muscle weakness in adults with dysarthrias of varying etiologies but reinforce tenuous links between orofacial strength and speech production disorders. By examining individual data, preliminary evidence emerges to suggest that speech, but not necessarily intelligibility, is likely to be impaired when lingual weakness is severe.

  7. Short-term decline in all-cause acquired infections with the routine use of a decontamination regimen combining topical polymyxin, tobramycin, and amphotericin B with mupirocin and chlorhexidine in the ICU: a single-center experience.

    PubMed

    Camus, Christophe; Salomon, Sylvain; Bouchigny, Claire; Gacouin, Arnaud; Lavoué, Sylvain; Donnio, Pierre-Yves; Javaudin, Loic; Chapplain, Jean-Marc; Uhel, Fabrice; Le Tulzo, Yves; Bellissant, Eric

    2014-05-01

    In a multicenter, placebo-controlled, randomized, double-blind trial, we showed that acquired infections in intubated patients were reduced by the combination of topical polymyxin plus tobramycin and nasal mupirocin plus chlorhexidine body wash. Because intubated patients are particularly at risk for acquired infections, we reassessed the impact of this protocol as a routine procedure to control acquired infections in the ICU. Nonrandomized study comparing acquired infections in ICU patients during two 1-year periods: the last year before (group A, n = 925) and the first year after the implementation of the protocol (group B, n = 1,022). Acquired infections were prospectively recorded. Polyvalent medical ICU at a university-affiliated hospital. All patients admitted to the ICU. Administration of polymyxin/tobramycin/amphotericin B in the oropharynx and the gastric tube plus a mupirocin/chlorhexidine regimen in intubated patients and standard care in the other patients. The comparison of acquired infection rates between groups was adjusted for differences at baseline. Infection rates were lower in group B compared with group A (5.3% vs 11.0%; p < 0.001), as were the incidence rates of total acquired infections (9.4 vs 23.6 per 1,000 patient-days; p < 0.001), intubation-related pneumonia (5.1 vs 17.1 per 1,000 ventilator-days; p < 0.001), and catheter-related bloodstream infections (1.0 vs 3.5 per 1,000 catheter-days; p = 0.03). There were fewer acquired infections caused by ceftazidime-resistant Enterobacteriaceae (0.8‰ vs 3.6‰; p < 0.001), ciprofloxacin-resistant Enterobacteriaceae (0.8‰ vs 2.5‰; p = 0.02), ciprofloxacin-resistant Pseudomonas aeruginosa (0.5‰ vs 1.6‰; p = 0.05), and colistin-resistant Gram-negative bacilli (0.7‰ vs 1.9‰; p = 0.04). Fewer patients got acquired infections due to multidrug-resistant aerobic Gram-negative bacilli (p = 0.008). In intubated patients, the use of topical polymyxin/tobramycin/amphotericin B plus mupirocin

  8. ASSESSMENT OF TONGUE WEAKNESS AND FATIGUE

    PubMed Central

    Solomon, Nancy Pearl

    2012-01-01

    Assessment of nonspeech tongue function is common in speech-language pathology. This paper reviews techniques used to determine tongue strength and endurance, and describes a constant-effort task. These techniques are intended to reveal and quantify the presence of weakness or fatigue of the tongue. The consequences of performing these tasks with and without a bite block, used to fix jaw position, are considered. Whether nonspeech tongue impairment is associated with speech dysfunction in Parkinson’s disease is another topic of interest. Past studies indicated reduced tongue strength and endurance in Parkinson’s disease, but these measures did not correlate with speech measures. It was hypothesized that weakness and fatigue need to be impaired to a “critical” level before speech is perceptibly affected. To examine whether experimentally induced tongue fatigue affects speech, normal speakers performed prolonged strenuous tongue exercise. Speech deteriorated following these exercises. A new investigation examines whether 1 hour of speech-like tongue exercise (rapid syllable repetitions) affects dysarthric speech. Preliminary data from 6 participants with Parkinson’s disease, 1 person with bulbar ALS, and 6 neurologically normal control subjects indicate that sentences sound more precise but less natural after the exercises. Surprisingly, results did not differ significantly between the groups. Continued collection of data and refinement of tasks will contribute to our understanding of the potential relationships between weakness, fatigue, and speech. PMID:15832858

  9. Apparatus Impregnates Weak Fibers

    NASA Technical Reports Server (NTRS)

    Stanfield, Clarence E.; Wilson, Maywood L.

    1989-01-01

    Low-cost apparatus developed for use in conventional drum winding machine to impregnate fibrous materials having very low tensile strengths. Fiber fitted onto freely-spinning unwinding creel. Unwinds from creel between two tension bars onto guide spools, aligns fiber so properly enters sealed reservoir of resin. Stainless-steel metering die at entrance to reservoir aligns fiber and seals reservoir. Beneficial results obtained by use of reservoir made of polyethylene. Composite material made from resin matrices reinforced by fibers have great potential for solving challenging and often critical problems in design of spacecraft, space structures, and terrestrial structures.

  10. Weakly relativistic plasma expansion

    SciTech Connect

    Fermous, Rachid Djebli, Mourad

    2015-04-15

    Plasma expansion is an important physical process that takes place in laser interactions with solid targets. Within a self-similar model for the hydrodynamical multi-fluid equations, we investigated the expansion of both dense and under-dense plasmas. The weakly relativistic electrons are produced by ultra-intense laser pulses, while ions are supposed to be in a non-relativistic regime. Numerical investigations have shown that relativistic effects are important for under-dense plasma and are characterized by a finite ion front velocity. Dense plasma expansion is found to be governed mainly by quantum contributions in the fluid equations that originate from the degenerate pressure in addition to the nonlinear contributions from exchange and correlation potentials. The quantum degeneracy parameter profile provides clues to set the limit between under-dense and dense relativistic plasma expansions at a given density and temperature.

  11. Plasma ion stratification by weak planar shocks

    NASA Astrophysics Data System (ADS)

    Simakov, Andrei N.; Keenan, Brett D.; Taitano, William T.; Chacón, Luis

    2017-09-01

    We derive fluid equations for describing steady-state planar shocks of a moderate strength ( 0 weak shocks ( 0 weak shocks, and they have been used to verify kinetic simulations of shocks in multi-ion plasmas.

  12. Comparison of the antibacterial effect of silver sulfadiazine 1%, mupirocin 2%, Acticoat and octenidine dihydrochloride in a full-thickness rat burn model contaminated with multi drug resistant Acinetobacter baumannii.

    PubMed

    Selçuk, Caferi Tayyar; Durgun, Mustafa; Ozalp, Burhan; Tekin, Alicem; Tekin, Recep; Akçay, Cemal; Alabalık, Ulaş

    2012-12-01

    In this study, our aim is to compare the efficacy of different topical antibacterial agents in a rat model contaminated with a multi drug resistant (MDR) standard Acinetobacter baumannii strain. The study was carried out on 40 Sprague-Dawley rats of 250-300 g each. For the purposes of this study, the rats were divided into 5 groups, with 8 rats in each group: Group 1 control; Group 2 silver sulfadiazine; Group 3 mupirocin; Group 4 Acticoat group; and Group 5 octenidine dihydrochloride group. Following to the formation of the full-thickness burn areas in rats, the MDR A. baumannii standard strain was inoculated into the burned area. The rats in all the groups were sacrificed at the end of the 10th day and subjected to histopathological and microbiological evaluation. In the histopathological evaluation, the lowest inflammatory cell response and bacterial density in the eschar and muscle tissues were observed in the Acticoat group. While these results were found to be statistically significant compared to the silver sulfadiazine group, only the bacterial density in the muscle tissue was found as significant in comparison to the mupirocin and octenidine groups. In the microbiological evaluation, the lowest growth in the muscle tissue culture among all the groups was observed in the Acticoat group. The growth in the eschar tissue culture was significantly lower in the Acticoat and octenidine groups in comparison to the silver sulfadiazine group. At the end of the study, it has been observed that Acticoat was effective both in eschar and muscle, while octenidine was effective in eschar tissues in a rat burn model contaminated with MDR A. baumannii. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

  13. Investigation of the potential for mutational resistance to XF-73, retapamulin, mupirocin, fusidic acid, daptomycin, and vancomycin in methicillin-resistant Staphylococcus aureus isolates during a 55-passage study.

    PubMed

    Farrell, David J; Robbins, Marion; Rhys-Williams, William; Love, William G

    2011-03-01

    XF-73 is a dicationic porphyrin drug with rapid Gram-positive antibacterial activity currently undergoing clinical trials for the nasal decolonization of Staphylococcus aureus, including methicillin-resistant Staphylococcus aureus (MRSA). In multistep (55-passage) resistance selection studies in the presence of subinhibitory concentrations of XF-73, retapamulin, mupirocin, fusidic acid, and vancomycin against four Network on Antimicrobial Resistance in Staphylococcus aureus MRSA strains, there was no >4-fold increase in the MIC for XF-73 after 55 passages. In contrast, there was an increase in the MICs for retapamulin (from 0.25 μg/ml to 4 to 8 μg/ml), for mupirocin (from 0.12 μg/ml to 16 to 512 μg/ml), for fusidic acid (from 0.12 μg/ml to 256 μg/ml), and for vancomycin (from 1 μg/ml to 8 μg/ml in two of the four strains tested). Further investigations using S. aureus NRS384 (USA300) and daptomycin demonstrated a 64-fold increase in the MIC after 55 passages (from 0.5 μg/ml to 32 μg/ml) with a >4-fold increase in the MIC obtained after only five passages. Sequencing analysis of selected isolates confirmed previously reported point mutations associated with daptomycin resistance. No cross-resistance to XF-73 was observed with the daptomycin-resistant strains, suggesting that whereas the two drugs act on the bacterial cell membrane, their specific site of action differs. XF-73 thus represents the first in a new class of antibacterial drugs, which (unlike the comparator antibiotics) after 55 passages exhibited a ≤4-fold increase in MIC against the strains tested. Antibacterial drugs with a low propensity for inducing bacterial resistance are much needed for the prevention and treatment of multidrug-resistant bacteria both within and outside the hospital setting.

  14. Investigation of the Potential for Mutational Resistance to XF-73, Retapamulin, Mupirocin, Fusidic Acid, Daptomycin, and Vancomycin in Methicillin-Resistant Staphylococcus aureus Isolates during a 55-Passage Study ▿

    PubMed Central

    Farrell, David J.; Robbins, Marion; Rhys-Williams, William; Love, William G.

    2011-01-01

    XF-73 is a dicationic porphyrin drug with rapid Gram-positive antibacterial activity currently undergoing clinical trials for the nasal decolonization of Staphylococcus aureus, including methicillin-resistant Staphylococcus aureus (MRSA). In multistep (55-passage) resistance selection studies in the presence of subinhibitory concentrations of XF-73, retapamulin, mupirocin, fusidic acid, and vancomycin against four Network on Antimicrobial Resistance in Staphylococcus aureus MRSA strains, there was no >4-fold increase in the MIC for XF-73 after 55 passages. In contrast, there was an increase in the MICs for retapamulin (from 0.25 μg/ml to 4 to 8 μg/ml), for mupirocin (from 0.12 μg/ml to 16 to 512 μg/ml), for fusidic acid (from 0.12 μg/ml to 256 μg/ml), and for vancomycin (from 1 μg/ml to 8 μg/ml in two of the four strains tested). Further investigations using S. aureus NRS384 (USA300) and daptomycin demonstrated a 64-fold increase in the MIC after 55 passages (from 0.5 μg/ml to 32 μg/ml) with a >4-fold increase in the MIC obtained after only five passages. Sequencing analysis of selected isolates confirmed previously reported point mutations associated with daptomycin resistance. No cross-resistance to XF-73 was observed with the daptomycin-resistant strains, suggesting that whereas the two drugs act on the bacterial cell membrane, their specific site of action differs. XF-73 thus represents the first in a new class of antibacterial drugs, which (unlike the comparator antibiotics) after 55 passages exhibited a ≤4-fold increase in MIC against the strains tested. Antibacterial drugs with a low propensity for inducing bacterial resistance are much needed for the prevention and treatment of multidrug-resistant bacteria both within and outside the hospital setting. PMID:21149626

  15. Quartz: Anomalous Weakness of Synthetic Crystals.

    PubMed

    Griggs, D T; Blacic, J D

    1965-01-15

    The strength of a synthetic quartz crystal drops rapidly at 400 degrees C, and at 600 degrees C is a hundredfold lower than at 300 degrees C. Large plastic deformations can be produced without fracture. The predominant mechanism of deformation is translation gliding. The preferred explanation for this anomalous weakness is that this synthetic quartz contains water which has hydrolyzed the silicon-oxygen bonds. The silanol groups so formed are presumed to be rendered sufficiently mobile by elevating the temperature to 400 degrees C so that they align themselves in dislocation lines and move through the crystal with the dislocation under the small applied shear stress.

  16. Influence of psychological factors on grip strength.

    PubMed

    Watson, Jeffrey; Ring, David

    2008-12-01

    Grip strength is widely used to assess upper-extremity function. Although grip strength is a quantitative measure of function, grip strength is a reflection of both physical impairment as well as subjective, psychological factors. We investigated the determinants of grip strength with the hypothesis that psychological factors are associated with diminished grip strength. One hundred thirty-four patients with an isolated, discrete upper-extremity condition had grip strength measurements, and, as part of one of several prospective clinical studies, during the same visit they completed 2 or more of the following surveys: the Center for Epidemiologic Studies-Depression (CES-D) scale, Pain Anxiety Symptoms Scale, and Pain Catastrophizing Scale. Univariate and multivariable statistical analysis sought determinants of absolute grip strength and grip strength as a percentage of the opposite, uninvolved limb. Determinants of absolute grip strength included gender and grip strength of the uninvolved limb. The association between CES-D score and absolute grip strength was near significant but very weak. Multivariable regression analysis produced a best-fit model that retained grip strength of the uninvolved limb and CES-D scores. When grip strength of the involved limb was evaluated as a percentage of grip strength of the uninvolved limb, CES-D score was a weak but significant predictor, and patients recovering from a fracture of the distal radius had weaker grip strength than did patients with nontraumatic conditions. Depression scores were minimally associated with diminished grip strength. Psychological factors appear to affect disability (patient-reported health status) more than they affect performance-based measures of function. Prognostic II.

  17. Weak quantum chaos

    NASA Astrophysics Data System (ADS)

    Kukuljan, Ivan; Grozdanov, Sašo; Prosen, Tomaž

    2017-08-01

    Out-of-time-ordered correlation functions (OTOCs) are presently being extensively debated as quantifiers of dynamical chaos in interacting quantum many-body systems. We argue that in quantum spin and fermionic systems, where all local operators are bounded, an OTOC of local observables is bounded as well and thus its exponential growth is merely transient. As a better measure of quantum chaos in such systems, we propose, and study, the density of the OTOC of extensive sums of local observables, which can exhibit indefinite growth in the thermodynamic limit. We demonstrate this for the kicked quantum Ising model by using large-scale numerical results and an analytic solution in the integrable regime. In a generic case, we observe the growth of the OTOC density to be linear in time. We prove that this density in general, locally interacting, nonintegrable quantum spin and fermionic dynamical systems exhibits growth that is at most polynomial in time—a phenomenon, which we term weak quantum chaos. In the special case of the model being integrable and the observables under consideration quadratic, the OTOC density saturates to a plateau.

  18. Strong mobility in weakly disordered systems

    SciTech Connect

    Ben-naim, Eli; Krapivsky, Pavel

    2009-01-01

    We study transport of interacting particles in weakly disordered media. Our one-dimensional system includes (i) disorder, the hopping rate governing the movement of a particle between two neighboring lattice sites is inhomogeneous, and (ii) hard core interaction, the maximum occupancy at each site is one particle. We find that over a substantial regime, the root-mean-square displacement of a particle s grows superdiffusively with time t, {sigma}{approx}({epsilon}t){sup 2/3}, where {epsilon} is the disorder strength. Without disorder the particle displacement is subdiffusive, {sigma} {approx}t{sup 1/4}, and therefore disorder strongly enhances particle mobility. We explain this effect using scaling arguments, and verify the theoretical predictions through numerical simulations. Also, the simulations show that regardless of disorder strength, disorder leads to stronger mobility over an intermediate time regime.

  19. Enhancing entanglement trapping by weak measurement and quantum measurement reversal

    SciTech Connect

    Zhang, Ying-Jie; Han, Wei; Fan, Heng; Xia, Yun-Jie

    2015-03-15

    In this paper, we propose a scheme to enhance trapping of entanglement of two qubits in the environment of a photonic band gap material. Our entanglement trapping promotion scheme makes use of combined weak measurements and quantum measurement reversals. The optimal promotion of entanglement trapping can be acquired with a reasonable finite success probability by adjusting measurement strengths. - Highlights: • Propose a scheme to enhance entanglement trapping in photonic band gap material. • Weak measurement and its reversal are performed locally on individual qubits. • Obtain an optimal condition for maximizing the concurrence of entanglement trapping. • Entanglement sudden death can be prevented by weak measurement in photonic band gap.

  20. Attitude Strength.

    PubMed

    Howe, Lauren C; Krosnick, Jon A

    2017-01-03

    Attitude strength has been the focus of a huge volume of research in psychology and related sciences for decades. The insights offered by this literature have tremendous value for understanding attitude functioning and structure and for the effective application of the attitude concept in applied settings. This is the first Annual Review of Psychology article on the topic, and it offers a review of theory and evidence regarding one of the most researched strength-related attitude features: attitude importance. Personal importance is attached to an attitude when the attitude is perceived to be relevant to self-interest, social identification with reference groups or reference individuals, and values. Attaching personal importance to an attitude causes crystallizing of attitudes (via enhanced resistance to change), effortful gathering and processing of relevant information, accumulation of a large store of well-organized relevant information in long-term memory, enhanced attitude extremity and accessibility, enhanced attitude impact on the regulation of interpersonal attraction, energizing of emotional reactions, and enhanced impact of attitudes on behavioral intentions and action. Thus, important attitudes are real and consequential psychological forces, and their study offers opportunities for addressing behavioral change.

  1. Corium crust strength measurements.

    SciTech Connect

    Lomperski, S.; Nuclear Engineering Division

    2009-11-01

    Corium strength is of interest in the context of a severe reactor accident in which molten core material melts through the reactor vessel and collects on the containment basemat. Some accident management strategies involve pouring water over the melt to solidify it and halt corium/concrete interactions. The effectiveness of this method could be influenced by the strength of the corium crust at the interface between the melt and coolant. A strong, coherent crust anchored to the containment walls could allow the yet-molten corium to fall away from the crust as it erodes the basemat, thereby thermally decoupling the melt from the coolant and sharply reducing the cooling rate. This paper presents a diverse collection of measurements of the mechanical strength of corium. The data is based on load tests of corium samples in three different contexts: (1) small blocks cut from the debris of the large-scale MACE experiments, (2) 30 cm-diameter, 75 kg ingots produced by SSWICS quench tests, and (3) high temperature crusts loaded during large-scale corium/concrete interaction (CCI) tests. In every case the corium consisted of varying proportions of UO{sub 2}, ZrO{sub 2}, and the constituents of concrete to represent a LWR melt at different stages of a molten core/concrete interaction. The collection of data was used to assess the strength and stability of an anchored, plant-scale crust. The results indicate that such a crust is likely to be too weak to support itself above the melt. It is therefore improbable that an anchored crust configuration could persist and the melt become thermally decoupled from the water layer to restrict cooling and prolong an attack of the reactor cavity concrete.

  2. Weak localization with nonlinear bosonic matter waves

    SciTech Connect

    Hartmann, Timo; Michl, Josef; Petitjean, Cyril; Wellens, Thomas; Urbina, Juan-Diego; Richter, Klaus; Schlagheck, Peter

    2012-08-15

    We investigate the coherent propagation of dilute atomic Bose-Einstein condensates through irregularly shaped billiard geometries that are attached to uniform incoming and outgoing waveguides. Using the mean-field description based on the nonlinear Gross-Pitaevskii equation, we develop a diagrammatic theory for the self-consistent stationary scattering state of the interacting condensate, which is combined with the semiclassical representation of the single-particle Green function in terms of chaotic classical trajectories within the billiard. This analytical approach predicts a universal dephasing of weak localization in the presence of a small interaction strength between the atoms, which is found to be in good agreement with the numerically computed reflection and transmission probabilities of the propagating condensate. The numerical simulation of this quasi-stationary scattering process indicates that this interaction-induced dephasing mechanism may give rise to a signature of weak antilocalization, which we attribute to the influence of non-universal short-path contributions. - Highlights: Black-Right-Pointing-Pointer Numerical simulation of scattering of Bose-Einstein condensate through billiards. Black-Right-Pointing-Pointer Novel analytical semiclassical theory for nonlinear coherent scattering. Black-Right-Pointing-Pointer Inversion of weak localization due to mean-field interaction within the condensate. Black-Right-Pointing-Pointer Relevance of non-universal short-path contributions.

  3. Plasma transport theory spanning weak to strong coupling

    SciTech Connect

    Daligault, Jérôme; Baalrud, Scott D.

    2015-06-29

    We describe some of the most striking characteristics of particle transport in strongly coupled plasmas across a wide range of Coulomb coupling strength. We then discuss the effective potential theory, which is an approximation that was recently developed to extend conventional weakly coupled plasma transport theory into the strongly coupled regime in a manner that is practical to evaluate efficiently.

  4. [Systemic lupus erythematosus and weakness].

    PubMed

    Vinagre, Filipe; Santos, Maria José; da Silva, José Canas

    2006-01-01

    We report a case of a 13-year old young girl, with Juvenile Systemic Lupus Erythematosus and recent onset of muscle weakness. Investigations lead to the diagnosis of Myasthenia Gravis. The most important causes of muscle weakness in lupus patients are discussed.

