Sample records for present technical difficulties

  1. Stewart's maxims: eight "do's" for successfully communicating silviculture to policymakers

    Treesearch

    R. E. Stewart

    1997-01-01

    Technical specialists may experience difficulties in presenting information to non-technical policymakers and having that information used. Eight maxims are discussed that should help the silviculturist successfully provide technical information to non-technical audiences so that it will be considered in the formulation of policy.

  2. A Prospective Observational Study of Technical Difficulty With GlideScope-Guided Tracheal Intubation in Children.

    PubMed

    Zhang, Bin; Gurnaney, Harshad G; Stricker, Paul A; Galvez, Jorge A; Isserman, Rebecca S; Fiadjoe, John E

    2018-05-09

    The GlideScope Cobalt is one of the most commonly used videolaryngoscopes in pediatric anesthesia. Although visualization of the airway may be superior to direct laryngoscopy, users need to learn a new indirect way to insert the tracheal tube. Learning this indirect approach requires focused practice and instruction. Identifying the specific points during tube placement, during which clinicians struggle, would help with targeted education. We conducted this prospective observational study to determine the incidence and location of technical difficulties using the GlideScope, the success rates of various corrective maneuvers used, and the impact of technical difficulty on success rate. We conducted this observational study at our quaternary pediatric hospital between February 2014 and August 2014. We observed 200 GlideScope-guided intubations and documented key intubation-related outcomes. Inclusion criteria for patients were <6 years of age and elective surgery requiring endotracheal intubation. We documented the number of advancement maneuvers required to intubate the trachea, the location where technical difficulty occurred, the types of maneuvers used to address difficulties, and the tracheal intubation success rate. We used a bias-corrected bootstrapping method with 300 replicates to determine the 95% confidence interval (CI) around the rate of difficulty with an intubation attempt. After excluding attempts by inexperienced clinicians, there were 225 attempts in 187 patients, 58% (131 of 225; bootstrap CI, 51.6%-64.6%]) of the attempts had technical difficulties. Technical difficulty was most likely to occur when inserting the tracheal tube between the plane of the arytenoid cartilages to just beyond the vocal cords: "zone 3." Clockwise rotation of the tube was the most common successful corrective maneuver in zone 3. The overall tracheal intubation success rate was 98% (CI, 95%-99%); however, the first attempt success rate was only 80% (CI, 74%-86%). Patients with technical difficulty had more attempts (median [interquartile range], 2 [1-3] than those without technical difficulty median (interquartile range, 1 [1-1; P value <.01]). A variety of clinicians experience technical difficulties with the GlideScope Cobalt videolaryngoscope in children. These difficulties result in more tracheal intubation attempts, an important risk factor for intubation-associated complications. Targeted education of clinicians may reduce the incidence of technical difficulties.

  3. A teleconference with three-dimensional surgical video presentation on the 'usual' Internet.

    PubMed

    Obuchi, Toshiro; Moroga, Toshihiko; Nakamura, Hiroshige; Shima, Hiroji; Iwasaki, Akinori

    2015-03-01

    Endoscopic surgery employing three-dimensional (3D) video images, such as a robotic surgery, has recently become common. However, the number of opportunities to watch such actual 3D videos is still limited due to many technical difficulties associated with showing 3D videos in front of an audience. A teleconference with 3D video presentations of robotic surgeries was held between our institution and a distant institution using a commercially available telecommunication appliance on the 'usual' Internet. Although purpose-built video displays and 3D glasses were necessary, no technical problems occurred during the presentation and discussion. This high-definition 3D telecommunication system can be applied to discussions about and education on 3D endoscopic surgeries for many surgeons, even in distant places, without difficulty over the usual Internet connection.

  4. Current limitations into the application of virtual reality to mental health research.

    PubMed

    Huang, M P; Alessi, N E

    1998-01-01

    Virtual Reality (VR) environments have significant potential as a tool in mental health research, but are limited by technical factors and by mental health research factors. Technical difficulties include cost and complexity of virtual environment creation. Mental health research difficulties include current inadequacy of standards to specify needed details for virtual environment design. Technical difficulties are disappearing with technological advances, but the mental health research difficulties will take a concerted effort to overcome. Some of this effort will need to be directed at the formation of collaborative projects and standards for how such collaborations should proceed.

  5. Ready, Set, Go!

    ERIC Educational Resources Information Center

    Thomas, Middleman Irene

    1992-01-01

    Presents personal accounts of Hispanic entrepreneurs who have successfully established small businesses. Young Hispanic entrepreneurs frequently experience age discrimination and have difficulty securing financing. The Small Business Administration can provide technical assistance, training, and development. (KS)

  6. Learning Computing Topics in Undergraduate Information Systems Courses: Managing Perceived Difficulty

    ERIC Educational Resources Information Center

    Wall, Jeffrey D.; Knapp, Janice

    2014-01-01

    Learning technical computing skills is increasingly important in our technology driven society. However, learning technical skills in information systems (IS) courses can be difficult. More than 20 percent of students in some technical courses may dropout or fail. Unfortunately, little is known about students' perceptions of the difficulty of…

  7. 78 FR 72840 - Drug Products That Present Demonstrable Difficulties for Compounding Under Sections 503A and 503B...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-04

    ... equipment that could affect drug safety or effectiveness? 6. Training Is specialized, highly technical training essential to ensure proper compounding of the drug product? 7. Testing and Quality Assurance Is...

  8. 77 FR 55216 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-07

    ..., due to technical difficulties, the documents associated with the information collection request were not made available to the public until August 14, 2012. Because of the technical difficulties, CMS is... Social Security Act (SSA) requires Medicare health plans to provide enrollees with a written notice in...

  9. Transesophageal echocardiography and intracardiac echocardiography differently predict potential technical challenges or failures of interatrial shunts catheter-based closure.

    PubMed

    Rigatelli, Gianluca; Rigateli, Gianluca; Cardaioli, Paolo; Braggion, Gabriele; Aggio, Silvio; Giordan, Massimo; Magro, Beatrice; Nascimben, Alberto; Favaro, Alberto; Roncon, Loris; Rincon, Loris

    2007-02-01

    We sought to prospectively assess the role of transesophageal (TEE) and intracardiac echocardiography (ICE) in detecting potential technical difficulties or failures in patients submitted to interatrial shunts percutaneous closure. We prospectively enrolled 46 consecutive patients (mean age 35+/-28, 8 years, 30 female) referred to our center for catheter-based closure of interatrial shunts. All patients were screened with TEE before the intervention. Patients who met the inclusion criteria underwent ICE study before the closure attempt (40 patients). TEE detected potential technical difficulties in 22.5% (9/40) patients, whereas ICE detected technical difficulties in 32.5% (13/40 patients). In patients with positive TEE/ICE the procedural success (92.4% versus 100% and, P = ns) and follow-up failure rate (7.7% versus 0%, P = ns) were similar to patients with negative TEE/ICE, whereas the fluoroscopy time (7 +/- 1.2 versus 5 +/- 0.7 minutes, P < 0.03), the procedural time (41 +/- 4.1 versus 30 +/- 8.2 minutes, P +/- 0.03), and technical difficulties rate (23.1% versus 0%, P = 0.013) were higher. Differences between ICE and TEE in the evaluation of rims, measurement of ASD or fossa ovalis, and detection of venous valve and embryonic septal membrane remnants impacted on technical challenges and on procedural and fluoroscopy times but did not influence the success rate and follow-up failure rate.

  10. Accommodating Student Diversity in Remote Sensing Instruction.

    ERIC Educational Resources Information Center

    Hammen, John L., III.

    1992-01-01

    Discusses the difficulty of teaching computer-based remote sensing to students of varying levels of computer literacy. Suggests an instructional method that accommodates all levels of technical expertise through the use of microcomputers. Presents a curriculum that includes an introduction to remote sensing, digital image processing, and…

  11. The Relationship Between Technical Errors and Decision Making Skills in the Junior Resident

    PubMed Central

    Nathwani, J. N.; Fiers, R.M.; Ray, R.D.; Witt, A.K.; Law, K. E.; DiMarco, S.M.; Pugh, C.M.

    2017-01-01

    Objective The purpose of this study is to co-evaluate resident technical errors and decision-making capabilities during placement of a subclavian central venous catheter (CVC). We hypothesize that there will be significant correlations between scenario based decision making skills, and technical proficiency in central line insertion. We also predict residents will have problems in anticipating common difficulties and generating solutions associated with line placement. Design Participants were asked to insert a subclavian central line on a simulator. After completion, residents were presented with a real life patient photograph depicting CVC placement and asked to anticipate difficulties and generate solutions. Error rates were analyzed using chi-square tests and a 5% expected error rate. Correlations were sought by comparing technical errors and scenario based decision making. Setting This study was carried out at seven tertiary care centers. Participants Study participants (N=46) consisted of largely first year research residents that could be followed longitudinally. Second year research and clinical residents were not excluded. Results Six checklist errors were committed more often than anticipated. Residents performed an average of 1.9 errors, significantly more than the 1 error, at most, per person expected (t(44)=3.82, p<.001). The most common error was performance of the procedure steps in the wrong order (28.5%, P<.001). Some of the residents (24%) had no errors, 30% committed one error, and 46 % committed more than one error. The number of technical errors committed negatively correlated with the total number of commonly identified difficulties and generated solutions (r(33)= −.429, p=.021, r(33)= −.383, p=.044 respectively). Conclusions Almost half of the surgical residents committed multiple errors while performing subclavian CVC placement. The correlation between technical errors and decision making skills suggests a critical need to train residents in both technique and error management. ACGME Competencies Medical Knowledge, Practice Based Learning and Improvement, Systems Based Practice PMID:27671618

  12. Spitting, Kicking and Stripping: Technical Difficulties Encountered in the Treatment of Deprived Children

    ERIC Educational Resources Information Center

    Canham, Hamish

    2004-01-01

    The technical difficulties posed for the child psychotherapist working with children who have themselves experienced violence and abuse are addressed. A distinction is drawn between violence in the service of communicating about such experiences and violence that arises from more perverse aspects of the patient. The therapist's need to pay close…

  13. Identifying Students' Difficulties When Learning Technical Skills via a Wireless Sensor Network

    ERIC Educational Resources Information Center

    Wang, Jingying; Wen, Ming-Lee; Jou, Min

    2016-01-01

    Practical training and actual application of acquired knowledge and techniques are crucial for the learning of technical skills. We established a wireless sensor network system (WSNS) based on the 5E learning cycle in a practical learning environment to improve students' reflective abilities and to reduce difficulties for the learning of technical…

  14. An inquiry into computer understanding

    NASA Technical Reports Server (NTRS)

    Cheeseman, Peter

    1988-01-01

    The paper examines issues connected with the choice of the best method for representing and reasoning about common sense. McDermott (1978) has shown that a direct translation of common sense reasoning into logical form leads to insurmountable difficulties. It is shown, in the present work, that if Bayesian probability is used instead of logic as the language of such reasoning, none of the technical difficulties found in using logic arise. Bayesian inference is applied to a simple example of linguistic information to illustrate the potential of this type of inference for artificial intelligence.

  15. Dilution refrigeration for space applications

    NASA Technical Reports Server (NTRS)

    Israelsson, U. E.; Petrac, D.

    1990-01-01

    Dilution refrigerators are presently used routinely in ground based applications where temperatures below 0.3 K are required. The operation of a conventional dilution refrigerator depends critically on the presence of gravity. To operate a dilution refrigerator in space many technical difficulties must be overcome. Some of the anticipated difficulties are identified in this paper and possible solutions are described. A single cycle refrigerator is described conceptually that uses forces other than gravity to function and the stringent constraints imposed on the design by requiring the refrigerator to function on the earth without using gravity are elaborated upon.

  16. Space education: Deriving benefits from industrial consortia

    NASA Technical Reports Server (NTRS)

    Stone, Barbara A.; Page, John R.

    1993-01-01

    As the number of spacefaring nations of the world increases, so does the difficulty of competing in a global economy. The development of high technology products and services for space programs, and the economic exploitation of these technologies for national economic growth, requires professionals versed in both technical and commercial aspects of space. Meeting this requirement academically presents two challenges. On the technical side, enrollment in science and engineering is decreasing in some of the spacefaring nations. From the commerce perspective, very few colleges and universities offer specific courses in space business.

  17. [One-hundred fifty English words and expressions in dermatology that present difficulties or pitfalls for translation into Spanish].

    PubMed

    Navarro, F A

    2008-06-01

    Every year, thousands of technical neologisms are coined in English and must be rapidly imported into the Spanish language with the utmost precision, clarity, rigor, and linguistic correctness for Spanish to remain useful as a language of culture and learning that allows us to express the medicine of today. In 1999, the author published an extensive Glossary of Doubts in English-Spanish Translation of Dermatology that contained more than 500 words and expressions in dermatology that present difficulties in translation. Nine years later, the original glossary has been extended to include new English words and expressions that were not covered at that time. The author compiles and discusses 150 dermatological neologisms and technical terms in English that present problems for translation into Spanish or generate doubts regarding their use in that language, and offers reasoned proposals for their translation. The proposed translations are well founded and reflect the necessity for accuracy and clarity that should characterize all scientific language. In most cases, they are accompanied by detailed comments on normal usage among physicians, orthographic rules in Spanish, and official guidelines based on standardized nomenclature and the recommendations of the main international organizations.

  18. Loci of Difficulty in Learning to Program. Technical Report 86-6.

    ERIC Educational Resources Information Center

    Perkins, David; And Others

    To learn more about the specific nature of the teaching and learning problems involved, researchers conducted a clinical study of 20 high school students enrolled a BASIC course. Investigators presented each student with a sequence of eight programming problems, ranging from easy to difficult. They asked questions to track student thinking and…

  19. The problems inherent in teaching technical writing and report writing to native Americans

    NASA Technical Reports Server (NTRS)

    Zukowski/faust, J.

    1981-01-01

    Teaching technical writing to Native Americans contending with a second language and culture is addressed. Learning difficulties arising from differences between native and acquired language and cultural systems are examined. Compartmentalized teaching, which presents the ideals of technical writing in minimal units, and skills development are considered. Rhetorical problems treated include logic of arrangement, selection of support and scope of detail, and time and space. Specific problems selected include the concept of promptness, the contextualization of purpose, interpersonal relationships, wordiness, mixture of registers, and the problem of abstracting. Four inductive procedures for students having writing and perception problems are included. Four sample exercises and a bibliography of 13 references are also included.

  20. Characteristics of a virtual community for individuals who are d/deaf and hard of hearing.

    PubMed

    Shoham, Snunith; Heber, Meital

    2012-01-01

    The content of 2,050 messages on a virtual forum for d/Deaf and hard of hearing people in Israel was analyzed. Interactions and behavior were monitored to determine if behavior on the forum expressed social support, and whether the community was an entirely virtual community or a real community whose members also met in other venues. Subjects discussed in messages included technical difficulties, coping with difficulties presented by hearing loss, adjusting to assistive devices, difficulties at school and work, accessibility issues, difficulties communicating with the hearing world, and rights. Messages were also used to initiate a range of social activities. Classification of behaviors per the Social Support Behavior Code (Cutrona & Suhr, 1992) showed that most were in the category of informational support. Other types of support in the model, tangible assistance, emotional support, social network support, and esteem support, were evident in fewer messages.

  1. New Desktop Virtual Reality Technology in Technical Education

    ERIC Educational Resources Information Center

    Ausburn, Lynna J.; Ausburn, Floyd B.

    2008-01-01

    Virtual reality (VR) that immerses users in a 3D environment through use of headwear, body suits, and data gloves has demonstrated effectiveness in technical and professional education. Immersive VR is highly engaging and appealing to technically skilled young Net Generation learners. However, technical difficulty and very high costs have kept…

  2. 78 FR 2394 - Release of Draft Document Related to the Review of the National Ambient Air Quality Standards for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ... technical difficulties and cannot contact you for clarification, the EPA may not be able to consider your... docket number and other identifying information (subject heading, Federal Register date and page number... information presented in the third draft Integrated Science Assessment for Lead \\2\\ and health and ecological...

  3. Building Tone Resources for Second Language Learners from Phonetic Documentation: Cherokee Examples

    ERIC Educational Resources Information Center

    Hirata-Edds, Tracy; Herrick, Dylan

    2017-01-01

    Lexical tone is a linguistic feature which can present difficulties for second language learners wanting to revitalize their heritage language. This is true not only from the standpoint of understanding and pronunciation, but also because tone is often under-documented and resources are limited or too technical to be useful to community members.…

  4. A Preliminary Study of the Technical Use of Arabic in Saudi Secondary Physics Classes

    ERIC Educational Resources Information Center

    Albadi, Nouf Mohammed; O'Toole, John Mitchell; Harkins, Jean

    2017-01-01

    English for specific purposes research reveals that learners at a variety of levels experience difficulty reading science text, sufficient to impede their acquisition of science understanding. However, little research exists regarding subject-specific language styles or reading difficulty in Arabic. Difficulties with specialised language may…

  5. Comparative Difficulties with Non-Scientific General Vocabulary and Scientific/Medical Terminology in English as a Second Language (ESL) Medical Students.

    PubMed

    Heming, Thomas A; Nandagopal, Shobha

    2012-11-01

    Medical education requires student comprehension of both technical (scientific/medical) and non-technical (general) vocabulary. Our experience with "English as a second language" (ESL) Arab students suggested they often have problems comprehending scientific statements because of weaknesses in their understanding of non-scientific vocabulary. This study aimed to determine whether ESL students have difficulties with general vocabulary that could hinder their understanding of scientific/medical texts. A survey containing English text was given to ESL students in the premedical years of an English-medium medical school in an Arabic country. The survey consisted of sample questions from the Medical College Admission Test (USA). Students were instructed to identify all unknown words in the text. ESL students commenced premedical studies with substantial deficiencies in English vocabulary. Students from English-medium secondary schools had a selective deficiency in scientific/medical terminology which disappeared with time. Students from Arabic-medium secondary schools had equal difficulty with general and scientific/medical vocabulary. Deficiencies in both areas diminished with time but remained even after three years of English-medium higher education. Typically, when teaching technical subjects to ESL students, attention is focused on subject-unique vocabulary and associated modifiers. This study highlights that ESL students also face difficulties with the general vocabulary used to construct statements employing technical words. Such students would benefit from increases in general vocabulary knowledge.

  6. [Not Available].

    PubMed

    Kordelas, L; Grond-Ginsbach, C

    2000-01-01

    Kant's discussion of the ethical implications of smallpox inoculation is presented here. In four fragments Kant analyzes the moral legitimacy of endangering other people in medical practice and especially endangering people who are incapable of giving consent. In addition, we re-evaluate the alleged "success story" of the development of smallpox prevention and review the technical and theoretical difficulties of smallpox inoculation at the time of Kant.

  7. A Comparison of Prose and Algorithms for Presenting Complex Instructions. Document Design Project, Technical Report No. 17.

    ERIC Educational Resources Information Center

    Holland, V. Melissa; Rose, Andrew

    Complex conditional instructions ("if X, then do Y") are prevalent in public documents, where they typically appear in prose form. Results of two previous studies have shown that conditional instructions become very difficult to process as the structure becomes more complex. A study was designed to investigate whether this difficulty can…

  8. Pollution of surface water in Europe

    PubMed Central

    Key, A.

    1956-01-01

    This paper discusses pollution of surface water in 18 European countries. For each an account is given of its physical character, population, industries, and present condition of water supplies; the legal, administrative, and technical means of controlling pollution are then described, and an outline is given of current research on the difficulties peculiar to each country. A general discussion of various aspects common to the European problem of water pollution follows; standards of quality are suggested; some difficulties likely to arise in the near future are indicated, and international collaboration, primarily by the exchange of information, is recommended to check or forestall these trends. PMID:13374532

  9. Exploring the Capability of Evaluating Technical Solutions: A Collaborative Study into the Primary Technology Classroom

    ERIC Educational Resources Information Center

    Björkholm, Eva

    2014-01-01

    Within the field of technology education, evaluating technical solutions is considered as an important topic. Research indicates that pupils have difficulties in evaluating technical solutions in terms of fitness for purpose, i.e. how effective a technical solution supports its intended function. By using the learning study, which is an iterative…

  10. Age-related differences in processing visual device and task characteristics when using technical devices.

    PubMed

    Oehl, M; Sutter, C

    2015-05-01

    With aging visual feedback becomes increasingly relevant in action control. Consequently, visual device and task characteristics should more and more affect tool use. Focussing on late working age, the present study aims to investigate age-related differences in processing task irrelevant (display size) and task relevant visual information (task difficulty). Young and middle-aged participants (20-35 and 36-64 years of age, respectively) sat in front of a touch screen with differently sized active touch areas (4″ to 12″) and performed pointing tasks with differing task difficulties (1.8-5 bits). Both display size and age affected pointing performance, but the two variables did not interact and aiming duration moderated both effects. Furthermore, task difficulty affected the pointing durations of middle-aged adults moreso than those of young adults. Again, aiming duration accounted for the variance in the data. The onset of an age-related decline in aiming duration can be clearly located in middle adulthood. Thus, the fine psychomotor ability "aiming" is a moderator and predictor for age-related differences in pointing tasks. The results support a user-specific design for small technical devices with touch interfaces. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  11. [Medical surveillance in university: organizational difficulties, legal problems, scientific e technical specificities. Experience of University of Milan Bicocca].

    PubMed

    D'Orso, M I; Giuliani, C; Assini, R; Riva, M A; Cesana, G

    2012-01-01

    Our research describes activities of Occupational Health carried out during last year in University of Milan Bicocca by Occupational Doctors. We describe results of medical surveillance in 1153 employees or students exposed to occupational risks for health and safety. We report results obtained, technical difficulties, organizational problems, and preventive actions decided to improve functionality of our activity. Students seem to be less protected and consequently seem to have higher professional safety and health risks.

  12. A Real-Life Basis for Reports in Business and Technical Writing.

    ERIC Educational Resources Information Center

    Stephenson, William

    1987-01-01

    For students who have difficulty finding material for writing formal business and technical reports, suggests keeping a file folder of clippings about new products and services taken from a leading newspaper.(NH)

  13. 77 FR 56555 - Approval and Promulgation of Implementation Plans; State of Missouri; Maximum Allowable Emission...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ... emissions impact of the clean fuels exclusion, MDNR relied on a technical analysis of emissions from units..., correspondence, referenced above, also included a technical analysis demonstrating that the averaging approach... EPA cannot read your comment due to technical difficulties and cannot contact you for clarification...

  14. Video-assisted thoracoscopic surgery (VATS) right upper lobectomy for non-small-cell lung cancer with an azygos lobe

    PubMed Central

    Samancilar, Ozgur; Kaya, Seyda Ors; Sevinc, Serpil; Akcay, Onur; Ceylan, Kenan Can

    2016-01-01

    Although it is not a pathologically significant entity, cases of azygos lobe (AL) are interesting due to the difficulty of performing video-assisted thoracoscopic surgery (VATS) procedures in the affected patients and the presence of a congenital malformation. Currently, videothoracoscopic surgery has advanced to such a level that most thoracic procedures can be performed with video assistance. However, some technical difficulties may arise in cases with anatomical anomalies such as AL. This report presents the case of a patient with an azygos lobe who underwent videothoracoscopic lung resection due to the presence of non-small-cell lung carcinoma in the upper lobe of the right lung. PMID:28096840

  15. Lessons Learned and Technical Standards: A Logical Marriage for Future Space Systems Design

    NASA Technical Reports Server (NTRS)

    Gill, Paul S.; Garcia, Danny; Vaughan, William W.; Parker, Nelson C. (Technical Monitor)

    2002-01-01

    A comprehensive database of engineering lessons learned that corresponds with relevant technical standards will be a valuable asset to those engaged in studies on future space vehicle developments, especially for structures, materials, propulsion, control, operations and associated elements. In addition, this will enable the capturing of technology developments applicable to the design, development, and operation of future space vehicles as planned in the Space Launch Initiative. Using the time-honored tradition of passing on lessons learned while utilizing the newest information technology, NASA has launched an intensive effort to link lessons learned acquired through various Internet databases with applicable technical standards. This paper will discuss the importance of lessons learned, the difficulty in finding relevant lessons learned while engaged in a space vehicle development, and the new NASA effort to relate them to technical standards that can help alleviate this difficulty.

  16. PMJ 2007 panel discussion overview: double exposure and double patterning for 32-nm half-pitch design node

    NASA Astrophysics Data System (ADS)

    Nagaoka, Yoshinori; Watanabe, Hidehiro

    2007-10-01

    As part of the technical program in Photomask Japan 2007, we held a panel discussion to discuss challenges and solutions for the double exposure and double patterning lithography technique for 32nm half-pitch design node. 4 panelists, Rik Jonckheere of IMEC, Belgium), Tsann-Binn Chiou of ASML Taiwan Ltd., Taiwan), Judy Huckabay of Cadence Design Systems Inc. (USA) and Yoshimitsu Okuda of Toppan Printing Co., Ltd., Japan) were invited to represent each key technical area. We also took a survey from the PMJ attendees prior to the panel discussion, to vote which key technical area they think the challenge exists for the 32nm half-pitch DE/DP lithography. The result of the survey was also presented during the panel discussion. One would intuitively think that by using a DE/DP technique you're relaxing the design rule by 2x, thus for 32nm node it's essentially the 65nm process- you're just repeating it 2 times. Well, not exactly, as identified by the panelists and the participants in the discussion. We recognized the difficulties in the LSI fabrication process steps, the lithography tool overlay, photomask CD and registration, and the issue of data splitting conflict. These difficulties are big challenge for both LSI and photomask manufactures; however, we have confirmed some solutions are already examined by the theoretical and experimental works of the people in research. Despite these difficulties, we are convinced that the immersion lithography with double exposure and double patterning techniques is one of the most promising candidates of the lithography for 32nm half pitch design node.

  17. Post detonation nuclear forensics

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

    Davis, Jay

    2014-05-09

    The problem of working backwards from the debris of a nuclear explosion to attempt to attribute the event to a particular actor is singularly difficult technically. However, moving from physical information of any certainty through the political steps that would lead to national action presents daunting policy questions as well. This monograph will outline the operational and physical components of this problem and suggest the difficulty of the policy questions that remain.

  18. 78 FR 11124 - EPA Responses to State and Tribal 2010 Sulfur Dioxide Designation Recommendations: Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-15

    ... supporting technical analyses, can be found on the EPA's Internet Web site at http://www.epa.gov... you for clarification due to technical difficulties, the EPA may not be able to consider your input... possible in supporting your views. Describe any assumptions and provide any technical information and/or...

  19. MARC: A Thought Experiment in the Morality of Automated Marking of English

    ERIC Educational Resources Information Center

    Elliott, Victoria

    2014-01-01

    Automated essay scoring programs are becoming more common and more technically advanced. They provoke strong reactions from both their advocates and their detractors. Arguments tend to fall into two categories: technical and principled. This paper argues that since technical difficulties will be overcome with time, the debate ought to be held in…

  20. Wolffian duct derivative anomalies: technical considerations when encountered during robot-assisted radical prostatectomy.

    PubMed

    Acharya, Sujeet S; Gundeti, Mohan S; Zagaja, Gregory P; Shalhav, Arieh L; Zorn, Kevin C

    2009-04-01

    Although malformations of the genitourinary tract are typically identified during childhood, they can remain silent until incidental detection in evaluation and treatment of other pathologies during adulthood. The advent of the minimally invasive era in urologic surgery has given rise to unique challenges in the surgical management of anomalies of the genitourinary tract. This article reviews the embryology of anomalies of Wolffian duct (WD) derivatives with specific attention to the seminal vesicles, vas deferens, ureter, and kidneys. This is followed by a discussion of the history of the laparoscopic approach to WD derivative anomalies. Finally, we present two cases to describe technical considerations when managing these anomalies when encountered during robotic-assisted radical prostatectomy. The University of Chicago Robotic Laparoscopic Radical Prostatectomy (RLRP) database was reviewed for cases where anomalies of WD derivatives were encountered. We describe how modifications in technique allowed for completion of the procedure without difficulty. None Of the 1230 RLRP procedures performed at our institution by three surgeons, only two cases (0.16%) have been noted to have a WD anomaly. These cases were able to be completed without difficulty by making simple modifications in technique. Although uncommon, it is important for the urologist to be familiar with the origin and surgical management of WD anomalies, particularly when detected incidentally during surgery. Simple modifications in technique allow for completion of RLRP without difficulty.

  1. Identification of technical item flaws leads to improvement of the quality of single best Multiple Choice Questions.

    PubMed

    Fayyaz Khan, Humaira; Farooq Danish, Khalid; Saeed Awan, Azra; Anwar, Masood

    2013-05-01

    The purpose of the study was to identify technical item flaws in the multiple choice questions submitted for the final exams for the years 2009, 2010 and 2011. This descriptive analytical study was carried out in Islamic International Medical College (IIMC). The Data was collected from the MCQ's submitted by the faculty for the final exams for the year 2009, 2010 and 2011. The data was compiled and evaluated by a three member assessment committee. The data was analyzed for frequency and percentages the categorical data was analyzed by chi-square test. Overall percentage of flawed item was 67% for the year 2009 of which 21% were for testwiseness and 40% were for irrelevant difficulty. In year 2010 the total item flaws were 36% and 11% testwiseness and 22% were for irrelevant difficulty. The year 2011 data showed decreased overall flaws of 21%. The flaws of testwisness were 7%, irrelevant difficulty were 11%. Technical item flaws are frequently encountered during MCQ construction, and the identification of flaws leads to improved quality of the single best MCQ's.

  2. 75 FR 33300 - FIFRA Scientific Advisory Panel; Notice of Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-11

    ... a supplementary public process provided only for convenience. If difficulties arise resulting in... EPA cannot read your comment due to technical difficulties and cannot contact you for clarification.... Bailey, DFO, Office of Science Coordination and Policy (7201M), Environmental Protection Agency, 1200...

  3. 75 FR 51041 - FIFRA Scientific Advisory Panel; Notice of Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-18

    ... public process provided only for convenience. If difficulties arise resulting in webcasting outages, the... comment due to technical difficulties and cannot contact you for clarification, EPA may not be able to..., Office of Science Coordination and Policy (7201M), [[Page 51042

  4. A Preliminary Study of Some of the Learning and Assessment Difficulties in Connection with O-Level Electrochemistry.

    ERIC Educational Resources Information Center

    Hillman, R. A. H.; And Others

    1981-01-01

    Describes a study which explored some difficulties related to technical and nontechnical vocabulary and the structure of the examination questions in electrochemistry. Includes results from a sample of 1,500 students in the fourth forms. (DS)

  5. Handling the Difficulties of Technical School Students in the Construction and Interpretation of Graphic Representations

    ERIC Educational Resources Information Center

    Marinos, Andreas

    2010-01-01

    In this work, an attempt is made to evaluate the errors that have to do with the interpretation and construction of graphic representations. Although the students are studying in the second year of technical high school (secondary education), i.e. in schools with an emphasis in technical subjects (post junior secondary), it is observed that they…

  6. Reverse Transrectal Stapling Technique Using the EEA Stapler: An Alternative Approach in Difficult Reversal of Hartmann’s Procedure

    PubMed Central

    Zachariah, Sanoop K.

    2010-01-01

    The introduction of circular end-to-end stapling devices (CEEA OR EEA stapler) into colorectal surgery have revolutionised anastomotic techniques. The EEA stapler is generally regarded as an instrument that is safe, reliable, and simple to operate. Despite it’s popularity, very little information is available regarding the technical difficulties encountered during surgery. The routine technique to perform an end-to-end circular colonic anastomosis is to introduce the instrument distally through the anus (transrectal/transanal approach) and attach it to the anvil which is purse stringed at the distal end of the proximal bowel to be anastomosed. Two cases of reversal of Hartmann’s procedure for perforated diverticulitis are described in the present study, where difficulty was experienced while using the EEA stapler in the routine method. Hence, an alternative reverse technique which was used is presented. PMID:22091338

  7. Optimization of Laminated Composite Plates

    DTIC Science & Technology

    1989-09-01

    plane loads has already been studied, and a number of technical publications and software packages can be found. In the present report, an optimization of...described above. There is no difficulty in any case, and comercial software , from personal computers to macro- systems, is available. In the chapter...Reforzado y su Aplicacion a los Medios de Transporte", Ph.D. University of Zaragoza, Spain, 1984. 77. Miravete A., "Caracterisation et mise au Point d’un

  8. Safe surgical technique for associated acetabular fractures

    PubMed Central

    2013-01-01

    Associated acetabular fractures are challenging injuries to manage. The complex surgical approaches and the technical difficulty in achieving anatomical reduction imply that the learning curve to achieve high-quality care of patients with such challenging injuries is extremely steep. This first article in the Journal’s “Safe Surgical Technique” section presents the standard surgical care, in conjunction with intraoperative tips and tricks, for the safe management of all subgroups of associated acetabular fractures. PMID:23414782

  9. 76 FR 55381 - FIFRA Scientific Advisory Panel; Notice of Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-07

    ... supplementary public process provided only for convenience. If difficulties arise resulting in webcasting... submit. If EPA cannot read your comment due to technical difficulties and cannot contact you for.... Bailey, DFO, Office of Science Coordination and Policy (7201M), Environmental Protection Agency, 1200...

  10. 75 FR 76457 - FIFRA Scientific Advisory Panel; Notice of Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-08

    ... public process provided only for convenience. If difficulties arise resulting in webcasting outages, the... submit. If EPA cannot read your comment due to technical difficulties and cannot contact you for... R. Matten, DFO, Office of Science Coordination and Policy (7201M), Environmental Protection Agency...

  11. 75 FR 66089 - FIFRA Scientific Advisory Panel; Notice of Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... supplementary public process provided only for convenience. If difficulties arise resulting in webcasting... comment due to technical difficulties and cannot contact you for clarification, EPA may not be able to..., Office of Science Coordination and Policy (7201M), Environmental Protection Agency, 1200 Pennsylvania Ave...

  12. Selecting Students at Risk of Academic Difficulties

    ERIC Educational Resources Information Center

    Cummings, Kelli D.; Smolkowski, Keith

    2015-01-01

    This paper aims to translate for practitioners the principles and methods for evaluating screening measures in education, including benchmark goals and cut points, from our technical manuscript "Evaluation of Diagnostic Systems: The Selection of Students at Risk of Academic Difficulties" (this issue). We offer a brief description of…

  13. EST Readers: Some Principles for Their Design and Use.

    ERIC Educational Resources Information Center

    Moore, Christopher J.

    1983-01-01

    The editor of "Heinemann's Science and Technology Readers" responds to questions concerning the objectives and design of the series. The market for technical readers; reader format and difficulty level; illustrations, technical exercises, and the language teacher; and the intended classroom use are discussed. (MSE)

  14. 75 FR 41421 - Notification of Completeness of the Department of Energy's Compliance Recertification Application...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... (CRA or ``application'') for the Waste Isolation Pilot Plant (WIPP) is complete. EPA provided written... disposal regulations. EPA is now engaged in the full technical review that will determine if WIPP remains... technical difficulties and cannot contact [[Page 41422

  15. 76 FR 16410 - FIFRA Scientific Advisory Panel; Notice of Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... public process provided only for convenience. If difficulties arise resulting in webcasting outages, the... submit. If EPA cannot read your comment due to technical difficulties and cannot contact you for... Jenkins, Jr., PhD, DFO, Office of Science Coordination and Policy (7201M), Environmental Protection Agency...

  16. 76 FR 26287 - FIFRA Scientific Advisory Panel; Notice of Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-06

    ... that the webcast is a supplementary public process provided only for convenience. If difficulties arise... submit. If EPA cannot read your comment due to technical difficulties and cannot contact you for... Bailey, DFO, Office of Science Coordination and Policy (7201M), Environmental Protection Agency, 1200...

  17. Opinions of researchers based in the UK on recruiting subjects from developing countries into randomized controlled trials.

    PubMed

    Newton, Sam K; Appiah-Poku, John

    2007-12-01

    Explaining technical terms in consent forms prior to seeking informed consent to recruit into trials can be challenging in developing countries, and more so when the studies are randomized controlled trials. This study was carried out to examine the opinions of researchers on ways of dealing with these challenges in developing countries. Recorded in-depth interviews with 12 lecturers and five doctoral students, who had carried out research in developing countries, at a leading school of public health in the United Kingdom. A purposive, snowballing approach was used to identify interviewees. Researchers were divided on the feasibility of explaining technical trials in illiterate populations; the majority of them held the view that local analogies could be used to explain these technical terms. Others were of the opinion that this could not be done since it was too difficult to explain technical trials, such as randomized controlled trials, even to people in developed countries. Researchers acknowledged the difficulty in explaining randomized controlled trials but it was also their perception that this was an important part of the ethics of the work of scientific research involving human subjects. These difficulties notwithstanding, efforts should be made to ensure that subjects have sufficient understanding to consent, taking into account the fact that peculiar situations in developing countries might compound this difficulty.