  5. Intestinal Transport of Weak Electrolytes

    PubMed Central

    Jackson, Michael J.; Shiau, Yih-Fu; Bane, Susan; Fox, Margaret

    1974-01-01

    A study has been made of the transmural fluxes of benzoic, phenylacetic, and pentanoic acids, benzylamine, hexylamine, and D-amphetamine across rat jejunum incubated in vitro. The M to S fluxes of the weak acids were greater than their corresponding S to M fluxes, and the S to M fluxes of the weak bases were larger than their M to S fluxes. These patterns of asymmetric movements were observed when the transmural electrical potential difference was clamped at 0 mV, and when the pH values of the mucosal and serosal fluids were identical. The effects of a weak acid on the fluxes of other weak electrolytes were qualitatively similar when the effector weak acid was added to the mucosal fluid, and when it was added to the serosal fluid. But the effects of a weak base on the fluxes of other weak electrolytes were dependent upon its location, and the interactions observed when the effector weak base was added to the mucosal fluid were qualitatively different than those seen when it was added to the serosal fluid. The interactions between weak electrolytes could readily be explained in terms of the function of a system of three compartments in series, in which the pH of the intermediate compartment is greater than that of the bulk phases. But these observations could not be explained in terms of an analogous system involving an intermediate compartment of low pH, or in terms of a carrier mediated system. The transport function of the three-compartment system can be described in the form of an equation, and it is found that a pH difference of less than 0.5 unit may explain our observations on weak electrolyte transport. PMID:4812635

  6. The Effect of Exit-Site Antibacterial Honey Versus Nasal Mupirocin Prophylaxis on the Microbiology and Outcomes of Peritoneal Dialysis-Associated Peritonitis and Exit-Site Infections: A Sub-Study of the Honeypot Trial.

    PubMed

    Zhang, Lei; Badve, Sunil V; Pascoe, Elaine M; Beller, Elaine; Cass, Alan; Clark, Carolyn; de Zoysa, Janak; Isbel, Nicole M; McTaggart, Steven; Morrish, Alicia T; Playford, E Geoffrey; Scaria, Anish; Snelling, Paul; Vergara, Liza A; Hawley, Carmel M; Johnson, David W

    2015-12-01

    ♦ The HONEYPOT study recently reported that daily exit-site application of antibacterial honey was not superior to nasal mupirocin prophylaxis for preventing overall peritoneal dialysis (PD)-related infection. This paper reports a secondary outcome analysis of the HONEYPOT study with respect to exit-site infection (ESI) and peritonitis microbiology, infectious hospitalization and technique failure. ♦ A total of 371 PD patients were randomized to daily exit-site application of antibacterial honey plus usual exit-site care (N = 186) or intranasal mupirocin prophylaxis (in nasal Staphylococcus aureus carriers only) plus usual exit-site care (control, N = 185). Groups were compared on rates of organism-specific ESI and peritonitis, peritonitis- and infection-associated hospitalization, and technique failure (PD withdrawal). ♦ The mean peritonitis rates in the honey and control groups were 0.41 (95% confidence interval [CI] 0.32 - 0.50) and 0.41 (95% CI 0.33 - 0.49) episodes per patient-year, respectively (incidence rate ratio [IRR] 1.01, 95% CI 0.75 - 1.35). When specific causative organisms were examined, no differences were observed between the groups for gram-positive (IRR 0.99, 95% CI 0.66 - 1.49), gram-negative (IRR 0.71, 95% CI 0.39 - 1.29), culture-negative (IRR 2.01, 95% CI 0.91 - 4.42), or polymicrobial peritonitis (IRR 1.08, 95% CI 0.36 - 3.20). Exit-site infection rates were 0.37 (95% CI 0.28 - 0.45) and 0.33 (95% CI 0.26 - 0.40) episodes per patient-year for the honey and control groups, respectively (IRR 1.12, 95% CI 0.81 - 1.53). No significant differences were observed between the groups for gram-positive (IRR 1.10, 95% CI 0.70 - 1.72), gram-negative (IRR: 0.85, 95% CI 0.46 - 1.58), culture-negative (IRR 1.88, 95% CI 0.67 - 5.29), or polymicrobial ESI (IRR 1.00, 95% CI 0.40 - 2.54). Times to first peritonitis-associated and first infection-associated hospitalization were similar in the honey and control groups. The rates of technique failure (PD

  7. Experimental investigations of weak definite and weak indefinite noun phrases.

    PubMed

    Klein, Natalie M; Gegg-Harrison, Whitney M; Carlson, Greg N; Tanenhaus, Michael K

    2013-08-01

    Definite noun phrases typically refer to entities that are uniquely identifiable in the speaker and addressee's common ground. Some definite noun phrases (e.g., the hospital in Mary had to go the hospital and John did too) seem to violate this uniqueness constraint. We report six experiments that were motivated by the hypothesis that these "weak definite" interpretations arise in "incorporated" constructions. Experiments 1-3 compared nouns that seem to allow for a weak definite interpretation (e.g., hospital, bank, bus, radio) with those that do not (e.g., farm, concert, car, book). Experiments 1 and 2 used an instruction-following task and picture-judgment task, respectively, to demonstrate that a weak definite need not uniquely refer. In Experiment 3 participants imagined scenarios described by sentences such as The Federal Express driver had to go to the hospital/farm. Scenarios following weak definite noun phrases were more likely to include conventional activities associated with the object, whereas following regular nouns, participants were more likely to imagine scenarios that included typical activities associated with the subject; similar effects were observed with weak indefinites. Experiment 4 found that object-related activities were reduced when the same subject and object were used with a verb that does not license weak definite interpretations. In Experiment 5, a science fiction story introduced an artificial lexicon for novel concepts. Novel nouns that shared conceptual properties with English weak definite nouns were more likely to allow weak reference in a judgment task. Experiment 6 demonstrated that familiarity for definite articles and anti-familiarity for indefinite articles applies to the activity associated with the noun, consistent with predictions made by the incorporation analysis. Copyright © 2013 Elsevier B.V. All rights reserved.

  8. Experimental investigations of weak definite and weak indefinite noun phrases

    PubMed Central

    Klein, Natalie M.; Gegg-Harrison, Whitney M.; Carlson, Greg N.; Tanenhaus, Michael K.

    2013-01-01

    Definite noun phrases typically refer to entities that are uniquely identifiable in the speaker and addressee’s common ground. Some definite noun phrases (e.g. the hospital in Mary had to go the hospital and John did too) seem to violate this uniqueness constraint. We report six experiments that were motivated by the hypothesis that these “weak definite” interpretations arise in “incorporated” constructions. Experiments 1-3 compared nouns that seem to allow for a weak definite interpretation (e.g. hospital, bank, bus, radio) with those that do not (e.g. farm, concert, car, book). Experiments 1 and 2 used an instruction-following task and picture-judgment task, respectively, to demonstrate that a weak definite need not uniquely refer. In Experiment 3 participants imagined scenarios described by sentences such as The Federal Express driver had to go to the hospital/farm. The imagined scenarios following weak definite noun phrases were more likely to include conventional activities associated with the object, whereas following regular nouns, participants were more likely to imagine scenarios that included typical activities associated with the subject; similar effects were observed with weak indefinites. Experiment 4 found that object-related activities were reduced when the same subject and object were used with a verb that does not license weak definite interpretations. In Experiment 5, a science fiction story introduced an artificial lexicon for novel concepts. Novel nouns that shared conceptual properties with English weak definite nouns were more likely to allow weak reference in a judgment task. Experiment 6 demonstrated that familiarity for definite articles and anti- familiarity for indefinite articles applies to the activity associated with the noun, consistent with predictions made by the incorporation analysis. PMID:23685208

  9. Weakly chiral networks and two-dimensional delocalized states in a weak magnetic field

    NASA Astrophysics Data System (ADS)

    Mkhitaryan, V. V.; Kagalovsky, V.; Raikh, M. E.

    2010-04-01

    We study numerically the localization properties of two-dimensional electrons in a weak perpendicular magnetic field. For this purpose we construct weakly chiral network models on the square and triangular lattices. The prime idea is to separate in space the regions with phase action of magnetic field, where it affects interference in course of multiple disorder scattering, and the regions with orbital action of magnetic field, where it bends electron trajectories. In our models, the disorder mixes counterpropagating channels on the links, while scattering matrices at the nodes describe exclusively the bending of electron trajectories. By artificially introducing a strong spread in the scattering strengths on the links (but keeping the average strength constant), we eliminate the interference and reduce the electron propagation over a network to a classical percolation problem. In this limit we establish the form of the disorder-magnetic field phase diagram. This diagram contains the regions with and without edge states, i.e., the regions with zero and quantized Hall conductivities. Taking into account that, for a given disorder, the scattering strength scales as inverse electron energy, we find agreement of our phase diagram with levitation scenario: energy separating the Anderson and quantum-Hall insulating phases floats up to infinity upon decreasing magnetic field. From numerical study, based on the analysis of quantum transmission of the network with random phases on the links, we conclude that the positions of the weak-field quantum-Hall transitions on the phase diagram are very close to our classical-percolation results. We checked that, in accord with the Pruisken theory, presence or absence of time-reversal symmetry on the links has no effect on the line of delocalization transitions. We also find that floating up of delocalized states in energy is accompanied by doubling of the critical exponent of the localization radius. We establish the origin of this

  10. Weak-shock reflection factors

    SciTech Connect

    Reichenbach, H.; Kuhl, A.L.

    1993-09-07

    The purpose of this paper is to compare reflection factors for weak shocks from various surfaces, and to focus attention on some unsolved questions. Three different cases are considered: square-wave planar shock reflection from wedges; square-wave planar shock reflection from cylinders; and spherical blast wave reflection from a planar surface. We restrict ourselves to weak shocks. Shocks with a Mach number of M{sub O} < 1.56 in air or with an overpressure of {Delta}{sub PI} < 25 psi (1.66 bar) under normal ambient conditions are called weak.

  11. Resisting Weakness of the Will

    PubMed Central

    Levy, Neil

    2012-01-01

    I develop an account of weakness of the will that is driven by experimental evidence from cognitive and social psychology. I will argue that this account demonstrates that there is no such thing as weakness of the will: no psychological kind corresponds to it. Instead, weakness of the will ought to be understood as depletion of System II resources. Neither the explanatory purposes of psychology nor our practical purposes as agents are well-served by retaining the concept. I therefore suggest that we ought to jettison it, in favour of the vocabulary and concepts of cognitive psychology. PMID:22984298

  12. Multiple weak-link SQUID

    SciTech Connect

    Kroger, H.

    1980-09-23

    The disclosed SQUID (Superconducting quantum interference device) comprises two superposed superconductive layers with an insulating layer therebetween. A plurality of holes through the insulating layer filled with superconductive material form weak links between the superconductive layers. One or more control lines superposed with respect to the superconductive layers provide magnetic flux through the area between the weak links to control the zero voltage supercurrent flowing through the weak links from one of the superconductive layers to the other thereby providing the switching function for Josephson superconductive circuits.

  13. Dynamic Strength Ceramic Nanocomposites Under Pulse Loading

    NASA Astrophysics Data System (ADS)

    Skripnyak, Evgeniya G.; Skripnyak, Vladimir V.; Vaganova, Irina K.; Skripnyak, Vladimir A.

    2015-06-01

    Multi-scale computer simulation approach has been applied to research of strength of nanocomposites under dynamic loading. The influence of mesoscopic substructures on the dynamic strength of ceramic and hybrid nanocomposites, which can be formed using additive manufacturing were numerically investigated. At weak shock wave loadings the shear strength and the spall strength of ceramic and hybrid nanocomposites depends not only phase concentration and porosity, but size parameters of skeleton substructures. The influence of skeleton parameter on the shear strength and the spall strength of ceramic nanocomposites with the same concentration of phases decreases with increasing amplitude of the shock pulse of microsecond duration above the double amplitude of the Hugoniot elastic limit of nanocomposites. This research carried out in 2014 -2015 was supported by grant from The Tomsk State University Academic D.I. Mendeleev Fund Program and also Ministry of Sciences and Education of Russian Federation (State task 2014/223, project 1943, Agreement 14.132.

  14. Weak interactions and presupernova evolution

    SciTech Connect

    Aufderheide, M.B. State Univ. of New York . Dept. of Physics)

    1991-02-19

    The role of weak interactions, particularly electron capture and {beta}{sup {minus}} decay, in presupernova evolution is discussed. The present uncertainty in these rates is examined and the possibility of improving the situation is addressed. 12 refs., 4 figs.

  15. [Acute muscle weakness: differential diagnoses].

    PubMed

    Antoniuk, Sérgio A

    2013-09-06

    Acute muscle weakness, a common disorder in pediatrics, can occur from impairment of any part of the motor unit, including the upper motor neuron, lower motor neuron, peripheral nerve, neuromuscular junction or muscle. It usually manifests itself as an acute or hyperacute motor disorder of progressive or rapidly progressive course. Acute muscle weakness is a neuromuscular emergency, especially if it affects the respiratory or oropharyngeal musculature. The location of the motor weakness and associated neurological signs and symptoms usually indicate the location of the lesion. The onset, speed and clinical evolution, as well as other data from the patient's history, suggest the pathophysiological differential diagnosis. Successful treatment depends on the immediate and correct differential diagnosis. This paper presents the main differential diagnosis of main neuromuscular diseases that cause acute muscle weakness in children.

  16. Weak Deeply Virtual Compton Scattering

    SciTech Connect

    Ales Psaker; Wolodymyr Melnitchouk; Anatoly Radyushkin

    2007-03-01

    We extend the analysis of the deeply virtual Compton scattering process to the weak interaction sector in the generalized Bjorken limit. The virtual Compton scattering amplitudes for the weak neutral and charged currents are calculated at the leading twist within the framework of the nonlocal light-cone expansion via coordinate space QCD string operators. Using a simple model, we estimate cross sections for neutrino scattering off the nucleon, relevant for future high intensity neutrino beam facilities.

  17. Precision metrology using weak measurements.

    PubMed

    Zhang, Lijian; Datta, Animesh; Walmsley, Ian A

    2015-05-29

    Weak values and measurements have been proposed as a means to achieve dramatic enhancements in metrology based on the greatly increased range of possible measurement outcomes. Unfortunately, the very large values of measurement outcomes occur with highly suppressed probabilities. This raises three vital questions in weak-measurement-based metrology. Namely, (Q1) Does postselection enhance the measurement precision? (Q2) Does weak measurement offer better precision than strong measurement? (Q3) Is it possible to beat the standard quantum limit or to achieve the Heisenberg limit with weak measurement using only classical resources? We analyze these questions for two prototypical, and generic, measurement protocols and show that while the answers to the first two questions are negative for both protocols, the answer to the last is affirmative for measurements with phase-space interactions, and negative for configuration space interactions. Our results, particularly the ability of weak measurements to perform at par with strong measurements in some cases, are instructive for the design of weak-measurement-based protocols for quantum metrology.

  18. Electrowetting of Weak Polyelectrolyte-Coated Surfaces.

    PubMed

    Sénéchal, Vincent; Saadaoui, Hassan; Rodriguez-Hernandez, Juan; Drummond, Carlos

    2017-05-23

    Polymer coatings are commonly used to modify interfacial properties like wettability, lubrication, or biocompatibility. These properties are determined by the conformation of polymer molecules at the interface. Polyelectrolytes are convenient elementary bricks to build smart materials, given that polyion chain conformation is very sensitive to different environmental variables. Here we discuss the effect of an applied electric field on the properties of surfaces coated with poly(acrylic acid) brushes. By combining atomic force microscopy, quartz crystal microbalance, and contact angle experiments, we show that it is possible to precisely tune polyion chain conformation, surface adhesion, and surface wettability using very low applied voltages if the polymer grafting density and environmental conditions (pH and ionic strength) are properly formulated. Our results indicate that the effective ionization degree of the grafted weak polyacid can be finely controlled with the externally applied field, with important consequences for the macroscopic surface properties.

  19. Percolation on networks with weak and heterogeneous dependency.

    PubMed

    Kong, Ling-Wei; Li, Ming; Liu, Run-Ran; Wang, Bing-Hong

    2017-03-01

    In real networks, the dependency between nodes is ubiquitous; however, the dependency is not always complete and homogeneous. In this paper, we propose a percolation model with weak and heterogeneous dependency; i.e., dependency strengths could be different between different nodes. We find that the heterogeneous dependency strength will make the system more robust, and for various distributions of dependency strengths both continuous and discontinuous percolation transitions can be found. For Erdős-Rényi networks, we prove that the crossing point of the continuous and discontinuous percolation transitions is dependent on the first five moments of the dependency strength distribution. This indicates that the discontinuous percolation transition on networks with dependency is determined not only by the dependency strength but also by its distribution. Furthermore, in the area of the continuous percolation transition, we also find that the critical point depends on the first and second moments of the dependency strength distribution. To validate the theoretical analysis, cases with two different dependency strengths and Gaussian distribution of dependency strengths are presented as examples.

  20. Percolation on networks with weak and heterogeneous dependency

    NASA Astrophysics Data System (ADS)

    Kong, Ling-Wei; Li, Ming; Liu, Run-Ran; Wang, Bing-Hong

    2017-03-01

    In real networks, the dependency between nodes is ubiquitous; however, the dependency is not always complete and homogeneous. In this paper, we propose a percolation model with weak and heterogeneous dependency; i.e., dependency strengths could be different between different nodes. We find that the heterogeneous dependency strength will make the system more robust, and for various distributions of dependency strengths both continuous and discontinuous percolation transitions can be found. For Erdős-Rényi networks, we prove that the crossing point of the continuous and discontinuous percolation transitions is dependent on the first five moments of the dependency strength distribution. This indicates that the discontinuous percolation transition on networks with dependency is determined not only by the dependency strength but also by its distribution. Furthermore, in the area of the continuous percolation transition, we also find that the critical point depends on the first and second moments of the dependency strength distribution. To validate the theoretical analysis, cases with two different dependency strengths and Gaussian distribution of dependency strengths are presented as examples.

  1. Weak Energy: Form and Function

    NASA Astrophysics Data System (ADS)

    Parks, Allen D.

    The equation of motion for a time-dependent weak value of a quantum mechanical observable contains a complex valued energy factor—the weak energy of evolution. This quantity is defined by the dynamics of the pre-selected and post-selected states which specify the observable's weak value. It is shown that this energy: (i) is manifested as dynamical and geometric phases that govern the evolution of the weak value during the measurement process; (ii) satisfies the Euler-Lagrange equations when expressed in terms of Pancharatnam (P) phase and Fubini-Study (FS) metric distance; (iii) provides for a PFS stationary action principle for quantum state evolution; (iv) time translates correlation amplitudes; (v) generalizes the temporal persistence of state normalization; and (vi) obeys a time-energy uncertainty relation. A similar complex valued quantity—the pointed weak energy of an evolving quantum state—is also defined and several of its properties in PFS coordinates are discussed. It is shown that the imaginary part of the pointed weak energy governs the state's survival probability and its real part is—to within a sign—the Mukunda-Simon geometric phase for arbitrary evolutions or the Aharonov-Anandan (AA) geometric phase for cyclic evolutions. Pointed weak energy gauge transformations and the PFS 1-form are defined and discussed and the relationship between the PFS 1-form and the AA connection 1-form is established. [Editors note: for a video of the talk given by Prof. Parks at the Aharonov-80 conference in 2012 at Chapman University, see http://quantum.chapman.edu/talk-25.

  2. Influence of environmental noise on the weak value amplification

    NASA Astrophysics Data System (ADS)

    Zhu, Xuannmin; Zhang, Yu-Xiang

    2016-08-01

    Quantum systems are always disturbed by environmental noise. We have investigated the influence of the environmental noise on the amplification in weak measurements. Three typical quantum noise processes are discussed in this article. The maximum expectation values of the observables of the measuring device decrease sharply with the strength of the depolarizing and phase damping channels, while the amplification effect of weak measurement is immune to the amplitude damping noise. To obtain significantly amplified signals, we must ensure that the preselection quantum systems are kept away from the depolarizing and phase damping processes.

  3. Application of Strength Diagnosis.

    ERIC Educational Resources Information Center

    Newton, Robert U.; Dugan, Eric

    2002-01-01

    Discusses the various strength qualities (maximum strength, high- and low-load speed strength, reactive strength, rate of force development, and skill performance), noting why a training program design based on strength diagnosis can lead to greater efficacy and better performance gains for the athlete. Examples of tests used to assess strength…

  4. Quantifying shoulder rotation weakness in patients with shoulder impingement.

    PubMed

    Tyler, Timothy F; Nahow, Rachael C; Nicholas, Stephen J; McHugh, Malachy P

    2005-01-01

    The purpose of this study was to determine whether strength deficits could be detected in individuals with and without shoulder impingement, all of whom had normal shoulder strength bilaterally according to grading of manual muscle testing. Strength of the internal rotators and external rotators was tested isokinetically at 60 degrees /s and 180 degrees /s, as well as manually with a handheld dynamometer (HHD) in 17 patients and 22 control subjects. Testing was performed with the shoulder positioned in the scapular plane and in 90 degrees of shoulder abduction with 90 degrees of elbow flexion (90-90). The peak torque was determined for each movement. The strength deficit between the involved and uninvolved arms (patients) and the dominant and nondominant arms (control subjects) was calculated for each subject. Comparisons were made for the scapular-plane and 90-90 positions between isokinetic and HHD testing. Despite a normal muscle grade, patients had marked weakness (28% deficit, P < .01) in external rotators at the 90-90 position tested with the HHD. In contrast, external rotator weakness was not evident with isokinetic testing at the 90-90 position (60 degrees /s and 180 degrees /s, 0% deficit, P = .99). In control subjects, greater internal rotator strength in the dominant compared with the nondominant arm was evident with the HHD at the 90-90 position (11%, P < .01) and in the scapular plane (7%, P < .05). Using an HHD while performing manual muscle testing can quantify shoulder strength deficits that may not be apparent with isokinetic testing. By using an HHD during shoulder testing, clinicians can identify weakness that may have been presumed normal.

  5. Weak Wave Coupling Through Plasma Inhomogeneity

    NASA Astrophysics Data System (ADS)

    Swanson, D. G.