  18. Technical Education and Vocational Training in Developing Nations

    ERIC Educational Resources Information Center

    Okolie, Ugochukwu Chinonso, Ed.

    2017-01-01

    Severe economic depression and the difficulty to acquire employment with adequate income have significant impact on a nation's social welfare. The need to provide ample educational opportunities is more imperative than ever, particularly in emerging economies. "Technical Education and Vocational Training in Developing Nations" is a…

  19. Robotic Companions for Older People: A Case Study in the Wild.

    PubMed

    Doering, Nicola; Richter, Katja; Gross, Horst-Michael; Schroeter, Christof; Mueller, Steffen; Volkhardt, Michael; Scheidig, Andrea; Debes, Klaus

    2015-01-01

    Older people tend to have difficulties using unknown technical devices and are less willing to accept technical shortcomings. Therefore, a robot that is supposed to support older people in managing daily life has to adapt to the users' needs and capabilities that are very heterogeneous within the target group. The aim of the presented case study was to provide in-depth insights on individual usage patterns and acceptance of a mobile service robot in real live environments (i.e. in the users' homes). Results from three cases (users aged 67, 78 and 85 living in their own apartments) are reported. Findings on usability and user experience illustrate that the robot has considerable potential to be accepted to support daily living at home.

  20. Cytological techniques to study human female meiotic prophase.

    PubMed

    Roig, Ignasi; Garcia-Caldés, Montserrat

    2009-01-01

    Most of the human aneuploidies have a maternal origin. This feature makes the study of human female meiosis a fundamental topic to understand the reasons leading to this important social problem. Unfortunately, due to sample collection difficulties, not many studies have been performed on human female meiotic prophase. In this chapter we present a comprehensive collection of protocols that allows the study of human female meiotic prophase through different technical approaches using both spread and structurally preserved oocytes.

  1. Balancing flexibility for the employer and the employee: a case study of the development of annualized hours employment contracts.

    PubMed

    Tucker, P; Gaertner, J; Mason, C

    2001-12-01

    As with many forms of flexible working, Annualized Hours (AH) systems offer potential benefits to both the employer and the employee. However, the flexibility requirements of employers and employees often conflict. Therefore, when a large food manufacturing organization decided to redesign its AH system, it employed an independent consultancy to act as neutral third party. The consultancy provided technical expertise and assistance in developing an AH system that optimised productivity and was acceptable to the workforce. Data are presented, obtained from focus groups conducted throughout the organization, describing some of the potential difficulties of implementing an AH system. Drawing upon these data, a number of new AH systems were proposed and modelled using specialist software tools. The design process is described, together with the advantages and difficulties associated with use of the software tools. It is concluded that the key elements in the process of designing AH systems are centred around issues of trust and communication; the involvement of a broad range of interested parties, through a process of carefully managed group facilitation; and the need for adequate technical support in the development and evaluation of AH systems.

  2. The Difficulties That the Undergraduate Students Face about Inner Product Space

    ERIC Educational Resources Information Center

    Burhanzade, Hülya; Aygör, Nilgün

    2016-01-01

    In this qualitative research, we studied difficulties that undergraduate students face while learning the concept of inner product space. Participants were 35 first-year mathematics students from Yildiz Technical University in the 2011 and 2012 academic years. We asked participants to solve 5 inner product space questions. Data were jointly…

  3. An Assessment of the College Market Spring-Summer 1980.

    DTIC Science & Technology

    1983-05-01

    access to jobs which lead to upper management in business or finance. Men are more likely than women to choose technical majors, plan on technical... feminism in society, the women in the sample strongly endorsed equality in jobs and rejected traditional female roles. They were ambivalent about the...appreciation of the difficulties women would face in selecting technical occupations, as well as business occupations. It is generally accepted, though it

  4. Technical Secondary Education in Togo and Cameroon--Research Note.

    ERIC Educational Resources Information Center

    Paul, Jean-Jacques

    1990-01-01

    Evaluates technical secondary education in Togo and Cameroon from the market perspective, using tracer study data. To help overcome difficulties in finding employment after training, many individuals secure work in the low-paying informal sector. One solution is to stimulate and enhance the role of informal training through apprentice training…

  5. 77 FR 51739 - Approval and Promulgation of Implementation Plans; Tennessee; Regional Haze State Implementation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-27

    ... original Eastman BART determination and technical analysis provided in the State's April 4, 2008, SIP... EPA cannot read your comment due to technical difficulties and cannot contact you for clarification... the requirements for a BART alternative determination? III. What is EPA's analysis of Tennessee's May...

  6. Learning SQL Programming with Interactive Tools: From Integration to Personalization

    ERIC Educational Resources Information Center

    Brusilovsky, Pete; Sosnovsky, Sergey; Yudelson, Michael V.; Lee, Danielle H.; Zadorozhny, Vladimir; Zhou, Xin

    2010-01-01

    Rich, interactive eLearning tools receive a lot of attention nowadays from both practitioners and researchers. However, broader dissemination of these tools is hindered by the technical difficulties of their integration into existing platforms. This article explores the technical and conceptual problems of using several interactive educational…

  7. The Future of Atomic Energy

    DOE R&D Accomplishments Database

    Fermi, E.

    1946-05-27

    There is definitely a technical possibility that atomic power may gradually develop into one of the principal sources of useful power. If this expectation will prove correct, great advantages can be expected to come from the fact that the weight of the fuel is almost negligible. This feature may be particularly valuable for making power available to regions of difficult access and far from deposits of coal. It also may prove a great asset in mobile power units for example in a power plant for ship propulsion. On the negative side there are some technical limitations to be applicability of atomic power of which perhaps the most serious is the impossibility of constructing light power units; also there will be some peculiar difficulties in operating atomic plants, as for example the necessity of handling highly radioactive substances which will necessitate, at least for some considerable period, the use of specially skilled personnel for the operation. But the chief obstacle in the way of developing atomic power will be the difficulty of organizing a large scale industrial development in an internationally safe way. This presents actually problems much more difficult to solve than any of the technical developments that are necessary, It will require an unusual amount of statesmanship to balance properly the necessity of allaying the international suspicion that arises from withholding technical secrets against the obvious danger of dumping the details of the procedures for an extremely dangerous new method of warfare on a world that may not yet be prepared to renounce war. Furthermore, the proper balance should be found in the relatively short time that will elapse before the 'secrets' will naturally become open knowledge by rediscovery on part of the scientists and engineers of other countries.

  8. Lessons Learned and Technical Standards: A Logical Marriage

    NASA Technical Reports Server (NTRS)

    Gill, Paul; Vaughan, William W.; Garcia, Danny; Gill, Maninderpal S. (Technical Monitor)

    2001-01-01

    A comprehensive database of lessons learned that corresponds with relevant technical standards would be a boon to technical personnel and standards developers. The authors discuss the emergence of one such database within NASA, and show how and why the incorporation of lessons learned into technical standards databases can be an indispensable tool for government and industry. Passed down from parent to child, teacher to pupil, and from senior to junior employees, lessons learned have been the basis for our accomplishments throughout the ages. Government and industry, too, have long recognized the need to systematically document And utilize the knowledge gained from past experiences in order to avoid the repetition of failures and mishaps. The use of lessons learned is a principle component of any organizational culture committed to continuous improvement. They have formed the foundation for discoveries, inventions, improvements, textbooks, and technical standards. Technical standards are a very logical way to communicate these lessons. Using the time-honored tradition of passing on lessons learned while utilizing the newest in information technology, the National Aeronautics and Space Administration (NASA) has launched an intensive effort to link lessons learned with specific technical standards through various Internet databases. This article will discuss the importance of lessons learned to engineers, the difficulty in finding relevant lessons learned while engaged in an engineering project, and the new NASA project that can help alleviate this difficulty. The article will conclude with recommendations for more expanded cross-sectoral uses of lessons learned with reference to technical standards.

  9. Long-term observation of endodontic surgical intervention to treat root perforation and apical periodontitis: a case report of an amalgam-restored tooth.

    PubMed

    Tsurumachi, Tamotsu; Hayashi, Makoto

    2003-10-01

    A case of crestal root perforation and periapical lesion in a maxillary left lateral incisor is reported. Teeth with root perforation present technical difficulties in their clinical management because of their complex defects. In the present case, surgical endodontic treatment was chosen. The apical and lateral pathology was curetted, the tooth root was resected, and a retrograde root restoration of amalgam was placed in a root-end cavity and perforation site. A 10-year follow-up clinical and radiographic examination showed an asymptomatic tooth with osseous healing proceeding.

  10. Repurposing a Benchtop Centrifuge for High-Throughput Single-Molecule Force Spectroscopy.

    PubMed

    Yang, Darren; Wong, Wesley P

    2018-01-01

    We present high-throughput single-molecule manipulation using a benchtop centrifuge, overcoming limitations common in other single-molecule approaches such as high cost, low throughput, technical difficulty, and strict infrastructure requirements. An inexpensive and compact Centrifuge Force Microscope (CFM) adapted to a commercial centrifuge enables use by nonspecialists, and integration with DNA nanoswitches facilitates both reliable measurements and repeated molecular interrogation. Here, we provide detailed protocols for constructing the CFM, creating DNA nanoswitch samples, and carrying out single-molecule force measurements.

  11. SEM image quality enhancement technology for bright field mask

    NASA Astrophysics Data System (ADS)

    Fukuda, Naoki; Chihara, Yuta; Shida, Soichi; Ito, Keisuke

    2013-09-01

    Bright-field photomasks are used to print small contact holes via ArF immersion multiple patterning lithography. There are some technical difficulties when small floating dots are to be measured by SEM tools because of a false imaging shadow. However, a new scan technology of Multi Vision Metrology SEMTM E3630 presents a solution for this issue. The combination of new scan technology and the other MVM-SEM® functions can provide further extended applications with more accurate measurement results.

  12. Two case reports of unexpected tracheal agenesis in the neonate: 3 C's beyond algorithms for difficult airway management.

    PubMed

    Grass, Beate; Simma, Leopold; Reinehr, Michael; Zimmermann, Urs; Gysin, Claudine; Henze, Georg; Cannizzaro, Vincenzo

    2017-02-08

    Handling neonates with postnatal respiratory failure due to congenital airway malformations implies knowledge about emergency management of unexpected difficult airway. In these stressful situations both technical and communication skills of the caretakers are essential. Two cases with prenatally unknown tracheal agenesis are reported. In the presented cases, airway malformation and subsequent difficulties upon endotracheal intubation were not adequately communicated between caretakers. We discuss the aspects of culture, communication, and capnography.

  13. Can Models Foster Conceptual Change? The Case of Heat and Temperature. Technical Report.

    ERIC Educational Resources Information Center

    Wiser, Marianne; And Others

    The target of difficulty of the Educational Technology Center (ETC) Heat and Temperature Group is basic thermal physics, particularly the differentiation between heat and temperature. High school teachers often find that thermal concepts are very difficult for their students to master and attribute students' difficulties at least in part to the…

  14. Career and Technical Education Teachers' Perceptions of Culturally Diverse Classes: Rewards, Difficulties, and Useful Teaching Strategies

    ERIC Educational Resources Information Center

    Rehm, Marsha L.

    2008-01-01

    The purpose of this study was to identify CTE teachers' perceptions of selected rewards, difficulties, and useful teaching strategies in culturally diverse classes. The sample was comprised of 41 trade and industrial, business technology, and family and consumer sciences teachers who taught students from 30 cultural backgrounds. The data were…

  15. Difficulties First-Year University Mathematics Students Have in Reading Their Mathematics Textbook. Technical Report. No. 2009-1

    ERIC Educational Resources Information Center

    Shepherd, Mary D.; Selden, Annie; Selden, John

    2009-01-01

    This exploratory study examined the experiences and difficulties certain first-year university students displayed in reading new passages from their mathematics textbooks. We interviewed eleven precalculus and calculus students who were considered to be good at mathematics, as indicated by high ACT mathematics scores. These students were also …

  16. 76 FR 44534 - Approval and Promulgation of Air Quality Implementation Plans; Tennessee; Regional Haze State...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... EPA cannot read your comment due to technical difficulties and cannot contact you for clarification... on the Tennessee Regional Haze SIP. As noted in the CSAPR, EPA has not conducted any technical analysis to determine whether compliance with the CSAPR would satisfy Regional Haze Best Available Retrofit...

  17. Education Student Perceptions of Virtual Reality as a Learning Tool

    ERIC Educational Resources Information Center

    Domingo, Jelia R.; Bradley, Elizabeth Gates

    2018-01-01

    The purpose of this study was to ascertain student perceptions of the use and value of three-dimensional virtual environments. A grounded theory approach was used to gather and examine data. Just over half of student participants reported positive experiences. However, most experienced technical difficulties. Despite the technical challenges of…

  18. Applied Baccalaureate Degrees: Policy and Outcomes Evaluation. Research Report 15-2

    ERIC Educational Resources Information Center

    Washington State Board for Community and Technical Colleges, 2015

    2015-01-01

    Washington's community and technical colleges (CTCs) play an important role in producing baccalaureate degree graduates in the state. They expand opportunities for both graduates and employers, build upon professional-technical associate degrees, and provide a clear pathway for students who may be place bound or have difficulty finding a transfer…

  19. The Electronic Library and the Online Classroom: A Technical, Legal, Ethical, and Moral Perspective.

    ERIC Educational Resources Information Center

    Latimore, Ritchie R.

    This paper addresses online classroom and electronic library issues which include the myriad of technical difficulties encountered, along with physical and intellectual property rights. It also makes a statistical comparison of two proportions of Internet access between city and rural schools. An inescapable time lag between the introduction of…

  20. Challenges of constructing salt cavern gas storage in China

    NASA Astrophysics Data System (ADS)

    Xia, Yan; Yuan, Guangjie; Ban, Fansheng; Zhuang, Xiaoqian; Li, Jingcui

    2017-11-01

    After more than ten years of research and engineering practice in salt cavern gas storage, the engineering technology of geology, drilling, leaching, completion, operation and monitoring system has been established. With the rapid growth of domestic consumption of natural gas, the requirement of underground gas storage is increasing. Because high-quality rock salt resources about 1000m depth are relatively scarce, the salt cavern gas storages will be built in deep rock salt. According to the current domestic conventional construction technical scheme, construction in deep salt formations will face many problems such as circulating pressure increasing, tubing blockage, deformation failure, higher completion risk and so on, caused by depth and the complex geological conditions. Considering these difficulties, the differences between current technical scheme and the construction scheme of twin well and big hole are analyzed, and the results show that the technical scheme of twin well and big hole have obvious advantages in reducing the circulating pressure loss, tubing blockage and failure risk, and they can be the alternative schemes to solve the technical difficulties of constructing salt cavern gas storages in the deep rock salt.

  1. Increasing body mass index predicts increasing difficulty, failure rate, and time to discovery of failure of epidural anesthesia in laboring patients.

    PubMed

    Kula, Ayse O; Riess, Matthias L; Ellinas, Elizabeth H

    2017-02-01

    Obese parturients both greatly benefit from neuraxial techniques, and may represent a technical challenge to obstetric anesthesiologists. Several studies address the topic of obesity and neuraxial analgesia in general, but few offer well described definitions or rates of "difficulty" and "failure" of labor epidural analgesia. Providing those definitions, we hypothesized that increasing body mass index (BMI) is associated with negative outcomes in both categories and increased time needed for epidural placement. Single center retrospective chart review. Labor and Delivery Unit of an inner city academic teaching hospital. 2485 parturients, ASA status 2 to 4, receiving labor epidural analgesia for anticipated vaginal delivery. None. We reviewed quality assurance and anesthesia records over a 12-month period. "Failure" was defined as either inadequate analgesia or a positive test dose, requiring replacement, and/or when the anesthesia record stated they failed. "Difficulty" was defined as six or more needle redirections or a note indicating difficulty in the anesthesia record. Overall epidural failure and difficulty rates were 4.3% and 3.0%, respectively. Patients with a BMI of 30kg/m 2 or higher had a higher chance of both failure and difficulty with two and almost three fold increases, respectively. Regression analysis indicated that failure was best predicted by BMI and less provider training while difficulty was best predicted by BMI. Additionally, increased BMI was associated with increased time of discovery of epidural catheter failure. Obesity is associated with increasing technical difficulty and failure of neuraxial analgesia for labor. Practitioners should consider allotting extra time for obese parturients in order to manage potential problems. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. The impact of age on the art of mammography and how to adapt accordingly.

    PubMed

    Lake, B; Cielecki, L; Williams, S; Worrall, C; Metelko, M

    2017-11-01

    Breast cancer is increasingly a disease of the elderly, and combined with the NHS Breast Screening Extension means that more elderly patients are having mammography. Increasing age can make mammography more technically difficult. This is a technical note detailing the results of a local audit which may be of interest due to potential service implications. A retrospective audit of the first year of screening extension of The Shropshire Breast Screening Programme. Aims to collect data on patient demographics and describe the technical adaptations developed in Shropshire. Breast screening extension has increased by 2.5 times the number of women aged 70-74 screened, and doubled the overall numbers of women over 70 screened. Significantly more older patients are being screened to present technical challenges to a screening programme. Data was obtained from a month of screening showed that 29% of patients over 70 needed extra time for positioning. Reasons included 22% difficulty in obtaining adequate positioning and 15% needed a relative to aid with consent. In the Shropshire screening programme different technical adaptations have been developed and are key to ensuring adequate images. These include double appointments, two radiographers, thorough assessment, steeper angles, seated examinations, from-below imaging and pre-planning for subsequent screen. Significantly more older women are having breast screening due to the increasing incidence of breast cancer and the Breast Screening Programme extension. Increasing age can significantly increase time taken for adequate imaging and present technical challenges. Development of technical adaptations to art of mammography is key to achieve adequate images. Copyright © 2017 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.

  3. High-risk Trans-Catheter Aortic Valve Replacement in a Failed Freestyle Valve with Low Coronary Height: A Case Report.

    PubMed

    Karimi, Ashkan; Pourafshar, Negiin; Dibu, George; Beaver, Thomas M; Bavry, Anthony A

    2017-06-01

    A 55-year-old male with a history of two prior cardiac surgeries presented with decompensated heart failure due to severe bioprosthetic aortic valve insufficiency. A third operation was viewed prohibitively high risk and valve-in-valve trans-catheter aortic valve replacement was considered. There were however several high-risk features and technically challenging aspects including low coronary ostia height, poor visualization of the aortic sinuses, and difficulty in identification of the coplanar view due to severe aortic insufficiency, and a highly mobile aortic valve mass. After meticulous peri-procedural planning, trans-catheter aortic valve replacement was carried out with a SAPIEN 3 balloon-expandable valve without any complication. Strategies undertaken to navigate the technically challenging aspects of the case are discussed.

  4. [Surgical treatment of choledocholithiasis in a patient with situs inversus totalis: a case report and literature review].

    PubMed

    Morales-Rodríguez, Jerson Francisco; Corina Cotillo, Estefania; Moreno-Loaiza, Oscar

    2017-07-26

    Situs inversus totalis (SIT) is a rare condition, in which there is transposition of the thoraco-abdominal organs. This situation leads to diagnostic and therapeutic difficulties in patients with acute surgical abdomen. The objective of this report is to present the case of a patient who presented with colonic pain in the epigastrium and left hypochondrium, in which the diagnosis of SIT, cholelithiasis and choledocholithiasis was reached after the respective imaging studies. Once the diagnosis was made, treatment was performed through retrograde endoscopic cholangiopancreatography (ERCP) and subsequent surgical exploration of bile ducts. Both procedures were failed due to technical difficulties generated by the patient's condition. In conclusion, in spite of the report of successful cases in the literature of ERCP and surgical treatment of the biliary tract in SIT, there may be situations that do not allow a successful approach, so meticulous surgical planning and the use of support methods are necessary In the management of these patients.

  5. I play doh: The art of plasticine in the process of adolescent subjectivation.

    PubMed

    Nicoli, Luca

    2016-08-01

    Pre-adolescents' difficulty in portraying and communicating the internal turmoil to which puberty subjects them, both through the immaturity of their psychic functions and through the conflict between display and secrecy, presents a constant challenge to the analyst. A technical solution for making the process of subjectivation more pleasant may be found in modelling with Play Doh, a game/non-game which is not age-specific, an expressive form capable of evoking in the analytic field fantasies and representations that are otherwise only accessible with difficulty. This paper aims to present some reflections on the characteristic features of the Play Doh game in the session, with particular regard to work with patients between 10 and 14 years old who are in the midst of the process of adolescent subjectivation. The paper examines the clinical history of a young adopted boy who was able to develop the ability to dream his own experience and to portray internal experiences which had previously been unrepresentable. Copyright © 2016 Institute of Psychoanalysis.

  6. L'Utilisation de l'ordinateur en lexicometrie (The Use of the Computer in Lexicometry). Series B-1.

    ERIC Educational Resources Information Center

    Savard, Jean-Guy

    This report treats some of the technical difficulties encountered in lexicological studies that were undertaken in order to establish a basic vocabulary. Its purpose is to show that the computer can overcome some of these difficulties, and specifically that computer programming can serve to establish a vocabulary common to scientific and technical…

  7. Technical flaws in multiple-choice questions in the access exam to medical specialties ("examen MIR") in Spain (2009-2013).

    PubMed

    Rodríguez-Díez, María Cristina; Alegre, Manuel; Díez, Nieves; Arbea, Leire; Ferrer, Marta

    2016-02-03

    The main factor that determines the selection of a medical specialty in Spain after obtaining a medical degree is the MIR ("médico interno residente", internal medical resident) exam. This exam consists of 235 multiple-choice questions with five options, some of which include images provided in a separate booklet. The aim of this study was to analyze the technical quality of the multiple-choice questions included in the MIR exam over the last five years. All the questions included in the exams from 2009 to 2013 were analyzed. We studied the proportion of questions including clinical vignettes, the number of items related to an image and the presence of technical flaws in the questions. For the analysis of technical flaws, we adapted the National Board of Medical Examiners (NBME) guidelines. We looked for 18 different issues included in the manual, grouped into two categories: issues related to testwiseness and issues related to irrelevant difficulties. The final number of questions analyzed was 1,143. The percentage of items based on clinical vignettes increased from 50% in 2009 to 56-58% in the following years (2010-2013). The percentage of items based on an image increased progressively from 10% in 2009 to 15% in 2012 and 2013. The percentage of items with at least one technical flaw varied between 68 and 72%. We observed a decrease in the percentage of items with flaws related to testwiseness, from 30% in 2009 to 20% in 2012 and 2013. While most of these issues decreased dramatically or even disappeared (such as the imbalance in the correct option numbers), the presence of non-plausible options remained frequent. With regard to technical flaws related to irrelevant difficulties, no improvement was observed; this is especially true with respect to negative stem questions and "hinged" questions. The formal quality of the MIR exam items has improved over the last five years with regard to testwiseness. A more detailed revision of the items submitted, checking systematically for the presence of technical flaws, could improve the validity and discriminatory power of the exam, without increasing its difficulty.

  8. Syntactical and Punctuation Errors: An Analysis of Technical Writing of University Students Science College, Taif University, KSA

    ERIC Educational Resources Information Center

    Alamin, Abdulamir; Ahmed, Sawsan

    2012-01-01

    Analyzing errors committed by second language learners during their first year of study at the University of Taif, can offer insights and knowledge of the learners' difficulties in acquiring technical English communication. With reference to the errors analyzed, the researcher found that the learners' failure to understand basic English grammar…

  9. The Development of the easyCBM CCSS Reading Assessments: Grade 3. Technical Report #1221

    ERIC Educational Resources Information Center

    Alonzo, Julie; Park, Bitnara Jasmine; Tindal, Gerald

    2012-01-01

    In this technical report, we document the development and piloting of easyCBM reading measures aligned to the Common Core State Standards, designed for use in screening students at risk for reading difficulty and monitoring their progress as they develop reading skills. The measures, which assess students' ability to respond to…

  10. 78 FR 58987 - Approval of Air Quality Implementation Plans; Navajo Nation; Regional Haze Requirements for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... hold five public hearings to accept written and oral comment on our proposed BART determination for NGS. On July 26, 2013, a group of stakeholders, known as the Technical Work Group (TWG), submitted its... included as part of the public comment. If EPA cannot read your comment due to technical difficulties and...

  11. How E-Gov in Greece Affects Life-Long Learning for Public Servants, Working on Technical Field

    ERIC Educational Resources Information Center

    Goulas, Dimitrios; Valkanos, Efthymios; Droulia, Kassiani

    2016-01-01

    Engineers that work as civil servants cover a wide range of competences, administrative and scientific, which implies that they deal with many difficulties in the exercise of their duties as executives. Electronic government (e-gov), through the use of new Technologies of Information and Communications (ICT) at public technical services, has…

  12. [Urinary evaluations of drug consumption among workers having high risk of accident: technical difficulties, limits and possibilities of increasing efficacy of the law].

    PubMed

    D'Orso, M I; Grosso, D; Colli, M; Gironi, A; Riva, M A; Cesana, G

    2012-01-01

    Urinary evaluations of drug consumption among workers having high risk of accident became compulsory in Italian legislation few years ago. We report results of 322.110 single urinary drug detections carried out between 2008 and 2011 on 35.789 subjects. We verified technical difficulties arisen during laboratory detections and organizational difficulties evidenced by Occupational Doctors during collections of samples. We screened 701 positive samples (1.96%), mostly to Cannabinoids and Cocaine, verified using first and second level screening according to national law. Many patients referred regular or irregular use of medicines active on Central Nervous System frequently ignoring their collateral effects. After the evidence of a positive result, during a second medical visit, many workers referred assumption of "natural diet supplements" acquired not in traditional commercial distributors. In two cases we have had the possibility of analyzing these supplements which have shown the presence of law concentrations of drugs in their compositions.

  13. Fusion Power.

    ERIC Educational Resources Information Center

    Dingee, David A.

    1979-01-01

    Discusses the extraordinary potential, the technical difficulties, and the financial problems that are associated with research and development of fusion power plants as a major source of energy. (GA)

  14. Whiteboard animation for knowledge mobilization: a test case from the Slave River and Delta, Canada.

    PubMed

    Bradford, Lori E A; Bharadwaj, Lalita A

    2015-01-01

    To present the co-creation of a whiteboard animation video, an enhanced e-storytelling technique for relaying traditional knowledge interview results as narratives. We present a design for translating interview results into a script and accompanying series of figures, followed by technical steps to create a whiteboard animation product. Our project used content analysis and researcher triangulation, followed by a collaborative process to develop an animated video to disseminate research findings. A 13-minute long whiteboard animation video was produced from a research study about changing environments in northern Canadian communities and was distributed to local people. Three challenging issues in the video creation process including communication issues, technical difficulties and contextual debate were resolved among the supporting agencies and researchers. Dissemination of findings is a crucial step in the research process. Whiteboard animation video products may be a viable and culturally-appropriate form of relaying research results back to Indigenous communities in a storytelling format.

  15. Whiteboard animation for knowledge mobilization: a test case from the Slave River and Delta, Canada.

    PubMed

    Bradford, Lori E A; Bharadwaj, Lalita A

    2015-01-01

    Objective To present the co-creation of a whiteboard animation video, an enhanced e-storytelling technique for relaying traditional knowledge interview results as narratives. Design We present a design for translating interview results into a script and accompanying series of figures, followed by technical steps to create a whiteboard animation product. Method Our project used content analysis and researcher triangulation, followed by a collaborative process to develop an animated video to disseminate research findings. A 13-minute long whiteboard animation video was produced from a research study about changing environments in northern Canadian communities and was distributed to local people. Three challenging issues in the video creation process including communication issues, technical difficulties and contextual debate were resolved among the supporting agencies and researchers. Conclusions Dissemination of findings is a crucial step in the research process. Whiteboard animation video products may be a viable and culturally-appropriate form of relaying research results back to Indigenous communities in a storytelling format.

  16. Whiteboard animation for knowledge mobilization: a test case from the Slave River and Delta, Canada

    PubMed Central

    Bradford, Lori E. A.; Bharadwaj, Lalita A.

    2015-01-01

    Objective To present the co-creation of a whiteboard animation video, an enhanced e-storytelling technique for relaying traditional knowledge interview results as narratives. Design We present a design for translating interview results into a script and accompanying series of figures, followed by technical steps to create a whiteboard animation product. Method Our project used content analysis and researcher triangulation, followed by a collaborative process to develop an animated video to disseminate research findings. A 13-minute long whiteboard animation video was produced from a research study about changing environments in northern Canadian communities and was distributed to local people. Three challenging issues in the video creation process including communication issues, technical difficulties and contextual debate were resolved among the supporting agencies and researchers. Conclusions Dissemination of findings is a crucial step in the research process. Whiteboard animation video products may be a viable and culturally-appropriate form of relaying research results back to Indigenous communities in a storytelling format. PMID:26507716

  17. Application of elastic and elastic-plastic fracture mechanics methods to surface flaws

    NASA Astrophysics Data System (ADS)

    McCabe, Donald E.; Ernst, Hugo A.; Newman, James C., Jr.

    Fuel tanks that are a part of the External Tank assembly for the Space Shuttle are made of relatively thin 2219-T87 aluminum plate. These tanks contain about 917 m of fusion weld seam, all of which is nondestructively inspected for flaws and all those found are repaired. The tanks are subsequently proof-tested to a pressure that is sufficiently severe to cause weld metal yielding in a few local regions of the weld seam. The work undertaken in the present project was to develop a capability to predict flaw growth from undetected surface flaws that are assumed to be located in the highly stressed regions. The technical challenge was to develop R-curve prediction capability for surface cracks in specimens that contain the flaws of unusual sizes and shapes deemed to be of interest. The test techniques developed and the elastic-plastic analysis concepts adopted are presented. The flaws of interest were quite small surface cracks that were narrow-deep ellipses that served to exacerbate the technical difficulties involved.

  18. Application of elastic and elastic-plastic fracture mechanics methods to surface flaws

    NASA Technical Reports Server (NTRS)

    Mccabe, Donald E.; Ernst, Hugo A.; Newman, James C., Jr.

    1992-01-01

    Fuel tanks that are a part of the External Tank assembly for the Space Shuttle are made of relatively thin 2219-T87 aluminum plate. These tanks contain about 917 m of fusion weld seam, all of which is nondestructively inspected for flaws and all those found are repaired. The tanks are subsequently proof-tested to a pressure that is sufficiently severe to cause weld metal yielding in a few local regions of the weld seam. The work undertaken in the present project was to develop a capability to predict flaw growth from undetected surface flaws that are assumed to be located in the highly stressed regions. The technical challenge was to develop R-curve prediction capability for surface cracks in specimens that contain the flaws of unusual sizes and shapes deemed to be of interest. The test techniques developed and the elastic-plastic analysis concepts adopted are presented. The flaws of interest were quite small surface cracks that were narrow-deep ellipses that served to exacerbate the technical difficulties involved.

  19. Final technical report

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

    Richman, M.

    1996-08-01

    Granular flows of nearly elastic, identical spheres down bumpy inclines are described. A numerical technique is developed to overcome the difficulties associated with the ill-defined `tops` of these flows.

  20. Love at First Sight: Psychoanalytic Psychotherapy with an Adolescent Boy with Severe Physical Disabilities

    ERIC Educational Resources Information Center

    Pozzi, Maria E.

    2005-01-01

    The content of this paper reflects the title but it expands upon the technical issues encountered right from the beginning of the assessment. These technical difficulties include the management of physical pain during sessions and the request by the patient for physical interventions as well as contact. The problem of discrimination in the setting…

  1. Using Simplified English to Identify Potential Problems for Non-Native Speakers in the Language of Engineering Examination Papers

    ERIC Educational Resources Information Center

    Harrison, Sandra; Morgan, Roger

    2012-01-01

    There is an increasing sensitivity to the challenges posed by the language of examination papers and of instruction in scientific subjects, especially for non-native speakers of English. It has been observed that in addition to technical subject-specific vocabulary, non-technical words such as instructional verbs have been sources of difficulty,…

  2. [White House Conference on Aging, 1981. Research in Aging. Report and Executive Summary of the Technical Committee.

    ERIC Educational Resources Information Center

    Birren, James E.; And Others

    This Technical Committee Report provides an overview and historical sketch of research in aging and proposes a need for new knowledge. An examination of key issues notes the difficulty in assigning priority to research topics, and identifies emerging issues of public concern including: (1) physical health (alcohol and drugs, falls and accidents,…

  3. Pointing and tracking space mechanism for laser communication

    NASA Technical Reports Server (NTRS)

    Brunschvig, A.; Deboisanger, M.

    1994-01-01

    Space optical communication is considered a promising technology regarding its high data rate and confidentiality capabilities. However, it requires today complex satellite systems involving highly accurate mechanisms. This paper aims to highlight the stringent requirements which had to be fulfilled for such a mechanism, the way an existing design has been adapted to meet these requirements, and the main technical difficulties which have been overcome thanks to extensive development tests throughout the C/D phase initiated in 1991. The expected on-orbit performance of this mechanism is also presented.

  4. Percutaneous closure of a large ascending aortic pseudoaneurysm.

    PubMed

    Nogueira, Marta Afonso; Fiarresga, António; de Sousa, Lídia; Galrinho, Ana; Santos, Ninel; Nobre, Isabel; Laranjeira, Álvaro; Cruz Ferreira, Rui

    2016-02-01

    Pseudoaneurysm of the ascending aorta is a rare complication, usually after thoracic surgery or trauma. Since surgical repair is associated with very high morbidity and mortality, percutaneous closure has been described as an alternative. In this regard, we present a case in which a symptomatic large pseudoaneurysm of the ascending aorta was treated percutaneously due to the high surgical risk. Despite the technical difficulties, this procedure had a good final result followed by clinical success. Copyright © 2016 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  5. Relay Protection and Automation Systems Based on Programmable Logic Integrated Circuits

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

    Lashin, A. V., E-mail: LashinAV@lhp.ru; Kozyrev, A. V.

    One of the most promising forms of developing the apparatus part of relay protection and automation devices is considered. The advantages of choosing programmable logic integrated circuits to obtain adaptive technological algorithms in power system protection and control systems are pointed out. The technical difficulties in the problems which today stand in the way of using relay protection and automation systems are indicated and a new technology for solving these problems is presented. Particular attention is devoted to the possibility of reconfiguring the logic of these devices, using programmable logic integrated circuits.

  6. The Development Status and Key Technologies of Solar Powered Unmanned Air Vehicle

    NASA Astrophysics Data System (ADS)

    Sai, Li; Wei, Zhou; Xueren, Wang

    2017-03-01

    By analyzing the development status of several typical solar powered unmanned aerial vehicles (UAV) at home and abroad, the key technologies involved in the design and manufacture of solar powered UAV and the technical difficulties need to be solved at present are obtained. It is pointed out that with the improvement of energy system efficiency, advanced aerodynamic configuration design, realization of high applicability flight stability and control system, breakthrough of efficient propulsion system, the application prospect of solar powered UAV will be more extensive.

  7. [Aneurysm of the extracranial portion of the internal carotid artery combined with kinking of its distal segment].

    PubMed

    Zotov, S P; Shcherbakov, A V; Ufimtsev, M S; Kostromitin, N E; Semashko, T V; Korzina, E N; Tsar'kova, T A; Zharov, K A

    Presented herein is a clinical case report regarding successful operation for an aneurysm of the left internal carotid artery (measuring 4.5*8.3 cm) combined with pathological tortuosity in its distal portion. The patient was subjected to aneurysmectomy of the left internal carotid artery with prosthetic repair. Kinking in the distal portion of the aneurysm made it possible with minimal technical difficulties to establish a distal anastomosis during prosthetic repair. The diagnosis of an atherosclerotic-aetiology aneurysm was morphologically confirmed.

  8. Evaluation of a novel, hybrid model (Mumbai EUS II) for stepwise teaching and training in EUS-guided biliary drainage and rendezvous procedures.

    PubMed

    Dhir, Vinay; Itoi, Takao; Pausawasdi, Nonthalee; Khashab, Mouen A; Perez-Miranda, Manuel; Sun, Siyu; Park, Do Hyun; Iwashita, Takuji; Teoh, Anthony Y B; Maydeo, Amit P; Ho, Khek Yu

    2017-11-01

     EUS-guided biliary drainage (EUS-BD) and rendezvous (EUS-RV) are acceptable rescue options for patients with failed endoscopic retrograde cholangiopancreatography (ERCP). However, there are limited training opportunities at most centers owing to low case volumes. The existing models do not replicate the difficulties encountered during EUS-BD. We aimed to develop and validate a model for stepwise learning of EUS-BD and EUS-RV, which replicates the actual EUS-BD procedures.  A hybrid model was created utilizing pig esophagus and stomach, with a synthetic duodenum and biliary system. The model was objectively assessed on a grade of 1 - 4 by two experts. Twenty-eight trainees were given initial training with didactic lectures and live procedures. This was followed by hands-on training in EUS-BD and EUS-RV on the hybrid model. Trainees were assessed for objective criteria of technical difficulties.  Both the experts graded the model as very good or above for all parameters. All trainees could complete the requisite steps of EUS-BD and EUS-RV in a mean time of 11 minutes (8 - 18 minutes). Thirty-six technical difficulties were noted during the training (wrong scope position, 13; incorrect duct puncture, 12; guidewire related problems, 11). Technical difficulties peaked for EUS-RV, followed by hepaticogastrostomy (HGS) and choledochoduodenostomy (CDS) (20, 9, and 7, P  = 0.001). At 10 days follow-up, nine of 28 trainees had successfully performed three EUS-RV and seven EUS-BD procedures independently.  The Mumbai EUS II hybrid model replicates situations encountered during EUS-RV and EUS-BD. Stepwise mentoring improves the chances of success in EUS-RV and EUS-BD procedures.