    1998-11-01

    Some effects of linear wave coupling due to effects of plasma inhomogeneity are well known through the process of mode conversion(D. G. Swanson, Theory of Mode Conversion and Tunneling in Inhomogenous Plasmas), (John Wiley & Sons, New York, 1998).. Another type of resonant coupling in a periodically inhomogeneous plasma has been recently found(V. A. Svidzinski and D. G. Swanson, Physics of Plasmas series 5), 486 (1998)., but any two waves will generally be coupled if the plasma is inhomogeneous, although the coupling may be weak. If the wavelengths are close, nearly all of the energy in one mode may be transferred to the other mode over a distance that depends on the coupling strength. The coupling strength depends on gradients of the plasma parameters. This means that the coupling may occur over an extended region in space, but that substantial amounts of wave energy may be transferred to a wave traditionally thought to be independent. Low-frequency Alfvén waves are shown to be a good example of this type of coupling.

  6. Warping the Weak Gravity Conjecture

    NASA Astrophysics Data System (ADS)

    Kooner, Karta; Parameswaran, Susha; Zavala, Ivonne

    2016-08-01

    The Weak Gravity Conjecture, if valid, rules out simple models of Natural Inflation by restricting their axion decay constant to be sub-Planckian. We revisit stringy attempts to realise Natural Inflation, with a single open string axionic inflaton from a probe D-brane in a warped throat. We show that warped geometries can allow the requisite super-Planckian axion decay constant to be achieved, within the supergravity approximation and consistently with the Weak Gravity Conjecture. Preliminary estimates of the brane backreaction suggest that the probe approximation may be under control. However, there is a tension between large axion decay constant and high string scale, where the requisite high string scale is difficult to achieve in all attempts to realise large field inflation using perturbative string theory. We comment on the Generalized Weak Gravity Conjecture in the light of our results.

  7. Weak localization and weak antilocalization in doped germanium epilayers

    NASA Astrophysics Data System (ADS)

    Newton, P. J.; Mansell, R.; Holmes, S. N.; Myronov, M.; Barnes, C. H. W.

    2017-02-01

    The magnetoresistance of 50 nm thick epilayers of doped germanium is measured at a range of temperatures down to 1.6 K. Both n- and p-type devices show quantum corrections to the conductivity in an applied magnetic field, with n-type devices displaying weak localization and p-type devices showing weak antilocalization. From fits to these data using the Hikami-Larkin-Nagaoka model, the phase coherence length of each device is extracted, as well as the spin diffusion length of the p-type device. We obtain phase coherence lengths as large as 325 nm in the highly doped n-type device, presenting possible applications in quantum technologies. The decay of the phase coherence length with temperature is found to obey the same power law of lϕ ∝ Tc, where c = -0.68 ± 0.03, for each device, in spite of the clear differences in the nature of the conduction. In the p-type device, the measured spin diffusion length does not change over the range of temperatures for which weak antilocalization can be observed. The presence of a spin-orbit interaction manifested as weak antilocalization in the p-type epilayer suggests that these structures could be developed for use in spintronic devices such as the spin-FET, where significant spin lifetimes would be important for efficient device operation.

  8. Nutritional status and weakness following pediatric hematopoietic cell transplantation.

    PubMed

    Bouma, Sandra; Peterson, Mark; Gatza, Erin; Choi, Sung Won

    2016-12-01

    Survivorship after pediatric HCT has increased over the past decade. Focus on long-term care and well-being remains critical due to risk of poor dietary habits and exaggerated sedentary behavior, which can lead to muscle weakness, increased risk for obesity, and cardiometabolic disorders. Nutrition and physical activity are key factors in survivorship; however, data are limited. Comprehensive nutritional assessments, including nutrition-focused physical examination, grip strength, and food/activity surveys, were completed in 36 pediatric HCT survivors (aged 2-25 years). Patients were divided into undernutrition, normal-nutrition, and overnutrition categories. Fifty percent of participants were classified as normal nutrition, 22% undernutrition, and 28% overnutrition. Few patients met the U.S. Dietary Guidelines recommended intake for vegetables, fiber, saturated fat, and So FAS. Patients in the undernutrition group demonstrated significantly lower grip strength than those in the normal- and overnutrition groups. When grip strength was normalized to body mass, patients in the overnutrition group had the highest prevalence of weakness. Using NHANES reference data, maximum grip strength and NGS cutoffs were identified that could significantly distinguish the nutrition groups. Comprehensive nutritional assessments and grip strength measurements are feasible, non-invasive, easy to perform, and inform both under- and overnutrition in pediatric HCT survivors. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Cosmology and the weak interaction

    NASA Technical Reports Server (NTRS)

    Schramm, David N.

    1989-01-01

    The weak interaction plays a critical role in modern Big Bang cosmology. Two of its most publicized comological connections are emphasized: big bang nucleosynthesis and dark matter. The first of these is connected to the cosmological prediction of neutrine flavors, N(sub nu) is approximately 3 which in now being confirmed. The second is interrelated to the whole problem of galacty and structure formation in the universe. The role of the weak interaction both for dark matter candidates and for the problem of generating seeds to form structure is demonstrated.

  10. Cosmology and the weak interaction

    SciTech Connect

    Schramm, D.N. ):)

    1989-12-01

    The weak interaction plays a critical role in modern Big Bang cosmology. This review will emphasize two of its most publicized cosmological connections: Big Bang nucleosynthesis and Dark Matter. The first of these is connected to the cosmological prediction of Neutrino Flavours, N{sub {nu}} {approximately} 3 which is now being confirmed at SLC and LEP. The second is interrelated to the whole problem of galaxy and structure formation in the universe. This review will demonstrate the role of the weak interaction both for dark matter candidates and for the problem of generating seeds to form structure. 87 refs., 3 figs., 5 tabs.

  11. Sex difference in attractiveness perceptions of strong and weak male walkers.

    PubMed

    Fink, Bernhard; André, Selina; Mines, Johanna S; Weege, Bettina; Shackelford, Todd K; Butovskaya, Marina L

    2016-11-01

    Men and women accurately assess male physical strength from facial and body morphology cues. Women's assessments of male facial attractiveness, masculinity, and dominance correlate positively with male physical strength. A positive relationship also has been reported between physical strength and attractiveness of men's dance movements. Here, we investigate men's and women's attractiveness, dominance, and strength assessments from brief samples of male gait. Handgrip strength (HGS) was measured in 70 heterosexual men and their gait was motion-captured. Men and women judged 20 precategorized strong (high HGS) and weak (low HGS) walkers on attractiveness, dominance, and strength, and provided a measure of their own HGS. Both men and women judged strong walkers higher on dominance and strength than weak walkers. Women but not men judged strong walkers more attractive than weak walkers. These effects were independent of observers' physical strength. Male physical strength is conveyed not only through facial and body morphology, but also through body movements. We discuss our findings with reference to studies suggesting that physical strength provides information about male quality in contexts of inter- and intrasexual selection. Am. J. Hum. Biol. 28:913-917, 2016. © 2016Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  12. Experimental Test of Error-Disturbance Uncertainty Relations by Weak Measurement

    NASA Astrophysics Data System (ADS)

    Kaneda, Fumihiro; Baek, So-Young; Ozawa, Masanao; Edamatsu, Keiichi

    2014-01-01

    We experimentally test the error-disturbance uncertainty relation (EDR) in generalized, strength-variable measurement of a single photon polarization qubit, making use of weak measurement that keeps the initial signal state practically unchanged. We demonstrate that the Heisenberg EDR is violated, yet the Ozawa and Branciard EDRs are valid throughout the range of our measurement strength.

  13. Weak bond detection in composites using highly nonlinear solitary waves

    NASA Astrophysics Data System (ADS)

    Singhal, Taru; Kim, Eunho; Kim, Tae-Yeon; Yang, Jinkyu

    2017-05-01

    We experimentally investigate a diagnostic technique for identifying a weak bond in composites using highly nonlinear solitary waves (HNSWs). We set up a one-dimensional chain of granular crystals, consisting of spherical particles with nonlinear interactions, to generate HNSWs. These solitary wave packets are transmitted into an inspection area of composites by making a direct contact with the chain. We demonstrate that a strong type of solitary waves injected to the weak bond area can break the weak bond of laminates, thereby causing delamination. Then, to identify the creation of the delamination, we transmit a weak type of solitary waves by employing the same apparatus, and measure the solitary waves reflected from the specimens. By analyzing these reflected solitary waves, we differentiate the weak bond samples with the pristine bond ones in an efficient and fast manner. The diagnostic results based on the proposed method are compared with the strength and energy release rate at bond interfaces, which are measured via standard testing methods such as three point bending and end notched flexure tests. This study shows the potential of solitary wave-based detection of weak bonds for hot spot monitoring of composite-based structures.

  14. Growth and decay of weak shock waves in magnetogasdynamics

    NASA Astrophysics Data System (ADS)

    Singh, L. P.; Singh, D. B.; Ram, S. D.

    2016-11-01

    The purpose of the present study is to investigate the problem of the propagation of weak shock waves in an inviscid, electrically conducting fluid under the influence of a magnetic field. The analysis assumes the following two cases: (1) a planar flow with a uniform transverse magnetic field and (2) cylindrically symmetric flow with a uniform axial or varying azimuthal magnetic field. A system of two coupled nonlinear transport equations, governing the strength of a shock wave and the first-order discontinuity induced behind it, are derived that admit a solution that agrees with the classical decay laws for a weak shock. An analytic expression for the determination of the shock formation distance is obtained. How the magnetic field strength, whether axial or azimuthal, influences the shock formation is also assessed.

  15. Theory of weak hypernuclear decay

    SciTech Connect

    Dubach, J.F.; Feldman, G.B.; Holstein, B.R. |; de la Torre, L.

    1996-07-01

    The weak nomesonic decay of {Lambda}-hypernuclei is studied in the context of a one-meson-exchange model. Predictions are made for the decay rate, the {ital p}/{ital n} stimulation ratio and the asymmetry in polarized hypernuclear decay. Copyright {copyright} 1996 Academic Press, Inc.

  16. On Weak-BCC-Algebras

    PubMed Central

    Thomys, Janus; Zhang, Xiaohong

    2013-01-01

    We describe weak-BCC-algebras (also called BZ-algebras) in which the condition (x∗y)∗z = (x∗z)∗y is satisfied only in the case when elements x, y belong to the same branch. We also characterize ideals, nilradicals, and nilpotent elements of such algebras. PMID:24311983

  17. Weak interaction physics at ISOLDE

    NASA Astrophysics Data System (ADS)

    Severijns, N.; Blank, B.

    2017-07-01

    Radioactive nuclei offer unique possibilities to study the structure and symmetries of the weak interaction in nuclear β decay. The large variety of nuclear states available allows selecting the ones that are best suited to study the phenomena of interest with optimal sensitivity, while at the same time minimising the effects of nuclear structure. The ISOLDE facility, offering worldwide the largest variety and intensity of radioactive beams, is one of the best suited laboratories in this respect. Over the last decade or so different aspects of the weak interaction have been studied at ISOLDE, ranging from half-lives, branching ratios and nuclear masses relevant for the determination of the V ud quark-mixing matrix element, over β-asymmetry and β ν correlation measurements searching for possible tensor and/or scalar contributions to the weak interaction, up to a measurement showing the effect of parity violation in the weak interaction in gamma decay. In addition, new projects respectively searching for scalar currents in the β-delayed proton decay of 32Ar, or to determine the V ud quark-mixing matrix element from the β-asymmetry parameter in the mirror decay of 35Ar, have just started.

  18. Cosmology with weak lensing surveys.

    PubMed

    Munshi, Dipak; Valageas, Patrick

    2005-12-15

    Weak gravitational lensing is responsible for the shearing and magnification of the images of high-redshift sources due to the presence of intervening mass. Since the lensing effects arise from deflections of the light rays due to fluctuations of the gravitational potential, they can be directly related to the underlying density field of the large-scale structures. Weak gravitational surveys are complementary to both galaxy surveys and cosmic microwave background observations as they probe unbiased nonlinear matter power spectra at medium redshift. Ongoing CMBR experiments such as WMAP and a future Planck satellite mission will measure the standard cosmological parameters with unprecedented accuracy. The focus of attention will then shift to understanding the nature of dark matter and vacuum energy: several recent studies suggest that lensing is the best method for constraining the dark energy equation of state. During the next 5 year period, ongoing and future weak lensing surveys such as the Joint Dark Energy Mission (JDEM; e.g. SNAP) or the Large-aperture Synoptic Survey Telescope will play a major role in advancing our understanding of the universe in this direction. In this review article, we describe various aspects of probing the matter power spectrum and the bi-spectrum and other related statistics with weak lensing surveys. This can be used to probe the background dynamics of the universe as well as the nature of dark matter and dark energy.

  19. Anisotropic weak localization of light.

    PubMed

    Sapienza, Riccardo; Mujumdar, Sushil; Cheung, Cecil; Yodh, A G; Wiersma, Diederik

    2004-01-23

    We have observed angular anisotropy in weak localization of light from highly scattering, orientationally ordered, nematic liquid crystals. This demonstration of angular anisotropy in a multiple-scattering interference phenomenon was facilitated by a light scattering instrument with extraordinary angular resolution. The measured anisotropies were consistent with a simple model of coherent backscattering generalized for propagation-direction dependent mean free paths.

  20. N-{Delta} weak transition

    SciTech Connect

    Graczyk, Krzysztof M.

    2011-11-23

    A short review of the Rein-Sehgal and isobar models is presented. The attention is focused on the nucleon-{Delta}(1232) weak transition form-factors. The results of the recent re-analyses of the ANL and BNL bubble chamber neutrino-deuteron scattering data are discussed.

  1. Beam splitting on weak illumination.

    PubMed

    Snyder, A W; Buryak, A V; Mitchell, D J

    1998-01-01

    We demonstrate, in both two and three dimensions, how a self-guided beam in a non-Kerr medium is split into two beams on weak illumination. We also provide an elegant physical explanation that predicts the universal character of the observed phenomenon. Possible applications of our findings to guiding light with light are also discussed.

  2. Study on the strength characteristics of High strength concrete with Micro steel fibers

    NASA Astrophysics Data System (ADS)

    Gowdham, K.; Sumathi, A.; Saravana Raja Mohan, K.

    2017-07-01

    The study of High Strength Concrete (HSC) has become interesting as concrete structures grow taller and larger. The usage of HSC in structures has been increased worldwide and has begun to make an impact in India. Ordinary cementitious materials are weak under tensile loads and fiber reinforced cementitious composites (FRCCs) have been developed to improve this weak point. High Strength concrete containing Alccofine as mineral admixture and reinforced with micro steel fibers were cast and tested to study the mechanical properties. The concrete were designed to have compressive strength of 60 MPa. Mixtures containing 0% and 10% replacement of cement by Alccofine and with 1%, 2% and 3% of micro steel fibers by weight of concrete were prepared. Mixtures incorporating Alccofine with fibers developed marginal increase in strength properties at all curing days when compared to control concrete.

  3. Increased inspiratory and expiratory muscle strength following respiratory muscle strength training (RMST) in two patients with late-onset Pompe disease.

    PubMed

    Jones, Harrison N; Moss, Tronda; Edwards, Laurie; Kishnani, Priya S

    2011-11-01

    Respiratory muscle strength training (RMST) is an exercise-based intervention which targets respiratory muscle weakness. We implemented RMST in two patients with late-onset Pompe disease (LOPD), both who had received long-term enzyme replacement therapy and had severe respiratory weakness. Over 16-32 weeks, inspiratory muscle strength increased by 73-74%. Expiratory muscle strength increased 31-48% over 12-22 weeks. These findings suggest that RMST may increase respiratory muscle strength, even in the setting of LOPD and severe baseline weakness.

  4. Comparison of quadriceps strength and handgrip strength in their association with health outcomes in older adults in primary care.

    PubMed

    Chan, On Ying A; van Houwelingen, Anne H; Gussekloo, Jacobijn; Blom, Jeanet W; den Elzen, Wendy P J

    2014-01-01

    Sarcopenia is thought to play a major role in the functional impairment that occurs with old age. In clinical practice, sarcopenia is often determined by measuring handgrip strength. Here, we compared the lower limb quadriceps strength to the handgrip strength in their association with health outcomes in older adults in primary care. Our study population consisted of older adults (n = 764, 68.2% women, median age 83) that participated in the Integrated Systemic Care for Older People (ISCOPE) study. Participants were visited at baseline to measure quadriceps strength and handgrip strength. Data on health outcomes were obtained at baseline and after 12 months (including life satisfaction, disability in daily living, GP contact-time and hospitalization). Quadriceps strength and handgrip strength showed a weak association (β = 0.42 [95% CI 0.33-0.50]; R (2) = 0.17). Quadriceps strength and handgrip strength were independently associated with health outcomes at baseline, including quality of life, disability in daily living, GP contact-time, hospitalization, and gait speed. Combined weakness of the quadriceps and handgrip distinguished a most vulnerable subpopulation that presented with the poorest health outcomes. At follow-up, handgrip strength showed an association with quality of life (β = 0.05; P = 0.002) and disability in daily living (β = -0.5; P = 0.004). Quadriceps weakness did not further contribute to the prediction of the measured health outcomes. We conclude that quadriceps strength is only moderately associated with handgrip strength in an older population and that the combination of quadriceps strength and handgrip strength measurements may aid in the identification of older adults in primary care with the poorest health outcomes. In the prediction of poor health outcomes, quadriceps strength measurements do not show an added value to the handgrip strength.

  5. Respiratory weakness in patients with chronic neck pain.

    PubMed

    Dimitriadis, Zacharias; Kapreli, Eleni; Strimpakos, Nikolaos; Oldham, Jacqueline

    2013-06-01

    Respiratory muscle strength is one parameter that is currently proposed to be affected in patients with chronic neck pain. This study was aimed at examining whether patients with chronic neck pain have reduced respiratory strength and with which neck pain problems their respiratory strength is associated. In this controlled cross-sectional study, 45 patients with chronic neck pain and 45 healthy well-matched controls were recruited. Respiratory muscle strength was assessed through maximal mouth pressures. The subjects were additionally assessed for their pain intensity and disability, neck muscle strength, endurance of deep neck flexors, neck range of movement, forward head posture and psychological states. Paired t-tests showed that patients with chronic neck pain have reduced Maximal Inspiratory (MIP) (r = 0.35) and Maximal Expiratory Pressures (MEP) (r = 0.39) (P < 0.05). Neck muscle strength (r > 0.5), kinesiophobia (r < -0.3) and catastrophizing (r < -0.3) were significantly associated with maximal mouth pressures (P < 0.05), whereas MEP was additionally negatively correlated with neck pain and disability (r < -0.3, P < 0.05). Neck muscle strength was the only predictor that remained as significant into the prediction models of MIP and MEP. It can be concluded that patients with chronic neck pain present weakness of their respiratory muscles. This weakness seems to be a result of the impaired global and local muscle system of neck pain patients, and psychological states also appear to have an additional contribution. Clinicians are advised to consider the respiratory system of patients with chronic neck pain during their usual assessment and appropriately address their treatment. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Quadriceps muscle strength in scoliosis.

    PubMed

    Swallow, E B; Barreiro, E; Gosker, H; Sathyapala, S A; Sanchez, F; Hopkinson, N S; Moxham, J; Schols, A; Gea, J; Polkey, M I

    2009-12-01

    Quadriceps muscle weakness is an important component of chronic obstructive pulmonary disease (COPD). We hypothesised that quadriceps weakness would also be a feature of restrictive lung disease due to scoliosis. We studied 10 patients with severe scoliosis (median (interquartile range (IQR)) forced expiratory volume in 1 s (FEV(1))() 35.3 (11)% predicted), 10 patients with severe COPD (FEV(1) 26.5 (9.0)% pred) and 10 healthy age-matched adults. We measured quadriceps strength, exercise capacity and analysed quadriceps muscle biopsies for myosin heavy-chain (MyHC) isoform expression and the presence of oxidative stress. Both groups exhibited quadriceps weakness with median (IQR) maximal voluntary contraction force being 46.0 (17.0) kg, 21.5 (21.0) kg and 31.5 (11.0) kg, respectively (p = 0.02 and 0.04, respectively, for each patient group against controls). Oxidative stress was significantly greater in the quadriceps of both restrictive and COPD patients. The scoliosis patients exhibited a decrease in the proportion of MyHC type I compared with controls; median (IQR) 35.3 (18.5)% compared with 47.7 (9.3)%, p = 0.028. The scoliosis patients also showed an increase in MyHC IIx (26.3 (15.5)% compared with 11.3 (13.0)%, p = 0.01. Quadriceps weakness is a feature of severe scoliosis; the similarities between patients with scoliosis and patients with COPD suggest a common aetiology to quadriceps weakness in both conditions.

  7. Advantages of nonclassical pointer states in postselected weak measurements

    NASA Astrophysics Data System (ADS)

    Turek, Yusuf; Maimaiti, W.; Shikano, Yutaka; Sun, Chang-Pu; Al-Amri, M.

    2015-08-01

    We investigate, within the weak measurement theory, the advantages of nonclassical pointer states over semiclassical ones for coherent, squeezed vacuum, and Schrödinger cat states. These states are utilized as pointer states for the system operator A ̂ with property Â2=I ̂ , where I ̂ represents the identity operator. We calculate the ratio between the signal-to-noise ratio of nonpostselected and postselected weak measurements. The latter is used to find the quantum Fisher information for the above pointer states. The average shifts for those pointer states with arbitrary interaction strength are investigated in detail. One key result is that we find the postselected weak measurement scheme for nonclassical pointer states to be superior to semiclassical ones. This can improve the precision of the measurement process.

  8. Celebrate Strengths, Nurture Affinities: A Conversation with Mel Levine

    ERIC Educational Resources Information Center

    Scherer, Marge

    2006-01-01

    In this interview with "Educational Leadership," pediatrician Dr. Mel Levine, cofounder of "All Kinds of Minds," explains why students and educators should learn about eight neurodevelopmental functions that undergird our strengths and weaknesses. For the most part, he notes, adults who lead successful lives mobilize their strengths and compensate…

  9. Root strength changes after logging in southeast Alaska

    Treesearch

    R. R. Ziemer; D. N. Swanston

    1977-01-01

    Abstract - A crucial factor in the stability of steep forested slopes is the role of plant roots in maintaining the shear strength of soil mantles. Roots add strength to the soil by vertically anchoring through the soil mass into failures in the bedrock and by laterally tying the slope together across zones of weakness or instability. Once the covering vegetation is...