  9. Teaching ethics to engineers: ethical decision making parallels the engineering design process.

    PubMed

    Bero, Bridget; Kuhlman, Alana

    2011-09-01

    In order to fulfill ABET requirements, Northern Arizona University's Civil and Environmental engineering programs incorporate professional ethics in several of its engineering courses. This paper discusses an ethics module in a 3rd year engineering design course that focuses on the design process and technical writing. Engineering students early in their student careers generally possess good black/white critical thinking skills on technical issues. Engineering design is the first time students are exposed to "grey" or multiple possible solution technical problems. To identify and solve these problems, the engineering design process is used. Ethical problems are also "grey" problems and present similar challenges to students. Students need a practical tool for solving these ethical problems. The step-wise engineering design process was used as a model to demonstrate a similar process for ethical situations. The ethical decision making process of Martin and Schinzinger was adapted for parallelism to the design process and presented to students as a step-wise technique for identification of the pertinent ethical issues, relevant moral theories, possible outcomes and a final decision. Students had greatest difficulty identifying the broader, global issues presented in an ethical situation, but by the end of the module, were better able to not only identify the broader issues, but also to more comprehensively assess specific issues, generate solutions and a desired response to the issue.

  10. Comparative Racial Analysis of Enlisted Advancement Exams: Item- Difficulty.

    DTIC Science & Technology

    1975-07-01

    11cm-ana lysis Promotion Racial comparison Equal opportunity 1 20. ABSTRACT (Continue on reveree aide 11 neceeemry mnd Identity by block...improving equal oppor- tunity in career growth for minority groups. The study of exam item- difficulty levels is the first of a series of technical reports...under Exploratory Development Task Area PF55.521.032 (Contemporary Social Issues). J. J. CLARKIN Commanding Officer SUMMARY Purpose A number of

  11. Echoes of the Past, Glimpses of the Future - Ongoing Trends in Assurance of EEE Parts for Spaceflight

    NASA Technical Reports Server (NTRS)

    Sampson, Michael J.

    2017-01-01

    This presentation will review some past NASA presentations that had identified challenges and future trends in the assurance of Electrical, Electronic and Electromechanical (EEE) parts for spaceflight applications. It will contrast the concerns expressed in those presentations with the challenges of today and identify trends that give insight into the future. Common themes include the use of commercial parts, limited technical and physical resources, the pace of technology change and the difficulties in handling and testing individual parts as they become smaller and more complex. Some options for dealing with these challenges will be suggested to accommodate increasing numbers of smallsats, cubesats, constellations and other disruptive concepts, as space becomes more and more commercialized.

  12. Modifying homes for persons with physical disabilities in Thailand.

    PubMed

    Tongsiri, Sirinart; Ploylearmsang, Chanuttha; Hawsutisima, Katanyu; Riewpaiboon, Wachara; Tangcharoensathien, Viroj

    2017-02-01

    Thailand passed the Persons with Disabilities Empowerment Act in 2007. The Act, which is in compliance with the United Nations Convention on the Rights of Persons with Disabilities , ensures that registered persons with disabilities are entitled to home environment modifications' benefits up to a maximum of 20 000 baht (670 United States dollars); however, the Act's enforcement is still weak in Thailand. In 2013, researchers developed a home modification programme, consisting of a multidisciplinary team of medical and nonmedical practitioners and volunteers, to modify homes for persons with disabilities. The programme recruited participants with physical disabilities and assessed their functioning difficulties. Participants' homes were modified to address identified functioning difficulties. The project was implemented in four provinces in collaboration with staff from 27 district hospitals located in north-eastern Thailand. After the home modifications, all 43 recruited participants reported reduced difficulties in all areas, except for participants with severe degrees of difficulties, such as those reporting being unable to walk and unable to get up from the floor. The participants' quality of life had also improved. The average EQ-5D-5L score, measuring quality of life, increased by 0.203 - from 0.346 at baseline to 0.549 after the modifications. Home modifications in low-resourced settings are technically and financially feasible and can lead to reducing functioning difficulties and improving the quality of life of persons with disabilities. Implementation requires government subsidies to finance home modifications and the availability of technical guidelines and training on home modifications for implementing agents.

  13. Technological characterization of sheep production systems in Brazil.

    PubMed

    Raineri, Camila; Nunes, Bruno César Prosdocimi; Gameiro, Augusto Hauber

    2015-04-01

    Sheep production has expanded in Brazil focusing on lamb meat, mostly to meet demanding internal markets in the state of São Paulo. Such markets present a demand which internal production is insufficient to meet. However, sheep farmers face many technical difficulties to produce quality lambs at viable costs. This study aimed at investigating the main characteristics of sheep production systems of the state of São Paulo, Brazil, in order to provide resources for the development of technologies, policies and other initiatives focused on the activity. We designed in panel meetings the characteristics of representative sheep farms in five regions of the state, concerning: (i) property and manpower profile; (ii) flock; (iii) handling techniques; (iv) facilities and equipment; (v) food production; and (vi) technical indicators. Results demonstrate that the predominant sheep farming in the state employs low technology, presenting low productivity despite its evolution in recent years. We verified great technical deficiency regarding farmers, who are new in this business and usually do not have access to technologies. Producers' unawareness about basic handling procedures and techniques as well as their lack of flock records can contribute to the activity's unsustainability. There is need for improving rural extension and diffusion of technologies. © 2015 Japanese Society of Animal Science.

  14. Lung plethysmography

    MedlinePlus

    ... it is not often used because of its technical difficulties. Normal Results Normal results depend on your ... Duplication for commercial use must be authorized in writing by ADAM Health Solutions. About MedlinePlus Site Map ...

  15. Painful lumbosacral melorheostosis treated by fusion.

    PubMed

    Robertson, Peter A; Don, Angus S; Miller, Mary V

    2003-06-15

    A case report of low back pain associated with a diagnosis of melorheostosis of the lumbosacral spine. To describe a rare presentation of melorheostosis and subsequent successful surgical treatment. Melorheostosis is a rare condition and spinal pain has not been described in association with the condition. A patient with disabling low back pain and suspected melorheostosis of the lumbosacral spine responded favorably to diagnostic facet joint blocks. Treatment was lumbosacral fusion and biopsy of the abnormal bone. The densely sclerotic bone presented technical difficulties requiring modification of surgical technique. Dramatic pain and disability reduction occurred following lumbosacral fusion. Histologic examination was consistent with melorheostosis. Melorheostosis rarely causes severe low back pain that can respond favorably to fusion surgery.

  16. Instream flow assessment and economic valuation: a survey of nonmarket benefits research

    USGS Publications Warehouse

    Douglas, Aaron J.; Johnson, Richard L.

    1993-01-01

    Instream flow benefits for United States streams and rivers have recently been investigated by a number of resource economists. These valuation efforts differ in scope, method, and quantitative results. An assessment and review of these valuation efforts is presented. The various sources of differences in non‐market values produced by these studies are explored in some detail. The considerable difficulty of producing estimates of instream flow benefits values that consider all of the pertinent policy and technical issues is delineated in various policy contexts. Evidence is presented that indicates that the considerable policy impact of recent research on this topic is justified despite considerable variation in the magnitude of the estimates.

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

    Orth, R.; Dauda, T.; McKenzie, D.E.

    Contamination in low-permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, and pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. The technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. The present Topical Report for Taskmore » {number_sign}3.3 summarizes the iron dechlorination research conducted by Monsanto Company.« less

  18. Meta-analysis of the technical performance of an imaging procedure: guidelines and statistical methodology.

    PubMed

    Huang, Erich P; Wang, Xiao-Feng; Choudhury, Kingshuk Roy; McShane, Lisa M; Gönen, Mithat; Ye, Jingjing; Buckler, Andrew J; Kinahan, Paul E; Reeves, Anthony P; Jackson, Edward F; Guimaraes, Alexander R; Zahlmann, Gudrun

    2015-02-01

    Medical imaging serves many roles in patient care and the drug approval process, including assessing treatment response and guiding treatment decisions. These roles often involve a quantitative imaging biomarker, an objectively measured characteristic of the underlying anatomic structure or biochemical process derived from medical images. Before a quantitative imaging biomarker is accepted for use in such roles, the imaging procedure to acquire it must undergo evaluation of its technical performance, which entails assessment of performance metrics such as repeatability and reproducibility of the quantitative imaging biomarker. Ideally, this evaluation will involve quantitative summaries of results from multiple studies to overcome limitations due to the typically small sample sizes of technical performance studies and/or to include a broader range of clinical settings and patient populations. This paper is a review of meta-analysis procedures for such an evaluation, including identification of suitable studies, statistical methodology to evaluate and summarize the performance metrics, and complete and transparent reporting of the results. This review addresses challenges typical of meta-analyses of technical performance, particularly small study sizes, which often causes violations of assumptions underlying standard meta-analysis techniques. Alternative approaches to address these difficulties are also presented; simulation studies indicate that they outperform standard techniques when some studies are small. The meta-analysis procedures presented are also applied to actual [18F]-fluorodeoxyglucose positron emission tomography (FDG-PET) test-retest repeatability data for illustrative purposes. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  19. Meta-analysis of the technical performance of an imaging procedure: Guidelines and statistical methodology

    PubMed Central

    Huang, Erich P; Wang, Xiao-Feng; Choudhury, Kingshuk Roy; McShane, Lisa M; Gönen, Mithat; Ye, Jingjing; Buckler, Andrew J; Kinahan, Paul E; Reeves, Anthony P; Jackson, Edward F; Guimaraes, Alexander R; Zahlmann, Gudrun

    2017-01-01

    Medical imaging serves many roles in patient care and the drug approval process, including assessing treatment response and guiding treatment decisions. These roles often involve a quantitative imaging biomarker, an objectively measured characteristic of the underlying anatomic structure or biochemical process derived from medical images. Before a quantitative imaging biomarker is accepted for use in such roles, the imaging procedure to acquire it must undergo evaluation of its technical performance, which entails assessment of performance metrics such as repeatability and reproducibility of the quantitative imaging biomarker. Ideally, this evaluation will involve quantitative summaries of results from multiple studies to overcome limitations due to the typically small sample sizes of technical performance studies and/or to include a broader range of clinical settings and patient populations. This paper is a review of meta-analysis procedures for such an evaluation, including identification of suitable studies, statistical methodology to evaluate and summarize the performance metrics, and complete and transparent reporting of the results. This review addresses challenges typical of meta-analyses of technical performance, particularly small study sizes, which often causes violations of assumptions underlying standard meta-analysis techniques. Alternative approaches to address these difficulties are also presented; simulation studies indicate that they outperform standard techniques when some studies are small. The meta-analysis procedures presented are also applied to actual [18F]-fluorodeoxyglucose positron emission tomography (FDG-PET) test–retest repeatability data for illustrative purposes. PMID:24872353

  20. On the design of computer-based models for integrated environmental science.

    PubMed

    McIntosh, Brian S; Jeffrey, Paul; Lemon, Mark; Winder, Nick

    2005-06-01

    The current research agenda in environmental science is dominated by calls to integrate science and policy to better understand and manage links between social (human) and natural (nonhuman) processes. Freshwater resource management is one area where such calls can be heard. Designing computer-based models for integrated environmental science poses special challenges to the research community. At present it is not clear whether such tools, or their outputs, receive much practical policy or planning application. It is argued that this is a result of (1) a lack of appreciation within the research modeling community of the characteristics of different decision-making processes including policy, planning, and (2) participation, (3) a lack of appreciation of the characteristics of different decision-making contexts, (4) the technical difficulties in implementing the necessary support tool functionality, and (5) the socio-technical demands of designing tools to be of practical use. This article presents a critical synthesis of ideas from each of these areas and interprets them in terms of design requirements for computer-based models being developed to provide scientific information support for policy and planning. Illustrative examples are given from the field of freshwater resources management. Although computer-based diagramming and modeling tools can facilitate processes of dialogue, they lack adequate simulation capabilities. Component-based models and modeling frameworks provide such functionality and may be suited to supporting problematic or messy decision contexts. However, significant technical (implementation) and socio-technical (use) challenges need to be addressed before such ambition can be realized.

  1. WHITE BOX: LOW COST BOX FOR LAPAROSCOPIC TRAINING

    PubMed Central

    MARTINS, João Maximiliano Pedron; RIBEIRO, Roberto Vanin Pinto; CAVAZZOLA, Leandro Totti

    2015-01-01

    Background: Laparoscopic surgery is a reality in almost all surgical centers. Although with initial greater technical difficulty for surgeons, the rapid return to activities, less postoperative pain and higher quality aesthetic stimulates surgeons to evolve technically in this area. However, unlike open surgery where learning opportunities are more accessible, the laparoscopic training represents a challenge in surgeon formation. Aim: To present a low cost model for laparoscopic training box. Methods: This model is based in easily accessible materials; the equipment can be easily found based on chrome mini jet and passes rubber thread and a webcam attached to an aluminum handle. Results: It can be finalized in two days costing R$ 280,00 (US$ 90). Conclusion: It is possible to stimulate a larger number of surgeons to have self training in laparoscopy at low cost seeking to improve their surgical skills outside the operating room. PMID:26537148

  2. Technical challenges and future direction for high-efficiency metal hydride thermal energy storage systems

    NASA Astrophysics Data System (ADS)

    Ward, Patrick A.; Corgnale, Claudio; Teprovich, Joseph A.; Motyka, Theodore; Hardy, Bruce; Sheppard, Drew; Buckley, Craig; Zidan, Ragaiy

    2016-04-01

    Recently, there has been increasing interest in thermal energy storage (TES) systems for concentrated solar power (CSP) plants, which allow for continuous operation when sunlight is unavailable. Thermochemical energy storage materials have the advantage of much higher energy densities than latent or sensible heat materials. Furthermore, thermochemical energy storage systems based on metal hydrides have been gaining great interest for having the advantage of higher energy densities, better reversibility, and high enthalpies. However, in order to achieve higher efficiencies desired of a thermal storage system by the US Department of Energy, the system is required to operate at temperatures >600 °C. Operation at temperatures >600 °C presents challenges including material selection, hydrogen embrittlement and permeation of containment vessels, appropriate selection of heat transfer fluids, and cost. Herein, the technical difficulties and proposed solutions associated with the use of metal hydrides as TES materials in CSP applications are discussed and evaluated.

  3. AN ATTEMPT TO FIND AN A PRIORI MEASURE OF STEP SIZE. COMPARATIVE STUDIES OF PRINCIPLES FOR PROGRAMMING MATHEMATICS IN AUTOMATED INSTRUCTION, TECHNICAL REPORT NO. 13.

    ERIC Educational Resources Information Center

    ROSEN, ELLEN F.; STOLUROW, LAWRENCE M.

    IN ORDER TO FIND A GOOD PREDICTOR OF EMPIRICAL DIFFICULTY, AN OPERATIONAL DEFINITION OF STEP SIZE, TEN PROGRAMER-JUDGES RATED CHANGE IN COMPLEXITY IN TWO VERSIONS OF A MATHEMATICS PROGRAM, AND THESE RATINGS WERE THEN COMPARED WITH MEASURES OF EMPIRICAL DIFFICULTY OBTAINED FROM STUDENT RESPONSE DATA. THE TWO VERSIONS, A 54 FRAME BOOKLET AND A 35…

  4. Readability Formulas and User Perceptions of Electronic Health Records Difficulty: A Corpus Study

    PubMed Central

    Yu, Hong

    2017-01-01

    Background Electronic health records (EHRs) are a rich resource for developing applications to engage patients and foster patient activation, thus holding a strong potential to enhance patient-centered care. Studies have shown that providing patients with access to their own EHR notes may improve the understanding of their own clinical conditions and treatments, leading to improved health care outcomes. However, the highly technical language in EHR notes impedes patients’ comprehension. Numerous studies have evaluated the difficulty of health-related text using readability formulas such as Flesch-Kincaid Grade Level (FKGL), Simple Measure of Gobbledygook (SMOG), and Gunning-Fog Index (GFI). They conclude that the materials are often written at a grade level higher than common recommendations. Objective The objective of our study was to explore the relationship between the aforementioned readability formulas and the laypeople’s perceived difficulty on 2 genres of text: general health information and EHR notes. We also validated the formulas’ appropriateness and generalizability on predicting difficulty levels of highly complex technical documents. Methods We collected 140 Wikipedia articles on diabetes and 242 EHR notes with diabetes International Classification of Diseases, Ninth Revision code. We recruited 15 Amazon Mechanical Turk (AMT) users to rate difficulty levels of the documents. Correlations between laypeople’s perceived difficulty levels and readability formula scores were measured, and their difference was tested. We also compared word usage and the impact of medical concepts of the 2 genres of text. Results The distributions of both readability formulas’ scores (P<.001) and laypeople’s perceptions (P=.002) on the 2 genres were different. Correlations of readability predictions and laypeople’s perceptions were weak. Furthermore, despite being graded at similar levels, documents of different genres were still perceived with different difficulty (P<.001). Word usage in the 2 related genres still differed significantly (P<.001). Conclusions Our findings suggested that the readability formulas’ predictions did not align with perceived difficulty in either text genre. The widely used readability formulas were highly correlated with each other but did not show adequate correlation with readers’ perceived difficulty. Therefore, they were not appropriate to assess the readability of EHR notes. PMID:28254738

  5. ISABELLE: a progress report

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

    Hahn, H

    This paper discusses the ISABELLE project, which has the objective of constructing a high-energy proton colliding beam facility at Brookhaven National Laboratory. The major technical features of the intersecting storage accelerators with their projected performance are described. Application of over 1000 superconducting magnets in the two rings represents the salient characteristic of the machine. The status of the entire project, the technical progress made so far, and difficulties encountered are reviewed.

  6. A Technical History of the SEI

    DTIC Science & Technology

    2017-01-01

    service-oriented architecture concepts by leading a team of technical ex - perts from several Air Force financial management programs of record in...the application of computing, that trend re- versed dramatically in the 1970s for a variety of reasons, including the difficulty the DoD was ex ...implement it in programming languages other than Ada. The lessons learned from the testbed ex - periments were incorporated into a comprehensive guide

  7. 48 CFR 1852.212-70 - Notice of delay.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Delay (DEC 1988) If, because of technical difficulties, the Contractor becomes unable to complete the... performing the work called for under this contract, the Contractor shall give the Contracting Officer written...

  8. 48 CFR 1852.212-70 - Notice of delay.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Delay (DEC 1988) If, because of technical difficulties, the Contractor becomes unable to complete the... performing the work called for under this contract, the Contractor shall give the Contracting Officer written...

  9. 48 CFR 1852.212-70 - Notice of delay.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Delay (DEC 1988) If, because of technical difficulties, the Contractor becomes unable to complete the... performing the work called for under this contract, the Contractor shall give the Contracting Officer written...

  10. 48 CFR 1852.212-70 - Notice of delay.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Delay (DEC 1988) If, because of technical difficulties, the Contractor becomes unable to complete the... performing the work called for under this contract, the Contractor shall give the Contracting Officer written...

  11. 48 CFR 1852.212-70 - Notice of delay.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Delay (DEC 1988) If, because of technical difficulties, the Contractor becomes unable to complete the... performing the work called for under this contract, the Contractor shall give the Contracting Officer written...

  12. SIMBIOS Project

    NASA Technical Reports Server (NTRS)

    Fargion, Giulietta S.; McClain, Charles R.; Busalacchi, Antonio J. (Technical Monitor)

    2001-01-01

    The purpose of this technical report is to provide current documentation of the Sensor Intercomparison and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities, NASA Research Announcement (NRAI) research status, satellite data processing, data product validation, and field calibration. This documentation is necessary to ensure that critical information is related to the scientific community and NASA management. This critical information includes the technical difficulties and challenges of validating and combining ocean color data from an array of independent satellite systems to form consistent and accurate global bio-optical time series products. This technical report is not meant as a substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issued by an operational project.

  13. Design of a High Resolution Hexapod Positioning Mechanism

    NASA Technical Reports Server (NTRS)

    Britt, Jamie

    2001-01-01

    This paper describes the development of a high resolution, six-degree of freedom positioning mechanism. This mechanism, based on the Stewart platform concept, was designed for use with the Developmental Comparative Active Optics Telescope Testbed (DCATT), a ground-based technology testbed for the Next Generation Space Telescope (NGST). The mechanism provides active control to the DCATT telescope's segmented primary mirror. Emphasis is on design decisions and technical challenges. Significant issues include undesirable motion properties of PZT-inchworm actuators, testing difficulties, dimensional stability, and use of advanced composite materials. Supporting test data from prototype mechanisms is presented.

  14. Design of a High Resolution Hexapod Positioning Mechanism

    NASA Technical Reports Server (NTRS)

    Britt, Jamie; Brodeur, Stephen J. (Technical Monitor)

    2001-01-01

    This paper describes the development of a high resolution, six-degree of freedom positioning mechanism. This mechanism, based on the Stewart platform concept, was designed for use with the Developmental Comparative Active Optics Telescope Testbed (DCATT), a ground-based technology testbed for the Next Generation Space Telescope (NGST). The mechanism provides active control to the DCATT telescope's segmented primary mirror. Emphasis is on design decisions and technical challenges. Significant issues include undesirable motion properties of PZT-inchworm actuators, testing difficulties, dimensional stability and use of advanced composite materials. Supporting test data from prototype mechanisms is presented.

  15. Criteria for site selection and frequency allocation (keynote paper), part 5

    NASA Technical Reports Server (NTRS)

    Rottger, J.

    1985-01-01

    Technical aspects of mesosphere-stratosphere-troposphere (MST) Radar on site and frequency selection were discussed. Recommendations on site selections are presented. Tests of interference will be conducted before selecting a site. A small directional antenna may be suitable to simulate sidelobe sensitivity of radars however, sophisticated data-processing methods make system sensitivity extremely good. The use of the complete data system to look for interference is recommended. There is the difficulty of allocation of frequencies -- almost continuous use by these radars will be made when the band 40 to 60 MHz is allocated to other services.

  16. Trans-venous embolization of a basal ganglia ruptured arteriovenous malformation with open surgical arterial control: A hybrid technique.

    PubMed

    Kulcsár, Zsolt; Machi, Paolo; Schaller, Karl; Lovblad, Karl Olof; Bijlenga, Philippe

    2018-05-01

    Treatment of ruptured deep-seated arteriovenous malformations is challenging and associated with elevated risks. This is due to the proximity or involvement of critical brain structures and the specifically fine and delicate angioarchitecture of these lesions, making both endovascular and surgical access technically complicated. We present the advantages of a true combined, open surgical and endovascular transvenous approach in a hybrid operating room. The technique may overcome in part the difficulties and may improve safety and risk related concerns. Copyright © 2018. Published by Elsevier Masson SAS.

  17. Utilizing neuronavigation for virtual electrode representation and safe resection following SEEG; a technical report.

    PubMed

    Brandmeir, Nicholas; Sather, Michael

    2018-02-20

    One of the most effective treatments for epilepsy is resection, but it remains underutilized. Efforts must be made to increase the ease, safety, and efficacy of epilepsy resection to improve utilization. Studies have shown an improved risk profile of stereoelectroencephalography (SEEG) over subdural grids (SDG) for invasive monitoring. One limitation to increased adoption of SEEG at epilepsy centers is the theoretical difficulty of planning a delayed resection once electrodes are removed. Our objective was to develop and present a technique using readily available neuronavigation technology to guide a cortical, non-lesional epilepsy resection with co-registration of imaging during invasive monitoring to imaging in an explanted patient, allowing for virtual visualization of electrodes. An example case taking advantage of the technique described above as an adjunct for an anatomically guided resection is presented with technical details and images. Intraoperative neuronavigation was successfully used to virtually represent previously removed SEEG electrodes and accuracy could be easily verified by examining scars on the scalp, bone, dura and pia. The simple technique presented can be a useful adjunct to resection following SEEG. This may help increase the adoption of SEEG, even when resection is planned.

  18. Estimation for the Rasch Model When Both Ability and Difficulty Parameters are Random.

    DTIC Science & Technology

    1987-02-01

    Office of Naval Research. The authors would also like to thank Hsin Ying Lin for performing the computations of the third section and the reviewers of an...MODEL 0’) WHEN BOTH ABILITY AND_ DIFFICULTY PARAMETERS ARE RANDOM Steven E. Rigdon and Robert K. Tsutakawa Mathematical Sciences Technical Report No...13, NR 150-535 with the Personnel and Training Research Programs Psychological Sciences Division Office of Naval Research Approved for public release

  19. Autopsy findings in bodies repatriated to the UK.

    PubMed

    Williams, Edward John; Davison, Andrew

    2014-07-01

    Following the death of a British National on foreign soil, a primary investigation is conducted by the authorities of that country; HM Coroner and the United Kingdom police have no jurisdiction to conduct investigations abroad. Upon repatriation of a body, the legal investigation in the UK remains largely unchanged since the publication of the "harmonisation of medico-legal autopsy rules" (1999) and the passing of the Coroners and Justice Act (2009). We identified 44 cases within a 10-year period. An invasive autopsy had been performed abroad in 25 cases; an autopsy report was received prior to UK autopsy in one case. Seven cases showed incomplete evisceration; the absence of part or whole organs was recorded in 11 cases. Toxicology was performed abroad in five cases. Recurring technical difficulties related chiefly to embalming, including difficulty with dissection and noxious fumes. When an autopsy had been performed abroad, the time to UK inquest was prolonged by an average of seven months. A verdict of unlawful killing was returned in nine cases. The discussion expands on these issues, and attempts to offer reasoned explanation where possible. Two cases are used as exemplars to highlight difficulties to both the pathologist and Coroner. This casework remains rare but the potential problems include: absence of tissue; lack of information; technical difficulties; and a disproportionately high number of unlawful killings, making clear the need for experience and caution when making the post mortem examination.

  20. Modifying homes for persons with physical disabilities in Thailand

    PubMed Central

    Ploylearmsang, Chanuttha; Hawsutisima, Katanyu; Riewpaiboon, Wachara; Tangcharoensathien, Viroj

    2017-01-01

    Abstract Problem Thailand passed the Persons with Disabilities Empowerment Act in 2007. The Act, which is in compliance with the United Nations Convention on the Rights of Persons with Disabilities, ensures that registered persons with disabilities are entitled to home environment modifications’ benefits up to a maximum of 20 000 baht (670 United States dollars); however, the Act’s enforcement is still weak in Thailand. Approach In 2013, researchers developed a home modification programme, consisting of a multidisciplinary team of medical and nonmedical practitioners and volunteers, to modify homes for persons with disabilities. The programme recruited participants with physical disabilities and assessed their functioning difficulties. Participants’ homes were modified to address identified functioning difficulties. Local setting The project was implemented in four provinces in collaboration with staff from 27 district hospitals located in north-eastern Thailand. Relevant changes After the home modifications, all 43 recruited participants reported reduced difficulties in all areas, except for participants with severe degrees of difficulties, such as those reporting being unable to walk and unable to get up from the floor. The participants’ quality of life had also improved. The average EQ-5D-5L score, measuring quality of life, increased by 0.203 – from 0.346 at baseline to 0.549 after the modifications. Lessons learnt Home modifications in low-resourced settings are technically and financially feasible and can lead to reducing functioning difficulties and improving the quality of life of persons with disabilities. Implementation requires government subsidies to finance home modifications and the availability of technical guidelines and training on home modifications for implementing agents. PMID:28250515

  1. Teaching 3D computer animation to illustrators: the instructor as translator and technical director.

    PubMed

    Koning, Wobbe F

    2012-01-01

    An art instructor discusses the difficulties he's encountered teaching computer graphics skills to undergraduate art students. To help the students, he introduced an automated-rigging script for character animation.

  2. NACA: University Conference on Aerodynamics. A Compilation of the Papers Presented

    NASA Technical Reports Server (NTRS)

    1948-01-01

    This document contains reproductions of the technical papers presented at the NACA - University Conference on Aerodynamics held at the Langley Aeronautical Laboratory on June 21, 22, and 23, 1948. The conference was held in recognition of the difficulties, imposed by security restrictions, in keeping abreast of the rapid advances in aerodynamics. The papers were prepared to review the status of a number of fields of interest, to summarize the more important wartime advances that are no longer classified, and to orient reference material for further study. The papers in this document are in the same form in which they were presented at the conference so that distribution of them might be prompt. The original presentation and this record are considered as complementary to, rather than as substitutes for, the Committee?s system of complete and formal reports.

  3. Intradural Procedural Time to Assess Technical Difficulty of Superciliary Keyhole and Pterional Approaches for Unruptured Middle Cerebral Artery Aneurysms

    PubMed Central

    Choi, Yeon-Ju; Son, Wonsoo; Park, Ki-Su

    2016-01-01

    Objective This study used the intradural procedural time to assess the overall technical difficulty involved in surgically clipping an unruptured middle cerebral artery (MCA) aneurysm via a pterional or superciliary approach. The clinical and radiological variables affecting the intradural procedural time were investigated, and the intradural procedural time compared between a superciliary keyhole approach and a pterional approach. Methods During a 5.5-year period, patients with a single MCA aneurysm were enrolled in this retrospective study. The selection criteria for a superciliary keyhole approach included : 1) maximum diameter of the unruptured MCA aneurysm <15 mm, 2) neck diameter of the MCA aneurysm <10 mm, and 3) aneurysm location involving the sphenoidal or horizontal segment of MCA (M1) segment and MCA bifurcation, excluding aneurysms distal to the MCA genu. Meanwhile, the control comparison group included patients with the same selection criteria as for a superciliary approach, yet who preferred a pterional approach to avoid a postoperative facial wound or due to preoperative skin trouble in the supraorbital area. To determine the variables affecting the intradural procedural time, a multiple regression analysis was performed using such data as the patient age and gender, maximum aneurysm diameter, aneurysm neck diameter, and length of the pre-aneurysm M1 segment. In addition, the intradural procedural times were compared between the superciliary and pterional patient groups, along with the other variables. Results A total of 160 patients underwent a superciliary (n=124) or pterional (n=36) approach for an unruptured MCA aneurysm. In the multiple regression analysis, an increase in the diameter of the aneurysm neck (p<0.001) was identified as a statistically significant factor increasing the intradural procedural time. A Pearson correlation analysis also showed a positive correlation (r=0.340) between the neck diameter and the intradural procedural time. When comparing the superciliary and pterional groups, no statistically significant between-group difference was found in terms of the intradural procedural time reflecting the technical difficulty (mean±standard deviation : 29.8±13.0 min versus 27.7±9.6 min). Conclusion A superciliary keyhole approach can be a useful alternative to a pterional approach for an unruptured MCA aneurysm with a maximum diameter <15 mm and neck diameter <10 mm, representing no more of a technical challenge. For both surgical approaches, the technical difficulty increases along with the neck diameter of the MCA aneurysm. PMID:27847568

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

    Athmer, C.; Ho, S.V.; Hughes, B.M.

    Contamination in low-permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, and pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. The technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. The present Topical Report for Taskmore » {number_sign}7.2 summarizes the Field Scale Test conducted by Monsanto Company, DuPont, and General Electric.« less

  5. Issues in Developing and Evaluating a Culturally Tailored Internet Cancer Support Group

    PubMed Central

    Im, Eun-Ok; Ji, Xiaopeng; Zhang, Jingwen; Kim, Sangmi; Lee, Yaelim; Chee, Eunice; Chee, Wonshik; Tsai, Hsiu-Min; Nishigaki, Masakazu; Yeo, Seon Ae; Schapira, Marilyn; Mao, Jun James

    2016-01-01

    The purpose of this paper is to explore practical issues in developing and implementing a culturally tailored Internet Cancer Support Group for a group of ethnic minority cancer patients—Asian American cancer patients. Throughout the research process of the original study testing the Internet cancer support group, research team made written records of practical issues and plausible rationales for the issues. Weekly group discussion among research team members was conducted, and the discussion records were evaluated and analyzed using a content analysis (with individual words as the unit of analysis). The codes from the analysis process were categorized into idea themes, through which the issues were extracted. The issues included those in: (a) difficulties in using multiple languages; (b) collaboration with the IT department and technical challenges (c) difficulties in recruitment; (d) difficulties in retention; (e) optimal timing; and (f) characteristics of the users. Based on the findings, we suggested researchers to plan a workable translation process, check technical needs in advance, use multiple strategies to recruit and retain research participants, plan the right time for data collection, and consider characteristics of the users in the study design. PMID:27379523

  6. SIMBIOS Project 1999 Annual Report

    NASA Technical Reports Server (NTRS)

    McClain, Charles R.; Fargion, Giulietta S.

    1999-01-01

    The purpose of this technical memorandum is to provide current documentation of the Sensor Intercomparison and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities, NASA Research Announcement (NRA) research status, satellite data processing, data product validation, and field calibration. This documentation is necessary to ensure that critical information is related to the scientific community and NASA management. This critical information includes the technical difficulties and challenges of combining ocean color data from an array of independent satellite systems to form consistent and accurate global bio-optical time series products. This technical report is not meant as a substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issued by an operational project.

  7. SIMBIOS Project 1998 Annual Report

    NASA Technical Reports Server (NTRS)

    McClain, Charles R.; Fargion, Giulietta, S.

    1999-01-01

    The purpose of this series of technical reports is to provide current documentation of the Sensor Intercomparison and Merger for Biological and Interdisciplinary Ocean Studies (SIMBIOS) Project activities, NASA Research Announcement (NRA) research status, satellite data processing, data product validation and field calibration. This documentation is necessary to ensure that critical information is related to the scientific community and NASA management. This critical information includes the technical difficulties and challenges of combining ocean color data from an array of independent satellite systems to form consistent and accurate global bio-optical time series products. This technical report is not meant to substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issues by an operational project.

  8. Pullout repair of a medial meniscus posterior root tear using a FasT-Fix® all-inside suture technique.

    PubMed

    Kodama, Y; Furumatsu, T; Fujii, M; Tanaka, T; Miyazawa, S; Ozaki, T

    2016-11-01

    A medial meniscus posterior root tear (MMPRT) may increase the tibiofemoral contact pressure by decreasing the tibiofemoral contact area. Meniscal dysfunction induced by posterior root injury may lead to the development of osteoarthritic knees. Repair of a MMPRT can restore medial meniscus (MM) function and prevent knee osteoarthritis progression. Several surgical procedures have been reported for treating a MMPRT. However, these procedures are associated with several technical difficulties. Here, we describe a technique to stabilize a torn MM posterior root using the FasT-Fix ® all-inside meniscal suture device and a new aiming device. The uncut free-end of the FasT-Fix ® suture can be used as a thread for transtibial pullout repair. Our procedure might help overcome the technical difficulties in arthroscopic treatment of a MMPRT. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  9. Einstein Equations Under Polarized U (1) Symmetry in an Elliptic Gauge

    NASA Astrophysics Data System (ADS)

    Huneau, Cécile; Luk, Jonathan

    2018-06-01

    We prove local existence of solutions to the Einstein-null dust system under polarized U (1) symmetry in an elliptic gauge. Using in particular the previous work of the first author on the constraint equations, we show that one can identify freely prescribable data, solve the constraints equations, and construct a unique local in time solution in an elliptic gauge. Our main motivation for this work, in addition to merely constructing solutions in an elliptic gauge, is to provide a setup for our companion paper in which we study high frequency backreaction for the Einstein equations. In that work, the elliptic gauge we consider here plays a crucial role to handle high frequency terms in the equations. The main technical difficulty in the present paper, in view of the application in our companion paper, is that we need to build a framework consistent with the solution being high frequency, and therefore having large higher order norms. This difficulty is handled by exploiting a reductive structure in the system of equations.