  10. Mechanisms behind Estrogens’ Beneficial Effect on Muscle Strength in Females

    PubMed Central

    Lowe, Dawn A.; Baltgalvis, Kristen A.; Greising, Sarah M.

    2010-01-01

    Muscle weakness ensues when serum testosterone declines with age in men. Testosterone’s female counterpart, estrogen, has also been implicated in age-related strength loss but these results are less conclusive. Our working hypothesis is that estrogens do benefit muscle strength, and that the underlying mechanism involves estrogen receptors to improve muscle quality more so than quantity. PMID:20335737

  11. Weak values and weak coupling maximizing the output of weak measurements

    SciTech Connect

    Di Lorenzo, Antonio

    2014-06-15

    In a weak measurement, the average output 〈o〉 of a probe that measures an observable A{sup -hat} of a quantum system undergoing both a preparation in a state ρ{sub i} and a postselection in a state E{sub f} is, to a good approximation, a function of the weak value A{sub w}=Tr[E{sub f}A{sup -hat} ρ{sub i}]/Tr[E{sub f}ρ{sub i}], a complex number. For a fixed coupling λ, when the overlap Tr[E{sub f}ρ{sub i}] is very small, A{sub w} diverges, but 〈o〉 stays finite, often tending to zero for symmetry reasons. This paper answers the questions: what is the weak value that maximizes the output for a fixed coupling? What is the coupling that maximizes the output for a fixed weak value? We derive equations for the optimal values of A{sub w} and λ, and provide the solutions. The results are independent of the dimensionality of the system, and they apply to a probe having a Hilbert space of arbitrary dimension. Using the Schrödinger–Robertson uncertainty relation, we demonstrate that, in an important case, the amplification 〈o〉 cannot exceed the initial uncertainty σ{sub o} in the observable o{sup -hat}, we provide an upper limit for the more general case, and a strategy to obtain 〈o〉≫σ{sub o}. - Highlights: •We have provided a general framework to find the extremal values of a weak measurement. •We have derived the location of the extremal values in terms of preparation and postselection. •We have devised a maximization strategy going beyond the limit of the Schrödinger–Robertson relation.

  12. Expanding the phenotype of late-onset Pompe disease: tongue weakness: a new clinical observation.

    PubMed

    Dubrovsky, Alberto; Corderi, Jose; Lin, Min; Kishnani, Priya S; Jones, Harrison N

    2011-12-01

    Following the clinical observation of lingual weakness in 2 patients with late-onset Pompe disease (LOPD), tongue strength was assessed in 19 consecutive patients to determine the frequency and severity of this neurological sign. Lingual strength was assessed using manual muscle testing; if weakness was present, severity was established as mild, moderate, or severe. All the patients exhibited lingual weakness, even 2 asymptomatic patients with a positive family history. Weakness was mild in 12 (63%), moderate in 6 (32%), and severe in 1 (5%). Dysarthria and/or dysphagia were observed or reported in 7 of 19 (37%) patients. Lingual weakness may be present as an axial sign of LOPD, even relatively early in the disease course, and may contribute to the differential diagnosis of this now treatable condition. Dysphagia and/or dysarthria may also occur. This finding further expands the phenotype of LOPD. Copyright © 2011 Wiley Periodicals, Inc.

  13. Weak Coupling in 143Nd

    NASA Astrophysics Data System (ADS)

    Zhou, Xiao-Hong; E, Ideguchi; T, Kishida; M, Ishihara; H, Tsuchida; Y, Gono; T, Morikawa; M, Shibata; H, Watanabe; M, Miyake; T, Tsutsumi; S, Motomura; S, Mitarai

    2000-04-01

    The high-spin states of 143Nd have been studied in the 130Te(18O, 5n)143Nd reaction at a beam energy of 80 MeV using techniques of in-beam γ-ray spectroscopy. Measurements of γ - γ - t coincidences, γ-ray angular distributions, and γ-ray linear polarizations were performed. A level scheme of 143Nd with spin and parity assignments up to 53/2+ is proposed. While a weak coupling model can explain the level structure up to the Jπ=39/2- state, this model can not reproduce the higher-lying states. Additionally, a new low-lying non-yrast level sequence in 143Nd was observed in the present work, which can be well described by the weak coupling of an i13/2 neutron to the 142Nd core nucleus.

  14. Dissecting weak discernibility of quanta

    NASA Astrophysics Data System (ADS)

    Bigaj, Tomasz

    2015-05-01

    In this paper I critically examine latest attempts to formalize quantum-mechanical relations that are supposed to weakly discern elementary particles. I argue that all of them make illegitimate and unavoidable reference to numerical identity, and therefore cannot be used as a means to ground (or derive) quantitative facts of identity/distinctness in the qualitative characteristics of quantum systems. I compare my criticism of weak discernibility with the general circularity objection known from the literature, and I show that my argument is more specific, as it is based on a particular criterion which differentiates between legitimate and illegitimate uses of identity. In the end I suggest that we should reevaluate the role of permutation invariance in expressing the facts of qualitative differences between particles. Taking into account the inevitable symmetrization requirement applied to operators in tensor product spaces, it may be claimed that particles of the same type can be absolutely discerned in some accessible states.

  15. Light weakly interacting massive particles

    NASA Astrophysics Data System (ADS)

    Gelmini, Graciela B.

    2017-08-01

    Light weakly interacting massive particles (WIMPs) are dark matter particle candidates with weak scale interaction with the known particles, and mass in the GeV to tens of GeV range. Hints of light WIMPs have appeared in several dark matter searches in the last decade. The unprecedented possible coincidence into tantalizingly close regions of mass and cross section of four separate direct detection experimental hints and a potential indirect detection signal in gamma rays from the galactic center, aroused considerable interest in our field. Even if these hints did not so far result in a discovery, they have had a significant impact in our field. Here we review the evidence for and against light WIMPs as dark matter candidates and discuss future relevant experiments and observations.

  16. Tomography and weak lensing statistics

    SciTech Connect

    Munshi, Dipak; Coles, Peter; Kilbinger, Martin E-mail: peter.coles@astro.cf.ac.uk

    2014-04-01

    We provide generic predictions for the lower order cumulants of weak lensing maps, and their correlators for tomographic bins as well as in three dimensions (3D). Using small-angle approximation, we derive the corresponding one- and two-point probability distribution function for the tomographic maps from different bins and for 3D convergence maps. The modelling of weak lensing statistics is obtained by adopting a detailed prescription for the underlying density contrast that involves hierarchal ansatz and lognormal distribution. We study the dependence of our results on cosmological parameters and source distributions corresponding to the realistic surveys such as LSST and DES. We briefly outline how photometric redshift information can be incorporated in our results. We also show how topological properties of convergence maps can be quantified using our results.

  17. Weak localization of seismic waves.

    PubMed

    Larose, E; Margerin, L; Van Tiggelen, B A; Campillo, M

    2004-07-23

    We report the observation of weak localization of seismic waves in a natural environment. It emerges as a doubling of the seismic energy around the source within a spot of the width of a wavelength, which is several tens of meters in our case. The characteristic time for its onset is the scattering mean-free time that quantifies the internal heterogeneity. Copyright 2004 The American Physical Society

  18. Nuclear structure and weak probes

    NASA Astrophysics Data System (ADS)

    Horoi, Mihai

    2017-06-01

    Weak interaction in nuclei represents a well-known venue for testing many of the fundamental symmetries of the Standard Model. Analysis of these processes requires nuclear structure information, including nuclear data, and some theoretical approaches to describe it. Here we make an introduction into basic nuclear structure concepts, using the existing nuclear data and some simple mean-field and shell model approaches. Some applications to beta decays and double beta decays are presented.

  19. Explosive shielding by weak layers

    SciTech Connect

    Fourney, W.L.; Dick, R.D.; Weaver, T.A.

    1993-02-01

    This paper presents the results of a series of computations which were carried out to determine the effect that a layer of extremely weak rock embedded in an otherwise strong rock matrix would have on the displacements and velocities which result from the detonation of a nearby explosive source. The motivation for the study was the apparently different measurements obtained on the Mission Cyber Nuclear Event when compared to results obtained from other events of equal yield in similar geologic media.

  20. Explosive shielding by weak layers

    SciTech Connect

    Fourney, W.L.; Dick, R.D.; Weaver, T.A.

    1993-01-01

    This paper presents the results of a series of computations which were carried out to determine the effect that a layer of extremely weak rock embedded in an otherwise strong rock matrix would have on the displacements and velocities which result from the detonation of a nearby explosive source. The motivation for the study was the apparently different measurements obtained on the Mission Cyber Nuclear Event when compared to results obtained from other events of equal yield in similar geologic media.

  1. PROTOSTELLAR DISK FORMATION ENABLED BY WEAK, MISALIGNED MAGNETIC FIELDS

    SciTech Connect

    Krumholz, Mark R.; Crutcher, Richard M.; Hull, Charles L. H.

    2013-04-10

    The gas from which stars form is magnetized, and strong magnetic fields can efficiently transport angular momentum. Most theoretical models of this phenomenon find that it should prevent formation of large (>100 AU), rotationally supported disks around most protostars, even when non-ideal magnetohydrodynamic (MHD) effects that allow the field and gas to decouple are taken into account. Using recent observations of magnetic field strengths and orientations in protostellar cores, we show that this conclusion is incorrect. The distribution of magnetic field strengths is very broad, and alignments between fields and angular momentum vectors within protostellar cores are essentially random. By combining the field strength and misalignment data with MHD simulations showing that disk formation is expected for both weak and misaligned fields, we show that these observations imply that we should expect disk fractions of {approx}10%-50% even when protostars are still deeply embedded in their parent cores, and even if the gas is governed by ideal MHD.

  2. Observationally determined Fe II oscillator strengths

    NASA Astrophysics Data System (ADS)

    Shull, J. M.; van Steenberg, M.; Seab, C. G.

    1983-08-01

    Absorption oscillator strengths for 21 Fe II resonance lines, have been determined using a curve-of-growth analysis of interstellar data from the Copernicus and International Ultraviolet Explorer (IUE) satellites. In addition to slight changes in strengths of the far-UV lines, new f-values are reported for wavelength 1608.45, a prominent line in interstellar and quasar absorption spectra, and for wavelength 2260.08, a weak, newly identified linen in IUE interstellar spectra. An upper limit on the strength of the undetected line at 2366.867 A (UV multiplet 2) is set. Using revised oscillator strengths, Fe II column densities toward 13 OB stars are derived. The interstellar depletions, (Fe/H), relative to solar values range between factors of 10 and 120.

  3. Monopole Strength Function of Deformed Superfluid Nuclei

    SciTech Connect

    Stoitsov, M. V.; Kortelainen, E. M.; Nakatsukasa, T.; Losa, C.; Nazarewicz, Witold

    2011-01-01

    We present an efficient method for calculating strength functions using the finite amplitude method (FAM) for deformed superfluid heavy nuclei within the framework of the nuclear density functional theory. We demonstrate that FAM reproduces strength functions obtained with the fully self-consistent quasi-particle random-phase approximation (QRPA) at a fraction of computational cost. As a demonstration, we compute the isoscalar and isovector monopole strength for strongly deformed configurations in ^{240}Pu by considering huge quasi-particle QRPA spaces. Our approach to FAM, based on Broyden's iterative procedure, opens the possibility for large-scale calculations of strength distributions in well-bound and weakly bound nuclei across the nuclear landscape.

  4. Cohesive strength of iron ore granules

    NASA Astrophysics Data System (ADS)

    Contreras, Rafael Jaimes; Berger, Nicolas; Izard, Edouard; Douce, Jean-François; Koltsov, Alexey; Delenne, Jean-Yves; Azema, Emilien; Nezamabadi, Saeid; van Loo, Frédéric; Pellenq, Roland; Radjai, Farhang

    2017-06-01

    We present an experimental and numerical investigation of the mechanical strength of crude iron ore (Hematite) granules in which capillary bonds between primary particles are the source of internal cohesion. The strength is measured by subjecting the granules to vertical compression between two plates. We show that the behavior of the granules is ductile with a well-defined plastic threshold which increases with the amount of water. It is found that the compressive strength scales with capillary cohesion with a pre-factor that is nearly independent of size polydispersity for the investigated range of parameters but increases with friction coefficient between primary particles. This weak dependence may be attributed to the class of fine particles which, due to their large number, behaves as a cohesive matrix that controls the strength of the granule.

  5. Detecting weakly interacting massive particles.

    NASA Astrophysics Data System (ADS)

    Drukier, A. K.; Gelmini, G. B.

    The growing synergy between astrophysics, particle physics, and low background experiments strengthens the possibility of detecting astrophysical non-baryonic matter. The idea of direct detection is that an incident, massive weakly interacting particle could collide with a nucleus and transfer an energy that could be measured. The present low levels of background achieved by the PNL/USC Ge detector represent a new technology which yields interesting bounds on Galactic cold dark matter and on light bosons emitted from the Sun. Further improvements require the development of cryogenic detectors. The authors analyse the practicality of such detectors, their optimalization and background suppression using the "annual modulation effect".

  6. Weak Faults, Yet Strong Middle Crust

    NASA Astrophysics Data System (ADS)

    Platt, J. P.; Behr, W. M.

    2013-12-01

    A global compilation of stress magnitude from mylonites developed along major fault zones suggests that maximum differential stresses between 140 and 200 MPa are reached at temperatures between 300 and 350°C on normal, thrust, and strike-slip faults. These differential stresses are consistent with brittle rock strengths estimated based on Coulomb fracture (e.g., Byerlee's law), and with in-situ measurements of crustal stress measured in boreholes. This confirms previous suggestions that many parts of the continental crust are stressed close to failure down to the brittle-ductile transition. Many major active faults in all tectonic regimes are considered to be relatively weak, however, based on various lines of evidence, including their unfavorable orientation with respect to regional stresses, the absence of heat flow anomalies, the mechanical properties of fault gouge, and evidence for high fluid pressures along subduction zone megathrusts. Peak differential stresses estimated by a variety of techniques lie mostly in the range 1 - 20 MPa. The sharp contrast between differential stresses estimated on the seismogenic parts of major faults and those estimated from ductile rocks immediately below the brittle-ductile transition has the following implications: 1. The lower limit of seismicity in major fault zones is not controlled by the intersection of brittle fracture laws such as Byerlee's law with ductile creep laws. Rather, it represents an abrupt downward termination, probably controlled by temperature, of the weakening processes that govern fault behavior in the upper crust. 2. The seismogenic parts of major fault zones contribute little to lithospheric strength, and are unlikely to have much influence on either the slip rate or the location of the faults. Conversely, the high strength segments of ductile shear zones immediately below the brittle-ductile transition constitute a major load-bearing element within the lithosphere. Displacement rates are governed by

  7. Relaxion monodromy and the Weak Gravity Conjecture

    NASA Astrophysics Data System (ADS)

    Ibáñez, L. E.; Montero, M.; Uranga, A. M.; Valenzuela, I.

    2016-04-01

    The recently proposed relaxion models require extremely large trans-Planckian axion excursions as well as a potential explicitly violating the axion shift symmetry. The latter property is however inconsistent with the axion periodicity, which corresponds to a gauged discrete shift symmetry. A way to make things consistent is to use monodromy, i.e. both the axion and the potential parameters transform under the discrete shift symmetry. The structure is better described in terms of a 3-form field C μνρ coupling to the SM Higgs through its field strength F 4. The 4-form also couples linearly to the relaxion, in the Kaloper-Sorbo fashion. The extremely small relaxion-Higgs coupling arises in a see-saw fashion as g ≃ F 4 /f , with f being the axion decay constant. We discuss constraints on this type of constructions from membrane nucleation and the Weak Gravity Conjecture. The latter requires the existence of membranes, whose too fast nucleation could in principle drive the theory out of control, unless the cut-off scale is lowered. This allows to rule out the simplest models with the QCD axion as relaxion candidate on purely theoretical grounds. We also discuss possible avenues to embed this structure into string theory.

  8. The weak scale from BBN

    NASA Astrophysics Data System (ADS)

    Hall, Lawrence J.; Pinner, David; Ruderman, Joshua T.

    2014-12-01

    The measured values of the weak scale, v, and the first generation masses, m u, d, e , are simultaneously explained in the multiverse, with all these parameters scanning independently. At the same time, several remarkable coincidences are understood. Small variations in these parameters away from their measured values lead to the instability of hydrogen, the instability of heavy nuclei, and either a hydrogen or a helium dominated universe from Big Bang Nucleosynthesis. In the 4d parameter space of ( m u , m d , m e , v), catastrophic boundaries are reached by separately increasing each parameter above its measured value by a factor of (1.4, 1.3, 2.5, ˜ 5), respectively. The fine-tuning problem of the weak scale in the Standard Model is solved: as v is increased beyond the observed value, it is impossible to maintain a significant cosmological hydrogen abundance for any values of m u, d, e that yield both hydrogen and heavy nuclei stability.

  9. Planar radial weakly dissipative diffeomorphisms.

    PubMed

    Simó, C; Vieiro, A

    2010-12-01

    We study the effect of a small dissipative radial perturbation acting on a one parameter family of area preserving diffeomorphisms. This is a specific type of dissipative perturbation. The interest is on the global effect of the dissipation on a fixed domain around an elliptic fixed/periodic point of the family, rather than on the effects around a single resonance. We describe the local/global bifurcations observed in the transition from the conservative to a weakly dissipative case: the location of the resonant islands, the changes in the domains of attraction of the foci inside these islands, how the resonances disappear, etc. The possible ω-limits are determined in each case. This topological description gives rise to three different dynamical regimes according to the size of dissipative perturbation. Moreover, we determine the conservative limit of the probability of capture in a generic resonance from the interpolating flow approximation, hence assuming no homoclinics in the resonance. As a paradigm of weakly dissipative radial maps, we use a dissipative version of the Hénon map. © 2010 American Institute of Physics.

  10. Weak interactions at the SSC

    SciTech Connect

    Chanowitz, M.S.

    1986-03-01

    Prospects for the study of standard model weak interactions at the SSC are reviewed, with emphasis on the unique capability of the SSC to study the mechanism of electroweak symmetry breaking whether the associated new quanta are at the TeV scale or higher. Symmetry breaking by the minimal Higgs mechanism and by related strong interaction dynamical variants is summarized. A set of measurements is outlined that would calibrate the proton structure functions and the backgrounds to new physics. The ability to measure the three weak gauge boson vertex is found to complement LEP II, with measurements extending to larger Q/sup 2/ at a comparable statistical level in detectable decays. B factory physics is briefly reviewed as one example of a possible broad program of high statistics studies of sub-TeV scale phenomena. The largest section of the talk is devoted to the possible manifestations of symmetry breaking in the WW and ZZ production cross sections. Some new results are presented bearing on the ability to detect high mass WW and ZZ pairs. The principal conclusion is that although nonstandard model scenarios are typically more forgiving, the capability to study symmetry breaking in the standard model (and in related strong interaction dynamical variants) requires achieving the SSC design goals of ..sqrt.. s,L = 40Tev, 10/sup 33/cm/sup -2/sec/sup -1/. 28 refs., 5 figs.

  11. Weakly Circadian Cells Improve Resynchrony

    PubMed Central

    Thoroughman, Kurt A.; Doyle, Francis J.; Herzog, Erik D.

    2012-01-01

    The mammalian suprachiasmatic nuclei (SCN) contain thousands of neurons capable of generating near 24-h rhythms. When isolated from their network, SCN neurons exhibit a range of oscillatory phenotypes: sustained or damping oscillations, or arrhythmic patterns. The implications of this variability are unknown. Experimentally, we found that cells within SCN explants recover from pharmacologically-induced desynchrony by re-establishing rhythmicity and synchrony in waves, independent of their intrinsic circadian period We therefore hypothesized that a cell's location within the network may also critically determine its resynchronization. To test this, we employed a deterministic, mechanistic model of circadian oscillators where we could independently control cell-intrinsic and network-connectivity parameters. We found that small changes in key parameters produced the full range of oscillatory phenotypes seen in biological cells, including similar distributions of period, amplitude and ability to cycle. The model also predicted that weaker oscillators could adjust their phase more readily than stronger oscillators. Using these model cells we explored potential biological consequences of their number and placement within the network. We found that the population synchronized to a higher degree when weak oscillators were at highly connected nodes within the network. A mathematically independent phase-amplitude model reproduced these findings. Thus, small differences in cell-intrinsic parameters contribute to large changes in the oscillatory ability of a cell, but the location of weak oscillators within the network also critically shapes the degree of synchronization for the population. PMID:23209395

  12. Flexibility and Muscular Strength.

    ERIC Educational Resources Information Center

    Liemohn, Wendell

    1988-01-01

    This definition of flexibility and muscular strength also explores their roles in overall physical fitness and focuses on how increased flexibility and muscular strength can help decrease or eliminate lower back pain. (CB)

  13. Flexibility and Muscular Strength.

    ERIC Educational Resources Information Center

    Liemohn, Wendell

    1988-01-01

    This definition of flexibility and muscular strength also explores their roles in overall physical fitness and focuses on how increased flexibility and muscular strength can help decrease or eliminate lower back pain. (CB)

  14. Hip Strength in Patients with Quadriceps Strength Deficits after ACL Reconstruction.

    PubMed

    Bell, David R; Trigsted, Stephanie M; Post, Eric G; Walden, Courtney E

    2016-10-01

    Quadriceps strength deficits persist for years after anterior cruciate ligament (ACL) reconstruction, and patients with these deficits often shift torque demands away from the knee extensors to the hip during functional tasks. However, it is not clear how quadriceps strength deficits may affect hip strength. Therefore, the purpose of this study was to investigate differences in lower extremity strength in individuals with ACL reconstruction with differing levels of quadriceps strength asymmetry. Isometric strength was recorded bilaterally in 135 participants (73 control and 62 with unilateral ACL reconstruction, time from surgery = 30.9 ± 17.6 months) from the knee extensors and flexors, hip extensors and abductors, and hip internal and external rotator muscle groups. Symmetry indices (limb symmetry index (LSI)) were created based on quadriceps strength, and subjects with ACL reconstruction were subdivided (high quadriceps (LSI ≥ 90%), n = 37; low quadriceps (LSI < 85%), n = 18). Individual group (control vs high quadriceps vs low quadriceps) by limb (reconstructed/nondominant vs healthy/dominant) repeated-measures ANOVA was used to compare strength (%BW) for each of the six joint motions of interest (knee extensors/flexors, hip abductors/extensors/external, and internal rotators) while controlling for time from surgery. An interaction was observed for quadriceps strength (P < 0.001), and the reconstructed limb in the low quadriceps group was weaker than all other limbs. A main effect for group was observed with the low quadriceps group having greater hip extension (P = 0.007) strength in both limbs compared with the other groups. Knee flexion strength was weaker in the reconstructed limb of the high quadriceps group (P = 0.047) compared with all other groups and limbs. Individuals with ACL reconstruction and involved limb quadriceps weakness have greater hip extension strength in both limbs compared with patients with bilateral strength symmetry and controls.