  10. Evaluation of a novel, hybrid model (Mumbai EUS II) for stepwise teaching and training in EUS-guided biliary drainage and rendezvous procedures

    PubMed Central

    Dhir, Vinay; Itoi, Takao; Pausawasdi, Nonthalee; Khashab, Mouen A.; Perez-Miranda, Manuel; Sun, Siyu; Park, Do Hyun; Iwashita, Takuji; Teoh, Anthony Y. B.; Maydeo, Amit P.; Ho, Khek Yu

    2017-01-01

    Background and aims  EUS-guided biliary drainage (EUS-BD) and rendezvous (EUS-RV) are acceptable rescue options for patients with failed endoscopic retrograde cholangiopancreatography (ERCP). However, there are limited training opportunities at most centers owing to low case volumes. The existing models do not replicate the difficulties encountered during EUS-BD. We aimed to develop and validate a model for stepwise learning of EUS-BD and EUS-RV, which replicates the actual EUS-BD procedures. Methods  A hybrid model was created utilizing pig esophagus and stomach, with a synthetic duodenum and biliary system. The model was objectively assessed on a grade of 1 – 4 by two experts. Twenty-eight trainees were given initial training with didactic lectures and live procedures. This was followed by hands-on training in EUS-BD and EUS-RV on the hybrid model. Trainees were assessed for objective criteria of technical difficulties. Results  Both the experts graded the model as very good or above for all parameters. All trainees could complete the requisite steps of EUS-BD and EUS-RV in a mean time of 11 minutes (8 – 18 minutes). Thirty-six technical difficulties were noted during the training (wrong scope position, 13; incorrect duct puncture, 12; guidewire related problems, 11). Technical difficulties peaked for EUS-RV, followed by hepaticogastrostomy (HGS) and choledochoduodenostomy (CDS) (20, 9, and 7, P  = 0.001). At 10 days follow-up, nine of 28 trainees had successfully performed three EUS-RV and seven EUS-BD procedures independently. Conclusions  The Mumbai EUS II hybrid model replicates situations encountered during EUS-RV and EUS-BD. Stepwise mentoring improves the chances of success in EUS-RV and EUS-BD procedures. PMID:29250585

  11. Technical assessment of high energy astronomy Observatory-B (HEAO-B) Attitude Control and and Determination Subsystem (ACDS)

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The HEAO-B ACDS Review Team completed its four month assessment of the technical adequacy of the HEAO-B ACDS. As a result of its detailed analysis of the ACDS, the team found no reason why the ACDS will not perform its specified functions adequately. However, 23 concerns that point to potential difficulties were found and delineated; 18 of these are in the form of review item discrepancies.

  12. Piloting a Collaborative Web-Based System for Testing ICD-11.

    PubMed

    Donada, Marc; Kostanjsek, Nenad; Della Mea, Vincenzo; Celik, Can; Jakob, Robert

    2017-01-01

    The 11th revision of the International Classification of Diseases (ICD-11), for the first time in ICD history, deployed web-based collaboration of experts and ICT tools. To ensure that ICD-11 is working well, it needs to be systematically field tested in different settings, across the world. This will be done by means of a number of experiments. In order to support its implementation, a web-based system (ICDfit) has been designed and developed. The present paper illustrates the current prototype of the system and its technical testing. the system has been designed according to WHO requirements, and implemented using PHP and MySQL. Then, a preliminary technical test has been designed and run in January 2016, involving 8 users. They had to carry out double coding, that is, coding case summaries with both ICD-10 and ICD-11, and answering quick questions on the coding difficulty. the 8 users coded 632 cases each, spending an average of 163 seconds per case. While we found an issue in the mechanism used to record coding times, no further issues were found. the proposed system seems to be technically adequate for supporting future ICD-11 testing.

  13. Readability Formulas and User Perceptions of Electronic Health Records Difficulty: A Corpus Study.

    PubMed

    Zheng, Jiaping; Yu, Hong

    2017-03-02

    Electronic health records (EHRs) are a rich resource for developing applications to engage patients and foster patient activation, thus holding a strong potential to enhance patient-centered care. Studies have shown that providing patients with access to their own EHR notes may improve the understanding of their own clinical conditions and treatments, leading to improved health care outcomes. However, the highly technical language in EHR notes impedes patients' comprehension. Numerous studies have evaluated the difficulty of health-related text using readability formulas such as Flesch-Kincaid Grade Level (FKGL), Simple Measure of Gobbledygook (SMOG), and Gunning-Fog Index (GFI). They conclude that the materials are often written at a grade level higher than common recommendations. The objective of our study was to explore the relationship between the aforementioned readability formulas and the laypeople's perceived difficulty on 2 genres of text: general health information and EHR notes. We also validated the formulas' appropriateness and generalizability on predicting difficulty levels of highly complex technical documents. We collected 140 Wikipedia articles on diabetes and 242 EHR notes with diabetes International Classification of Diseases, Ninth Revision code. We recruited 15 Amazon Mechanical Turk (AMT) users to rate difficulty levels of the documents. Correlations between laypeople's perceived difficulty levels and readability formula scores were measured, and their difference was tested. We also compared word usage and the impact of medical concepts of the 2 genres of text. The distributions of both readability formulas' scores (P<.001) and laypeople's perceptions (P=.002) on the 2 genres were different. Correlations of readability predictions and laypeople's perceptions were weak. Furthermore, despite being graded at similar levels, documents of different genres were still perceived with different difficulty (P<.001). Word usage in the 2 related genres still differed significantly (P<.001). Our findings suggested that the readability formulas' predictions did not align with perceived difficulty in either text genre. The widely used readability formulas were highly correlated with each other but did not show adequate correlation with readers' perceived difficulty. Therefore, they were not appropriate to assess the readability of EHR notes. ©Jiaping Zheng, Hong Yu. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 02.03.2017.

  14. The analysis of 146 patients with difficult laparoscopic cholecystectomy.

    PubMed

    Bat, Orhan

    2015-01-01

    Laparoscopic cholecystectomy (LC) is very commonly performed surgical intervention. Acute or chronic cholecystitis, adhesions due to previous upper abdomen surgeries, Mirrizi's syndrome and obesity are common clinical conditions that can be associated with difficult cholecystectomy. In this study, we evaluated and scored the patients with difficult surgical exploration during laparoscopic cholecystectomy. All patients who underwent LC from 2010 to 2015 were retrospectively rewieved. According to intraoperative findings DLC cases were described and classified. Class I difficulty: Adhesion of omentum majus, transverse colon, duodenum to the fundus of the gallbladder. Class II difficulty: Adhesions in Calot's triangle and difficulty in dissection of cystic artery and cystic duct Class III difficulty: Difficulty in dissection of gallbladder bed (scleroathrophic gallbladder, hemorrhage from liver during dissection of gallbladder, chirotic liver). Class IV difficulty: Difficulty in exploration of gallbladder due to intraabdominal adhesions including technical problems. A total of 146 patients were operated with DLC. The most common difficulty type was Class I difficulty (88 patients/60.2%). Laparoscopic cholecystectomy was converted to laparotomy in 98 patients. Operation time was found to be related with conversion to open surgery (P<0.05). Wound infection rate was also statistically higher in conversion group (P<0.05). The opertion time was found to be longest with Class II difficulty. Conversion rate to open surgery was also highest with Class II difficulty group. Class II difficulty characterized by severe adhesions in calot's triangle is most serious problem among all DLC cases. They have longer operation time and higher conversion rate.

  15. Development and Evaluation of a Continuing Education Program for Nursing Technicians at a Pediatric Cardiac Intensive Care Unit in a Developing Country.

    PubMed

    Borim, Bruna Cury; Croti, Ulisses A; Silveira, Patricia C; De Marchi, Carlos H; Moscardini, Airton C; Hickey, Patricia; Jenkins, Kathy

    2017-11-01

    The nursing profession faces continuous transformations demonstrating the importance of professional continuing education to extend knowledge following technological development without impairing quality of care. Nursing assistants and technicians account for nearly 80% of nursing professionals in Brazil and are responsible for uninterrupted patient care. Extensive knowledge improvement is needed to achieve excellence in nursing care. The objective was to develop and evaluate a continuing education program for nursing technicians at a pediatric cardiac intensive care unit (PCICU) using a virtual learning environment entitled EDUCATE. From July to September 2015, a total of 24 nursing technicians working at the PCICU at a children's hospital located in the northwestern region of São Paulo state (Brazil) fully participated in the continuing education program developed in a virtual learning environment using Wix platform, allowing access to video classes and pre- and post-training theoretical evaluation questionnaires outside the work environment. The evaluation tools recorded participants' knowledge evolution, technological difficulties, educational, and overall rating. Knowledge development was descriptively presented as positive in more than 66.7%. Content and training were considered "excellent" by most participants and 90% showed an interest in the use of technological resources. Technical difficulties were found and quickly resolved by 40% of participants including Internet access, login, and lack of technical expertise. The continuing education program using a virtual learning environment positively contributed to the improvement in theoretical knowledge of nursing technicians in PCICU.

  16. Percutaneous Coronary Revascularization for Chronic Total Occlusions: A Novel Predictive Score of Technical Failure Using Advanced Technologies.

    PubMed

    Galassi, Alfredo R; Boukhris, Marouane; Azzarelli, Salvatore; Castaing, Marine; Marzà, Francesco; Tomasello, Salvatore D

    2016-05-09

    The aims of this study were to describe the 10-year experience of a single operator dedicated to chronic total occlusion (CTO) and to establish a model for predicting technical failure. During the last decade, the interest in percutaneous coronary interventions (PCIs) of chronic total occlusions (CTOs) has increased, allowing the improvement of success rate. One thousand nineteen patients with CTO underwent 1,073 CTO procedures performed by a single CTO-dedicated operator. The study population was subdivided into 2 groups by time period: period 1 (January 2005 to December 2009, n = 378) and period 2 (January 2010 to December 2014, n = 641). Observations were randomly assigned to a derivation set and a validation set (in a 2:1 ratio). A prediction score was established by assigning points for each independent predictor of technical failure in the derivation set according to the beta coefficient and summing all points accrued. Lesions attempted in period 2 were more complex in comparison with those in period 1. Compared with period 1, both technical and clinical success rates significantly improved (from 87.8% to 94.4% [p = 0.001] and from 77.6% to 89.9% [p < 0.001], respectively). A prediction score for technical failure including age ≥75 years (1 point), ostial location (1 point), and collateral filling Rentrop grade <2 (2 points) was established, stratifying procedures into 4 difficulty groups: easy (0), intermediate (1), difficult (2), and very difficult (3 or 4), with decreasing technical success rates. In derivation and validation sets, areas under the curve were comparable (0.728 and 0.772, respectively). With growing expertise, the success rate has increased despite increasing complexity of attempted lesions. The established model predicted the probability of technical failure and thus might be applied to grading the difficulty of CTO procedures. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  17. Soft magnetic tweezers: a proof of principle.

    PubMed

    Mosconi, Francesco; Allemand, Jean François; Croquette, Vincent

    2011-03-01

    We present here the principle of soft magnetic tweezers which improve the traditional magnetic tweezers allowing the simultaneous application and measurement of an arbitrary torque to a deoxyribonucleic acid (DNA) molecule. They take advantage of a nonlinear coupling regime that appears when a fast rotating magnetic field is applied to a superparamagnetic bead immersed in a viscous fluid. In this work, we present the development of the technique and we compare it with other techniques capable of measuring the torque applied to the DNA molecule. In this proof of principle, we use standard electromagnets to achieve our experiments. Despite technical difficulties related to the present implementation of these electromagnets, the agreement of measurements with previous experiments is remarkable. Finally, we propose a simple way to modify the experimental design of electromagnets that should bring the performances of the device to a competitive level.

  18. Comparison of occupational exposure to carbon disulphide in a viscose rayon factory before and after technical adjustments.

    PubMed

    Bulat, Petar; Daemen, Edgard; Van Risseghem, Marleen; De Bacquer, Dirk; Tan, Xiaodong; Braeckman, Lutgart; Vanhoorne, Michel

    2002-01-01

    The objective of this follow-up study was to verify the efficacy of the technical adjustments gradually introduced in departments of a viscose rayon factory from 1989 onward. Personal exposure to carbon disulphide was assessed by means of personal monitoring through active sampling. Six job titles in three departments of the factory were sampled. Geometric means were calculated and used as estimates of time-weighted average (TWA) concentrations. The results from the present study were compared with similar measurements from a previous study in the same factory. Due to organizational changes, only three job titles (spinner, first spinner, and viscose preparator) could be compared directly. Two new job titles were identified, although tasks performed in these two job titles already existed. The measurements from one job title could not be compared, due to a substantial reorganization and automation of the tasks carried out in the department. The comparison before and after technical improvements shows that personal exposure of spinner and first spinner has been substantially reduced. Even the geometric means of measurements outside the fresh air mask are below the TWA-TLV (Threshold Limit Value). Despite the difficulties in comparing the results from the two studies, it is concluded that the technical measures reduced up to tenfold personal exposure to carbon disulphide and personal protection reduced it further by a factor two.

  19. Technical considerations in continuous jugular venous oxygen saturation measurement.

    PubMed

    Dearden, N M; Midgley, S

    1993-01-01

    Fibreoptic reflection oximetry allows continuous in-vivo estimation of jugular venous oxygen saturation. In combination with pulse oximetry the oxygen extraction ratio SaO2-SjO2/SaO2 can be derived enabling identification of states of global luxury perfusion, normal coupling of global cerebral blood flow with global cerebral metabolism, global cerebral hypoperfusion and global cerebral ischemia. Several technical difficulties may arise affecting the accuracy of SjO2 recordings which must be recognised by the clinician before medical intervention is contemplated.

  20. Surgical management of congenital heart disease: evaluation according to the Aristotle score.

    PubMed

    Heinrichs, Jutta; Sinzobahamvya, Nicodème; Arenz, Claudia; Kallikourdis, Antonios; Photiadis, Joachim; Schindler, Ehrenfried; Hraska, Vicktor; Asfour, Boulos

    2010-01-01

    The Aristotle basic complexity (ABC) score (1.5-15 points) is the sum of potentials for early mortality, morbidity and anticipated surgical technique difficulty. The Aristotle comprehensive complexity (ACC) score (1.5-25 points) is the sum of ABC score and patient-adjusted complexity score; it comprises six complexity levels. We used the ACC score to evaluate quality in surgical management of congenital heart disease. Procedures performed in year 2002 and 2007 were analysed. Proportion of procedures requiring at least 1 week of stay in the intensive care unit was chosen as the marker of morbidity. We adopted threshold duration of 120 min for cardio-pulmonary bypass (CPB) cases and the same duration for operations without CPB as surrogate of surgical technical difficulty. The ACC scores were correlated to mortality, morbidity and technical difficulty. This study included 758 patients who underwent 787 primary procedures. The mean ABC and ACC scores amounted to 7.61+/-2.46 and 9.51+/-3.84. Early mortality was 3.05% (24/787), 95% confidence interval (CI): 1.97-4.51%. Zero at ACC levels 1 and 2, it increased from 1.2% (2/161) for level 3 up to 22.2% (2/9) for level 6. Morbidity index was evaluated at 25.9% (204/787), 95% CI: 22.9-29.1%. 1.9% at level 1, it escalated up to 77.8% at level 6. Index of technique difficulty was estimated at 35.2% (277/787), 95% CI: 31.8-38.6%, ranging from 4.8% for level 1 to 66.7% for level 6. A high correlation was found between the ACC scores and mortality, indices of morbidity and technique difficulty, Spearman's correlation coefficient r being 0.9856, 1 and 0.9429, respectively. Mortality (p=0.037) and morbidity (p=0.041) were lower in year 2007 than in 2002 with ABC (p=0.18) and ACC (p=0.37) surgical performance being not significantly different. The Aristotle score is still under development. Morbidity evaluation should be ideally based on observed postoperative complications; estimation of surgical technical difficulty chosen in this study may not be generalised. Nevertheless, the actual Aristotle comprehensive complexity score, as evaluated in its three components, accurately determined the outcome of surgical management of congenital heart disease. It appears to be an adequate tool to evaluate quality in paediatric cardiac surgery, over time. Copyright 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

  1. MODIS Validation, Data Merger and Other Activities Accomplished by the SIMBIOS Project: 2002-2003

    NASA Technical Reports Server (NTRS)

    Fargion, Giulietta S.; McClain, Charles R.

    2003-01-01

    The purpose of this technical report is to provide current documentation of the Sensor Intercomparison and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities, satellite data processing, and data product validation. This documentation is necessary to ensure that critical information is related to the scientific community and NASA management. This critical information includes the technical difficulties and challenges of validating and combining ocean color data from an array of independent satellite systems to form consistent and accurate global bio-optical time series products. This technical report focuses on the SIMBIOS Project s efforts in support of the Moderate-Resolution Imaging Spectroradiometer (MODIS) on the Earth Observing System (EOS) Terra platform (similar evaluations of MODIS/Aqua are underway). This technical report is not meant as a substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issued by an operational project.

  2. Cyberbullying

    ERIC Educational Resources Information Center

    Feinberg, Ted; Robey, Nicole

    2009-01-01

    Although bullying and relational aggression among students are longtime concerns, the elusive nature of cyberbullying compounds the difficulty of identifying harmful behavior and intervening to stop it. Principals across the country are struggling to determine their authority over cyberbullying that technically may occur outside of school but for…

  3. TRANSPORT OF TRICHLOROETHYLENE (TCE) IN NATURAL SOIL BY ELECTROOSMOSIS

    EPA Science Inventory

    Contamination in low permeability soils poses a significant technical challenge to in-situ remediation, primarily due to low mobilization of the contaminants and difficulty in uniform delivery of treatment reagents. An alternative approach using electroosmosis (EO) is used to mob...

  4. 78 FR 68485 - Self-Regulatory Organizations; Topaz Exchange, LLC; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-14

    ... proposed rule change seeks to create less of a disconnect if the ``primary'' market should be experiencing technical difficulties, an emergency, or other situation that may inhibit it to be connected to the...

  5. Human resources for health through conflict and recovery: lessons from African countries.

    PubMed

    Pavignani, Enrico

    2011-10-01

    A protracted conflict affects human resources for health (HRH) in multiple ways. In most cases, the inflicted damage constitutes the main obstacle to health sector recovery. Interventions aimed at healing derelict human resources are however fraught with difficulties of a political, technical, financial and administrative order. The experience accumulated in past recovery processes has made some important players aware of the cost incurred by neglecting human resource development. Several transitions from conflict to peace have been documented, even if largely in unpublished reports. This paper presents condensed descriptions of some African HRH-related recovery processes, which provide useful lessons. The technical work demanded to resuscitate a derelict health workforce is fairly well understood. In most situations, the highest hurdles lie outside of the health domain, and are of a political and administrative nature. Success stories are rare. But useful lessons are taught by failure as well as by success. © 2011 The Author(s). Disasters © Overseas Development Institute, 2011.

  6. Sacral root neuromodulation in the treatment of various voiding and storage problems.

    PubMed

    Shaker, H; Hassouna, M M

    1999-01-01

    This paper reviews the use of sacral neuromodulation as a treatment modality for patients with bladder dysfunction. The dual functions of the urinary bladder are to act as a reservoir and to evacuate under voluntary control. Bladder dysfunction is a descriptive term describing the loss or the impairment of one or both of these functions. In the first part of the manuscript we describe the different components of sacral neuromodulation: the screening test known as percutaneous nerve evaluation (PNE), which involves screening patients who could potentially benefit from the therapy. Those who show a satisfactory response will have a permanent neuroprosthesis implanted. The technical aspects of both components of neuromodulation are described in detail, as well as the technical difficulties encountered. In the second part we present our long-term results in patients with sacral neuromodulation. Sacral neuromodulation is a safe and efficient therapeutic modality that helps patients with refractory voiding dysfunction restore their bladder function.

  7. Technical analysis of the Slosson Written Expression Test.

    PubMed

    Erford, Bradley T; Hofler, Donald B

    2004-06-01

    The Slosson Written Expression Test was designed to assess students ages 8-17 years at risk for difficulties in written expression. Scores from three independent samples were used to evaluate the test's reliability and validity for measuring students' written expression. Test-retest reliability of the SWET subscales ranged from .80 to .94 (n = 151), and .95 for the Written Expression Total Standard Scores. The median alternate-form reliability for students' Written Expression Total Standard Scores was .81 across the three forms. Scores on the Slosson test yielded concurrent validity coefficients (n = 143) of .60 with scores from the Woodcock-Johnson: Tests of Achievement-Third Edition Broad Written Language Domain and .49 with scores on the Test of Written Language-Third Edition Spontaneous Writing Quotient. Exploratory factor analytic procedures suggested the Slosson test is comprised of two dimensions, Writing Mechanics and Writing Maturity (47.1% and 20.1% variance accounted for, respectively). In general, the Slosson Written Expression Test presents with sufficient technical characteristics to be considered a useful written expression screening test.

  8. United States Air Force Academy get-away-special flexible beam experiment

    NASA Technical Reports Server (NTRS)

    Bubb, Keith W.; Lamberson, Steven E.; Lash, Thomas A.

    1989-01-01

    The Department of Astronautics at the United States Air Force Academy is currently planning to fly an experiment in a NASA Get-Away-Special (GAS) canister. The experiment was named the flex beam experiment. The primary technical objective of the flex beam experiment is to measure the damping of a thin beam in the vacuum and zero G environment of space. By measuring the damping in space, it is hoped to determine the amount of damping the beam normally experiences due to the gravitational forces present on Earth. This will allow validation of models which predict the dynamics of thin beams in the space environment. The experiment will also allow the Academy to develop and improve its ability to perform experiments within the confines of a NASA GAS canister. Several experiments, of limited technical difficulty, were flown by the Academy. More complex experiments are currently planned and it is hoped to learn techniques with each space shuttle flight.

  9. Use of technologies in intravenous therapy: contributions to a safer practice.

    PubMed

    Moreira, Ana Paula Amorim; Escudeiro, Cristina Lavoyer; Christovam, Bárbara Pompeu; Silvino, Zenith Rosa; Carvalho, Márglory Fraga de; Silva, Roberto Carlos Lyra da

    2017-01-01

    To identify what are the difficulties of the nursing staff in the management of technologies during intravenous therapy (IVT) and discuss the difficulties identified under the perspective of patient's safety. Descriptive study of qualitative approach with data collected by semi-structured interview and analyzed by the Alceste software. The greatest difficulty of cognitive and technical emphasis was the lack of training; and regarding administrative emphasis, the greatest difficulty was the lack of material and human resources. Infusion pumps and their proper use were highlighted as the technological resource that most contributed to patient safety. The lack of training is presented as the greatest difficulty of nursing professionals and permeates safety issues of both patient and professional when using the hard technologies in IVT. Training is essential to the development of techniques, considered nursing tools. Identificar quais são as dificuldades da equipe de Enfermagem no manejo das tecnologias durante a terapia intravenosa (TIV) e discutir as dificuldades identificadas sob a perspectiva da segurança do paciente. abordagem qualitativa, do tipo descritivo com dados coletados por entrevista semiestruturada e analisados pelo programa Alceste. A maior dificuldade de ênfase cognitiva e técnica foi a falta de treinamento; e de ênfase administrativa, foi a falta de recursos materiais e humanos. As bombas de infusão e sua utilização adequada foram destacadas como o recurso tecnológico que mais contribuiu para a segurança do paciente. A falta de treinamento é apresentada como a maior dificuldade dos profissionais de Enfermagem e permeia as questões de segurança do paciente e do profissional ao utilizar as tecnologias duras na TIV. O treinamento é imprescindível para o desenvolvimento das técnicas, consideradas como ferramentas do fazer da Enfermagem.

  10. Do you have what it takes for challenging endoscopic submucosal dissection cases?

    PubMed Central

    Kim, Kyoung-Oh; Kim, Sung Jung; Kim, Tae Hyeon; Park, Jong-Jae

    2011-01-01

    Endoscopic submucosal dissection (ESD) is a widely accepted treatment for early gastric cancer (EGC), especially in Korea and Japan. The criteria for the therapeutic use of ESD for EGC have been expanded recently. However, attention should be drawn to the technical feasibility of the ESD treatment which depends on a lesion’s location, size or fibrosis level, or operator’s experience. In the case of a lesion with a high level of difficulty, a more experienced operator is required. Thus, the treatment for a lesion with a high level of difficulty should be performed according to the degree of the operator’s experience. In this paper, the authors describe the ESD procedure for lesions with a high level of difficulty. PMID:21987603

  11. Design and screening of M13 phage display cDNA libraries.

    PubMed

    Georgieva, Yuliya; Konthur, Zoltán

    2011-02-17

    The last decade has seen a steady increase in screening of cDNA expression product libraries displayed on the surface of filamentous bacteriophage. At the same time, the range of applications extended from the identification of novel allergens over disease markers to protein-protein interaction studies. However, the generation and selection of cDNA phage display libraries is subjected to intrinsic biological limitations due to their complex nature and heterogeneity, as well as technical difficulties regarding protein presentation on the phage surface. Here, we review the latest developments in this field, discuss a number of strategies and improvements anticipated to overcome these challenges making cDNA and open reading frame (ORF) libraries more readily accessible for phage display. Furthermore, future trends combining phage display with next generation sequencing (NGS) will be presented.

  12. The analysis of 146 patients with difficult laparoscopic cholecystectomy

    PubMed Central

    Bat, Orhan

    2015-01-01

    Introduction: Laparoscopic cholecystectomy (LC) is very commonly performed surgical intervention. Acute or chronic cholecystitis, adhesions due to previous upper abdomen surgeries, Mirrizi’s syndrome and obesity are common clinical conditions that can be associated with difficult cholecystectomy. In this study, we evaluated and scored the patients with difficult surgical exploration during laparoscopic cholecystectomy. Material and Method: All patients who underwent LC from 2010 to 2015 were retrospectively rewieved. According to intraoperative findings DLC cases were described and classified. Class I difficulty: Adhesion of omentum majus, transverse colon, duodenum to the fundus of the gallbladder. Class II difficulty: Adhesions in Calot’s triangle and difficulty in dissection of cystic artery and cystic duct Class III difficulty: Difficulty in dissection of gallbladder bed (scleroathrophic gallbladder, hemorrhage from liver during dissection of gallbladder, chirotic liver). Class IV difficulty: Difficulty in exploration of gallbladder due to intraabdominal adhesions including technical problems. Results: A total of 146 patients were operated with DLC. The most common difficulty type was Class I difficulty (88 patients/60.2%). Laparoscopic cholecystectomy was converted to laparotomy in 98 patients. Operation time was found to be related with conversion to open surgery (P<0.05). Wound infection rate was also statistically higher in conversion group (P<0.05). The opertion time was found to be longest with Class II difficulty. Conversion rate to open surgery was also highest with Class II difficulty group. Conclusion: Class II difficulty characterized by severe adhesions in calot’s triangle is most serious problem among all DLC cases. They have longer operation time and higher conversion rate. PMID:26629124

  13. Psychometric properties of the NEPSY-II affect recognition subtest in a preschool sample: a Rasch modeling approach.

    PubMed

    Yao, Shih-Ying; Bull, Rebecca; Khng, Kiat Hui; Rahim, Anisa

    2018-01-01

    Understanding a child's ability to decode emotion expressions is important to allow early interventions for potential difficulties in social and emotional functioning. This study applied the Rasch model to investigate the psychometric properties of the NEPSY-II Affect Recognition subtest, a U.S. normed measure for 3-16 year olds which assesses the ability to recognize facial expressions of emotion. Data were collected from 1222 children attending preschools in Singapore. We first performed the Rasch analysis with the raw item data, and examined the technical qualities and difficulty pattern of the studied items. We subsequently investigated the relation of the estimated affect recognition ability from the Rasch analysis to a teacher-reported measure of a child's behaviors, emotions, and relationships. Potential gender differences were also examined. The Rasch model fits our data well. Also, the NEPSY-II Affect Recognition subtest was found to have reasonable technical qualities, expected item difficulty pattern, and desired association with the external measure of children's behaviors, emotions, and relationships for both boys and girls. Overall, findings from this study suggest that the NEPSY-II Affect Recognition subtest is a promising measure of young children's affect recognition ability. Suggestions for future test improvement and research were discussed.

  14. Outsourcing's Potential in Higher Education.

    ERIC Educational Resources Information Center

    Robinson, Robert J.

    1991-01-01

    Reasons why institutions of higher education might choose to acquire computer services from off-campus suppliers are identified and include the difficulty of maintaining a qualified technical systems group. The importance of careful management oversight from contract bidding to ongoing performance monitoring is stressed. (DB)

  15. A Multidisciplinary Engineering Summer School in an Industrial Setting

    ERIC Educational Resources Information Center

    Larsen, Peter Gorm; Fernandes, Joao M.; Habel, Jacek; Lehrskov, Hanne; Vos, Richard J. C.; Wallington, Oliver; Zidek, Jan

    2009-01-01

    Most university-level engineering studies produce technically skilled engineers. However, typically students face several difficulties when working in multidisciplinary teams when they initiate their industrial careers. In a globalised world, it becomes increasingly important that engineers are capable of collaborating across disciplinary…

  16. 78 FR 57839 - Request for Information on Computer Security Incident Coordination (CSIC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-20

    ... Institute of Standards and Technology (NIST), United States Department of Commerce. ACTION: Notice, extension of comment period. SUMMARY: NIST is extending the deadline for submitting comments relating to Computer Security Incident Coordination. NIST experienced technical difficulties with receiving email...

  17. Integrated Data Collection Analysis (IDCA) Program — IDCA Quarterly Program Review, September 14 and 15, 2010

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

    Sandstrom, Mary M.; Brown, Geoffrey W.; Warner, Kirstin F.

    The IDCA conducted a program review at Los Alamos National Laboratory, September 14 and 15, 2010. The review was divided into three parts: 1) an update on the current status of the program, 2) an information exchange and discussion on technical details for current issues and future planning, and 3) a tour of the SSST testing facilities at LANL. The meeting started with an update from DHS by Laura Parker and a restating of some of the objectives of the Proficiency Test of which the IDCA is currently engaged. This update was followed by a discussion of some high levelmore » programmatic issues particularly about ways of communicating the overall goals of the IDCA to non-technical representatives. The final topic focused on the difficulty of releasing information, including the DHS approval process, ITAR, and open publication. Next JGR presented a technical summary of accomplishments, schedule, milestones, and future directions. These key points made were: 1) about 1/3 of the materials have been tested, 2) some participants are behind others causing a lag in report writing, 3) method reports have been assigned to various participants to speed up the process of reporting, 4) the SSST Compendium needs reformatting and restructuring, and 5) the Compendium needs a web site to house with access control. After the technical update, some of the Proficiency Test results were shown comparing data from the various laboratories. These results included comparisons of the RDX standard, KC/sugar mixtures (-100 mesh and as received), KC/dodecane, KP/Al, and KP/C. Impact, friction, ESD, and DSC results were the focus. All the participants were involved in these discussions. This report includes summary notes, presentations, and explanatory information.« less

  18. Effect of the number of ball contacts within bouts of 4 vs. 4 small-sided soccer games.

    PubMed

    Dellal, Alexandre; Lago-Penas, Carlos; Wong, Del P; Chamari, Karim

    2011-09-01

    The aim of this study was to examine the influence of the number of ball touches authorized per possession on the physical demands, technical performances and physiological responses throughout the bouts within 4 vs. 4 soccer small-sided games (SSGs). Twenty international soccer players (27.4 ± 1.5 y, 180.6 ± 2.3 cm, 79.2 ± 4.2 kg, body fat 12.7 ± 1.2%) performed three different 4 vs. 4 SSGs (4 × 4 min) in which the number of ball touches authorized per possession was manipulated (1 touch = 1T; 2 touches = 2T; Free Play = FP). The SSGs were divided in 4 bouts (B1, B2, B3 and B4) separated by 3 min of passive recovery. The physical performances, technical activities, heart rate responses, blood lactate and RPE were analyzed. The FP rule presented greater number of duels, induced the lowest decreases of the sprint and high-intensity performances, and affected less the technical actions (successful passes and number of ball losses) from B1 to B4 as compared with 1T and 2T forms. Moreover, the SSG played in 1T form led to reach higher solicitation of the high-intensity actions while players presented more difficulty to perform a correct technical action. The modification of the number of ball touches authorized per possession affects the soccer player activity from the first to the last bout of SSG, indicating that the determination of this rule has to be precisely planned by the coach according to the objectives of the training.

  19. In Situ Aerosol Optical Thickness Collected by the SIMBIOS Program (1997-2000): Protocols, and and Data QC and Analysis

    NASA Technical Reports Server (NTRS)

    Fargion, Giulietta S.; Barnes, Robert; McClain, Charles

    2001-01-01

    The purpose of this technical report is to provide current documentation of the Sensor Intercomparison and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project Office activities on in situ aerosol optical thickness (i.e., protocols, and data QC and analysis). This documentation is necessary to ensure that critical information is related to the scientific community and NASA management. This critical information includes the technical difficulties and challenges of validating and combining ocean color data from an array of independent satellite systems to form consistent and accurate global bio-optical time series products. This technical report is not meant as a substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issued by an operational project.

  20. Potential Energy Sources Pose Mining Problem

    ERIC Educational Resources Information Center

    Chemical and Engineering News, 1974

    1974-01-01

    Summarizes the discussions of a Division of Industrial and Engineering Chemistry symposium on solids handling for synthetic fuels production. Included is a description of technical difficulties with the use of coal seams and deposits of oil shale and oil sand as potential sources of fuel. (CC)

  1. Platelet counting using the Coulter electronic counter.

    PubMed

    Eggleton, M J; Sharp, A A

    1963-03-01

    A method for counting platelets in dilutions of platelet-rich plasm using the Coulter electronic counter is described.(1) The results obtained show that such platelet counts are at least as accurate as the best methods of visual counting. The various technical difficulties encountered are discussed.

  2. Meta-Evaluation

    ERIC Educational Resources Information Center

    Stufflebeam, Daniel L.

    2011-01-01

    Good evaluation requires that evaluation efforts themselves be evaluated. Many things can and often do go wrong in evaluation work. Accordingly, it is necessary to check evaluations for problems such as bias, technical error, administrative difficulties, and misuse. Such checks are needed both to improve ongoing evaluation activities and to assess…

  3. Building Community-Based Consensus: The Oconto Experience.

    ERIC Educational Resources Information Center

    Behr, Chris; Shaffer, Ron; Lamb, Greg; Miller, Al; Sadowske, Sue

    1998-01-01

    Coastal communities face difficult choices regarding the use if their waterfront resources. The complexity of issues, contradictory scientific evidence, different visions of the future, and uncertainty regarding community interests add to the difficulty of reaching consensus. The community of Oconto, Wisconsin, attempted to integrate technical and…

  4. Diagnosis of murine mycoplasmal infections by enzyme-linked immunosorbent assay (ELISA).

    PubMed

    Davis, J; Cassell, G H; Gambill, G; Cox, N; Watson, H; Davidson, M

    1987-06-01

    ELISA is the currently accepted method for screening rodent colonies for Mycoplasma pulmonis infection. While this assay has greatly improved mycoplasmal detection, it suffers from major defects. Cross-reactions with M. arthritidis are the major technical problem, and prevent definitive diagnosis. Current methods for obtaining a definitive diagnosis are accurate in about 80% of cases, and include ELISA testing for both organisms, immunoblot analysis, and blocking of the murine reaction with heterologous serum. Another technical difficulty is the inherent variability in the assay, which can be overcome by rigid quality control measures and careful attention to detail. The difficulties that arise from the natural history of mycoplasmal infection in barrier-maintained colonies, i.e., low incidence of infected animals and delayed antibody response in animals infected with low numbers of organisms, seriously limit the usefulness of the ELISA. While the assay can be extremely useful in screening breeding colonies and in eliminating mycoplasmas from such colonies, it cannot easily be used to screen potential sources of weanling animals for experimental use.

  5. Evaluation of virtual simulation in a master's-level nurse education certificate program.

    PubMed

    Foronda, Cynthia; Lippincott, Christine; Gattamorta, Karina

    2014-11-01

    Master's-level, nurse education certificate students performed virtual clinical simulations as a portion of their clinical practicum. Virtual clinical simulation is an innovative pedagogy using avatars in Web-based platforms to provide simulated clinical experiences. The purpose of this mixed-methods study was to evaluate nurse educator students' experience with virtual simulation and the effect of virtual simulation on confidence in teaching ability. Aggregated quantitative results yielded no significant change in confidence in teaching ability. Individually, some students indicated change of either increased or decreased confidence, whereas others exhibited no change in confidence after engaging in virtual simulation. Qualitative findings revealed a process of precursors of anxiety and frustration with technical difficulties followed by outcomes of appreciation and learning. Instructor support was a mediating factor to decrease anxiety and technical difficulties. This study served as a starting point regarding the application of a virtual world to teach the art of instruction. As the movement toward online education continues, educators should further explore use of virtual simulation to prepare nurse educators.

  6. Knowledge, attitudes and practices regarding head lice infestations in rural Nigeria.

    PubMed

    Heukelbach, Jorg; Ugbomoiko, Uade Samuel

    2011-09-14

    Head lice infestations are common in sub-Saharan Africa, but knowledge, attitudes and practices have never been studied in this region. This population-based study was conducted in a small rural community (population = 590) in Kwara State, Central Nigeria. Inhabitants of the community were interviewed regarding head lice infestations, using a pre-tested structured questionnaire, and examined regarding the presence of active pediculosis. Of the 496 participants included, 367 (74.0%) had experienced head lice infestations, but only 26 (11.1%) of the individuals older than 15 years knew the correct mode of transmission. Of 142 individuals with active pediculosis, only 1 (0.7%) felt ashamed. Treatment was most commonly done by grooming (46.3%), followed by combing (27.2%). Only 4.6% used pediculicides, and 21.8% did not apply any treatment. Opinions about difficulties in controlling head lice were asked in three groups: biological, technical and social. In the first group, the most common difficulty noted was detecting head lice (52.1%), followed by possible resistance that would lengthen the time of infestation (38.9%). Technical constraints included concerns on the safety and effectiveness of products (48.7%) and difficulties in obtaining treatment (46.2%). Social contraints included difficulty in treating children (24.4%), lack of knowledge (23.5%), and the social behavior of children (22.2%). Head lice were not perceived as an important disease in a rural Nigerian community, and feelings about the infestation were mostly indifferent. Despite its common occurrence, knowledge on head lice was limited.  

  7. Feasibility, efficacy, and predictive factors for the technical success of endoscopic nasogallbladder drainage: a prospective study.

    PubMed

    Yane, Kei; Maguchi, Hiroyuki; Katanuma, Akio; Takahashi, Kuniyuki; Osanai, Manabu; Kin, Toshifumi; Takaki, Ryo; Matsumoto, Kazuyuki; Gon, Katsushige; Matsumori, Tomoaki; Tomonari, Akiko; Nojima, Masanori

    2015-03-01

    Several studies have shown the useful-ness of endoscopic nasogallbladder drainage (ENGBD) in patients with acute cholecystitis. However, the procedure is difficult, and factors that affect technical success have not yet been clarified. We conducted a prospective study to eval-uate the technical feasibility, efficacy, and predictive factors for the technical success of ENGBD in patients with acute cholecystitis. All patients with moderate or severe acute cholecystitis who were enrolled underwent ENGBD between April 2009 and April 2011. Patients with surgically altered anatomy or pancreatobiliary malignancies were ex-cluded. The primary outcomes included technical success, clinical success, and complications. Factors that could affect the technical success were also examined. Of the 27 patients who underwent ENGBD during the study period, technical success was achieved in 21 (78%) and clinical improvement was achieved in 20 (95%). Early complications were encountered in four patients (15%). Gallbladder wall thickness (odds ratio [OR], 1.64; 95% confidence interval [CI], 1.08 to 2.47) and age (OR, 1.16; 95% CI, 1.00 to 1.35) were effective predictors of technical failure. ENGBD was effective in resolving acute cholecystitis; however, this modality was technically challenging and had a limited suc-cess rate. Because of technical difficulties, ENGBD should be reserved for limited indications. (Gut Liver, 2015;9239-246).

  8. Synthetic carbohydrate: An aid to nutrition in the future

    NASA Technical Reports Server (NTRS)

    Berman, G. A. (Editor); Murashige, K. H. (Editor)

    1973-01-01

    The synthetic production of carbohydrate on a large scale is discussed. Three possible nonagricultural methods of making starch are presented in detail and discussed. The simplest of these, the hydrolysis of cellulose wastes to glucose followed by polymerization to starch, appears a reasonable and economic supplement to agriculture at the present time. The conversion of fossil fuels to starch was found to be not competitive with agriculture at the present time, but tractable enough to allow a reasonable plant design to be made. A reconstruction of the photosynthetic process using isolated enzyme systems proved technically much more difficult than either of the other two processes. Particular difficulties relate to the replacement of expensive energy carrying compounds, separation of similar materials, and processing of large reactant volumes. Problem areas were pinpointed, and technological progress necessary to permit such a system to become practical is described.

  9. The Mercury-Redstone Program

    NASA Technical Reports Server (NTRS)

    Hammack, Jerome B.; Heberlig, Jack C.

    1961-01-01

    The Mercury-Redstone program is reviewed as to its intended mission and its main results. The progressive results of unmanned, animal, and manned flights of this over-all Project Mercury ballistic training program are presented. A technical description of the major spacecraft systems is presented with some analysis of flight performance. Performance of the spacecraft with and without pilot input is discussed. The influence of the astronaut as an operating link in the over-all system is presented, and relative difficulties of manned versus unmanned flight are briefly commented upon. The program provided information on man as an integral part of a space flight system, demonstrating that man can assume a primary role in space as he does in other realms of flight. The Mercury-Redstone program demonstrated that the Mercury spacecraft was capable of manned space flight, and succeeded in partially qualifying the spacecraft for orbital flight.

  10. [The second kidney transplantation in Spain].

    PubMed

    Virseda Rodríguez, Julio Antonio

    2015-05-01

    The first two living donor kidney transplants in our country (isotransplant and homotransplant respectively) were reported in 1961. We reviewed the clinical history of the renal homotransplant performed between father and son, more than half a century ago, by Carlos Younger de la Peña and Ramiro Rivera at "La Paloma' Clinic in Madrid. We comment on the organizational, legal, immunobiological and technical difficulties in those times when the successful future of transplantation was barely in sight. From the XXI Century we can see the long path of renal transplantation during the XX century. Despite all the initial troubles and failures our present must recognize, and so does it, the work and dedication of the pioneers.

  11. Association of Myosin Va and Schwann cells-derived RNA in mammal myelinated axons, analyzed by immunocytochemistry and confocal FRET microscopy.

    PubMed

    Canclini, Lucía; Wallrabe, Horst; Di Paolo, Andrés; Kun, Alejandra; Calliari, Aldo; Sotelo-Silveira, José Roberto; Sotelo, José Roberto

    2014-03-15

    Evidence from multiple sources supports the hypothesis that Schwann cells in the peripheral nervous system transfer messenger RNA and ribosomes to the axons they ensheath. Several technical and methodological difficulties exist for investigators to unravel this process in myelinated axons - a complex two-cell unit. We present an experimental design to demonstrate that newly synthesized RNA is transferred from Schwann cells to axons in association with Myosin Va. The use of quantitative confocal FRET microscopy to track newly-synthesized RNA and determine the molecular association with Myosin Va, is described in detail. Copyright © 2013 Elsevier Inc. All rights reserved.

  12. Percutaneous treatment of Lutembacher syndrome in a case with difficult mitral valve crossing.

    PubMed

    Bhambhani, Anupam; Somanath, H S

    2012-03-01

    Most cases of combination congenital cardiac anomalies are treated with open-heart surgeries because the coexisting anomalies change the cardiac anatomy in an adverse way, making catheter manipulations complex. Lutembacher syndrome is a combination of acquired mitral stenosis and congenital ostium secundum atrial septal defect. The large defect in the septum makes an Inoue balloon catheter unstable, which provides excessive space for free floatation of the catheter, making its passage into the left ventricle difficult by Inoue technique. We present a case of elective definitive percutaneous treatment of Lutembacher syndrome, discussing the technical difficulties faced in mitral valve crossing and reviewing the possible strategies to improve chances of success.

  13. Evaluating the Adequacy of Social-Emotional Measures in Early Childhood

    ERIC Educational Resources Information Center

    Gokiert, Rebecca J.; Georgis, Rebecca; Tremblay, Melissa; Krishnan, Vijaya; Vandenberghe, Christine; Lee, Clara

    2014-01-01

    Technical adequacy and usability are important considerations in selecting early childhood social-emotional (SE) screening and assessment measures. As identification of difficulties can be tied to programming, intervention, accountability, and funding, it is imperative that practitioners and decision makers select appropriate and quality measures…

  14. 75 FR 11175 - Pesticide Products; Registration Applications

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-10

    ... comment due to technical difficulties and cannot contact you for clarification, EPA may not be able to... the document by docket ID number and other identifying information (subject heading, Federal Register...). 4. File Symbol: 5481-LAI. Docket Number: EPA-HQ-OPP-2010-0064. Applicant: Technology Sciences Group...

  15. Band II, Music: 5623.50.

    ERIC Educational Resources Information Center

    Silkebakken, Dennis L.

    This quinmester course of easy-to-medium difficulty is recommended for pupils who have had band or have demonstrated satisfactory proficiency on an instrument. Emphasis for both musicianship and performance is placed on intonation, phrasing, sight-reading, and instrumental technical facility, as well as responsibility of the individual to the…

  16. Vocational Education in Algeria, Egypt, and Morocco: The Crisis and its Lessons.

    ERIC Educational Resources Information Center

    Salmi, Jamil

    1990-01-01

    Examines developments in vocational and technical education systems in Algeria, Egypt, and Morocco. Argues each system faces critical problems resulting from demographic pressures, educational demand, lack of funding, and job placement difficulties. Recommends programs should reflect industry's needs, urging integration between general and…

  17. Platelet counting using the Coulter electronic counter

    PubMed Central

    Eggleton, M. J.; Sharp, A. A.

    1963-01-01

    A method for counting platelets in dilutions of platelet-rich plasm using the Coulter electronic counter is described.1 The results obtained show that such platelet counts are at least as accurate as the best methods of visual counting. The various technical difficulties encountered are discussed. PMID:16811002

  18. Bridging the Gap: Contextualizing Professional Ethics in Collaborative Writing Projects

    ERIC Educational Resources Information Center

    Rice, J. A.

    2007-01-01

    Many business and technical writing students find classroom discussions of professional ethics interesting and enjoyable. However, when trying to incorporate the content of discussions directly into their writing practices, they often experience difficulties linking ethical concepts to writing process. This article discusses how instructors can…

  19. An Extension Case Study in Institutional Innovation: Microfinance Intermediary Formation

    ERIC Educational Resources Information Center

    Edelman, Mark A.

    2015-01-01

    An institutional innovation process led by Extension created a statewide microfinance intermediary. The intermediary provides business technical assistance and microloans to entrepreneurs having difficulty securing conventional credit but having workable business plans. The process included (1) gathering indicators of a problem; (2) formation of a…

  20. Subjective Appraisal as a Feedback Tool. Technical Report 604.

    ERIC Educational Resources Information Center

    Burnside, Billy L.

    This report examines the accuracy of subjective appraisals of several aspects of task performance, including proficiency, difficulty, frequency, and criticality. An introduction discusses current Army use of subjective appraisal, feedback methods, and problems with subjective appraisal. Data pertaining to the accuracy of various types of appraisal…

  1. Supporting Advice Sharing for Technical Problems in Residential Settings

    ERIC Educational Resources Information Center

    Poole, Erika Shehan

    2010-01-01

    Visions of future computing in residential settings often come with assumptions of seamless, well-functioning, properly configured devices and network connectivity. In the near term, however, processes of setup, maintenance, and troubleshooting are fraught with difficulties; householders regularly report these tasks as confusing, frustrating, and…

  2. Technical Note: Stored grain volume measurement using a low density point cloud

    USDA-ARS?s Scientific Manuscript database

    The mass of stored grain is often determined from volume measurements by crop insurers, government auditors, and stored grain managers conducting inventories. Recent increases in bin size have accentuated the difficulty of accounting for irregularities and variations in surface conditions in calcula...

  3. Students' Perceptions on an Interprofessional Ward Round Training - A Qualitative Pilot Study.

    PubMed

    Nikendei, C; Huhn, D; Pittius, G; Trost, Y; Bugaj, T J; Koechel, A; Schultz, J-H

    2016-01-01

    Ward rounds are an essential activity for interprofessional teams in hospital settings and represent complex tasks requiring not only medical knowledge but also communication skills, clinical technical skills, patient management skills and team-work skills. The present study aimed to analyse final year students', nurses' as well as physiotherapists' views on a simulation-based interprofessional ward round training. In two successive passes a total number of 29 final year students, nursing students and physiotherapy students (16 in the first run, 13 in the second) volunteered to participate in two standardized patient ward round scenarios: (1) patient with myocardial infarction, and (2) patient with poorly controlled diabetes. Views on the interprofessional ward round training were assessed using focus groups. Focus group based feedback contained two main categories (A) ward round training benefits and (B) difficulties. Positive aspects enfolded course preparation, setting of the training, the involvement of the participants during training and the positive learning atmosphere. Difficulties were seen in the flawed atmosphere and realization of ward rounds in the daily clinical setting with respect to inter-professional aspects, and course benefit for the different professional groups. The presented inter-professional ward round training represents a well received and valuable model of interprofessional learning. Further research should assess its effectiveness, processes of interprofessional interplay and transfer into clinical practice.

  4. A geological model for the management of subsurface data in the urban environment of Barcelona and surrounding area

    NASA Astrophysics Data System (ADS)

    Vázquez-Suñé, Enric; Ángel Marazuela, Miguel; Velasco, Violeta; Diviu, Marc; Pérez-Estaún, Andrés; Álvarez-Marrón, Joaquina

    2016-09-01

    The overdevelopment of cities since the industrial revolution has shown the need to incorporate a sound geological knowledge in the management of required subsurface infrastructures and in the assessment of increasingly needed groundwater resources. Additionally, the scarcity of outcrops and the technical difficulty to conduct underground exploration in urban areas highlights the importance of implementing efficient management plans that deal with the legacy of heterogeneous subsurface information. To deal with these difficulties, a methodology has been proposed to integrate all the available spatio-temporal data into a comprehensive spatial database and a set of tools that facilitates the analysis and processing of the existing and newly added data for the city of Barcelona (NE Spain). Here we present the resulting actual subsurface 3-D geological model that incorporates and articulates all the information stored in the database. The methodology applied to Barcelona benefited from a good collaboration between administrative bodies and researchers that enabled the realization of a comprehensive geological database despite logistic difficulties. Currently, the public administration and also private sectors both benefit from the geological understanding acquired in the city of Barcelona, for example, when preparing the hydrogeological models used in groundwater assessment plans. The methodology further facilitates the continuous incorporation of new data in the implementation and sustainable management of urban groundwater, and also contributes to significantly reducing the costs of new infrastructures.

  5. Deployment Process, Mechanization, and Testing for the Mars Exploration Rovers

    NASA Technical Reports Server (NTRS)

    Iskenderian, Ted

    2004-01-01

    NASA's Mar Exploration Rover (MER) robotic prospectors were produced in an environment of unusually challenging schedule, volume, and mass restrictions. The technical challenges pushed the system s design towards extensive integration of function, which resulted in complex system engineering issues. One example of the system's integrated complexity can be found in the deployment process for the rover. Part of this process, rover "standup", is outlined in this paper. Particular attention is given to the Rover Lift Mechanism's (RLM) role and its design. Analysis methods are presented and compared to test results. It is shown that because prudent design principles were followed, a robust mechanism was created that minimized the duration of integration and test, and enabled recovery without perturbing related systems when reasonably foreseeable problems did occur. Examples of avoidable, unnecessary difficulty are also presented.

  6. On the measurement of pilot perceptual workload - A comparison of assessment techniques addressing sensitivity and intrusion issues

    NASA Technical Reports Server (NTRS)

    Casali, J. G.; Wierwille, W. W.

    1984-01-01

    A flight simulator-based study was conducted to examine fourteen distinct mental workload estimation measures, including opinion, secondary task, physiological, and primary task measures. Both the relative sensitivity of the measures to changes in mental workload and the differential intrusion of the changes on primary task performance were assessed. The flight task was varied in difficulty by manipulation of the presentation rate and complexity of a hazard-perception task that required each of 48 licensed pilots to rely heavily on their perceptual abilities. Three rating scales (Modified Cooper-Harper, Multi-descriptor, and Workload-Compensation-Interference/Technical Effectiveness), two secondary task measures (time estimation and tapping regularity), one physiological measure (respiration frequency), and one primary task measure (danger-condition response time) were reliable indicants of workload changes. Recommendations for applying the workload measures are presented.

  7. Fundamentals of neurosurgery: virtual reality tasks for training and evaluation of technical skills.

    PubMed

    Choudhury, Nusrat; Gélinas-Phaneuf, Nicholas; Delorme, Sébastien; Del Maestro, Rolando

    2013-11-01

    Technical skills training in neurosurgery is mostly done in the operating room. New educational paradigms are encouraging the development of novel training methods for surgical skills. Simulation could answer some of these needs. This article presents the development of a conceptual training framework for use on a virtual reality neurosurgical simulator. Appropriate tasks were identified by reviewing neurosurgical oncology curricula requirements and performing cognitive task analyses of basic techniques and representative surgeries. The tasks were then elaborated into training modules by including learning objectives, instructions, levels of difficulty, and performance metrics. Surveys and interviews were iteratively conducted with subject matter experts to delimitate, review, discuss, and approve each of the development stages. Five tasks were selected as representative of basic and advanced neurosurgical skill. These tasks were: 1) ventriculostomy, 2) endoscopic nasal navigation, 3) tumor debulking, 4) hemostasis, and 5) microdissection. The complete training modules were structured into easy, intermediate, and advanced settings. Performance metrics were also integrated to provide feedback on outcome, efficiency, and errors. The subject matter experts deemed the proposed modules as pertinent and useful for neurosurgical skills training. The conceptual framework presented here, the Fundamentals of Neurosurgery, represents a first attempt to develop standardized training modules for technical skills acquisition in neurosurgical oncology. The National Research Council Canada is currently developing NeuroTouch, a virtual reality simulator for cranial microneurosurgery. The simulator presently includes the five Fundamentals of Neurosurgery modules at varying stages of completion. A first pilot study has shown that neurosurgical residents obtained higher performance scores on the simulator than medical students. Further work will validate its components and use in a training curriculum. Copyright © 2013 N. Choudhury. Published by Elsevier Inc. All rights reserved.

  8. Sources of Variability in Chlorophyll Analysis by Fluorometry and High-Performance Liquid Chromatography in a SIMBIOS Inter-Calibration Exercise

    NASA Technical Reports Server (NTRS)

    VanHeukelem, Laurie; Thomas, Crystal S.; Gilbert, Patricia M.; Fargion, Giulietta S. (Editor); McClain, Charles R. (Editor)

    2002-01-01

    The purpose of this technical report is to provide current documentation of the Sensor Intercomparison and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities, NASA Research Announcement (NRA) research status, satellite data processing, data product validation, and field calibration. This documentation is necessary to ensure that critical information is related to the scientific community and NASA management. This critical information includes the technical difficulties and challenges of validating and combining ocean color data from an array of independent satellite systems to form consistent and accurate global bio-optical time series products. This technical report is not meant as a substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issued by an operational project. This particular document focus on the variability in chlorophyll pigment measurements resulting from differences in methodologies and laboratories conducting the pigment analysis.

  9. Materials education activities

    NASA Technical Reports Server (NTRS)

    Ries, Heidi R.; Harris, Jonice; Leake, Woodrow W.; Bunnell, L. Roy; Berrettini, Robert

    1993-01-01

    Last year, at NEW: Update '91, a panel discussion was held to address the unique difficulties of attracting and retaining minorities and women in technical studies. Unfortunately, retention in technical majors is a problem of varying proportions for the entire student population, and must be improved in order to maintain the strength of the nation's industrial base. To investigate the cause of student attrition in technical majors, in-depth interviews of both current and former (non-graduating) engineering students at four colleges and universities in Colorado were conducted by Hewitt and Seymour. They found that there was no significant difference in the level of high school preparation and undergraduate academic performance in these two groups, despite the prevailing faculty perception that most students who switch from technical to nontechnical majors were underprepared. The majority of engineering students who changed majors reported that they were turned off by science, while one-third complained of poor teaching.

  10. Using Classroom Layout to Help Reduce Students' Apprehension and Increase Communication

    ERIC Educational Resources Information Center

    Rae, Kirsten; Sands, John

    2013-01-01

    When teaching introductory management accounting courses at undergraduate level, the authors noticed that some students experience difficulty in integrating theoretical and technical knowledge of management accounting and applying it to specific scenarios. However, based on the authors' experience, the problems faced by students when learning…

  11. 75 FR 70256 - Tralomethrin; Notice of Receipt of Request To Voluntarily Cancel Pesticide Registrations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-17

    ... comment due to technical difficulties and cannot contact you for clarification, EPA may not be able to... docket ID number and other identifying information (subject heading, Federal Register date and page... registrant Bayer (Bayer CropScience LP and Bayer Environmental Science) to cancel certain tralomethrin...

  12. Vocational Centres in Fiji Schools: A Needs Analysis

    ERIC Educational Resources Information Center

    McBeath, Clare

    2005-01-01

    A needs analysis was conducted into the issues facing the Technical and Vocational Education sector in Fiji. Vocational Centre teachers, Principals and an Education Officer were interviewed, and their responses analysed. The survey pointed to the difficulties currently experienced by the Vocational Centres in the face of poor facilities and…

  13. 39 CFR 777.28 - Claims and appeals.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... relocation representative with the displaced person, to preclude technical difficulties in processing the... displaced person will be fully informed in writing that his or her final claim will then be subject to... because of untimely filing or other grounds, it must promptly notify the claimant in writing of the...

  14. 39 CFR 777.28 - Claims and appeals.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... relocation representative with the displaced person, to preclude technical difficulties in processing the... displaced person will be fully informed in writing that his or her final claim will then be subject to... because of untimely filing or other grounds, it must promptly notify the claimant in writing of the...

  15. 39 CFR 777.28 - Claims and appeals.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... relocation representative with the displaced person, to preclude technical difficulties in processing the... displaced person will be fully informed in writing that his or her final claim will then be subject to... because of untimely filing or other grounds, it must promptly notify the claimant in writing of the...

  16. 39 CFR 777.28 - Claims and appeals.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... relocation representative with the displaced person, to preclude technical difficulties in processing the... displaced person will be fully informed in writing that his or her final claim will then be subject to... because of untimely filing or other grounds, it must promptly notify the claimant in writing of the...

  17. Pre-Employment Testing on the Internet: Put Candidates a Click Away and Hire at Modem Speed.

    ERIC Educational Resources Information Center

    Mooney, John

    2002-01-01

    The experience of a county government illustrates factors to consider in implementing online employment testing for job candidates: (1) selection of the appropriate Internet-based test; (2) passwords, timing, security, and technical difficulties; and (3) provisions for applicants who lack Internet access. (SK)

  18. Use of Communication Resources in a Networked Collaborative Design Environment.

    ERIC Educational Resources Information Center

    Gay, Geri; Lentini, Marc

    1995-01-01

    Examines student use of a prototype networked collaborative design environment to support or augment learning about engineering design. Finds that students use the channels for a variety of activities to increase depth of communication, increase breadth of communication, and overcome technical difficulty. Suggests that students need multiple…

  19. Quality Control in Title I Evaluation: Problems and Approaches.

    ERIC Educational Resources Information Center

    Hansen, Joe B.

    Educational program evalaution is subject to many difficulties. Problems with evaluation include such conceptual problems as: (1) understanding of decisions to be made; (2) adequate definition; (3) consensus on values and criteria; (4) coordination among administrative levels; and (5) use of an appropriate evaluation model. Technical problems…

  20. The KEEP Phone Discrimination Test. Technical Report No. 64.

    ERIC Educational Resources Information Center

    Smith, Kenneth; And Others

    The urban, ethnically Hawaiian child typically experiences great difficulty in learning to read English. In order to determine whether phonological confusion is a source of dialectical interference, the Kamehameha Early Education Program (KEEP) Phone Discrimination Test (KPDT) was developed for the one hundred twelve students in the KEEP school…

  1. Development of a statewide transportation data warehousing and mining system under the Louisiana transportation information system (LATIS) program : technical summary report.

    DOT National Transportation Integrated Search

    2009-04-01

    Considerable amounts of data are collected by metropolitan and state authorities that : are either not used or accessed and analyzed with difficulty. This situation has been : exacerbated by the recent increase in information from Intelligent Transpo...

  2. Biological Simulations in Distance Learning. CAL Research Group Technical Report No. 12.

    ERIC Educational Resources Information Center

    Murphy, P. J.

    When two biological simulations on evolution and genetics (one originally developed for a conventional university undergraduate course) were introduced into Open University distance education classes, the difficulties encountered required a reappraisal of the concept of using computer simulation for distance learning and decisions on which…

  3. The Medical Terminology Course--Its Necessity and the Solution.

    ERIC Educational Resources Information Center

    Phillips, J. H.

    1981-01-01

    Addresses difficulties faced by medical students in the acquisition of a technical terminology largely based on Greek or Latin, and explains how in recent years undergraduate Classics departments have met the challenge by offering a Medical Terminology course. Discusses course development and currently available instruction materials. (MES)

  4. Benchmarking of protein carbonylation analysis in Caenorhabditis elegans: specific considerations and general advice.

    PubMed

    Pyr Dit Ruys, S; Bonzom, J-M; Frelon, S

    2016-10-01

    Oxidative stress has been extensively studied due to its correlation with cellular disorders and aging. In proteins, one biomarker of oxidative stress is the presence of carbonyl groups, such as aldehyde and ketone, in specific amino acid side chains such as lysine, proline, arginine and threonine, so-called protein carbonylation (PC). PC study is now a growing field in general and medical science since PC accumulation is associated with various pathologies and disorders. At present, enzyme-linked immunosorbent assays (ELISA) seem to be the most robust method of quantifying the presence of carbonyl groups in proteins, despite having some recognised caveats. In parallel, gel-based approaches present cross-comparison difficulties, along with other technical problems. As generic PC analyses still suffer from poor homogeneity, leading to cross-data analysis difficulties and poor results overlap, the need for harmonisation in the field of carbonyl detection is now widely accepted. This study aims to highlight some of the technical challenges in proteomic gel-based multiplexing experiments when dealing with PC in difficult samples like those from Caenorhabditis elegans, from protein extraction to carbonyl detection. We demonstrate that some critical technical parameters, such as labelling time, probe concentration, and total and carbonylated protein recovery rates, should be re-addressed in a sample-specific way. We also defined a procedure to cost-effectively adapt CyDye™-hydrazide-based protocols to specific samples, especially when the experimental interest is focused on studying differences between stimulating conditions with a maximised signal-to-noise ratio. Moreover, we have improved an already-existing powerful solubilisation buffer, making it potentially useful for hard-to-solubilise protein pellets. Lastly, the depicted methodology exemplifies a simple way of normalising carbonyl-related signal to total protein in SDS-PAGE multiplexing experiments. Within that scope, we also proposed a simple way to quantify carbonyl groups by on-gel spotting diluted dye-containing labelling buffer. Proof of the robustness of the procedure was also highlighted by the high linear correlation between the level of carbonyls and the ultraviolet exposure duration of whole worms (R 2 =0.993). Altogether, these results will help to standardise existing protocols in the growing field of proteomic carbonylation studies. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Implantation of Right Kidneys: Is the Risk of Technical Graft Loss Real?

    PubMed

    Khan, Taqi T; Ahmad, Nadeem; Siddique, Kashif; Fourtounas, Konstantinos

    2018-05-01

    The left kidney (LK) is preferred by transplant surgeons, because its vein is always of good length and has a thick wall that enables safe suturing. On the other hand, the right renal vein is generally shorter and thinner walled, and well known for its technical difficulty during venous anastomosis, and can result in graft loss. We examined our living (LD) and deceased donor (DD) recipient data and compared the incidence of technical graft loss and early graft function in right and left kidneys. A cohort of 58 adult and pediatric recipients received an LD or DD kidney between January 2015 and December 2016. The donor and recipient data were retrieved and retrospectively analyzed. Technical graft loss was defined as graft thrombosis within the 7 days after transplant. Right kidneys (RKs) were not a risk factor for technical graft loss, and no graft was lost for technical reasons in either LD or DD transplants. Early graft function in LK and RKs was also comparable in the LD cohort, and there were no LKs in the DD cohort. Based on our data, the use of RKs was not a risk factor for technical graft loss and early graft function was comparable to LKs.

  6. Using virtual worlds for patient and public engagement

    PubMed Central

    Taylor, Michael J.; Kaur, Meerat; Sharma, Uvarshi; Taylor, Dave; Reed, Julie E.; Darzi, Ara

    2015-01-01

    Patient and public involvement is fundamental in healthcare and many methods attempt to facilitate this engagement. The present study investigated use of computer-generated environments known as ‘virtual worlds’ (VW) as an involvement method. The VW used in the present research was Second Life, which is 3-dimensional, publically accessible and internet-based. It is accessed using digital self-representations, or ‘avatars’, through which users navigate the virtual environment and communicate with one another. Participants were patients with long-term conditions, frequently involved in shaping health research and care. Some had mobility and communication difficulties, potentially making involvement through traditional face-to-face modes of engagement challenging. There were 2 stages to this study. Stage-1: Participants were introduced to VWs and Second Life. This was followed by a face-to-face focus group discussion (FGD) in order to gain their views on use of SL. Stage-2: An FGD attended by 8 people (4 patients, 3 researchers, 1 healthcare professional) was conducted in Second Life. Training and support on using Second Life had been provided for participants. The FGD took place successfully, although some technical and communication difficulties were experienced. Data was collected in the form of interviews and questionnaires from the patients about their experience of using the virtual world. Participants recognised the potential of VWs as a platform for patient engagement, especially for those who suffer from chronic conditions that impact severely upon their mobility and communication. Participant feedback indicated that potential barriers include technical problems with VW programs and potential user inexperience of using VWs, which may be counteracted by ensuring provision of continuous training and support. In conclusion, this study established the feasibility of using VWs for patient FGDs and indicates a potential of use of VWs for engagement in future, particularly for peer-led support and to engage people with particular long-term conditions. PMID:26543506

  7. The use of subjective rating of exertion in Ergonomics.

    PubMed

    Capodaglio, P

    2002-01-01

    In Ergonomics, the use of psychophysical methods for subjectively evaluating work tasks and determining acceptable loads has become more common. Daily activities at the work site are studied not only with physiological methods but also with perceptual estimation and production methods. The psychophysical methods are of special interest in field studies of short-term work tasks for which valid physiological measurements are difficult to obtain. The perceived exertion, difficulty and fatigue that a person experiences in a certain work situation is an important sign of a real or objective load. Measurement of the physical load with physiological parameters is not sufficient since it does not take into consideration the particular difficulty of the performance or the capacity of the individual. It is often difficult from technical and biomechanical analyses to understand the seriousness of a difficulty that a person experiences. Physiological determinations give important information, but they may be insufficient due to the technical problems in obtaining relevant but simple measurements for short-term activities or activities involving special movement patterns. Perceptual estimations using Borg's scales give important information because the severity of a task's difficulty depends on the individual doing the work. Observation is the most simple and used means to assess job demands. Other evaluations integrating observation are the followings: indirect estimation of energy expenditure based on prediction equations or direct measurement of oxygen consumption; measurements of forces, angles and biomechanical parameters; measurements of physiological and neurophysiological parameters during tasks. It is recommended that determinations of performances of occupational activities assess rating of perceived exertion and integrate these measurements of intensity levels with those of activity's type, duration and frequency. A better estimate of the degree of physical activity of individuals thus can be obtained.

  8. Review of problems in the small-scale farm production of ethanol

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

    White, H.M.

    1983-07-01

    This report reviews the current status of small, farmer-operated ethanol production facilities. The characteristics and operating problems associated with present plants are reviewed with respect to technical, economic, and institutional issues. Information was obtained from recent publications and numerous telephone calls to state and federal officials and the producers themselves. It is concluded that, in most parts of the country, small-scale alcohol production has been reduced to relatively few farm plants, due primarily to several unfavorable economic factors. While both large and small facilities have been squeezed by rising feedstock costs and lower alcohol selling prices, the farmer-producer is burdenedmore » by additional constraints because of the small scale of his operations. It is not usually profitable for him to recover all the valuable by-products from the feedstock, such as gluten, corn oil, and carbon dioxide from corn conversion. He may not be able to use or market the wet alcohol and stillage he produces. Other difficulties often include high fuel costs, lack of financial and technical assistance, and excessive labor requirements.« less

  9. Optimization in the design of a 12 gigahertz low cost ground receiving system for broadcast satellites. Volume 1: System design, performance, and cost analysis

    NASA Technical Reports Server (NTRS)

    Ohkubo, K.; Han, C. C.; Albernaz, J.; Janky, J. M.; Lusignan, B. B.

    1972-01-01

    The technical and economical feasibility of using the 12 GHz band for broadcasting from satellites were examined. Among the assigned frequency bands for broadcast satellites, the 12 GHz band system offers the most channels. It also has the least interference on and from the terrestrial communication links. The system design and analysis are carried out on the basis of a decision analysis model. Technical difficulties in achieving low-cost 12 GHz ground receivers are solved by making use of a die cast aluminum packaging, a hybrid integrated circuit mixer, a cavity stabilized Gunn oscillator and other state-of-the-art microwave technologies for the receiver front-end. A working model was designed and tested, which used frequency modulation. A final design for the 2.6 GHz system ground receiver is also presented. The cost of the ground-terminal was analyzed and minimized for a given figure-of-merit (a ratio of receiving antenna gain to receiver system noise temperature). The results were used to analyze the performance and cost of the whole satellite system.

  10. Early closure of postinfarction ventricular septal defects.

    PubMed

    Martinelli, Luigi; Dottori, Vincenzo; Caputo, Enrico; Graffigna, Angelo; Pederzolli, Carlo

    2003-05-01

    According to the guidelines of the American College of Cardiology/American Heart Association early closure of postinfarction septal defects is now a class I indication although it still carries a relevant morbidity and mortality. The operative risk is related both to the critical hemodynamic conditions of the patient and to the technical difficulties posed by the friable tissue of the infarcted area. The most recent techniques involving the use of pericardial patches reinforced by acrylic glue have significantly reduced the hospital mortality. The aim of this study was to discuss the reliability of an aggressive, tissue-sparing surgical approach to this complication. We present a consecutive series of 12 patients operated upon between January 1998 and October 2001 within 12 hours of the onset of clinical evidence of postinfarction septal rupture. Repair was achieved with minimal septal debridement and the use of a large pericardial patch reinforced by a biological glue. Three cases of dehiscence required early reoperation with no hospital mortality. This procedure is technically feasible and allows early aggressive treatment of postinfarction septal rupture with satisfactory results.

  11. [Apheresis in children: procedures and outcome].

    PubMed

    Tummolo, Albina; Colella, Vincenzo; Bellantuono, Rosa; Giordano, Mario; Messina, Giovanni; Puteo, Flora; Sorino, Palma; De Palo, Tommaso

    2012-01-01

    Apheresis procedures are used in children to treat an increasing number of conditions by removing different types of substances from the bloodstream. In a previous study we evaluated the first results of our experience in children, emphasizing the solutions adopted to overcome technical difficulties and to adapt adult apheresis procedures to a pediatric population. The aim of the present study is to present data on a larger number of patients in whom apheresis was the main treatment. Ninety-three children (50 m, 43 f) affected by renal and/or extrarenal diseases were included. They were treated with LDL apheresis, protein A immunoadsorption, or plasma exchange. Our therapeutic protocol was the same as described in the previous study. Renal diseases and immunological disorders remained the most common conditions requiring this therapeutic approach. However, hemolytic uremic syndrome (HUS) was no longer the most frequent renal condition to be treated, as apheresis is currently the first treatment option only in cases of atypical HUS. In this series we also treated small children, showing that low weight should no longer be considered a contraindication to apheresis procedures. The low rate of complications and the overall satisfactory clinical results with increasingly advanced technical procedures make a wider use of apheresis in children realistic in the years to come.

  12. A review of Integrated Vehicle Health Management tools for legacy platforms: Challenges and opportunities

    NASA Astrophysics Data System (ADS)

    Esperon-Miguez, Manuel; John, Philip; Jennions, Ian K.

    2013-01-01

    Integrated Vehicle Health Management (IVHM) comprises a set of tools, technologies and techniques for automated detection, diagnosis and prognosis of faults in order to support platforms more efficiently. Specific challenges are faced when IVHM tools are to be retrofitted into legacy vehicles since major modifications are much more challenging than with platforms whose design can still be modified. The topics covered in this Review Paper include the state of the art of IVHM tools and how their characteristics match the requirements of legacy aircraft, a summary of problems faced in the past trying to retrofit IVHM tools both from a technical and organisational perspective and the current level of implementation of IVHM in industry. Although the technology has not reached the level necessary to implement IVHM to its full potential on every kind of component, significant progress has been achieved on rotating equipment, structures or electronics. Attempts to retrofit some of these tools in the past faced both technical difficulties and opposition by some stakeholders, the later being responsible for the failure of technically sound projects in more than one occasion. Nevertheless, despite these difficulties, products and services based on IVHM technology have started to be offered by the manufacturers and, what is more important, demanded by the operators, providing guidance on what the industry would demand from IVHM on legacy aircraft.

  13. Does anyone understand HMO advertising?

    PubMed

    Bisinger, J M

    1986-12-01

    Much HMO advertising is executed with technical proficiency, but a high level of technical skill cannot compensate for poor objectives, an inadequate analysis of the business situation, or a lack of advertising effectiveness. Industrial marketing techniques often involve person-to-person selling via a sales staff, sales reps, on-site technical assistance and informational meetings, team selling, etc. Some HMOs also employ these techniques. In general, the promotional focus in these situations is not on mass media; communication tends to be in support of personal sales activities. These personal techniques are used because of the difficulty of selling complicated products or services. Is an HMO a simple product/service? If it is not, consumer promotional tactics will probably be ineffective. If used, these promotional tactics probably will be unintelligible because "consumers" do not select HMOs; their employers do.