  15. Strength Training for Girls.

    ERIC Educational Resources Information Center

    Connaughton, Daniel; Connaughton, Angela; Poor, Linda

    2001-01-01

    Strength training can be fun, safe, and appropriate for young girls and women and is an important component of any fitness program when combined with appropriate cardiovascular and flexibility activities. Concerns and misconceptions regarding girls' strength training are discussed, presenting general principles of strength training for children…

  16. Strength Training for Girls.

    ERIC Educational Resources Information Center

    Connaughton, Daniel; Connaughton, Angela; Poor, Linda

    2001-01-01

    Strength training can be fun, safe, and appropriate for young girls and women and is an important component of any fitness program when combined with appropriate cardiovascular and flexibility activities. Concerns and misconceptions regarding girls' strength training are discussed, presenting general principles of strength training for children…

  17. Neurophysiological correlates of aging-related muscle weakness

    PubMed Central

    Cunningham, David A.; Bonnett, Corin; Gohar, Dina; Bayram, Mehmed; Wyant, Alexandria; Varnerin, Nicole; Mamone, Bernadett; Siemionow, Vlodek; Hou, Juliet; Machado, Andre; Yue, Guang H.

    2013-01-01

    Muscle weakness associated with aging implicates central neural degeneration. However, role of the primary motor cortex (M1) is poorly understood, despite evidence that gains in strength in younger adults are associated with its adaptations. We investigated whether weakness of biceps brachii in aging analogously relates to processes in M1. We enrolled 20 young (22.6 ± 0.87 yr) and 28 old (74.79 ± 1.37 yr) right-handed participants. Using transcranial magnetic stimulation, representation of biceps in M1 was identified. We examined the effect of age and sex on strength of left elbow flexion, voluntary activation of biceps, corticospinal excitability and output, and short-interval intracortical and interhemispheric inhibition. Interhemispheric inhibition was significantly exaggerated in the old (P = 0.047), while strength tended to be lower (P = 0.075). Overall, women were weaker (P < 0.001). Processes of M1 related to strength or voluntary activation of biceps, but only in older adults. Corticospinal excitability was lower in weaker individuals (r = 0.38), and corticospinal output, intracortical inhibition and interhemispheric inhibition were reduced too in individuals who poorly activated biceps (r = 0.43, 0.54 and 0.38). Lower intracortical inhibition may reflect compensation for reduced corticospinal excitability, allowing weaker older adults to spread activity in M1 to recruit synergists and attempt to sustain motor output. Exaggerated interhemispheric inhibition, however, conflicts with previous evidence, potentially related to greater callosal damage in our older sample, our choice of proximal vs. distal muscle and differing influence of measurement of inhibition in rest vs. active states of muscle. Overall, age-specific relation of M1 to strength and muscle activation emphasizes that its adaptations only emerge when necessitated, as in a weakening neuromuscular system in aging. PMID:24027104

  18. Molecular basis of weak D phenotypes.

    PubMed

    Wagner, F F; Gassner, C; Müller, T H; Schönitzer, D; Schunter, F; Flegel, W A

    1999-01-01

    A Rhesus D (RhD) red blood cell phenotype with a weak expression of the D antigen occurs in 0.2% to 1% of whites and is called weak D, formerly Du. Red blood cells of weak D phenotype have a much reduced number of presumably complete D antigens that were repeatedly reported to carry the amino acid sequence of the regular RhD protein. The molecular cause of weak D was unknown. To evaluate the molecular cause of weak D, we devised a method to sequence all 10 RHD exons. Among weak D samples, we found a total of 16 different molecular weak D types plus two alleles characteristic of partial D. The amino acid substitutions of weak D types were located in intracellular and transmembraneous protein segments and clustered in four regions of the protein (amino acid positions 2 to 13, around 149, 179 to 225, and 267 to 397). Based on sequencing, polymerase chain reaction-restriction fragment length polymorphism and polymerase chain reaction using sequence-specific priming, none of 161 weak D samples investigated showed a normal RHD exon sequence. We concluded, that in contrast to the current published dogma most, if not all, weak D phenotypes carry altered RhD proteins, suggesting a causal relationship. Our results showed means to specifically detect and to classify weak D. The genotyping of weak D may guide Rhesus negative transfusion policy for such molecular weak D types that were prone to develop anti-D.

  19. Weak measurement and quantum steering of spin qubits in silicon

    NASA Astrophysics Data System (ADS)

    Morello, Andrea; Muhonen, Juha; Simmons, Stephanie; Freer, Solomon; Dehollain, Juan; McCallum, Jeffrey; Jamieson, David; Itoh, Kohei; Dzurak, Andrew

    Single-shot, projective measurements have been demonstrated with very high fidelities on both the electron and the nuclear spin of single implanted phosphorus (31P) donors in silicon. Here we present a series of experiments where the measurement strength is continousuly reduced, giving access to the regime of weak measurement of single spins.For the electron qubit, the measurement strength is set by the measurement time compared to the spin-dependent tunneling time between the 31P donor and a charge reservoir. For the nuclear qubit, the measurement strength is set by the rotation angle of an ESR pulse.We have demonstrated quantum steering of the spin states, with curious and useful applications. We can improve the fidelity of electron qubit initialization by steering it towards the ground state, thus bypassing thermal effects on the initialization process. We can also accurately measure the electron-reservoir tunnel coupling, without the electron ever tunneling away from the 31P atom. Finally, these techniques allow the study of weak values and Leggett-Garg inequalities. Present address: AMOLF, Amsterdam, The Netherlands.

  20. A man with worsening weakness.

    PubMed

    Proietti, G; Puliti, M; Tulli, F; Silvestri, M

    1999-01-01

    The contemporary presence of organomegaly, skin manifestations, polyneuropathy, endocrinopathy and monoclonal component characterises the POEMS syndrome, often associated with osteosclerotic myeloma and Castelman's disease and more frequent in the Japanese. Clinical manifestations seem to be related to the production of many interleukins, mainly IL-1, IL-6 and TNF. Several endocrinopathies have been described, the most frequent being diabetes. Only one previous case of hypoparathyroidism associated with the syndrome has been described in medical reviews. Polyneuropathy is often sensitivo-motory and skin disease accounts for Raynaud phenomenon, skin pigmentation, hypertricosis and others. We describe the case of a 74-year-old man who underwent clinical examination for weakness mainly in the legs. Clinical and instrumental data showed rhabdomyolysis due to hypoparathyroidism. The contemporary presence of a monoclonal band of light chains on proteic electrophoresis, organomegaly and distal leg neuropathy allowed us to make a diagnosis of POEMS syndrome.

  1. Weakly nonlinear magnetohydrodynamic wave interactions

    SciTech Connect

    Webb, G.M.; Brio, M.; Kruse, M.T.; Zank, G.P.

    1999-06-01

    Equations describing weakly nonlinear magnetohydrodynamic (MHD) wave interactions in one Cartesian space dimension are discussed. For wave propagation in uniform media, the wave interactions of interest consist of: (a) three-wave resonant interactions in which high frequency waves, may evolve on long space and time scales if the wave phases satisfy the resonance conditions; (b) Burgers self-wave steepening for the magnetoacoustic waves, and (c) mean wave field effects, in which a particular wave interacts with the mean wave field of the other waves. For wave propagation in non-uniform media, further linear wave mixing terms appear in the equations. The equations describe four types of resonant triads: slow-fast magnetosonic wave interaction; Alfv{acute e}n-entropy wave interaction; Alfv{acute e}n-magnetosonic wave interaction; and magnetosonic-entropy wave interaction. The formalism is restricted to coherent wave interactions. {copyright} {ital 1999 American Institute of Physics.}

  2. Lizard locomotion on weak sand

    NASA Astrophysics Data System (ADS)

    Goldman, Daniel

    2005-03-01

    Terrestrial animal locomotion in the natural world can involve complex foot-ground interaction; for example, running on sand probes the solid and fluid behaviors of the medium. We study locomotion of desert-dwelling lizard Callisaurus draconoides (length 16 cm, mass=20 g) during rapid running on sand. To explore the role of foot-ground interaction on locomotion, we study the impact of flat disks ( 2 cm diameter, 10 grams) into a deep (800 particle diameters) bed of 250 μm glass spheres of fixed volume fraction φ 0.59, and use a vertical flow of air (a fluidized bed) to change the material properties of the medium. A constant flow Q below the onset of bed fluidization weakens the solid: at fixed φ the penetration depth and time of a disk increases with increasing Q. We measure the average speed, foot impact depth, and foot contact time as a function of material strength. The animal maintains constant penetration time (30 msec) and high speed (1.4 m/sec) even when foot penetration depth varies as we manipulate material strength. The animals compensate for decreasing propulsion by increasing stride frequency.

  3. Importance and challenges of measuring intrinsic foot muscle strength

    PubMed Central

    2012-01-01

    Background Intrinsic foot muscle weakness has been implicated in a range of foot deformities and disorders. However, to establish a relationship between intrinsic muscle weakness and foot pathology, an objective measure of intrinsic muscle strength is needed. The aim of this review was to provide an overview of the anatomy and role of intrinsic foot muscles, implications of intrinsic weakness and evaluate the different methods used to measure intrinsic foot muscle strength. Method Literature was sourced from database searches of MEDLINE, PubMed, SCOPUS, Cochrane Library, PEDro and CINAHL up to June 2012. Results There is no widely accepted method of measuring intrinsic foot muscle strength. Methods to estimate toe flexor muscle strength include the paper grip test, plantar pressure, toe dynamometry, and the intrinsic positive test. Hand-held dynamometry has excellent interrater and intrarater reliability and limits toe curling, which is an action hypothesised to activate extrinsic toe flexor muscles. However, it is unclear whether any method can actually isolate intrinsic muscle strength. Also most methods measure only toe flexor strength and other actions such as toe extension and abduction have not been adequately assessed. Indirect methods to investigate intrinsic muscle structure and performance include CT, ultrasonography, MRI, EMG, and muscle biopsy. Indirect methods often discriminate between intrinsic and extrinsic muscles, but lack the ability to measure muscle force. Conclusions There are many challenges to accurately measure intrinsic muscle strength in isolation. Most studies have measured toe flexor strength as a surrogate measure of intrinsic muscle strength. Hand-held dynamometry appears to be a promising method of estimating intrinsic muscle strength. However, the contribution of extrinsic muscles cannot be excluded from toe flexor strength measurement. Future research should clarify the relative contribution of intrinsic and extrinsic muscles

  4. Weak measurement with orthogonal preselection and postselection

    NASA Astrophysics Data System (ADS)

    Pang, Shengshi; Wu, Shengjun; Chen, Zeng-Bing

    2012-08-01

    Weak measurement is a novel quantum measurement scheme, which is usually characterized by the weak value formalism. To guarantee the validity of the weak value formalism, the fidelity between the preselection and the postselection should not be too small generally. In this work, we study the weak measurement on a qubit system with exactly or asymptotically orthogonal pre- and postselections. We shall establish a general rigorous framework for the weak measurement beyond the weak value formalism, and obtain the average output of a weak measurement when the pre- and postselections are exactly orthogonal. We shall also study the asymptotic behavior of a weak measurement in the limiting process that the pre- and postselections tend to be orthogonal.

  5. Modeling of Weak Fused Optical Fibers Using Vickers Indentations

    NASA Astrophysics Data System (ADS)

    Lin, Bochien

    This thesis addresses issues of modeling mechanical behavior of flaw containing weak silica fibers. Vickers indentation is used to model "nature" flaws present on fiber surface, especially for the contact damages. Novel and reliable experimental techniques have been developed that permit the inert (liquid nitrogen) strength of air -indented fiber to be determined across a broad range of values which encompasses the threshold region for radial crack formation. Inert strength of subthreshold indents can be simply modeled by a Griffith flaw of a size equal the indent size and the residual stresses have negligible influence, except for the long term behavior under low applied stress in a fatiguing environment where the strength is comparable to the magnitude of the residual stresses. A low n-value of ~11 is observed in the pH 7 buffer, extended from the subthreshold to the threshold regions. Neglecting this fact will introduce substantial error for lifetime predictions. The behavior of fatigue strength in alkali-hydroxides solutions suggests that subthreshold flaws degrade by surface mechanisms, rather than mechanisms occurring around the crack tip and further implies that subthreshold indents, at least in this regime, act simply as surface shape discontinuities. Fatigue strength exhibits an asymptotic curve-down behavior at the threshold in the alkali-hydroxides that implies the existence of propagation controlled subthreshold behavior. Long term aging improves mechanical properties, i.e., increase in strength and n, except for near threshold right in the region of interest. Residual stress release and crack tip blunting take place concurrently during zero -stress aging and crack tip blunting is dominant for the increase of strength and n-value. Several fracture models have been fit with experimental data for their validity for both sub- and postthreshold flaws.

  6. Strength Modeling Report

    NASA Technical Reports Server (NTRS)

    Badler, N. I.; Lee, P.; Wong, S.

    1985-01-01

    Strength modeling is a complex and multi-dimensional issue. There are numerous parameters to the problem of characterizing human strength, most notably: (1) position and orientation of body joints; (2) isometric versus dynamic strength; (3) effector force versus joint torque; (4) instantaneous versus steady force; (5) active force versus reactive force; (6) presence or absence of gravity; (7) body somatotype and composition; (8) body (segment) masses; (9) muscle group envolvement; (10) muscle size; (11) fatigue; and (12) practice (training) or familiarity. In surveying the available literature on strength measurement and modeling an attempt was made to examine as many of these parameters as possible. The conclusions reached at this point toward the feasibility of implementing computationally reasonable human strength models. The assessment of accuracy of any model against a specific individual, however, will probably not be possible on any realistic scale. Taken statistically, strength modeling may be an effective tool for general questions of task feasibility and strength requirements.

  7. Deterministic weak localization in periodic structures.

    PubMed

    Tian, C; Larkin, A

    2005-12-09

    In some perfect periodic structures classical motion exhibits deterministic diffusion. For such systems we present the weak localization theory. As a manifestation for the velocity autocorrelation function a universal power law decay is predicted to appear at four Ehrenfest times. This deterministic weak localization is robust against weak quenched disorders, which may be confirmed by coherent backscattering measurements of periodic photonic crystals.

  8. Studies of fiber-matrix adhesion on compression strength

    NASA Technical Reports Server (NTRS)

    Bascom, Willard D.; Nairn, John A.; Boll, D. J.

    1991-01-01

    A study was initiated on the effect of the matrix polymer and the fiber matrix bond strength of carbon fiber polymer matrix composites. The work includes tests with micro-composites, single ply composites, laminates, and multi-axial loaded cylinders. The results obtained thus far indicate that weak fiber-matrix adhesion dramatically reduces 0 degree compression strength. Evidence is also presented that the flaws in the carbon fiber that govern compression strength differ from those that determine fiber tensile strength. Examination of post-failure damage in the single ply tests indicates kink banding at the crack tip.

  9. Some implications of meson dominance in weak interactions

    SciTech Connect

    Lichard, P. ||

    1997-05-01

    The hypothesis is scrutinized that the weak interaction of hadronic systems at low energies is dominated by the coupling of the pseudoscalar, vector, and axial-vector mesons to the weak gauge bosons. The strength of the weak coupling of the {rho}(770) meson is uniquely determined by vector-meson dominance in electromagnetic interactions; flavor and chiral symmetry-breaking effects modify the coupling of other vector mesons and axial-vector mesons. Many decay rates are calculated and compared to experimental data and partly to predictions of other models. A parameter-free description of the decay K{sup +}{r_arrow}{pi}{sup +}scr(l){sup +}scr(l){sup {minus}} is obtained. Predictions for several not yet observed decay rates and reaction cross sections are presented. The relation between the conserved vector current hypothesis and meson dominance is clarified. Phenomenological success of the meson dominance suggests that in some calculations based on the standard model the weak quark-antiquark annihilation and creation diagrams may be more important than anticipated so far. The processes are identified where the meson dominance fails, implying that they are governed, on the quark level, by some other standard model diagrams. {copyright} {ital 1997} {ital The American Physical Society}

  10. Migrant networks and international migration: testing weak ties.

    PubMed

    Liu, Mao-Mei

    2013-08-01

    This article examines the role of migrant social networks in international migration and extends prior research by testing the strength of tie theory, decomposing networks by sources and resources, and disentangling network effects from complementary explanations. Nearly all previous empirical research has ignored friendship ties and has largely neglected extended-family ties. Using longitudinal data from the Migration between Africa and Europe project collected in Africa (Senegal) and Europe (France, Italy, and Spain), this article tests the robustness of network theory-and in particular, the role of weak ties-on first-time migration between Senegal and Europe. Discrete-time hazard model results confirm that weak ties are important and that network influences appear to be gendered, but they do not uphold the contention in previous literature that strong ties are more important than weak ties for male and female migration. Indeed, weak ties play an especially important role in male migration. In terms of network resources, having more resources as a result of strong ties appears to dampen overall migration, while having more resources as a result of weaker ties appears to stimulate male migration. Finally, the diversity of resources has varied effects for male and female migration.

  11. Effect of weak inhomogeneities in high temperature superconductivity

    NASA Astrophysics Data System (ADS)

    Doluweera, D. G. Sumith P.

    We present results of three studies done using a dynamical cluster quantum Monte Carlo approximation. First, we investigate the d-wave superconducting transition temperature Tc in the doped 2D repulsive Hubbard model with a weak inhomogeneity in hopping in the form of checkerboard pattern or a lattice of 2 x 2 plaquettes. Near neighbor hoppings within a plaquette is t and that of between the plaquettes is t'. We investigate T c in the weak inhomogeneous limit 0.8t < t' < 1.2t. We find inhomogeneity (t' ≠ t) suppresses Tc. The characteristic spin excitation energy (effective exchange energy) and the strength of d-wave pairing interaction decrease with decreasing T c. The latter observations suggest a strong correlation among effective exchange interaction, Tc and the d-wave pairing interaction of the system. Second1, we further find that enhancement of effective exchange interaction causes a slight increase in Tc of a weakly disordered system with low impurity concentration, compared to the homogeneous system. Here the disorder is introduced to homogeneous repulsive 2D Hubbard model as a weak local potential disorder. Third, we present an improved maximum entropy method to analytically continue quantum Monte Carlo data with a severe sign problem. 1A result from a collaborative study done with A. Kemper of Florida State University.

  12. Weak D in the Tunisian population

    PubMed Central

    Ouchari, Mouna; Romdhane, Houda; Chakroun, Taher; Abdelkefi, Saida; Houissa, Batoul; Hmida, Slama; Yacoub, Saloua Jemni

    2015-01-01

    Background More than 90 weak D types have been discovered to date. As there are no published data on the frequencies of weak D types in the Tunisian population, the aim of this study was to determine the composition of weak D alleles in our population. Material and methods Blood samples from 1777 D+ and 223 D− blood donors were tested for markers 809G, 1154C, 8G, 602G, 667G, 446A, and 885T relative to translation start codon by polymerase chain reaction with sequence-specific primers to estimate the frequencies of weak D type 1, weak D type 2, weak D type 3, weak D type 4, weak D type 5 and weak D type 11 in our population. Twenty-three samples with positive reactions were re-evaluated by DNA sequencing of RHD exons 1–10 and adjacent intronic sequences. Results Among the D+ donor cohort, weak D type 4 was the most prevalent allele (n=33, 1.2%) followed by weak D type 2 (n=6, 0.17%), weak D type 1 (n=4, 0.11%), and weak D type 5 (n=1, 0.28%) and weak D type 11 (n=1, 0.28%). RHD sequencing identified a weak D type 4.0 allele in all 19 samples tested. Among the D− pool, comprising 223 samples, we detected one sample with weak D type 4.0 associated with a C+c+E−e+ phenotype which had been missed by routine serological methods. Discussion Weak D type 4.0 appears to be the most prevalent weak D in our population. However, all samples must be sequenced in order to determine the exact subtype of weak D type 4, since weak D type 4.2 has considerable clinical importance, being associated with anti-D alloimmunisation. One case of weak D type 4 associated with dCe in trans had been missed by serology, so quality control of serological tests should be developed in our country. PMID:25369614

  13. Weak, Quiet Magnetic Fields Seen in the Venus Atmosphere

    PubMed Central

    Zhang, T. L.; Baumjohann, W.; Russell, C. T.; Luhmann, J. G.; Xiao, S. D.