  14. Preoperative ultrasonography and prediction of technical difficulties during laparoscopic cholecystectomy.

    PubMed

    Daradkeh, S S; Suwan, Z; Abu-Khalaf, M

    1998-01-01

    A prospective study was carried out to investigate the value of preoperative ultrasound findings for predicting difficulties encountered during laparoscopic cholecystectomy (LC). Altogether 160 consecutive patients with symptomatic gallbladder (GB) disease (130 females, 30 males) referred to the Jordan University Hospital were recruited for the purpose of this study. All patients underwent detailed ultrasound examination 24 hours prior to LC. The overall difficulty score (ODS), as a dependent variable, was based on the following operative parameters: duration of surgery, bleeding, dissection of Calot's triangle, dissection of gallbladder wall, adhesions, spillage of bile, spillage of stone, and difficulty of gallbladder extraction. Multiple regression analysis was used to assess the significance of the following preoperative ultrasound variables (independent) for predicting the variation in the ODS: size of the GB, number of GB stones, size of stones, location of GB stones, thickness of GB wall, common bile duct (CBD) diameter, and liver size. Only thickness of GB wall and CBD diameter were found to be significant predictors of the variation in the ODS (adjusted R2 = 0.25). We conclude that the preoperative ultrasound examination is of value for predicting difficulties encountered during LC, but it is not the sole predictor.

  15. Differences and commonalities in difficulties faced by clinical nursing educators and faculty in Japan: a qualitative cross-sectional study

    PubMed Central

    2012-01-01

    Background To clarify the current state of communication between clinical nursing educators and nursing faculty members and the perceived difficulties encountered while teaching nursing students in clinical training in Japan. Methods We collected data via focus group interviews with 14 clinical nursing educators, two nursing technical college teachers, and five university nursing faculty members. Interview transcripts were coded to express interview content as conclusions for each unit of meaning. Similar compiled content was categorized. Results Difficulties in providing clinical training mentioned by both clinical educators and faculty members were classified into four categories: “difficulties with directly exchanging opinions,” “mismatch between school-required teaching content and clinical teaching content,” “difficulties with handling students who demonstrate a low level of readiness for training,” and “human and time limitations in teaching.” In some categories, the opinions of educators matched those of the faculty members, whereas in others, the problems differed according to position. Conclusions The Japanese culture and working conditions may affect communication between clinical educators and faculty members; however, a direct “opinion exchange” between them is crucial for improving the clinical teaching environment in Japan. PMID:23098211

  16. Problems with the Use of Terminology in Genetics Education: 1, A Literature Review and Classification Scheme.

    ERIC Educational Resources Information Center

    Pearson, J. T.; Hughes, W. J.

    1988-01-01

    Examines the technical vocabulary of genetics as a source of error and confusion. Suggests that it is necessary to identify different types of problems associated with terminology and to organize them into logical classes to deal effectively with the difficulties. Highlights terms misused in textbooks. (RT)

  17. 76 FR 79171 - Pesticide Products; Receipt of Applications To Register New Uses

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ... disk or CD-ROM you submit. If EPA cannot read your comment due to technical difficulties and cannot... docket ID number and other identifying information (subject heading, Federal Register date and page... Name and Address: Arysta LifeScience, North America LLC., 15401 Weston Parkway, Suite 150, Cary, NC...

  18. 75 FR 57463 - Review of the Secondary National Ambient Air Quality Standards for Oxides of Nitrogen and Oxides...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-21

    ... EPA cannot read your comment due to technical difficulties and cannot contact you for clarification... rulemaking by docket number and other identifying information (subject heading, Federal Register date and... assess the science, risks, and policies relevant to protecting the public welfare associated with NO X...

  19. 75 FR 65478 - Agency Information Collection Activities: Proposed Collection; Comment Request; National Listing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-25

    ... EPA cannot read your comment due to technical difficulties and cannot contact you for clarification... INFORMATION CONTACT: LCDR Samantha Fontenelle, Office of Science and Technology, U.S. Environmental Protection... the Docket ID number assigned to this action in the subject line on the first page of your response...

  20. 75 FR 24697 - Carbaryl; Notice of Receipt of Requests To Voluntarily Cancel Certain Pesticide Registrations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-05

    ... comment due to technical difficulties and cannot contact you for clarification, EPA may not be able to... the document by docket ID number and other identifying information (subject heading, Federal Register... requests from registrants Bayer Environmental Science and Bayer CropScience to cancel certain carbaryl...

  1. SIMON: A Simple Instructional Monitor. Technical Report.

    ERIC Educational Resources Information Center

    Feurzeig, Wallace; And Others

    An instructional monitor is a program which tries to detect, diagnose, and possibly help overcome a student's learning difficulties in the course of solving a problem or performing a task. In one approach to building an instructional monitor, the student uses a special task- or problem-oriented language expressly designed around some particular…

  2. Stratification, Elaboration and Formalisation of Design Documents: Effects on the Production of Instructional Materials

    ERIC Educational Resources Information Center

    Boot, Eddy W.; Nelson, Jon; van Merrienboer, Jeroen J. G.; Gibbons, Andrew S.

    2007-01-01

    Designers and producers of instructional materials lack a common design language. As a result, producers have difficulties translating design documents into technical specifications. The 3D-model is introduced to improve the stratification, elaboration and formalisation of design documents. It is hypothesised that producers working with improved…

  3. Linux Adventures on a Laptop. Computers in Small Libraries

    ERIC Educational Resources Information Center

    Roberts, Gary

    2005-01-01

    This article discusses the pros and cons of open source software, such as Linux. It asserts that despite the technical difficulties of installing and maintaining this type of software, ultimately it is helpful in terms of knowledge acquisition and as a beneficial investment librarians can make in themselves, their libraries, and their patrons.…

  4. A Big Data Analytics Methodology Program in the Health Sector

    ERIC Educational Resources Information Center

    Lawler, James; Joseph, Anthony; Howell-Barber, H.

    2016-01-01

    The benefits of Big Data Analytics are cited frequently in the literature. However, the difficulties of implementing Big Data Analytics can limit the number of organizational projects. In this study, the authors evaluate business, procedural and technical factors in the implementation of Big Data Analytics, applying a methodology program. Focusing…

  5. Support and Training of Environmental Lawyers

    ERIC Educational Resources Information Center

    Cameron, Roderick A.

    1971-01-01

    The need for scientists to work with public interest lawyers in the field of environmental and consumer law is assessed. Scientists must become involved in public issues, educating lawyers to the problems, technical difficulties, and policy goals. From the lawyer, the scientist learns what the legal framework is into which his goals and supportive…

  6. A Continuing Educational Initiative to Develop Nurses' Mental Health Knowledge and Skills in Rural and Remote Areas.

    ERIC Educational Resources Information Center

    Chang, Esther; Daly, John; Bell, Pamela; Brown, Tracey; Allan, Jan; Hancock, Karen

    2002-01-01

    Australian nurses (n=202) participated in mental health continuing education delivered via distance methods and regional workshops in rural areas. The majority increased content knowledge and thought audio- and videotapes were effective despite technical difficulties; 90% felt the experiential learning workshops and distance modules integrated…

  7. Replantation of an avulsed ear, using a single arterial anastamosis.

    PubMed

    O'Toole, G; Bhatti, K; Masood, S

    2008-01-01

    Avulsion of the ear is relatively uncommon and replantation a technical challenge. A case in which an avulsed ear was successfully replanted using a single arterial anastamosis is described. The surgical difficulties encountered, the pharmaceutical approach to postoperative care and the problems which resulted from the lack of venous drainage are discussed.

  8. Crossing the Communication Barrier: Facilitating Communication in Mixed Groups of Deaf and Hearing Students

    ERIC Educational Resources Information Center

    Marchetti, Carol; Foster, Susan; Long, Gary; Stinson, Michael

    2012-01-01

    Teachers of introductory technical courses such as statistics face numerous challenges in the classroom, including student motivation and mathematical background, and difficulties in interpreting numerical results in context. Cooperative learning through small groups addresses many such challenges, but students for whom spoken English is not their…

  9. 40 CFR 268.5 - Procedures for case-by-case extensions to an effective date.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...: (1) He has made a good-faith effort to locate and contract with treatment, recovery, or disposal... specified, such treatment, recovery, or disposal capacity is protective of human health and the environment... technical and practical difficulties associated with providing the alternative capacity will result in the...

  10. 40 CFR 268.5 - Procedures for case-by-case extensions to an effective date.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...: (1) He has made a good-faith effort to locate and contract with treatment, recovery, or disposal... specified, such treatment, recovery, or disposal capacity is protective of human health and the environment... technical and practical difficulties associated with providing the alternative capacity will result in the...

  11. Overview of the international workshop on emerging approaches for typing, detection, and characterization of Escherichia coli

    USDA-ARS?s Scientific Manuscript database

    Determination of the O:H antigens in E. coli has been the gold standard for ascertaining the serotype of E. coli strains and identifying pathogenic clones. However, conventional serotyping is laborious, time-consuming, often gives equivocal results, and there are technical difficulties with antiser...

  12. Innovation Need Survey: Implementing a Technology Tool to Improve Early Data-Based Decisions to Address and Prevent Learning Disabilities. Technical Report #1602

    ERIC Educational Resources Information Center

    Irvin, P. Shawn; Pilger, Marissa; Sáez, Leilani; Alonzo, Julie

    2016-01-01

    Identifying and measuring indicators of learning difficulties among young children and implementing effective instructional approaches are complicated, particularly during the transition to kindergarten. Purposeful school-based transition policies and practices support teacher and school decision-making and, thus, can ease the…

  13. A New Approach to Small Business Training: Community Based Education

    ERIC Educational Resources Information Center

    Redmond, Janice; Walker, Elizabeth A.

    2008-01-01

    Purpose: The purpose of this paper is to show that most small business owner-managers are technically competent in their area of business activity however they do not always have equal managerial competence. For example, deficiency in human resource management competence may lead to difficulties in attracting, retaining or leading staff. These…

  14. STUDY OF FEASIBILITY OF NEW EDUCATIONAL MEDIA FOR DEVELOPING COUNTRIES.

    ERIC Educational Resources Information Center

    VAIZEY, J.

    COST DATA ON THE USE OF THE NEW INSTRUCTIONAL MEDIA ARE NECESSARY IN ORDER TO COMPARE DIFFERENT FORMS OF EDUCATION, TO DETERMINE THE ECONOMICALLY OPTIMUM RATE OF TECHNICAL USAGE, AND TO ASSIST ADMINISTRATORS. THE HISTORICAL INACCURACY OR STATISTICAL BIAS OF SOURCES AND THE INCOMPARABILITY OF DATA POSE DIFFICULTIES IN INTERPRETATION. THE COST OF…

  15. Technical Problems Experienced in the Transformation of Virtual Worlds into an Education Environment and Coping Strategies

    ERIC Educational Resources Information Center

    Coban, Murat; Karakus, Turkan; Karaman, Asiye; Gunay, Fatma; Goktas, Yuksel

    2015-01-01

    Research into virtual worlds demonstrates that to successfully use virtual world platforms in different disciplines, certain limitations and potential difficulties of these platforms must be overcome. The current study extends previous research by investigating problems in integrating virtual worlds in education with a longitudinal observation of…

  16. 48 CFR Appendix F to Chapter 7 - Use of Collaborative Assistance Method for Title XII Activities

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... AIDAR 715.613-71. 2. Purpose The collaborative assistance system is designed to: (a) Increase the joint..., including the design stage of a technical assistance project. 3. Policy The collaborative assistance... joint research and development—including training. In such an activity, the difficulty in defining, in...

  17. 48 CFR Appendix F to Chapter 7 - Use of Collaborative Assistance Method for Title XII Activities

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... AIDAR 715.613-71. 2. Purpose The collaborative assistance system is designed to: (a) Increase the joint..., including the design stage of a technical assistance project. 3. Policy The collaborative assistance... joint research and development—including training. In such an activity, the difficulty in defining, in...

  18. 48 CFR Appendix F to Chapter 7 - Use of Collaborative Assistance Method for Title XII Activities

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... AIDAR 715.613-71. 2. Purpose The collaborative assistance system is designed to: (a) Increase the joint..., including the design stage of a technical assistance project. 3. Policy The collaborative assistance... joint research and development—including training. In such an activity, the difficulty in defining, in...

  19. 48 CFR Appendix F to Chapter 7 - Use of Collaborative Assistance Method for Title XII Activities

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... AIDAR 715.613-71. 2. Purpose The collaborative assistance system is designed to: (a) Increase the joint..., including the design stage of a technical assistance project. 3. Policy The collaborative assistance... joint research and development—including training. In such an activity, the difficulty in defining, in...

  20. 48 CFR Appendix F to Chapter 7 - Use of Collaborative Assistance Method for Title XII Activities

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... AIDAR 715.613-71. 2. Purpose The collaborative assistance system is designed to: (a) Increase the joint..., including the design stage of a technical assistance project. 3. Policy The collaborative assistance... joint research and development—including training. In such an activity, the difficulty in defining, in...

  1. Digital London: Creating a Searchable Web of Interlinked Sources on Eighteenth Century London

    ERIC Educational Resources Information Center

    Shoemaker, Robert

    2005-01-01

    Purpose: To outline the conceptual and technical difficulties encountered, as well as the opportunities created, when developing an interlinked collection of web-based digitised primary sources on eighteenth century London. Design/methodology/approach: As a pilot study for a larger project, a variety of primary sources, including the "Old…

  2. Facilitating Collegial Exchange among Science Teachers: An Experiment in Computer-Based Conferencing. Technical Report 86-14.

    ERIC Educational Resources Information Center

    Katz, Mary Maxwell; And Others

    Teacher isolation is a significant problem in the science teaching profession. Traditional inservice solutions are often plagued by logistical difficulties or occur too infrequently to build ongoing teacher networks. Educational Technology Center (ETC) researchers reasoned that computer-based conferencing might promote collegial exchange among…

  3. Connecting to the Internet: The Challenge for Canada's County and Regional Libraries.

    ERIC Educational Resources Information Center

    Curry, Ann; Curtis, Alison

    2000-01-01

    Describes survey results that indicate Internet access and connectivity is proceeding rapidly despite the geographical, technical, and financial difficulties faced by Canadian systems with large geographical areas and members from different municipal or county jurisdictions. Discusses funding and using the World Wide Web as a reference tool.…

  4. [A historical and conceptual model for Primary Health Care: challenges for the organization of primary care and the Family Health Strategy in large Brazilian cities].

    PubMed

    Conill, Eleonor Minho

    2008-01-01

    This paper focuses on the experience with Primary Health Care as a strategy for reorganizing the health care model, based on reforms in this direction and their implementation in the Brazilian case. The article identifies a shift in the discourse concerning health sector reforms, with a return to emphasis on primary care and integration of services. The Brazilian context demands reflection on the possibilities for synergy between this strategy and other social policies and the factors needed to ensure adequate performance. Evaluation research has suggested that primary care activities are slightly superior as compared to traditional health care units, despite persistent difficulties in access, physical infrastructure, team formation, management, and organization of the network. These difficulties correlate with a low level of public financing, persistent segmentation of the system, and weak integration of primary care services with other levels of care. From the technical perspective, a reasonable target is to guarantee the strategy's continuity with the necessary adjustments, conditioned by the dynamics of the health care technical models involved in the dispute.

  5. Thermodynamics of protein denaturation at temperatures over 100 °C: CutA1 mutant proteins substituted with hydrophobic and charged residues

    PubMed Central

    Matsuura, Yoshinori; Takehira, Michiyo; Joti, Yasumasa; Ogasahara, Kyoko; Tanaka, Tomoyuki; Ono, Naoko; Kunishima, Naoki; Yutani, Katsuhide

    2015-01-01

    Although the thermodynamics of protein denaturation at temperatures over 100 °C is essential for the rational design of highly stable proteins, it is not understood well because of the associated technical difficulties. We designed certain hydrophobic mutant proteins of CutA1 from Escherichia coli, which have denaturation temperatures (Td) ranging from 101 to 113 °C and show a reversible heat denaturation. Using a hydrophobic mutant as a template, we successfully designed a hyperthermostable mutant protein (Td = 137 °C) by substituting six residues with charged ones. Thermodynamic analyses of these mutant proteins indicated that the hydrophobic mutants were stabilized by the accumulation of denaturation enthalpy (ΔH) with no entropic gain from hydrophobic solvation around 100 °C, and that the stabilization due to salt bridges resulted from both the increase in ΔH from ion-ion interactions and the entropic effect of the electrostatic solvation over 113 °C. This is the first experimental evidence that has successfully overcome the typical technical difficulties. PMID:26497062

  6. [The results of self-irrigation in colostomy patients who have undergone a process of systematic training].

    PubMed

    Santos, V L; Koizumi, M S

    1992-12-01

    The present study comprises the results of the use of self-irrigation by 40 colostomized patients, trained by us through a process of systematized training. The effectiveness of the training process can be checked out considering that the most part of the patients have adopted it in its basic features, pointing out a few number of technical difficulties. As to the results of self-irrigation, as a method for controlling the intestinal habit, we can say that 37.50% of the population showed an absence of fecal leakages and 42.50%, sporadic leakages between the irrigations; 27.50% and 35.00%, with absence of gases in the intervals of time and partial use of the collecting pouch, respectively.

  7. Percutaneous closure of a giant left ventricular wall pseudoaneurysm: Anterograde approach with a double snare technique.

    PubMed

    Afonso Nogueira, Marta; Fiarresga, António; de Sousa, Lídia; Agapito, Ana; Galrinho, Ana; Cruz Ferreira, Rui

    2016-01-01

    Left ventricular pseudoaneurysm is a rare complication of acute myocardial infarction, cardiac surgery, trauma or infection. Since surgical repair is associated with high morbidity and mortality, percutaneous closure has been described as an alternative. In this regard, we present a case in which a symptomatic large left ventricular pseudoaneurysm was treated by percutaneous closure due to the patient's high surgical risk, using a double snare technique. Despite the technical difficulties, this procedure had a good final result followed by clinical success, confirming that this procedure is an effective alternative to surgery in high-risk patients. Copyright © 2016 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

  8. Work of the Tamm-Sakharov group on the first hydrogen bomb

    NASA Astrophysics Data System (ADS)

    Ritus, V. I.

    2014-09-01

    This review is an extended version of a report delivered at a session of the Department of Physical Sciences, the Department of Energetics, Mechanical Engineering, Mechanics, and Control Processes, and the Coordination Council on Technical Sciences of the RAS devoted to the 60th anniversary of the first hydrogen bomb test. The significant physical ideas suggested by A D Sakharov and V L Ginzburg underlying our first hydrogen bomb, RDS-6s, and numerous concrete problems and difficulties that had to be solved and overcome in designing thermonuclear weapons are presented. The understanding of the country's leaders and the Atomic Project managers of the exceptional role of fundamental science in the appearance and implementation of our scientists' concrete ideas and suggestions is emphasized.

  9. [Comparison of efficacy and complications of 27G and 29G Sprottte needles for subarachnoid anesthesia].

    PubMed

    Morros-Viñoles, C; Pérez-Cuenca, M D; Cedó-Lluís, E; Colls, C; Bueno, J; Cedó-Vallobá, F

    2002-11-01

    Post-dural puncture headache and lumbar backache are related to needle gauge and type of point used. We aimed to determine whether the incidence of post-dural puncture headache and lumbar backache could be reduced by using fine gauge pencil-point Sprotte 27G and 29G needles. We also studied increases in technical difficulty with these needles and whether or not reducing needle gauge affected anesthetic quality. Three hundred eighty-nine patients undergoing orthopedic or lower abdominal surgery were randomly assigned to two groups for dural puncture using two Sprotte needles: 27G or 29G. We recorded time to perform puncture, number of re-insertations of the needle, number of times the technique was abandoned and anesthetic efficacy. On the second and seventh days, the patients were interviewed by telephone to check for the presence and severity of post-dural puncture headache or lumbar backache. The technical difficulty was greater with the Sprotte 29G needle, as shown by significant differences in time taken to perform the puncture and the number of re-insertions (p < 0.05). Anesthetic quality was the same in both groups and the percentage of failures was 0.5% for both. Five percent of patients in the 27G group and 3% in the 29G group experienced slight or moderate headache on the second day. No cases of severe cephalea were reported. Lumbar backache was reported on the second day by 26% and 18.5% of the patients in the 27G and 29G groups, respectively, but the rates decreased to 4.5% and 0.5% on the seventh day. The differences were significant, favoring the 29G needle. The use of 29G pencil-point needles can be recommended to reduce the incidence of headache and lumbar backache in the postoperative period, in spite of the greater technical difficulty involved, given that quality of anesthesia is maintained.

  10. Endoscopic and keyhole endoscope-assisted neurosurgical approaches: a qualitative survey on technical challenges and technological solutions.

    PubMed

    Marcus, Hani J; Cundy, Thomas P; Hughes-Hallett, Archie; Yang, Guang-Zhong; Darzi, Ara; Nandi, Dipankar

    2014-10-01

    The literature reflects a resurgence of interest in endoscopic and keyhole endoscope-assisted neurosurgical approaches as alternatives to conventional microsurgical approaches in carefully selected cases. The aim of this study was to assess the technical challenges of neuroendoscopy, and the scope for technological innovations to overcome these barriers. All full members of the Society of British Neurosurgeons (SBNS) were electronically invited to participate in an online survey. The open-ended structured survey asked three questions; firstly, whether the surgeon presently utilises or has experience with endoscopic or endoscope-assisted approaches; secondly, what they consider to be the major technical barriers to adopting such approaches; and thirdly, what technological advances they foresee improving safety and efficacy in the field. Responses were subjected to a qualitative research method of multi-rater emergent theme analysis. Three clear themes emerged: 1) surgical approach and better integration with image-guidance systems (20%), 2) intra-operative visualisation and improvements in neuroendoscopy (49%), and 3) surgical manipulation and improvements in instruments (74%). The analysis of responses to our open-ended survey revealed that although opinion was varied three major themes could be identified. Emerging technological advances such as augmented reality, high-definition stereo-endoscopy, and robotic joint-wristed instruments may help overcome the technical difficulties associated with neuroendoscopic approaches. Results of this qualitative survey provide consensus amongst the technology end-user community such that unambiguous goals and priorities may be defined. Systems integrating these advances could improve the safety and efficacy of endoscopic and endoscope-assisted neurosurgical approaches.

  11. Endoscopic and Keyhole Endoscope-assisted Neurosurgical Approaches: A Qualitative Survey on Technical Challenges and Technological Solutions

    PubMed Central

    Marcus, Hani J; Cundy, Thomas P; Hughes-Hallett, Archie; Yang, Guang-Zhong; Darzi, Ara; Nandi, Dipankar

    2014-01-01

    Introduction The literature reflects a resurgence of interest in endoscopic and keyhole endoscope-assisted neurosurgical approaches as alternatives to conventional microsurgical approaches in carefully selected cases. The aim of this study was to assess the technical challenges of neuroendoscopy, and the scope for technological innovations to overcome these barriers. Materials and Methods All full members of the Society of British Neurosurgeons (SBNS) were electronically invited to participate in an online survey. The open-ended structured survey asked three questions; firstly, whether the surgeon presently utilises or has experience with endoscopic or endoscope-assisted approaches; secondly, what they consider to be the major technical barriers to adopting such approaches; and thirdly, what technological advances they foresee improving safety and efficacy in the field. Responses were subjected to a qualitative research method of multi-rater emergent themes analysis. Results Three clear themes emerged: 1) surgical approach and better integration with image-guidance systems (20%), 2) intra-operative visualisation and improvements in neuroendoscopy (49%), and 3) surgical manipulation and improvements in instruments (74%). Discussion The analysis of responses to our open-ended survey revealed that although opinion was varied three major themes could be identified. Emerging technological advances such as augmented reality, high-definition stereo-endoscopy, and robotic joint-wristed instruments may help overcome the technical difficulties associated with neuroendoscopic approaches. Conclusions Results of this qualitative survey provide consensus amongst the technology end-user community such that unambiguous goals and priorities may be defined. Systems integrating these advances could improve the safety and efficacy of endoscopic and endoscope-assisted neurosurgical approaches. PMID:24533591

  12. Identifying technical aliases in SELDI mass spectra of complex mixtures of proteins

    PubMed Central

    2013-01-01

    Background Biomarker discovery datasets created using mass spectrum protein profiling of complex mixtures of proteins contain many peaks that represent the same protein with different charge states. Correlated variables such as these can confound the statistical analyses of proteomic data. Previously we developed an algorithm that clustered mass spectrum peaks that were biologically or technically correlated. Here we demonstrate an algorithm that clusters correlated technical aliases only. Results In this paper, we propose a preprocessing algorithm that can be used for grouping technical aliases in mass spectrometry protein profiling data. The stringency of the variance allowed for clustering is customizable, thereby affecting the number of peaks that are clustered. Subsequent analysis of the clusters, instead of individual peaks, helps reduce difficulties associated with technically-correlated data, and can aid more efficient biomarker identification. Conclusions This software can be used to pre-process and thereby decrease the complexity of protein profiling proteomics data, thus simplifying the subsequent analysis of biomarkers by decreasing the number of tests. The software is also a practical tool for identifying which features to investigate further by purification, identification and confirmation. PMID:24010718

  13. Strength conditions for the elastic structures with a stress error

    NASA Astrophysics Data System (ADS)

    Matveev, A. D.

    2017-10-01

    As is known, the constraints (strength conditions) for the safety factor of elastic structures and design details of a particular class, e.g. aviation structures are established, i.e. the safety factor values of such structures should be within the given range. It should be noted that the constraints are set for the safety factors corresponding to analytical (exact) solutions of elasticity problems represented for the structures. Developing the analytical solutions for most structures, especially irregular shape ones, is associated with great difficulties. Approximate approaches to solve the elasticity problems, e.g. the technical theories of deformation of homogeneous and composite plates, beams and shells, are widely used for a great number of structures. Technical theories based on the hypotheses give rise to approximate (technical) solutions with an irreducible error, with the exact value being difficult to be determined. In static calculations of the structural strength with a specified small range for the safety factors application of technical (by the Theory of Strength of Materials) solutions is difficult. However, there are some numerical methods for developing the approximate solutions of elasticity problems with arbitrarily small errors. In present paper, the adjusted reference (specified) strength conditions for the structural safety factor corresponding to approximate solution of the elasticity problem have been proposed. The stress error estimation is taken into account using the proposed strength conditions. It has been shown that, to fulfill the specified strength conditions for the safety factor of the given structure corresponding to an exact solution, the adjusted strength conditions for the structural safety factor corresponding to an approximate solution are required. The stress error estimation which is the basis for developing the adjusted strength conditions has been determined for the specified strength conditions. The adjusted strength conditions presented by allowable stresses are suggested. Adjusted strength conditions make it possible to determine the set of approximate solutions, whereby meeting the specified strength conditions. Some examples of the specified strength conditions to be satisfied using the technical (by the Theory of Strength of Materials) solutions and strength conditions have been given, as well as the examples of stress conditions to be satisfied using approximate solutions with a small error.

  14. Fabrication and characterization of a solid state nanopore with self-aligned carbon nanoelectrodes for molecular detection

    NASA Astrophysics Data System (ADS)

    Spinney, Patrick; Collins, Scott D.; Howitt, David G.; Smith, Rosemary L.

    2012-06-01

    Rapid and cost-effective DNA sequencing is a pivotal prerequisite for the genomics era. Many of the recent advances in forensics, medicine, agriculture, taxonomy, and drug discovery have paralleled critical advances in DNA sequencing technology. Nanopore modalities for DNA sequencing have recently surfaced including the electrical interrogation of protein ion channels and/or solid-state nanopores during translocation of DNA. However to date, most of this work has met with mixed success. In this work, we present a unique nanofabrication strategy that realizes an artificial nanopore articulated with carbon electrodes to sense the current modulations during the transport of DNA through the nanopore. This embodiment overcomes most of the technical difficulties inherent in other artificial nanopore embodiments and present a versatile platform for the testing of DNA single nucleotide detection. Characterization of the device using gold nanoparticles, silica nanoparticles, lambda dsDNA and 16-mer ssDNA are presented. Although single molecule DNA sequencing is still not demonstrated, the device shows a path towards this goal.

  15. Implantable venous ports in pediatric oncology: experience of single institution in Russia.

    PubMed

    Rykov, Maxim Yu; Polyakov, Vladimir G

    2016-07-12

    To review our experience with implantable venous port-systems (IVPs) in pediatric cancer patients. From 2010 to 2015 we were monitoring the treatment of 163 children (aged 3 months to 17 years) with oncologic diseases. These patients underwent venous port implantations. During insertion of 163 IVPs the following complications and technical difficulties were present: unintended puncture of the common carotid artery (CCA) during the puncture of the internal jugular vein (IJV) - 7 cases (4.3%); retrograde positioning of the distal end of the guidewire in the IJV - 17 cases (14.4%); placement of the distal end of the guidewire into the punctured subclavian vein (SV) - 12 cases (7.6%); difficulties driving the guidewire into the IJV after successful puncture - 15 cases (9.3%). The use of 163 IVPs was complicated by the following: venous port contamination - 4 cases (2.5%); occlusion of the IVPs by a clot - 8 cases (5%); withdrawal of the Huber needle bevel from the port chamber - 22 cases (13.6%); subcutaneous fat layer thinning above the port chamber - 3 cases (1.7%). There are many complications, but they can be reduced by proper choice of materials and methodology.

  16. Perceptions of coping behaviors by persons with cancer and health care providers.

    PubMed

    Merluzzi, T V; Martinez Sanchez, M A

    1997-09-01

    We studied perceptions of the importance and difficulty of coping behaviors, from the perspectives of cancer patients (n = 33) and health care providers (i.e. nursing and technical personnel, n = 24). They rated the importance and difficulty of 43 behaviors that correspond to six domains of coping with cancer. Generally, ratings of importance were similar for both patients and providers. However, patients rated the domains of Coping with Treatment Related Side Effects and Seeking Support as less important than staff. Ratings of difficulty were quite divergent. Patients perceived coping as less difficult than the medical staff in the following domains: Maintenance of Activity and Independence, Coping With Treatment-Related Side-Effects, Accepting Cancer/Maintaining Positive Attitude, and Seeking Support. These differences in difficulty ratings between patients and health care providers may reflect distinct perspectives or schemas about coping. That is, patients may hold 'positive illusions' about their coping capacity and, therefore, rate coping as less difficult. Health care providers may overestimate patients' distress and, therefore, underestimate patients' coping capacity. An understanding of these different perspectives may assist medical staff in fostering self-efficacy expectations for coping behaviors.

  17. SIMBIOS Project

    NASA Technical Reports Server (NTRS)

    Fargion, Giulietta S.; McClain, Charles R.

    2002-01-01

    The purpose of this technical report is to provide current documentation of the Sensor Intercomparison and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities, NASA Research Announcement (NRA) research status, satellite data processing, data product validation, and field calibration. This documentation is necessary to ensure that critical information is related to the scientific community and NASA management. This critical information includes the technical difficulties and challenges of validating and combining ocean color data from an array of independent satellite systems to form consistent and accurate global bio-optical time series products. This technical report is not meant as a substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issued by an operational project. The SIMBIOS Science Team Principal Investigators' (PIs) original contributions to this report are in chapters four and above. The purpose of these contributions is to describe the current research status of the SIMBIOS-NRA-96 funded research. The contributions are published as submitted, with the exception of minor edits to correct obvious grammatical or clerical errors.

  18. Solar energy/utility interface - The technical issues

    NASA Astrophysics Data System (ADS)

    Tabors, R. D.; White, D. C.

    1982-01-01

    The technical and economic factors affecting an interface between solar/wind power sources and utilities are examined. Photovoltaic, solar thermal, and wind powered systems are subject to stochastic local climatic variations and as such may require full back-up services from utilities, which are then in a position of having reserve generating power and power lines and equipment which are used only part time. The low reliability which has degraded some economies of scale formerly associated with large, centralized power plants, and the lowered rate of the increase in electricity usage is taken to commend the inclusion of power sources with a modular nature such as is available from solar derived electrical generation. Technical issues for maintaining the quality of grid power and also effectively metering purchased and supplied back-up power as part of a homeostatic system of energy control are discussed. It is concluded that economic considerations, rather than technical issues, bear the most difficulty in integrating solar technologies into the utility network.

  19. 78 FR 21846 - Approval and Promulgation of State Plans for Designated Facilities and Pollutants: Connecticut...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-12

    ... contact information unless you provide it in the body of your comment. If you send an email comment... Internet. If you submit an electronic comment, EPA recommends that you include your name and other contact... comment due to technical difficulties and cannot contact you for clarification, EPA may not be able to...

  20. Possible Reasons for Students' Ineffective Reading of Their First-Year University Mathematics Textbooks. Technical Report. No. 2011-2

    ERIC Educational Resources Information Center

    Shepherd, Mary D.; Selden, Annie; Selden, John

    2011-01-01

    This paper reports the observed behaviors and difficulties that eleven precalculus and calculus students exhibited in reading new passages from their mathematics textbooks. To gauge the effectiveness of these students' reading, we asked them to attempt straightforward mathematical tasks, based directly on what they had just read. These …

  1. 77 FR 51798 - First Draft Documents Related to the Review of the National Ambient Air Quality Standards for Ozone

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-27

    ... comment due to technical difficulties and cannot contact you for clarification, EPA may not be able to... comments, remember to: Identify the rulemaking by docket number and other identifying information (subject... 2009 and was the subject of a consultation with the Clean Air Scientific Advisory Committee (CASAC) on...

  2. 75 FR 48683 - Human Studies Review Board (HSRB); Notification of a Public Teleconference To Review Draft Final...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-11

    ... wish further information may contact Lu-Ann Kleibacker, EPA, Office of the Science Advisor, (8105R... EPA cannot read your comment due to technical difficulties and cannot contact you for clarification... subject line on the first page of your response. You may also provide the name, date and Federal Register...

  3. 75 FR 61486 - Review of the Secondary National Ambient Air Quality Standards for Oxides of Nitrogen and Oxides...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-05

    ... EPA cannot read your comment due to technical difficulties and cannot contact you for clarification... comments, remember to: Identify the rulemaking by docket number and other identifying information (subject... pollutants in forming the scientific basis for the NAAQS, EPA has decided to jointly assess the science...

  4. 75 FR 39253 - Release of Second Draft Document Related to the Review of the National Ambient Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-08

    ... EPA cannot read your comment due to technical difficulties and cannot contact you for clarification... docket number and other identifying information (subject heading, Federal Register date and page number... October 2007 and was the subject of a consultation with the Clean Air Scientific Advisory Committee (CASAC...

  5. 76 FR 20347 - Release of Draft Integrated Review Plan for the National Ambient Air Quality Standards for Lead

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ... you submit. If EPA cannot read your comment due to technical difficulties and cannot contact you for... rulemaking by docket number and other identifying information (subject heading, Federal Register date and... phase for the review. This phase began with a science policy workshop to identify issues and questions...

  6. 75 FR 44246 - Petition For Rulemaking to Establish Procedures For The Creation and Amendment of Endangered...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-28

    ... availability of a January 19, 2010 petition from Dow AgroSciences LLC (``DAS''), Makhteshim Agan of North... comment due to technical difficulties and cannot contact you for clarification, EPA may not be able to... (subject heading, Federal Register date and page number). ii. Follow directions. The Agency may ask you to...

  7. 75 FR 70258 - Review of the Secondary National Ambient Air Quality Standards for Oxides of Nitrogen and Oxides...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-17

    ... you submit. If EPA cannot read your comment due to technical difficulties and cannot contact you for..., remember to: Identify the rulemaking by docket number and other identifying information (subject heading... the scientific basis for the NAAQS, EPA has decided to jointly assess the science, risks, and policies...

  8. What We Do Not Know and Probably Need to Know

    NASA Technical Reports Server (NTRS)

    Gaier, J. R.; Rickman, Douglas L.

    2009-01-01

    By far the most important database to help us determine the engineering questions we need to address comes from the Apollo experience. In combing through the Apollo Mission Reports and Technical Debriefings there are numerous references to the problems caused by lunar dust during the missions. These have been sorted into nine classes of difficulties.

  9. 78 FR 70953 - Draft Guidance for Industry on Generic Drug User Fee Amendments of 2012: Questions and Answers...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-27

    ....regulations.gov Web site from November 4, 2013, through November 13, 2013, due to technical difficulties. DATES: Submit either electronic or written comments to the docket by December 11, 2013. ADDRESSES: Submit electronic comments to http://www.regulations.gov . Submit written comments to the Division of...