    2016-01-01

    The existence of a strong internal magnetic field allows probing of the interior through both long term changes of and short period fluctuations in that magnetic field. Venus, while Earth’s twin in many ways, lacks such a strong intrinsic magnetic field, but perhaps short period fluctuations can still be used to probe the electrical conductivity of the interior. Toward the end of the Venus Express mission, an aerobraking campaign took the spacecraft below the ionosphere into the very weakly electrically conducting atmosphere. As the spacecraft descended from 150 to 140 km altitude, the magnetic field became weaker on average and less noisy. Below 140 km, the median field strength became steady but the short period fluctuations continued to weaken. The weakness of the fluctuations indicates they might not be useful for electromagnetic sounding of the atmosphere from a high altitude platform such as a plane or balloon, but possibly could be attempted on a lander. PMID:27009234

  14. Weak, Quiet Magnetic Fields Seen in the Venus Atmosphere.

    PubMed

    Zhang, T L; Baumjohann, W; Russell, C T; Luhmann, J G; Xiao, S D

    2016-03-24

    The existence of a strong internal magnetic field allows probing of the interior through both long term changes of and short period fluctuations in that magnetic field. Venus, while Earth's twin in many ways, lacks such a strong intrinsic magnetic field, but perhaps short period fluctuations can still be used to probe the electrical conductivity of the interior. Toward the end of the Venus Express mission, an aerobraking campaign took the spacecraft below the ionosphere into the very weakly electrically conducting atmosphere. As the spacecraft descended from 150 to 140 km altitude, the magnetic field became weaker on average and less noisy. Below 140 km, the median field strength became steady but the short period fluctuations continued to weaken. The weakness of the fluctuations indicates they might not be useful for electromagnetic sounding of the atmosphere from a high altitude platform such as a plane or balloon, but possibly could be attempted on a lander.

  15. Protecting and enhancing spin squeezing from decoherence using weak measurements

    NASA Astrophysics Data System (ADS)

    Liao, Xiang-Ping; Rong, Man-Sheng; Fang, Mao-Fa

    2017-06-01

    We propose an efficient method to protect spin squeezing under the action of amplitude-damping, depolarizing and phase-damping channels based on measurement reversal from weak measurement, and consider an ensemble of N independent spin-1/2 particles with exchange symmetry. We show that spin squeezing can be enhanced greatly under three different decoherence channels and spin-squeezing sudden death can be avoided undergoing amplitude-damping and phase-damping channels. Moreover, we find that the spin-squeezing parameters can be completely recovered to its initial value under amplitude-damping channel by changing weak measurement strength irrespective of sufficiently strong decoherence. For the phase-damping channel, the spin-squeezing parameter can be recovered to a certain stationary value in certain conditions. Our results provide an active way to suppress decoherence and enhance the spin squeezing under decoherence, which is rather significant for quantum metrology in open systems.

  16. Breaking through barriers: using technology to address executive function weaknesses and improve student achievement.

    PubMed

    Schwartz, David M

    2014-01-01

    Assistive technologies provide significant capabilities for improving student achievement. Improved accessibility, cost, and diversity of applications make integration of technology a powerful tool to compensate for executive function weaknesses and deficits and their impact on student performance, learning, and achievement. These tools can be used to compensate for decreased working memory, poor time management, poor planning and organization, poor initiation, and decreased memory. Assistive technology provides mechanisms to assist students with diverse strengths and weaknesses in mastering core curricular concepts.

  17. Enhancing Atomic Entanglement in a Common Reservoir by Weak Measurement and its Reversal

    NASA Astrophysics Data System (ADS)

    Zhang, Yun-hai; Xia, Yun-jie

    2016-01-01

    The three two-level atoms, initially prepared in like-W state, interact with a common bosonic reservoir. To suppress environment decoherence and obtain much better entanglement, we firstly perform weak measurement on these atoms before they pass the reservoir, and then, when they have experienced the decoherence environment, the receiver carry out a quantum reversal on all atoms. The results show both the tripartite and bipartite entanglement can be enhanced and the post-reversal measurement is more obvious to promote atomic entanglements than the weak measurement. Increasing the strength of reversal measurement can always improve entanglement. As a price, the success probability decreases with the much greater measure strength.

  18. Electro-Weak Transitions of 4He Using Realistic Nuclear Interactions

    NASA Astrophysics Data System (ADS)

    Horiuchi, Wataru; Suzuki, Yasuyuki; Sato, Toru

    In this contribution we discuss electro-weak induced transitions involving 4He. The wave function of the ground state is obtained accurately using an explicitly correlated basis with a realistic nuclear interaction. Four-body final states are expressed in a superposition of many basis functions which contain important configurations for the low-lying transition strength. Resonant and continuum states are treated properly in the complex scaling method. The discussion is mainly focused on the electric dipole strength. Also, we mention those transitions induced by the weak interactions which are important for a neutrino-nucleus reaction.

  19. Prethermal Floquet Steady States and Instabilities in the Periodically Driven, Weakly Interacting Bose-Hubbard Model.

    PubMed

    Bukov, Marin; Gopalakrishnan, Sarang; Knap, Michael; Demler, Eugene

    2015-11-13

    We explore prethermal Floquet steady states and instabilities of the weakly interacting two-dimensional Bose-Hubbard model subject to periodic driving. We develop a description of the nonequilibrium dynamics, at arbitrary drive strength and frequency, using a weak-coupling conserving approximation. We establish the regimes in which conventional (zero-momentum) and unconventional [(π,π)-momentum] condensates are stable on intermediate time scales. We find that condensate stability is enhanced by increasing the drive strength, because this decreases the bandwidth of quasiparticle excitations and thus impedes resonant absorption and heating. Our results are directly relevant to a number of current experiments with ultracold bosons.

  20. Weakly relativistic dispersion of Bernstein waves

    NASA Technical Reports Server (NTRS)

    Robinson, P. A.

    1988-01-01

    Weakly relativistic effects on the dispersion of Bernstein waves are investigated for waves propagating nearly perpendicular to a uniform magnetic field in a Maxwellian plasma. Attention is focused on those large-wave-vector branches that are either weakly damped or join continuously onto weakly damped branches since these are the modes of most interest in applications. The transition between dispersion at perpendicular and oblique propagation is examined and major weakly relativistic effects can dominate even in low-temperature plasmas. A number of simple analytic criteria are obtained which delimit the ranges of harmonic number and propagation angle within which various types of weakly damped Bernstein modes can exist.

  1. Weakly relativistic dispersion of Bernstein waves

    NASA Technical Reports Server (NTRS)

    Robinson, P. A.

    1988-01-01

    Weakly relativistic effects on the dispersion of Bernstein waves are investigated for waves propagating nearly perpendicular to a uniform magnetic field in a Maxwellian plasma. Attention is focused on those large-wave-vector branches that are either weakly damped or join continuously onto weakly damped branches since these are the modes of most interest in applications. The transition between dispersion at perpendicular and oblique propagation is examined and major weakly relativistic effects can dominate even in low-temperature plasmas. A number of simple analytic criteria are obtained which delimit the ranges of harmonic number and propagation angle within which various types of weakly damped Bernstein modes can exist.

  2. Large Deviations in Weakly Interacting Boundary Driven Lattice Gases

    NASA Astrophysics Data System (ADS)

    van Wijland, Frédéric; Rácz, Zoltán

    2005-01-01

    One-dimensional, boundary-driven lattice gases with local interactions are studied in the weakly interacting limit. The density profiles and the correlation functions are calculated to first order in the interaction strength for zero-range and short-range processes differing only in the specifics of the detailed-balance dynamics. Furthermore, the effective free-energy (large-deviation function) and the integrated current distribution are also found to this order. From the former, we find that the boundary drive generates long-range correlations only for the short-range dynamics while the latter provides support to an additivity principle recently proposed by Bodineau and Derrida.

  3. Testing the weak equivalence principle

    NASA Astrophysics Data System (ADS)

    Nobili, Anna M.; Comandi, Gian Luca; Pegna, Raffaello; Bramanti, Donato; Doravari, Suresh; Maccarone, Francesco; Lucchesi, David M.

    2010-01-01

    The discovery of Dark Energy and the fact that only about 5% of the mass of the universe can be explained on the basis of the current laws of physics have led to a serious impasse. Based on past history, physics might indeed be on the verge of major discoveries; but the challenge is enormous. The way to tackle it is twofold. On one side, scientists try to perform large scale direct observations and measurements - mostly from space. On the other, they multiply their efforts to put to the most stringent tests ever the physical theories underlying the current view of the physical world, from the very small to the very large. On the extremely small scale very exciting results are expected from one of the most impressive experiments in the history of mankind: the Large Hadron Collider. On the very large scale, the universe is dominated by gravity and the present impasse undoubtedly calls for more powerful tests of General Relativity - the best theory of gravity to date. Experiments testing the Weak Equivalence Principle, on which General Relativity ultimately lies, have the strongest probing power of them all; a breakthrough in sensitivity is possible with the “Galileo Galilei” (GG) satellite experiment to fly in low Earth orbit.

  4. A universe without weak interactions

    NASA Astrophysics Data System (ADS)

    Harnik, Roni; Kribs, Graham D.; Perez, Gilad

    2006-08-01

    A universe without weak interactions is constructed that undergoes big-bang nucleosynthesis, matter domination, structure formation, and star formation. The stars in this universe are able to burn for billions of years, synthesize elements up to iron, and undergo supernova explosions, dispersing heavy elements into the interstellar medium. These definitive claims are supported by a detailed analysis where this hypothetical “weakless universe” is matched to our Universe by simultaneously adjusting standard model and cosmological parameters. For instance, chemistry and nuclear physics are essentially unchanged. The apparent habitability of the weakless universe suggests that the anthropic principle does not determine the scale of electroweak breaking, or even require that it be smaller than the Planck scale, so long as technically natural parameters may be suitably adjusted. Whether the multiparameter adjustment is realized or probable is dependent on the ultraviolet completion, such as the string landscape. Considering a similar analysis for the cosmological constant, however, we argue that no adjustments of other parameters are able to allow the cosmological constant to raise up even remotely close to the Planck scale while obtaining macroscopic structure. The fine-tuning problems associated with the electroweak breaking scale and the cosmological constant therefore appear to be qualitatively different from the perspective of obtaining a habitable universe.

  5. Weak percolation on multiplex networks

    NASA Astrophysics Data System (ADS)

    Baxter, Gareth J.; Dorogovtsev, Sergey N.; Mendes, José F. F.; Cellai, Davide

    2014-04-01

    Bootstrap percolation is a simple but nontrivial model. It has applications in many areas of science and has been explored on random networks for several decades. In single-layer (simplex) networks, it has been recently observed that bootstrap percolation, which is defined as an incremental process, can be seen as the opposite of pruning percolation, where nodes are removed according to a connectivity rule. Here we propose models of both bootstrap and pruning percolation for multiplex networks. We collectively refer to these two models with the concept of "weak" percolation, to distinguish them from the somewhat classical concept of ordinary ("strong") percolation. While the two models coincide in simplex networks, we show that they decouple when considering multiplexes, giving rise to a wealth of critical phenomena. Our bootstrap model constitutes the simplest example of a contagion process on a multiplex network and has potential applications in critical infrastructure recovery and information security. Moreover, we show that our pruning percolation model may provide a way to diagnose missing layers in a multiplex network. Finally, our analytical approach allows us to calculate critical behavior and characterize critical clusters.

  6. A Universe without Weak Interactions

    SciTech Connect

    Harnik, Roni; Kribs, Graham D.; Perez, Gilad

    2006-04-07

    A universe without weak interactions is constructed that undergoes big-bang nucleosynthesis, matter domination, structure formation, and star formation. The stars in this universe are able to burn for billions of years, synthesize elements up to iron, and undergo supernova explosions, dispersing heavy elements into the interstellar medium. These definitive claims are supported by a detailed analysis where this hypothetical ''Weakless Universe'' is matched to our Universe by simultaneously adjusting Standard Model and cosmological parameters. For instance, chemistry and nuclear physics are essentially unchanged. The apparent habitability of the Weakless Universe suggests that the anthropic principle does not determine the scale of electroweak breaking, or even require that it be smaller than the Planck scale, so long as technically natural parameters may be suitably adjusted. Whether the multi-parameter adjustment is realized or probable is dependent on the ultraviolet completion, such as the string landscape. Considering a similar analysis for the cosmological constant, however, we argue that no adjustments of other parameters are able to allow the cosmological constant to raise up even remotely close to the Planck scale while obtaining macroscopic structure. The fine-tuning problems associated with the electroweak breaking scale and the cosmological constant therefore appear to be qualitatively different from the perspective of obtaining a habitable universe.

  7. Stability in Real Food Webs: Weak Links in Long Loops

    NASA Astrophysics Data System (ADS)

    Neutel, Anje-Margriet; Heesterbeek, Johan A. P.; de Ruiter, Peter C.

    2002-05-01

    Increasing evidence that the strengths of interactions among populations in biological communities form patterns that are crucial for system stability requires clarification of the precise form of these patterns, how they come about, and why they influence stability. We show that in real food webs, interaction strengths are organized in trophic loops in such a way that long loops contain relatively many weak links. We show and explain mathematically that this patterning enhances stability, because it reduces maximum ``loop weight'' and thus reduces the amount of intraspecific interaction needed for matrix stability. The patterns are brought about by biomass pyramids, a feature common to most ecosystems. Incorporation of biomass pyramids in 104 food-web descriptions reveals that the low weight of the long loops stabilizes complex food webs. Loop-weight analysis could be a useful tool for exploring the structure and organization of complex communities.

  8. Muscle Weakness and 5-Year Survival in Acute Respiratory Distress Syndrome Survivors.

    PubMed

    Dinglas, Victor D; Aronson Friedman, Lisa; Colantuoni, Elizabeth; Mendez-Tellez, Pedro A; Shanholtz, Carl B; Ciesla, Nancy D; Pronovost, Peter J; Needham, Dale M

    2017-03-01

    To longitudinally evaluate the association of post-ICU muscle weakness and associated trajectories of weakness over time with 5-year survival. Longitudinal prospective cohort study over 5 years of follow-up. Thirteen ICUs in four hospitals in Baltimore, MD. One hundred fifty-six acute respiratory distress syndrome survivors. None. Strength was evaluated with standardized manual muscle testing using the Medical Research Council sum score (range, 0-60; higher is better), with post-ICU weakness defined as sum score less than 48. Muscle strength was assessed at hospital discharge and at 3, 6, 12, 24, 36, and 48 months after acute respiratory distress syndrome. At discharge, 38% of patients had muscle weakness. Every one point increase in sum score at discharge was associated with improved survival (hazard ratio [95% CI], 0.96 [0.94-0.98]), with similar findings longitudinally (0.95 [0.93-0.98]). Having weakness at discharge was associated with worse 5-year survival (1.75 [1.01-3.03]), but the association was attenuated (1.54 [0.82-2.89]) when evaluated longitudinally over follow-up. Persisting and resolving trajectories of muscle weakness, occurring in 50% of patients during follow-up, were associated with worse survival (3.01 [1.12-8.04]; and 3.14 [1.40-7.03], respectively) compared to a trajectory of maintaining no muscle weakness. At hospital discharge, greater than one third of acute respiratory distress syndrome survivors had muscle weakness. Greater strength at discharge and throughout follow-up was associated with improved 5-year survival. In patients with post-ICU weakness, both persisting and resolving trajectories were commonly experienced and associated with worse survival during follow-up.

  9. Asteroid airburst altitude vs. strength

    NASA Astrophysics Data System (ADS)

    Robertson, D. K.; Wheeler, L.; Mathias, D.

    2016-12-01

    The entry and break-up of small asteroids were simulated with a hydrocode to examine the effect of strength, size, composition, entry angle, and speed on the resulting airburst. A strong asteroid, such as a monolithic boulder, structurally fail and deposit most of their energy around the altitude at which dynamic ram pressure exceeds the cohesive strength of the asteroid. A weaker asteroid, such as a loose rubble pile, will structurally fail at high altitude, but continue to fly through the atmosphere as a single unit until reaching lower altitudes where the increased aerodynamic pressure is sufficient to disrupt and disperse the rubble resulting in a flare. Airburst from weak asteroids consequently have a peak energy deposition at similar altitudes.This study focuses on small NEO asteroids which are likely to airburst rather than impact the ground where the damage created on the ground depends strongly on the altitude at which most of the energy is deposited in the atmosphere. The ability to accurately predict ground damage is useful in determining appropriate evacuation or shelter plans and emergency management. Airbursting asteroids are not a threat on a national level but can still cause a significant amount of local damage as demonstrated by the Chelyabinsk event where there was over $33 million worth of damage (1 billion roubles) and 1500 were injured by flying glass.

  10. Alumina fiber strength improvement

    NASA Technical Reports Server (NTRS)

    Pepper, R. T.; Nelson, D. C.

    1982-01-01

    The effective fiber strength of alumina fibers in an aluminum composite was increased to 173,000 psi. A high temperature heat treatment, combined with a glassy carbon surface coating, was used to prevent degradation and improve fiber tensile strength. Attempts to achieve chemical strengthening of the alumina fiber by chromium oxide and boron oxide coatings proved unsuccessful. A major problem encountered on the program was the low and inconsistent strength of the Dupont Fiber FP used for the investigation.

  11. How geometrical constraints contribute to the weakness of mature faults

    USGS Publications Warehouse

    Lockner, D.A.; Byerlee, J.D.

    1993-01-01

    Increasing evidence that the San Andreas fault has low shear strength1 has fuelled considerable discussion regarding the role of fluid pressure in controlling fault strength. Byerlee2,3 and Rice4 have shown how fluid pressure gradients within a fault zone can produce a fault with low strength while avoiding hydraulic fracture of the surrounding rock due to excessive fluid pressure. It may not be widely realised, however, that the same analysis2-4 shows that even in the absence of fluids, the presence of a relatively soft 'gouge' layer surrounded by harder country rock can also reduce the effective shear strength of the fault. As shown most recently by Byerlee and Savage5, as the shear stress across a fault increases, the stress state within the fault zone evolves to a limiting condition in which the maximum shear stress within the fault zone is parallel to the fault, which then slips with a lower apparent coefficient of friction than the same material unconstrained by the fault. Here we confirm the importance of fault geometry in determining the apparent weakness of fault zones, by showing that the apparent friction on a sawcut granite surface can be predicted from the friction measured in intact rock, given only the geometrical constraints introduced by the fault surfaces. This link between the sliding friction of faults and the internal friction of intact rock suggests a new approach to understanding the microphysical processes that underlie friction in brittle materials.

  12. Violation of the Leggett–Garg inequality with weak measurements of photons

    PubMed Central

    Goggin, M. E.; Almeida, M. P.; Barbieri, M.; Lanyon, B. P.; O’Brien, J. L.; White, A. G.; Pryde, G. J.

    2011-01-01

    By weakly measuring the polarization of a photon between two strong polarization measurements, we experimentally investigate the correlation between the appearance of anomalous values in quantum weak measurements and the violation of realism and nonintrusiveness of measurements. A quantitative formulation of the latter concept is expressed in terms of a Leggett–Garg inequality for the outcomes of subsequent measurements of an individual quantum system. We experimentally violate the Leggett–Garg inequality for several measurement strengths. Furthermore, we experimentally demonstrate that there is a one-to-one correlation between achieving strange weak values and violating the Leggett–Garg inequality. PMID:21220296

  13. Strength Training and Your Child

    MedlinePlus

    ... Old Feeding Your 1- to 2-Year-Old Strength Training and Your Child KidsHealth > For Parents > Strength ... help prevent injuries and speed up recovery. About Strength Training Strength training is the practice of using ...

  14. Pixelation Effects in Weak Lensing

    NASA Technical Reports Server (NTRS)

    High, F. William; Rhodes, Jason; Massey, Richard; Ellis, Richard

    2007-01-01

    Weak gravitational lensing can be used to investigate both dark matter and dark energy but requires accurate measurements of the shapes of faint, distant galaxies. Such measurements are hindered by the finite resolution and pixel scale of digital cameras. We investigate the optimum choice of pixel scale for a space-based mission, using the engineering model and survey strategy of the proposed Supernova Acceleration Probe as a baseline. We do this by simulating realistic astronomical images containing a known input shear signal and then attempting to recover the signal using the Rhodes, Refregier, and Groth algorithm. We find that the quality of shear measurement is always improved by smaller pixels. However, in practice, telescopes are usually limited to a finite number of pixels and operational life span, so the total area of a survey increases with pixel size. We therefore fix the survey lifetime and the number of pixels in the focal plane while varying the pixel scale, thereby effectively varying the survey size. In a pure trade-off for image resolution versus survey area, we find that measurements of the matter power spectrum would have minimum statistical error with a pixel scale of 0.09' for a 0.14' FWHM point-spread function (PSF). The pixel scale could be increased to 0.16' if images dithered by exactly half-pixel offsets were always available. Some of our results do depend on our adopted shape measurement method and should be regarded as an upper limit: future pipelines may require smaller pixels to overcome systematic floors not yet accessible, and, in certain circumstances, measuring the shape of the PSF might be more difficult than those of galaxies. However, the relative trends in our analysis are robust, especially those of the surface density of resolved galaxies. Our approach thus provides a snapshot of potential in available technology, and a practical counterpart to analytic studies of pixelation, which necessarily assume an idealized shape

  15. 77 FR 15052 - Dataset Workshop-U.S. Billion Dollar Disasters Dataset (1980-2011): Assessing Dataset Strengths...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ... meeting is to identify strengths and weaknesses of the current dataset and related methodology. Emphasis... (1980- 2011): Assessing Dataset Strengths and Weaknesses for a Pathway to an Improved Dataset AGENCY... review of the current methods used to estimate disaster costs. Guidance for improving these...

  16. Strengths of serpentinite gouges at elevated temperatures

    USGS Publications Warehouse

    Moore, Diane E.; Lockner, D.A.; Ma, S.; Summers, R.; Byerlee, J.D.