  10. Glass Walls in North America. Technical Paper No. 179.

    ERIC Educational Resources Information Center

    Hutcheon, N. B.

    Solar heat gains (radiation) and its effects on the building environment are discussed, in conjunction with the proper and improper use of large glass areas in the exterior walls of buildings in North America. The difficulties of solar heat gain and of controlling natural light and glare are outlined and said to influence building comfort and air…

  11. Computers, Modeling and Management Education. Technical Report No. 6.

    ERIC Educational Resources Information Center

    Bonini, Charles P.

    The report begins with a brief examination of the role of computer modeling in management decision-making. Then, some of the difficulties of implementing computer modeling are examined, and finally, the educational implications of these issues are raised, and a comparison is made between what is currently being done and what might be done to…

  12. Supporting Concrete Visual Thinking in Multiplicative Reasoning: Difficulties and Opportunities. Technical Report 88-16.

    ERIC Educational Resources Information Center

    Kaput, James J.

    The Educational Technology Center has attempted to develop a series of computer based learning environments to support the learning and application of multiplicative reasoning. The work and software described in this paper, including the teaching experiment that generated the error phenomena examined, is part of a larger ongoing research project.…

  13. Summary appraisals of the Nation's ground-water resources; Texas Gulf region

    USGS Publications Warehouse

    Baker, E.T.; Wall, James Ray

    1974-01-01

    Because significant amounts of ground water are available, the opportunities for expanded and conjunctive use of ground water and surface water should be considered in regional plans for water development and conservation. The complexities of water management and the difficulties of achieving an integrated system of total water management will require additional technical information.

  14. Summary appraisals of the Nation's ground-water resources; Texas-Gulf region

    USGS Publications Warehouse

    Baker, E.T.; Wall, J.R.

    1976-01-01

    Because significant amounts of ground water are available, the opportunities for expanded and conjunctive use of ground water and surface water should be considered in regional plans for water development and conservation. The complexities of water management and the difficulties of achieving an integrated system of total-water management will require additional technical information.

  15. The Relationships among Achievement, Low Income, and Ethnicity in Washington State--A Second Look. Technical Report

    ERIC Educational Resources Information Center

    Abbott, Martin; Hart, Christopher; Lybrand, Jasmine; Nouri, Leila

    2009-01-01

    The purpose of this report is to discuss the continuing difficulties school leaders and students face as they grapple with the "achievement gap" among students of different ethnic and socio-economic backgrounds. Several years ago, researchers at the Washington School Research Center sought to evaluate the "unique contribution of low…

  16. Tablet and phone applications--A reflection on the experience of development.

    PubMed

    Edwards, Simon; Winckles, Derek; Leonard, Mark

    2015-06-01

    Tablet devices are now ubiquitous. Medical illustrators have the skills to produce a wide range of media content. These devices offer the potential of using their creative abilities in new and exciting ways. There is much to explore. The primary difficulty lies in understanding the necessary computer technical skills to realise a vision.

  17. Technical Analysis of the Disruptive Behavior Rating Scale--Second Edition--Teacher Version

    ERIC Educational Resources Information Center

    Erford, Bradley T.; Clark, Kelly

    2011-01-01

    The reliability and validity of scores on the Disruptive Behavior Rating Scale-second edition-teacher version (DBRS-II-T) was analyzed. The DBRS-II-T was designed to assess teacher observations of students referred for behavioral difficulties. The five-factor model fit the data poorly, but convergent and diagnostic validities were excellent.…

  18. The Language Problem in Science and the Role of the International Language Esperanto. Esperanto Documents 38 A.

    ERIC Educational Resources Information Center

    Wendao, Ouyang; Sherwood, Bruce A.

    Two essays discuss the need for improved international transfer of scientific and technical information and propose the international language Esperanto for that purpose. "The Role of Esperanto" by Ouyang Wendao suggests that the burden of time and energy spent in translating scientific literature quickly and well and the difficulties of…

  19. Integrating HCI Specialists into Open Source Software Development Projects

    NASA Astrophysics Data System (ADS)

    Hedberg, Henrik; Iivari, Netta

    Typical open source software (OSS) development projects are organized around technically talented developers, whose communication is based on technical aspects and source code. Decision-making power is gained through proven competence and activity in the project, and non-technical end-user opinions are too many times neglected. In addition, also human-computer interaction (HCI) specialists have encountered difficulties in trying to participate in OSS projects, because there seems to be no clear authority and responsibility for them. In this paper, based on HCI and OSS literature, we introduce an extended OSS development project organization model that adds a new level of communication and roles for attending human aspects of software. The proposed model makes the existence of HCI specialists visible in the projects, and promotes interaction between developers and the HCI specialists in the course of a project.

  20. Digital government and public health.

    PubMed

    Fountain, Jane E

    2004-10-01

    Digital government is typically defined as the production and delivery of information and services inside government and between government and the public using a range of information and communication technologies. Two types of government relationships with other entities are government-to-citizen and government-to-government relationships. Both offer opportunities and challenges. Assessment of a public health agency's readiness for digital government includes examination of technical, managerial, and political capabilities. Public health agencies are especially challenged by a lack of funding for technical infrastructure and expertise, by privacy and security issues, and by lack of Internet access for low-income and marginalized populations. Public health agencies understand the difficulties of working across agencies and levels of government, but the development of new, integrated e-programs will require more than technical change - it will require a profound change in paradigm.

  1. Concrescence of permanent maxillary second and third molars: case report of non-surgical root canal treatment.

    PubMed

    Foran, Denise; Komabayashi, Takashi; Lin, Louis M

    2012-03-01

    Concrescence is a rare developmental anomaly with an overall incidence of 0.8% in the permanent dentition. While many case reports describe the treatment of concrescence with extraction, there are few reports of non-surgical root canal treatment (NSRCT), due to the atypical root form, canal morphology, and technical difficulties involved in concrescence. This unique case report describes a technical modification of NSRCT that can retain joined posterior maxillary teeth to maintain natural posterior occlusion without surgical intervention or dental implants, thereby avoiding the risk of damage to a large portion of the alveolar bone near the maxillary sinus.

  2. [Causes of vocal cord dyscinesia and its original factors after endotracheal intubation].

    PubMed

    Sun, Anke; Zhang, Tiezheng; Liu, Wenyuan; Tang, Weiwei; Guo, Xiaohong

    2012-03-01

    To research the causes of postintubation vocal cord dyskinesia and its contributing factors. The causes of vocal cord dyskinesia were confirmed by laryngoscope, three-dimensional spiral CT, stroboscope, and the analysis of therapy. The factors relevant to the causes of vocal cord dyskinesia were analysed based on the following elements: (1) the anatomic or pathological condition of patients or the technical skills of anesthetists. (2) emaciated or obese body and neck. (3) the age of patients. (4) the duration of endotracheal tube retention. (5) the types of operations. (6) anesthesia procedure. Among 135 patients, 128 cases (94.81%) manifested arytenoid dislocation, 7 cases (5.19%) vocal cord paralysis. The study showed that the vocal cord dyskinesia associated with anatomic or pathological condition of patients and technical skills of anesthetists (with intubation difficulty) accounted for 76.30%. The patients with relative emaciated body or neck accounted for 90.62% in cases without intubation difficulty. Age had no significant analytical relationship with vocal cord dyskinesia. Prolonged intubation (endotracheal tube retention over 12 hours) was accounted for only 17.64%. The incidence of vocal cord dyskinesia was nearly 0.5% in patients underwent cardio-thoracic surgery, accounting for 59.26% of all the patients. There are two major causes of vocal cord dyskinesia: arytenoid dislocation and vocal cord paralysis, and the rate of vocal cord dyskinesia could be reduced by the improvement of technical skill of anesthetists and/or sufficient attention to the intubation condition of patients.

  3. Novel Tool Selection in Left Brain-Damaged Patients With Apraxia of Tool Use: A Study of Three Cases.

    PubMed

    Osiurak, François; Granjon, Marine; Bonnevie, Isabelle; Brogniart, Joël; Mechtouff, Laura; Benoit, Amandine; Nighoghossian, Norbert; Lesourd, Mathieu

    2018-05-01

    Recent evidence indicates that some left brain-damaged (LBD) patients have difficulties to use familiar tools because of the inability to reason about physical object properties. A fundamental issue is to understand the residual capacity of those LBD patients in tool selection. Three LBD patients with tool use disorders, three right brain-damaged (RBD) patients, and six matched healthy controls performed a novel tool selection task, consisting in extracting a target out from a box by selecting the relevant tool among eight, four, or two tools. Three criteria were manipulated to make relevant and irrelevant tools (size, rigidity, shape). LBD patients selected a greater number of irrelevant tools and had more difficulties to solve the task compared to RBD patients and controls. All participants committed more errors for selecting relevant tools based on rigidity and shape than size. In some LBD patients, the difficulties persisted even in the 2-Choice condition. Our findings confirm that tool use disorders result from impaired technical reasoning, leading patients to meet difficulties in selecting tools based on their physical properties. We also go further by showing that these difficulties can decrease as the choice is reduced, at least for some properties, opening new avenues for rehabilitation programs. (JINS, 2018, 24, 524-529).

  4. Lentiviral transduction of rat Sertoli cells as a means to modify gene expression

    PubMed Central

    Nicholls, Peter K.; Stanton, Peter G.; Rainczuk, Katarzyna E.; Qian, Hongwei; Gregorevic, Paul; Harrison, Craig A.

    2012-01-01

    Primary cell culture is an established and widely used technique to study Sertoli cell function in vitro. However, the relative difficulty of stably overexpressing or knocking down genes in Sertoli cell culture has limited progress in the field. In this technical report, we present a method to transduce 20 dpp rat Sertoli cell cultures with VSV-G pseudotyped lentiviral based vectors at a high rate (~80%), with stable reporter gene expression. Although high transgene expression is desirable, it was noted that at transduction rates > 60% inter-Sertoli cell tight junction integrity and, hence, Sertoli cell function, were transiently compromised. We envisage that this optimized procedure has the potential to stimulate Sertoli cell research, and motivate the use of Sertoli cells in various cell therapy applications. PMID:23248769

  5. Analysis of the Key and Difficult Points in the Engineering Construction Technology of the Steel Structures of a Super High-rise Building

    NASA Astrophysics Data System (ADS)

    Dou, Lijun; Li, Hengxu

    2017-07-01

    In recent years, with the rapid development of the economy of China, the traditional building structure has not been able to meet the current people’s demands and the super high-rise building has become a symbol of a city. In the current period, the research on the super high-rise building in the architectural industry of China is late and the technical blanks exist in some construction difficulties in the super high-rise steel structures. Based on the above, a brief analysis and discussion on the difficult construction technology in the steel structures of a super high-rise building and some measures are presented for reference of the relevant personnel in this paper.

  6. Caveats on tomographic images

    USGS Publications Warehouse

    Foulger, Gillian R.; Panza, Giuliano F.; Artemieva, Irina M.; Bastow, Ian D.; Cammarano, Fabio; Evans, John R.; Hamilton, Warren B.; Julian, Bruce R.; Lustrino, Michele; Thybo, Hans; ,

    2013-01-01

    Geological and geodynamic models of the mantle often rely on joint interpretations of published seismic tomography images and petrological/geochemical data. This approach tends to neglect the fundamental limitations of, and uncertainties in, seismic tomography results. These limitations and uncertainties involve theory, correcting for the crust, the lack of rays throughout much of the mantle, the difficulty in obtaining the true strength of anomalies, choice of what background model to subtract to reveal anomalies, and what cross-sections to select for publication. The aim of this review is to provide a relatively non-technical summary of the most important of these problems, collected together in a single paper, and presented in a form accessible to non-seismologists. Appreciation of these issues is essential if final geodynamic models are to be robust, and required by the scientific observations.

  7. Optimization of controlled processes in combined-cycle plant (new developments and researches)

    NASA Astrophysics Data System (ADS)

    Tverskoy, Yu S.; Muravev, I. K.

    2017-11-01

    All modern complex technical systems, including power units of TPP and nuclear power plants, work in the system-forming structure of multifunctional APCS. The development of the modern APCS mathematical support allows bringing the automation degree to the solution of complex optimization problems of equipment heat-mass-exchange processes in real time. The difficulty of efficient management of a binary power unit is related to the need to solve jointly at least three problems. The first problem is related to the physical issues of combined-cycle technologies. The second problem is determined by the criticality of the CCGT operation to changes in the regime and climatic factors. The third problem is related to a precise description of a vector of controlled coordinates of a complex technological object. To obtain a joint solution of this complex of interconnected problems, the methodology of generalized thermodynamic analysis, methods of the theory of automatic control and mathematical modeling are used. In the present report, results of new developments and studies are shown. These results allow improving the principles of process control and the automatic control systems structural synthesis of power units with combined-cycle plants that provide attainable technical and economic efficiency and operational reliability of equipment.

  8. Creating Employable Graduates in Career and Technical Education: Defining the Partnership between Business and the Community College

    ERIC Educational Resources Information Center

    Thomes, Norbert Joseph

    2012-01-01

    The skill set required to attain quality employment is not being fully addressed in the community colleges. This disconnect produces laborers with skill sets that do not meet the needs of employers. Ironically, while the need for employees with increased skills rises annually, many graduates have difficulty finding employment in their career…

  9. 75 FR 73078 - Human Studies Review Board (HSRB); Notification of a Public Teleconference To Review Draft Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-29

    ... ; mailing address: U.S. Environmental Protection Agency, Office of the Science Advisor, Mail Code 8105R... you submit. If EPA cannot read your comment due to technical difficulties and cannot contact you for... subject line on the first page of your response. You may also provide the name, date and Federal Register...

  10. Effects of Differing Proportions and Locations of Difficult Vocabulary on Text Comprehension. Technical Report No. 202.

    ERIC Educational Resources Information Center

    Freebody, Peter; Anderson, Richard C.

    Two experiments assessed the effect of vocabulary difficulty on three measures of text comprehension--free recall, summary recall, and sentence recognition. In the first experiment, the effect of differing proportions of rare-word substitutions were examined in 79 sixth grade students. It was found that a high rate of difficult vocabulary (one…

  11. easyCBM[R] Slope Reliability: Letter Names, Word Reading Fluency, and Passage Reading Fluency. Technical Report #1111

    ERIC Educational Resources Information Center

    Patarapichayatham, Chalie; Anderson, Daniel; Irvin, P. Shawn; Kamata, Akhito; Alonzo, Julie; Tindal, Gerald

    2011-01-01

    Within a response to intervention (RTI) framework, students are administered multiple tests of equivalent difficulty. Changes in students' scores over time are then attributed to changes in learning. In the current study, we evaluated the reliability of score changes (i.e., slope) for the easyCBM[R] letter names, word reading fluency, and passage…

  12. 76 FR 60023 - Pesticide Products; Receipt of Applications To Register New Uses

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... or CD-ROM you submit. If EPA cannot read your comment due to technical difficulties and cannot... part or all of the information that you claim to be CBI. For CBI information in a disk or CD-ROM that you mail to EPA, mark the outside of the disk or CD-ROM as CBI and then identify electronically within...

  13. The Locked Box in the Attic: Ghosts and Memories

    ERIC Educational Resources Information Center

    Gatti, Patrizia

    2011-01-01

    The author discusses the technical difficulties encountered in clinical work with children who have suffered an early trauma, as is often the case for fostered and adopted children. An account of the first five years of psychotherapy with a nine-year-old boy, who was removed from his birth family at an early age, will be elaborated in some detail…

  14. THE EFFECT OF VISUAL FEEDBACK ON PRONUNCIATION IN FOREIGN LANGUAGE LEARNING. TERMINATION OF RESEARCH REPORT.

    ERIC Educational Resources Information Center

    JENSON, PAUL G.; WESTERMEIER, FRANZ X.

    A RESEARCH PROJECT USING THE OSCILLOSCOPE TO DETERMINE VISUAL FEEDBACK IN THE TEACHING OF FOREIGN LANGUAGE PRONUNCIATION WAS TERMINATED BECAUSE OF TECHNICAL DIFFICULTIES THAT COULD NOT BE RESOLVED WITH THE EQUIPMENT AVAILABLE. FAILURE IS ATTRIBUTED TO SUCH FACTORS AS (1) THE SPEECH SOUND WAVES SOUND THE SAME THOUGH THEIR WAVE SHAPES DIFFER, (2)…

  15. Paying It Forward: A Technical Assistance Guide for Developing and Implementing Performance-Based Scholarships. The Performance-Based Scholarship Demonstration

    ERIC Educational Resources Information Center

    Welbeck, Rashida; Ware, Michelle; Cerna, Oscar; Valenzuela, Ireri

    2014-01-01

    Difficulties in paying for college and in maintaining good academic performance are two major hurdles to college graduation for low-income students. In recent years, state and federal budgets for postsecondary education have been cut significantly, limiting the options policymakers, education leaders, and communities have to improve rates of…

  16. Promoting Changes in Children's Predictive Rules about Natural Phenomena: The Role of Computer-Based Modelling Strategies. Technical Report.

    ERIC Educational Resources Information Center

    Frenette, Micheline

    Trying to change the predictive rule for the sinking and floating phenomena, students have a great difficulty in understanding density and they are insensitive to empirical counter-examples designed to challenge their own rule. The purpose of this study is to examine the process whereby students from sixth and seventh grades relinquish their…

  17. Technical difficulties and its remedies in laparoscopic cholecystectomy in situs inversus totalis: A rare case report.

    PubMed

    Arya, S V; Das, Anupam; Singh, Sunil; Kalwaniya, Dheer Singh; Sharma, Ashok; Thukral, B B

    2013-01-01

    Laparoscopic cholecystectomy is considered to be the gold standard surgical procedure for cholelithiasis and is one of the commonest surgical procedures in the world today. However, in rare cases of previously undiagnosed situs inversus totalis (with dextrocardia), the presentation of the cholecystitis, its diagnosis and the operative procedure can pose problems. We present here one such case and discuss how the diagnosis was made and difficulties encountered during surgery and how they were coped with. A 35 year old female presented with left hypochondrium pain and dyspepsia, for 2 years. A diagnosis of cholelithiasis with situs inversus was confirmed after thorough clinical examination, abdominal and chest X-rays and ultrasonography of the abdomen. Laparoscopic cholecystectomy, which is the standard treatment, was performed with numerous modifications in the positioning of the monitor, insufflator, ports and the position of the members of the surgical team and the laparoscopic instruments. The patient had an uneventful recovery. Situs inversus totalis is itself a rare condition and when associated with cholelithiasis poses a challenge in the management of the condition. We must appreciate the necessity of setting up the operating theatre, the positioning of the ports, the surgical team and the instruments. Therefore, it becomes important for the right handed surgeons to modify their techniques and establish a proper hand eye coordination to adapt to the mirror image anatomy of the Calot's triangle in a patient of situs inversus totalis. Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

  18. Outcome of peroral endoscopic myotomy in achalasia cardia: Experience with a new triangular knife.

    PubMed

    Nabi, Zaheer; Ramchandani, Mohan; Chavan, Radhika; Kalapala, Rakesh; Darisetty, Santosh; Reddy, D Nageshwar

    2018-01-01

    Peroral endoscopic myotomy (POEM) is a technically demanding procedure. Recently, a new triangular knife with integrated water jet function (TTJ) has been introduced. The present study was aimed to analyze and compare the operating time, efficacy, and adverse events (AEs) between the conventional (TT knife) and new knife (TTJ). All patients with achalasia cardia (AC) who underwent POEM between August 2015 and November 2016 were analyzed retrospectively. Operating time (OT), technical success, and AEs were assessed and compared between TT and TTJ knife. A total of 193 patients with AC underwent POEM during the specified period. Both groups had equivalent number of different subtypes of AC (I, II, and III). There was no difference in technical success between the two groups (TT, 99% vs TT, 98.9%). OT was significantly less in the TTJ group as compared to TT group (53.8 ± 15.2 vs 66.26 ± 19.2; P = 0.0001). On subanalysis, OT taken for submucosal tunneling was significantly less with TTJ knife (34.6 ± 10.1 vs 45.83 ± 14.80), whereas OT was similar for myotomy and clipping in both the groups. Significantly fewer use of coagulation forceps and exchanges of accessories were required in TTJ knife group (2.92 ± 1.77 vs 10.5 ± 3.58; P = 0.0001). There were no major AEs. Minor AEs were noted in 21.5% and 31% of patients in TTJ and TT knife groups, respectively. New triangular knife reduces procedure time and technical difficulty with POEM. POEM is an efficacious treatment for achalasia and can be safely executed in an endoscopy unit.

  19. Outcome of peroral endoscopic myotomy in achalasia cardia: Experience with a new triangular knife

    PubMed Central

    Nabi, Zaheer; Ramchandani, Mohan; Chavan, Radhika; Kalapala, Rakesh; Darisetty, Santosh; Reddy, D. Nageshwar

    2018-01-01

    Background and Aim: Peroral endoscopic myotomy (POEM) is a technically demanding procedure. Recently, a new triangular knife with integrated water jet function (TTJ) has been introduced. The present study was aimed to analyze and compare the operating time, efficacy, and adverse events (AEs) between the conventional (TT knife) and new knife (TTJ). Patients and Methods: All patients with achalasia cardia (AC) who underwent POEM between August 2015 and November 2016 were analyzed retrospectively. Operating time (OT), technical success, and AEs were assessed and compared between TT and TTJ knife. Results: A total of 193 patients with AC underwent POEM during the specified period. Both groups had equivalent number of different subtypes of AC (I, II, and III). There was no difference in technical success between the two groups (TT, 99% vs TT, 98.9%). OT was significantly less in the TTJ group as compared to TT group (53.8 ± 15.2 vs 66.26 ± 19.2; P = 0.0001). On subanalysis, OT taken for submucosal tunneling was significantly less with TTJ knife (34.6 ± 10.1 vs 45.83 ± 14.80), whereas OT was similar for myotomy and clipping in both the groups. Significantly fewer use of coagulation forceps and exchanges of accessories were required in TTJ knife group (2.92 ± 1.77 vs 10.5 ± 3.58; P = 0.0001). There were no major AEs. Minor AEs were noted in 21.5% and 31% of patients in TTJ and TT knife groups, respectively. Conclusion: New triangular knife reduces procedure time and technical difficulty with POEM. POEM is an efficacious treatment for achalasia and can be safely executed in an endoscopy unit. PMID:29451180

  20. Telling about the analyst's pregnancy.

    PubMed

    Uyehara, L A; Austrian, S; Upton, L G; Warner, R H; Williamson, R A

    1995-01-01

    Pregnancy is one of several events in the life of an analyst which may affect an analysis, calling for special technical considerations. For the analyst, this exception to the tenet of anonymity, along with countertransference guilt, narcissistic preoccupation, heightened infantile conflicts, and intense patient responses, may stimulate anxiety that becomes focused on the timing and manner of informing the patient. For the patient, preoccupation with the timing of the telling may serve as a displacement from other meanings of the pregnancy. Candidate analysts may face particular difficulties managing the impact of their pregnancies on control cases. We address practical and technical considerations in telling, the transference and counter-transference surrounding it, ethical concerns, and the challenges of supervising a pregnant candidate.

  1. Solo Intracorporeal Esophagojejunostomy Reconstruction Using a Laparoscopic Scope Holder in Single-Port Laparoscopic Total Gastrectomy for Early Gastric Cancer.

    PubMed

    Ahn, Sang-Hoon; Son, Sang-Yong; Jung, Do Hyun; Park, Young Suk; Shin, Dong Joon; Park, Do Joong; Kim, Hyung-Ho

    2015-06-01

    Single-incision laparoscopic total gastrectomy for gastric cancer has recently been reported by Seoul National University Bundang Hospital. However, this is not a popular procedure primarily because of the technical difficulties involved in achieving consistent intracorporeal esophagojejunostomy. At Seoul National University Bundang Hospital, we recently introduced a simple, easy-to-use, low-profile laparoscopic manual scope holder that enables the maintenance of a stable field of view, the most demanding condition in single-port gastrectomy. In this technical report, we describe in detail the world's first solo single-incision laparoscopic total gastrectomy with D1+ lymph node dissection and intracorporeal esophagojejunostomy for proximal early gastric cancer.

  2. Solo Intracorporeal Esophagojejunostomy Reconstruction Using a Laparoscopic Scope Holder in Single-Port Laparoscopic Total Gastrectomy for Early Gastric Cancer

    PubMed Central

    Ahn, Sang-Hoon; Son, Sang-Yong; Jung, Do Hyun; Park, Young Suk; Shin, Dong Joon; Park, Do Joong

    2015-01-01

    Single-incision laparoscopic total gastrectomy for gastric cancer has recently been reported by Seoul National University Bundang Hospital. However, this is not a popular procedure primarily because of the technical difficulties involved in achieving consistent intracorporeal esophagojejunostomy. At Seoul National University Bundang Hospital, we recently introduced a simple, easy-to-use, low-profile laparoscopic manual scope holder that enables the maintenance of a stable field of view, the most demanding condition in single-port gastrectomy. In this technical report, we describe in detail the world's first solo single-incision laparoscopic total gastrectomy with D1+ lymph node dissection and intracorporeal esophagojejunostomy for proximal early gastric cancer. PMID:26161287

  3. Potential health effects of gasoline and its constituents: A review of current literature (1990-1997) on toxicological data.

    PubMed Central

    Caprino, L; Togna, G I

    1998-01-01

    We reviewed toxicological studies, both experimental and epidemiological, that appeared in international literature in the period 1990-1997 and included both leaded and unleaded gasolines as well as their components and additives. The aim of this overview was to select, arrange, and present references of scientific papers published during the period under consideration and to summarize the data in order to give a comprehensive picture of the results of toxicological studies performed in laboratory animals (including carcinogenic, teratogenic, or embryotoxic activity), mutagenicity and genotoxic aspects in mammalian and bacterial systems, and epidemiological results obtained in humans in relation to gasoline exposure. This paper draws attention to the inherent difficulties in assessing with precision any potential adverse effects on health, that is, the risk of possible damage to man and his environment from gasoline. The difficulty of risk assessment still exists despite the fact that the studies examined are definitely more technically valid than those of earlier years. The uncertainty in overall risk determination from gasoline exposure also derives from the conflicting results of different studies, from the lack of a correct scientific approach in some studies, from the variable characteristics of the different gasoline mixtures, and from the difficulties of correctly handling potentially confounding variables related to lifestyle (e.g., cigarette smoking, drug use) or to preexisting pathological conditions. In this respect, this paper highlights the need for accurately assessing the conclusive explanations reported in scientific papers so as to avoid the spread of inaccurate or misleading information on gasoline toxicity in nonscientific papers and in mass-media messages. PMID:9452413

  4. Challenges to Providing Fetal Anomaly Testing in a Cross-Cultural Environment: Experiences of Practitioners Caring for Aboriginal Women.

    PubMed

    Rumbold, Alice R; Wild, Kayli J; Maypilama, Elaine Lawurrpa; Kildea, Sue V; Barclay, Lesley; Wallace, Euan M; Boyle, Jacqueline A

    2015-12-01

    Across Australia there are substantial disparities in uptake of antenatal testing for fetal anomalies, with very low uptake observed among Aboriginal women. The reasons behind these disparities are unclear, although poorer access to testing has been reported in some communities. We interviewed health care practitioners to explore the perceived barriers to providing fetal anomaly screening to Aboriginal women. In 2009 and 2010, in-depth interviews were undertaken with 59 practitioners in five urban and remote sites across the Northern Territory (NT) of Australia. Data were analyzed thematically. Maximum variation sampling, independent review of findings by multiple analysts, and participant feedback were undertaken to strengthen the validity of findings. Participants included midwives (47%), Aboriginal health practitioners (AHP) (32%), general practitioners (12%), and obstetricians (9%); almost all (95%) were female. Participants consistently reported difficulties counseling women. Explaining the concept of "risk" (of abnormalities and the screening test result) was identified as particularly challenging, because of a perceived lack of an equivalent concept in Aboriginal languages. While AHPs could assist with overcoming language barriers, they are underutilized. Participants also identified impediments to organizing testing including difficulties establishing gestational age, late presentation for care, and a lack of standardized information and training. The availability of fetal anomaly testing is challenged by communication difficulties, including a focus on culturally specific biomedical concepts, and organizational barriers to arranging testing. Developing educational activities that address the technical aspects of screening and communication skills will assist in improving access. These activities must include AHPs. © 2015 Wiley Periodicals, Inc.

  5. Difficulties encountered at the beginning of professional life: results of a 2003 pilot survey among undergraduate students in Paris Rene Descartes University (France).

    PubMed

    Benbelaïd, R; Dot, D; Levy, G; Eid, N

    2006-11-01

    In addition to dental hospital clinical activity, dental students at Paris Rene Descartes University have the opportunity in their final year of study to practise clinically in a dental office, as associates. This paper outlines a pilot, experimental study designed to assess student reaction to this Vocational Clinical Activity (VCA) in order to identify relevant weaknesses of the undergraduate programme. Using questionnaires, data were collected for each of the following clinical or management skills: clinical difficulty, therapeutic decision-making, patient/practitioner relationship, time management, administrative matters and technical problems. Students were asked to rank each item in order of difficulty (1, high level to 6, low level). A high response rate was observed (90%) among the 50 undergraduate VCA students. The results pointed out three main difficulties encountered by undergraduate students during the VCA: time management (90% of the students), administrative matters (85% of the students) and clinical decision-making (80% of the students). These preliminary results need further investigation. However, they give us the incentive to carry on with this type of assessment and to extend it to young, qualified colleagues' perceptions and to other French Universities.

  6. Technical difficulties and solutions of direct transesterification process of microbial oil for biodiesel synthesis.

    PubMed

    Yousuf, Abu; Khan, Maksudur Rahman; Islam, M Amirul; Wahid, Zularisam Ab; Pirozzi, Domenico

    2017-01-01

    Microbial oils are considered as alternative to vegetable oils or animal fats as biodiesel feedstock. Microalgae and oleaginous yeast are the main candidates of microbial oil producers' community. However, biodiesel synthesis from these sources is associated with high cost and process complexity. The traditional transesterification method includes several steps such as biomass drying, cell disruption, oil extraction and solvent recovery. Therefore, direct transesterification or in situ transesterification, which combines all the steps in a single reactor, has been suggested to make the process cost effective. Nevertheless, the process is not applicable for large-scale biodiesel production having some difficulties such as high water content of biomass that makes the reaction rate slower and hurdles of cell disruption makes the efficiency of oil extraction lower. Additionally, it requires high heating energy in the solvent extraction and recovery stage. To resolve these difficulties, this review suggests the application of antimicrobial peptides and high electric fields to foster the microbial cell wall disruption.

  7. How small is small enough? Role of robotics in paediatric urology

    PubMed Central

    Ganpule, Arvind P.; Sripathi, Venkat

    2015-01-01

    The well-known advantages of robotic surgery include improved dexterity, three-dimensional operating view and an improved degree of freedom. Robotic surgery is performed for a wide range of surgeries in urology, which include radical prostatectomy, radical cystectomy, and ureteric reimplantation. Robotic paediatric urology is evolving. The major hindrance in the development of paediatric robotics is, first, the differences in practice patterns in paediatric urology compared with adult urology thereby making development of expertise difficult and secondly it is challenging to conduct proper studies in the paediatric population because of the paucity of cases. The difficulties in conducting these studies include difficulty in designing a proper randomised study, difficulties with blinding, and finally, the ethical issues involved, finally the instruments although in the phase of evolution require a lot of improvement. In this article, we review the relevant articles for paediatric robotic surgery. We emphasise on the technical aspects and results in contemporary paediatric robotic case series. PMID:25598599

  8. How small is small enough? Role of robotics in paediatric urology.

    PubMed

    Ganpule, Arvind P; Sripathi, Venkat

    2015-01-01

    The well-known advantages of robotic surgery include improved dexterity, three-dimensional operating view and an improved degree of freedom. Robotic surgery is performed for a wide range of surgeries in urology, which include radical prostatectomy, radical cystectomy, and ureteric reimplantation. Robotic paediatric urology is evolving. The major hindrance in the development of paediatric robotics is, first, the differences in practice patterns in paediatric urology compared with adult urology thereby making development of expertise difficult and secondly it is challenging to conduct proper studies in the paediatric population because of the paucity of cases. The difficulties in conducting these studies include difficulty in designing a proper randomised study, difficulties with blinding, and finally, the ethical issues involved, finally the instruments although in the phase of evolution require a lot of improvement. In this article, we review the relevant articles for paediatric robotic surgery. We emphasise on the technical aspects and results in contemporary paediatric robotic case series.

  9. Problems with veteran-family communication during operation enduring freedom/operation Iraqi freedom military deployment.

    PubMed

    Hinojosa, Ramon; Hinojosa, Melanie Sberna; Högnäs, Robin S

    2012-02-01

    Twenty Reserve component (Army and Marines) and Army National Guard male veterans of Operational Enduring Freedom/Operation Iraqi Freedom discuss their deployment and postdeployment family reintegration experiences. A Grounded Theory approach is used to highlight some of the ways in which family miscommunication during deployment can occur. Communication with civilian family members is affected by the needs of operational security, technical problems with communication tools, miscommunication between family members, or because veterans have "nothing new to say" to family back home. These communication difficulties may lead to an initial gulf of understanding between veterans and family members that can cause family strain during postdeployment family reintegration. We end with a discussion of veteran family reintegration difficulties.

  10. SIMBIOS Project; 2003 Annual Report

    NASA Technical Reports Server (NTRS)

    McClain, Charles R.; Fargion, Giulietta S.

    2003-01-01

    The purpose of this technical report is to provide current documentation of the the Sensor Intercomparison and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities, NASA Research Announcement (NRA) research status, satellite data processing, data product validation, and field calibration. This documentation is necessary to ensure that critical information is related to the scientific community and NASA management. This critical information includes the technical difficulties and challenges of validating and combining ocean color data from an array of independent satellite systems to form consistent and accurate global bio-optical time series products. This technical report is not meant as a substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issued by an operational project. The SIMBIOS Science Team Principal Investigators (PIs) original contributions to this report are in chapters four and above. The purpose of these contributions is to describe the current research status of the SIMBIOS-NRA-99 funded research. The contributions are published as submitted, with the exception of minor edits to correct obvious grammatical or clerical errors.

  11. Educational Consultancy in Small States: A Source Book. Educational Development in the Small States of the Commonwealth Series.

    ERIC Educational Resources Information Center

    Lloyd, Marie-Pierre; Packer, Steve

    A problem for small states is how to access specialist knowledge when the national pool of human resources is small. This is a difficulty for ministries of education and educational institutions. The usual response is to draw on technical assistance, often as part of a wider aid package, from industrialized countries or international agencies. But…

  12. The Effect of Reading Duration on the Reliability and Validity of Middle School Students' ORF Performance

    ERIC Educational Resources Information Center

    Barth, Amy E.; Stuebing, Karla K.; Fletcher, Jack M.; Denton, Carolyn A.; Vaughn, Sharon; Francis, David

    2014-01-01

    We evaluated the technical adequacy of oral reading fluency (ORF) probes in which 1,472 middle school students with and without reading difficulties read fluency probes for 60 s versus reading the full passage. Results suggested that the reliability of 60-s probes (rs = 0.75) was not substantively different than full passage probes (rs = 0.77)…

  13. Echocardiographic Assessment of Heart Valve Prostheses

    PubMed Central

    Sordelli, Chiara; Severino, Sergio; Ascione, Luigi; Coppolino, Pasquale; Caso, Pio

    2014-01-01

    Patients submitted to valve replacement with mechanical or biological prosthesis, may present symptoms related either to valvular malfunction or ventricular dysfunction from other causes. Because a clinical examination is not sufficient to evaluate a prosthetic valve, several diagnostic methods have been proposed to assess the functional status of a prosthetic valve. This review provides an overview of echocardiographic and Doppler techniques useful in evaluation of prosthetic heart valves. Compared to native valves, echocardiographic evaluation of prosthetic valves is certainly more complex, both for the examination and the interpretation. Echocardiography also allows discriminating between intra- and/or peri-prosthetic regurgitation, present in the majority of mechanical valves. Transthoracic echocardiography (TTE) requires different angles of the probe with unconventional views. Transesophageal echocardiography (TEE) is the method of choice in presence of technical difficulties. Three-dimensional (3D)-TEE seems to be superior to 2D-TEE, especially in the assessment of paravalvular leak regurgitation (PVL) that it provides improved localization and analysis of the PVL size and shape. PMID:28465917

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

    Kim, Jungho

    Hard x-ray resonant inelastic x-ray scattering (RIXS) is a promising x-ray spectroscopic tool for measuring low-energy excitation spectra at high pressure which have been stymied heretofore by the technical difficulties inherent in measuring a sample held at high pressure in a diamond anvil cell. The currently available facilities of high resolution (< 200 meV) RIXS has been used to probe low-energy excitation spectra from the diamond anvil cell, by virtue of advanced photon detection instrumentations of high-brilliance synchrotron x-ray radiation sources. Compared to a structural elastic scattering and x-ray emission, RIXS is a photon hungry technique and high-resolution RIXS undermore » high pressure is at its infancy stage. In this review, the fundamentals of RIXS including instrumentation of high-resolution RIXS are presented and then experimental details of diamond anvil cell, sample preparation and measurement geometry are discussed. Experimental data of 3d and 5d transition metal oxides are presented. Finally, future improvements in high-resolution RIXS instrumentation for the high pressure experiment is discussed.« less

  15. Concordia CCD - A Geoscope station in continental Antarctica

    NASA Astrophysics Data System (ADS)

    Maggi, A.; Lévêque, J.; Thoré, J.; Bes de Berc, M.; Bernard, A.; Danesi, S.; Morelli, A.; Delladio, A.; Sorrentino, D.; Stutzmann, E.; Geoscope Team

    2010-12-01

    Concordia (Dome C, Antarctica) has had a permanent seismic station since 2005. It is run by EOST and INGV in collaboration with the French and Italian polar institutes (IPEV and PNRA). It is installed in an ice-vault, at 12m depth, distant 1km from the permanent scientific base at Concordia. The temperature in the vault is a constant -55°C. The data quality at the station has improved continuously since its installation. In 2007, the station was declared at ISC as an open station with station code CCD (ConCorDia), with data available upon request. It is only the second permanent station in the Antarctic continent, after South Pole. In 2010, CCD was included in the Geoscope network. Data from CCD starting in 2007 are now freely available from the Geoscope Data Center and IRIS. We present an analysis of the data quality at CCD, and describe the technical difficulties of operating an observatory-quality seismic station in the extreme environmental conditons present in continental Antarctica.