    1997-01-01

    Serpentinite has been proposed as a cause of both low strength and aseismic creep of fault zones. To test these hypotheses, we have measured the strength of chrysotile-, lizardite-, and antigorite-rich serpentinite gouges under hydrothermal conditions, with emphasis on chrysotile, which has thus far received little attention. At 25??C, the coefficient of friction, ??, of chrysotile gouge is roughly 0.2, whereas the lizardite- and antigorite-rich gouges are at least twice as strong. The very low room temperature strength of chrysotile is a consequence of its unusually high adsorbed water content. When the adsorbed water is removed, chrysotile is as strong as pure antigorite gouge at room temperature. Heating to ???200??C causes the frictional strengths of all three gouges to increase. Limited data suggest that different polytypes of a given serpentine mineral have similar strengths; thus deformation-induced changes in polytype should not affect fault strength. At 25??C, the chrysotile gouge has a transition from velocity strengthening at low velocities to velocity weakening at high velocities, consistent with previous studies. At temperatures up to ???200??C, however, chrysotile strength is essentially independent of velocity at low velocities. Overall, chrysotile has a restricted range of velocity-strengthening behavior that migrates to higher velocities with increasing temperature. Less information on velocity dependence is available for the lizardite and antigorite gouges, but their behavior is consistent with that outlined for chrysotile. The marked changes in velocity dependence and strength of chrysotile with heating underscore the hazards of using room temperature data to predict fault behavior at depth. The velocity behavior at elevated temperatures does not rule out serpentinite as a cause of aseismic slip, but in the presence of a hydrostatic fluid pressure gradient, all varieties of serpentine are too strong to explain the apparent weakness of faults such

  17. Dynamic strength of molecular adhesion bonds.

    PubMed

    Evans, E; Ritchie, K

    1997-04-01

    In biology, molecular linkages at, within, and beneath cell interfaces arise mainly from weak noncovalent interactions. These bonds will fail under any level of pulling force if held for sufficient time. Thus, when tested with ultrasensitive force probes, we expect cohesive material strength and strength of adhesion at interfaces to be time- and loading rate-dependent properties. To examine what can be learned from measurements of bond strength, we have extended Kramers' theory for reaction kinetics in liquids to bond dissociation under force and tested the predictions by smart Monte Carlo (Brownian dynamics) simulations of bond rupture. By definition, bond strength is the force that produces the most frequent failure in repeated tests of breakage, i.e., the peak in the distribution of rupture forces. As verified by the simulations, theory shows that bond strength progresses through three dynamic regimes of loading rate. First, bond strength emerges at a critical rate of loading (> or = 0) at which spontaneous dissociation is just frequent enough to keep the distribution peak at zero force. In the slow-loading regime immediately above the critical rate, strength grows as a weak power of loading rate and reflects initial coupling of force to the bonding potential. At higher rates, there is crossover to a fast regime in which strength continues to increase as the logarithm of the loading rate over many decades independent of the type of attraction. Finally, at ultrafast loading rates approaching the domain of molecular dynamics simulations, the bonding potential is quickly overwhelmed by the rapidly increasing force, so that only naked frictional drag on the structure remains to retard separation. Hence, to expose the energy landscape that governs bond strength, molecular adhesion forces must be examined over an enormous span of time scales. However, a significant gap exists between the time domain of force measurements in the laboratory and the extremely fast scale

  18. Classical field approach to quantum weak measurements.

    PubMed

    Dressel, Justin; Bliokh, Konstantin Y; Nori, Franco

    2014-03-21

    By generalizing the quantum weak measurement protocol to the case of quantum fields, we show that weak measurements probe an effective classical background field that describes the average field configuration in the spacetime region between pre- and postselection boundary conditions. The classical field is itself a weak value of the corresponding quantum field operator and satisfies equations of motion that extremize an effective action. Weak measurements perturb this effective action, producing measurable changes to the classical field dynamics. As such, weakly measured effects always correspond to an effective classical field. This general result explains why these effects appear to be robust for pre- and postselected ensembles, and why they can also be measured using classical field techniques that are not weak for individual excitations of the field.

  19. Weakly and strongly coupled Belousov-Zhabotinsky patterns

    NASA Astrophysics Data System (ADS)

    Weiss, Stephan; Deegan, Robert D.

    2017-02-01

    We investigate experimentally and numerically the synchronization of two-dimensional spiral wave patterns in the Belousov-Zhabotinsky reaction due to point-to-point coupling of two separate domains. Different synchronization modalities appear depending on the coupling strength and the initial patterns in each domain. The behavior as a function of the coupling strength falls into two qualitatively different regimes. The weakly coupled regime is characterized by inter-domain interactions that distorted but do not break wave fronts. Under weak coupling, spiral cores are pushed around by wave fronts in the other domain, resulting in an effective interaction between cores in opposite domains. In the case where each domain initially contains a single spiral, the cores form a bound pair and orbit each other at quantized distances. When the starting patterns consist of multiple randomly positioned spiral cores, the number of cores decreases with time until all that remains are a few cores that are synchronized with a partner in the other domain. The strongly coupled regime is characterized by interdomain interactions that break wave fronts. As a result, the wave patterns in both domains become identical.

  20. Weakly and strongly coupled Belousov-Zhabotinsky patterns.

    PubMed

    Weiss, Stephan; Deegan, Robert D

    2017-02-01

    We investigate experimentally and numerically the synchronization of two-dimensional spiral wave patterns in the Belousov-Zhabotinsky reaction due to point-to-point coupling of two separate domains. Different synchronization modalities appear depending on the coupling strength and the initial patterns in each domain. The behavior as a function of the coupling strength falls into two qualitatively different regimes. The weakly coupled regime is characterized by inter-domain interactions that distorted but do not break wave fronts. Under weak coupling, spiral cores are pushed around by wave fronts in the other domain, resulting in an effective interaction between cores in opposite domains. In the case where each domain initially contains a single spiral, the cores form a bound pair and orbit each other at quantized distances. When the starting patterns consist of multiple randomly positioned spiral cores, the number of cores decreases with time until all that remains are a few cores that are synchronized with a partner in the other domain. The strongly coupled regime is characterized by interdomain interactions that break wave fronts. As a result, the wave patterns in both domains become identical.

  1. Estimation of quantum states by weak and projective measurements

    NASA Astrophysics Data System (ADS)

    Das, Debmalya; Arvind

    2014-06-01

    We explore the possibility of using "weak" measurements to carry out quantum state tomography via numerical simulations. Given a fixed number of copies of identically prepared states of a qubit, we perform state tomography using weak as well as projective measurements. Due to the collapse of the state after measurement, we cannot reuse the state after a projective measurement. If the coupling strength between the quantum system and the measurement device is made weaker, the disturbance caused to the state can be lowered. This then allows us to reuse the same member of the ensemble for further measurements and thus extract more information from the system. However, this happens at the cost of getting imprecise information from the first measurement. We implement this scheme for a single qubit and show that under certain circumstances, it can outperform the projective measurement-based tomography scheme. This opens up the possibility of new ways of extracting information from quantum ensembles. We study the efficacy of this scheme for different coupling strengths and different ensemble sizes.

  2. Weak point target detection in star sensor

    NASA Astrophysics Data System (ADS)

    Liu, Da; Xiong, Yazhou; Li, Yi; Wang, Li; Li, Chunyan; Yin, Fang

    2016-11-01

    Space weak point targets detection is very useful in non cooperative target detection. Influenced by the chip noise and space environmental noise, weak point targets detection becomes a difficulty. In the paper, firstly the star is extracted from the picture, the background picture is filtered to reduce the noise, and then the moving distance between adjacent pictures is calculated, after picture overlapping between adjacent pictures, the energy of the weak point target is improved, with a appropriate threshold, the weak point target is extracted. The proposed method can be widely utilized in space exploration, space defense etc.

  3. Weak measurements and nonClassical correlations

    NASA Astrophysics Data System (ADS)

    Lekshmi, S.; Shaji, N.; Shaji, Anil

    2017-01-01

    We extend the definition of quantum discord as a quantifier of nonClassical correlations in a quantum state to the case where weak measurements are performed on subsystem A of a bipartite system AB. The properties of weak discord are explored for several families of quantum states. We find that in many cases weak quantum discord is identical to normal discord and in general the values of the two are very close to each other. Weak quantum discord reduces to discord in the appropriate limits as well. We also discuss the implications of these observations on the interpretations of quantum discord.

  4. Blood flow restriction rehabilitation for extremity weakness: a case series.

    PubMed

    Hylden, Christina; Burns, Travis; Stinner, Daniel; Owens, Johnny

    2015-01-01

    Blood flow restricted (BFR) training, the brief and partial restriction of venous outflow of an extremity during low load resistance exercises, is a safe and effective method of improving strength in healthy, active individuals. A relatively unexplored potential of this adjunctive modality lies in treating patients with severe musculoskeletal trauma, persistent chronic quadriceps and hamstring weakness despite traditional therapy, and low improvement during early postoperative strengthening. This case series describes patients with chronic quadriceps and hamstring weakness who received an intervention of BFR at low loads, 20% of 1 repetition max (1RM), to restore strength. A case series was conducted of seven patients, all located at one hospital and all with traumatic lower extremity injuries. The seven patients were treated at the same medical center and with the same BFR protocol. All seven patients had isokinetic dynamometer testing that showed persistent thigh muscle weakness despite previous rehabilitation with traditional therapy and 35% to 75% peak torque deficit in either knee extension or flexion compared with the contralateral lower extremity. Patients underwent 2 weeks of BFR training therapy using a pneumatic tourniquet set at 110mmHg while performing leg extensions, leg presses, and reverse leg presses. All affected extremities were retested after 2 weeks (six treatment sessions). Dynamometer measurements were done with flexion and extension at two speeds: 90° and 300°/sec. The data recorded included peak torque normalized for body weight, average power, and total work. All seven patients demonstrated improvements in peak torque, average power, and total work for both knee flexion and extension, with power being the most improved overall. Peak torque improved an average of 13% to 37%, depending on contraction direction and speed. Average power improved an average of 42% to 81%, and total work improved an average of 35% to 55%. BFR therapy at low

  5. 21 CFR 524.1465 - Mupirocin.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... bacterial infections of the skin, including superficial pyoderma, caused by susceptible strains of Staphylococcus aureus and S. intermedius. (3) Limitations. Federal law restricts this drug to use by or on...

  6. 21 CFR 524.1465 - Mupirocin.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... bacterial infections of the skin, including superficial pyoderma, caused by susceptible strains of Staphylococcus aureus and S. intermedius. (3) Limitations. Federal law restricts this drug to use by or on...

  7. ASYMMETRIC MAGNETIC RECONNECTION IN WEAKLY IONIZED CHROMOSPHERIC PLASMAS

    SciTech Connect

    Murphy, Nicholas A.; Lukin, Vyacheslav S.

    2015-06-01

    Realistic models of magnetic reconnection in the solar chromosphere must take into account that the plasma is partially ionized and that plasma conditions within any two magnetic flux bundles undergoing reconnection may not be the same. Asymmetric reconnection in the chromosphere may occur when newly emerged flux interacts with pre-existing, overlying flux. We present 2.5D simulations of asymmetric reconnection in weakly ionized, reacting plasmas where the magnetic field strengths, ion and neutral densities, and temperatures are different in each upstream region. The plasma and neutral components are evolved separately to allow non-equilibrium ionization. As in previous simulations of chromospheric reconnection, the current sheet thins to the scale of the neutral–ion mean free path and the ion and neutral outflows are strongly coupled. However, the ion and neutral inflows are asymmetrically decoupled. In cases with magnetic asymmetry, a net flow of neutrals through the current sheet from the weak-field (high-density) upstream region into the strong-field upstream region results from a neutral pressure gradient. Consequently, neutrals dragged along with the outflow are more likely to originate from the weak-field region. The Hall effect leads to the development of a characteristic quadrupole magnetic field modified by asymmetry, but the X-point geometry expected during Hall reconnection does not occur. All simulations show the development of plasmoids after an initial laminar phase.

  8. Bradykinesia, muscle weakness and reduced muscle power in Parkinson's disease.

    PubMed

    Allen, Natalie E; Canning, Colleen G; Sherrington, Catherine; Fung, Victor S C

    2009-07-15

    Muscle power (force x velocity) could clarify the relationship between weakness and bradykinesia in Parkinson's disease (PD). The aims of this study were to determine if patients with PD were weaker and/or less powerful in their leg extensor muscles than a neurologically normal control group and to determine the relative contributions of force and movement velocity/bradykinesia to muscle power in PD. Forty patients with PD and 40 controls were assessed. Strength in Newtons (N) was measured as the heaviest load the participant could lift. Power in Watts (W) was measured by having the participant perform lifts as fast as possible. The PD group were 172 N weaker (95% CI 28-315) and 124 W less powerful at peak power (95% CI 32-216) than controls. However, velocity at maximal power was only reduced compared with controls when lifting light to medium loads. When lifting heavy loads bradykinesia was no longer apparent in the PD group. These results suggest that reduced muscle power in PD at lighter loads arises from weakness and bradykinesia combined, but at heavier loads arises only from weakness. The absence of bradykinesia in the PD group when lifting heavy loads warrants further investigation. 2009 Movement Disorder Society.

  9. The ICM research agenda on intensive care unit-acquired weakness.

    PubMed

    Latronico, Nicola; Herridge, Margaret; Hopkins, Ramona O; Angus, Derek; Hart, Nicholas; Hermans, Greet; Iwashyna, Theodore; Arabi, Yaseen; Citerio, Giuseppe; Wesley Ely, E; Hall, Jesse; Mehta, Sangeeta; Puntillo, Kathleen; Van den Hoeven, Johannes; Wunsch, Hannah; Cook, Deborah; Dos Santos, Claudia; Rubenfeld, Gordon; Vincent, Jean-Louis; Van den Berghe, Greet; Azoulay, Elie; Needham, Dale M

    2017-03-13

    We present areas of uncertainty concerning intensive care unit-acquired weakness (ICUAW) and identify areas for future research. Age, pre-ICU functional and cognitive state, concurrent illness, frailty, and health trajectories impact outcomes and should be assessed to stratify patients. In the ICU, early assessment of limb and diaphragm muscle strength and function using nonvolitional tests may be useful, but comparison with established methods of global and specific muscle strength and physical function and determination of their reliability and normal values would be important to advance these techniques. Serial measurements of limb and respiratory muscle strength, and systematic screening for dysphagia, would be helpful to clarify if and how weakness of these muscle groups is independently associated with outcome. ICUAW, delirium, and sedatives and analgesics may interact with each other, amplifying the effects of each individual factor. Reduced mobility in patients with hypoactive delirium needs investigations into dysfunction of central and peripheral nervous system motor pathways. Interventional nutritional studies should include muscle mass, strength, and physical function as outcomes, and prioritize elucidation of mechanisms. At follow-up, ICU survivors may suffer from prolonged muscle weakness and wasting and other physical impairments, as well as fatigue without demonstrable weakness on examination. Further studies should evaluate the prevalence and severity of fatigue in ICU survivors and define its association with psychiatric disorders, pain, cognitive impairment, and axonal loss. Finally, methodological issues, including accounting for baseline status, handling of missing data, and inclusion of patient-centered outcome measures should be addressed in future studies.

  10. Weak Rolling Adhesion Enhances Bacterial Surface Colonization▿ †

    PubMed Central

    Anderson, Brett N.; Ding, Albert M.; Nilsson, Lina M.; Kusuma, Kaoru; Tchesnokova, Veronika; Vogel, Viola; Sokurenko, Evgeni V.; Thomas, Wendy E.

    2007-01-01

    Bacterial adhesion to and subsequent colonization of surfaces are the first steps toward forming biofilms, which are a major concern for implanted medical devices and in many diseases. It has generally been assumed that strong irreversible adhesion is a necessary step for biofilm formation. However, some bacteria, such as Escherichia coli when binding to mannosylated surfaces via the adhesive protein FimH, adhere weakly in a mode that allows them to roll across the surface. Since single-point mutations or even increased shear stress can switch this FimH-mediated adhesion to a strong stationary mode, the FimH system offers a unique opportunity to investigate the role of the strength of adhesion independently from the many other factors that may affect surface colonization. Here we compare levels of surface colonization by E. coli strains that differ in the strength of adhesion as a result of flow conditions or point mutations in FimH. We show that the weak rolling mode of surface adhesion can allow a more rapid spreading during growth on a surface in the presence of fluid flow. Indeed, an attempt to inhibit the adhesion of strongly adherent bacteria by blocking mannose receptors with a soluble inhibitor actually increased the rate of surface colonization by allowing the bacteria to roll. This work suggests that (i) a physiological advantage to the weak adhesion demonstrated by commensal variants of FimH bacteria may be to allow rapid surface colonization and (ii) antiadhesive therapies intended to prevent biofilm formation can have the unintended effect of enhancing the rate of surface colonization. PMID:17189376

  11. Strength matters: Tie strength as a causal driver of networks' information benefits.

    PubMed

    Kim, Minjae; Fernandez, Roberto M

    2017-07-01

    Studies of social networks have often taken the existence of a social tie as a proxy for the transmission of information. However, other studies of social networks in the labor market propose that the likelihood of information transmission might depend on strength of the tie; and that tie strength is a potentially important source of the tie's value. After all, even if job seekers have social ties to those who have valuable job information, the seekers will gain little information benefit when the ties do not actually transmit the information. This paper clarifies the conditions under which social ties might provide information benefits. We use a survey vignette experiment and ask MBA students about their likelihood of relaying job information via strong ties (to friends) or weak ties (to acquaintances), holding constant the structural locations spanned by the tie and job seekers' fit with the job. The results support the claim that strength of tie has a causal effect on the chances of information transmission: potential referrers are more likely to relay job information to their friends than to acquaintances. The larger implication of these findings is that whatever benefits there might be to using weak ties to reach distant non-redundant information during job search, these benefits need to be considered against the likely fact that people connected via weak ties are less likely to actually share information about job opportunities than are people to whom the job seeker is strongly tied. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Adapted Resistance Training Improves Strength in Eight Weeks in Individuals with Multiple Sclerosis.

    PubMed

    Keller, Jennifer L; Fritz, Nora; Chiang, Chen Chun; Jiang, Allen; Thompson, Tziporah; Cornet, Nicole; Newsome, Scott D; Calabresi, Peter A; Zackowski, Kathleen

    2016-01-29

    Hip weakness is a common symptom affecting walking ability in people with multiple sclerosis (MS). It is known that resistance strength training (RST) can improve strength in individuals with MS, however; it remains unclear the duration of RST that is needed to make strength gains and how to adapt hip strengthening exercises for individuals of varying strength using only resistance bands. This paper describes the methodology to set up and implement an adapted resistance strength training program, using resistance bands, for individuals with MS. Directions for pre- and post-strength tests to evaluate efficacy of the strength-training program are included. Safety features and detailed instructions outline the weekly program content and progression. Current evidence is presented showing that significant strength gains can be made within 8 weeks of starting a RST program. Evidence is also presented showing that resistance strength training can be successfully adapted for individuals with MS of varying strength with little equipment.

  13. CP Violation, Neutral Currents, and Weak Equivalence

    DOE R&D Accomplishments Database

    Fitch, V. L.

    1972-03-23

    Within the past few months two excellent summaries of the state of our knowledge of the weak interactions have been presented. Correspondingly, we will not attempt a comprehensive review but instead concentrate this discussion on the status of CP violation, the question of the neutral currents, and the weak equivalence principle.

  14. Weak D types in the Egyptian population.

    PubMed

    Hussein, Eiman; Teruya, Jun

    2013-06-01

    Patients with the most common weak D types 1, 2, and 3 can be safely considered D positive. We evaluated 1,113 Rh-negative Egyptian samples for weak D expression to propose a cost-effective strategy related to D variant testing. D variants were tested using polymerase chain reaction with sequence-specific priming. Fifty samples were D variants (4.5%): weak D type 4.2 (32%), weak D type 4.0/4.1 (16%), and weak D type 15 (2%). Fifteen (62.5%) of 24 samples were identified serologically as partial D. We also studied the probability of the development of anti-D in 52 Rh-negative children with thalassemia who were receiving units for which weak D was not tested. Anti-D alloimmunization was observed in 63.5% of patients with thalassemia. It is prudent to implement weak D typing in Egyptian donors. Weak D variants of Egyptians are significantly different compared with Caucasians. Ethnicity must be taken into consideration when developing clinical and prenatal strategies related to D variants.

  15. On modeling weak sinks in MODPATH.

    PubMed

    Abrams, Daniel; Haitjema, H; Kauffman, L

    2013-01-01

    Regional groundwater flow systems often contain both strong sinks and weak sinks. A strong sink extracts water from the entire aquifer depth, while a weak sink lets some water pass underneath or over the actual sink. The numerical groundwater flow model MODFLOW may allow a sink cell to act as a strong or weak sink, hence extracting all water that enters the cell or allowing some of that water to pass. A physical strong sink can be modeled by either a strong sink cell or a weak sink cell, with the latter generally occurring in low-resolution models. Likewise, a physical weak sink may also be represented by either type of sink cell. The representation of weak sinks in the particle tracing code MODPATH is more equivocal than in MODFLOW. With the appropriate parameterization of MODPATH, particle traces and their associated travel times to weak sink streams can be modeled with adequate accuracy, even in single layer models. Weak sink well cells, on the other hand, require special measures as proposed in the literature to generate correct particle traces and individual travel times and hence capture zones. We found that the transit time distributions for well water generally do not require special measures provided aquifer properties are locally homogeneous and the well draws water from the entire aquifer depth, an important observation for determining the response of a well to non-point contaminant inputs.

  16. Few body hypernuclear systems: Weak decays

    SciTech Connect

    Dover, C.B.

    1987-01-01

    The experimental and theoretical situation regarding mesonic and non-mesonic decays of light hypernuclei is reviewed. Although some models give reasonable results for pionic decays as well as the total weak decay rate, no existing approach explains, even qualitatively, the observed spin-isospin dependence of ..lambda..N ..-->.. NN non-mesonic weak decays. 31 refs., 2 figs.

  17. Spin Seebeck effect in a weak ferromagnet

    SciTech Connect

    Arboleda, Juan David Arnache Olmos, Oscar; Aguirre, Myriam Haydee; Ibarra, Manuel Ricardo; Ramos, Rafael; Anadon, Alberto

    2016-06-06

    We report the observation of room temperature spin Seebeck effect (SSE) in a weak ferromagnetic normal spinel Zinc Ferrite (ZFO). Despite the weak ferromagnetic behavior, the measurements of the SSE in ZFO show a thermoelectric voltage response comparable with the reported values for other ferromagnetic materials. Our results suggest that SSE might possibly originate from the surface magnetization of the ZFO.

  18. Weak rigidity in the PPN formalism

    SciTech Connect

    del Olmo, V.; Olivert, J.

    1987-04-01

    The influence of the concept of weakly rigid almost-thermodynamic material schemes on the classical deformations is analyzed. The methods of the PPN approximation are considered. In this formalism, the equations that characterize the weak rigidity are expressed. As a consequence of that, an increase of two orders of magnitude in the strain rate tensor is obtained.

  19. On modeling weak sinks in MODPATH

    USGS Publications Warehouse

    Abrams, Daniel B.; Haitjema, Henk; Kauffman, Leon J.

    2012-01-01

    Regional groundwater flow systems often contain both strong sinks and weak sinks. A strong sink extracts water from the entire aquifer depth, while a weak sink lets some water pass underneath or over the actual sink. The numerical groundwater flow model MODFLOW may allow a sink cell to act as a strong or weak sink, hence extracting all water that enters the cell or allowing some of that water to pass. A physical strong sink can be modeled by either a strong sink cell or a weak sink cell, with the latter generally occurring in low resolution models. Likewise, a physical weak sink may also be represented by either type of sink cell. The representation of weak sinks in the particle tracing code MODPATH is more equivocal than in MODFLOW. With the appropriate parameterization of MODPATH, particle traces and their associated travel times to weak sink streams can be modeled with adequate accuracy, even in single layer models. Weak sink well cells, on the other hand, require special measures as proposed in the literature to generate correct particle traces and individual travel times and hence capture zones. We found that the transit time distributions for well water generally do not require special measures provided aquifer properties are locally homogeneous and the well draws water from the entire aquifer depth, an important observation for determining the response of a well to non-point contaminant inputs.

  20. Spin Seebeck effect in a weak ferromagnet

    NASA Astrophysics Data System (ADS)

    Arboleda, Juan David; Arnache Olmos, Oscar; Aguirre, Myriam Haydee; Ramos, Rafael; Anadon, Alberto; Ibarra, Manuel Ricardo

    2016-06-01

    We report the observation of room temperature spin Seebeck effect (SSE) in a weak ferromagnetic normal spinel Zinc Ferrite (ZFO). Despite the weak ferromagnetic behavior, the measurements of the SSE in ZFO show a thermoelectric voltage response comparable with the reported values for other ferromagnetic materials. Our results suggest that SSE might possibly originate from the surface magnetization of the ZFO.

  1. Weak D type 1.1 exemplifies another complexity in weak D genotyping.

    PubMed

    Doescher, Andrea; Flegel, Willy A; Petershofen, Eduard K; Bauerfeind, Ursula; Wagner, Franz F

    2005-10-01

    Weak D expression is caused by a large number of RHD alleles. Increasingly recommendations for D+ or D- transfusions are based on polymerase chain reaction (PCR) identification of certain RHD alleles. Possible sources of error are rare D variants that are inadvertently carrying known polymorphisms of frequent weak D types. Weak D donors were checked by direct column agglutination. In donors with unusually weak expression of D, the molecular weak D type was determined by weak D PCR and nucleotide sequencing. The serologic profile of a weak D type 1 variant was determined by agglutination serology and flow cytometry. Several donors in whom direct agglutination barely revealed any D expression were shown to carry the new RHD(L18V,V270G) allele dubbed weak D type 1.1. Initially, such donors had been mistyped as weak D type 1 by PCR. In a systematic study, weak D type 1.1 was shown to be present in 7 of 23 donors with very weak D expression who all lived in a restricted area of Northern Germany. Although weak D type 1.1 was typed D- or barely D+ by direct agglutination, it was easily detected by antiglobulin technique and was shown to carry about 600 antigens D per red blood cell. The observation of weak D type 1.1 with its distinct phenotype pinpointed to two general problems of current RHD genotyping strategies: Mistyping of alleles with additional mutations and striking geographic variation of the allele distributions.

  2. Crew Strength Training

    NASA Image and Video Library

    Train to develop your upper and lower body strength in your muscles and bones by performing body-weight squats and push-ups.The Train Like an Astronaut project uses the excitement of exploration to...

  3. Strength and Balance Exercises

    MedlinePlus

    ... Venous Thromboembolism Aortic Aneurysm More Strength and Balance Exercises Updated:Sep 8,2016 If you have medical ... if you have been inactive and want to exercise vigorously, check with your doctor before beginning a ...

  4. Reduction of bone strength

    NASA Technical Reports Server (NTRS)

    Bingham, Cindy

    1990-01-01

    Viewgraphs on reduction of bone strength are presented. WEHI 231 B growth rates, experimental chambers used to apply the electric field to the cell cultures, and a mouse suspended by rotating cuff in electromagnetic field are shown.

  5. Weak-value amplification: state of play

    NASA Astrophysics Data System (ADS)

    Knee, George C.; Combes, Joshua; Ferrie, Christopher; Gauger, Erik M.

    2016-01-01

    Weak values arise in quantum theory when the result of a weak measurement is conditioned on a subsequent strong measurement. The majority of the trials are discarded, leaving only very few successful events. Intriguingly those can display a substantial signal amplification. This raises the question of whether weak values carry potential to improve the performance of quantum sensors, and indeed a number of impressive experimental results suggested this may be the case. By contrast, recent theoretical studies have found the opposite: using weak-values to obtain an amplification generally worsens metrological performance. This survey summarises the implications of those studies, which call for a reappraisal of weak values' utility and for further work to reconcile theory and experiment.

  6. Hand-Strength Meter

    NASA Technical Reports Server (NTRS)

    Tcheng, Ping; Elliot, Joe

    1987-01-01

    Special grip-strength meter designed for accurate, reproducible measurement of hand rehabilitation. Four strain gauges connected in Wheatstone bridge to measure deflection caused by gripping hand. Compressive force exerted by hand transmitted to measuring beams. Beams therefore deflected or strained, and mechanical strain sensed by strain gauges and converted into electrical signal. After amplification and conditioning, signal displayed on LED as measure of gripping strength of hand.

  7. Structure of Weak Shock Waves in a Monatomic Gas

    NASA Technical Reports Server (NTRS)

    Sherman, F. S.; Talbot, L.

    1959-01-01

    The profiles and thicknesses of normal shock waves in argon at Mach numbers of 1.335, 1.454, 1.576, and 1-713 were determined experimentally by means of a free-molecule probe whose equilibrium temperature is related by kinetic theory to the local flow properties and their gradients. Comparisons were made between the experimental shock profiles and the theoretical profiles calculated from the Navier-Stokes equations, the Grad 13-moment equations, and the Burnett equations. New, very accurate numerical integrations of the Burnett equations were obtained for this purpose with results quite different from those found by Zoller, to whom the solution of this problem is frequently attributed. The experimental shock profiles were predicted with approximately equal success by the Navier-Stokes and Burnett theories, while the 13-moment method was definitely less satisfactory. A surprising feature of the theoretical results is the relatively small difference in predictions between the Navier-Stokes and Burnett theories in the present range of shock strengths and the contrastingly large difference between predictions of Burnett and the 13-moment theories. It is concluded that the Navier-Stokes equations are correct for weak shocks and that within the present shock strength range the Burnett equations make no improvement which merits the trouble of solving them. For shocks of noticeably greater strength, say with a shock Mach number of more than 2.5, it remains fundamentally doubtful that any of these theories can be correct.

  8. Weakly nonlinear electrophoresis of a highly charged colloidal particle

    NASA Astrophysics Data System (ADS)

    Schnitzer, Ory; Zeyde, Roman; Yavneh, Irad; Yariv, Ehud

    2013-05-01

    At large zeta potentials, surface conduction becomes appreciable in thin-double-layer electrokinetic transport. In the linear weak-field regime, where this effect is quantified by the Dukhin number, it is manifested in non-Smoluchowski electrophoretic mobilities. In this paper we go beyond linear response, employing the recently derived macroscale model of Schnitzer and Yariv ["Macroscale description of electrokinetic flows at large zeta potentials: Nonlinear surface conduction," Phys. Rev. E 86, 021503 (2012), 10.1103/PhysRevE.86.021503] as the infrastructure for a weakly nonlinear analysis of spherical-particle electrophoresis. A straightforward perturbation in the field strength is frustrated by the failure to satisfy the far-field conditions, representing a non-uniformity of the weak-field approximation at large distances away from the particle, where salt advection becomes comparable to diffusion. This is remedied using inner-outer asymptotic expansions in the spirit of Acrivos and Taylor ["Heat and mass transfer from single spheres in Stokes flow," Phys. Fluids 5, 387 (1962), 10.1063/1.1706630], with the inner region representing the particle neighborhood and the outer region corresponding to distances scaling inversely with the field magnitude. This singular scheme furnishes an asymptotic correction to the electrophoretic velocity, proportional to the applied field cubed, which embodies a host of nonlinear mechanisms unfamiliar from linear electrokinetic theories. These include the effect of induced zeta-potential inhomogeneity, animated by concentration polarization, on electro-osmosis and diffuso-osmosis; bulk advection of salt; nonuniform bulk conductivity; Coulomb body forces acting on bulk volumetric charge; and the nonzero electrostatic force exerted upon the otherwise screened particle-layer system. A numerical solution of the macroscale model validates our weakly nonlinear analysis.

  9. Weak positive cloud-to-ground flashes in Northeastern Colorado

    NASA Technical Reports Server (NTRS)

    Lopez, Raul E.; Maier, Michael W.; Garcia-Miguel, Juan A.; Holle, Ronald L.

    1991-01-01

    The frequency distributions of the peak magnetic field associated with the first detected return stroke of positive and negative cloud-to-ground (CG) flashes were studied using lightning data from northeastern Colorado. These data were obtained during 1985 with a medium-to-high gain network of three direction finders (DF's). The median signal strength of positive flashes was almost two times that of the negatives for flashes within 300 km of the DF's, which have an inherent detection-threshold bias that tends to discriminate against weak signals. This bias increases with range, and affects the detection of positive and negative flashes in different ways, because of the differing character of their distributions. Positive flashes appear to have a large percentage of signals clustered around very weak values that are lost to the medium-to-high gain Colorado Detection System very quickly with increasing range. The resulting median for positive signals could thus appear to be much larger than the median for negative signals, which are more clustered around intermediate values. When only flashes very close to the DF's are considered, however, the two distributions have almost identical medians. The large percentage of weak positive signals detected close to the DF's has not been explored previously. They have been suggested to come from intracloud discharges and thus are improperly classified as CG flashes. Evidence in hand, points to their being real positive, albeit weak CG flashes. Whether or not they are real positive ground flashes, it is important to be aware of their presence in data from magnetic DF networks.

  10. Physical Strength as a Cue to Dominance: A Data-Driven Approach.

    PubMed

    Toscano, Hugo; Schubert, Thomas W; Dotsch, Ron; Falvello, Virginia; Todorov, Alexander

    2016-12-01

    We investigate both similarities and differences between dominance and strength judgments using a data-driven approach. First, we created statistical face shape models of judgments of both dominance and physical strength. The resulting faces representing dominance and strength were highly similar, and participants were at chance in discriminating faces generated by the two models. Second, although the models are highly correlated, it is possible to create a model that captures their differences. This model generates faces that vary from dominant-yet-physically weak to nondominant-yet-physically strong. Participants were able to identify the difference in strength between the physically strong-yet-nondominant faces and the physically weak-yet-dominant faces. However, this was not the case for identifying dominance. These results suggest that representations of social dominance and physical strength are highly similar, and that strength is used as a cue for dominance more than dominance is used as a cue for strength.

  11. Tie strength distribution in scientific collaboration networks

    NASA Astrophysics Data System (ADS)

    Ke, Qing; Ahn, Yong-Yeol

    2014-09-01

    Science is increasingly dominated by teams. Understanding patterns of scientific collaboration and their impacts on the productivity and evolution of disciplines is crucial to understand scientific processes. Electronic bibliography offers a unique opportunity to map and investigate the nature of scientific collaboration. Recent studies have demonstrated a counterintuitive organizational pattern of scientific collaboration networks: densely interconnected local clusters consist of weak ties, whereas strong ties play the role of connecting different clusters. This pattern contrasts itself from many other types of networks where strong ties form communities while weak ties connect different communities. Although there are many models for collaboration networks, no model reproduces this pattern. In this paper, we present an evolution model of collaboration networks, which reproduces many properties of real-world collaboration networks, including the organization of tie strengths, skewed degree and weight distribution, high clustering, and assortative mixing.

  12. Tie strength distribution in scientific collaboration networks.

    PubMed

    Ke, Qing; Ahn, Yong-Yeol

    2014-09-01

    Science is increasingly dominated by teams. Understanding patterns of scientific collaboration and their impacts on the productivity and evolution of disciplines is crucial to understand scientific processes. Electronic bibliography offers a unique opportunity to map and investigate the nature of scientific collaboration. Recent studies have demonstrated a counterintuitive organizational pattern of scientific collaboration networks: densely interconnected local clusters consist of weak ties, whereas strong ties play the role of connecting different clusters. This pattern contrasts itself from many other types of networks where strong ties form communities while weak ties connect different communities. Although there are many models for collaboration networks, no model reproduces this pattern. In this paper, we present an evolution model of collaboration networks, which reproduces many properties of real-world collaboration networks, including the organization of tie strengths, skewed degree and weight distribution, high clustering, and assortative mixing.

  13. Spectrum of Mathematical Weaknesses: Related Neuropsychological Correlates.

    PubMed

    Perna, Robert; Loughan, Ashlee R; Le, Jessica; Hertza, Jeremy; Cohen, Morris J

    2015-01-01

    Math disorders have been recognized for as long as language disorders yet have received far less research. Mathematics is a complex construct and its development may be dependent on multiple cognitive abilities. Several studies have shown that short-term memory, working memory, visuospatial skills, processing speed, and various language skills relate to and may facilitate math development and performance. The hypotheses explored in this research were that children who performed worse on math achievement than on Full-Scale IQ would exhibit weaknesses in executive functions, memory, and visuoperceptual skills. Participants included 436 children (27% girls, 73% boys; age range = 5-17 years, M(age) = 9.45 years) who were referred for neuropsychological evaluations due to academic and/or behavioral problems. This article specifically focuses on the spectrum of math weakness rather than clinical disability, which has yet to be investigated in the literature. Results suggest that children with relative weakness to impairments in math were significantly more likely to have cognitive weaknesses to impairments on neuropsychological variables, as compared with children without math weaknesses. Specifically, the math-weak children exhibit a weakness to impairment on measures involving attention, language, visuoperceptual skills, memory, reading, and spelling. Overall, our results suggest that math development is multifaceted.

  14. Perceptions of Online TESOL Teacher Education: Strengths, Weaknesses, Characteristics, and Effective Components

    ERIC Educational Resources Information Center

    Chen, Susan Tiffany

    2012-01-01

    Recent and ongoing expansion of online opportunities for teacher education and training continue in response to calls for better teacher preparation and professional development opportunities. However, with the introduction of online learning, the already controversial debate over educational technology has taken on a new dimension. Today's…

  15. Evidence-based alcohol policy in the Americas: strengths, weaknesses, and future challenges.

    PubMed

    Babor, Thomas F; Caetano, Raul

    2005-01-01

    The objectives of this article are to describe the evidence base for alcohol policy in the Americas, to evaluate the extent to which national policies are likely to have an impact on public health, and to identify areas where alcohol policies could be improved. The paper begins with a brief review of epidemiological surveys of the prevalence of alcohol problems in the Americas. This is followed by an analysis of 32 prevention strategies and interventions in terms of the evidence for their effectiveness, amount of research support, cost to implement, and other feasibility issues. Overall, the strategies and interventions with the greatest amount of empirical support are low blood alcohol concentration levels for driving while intoxicated, controls on alcohol availability, age limits on alcohol purchases, and relatively high alcohol prices. The implications of the evidence are next discussed in relation to alcohol policy initiatives in the Americas, based on an analysis of the extent to which strategies and interventions currently used in 25 countries of the Americas are likely to have a public health impact on alcohol-related problems. The countries that have adopted the policies with the highest expected impact overall are Colombia, Costa Rica, Venezuela, and El Salvador. Nevertheless, the analysis indicates that almost all the countries of the Americas could improve the likelihood of preventing alcohol-related problems. Policy efforts in the developing countries of Latin America should focus on improving countermeasures against driving while intoxicated, measures that alter the drinking context, and limits on physical availability. For the developed, high-income countries of North America the goal should be to prevent deterioration of current drinking patterns and to reduce the overall volume of drinking. Given the low to moderate cost of many of the policies reviewed in this article, it now seems possible for communities and nations to substantially reduce the alcohol-related burden of illness in the Americas.

  16. Strengths and weaknesses of current polio vaccines--a view from industry.

    PubMed

    André, F E

    2001-01-01

    Polio eradication is within our grasp and, unless something terribly wrong and unexpected happens, the three types of wild polioviruses will cease to circulate in human populations within the next few years. This achievement will be a result of the rational use of OPV. A momentous global decision--discontinuation of vaccination--will then have to be taken. The most important uncertainty that will weigh upon that decision is whether wild polioviruses can re-emerge after "eradication" defined as "complete interruption of wild polioviruses transmission", has been obtained. It is important to realise that "eradication" does not mean "extinction" in the sense that the dodo is extinct. After eradication, wild polioviruses will still lurk in laboratory specimens and in protected environmental sites (like glaciers) and may even "re-emerge" by back mutation or recombination of Sabin-derived strains that may continue to circulate even after OPV use is discontinued. Theoretically, the risk of re-emergence of wild polioviruses would be lessened if IPV was used for a number of years to immunise all those born after cessation of OPV usage. But the question is "by how much?". Vaccination with IPV will reduce the risk that persistent OPV-derived strains (e.g. in immunodeficient patients) will have the chance to establish permanent transmission after vaccination is totally discontinued. However, the risk of re-emergence will not be changed since this will be determined by the risk of accidental re-introduction. Whether the expense of switching completely from OPV to IPV globally can be justified will depend upon the relative risks of wild poliovirus re-emergence from either OPV-derived sources or other environmental sources including "escape" of virulent seed viruses from IPV production facilities. This balance of probabilities and risks will be very difficult to determine. In any case, it is likely that the decision to upscale IPV production to required levels has already been delayed too long so that polio eradication will be achieved by the use of OPV in developed as well as in less developed countries that cannot afford to use IPV at a high enough vaccine coverage rate to make it safe. Wild poLiovirus transmission has been interrupted with OPV in the Western Hemisphere. There is no reason why this cannot be done in the rest of the world. In industrialized countries that can afford it and where vaccine coverage is sufficient to prevent wild virus circulation, IPV, in combined vaccines, will be increasingly used. Let us hope that politicians in developing countries and zealous ethicists in the developed world will understand why, in the present and foreseeable future circumstances, OPV is better than IPV in the poorer countries and will not demand, in the name of equity in health, a total switch to IPV. For eradication, IPV cannot, and hopefully need not, replace OPV. At this stage it should not.

  17. Strengths and Weaknesses of the Information Technology Curriculum in Library and Information Science Graduate Programs

    ERIC Educational Resources Information Center

    Singh, Vandana; Mehra, Bharat

    2013-01-01

    This research highlights the status of the information technology (IT) skills and competencies being taught at LIS schools in the United States. Results list specific IT topics that the library schools are teaching and the ones that are missing from the curriculum. Based on a literature review these skills are then juxtaposed with the expectations…

  18. Understanding The Strengths And Weaknesses Of Public Reporting Of Surgeon-Specific Outcome Data.

    PubMed

    Burns, Elaine M; Pettengell, Chris; Athanasiou, Thanos; Darzi, Ara

    2016-03-01

    Public reporting of outcome data is increasingly being used at the institutional and clinician levels and has become mandatory in some parts of the United States and the United Kingdom. The intended benefits are to drive quality improvement, demonstrate transparency, facilitate patient choice, and allow identification of poor performance. Public reporting of surgeon-specific mortality data, however, may have unintended consequences that include causing surgeons to become risk-averse, discouraging innovation, having an impact on training, and prompting "gaming" in health care. Given the small number of some surgical operations performed by individual surgeons, such data are unlikely to identify outliers or poor performers in a valid way. If metrics are deemed necessary and required to be reported publicly, they should be procedure specific; account for sample size; and focus not solely on mortality but also on other outcomes such as quality of life, patient satisfaction, and experience.

  19. The ASAS Criteria for Axial Spondyloarthritis: Strengths, Weaknesses, and Proposals for a Way Forward.

    PubMed

    van der Linden, Sjef; Akkoc, Nurullah; Brown, Matthew A; Robinson, Philip C; Khan, Muhammad A

    2015-09-01

    Classification criteria should facilitate selection of similar patients for clinical and epidemiologic studies, therapeutic trials, and research on etiopathogenesis to enable comparison of results across studies from different centers. We critically appraise the validity and performance of the Assessment of SpondyloArthritis international Society (ASAS) classification criteria for axial spondyloarthritis (axSpA). It is still debatable whether all patients fulfilling these criteria should be considered as having true axSpA. Patients with radiographically evident disease by the ASAS criteria are not necessarily identical with ankylosing spondylitis (AS) as classified by the modified New York criteria. The complex multi-arm selection design of the ASAS criteria induces considerable heterogeneity among patients so classified, and applying them in settings with a low prevalence of axial spondyloarthritis (SpA) greatly increases the proportion of subjects falsely classified as suffering from axial SpA. One of the unmet needs in non-radiographic form of axial SpA is to have reliable markers that can identify individuals at risk for progression to AS and thereby facilitate early intervention trials designed to prevent such progression. We suggest needed improvements of the ASAS criteria for axSpA, as all criteria sets should be regarded as dynamic concepts open to modifications or updates as our knowledge advances.

  20. Specific Learning Disability Identification: What Constitutes a Pattern of Strengths and Weaknesses?

    ERIC Educational Resources Information Center

    Schultz, Edward Karl; Simpson, Cynthia G.; Lynch, Sharon

    2012-01-01

    The 2004 Individuals with Disabilities Education Improvement Act (IDEA) and subsequent regulations published in 2006 have significantly changed the identification process for students suspected of having specific learning disabilities. Rather than using a discrepancy model contrasting intellectual and achievement test results, assessment…