  16. Nanocarrier-mediated drugs targeting cancer stem cells: an emerging delivery approach.

    PubMed

    Malhi, Sarandeep; Gu, Xiaochen

    2015-07-01

    Cancer stem cells (CSCs) play an important role in the development of drug resistance, metastasis and recurrence. Current conventional therapies do not commonly target CSCs. Nanocarrier-based delivery systems targeting cancer cells have entered a new era of treatment, where specific targeting to CSCs may offer superior outcomes to efficient cancer therapies. This review discusses the involvement of CSCs in tumor progression and relevant mechanisms associated with CSCs resistance to conventional chemo- and radio-therapies. It highlights CSCs-targeted strategies that are either under evaluation or could be explored in the near future, with a focus on various nanocarrier-based delivery systems of drugs and nucleic acids to CSCs. Novel nanocarriers targeting CSCs are presented in a cancer-specific way to provide a current perspective on anti-CSCs therapeutics. The field of CSCs-targeted therapeutics is still emerging with a few small molecules and macromolecules currently proving efficacy in clinical trials. However considering the complexities of CSCs and existing delivery difficulties in conventional anticancer therapies, CSC-specific delivery systems would face tremendous technical and clinical challenges. Nanocarrier-based approaches have demonstrated significant potential in specific drug delivery and targeting; their success in CSCs-targeted drug delivery would not only significantly enhance anticancer treatment but also address current difficulties associated with cancer resistance, metastasis and recurrence.

  17. Reconstructive microsurgery in pediatric population-a series of 25 patients.

    PubMed

    Yildirim, Serkan; Calikapan, Gaye Taylan; Akoz, Tayfun

    2008-01-01

    Pediatric microsurgery procedures possess various difficulties when compared with adults. However, both free tissue transfers and replantation of the amputated parts show remarkable success rates in children. The concerns of survival of the flaps and the amputated parts have shifted to the function of these in the adulthood. Several key points and hints allow successfull rates for both survival and function. We present a series of microsurgical procedures both free tissue transfers (12 patients) and digital replantations (13 patients). Free tissue transfers included toe-to-hand transfers in 5, latissimus dorsi flaps in 4, fibular flaps in 4, and anterolateral thigh flaps in 2 patients. Thirteen patients involved 17 digital replantations. The survival rate was less in the replantation group (58.75%) than in the free tissue transfer group (93%). Both the functional and the cosmetic results were promising. The follow-up period was between 1 and 6 years (mean 37 months) for the free tissue transfer group and 1-5 years (mean 20 months) for the replantation group. The major technical difficulties include the age group of 0-2 years. Aside from these the high capacity of regeneration and the improved learning capacity increase the feasibility of the microsurgical procedures proceeded among children. Copyright 2008 Wiley-Liss, Inc. Microsurgery, 2008.

  18. Improvement of SLR accuracy, a possible new step

    NASA Technical Reports Server (NTRS)

    Kasser, Michel

    1993-01-01

    The satellite laser ranging (SLR) technology experienced a large number of technical improvements since the early 1970's, leading now to a millimetric instrumental accuracy. Presently, it appears as useless to increase these instrumental performances as long as the atmospheric propagation delay suffers its actual imprecision. It has been proposed for many years to work in multiwavelength mode, but up to now the considerable technological difficulties of subpicosecond timing have seriously delayed such an approach. Then a new possibility is proposed, using a device which is not optimized now for SLR but has already given good results in the lower troposphere for wind measurement: the association of a radar and a sodar. While waiting for the 2-lambda methodology, this one could provide an atmospheric propagation delay at the millimeter level during a few years with only little technological investment.

  19. EPR spin trapping of oxygen radicals in plants: a methodological overview.

    PubMed

    Bacić, Goran; Mojović, Milos

    2005-06-01

    We present a brief account of the difficulties involved in detection of oxygen free radicals in plants and give a rationale for using the EPR spin trapping technique in such studies. Comparative analysis of characteristics of different spin traps is given, having in mind their suitability in trapping oxygen-centered free radicals. Certain technical aspects of EPR experiments related to successful trapping of free radicals are discussed. Previous studies of trapping of oxygen radicals in plants are reviewed in terms of how efficient the experimental approach employed has been in their detection and how this influences conclusions about the mechanisms of their production. In addition, we analyze the potential of spin labels in the analysis of free radical production in plants and demonstrate that the combination of EPR spin traps and spin labels is extremely efficient for this purpose.

  20. A Development Architecture for Serious Games Using BCI (Brain Computer Interface) Sensors

    PubMed Central

    Sung, Yunsick; Cho, Kyungeun; Um, Kyhyun

    2012-01-01

    Games that use brainwaves via brain–computer interface (BCI) devices, to improve brain functions are known as BCI serious games. Due to the difficulty of developing BCI serious games, various BCI engines and authoring tools are required, and these reduce the development time and cost. However, it is desirable to reduce the amount of technical knowledge of brain functions and BCI devices needed by game developers. Moreover, a systematic BCI serious game development process is required. In this paper, we present a methodology for the development of BCI serious games. We describe an architecture, authoring tools, and development process of the proposed methodology, and apply it to a game development approach for patients with mild cognitive impairment as an example. This application demonstrates that BCI serious games can be developed on the basis of expert-verified theories. PMID:23202227

  1. A development architecture for serious games using BCI (brain computer interface) sensors.

    PubMed

    Sung, Yunsick; Cho, Kyungeun; Um, Kyhyun

    2012-11-12

    Games that use brainwaves via brain-computer interface (BCI) devices, to improve brain functions are known as BCI serious games. Due to the difficulty of developing BCI serious games, various BCI engines and authoring tools are required, and these reduce the development time and cost. However, it is desirable to reduce the amount of technical knowledge of brain functions and BCI devices needed by game developers. Moreover, a systematic BCI serious game development process is required. In this paper, we present a methodology for the development of BCI serious games. We describe an architecture, authoring tools, and development process of the proposed methodology, and apply it to a game development approach for patients with mild cognitive impairment as an example. This application demonstrates that BCI serious games can be developed on the basis of expert-verified theories.

  2. Late-time cosmic acceleration: ABCD of dark energy and modified theories of gravity

    NASA Astrophysics Data System (ADS)

    Sami, M.; Myrzakulov, R.

    2016-10-01

    We briefly review the problems and prospects of the standard lore of dark energy. We have shown that scalar fields, in principle, cannot address the cosmological constant problem. Indeed, a fundamental scalar field is faced with a similar problem dubbed naturalness. In order to keep the discussion pedagogical, aimed at a wider audience, we have avoided technical complications in several places and resorted to heuristic arguments based on physical perceptions. We presented underlying ideas of modified theories based upon chameleon mechanism and Vainshtein screening. We have given a lucid illustration of recently investigated ghost-free nonlinear massive gravity. Again, we have sacrificed rigor and confined to the basic ideas that led to the formulation of the theory. The review ends with a brief discussion on the difficulties of the theory applied to cosmology.

  3. Long-range Weather Prediction and Prevention of Climate Catastrophes: A Status Report

    DOE R&D Accomplishments Database

    Caldeira, K.; Caravan, G.; Govindasamy, B.; Grossman, A.; Hyde, R.; Ishikawa, M.; Ledebuhr, A.; Leith, C.; Molenkamp, C.; Teller, E.; Wood, L.

    1999-08-18

    As the human population of Earth continues to expand and to demand an ever-higher quality-of-life, requirements for ever-greater knowledge--and then control--of the future of the state of the terrestrial biosphere grow apace. Convenience of living--and, indeed, reliability of life itself--become ever more highly ''tuned'' to the future physical condition of the biosphere being knowable and not markedly different than the present one. Two years ago, we reported at a quantitative albeit conceptual level on technical ways-and-means of forestalling large-scale changes in the present climate, employing practical means of modulating insolation and/or the Earth's mean albedo. Last year, we reported on early work aimed at developing means for creating detailed, high-fidelity, all-Earth weather forecasts of two weeks duration, exploiting recent and anticipated advances in extremely high-performance digital computing and in atmosphere-observing Earth satellites bearing high-technology instrumentation. This year, we report on recent progress in both of these areas of endeavor. Preventing the commencement of large-scale changes in the current climate presently appears to be a considerably more interesting prospect than initially realized, as modest insolation reductions are model-predicted to offset the anticipated impacts of ''global warming'' surprisingly precisely, in both space and time. Also, continued study has not revealed any fundamental difficulties in any of the means proposed for insolation modulation and, indeed, applicability of some of these techniques to other planets in the inner Solar system seems promising. Implementation of the high-fidelity, long-range weather-forecasting capability presently appears substantially easier with respect to required populations of Earth satellites and atmospheric transponders and data-processing systems, and more complicated with respect to transponder lifetimes in the actual atmosphere; overall, the enterprise seems more technically feasible than originally anticipated.

  4. Laser-assisted homogeneous charge ignition in a constant volume combustion chamber

    NASA Astrophysics Data System (ADS)

    Srivastava, Dhananjay Kumar; Weinrotter, Martin; Kofler, Henrich; Agarwal, Avinash Kumar; Wintner, Ernst

    2009-06-01

    Homogeneous charge compression ignition (HCCI) is a very promising future combustion concept for internal combustion engines. There are several technical difficulties associated with this concept, and precisely controlling the start of auto-ignition is the most prominent of them. In this paper, a novel concept to control the start of auto-ignition is presented. The concept is based on the fact that most HCCI engines are operated with high exhaust gas recirculation (EGR) rates in order to slow-down the fast combustion processes. Recirculated exhaust gas contains combustion products including moisture, which has a relative peak of the absorption coefficient around 3 μm. These water molecules absorb the incident erbium laser radiations ( λ=2.79 μm) and get heated up to expedite ignition. In the present experimental work, auto-ignition conditions are locally attained in an experimental constant volume combustion chamber under simulated EGR conditions. Taking advantage of this feature, the time when the mixture is thought to "auto-ignite" could be adjusted/controlled by the laser pulse width optimisation, followed by its resonant absorption by water molecules present in recirculated exhaust gas.

  5. Microsurgical Bypass Training Rat Model, Part 1: Technical Nuances of Exposure of the Aorta and Iliac Arteries.

    PubMed

    Tayebi Meybodi, Ali; Lawton, Michael T; Mokhtari, Pooneh; Yousef, Sonia; Gandhi, Sirin; Benet, Arnau

    2017-11-01

    Animal models using rodents are frequently used for practicing microvascular anastomosis-an essential technique in cerebrovascular surgery. However, safely and efficiently exposing rat's target vessels is technically difficult. Such difficulty may lead to excessive hemorrhage and shorten animal survival. This limits the ability to perform multiple anastomoses on a single animal and may increase the overall training time and costs. We report our model for microsurgical bypass training in rodents in 2 consecutive articles. In part 1, we describe the technical nuances for a safe and efficient exposure of the rat abdominal aorta and common iliac arteries (CIAs) for bypass. Over a 2-year period, 50 Sprague-Dawley rats underwent inhalant anesthesia for practicing microvascular anastomosis on the abdominal aorta and CIAs. Lessons learned regarding the technical nuances of vessel exposure were recorded. Several technical nuances were important for avoiding intraoperative bleeding and preventing animal demise while preparing an adequate length of vessels for bypass. The most relevant technical nuances include (1) generous subcutaneous dissection; (2) use of cotton swabs for the blunt dissection of the retroperitoneal fat; (3) combination of sharp and blunt dissection to isolate the aorta and iliac arteries from the accompanying veins; (4) proper control of the posterior branches of the aorta; and (5) efficient division and mobilization of the left renal pedicle. Applying the aforementioned technical nuances enables safe and efficient preparation of the rat abdominal aorta and CIAs for microvascular anastomosis. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. AUDIOVISUAL RESOURCES ON THE TEACHING PROCESS IN SURGICAL TECHNIQUE

    PubMed Central

    PUPULIM, Guilherme Luiz Lenzi; IORIS, Rafael Augusto; GAMA, Ricardo Ribeiro; RIBAS, Carmen Australia Paredes Marcondes; MALAFAIA, Osvaldo; GAMA, Mirnaluci

    2015-01-01

    Background: The development of didactic means to create opportunities to permit complete and repetitive viewing of surgical procedures is of great importance nowadays due to the increasing difficulty of doing in vivo training. Thus, audiovisual resources favor the maximization of living resources used in education, and minimize problems arising only with verbalism. Aim: To evaluate the use of digital video as a pedagogical strategy in surgical technique teaching in medical education. Methods: Cross-sectional study with 48 students of the third year of medicine, when studying in the surgical technique discipline. They were divided into two groups with 12 in pairs, both subject to the conventional method of teaching, and one of them also exposed to alternative method (video) showing the technical details. All students did phlebotomy in the experimental laboratory, with evaluation and assistance of the teacher/monitor while running. Finally, they answered a self-administered questionnaire related to teaching method when performing the operation. Results: Most of those who did not watch the video took longer time to execute the procedure, did more questions and needed more faculty assistance. The total exposed to video followed the chronology of implementation and approved the new method; 95.83% felt able to repeat the procedure by themselves, and 62.5% of those students that only had the conventional method reported having regular capacity of technique assimilation. In both groups mentioned having regular difficulty, but those who have not seen the video had more difficulty in performing the technique. Conclusion: The traditional method of teaching associated with the video favored the ability to understand and transmitted safety, particularly because it is activity that requires technical skill. The technique with video visualization motivated and arouse interest, facilitated the understanding and memorization of the steps for procedure implementation, benefiting the students performance. PMID:26734790

  7. Muscle-splitting approach to superior and inferior gluteal vessels: versatile source of recipient vessels for free-tissue transfer to sacral, gluteal, and ischial regions.

    PubMed

    Park, S

    2000-07-01

    The superior gluteal vessel has been reported as a recipient in free-tissue transfer for the coverage of complex soft-tissue defects in the lumbosacral region, where a suitable recipient vessel is difficult to find. The characteristics of proximity, vessel caliber, and constancy make the superior gluteal vessel preferable to previously reported recipient vessels. However, there are technical difficulties in microsurgery (e.g., short pedicle length and deep location) and muscle injury (transection of the muscle) associated with use of the superior gluteal vessel. The purpose of this article is to present a modification of an approach to the gluteal vessel to alleviate technical difficulties and minimize muscle injury. From August of 1997 to January of 1999, six patients received microvascular transfer of the latissimus dorsi muscle or myocutaneous flap to the sacral (4) and ischial (2) regions. The causes of defects were tumor (1), trauma (1), and pressure sores (4). A muscle-splitting approach was used on the superior gluteal vessel and was later applied to the inferior gluteal vessel. The gluteus maximus muscle was split as needed in the direction of its fibers, and the perforators were dissected down to the superior or inferior gluteal artery and vein deep into the muscle. The follow-up period ranged from 6 to 22 months, and all of the flaps survived with complete recovery of the lesion. The major drawbacks of using the superior and inferior gluteal vessels can be overcome with the muscle-splitting approach, which provides increased accessibility and additional length to the vascular pedicle while causing minimal injury to the muscle itself. It also proves to be an easy, safe, and reliable method of dissection. When free-tissue transfer to sacral, gluteal, and ischial regions is indicated, the muscle-splitting approach to the superior and inferior gluteal vessels is a recommended option in the selection of a recipient vessel.

  8. Intraluminal radiation for esophageal cancer: a Howard University technique.

    PubMed

    Moorthy, C R; Nibhanupudy, J R; Ashayeri, E; Goldson, A L; Espinoza, M C; Nidiry, J J; Warner, O G; Roux, V J

    1982-03-01

    The objective of radiotherapeutic management in esophageal cancer is to accomplish maximum tumor sterilization with minimal normal tissue damage. This sincere effort is most often countered by the differential in tumor dose response vs normal tissue tolerance. Intraluminal isotope radiation, with its inherent advantage of rapid dose falloff, spares the lungs, the spinal cord, and other vital structures, yet yields adequately high doses to esophageal tumor. Though in existence since the turn of the century, the method of intracavitary radium bougie application dropped out of favor due to technical difficulties imposed by the size of the radium source and radiation exposure to the personnel involved. The authors describe a simple "iridium 192 afterloading intraluminal technique" that eliminates technical problems and reduces radiation exposure considerably.

  9. Toxoplasmosis masking non-Hodgkin's lymphoma: a case report.

    PubMed

    Mighell, A; Carton, A; Carey, P; High, A

    1995-12-01

    A 39-year-old female with persistent cervical lymphadenopathy is reported. Initial investigations resulted in a diagnosis of toxoplasmosis, but subsequently the patient proved to have high grade immunoblastic non-Hodgkin's lymphoma. This paper highlights the difficulties in accurately diagnosing some cases of either toxoplasmosis or lymphoma, and briefly mentions some of the ongoing technical advances which will increase diagnostic specificity and sensitivity by early detection of genetic mutations.

  10. Phase Radio Engineering Systems (Selected Pages),

    DTIC Science & Technology

    1983-04-28

    that if on the linear network functions the delta-function, which has the uniform spectrum, then the spectrum of response repeats frequency DOC...integrator can be used, for example, chain/ network RC with the slow response. Page 222. As the being congruent/equating cascade/stage can be used, for example...the elements of the networks which are ensured with the great technical difficulties or not at all can be achieved/reached. !.( .... . 2

  11. Biologically Inspired Behavioral Strategies for Autonomous Aerial Explorers on Mars

    NASA Technical Reports Server (NTRS)

    Plice, Laura; Pisanich, Greg; Lau, Benton; Young, Larry A.

    2002-01-01

    The natural world is a rich source of problem- solving approaches. This paper discusses the feasibility and technical challenges underlying mimicking, or analogously adapting, biological behavioral strategies to mission/flight planning for aerial vehicles engaged in planetary exploration. Two candidate concepts based on natural resource utilization and searching behaviors are adapted io technological applications. Prototypes and test missions addressing the difficulties of implementation and their solutions are also described.

  12. A Comparison between National and Transnational Students' Access of Online Learning Support Materials and Experience of Technical Difficulties on a Fully Online Distance Learning Master of Public Health Programme

    ERIC Educational Resources Information Center

    Gemmell, Isla; Harrison, Roger

    2017-01-01

    Online distance learning (ODL) is now recognised as a mainstream teaching method for undergraduate and postgraduate students around the world. However, differences in learner characteristics such as help-seeking behaviour between transnational students and home students may impact on student attainment. 64 students undertaking an online master of…

  13. Effect of fabric mounting method and backing material on bloodstain patterns of drip stains on textiles.

    PubMed

    Chang, J Y M; Michielsen, S

    2016-05-01

    Textiles may provide valuable bloodstain evidence to help piece together events or activities at violent crime scenes. However, in spite of over 75 years of research, there are still difficulties encountered in many cases in the interpretation and identification of bloodstains on textiles. In this study, we dripped porcine blood onto three types of fabric (plain woven, single jersey knit, and denim) that are supported in four different ways (hard, taut, loose, and semi-hard, i.e., fabric laid on denim). These four mounting methods represent different ways in which a textile may be present when blood from a violent act lands on it. This study investigates how the fabric mounting method and backing material affect the appearance of drip stains on textiles. We found that bloodstain patterns formed on fabric lying flat on a hard surface were very different from when the same fabric was suspended loosely. We also found that bloodstains formed on the technical back of single jersey knit were vastly different from those on the technical face. Interestingly, some drip stains showed blood passing through the textile and leaving a stain behind it that resembled insect stains. By observing, recording, and describing how a blood stained textile is found or presented at the scene, the analyst may be able to better understand bloodstains and bloodstain patterns on textiles, which could be useful to confirm or refute a witness's account of how blood came to be where it was found after a bloodshed event.

  14. Comparison of learning curves and skill transfer between classical and robotic laparoscopy according to the viewing conditions: implications for training.

    PubMed

    Blavier, Adélaïde; Gaudissart, Quentin; Cadière, Guy-Bernard; Nyssen, Anne-Sophie

    2007-07-01

    The purpose of this study was to evaluate the perceptual (2-dimensional [2D] vs. 3-dimensional [3D] view) and instrumental (classical vs. robotic) impacts of new robotic system on learning curves. Forty medical students without any surgical experience were randomized into 4 groups (classical laparoscopy with 3D-direct view or with 2D-indirect view, robotic system in 3D or in 2D) and repeated a laparoscopic task 6 times. After these 6 repetitions, they performed 2 trials with the same technique but in the other viewing condition (perceptive switch). Finally, subjects performed the last 3 trials with the technique they never used (technical switch). Subjects evaluated their performance answering a questionnaire (impressions of mastery, familiarity, satisfaction, self-confidence, and difficulty). Our study showed better performance and improvement in 3D view than in 2D view whatever the instrumental aspect. Participants reported less mastery, familiarity, and self-confidence and more difficulty in classical laparoscopy with 2D-indirect view than in the other conditions. Robotic surgery improves surgical performance and learning, particularly by 3D view advantage. However, perceptive and technical switches emphasize the need to adapt and pursue training also with traditional technology to prevent risks in conversion procedure.

  15. The Scientific Value and Technical Challenge of Chang'E-4 Landing on the Far-side of the Moon

    NASA Astrophysics Data System (ADS)

    Li, Fei; Zhang, He; Wu, Xueying; Ma, Jinan; Zhou, Wenyan

    2016-07-01

    The mission of Chang'E-4 probe is landing on the far-side of the moon for the first time in human history. Compared with the near-side, far-side landing has unique scientific value and more challenging technology implementation. The scientific significance of the exploration of far-side of the moon and the technical difficulties and solution approach of the Chang'E-4 were discussed in this paper. In science, the far-side of the Moon is an ideal scientific platform in that it is shielded from terrestrial radio-frequency interference. The terrane that records the formation of the primordial crust is located largely on the far-side hemisphere, and there is the largest and oldest recognized impact basin in our Solar System, the South Pole-Aitken basin. In technology, the difficulties mainly includes the analysis of the influence of lunar topography of far-side on the landing descent strategy, the study of relay orbit and operating modes for the relay satellite in the Earth-Moon L2(Lagrange point 2), and the requirement analysis of autonomous management due to the relay communication. It will provide the reference for landing exploration of the far-side of the moon.

  16. Initial experience of using high field strength intraoperative MRI for neurosurgical procedures.

    PubMed

    Raheja, Amol; Tandon, Vivek; Suri, Ashish; Sarat Chandra, P; Kale, Shashank S; Garg, Ajay; Pandey, Ravindra M; Kalaivani, Mani; Mahapatra, Ashok K; Sharma, Bhawani S

    2015-08-01

    We report our initial experience to optimize neurosurgical procedures using high field strength intraoperative magnetic resonance imaging (IOMRI) in 300 consecutive patients as high field strength IOMRI rapidly becomes the standard of care for neurosurgical procedures. Three sequential groups (groups A, B, C; n=100 each) were compared with respect to time management, complications and technical difficulties to assess improvement in these parameters with experience. We observed a reduction in the number of technical difficulties (p<0.001), time to induction (p<0.001) and total anesthesia time (p=0.007) in sequential groups. IOMRI was performed for neuronavigation guidance (n=252) and intraoperative validation of extent of resection (EOR; n=67). Performing IOMRI increased the EOR over and beyond the primary surgical attempt in 20.5% (29/141) and 18% (11/61) of patients undergoing glioma and pituitary surgery, respectively. Overall, EOR improved in 59.7% of patients undergoing IOMRI (40/67). Intraoperative tractography and real time navigation using re-uploaded IOMRI images (accounting for brain shift) helps in intraoperative planning to reduce complications. IOMRI is an asset to neurosurgeons, helping to augment the EOR, especially in glioma and pituitary surgery, with no significant increase in morbidity to the patient. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Single port radical prostatectomy: current status.

    PubMed

    Martín, Oscar Darío; Azhar, Raed A; Clavijo, Rafael; Gidelman, Camilo; Medina, Luis; Troche, Nelson Ramirez; Brunacci, Leonardo; Sotelo, René

    2016-06-01

    The aim of this study is to analyze the current literature on single port radical prostatectomy (LESS-RP). Single port radical prostatectomy laparoendoscopic (LESS-RP) has established itself as a challenge for urological community, starting with the proposal of different approaches: extraperitoneal, transperitoneal and transvesical, initially described for laparoscopy and then laparoscopy robot-assisted. In order to improve the LESS-RP, new instruments, optical devices, trocars and retraction mechanisms have been developed. Advantages and disadvantages of LESS-RP are controversial, while some claim that it is a non-trustable approach, regarding the low cases number and technical difficulties, others acclaim that despite this facts some advantages have been shown and that previous described difficulties are being overcome, proving this is novel proposal of robotics platform, the Da Vinci SP, integrating the system into "Y". The LESS-RP approach gives us a new horizon and opens the door for rapid standardization of this technique. The few studies and short series available can be result of a low interest in the application of LESS-RP in prostate, probably because of the technical complexity that it requires. The new robotic platform, the da Vinci SP, shows that it is clear that the long awaited evolution of robotic technologies for laparoscopy has begun, and we must not lose this momentum.

  18. Very high stability systems: LMJ target alignment system and MTG imager test setup

    NASA Astrophysics Data System (ADS)

    Compain, Eric; Maquet, Philippe; Kunc, Thierry; Marque, Julien; Lauer-Solelhac, Maxime; Delage, Laurent; Lanternier, Catherine

    2015-09-01

    Most of space instruments and research facilities require test equipment with demanding opto-mechanical stability. In some specific cases, when the stability performance directly drives the final performance of the scientific mission and when feasibility is questionable, specific methods must be implemented for the associated technical risk management. In present paper, we will present our heritage in terms of methodology, design, test and the associated results for two specific systems : the SOPAC-POS and the MOTA, generating new references for future developments. From a performance point of view, we will emphasis on following key parameters : design symmetry, thermal load management, and material and structural choices. From a method point of view the difficulties arise first during design, from the strong coupling between the thermal, mechanical and optical performance models, and then during testing, from the difficulty of conceiving test setup having appropriate performance level. We will present how these limitations have been overcome. SOPAC-POS is the target alignment system of the LMJ, Laser Mega Joule, the French inertial confinement fusion research center. Its stability has been demonstrated by tests in 2014 after 10 years of research and development activities, achieving 1μm stability @ 6m during one hour periods. MOTA is an Optical Ground Support Equipment aiming at qualifying by tests the Flexible Combined Imager (FCI). FCI is an instrument for the meteorological satellite MTG-I, a program of and funded by the European Space Agency and under prime contractorship of Thales Alenia Space. Optimized design will allow to get better than 0.2 μrad stability for one hour periods, as required for MTF measurement.

  19. Stardust Interstellar Preliminary Examination II: Curating the Interstellar Dust Collector, Picokeystones, and Sources of Impact Tracks

    NASA Technical Reports Server (NTRS)

    Frank, David R.; Westphal, Andrew J.; Zolensky, Michael E.; Gainsforth, Zack; Butterworth, Anna L.; Bastien, Ronald K.; Allen, Carlton; Anderson, David; Bechtel, Hans A.; Sandford, Scott A.

    2013-01-01

    We discuss the inherent difficulties that arise during "ground truth" characterization of the Stardust interstellar dust collector. The challenge of identifying contemporary interstellar dust impact tracks in aerogel is described within the context of background spacecraft secondaries and possible interplanetary dust particles and beta-meteoroids. In addition, the extraction of microscopic dust embedded in aerogel is technically challenging. Specifically, we provide a detailed description of the sample preparation techniques developed to address the unique goals and restrictions of the Interstellar Preliminary Exam. These sample preparation requirements and the scarcity of candidate interstellar impact tracks exacerbate the difficulties. We also illustrate the role of initial optical imaging with critically important examples, and summarize the overall processing of the collection to date.

  20. Cardiothoracic surgery at a crossroads: the impact of disruptive technologic change.

    PubMed

    Cohen, David J

    2007-08-08

    At the beginning of the twenty-first century, cardiothoracic surgery is arguably the most successful of all medical specialties. There are effective treatments including transplantation, for almost all cardiac and thoracic diseases that can be performed with low morbidity and mortality. Cardiothoracic surgeons have mastered technical difficulties through innovation, hard work, planning and skill. Yet in the past decade, the primacy of cardiothoracic surgery has been challenged by new technologies. This paper applies business school theories to examine how cardiothoracic surgeons might best respond to such "disruptive technologies". Otherwise well-managed business and industrial enterprises have had difficulty dealing with disruptive technological change because of well-recognized organizational impediments. Cardiothoracic surgeons must understand the characteristics of disruptive technologies and consider organizational changes that will allow the profession to better adapt to them.

  1. How do the Polytechnic Students Cope with the Difficulties in Composing Abstracts for Their Final Projects?

    NASA Astrophysics Data System (ADS)

    Niswatin, C.; Latief, M. A.; Suharyadi, S.

    2018-02-01

    This research aims to uncover the fact about engineering students in dealing with composing abstracts for their final projects. The research applies a descriptive qualitative quantitative design. The data were collected through questioners involving 104 engineering students, including the alumni at Politeknik Kota Malang, Indonesia. Furthermore, interviews were carried out to explain the details where necessary to support the primary data. It is found that the common problems faced by engineering students include 1) combining words into sentences, 2) identifying the most appropriate technical terms in engineering, and 3) applying grammar in context. To cope with those difficulties they demanded translation application machines, supported by peer-proofreaders. In addition, they considerably engaged personal tutoring with the lectures more than three times.

  2. E-virtual reality exposure therapy in acrophobia: A pilot study.

    PubMed

    Levy, Fanny; Leboucher, Pierre; Rautureau, Gilles; Jouvent, Roland

    2016-06-01

    Virtual reality therapy is already used for anxiety disorders as an alternative to in vivo and in imagino exposure. To our knowledge, however, no one has yet proposed using remote virtual reality (e-virtual reality). The aim of the present study was to assess e-virtual reality in an acrophobic population. Six individuals with acrophobia each underwent six sessions (two sessions per week) of virtual reality exposure therapy. The first three were remote sessions, while the last three were traditional sessions in the physical presence of the therapist. Anxiety (STAI form Y-A, visual analog scale, heart rate), presence, technical difficulties and therapeutic alliance (Working Alliance Inventory) were measured. In order to control the conditions in which these measures were made, all the sessions were conducted in hospital. None of the participants dropped out. The remote sessions were well accepted. None of the participants verbalized reluctance. No major technical problems were reported. None of the sessions were cancelled or interrupted because of software incidents. Measures (anxiety, presence, therapeutic alliance) were comparable across the two conditions. e-Virtual reality can therefore be used to treat acrophobic disorders. However, control studies are needed to assess online feasibility, therapeutic effects and the mechanisms behind online presence. © The Author(s) 2015.

  3. Insight into the da Vinci® Xi - technical notes for single-docking left-sided colorectal procedures.

    PubMed

    Ngu, James Chi-Yong; Sim, Sarah; Yusof, Sulaiman; Ng, Chee-Yung; Wong, Andrew Siang-Yih

    2017-12-01

    The adoption of robot-assisted laparoscopic colorectal surgery has been hampered by issues with docking, operative duration, technical difficulties in multi-quadrant access, and cost. The da Vinci® Xi has been designed to overcome some of these limitations. We describe our experience with the system and offer technical insights to its application in left-sided colorectal procedures. Our initial series of left-sided robotic colorectal procedures was evaluated. Patient demographics and operative outcomes were recorded prospectively using a predefined database. Between March 2015 and April 2016, 54 cases of robot-assisted laparoscopic left-sided colorectal procedures were successfully completed with no cases of conversion. The majority were low anterior resections for colorectal malignancies. Using the da Vinci® Xi Surgical System, multi-quadrant surgery involving dissection from the splenic flexure to the pelvis was possible without redocking. The da Vinci® Xi simplifies the docking procedure and makes single-docking feasible for multi-quadrant left-sided colorectal procedures. Copyright © 2016 John Wiley & Sons, Ltd.

  4. Computer Security Issues in Online Banking: An Assessment from the Context of Usable Security

    NASA Astrophysics Data System (ADS)

    Mahmadi, FN; Zaaba, ZF; Osman, A.

    2016-11-01

    Today's online banking is a convenient mode of finance management. Despite the ease of doing online banking, there are people that still sceptical in utilizing it due to perception and its security. This paper highlights the subject of online banking security in Malaysia, especially from the perspective of the end-users. The study is done by assessing human computer interaction, usability and security. An online survey utilising 137 participants was previously conducted to gain preliminary insights on security issues of online banking in Malaysia. Following from those results, 37 participants were interviewed to gauge deeper understanding about end-users perception on online banking within the context of usable security. The results suggested that most of the end-users are continuingly experiencing significant difficulties especially in relation to the technical terminologies, security features and other technical issues. Although the security features are provided to provide a shield or protection, users are still incapable to cope with the technical aspects of such implementation.

  5. Hearing difficulties, ear-related diagnoses and sickness absence or disability pension--a systematic literature review.

    PubMed

    Friberg, Emilie; Gustafsson, Klas; Alexanderson, Kristina

    2012-09-12

    Hearing difficulties is a large public health problem, prognosticated to be the ninth leading burden of disease in 2030, and may also involve large consequences for work capacity. However, research regarding sickness absence and disability pension in relation to hearing difficulties is scarce. The aim was to gain knowledge about hearing difficulties or other ear-related diagnoses and sickness absence and disability pension through conducting a systematic literature review of published studies. Studies presenting empirical data on hearing difficulties or ear-related diagnoses and sick leave or disability pension, published in scientific peer-reviewed journals, were included. Studies were sought for in three ways: in literature databases (Pub-Med, Embase, PsycInfo, SSCI, and Cochrane) through March 2011, through scrutinising lists of references, and through contacts. Identified publications were assessed for relevance and data was extracted from the studies deemed relevant. A total of 18 studies were assessed as relevant and included in this review, regardless of scientific quality. Fourteen studies presented empirical data on hearing difficulties/ear diagnoses and sick leave and six on these conditions and disability pension. Only two studies presented rate ratios or odds ratios regarding associations between hearing difficulties and sick leave, and only two on hearing difficulties and risk of disability pension. Both measures of hearing difficulties and of sick leave varied considerable between the studies. Remarkably few studies on hearing difficulties in relation to sickness absence or disability pension were identified. The results presented in them cannot provide evidence for direction or magnitude of potential associations.

  6. Hearing difficulties, ear-related diagnoses and sickness absence or disability pension - a systematic literature review

    PubMed Central

    2012-01-01

    Background Hearing difficulties is a large public health problem, prognosticated to be the ninth leading burden of disease in 2030, and may also involve large consequences for work capacity. However, research regarding sickness absence and disability pension in relation to hearing difficulties is scarce. The aim was to gain knowledge about hearing difficulties or other ear-related diagnoses and sickness absence and disability pension through conducting a systematic literature review of published studies. Methods Studies presenting empirical data on hearing difficulties or ear-related diagnoses and sick leave or disability pension, published in scientific peer-reviewed journals, were included. Studies were sought for in three ways: in literature databases (Pub-Med, Embase, PsycInfo, SSCI, and Cochrane) through March 2011, through scrutinising lists of references, and through contacts. Identified publications were assessed for relevance and data was extracted from the studies deemed relevant. Results A total of 18 studies were assessed as relevant and included in this review, regardless of scientific quality. Fourteen studies presented empirical data on hearing difficulties/ear diagnoses and sick leave and six on these conditions and disability pension. Only two studies presented rate ratios or odds ratios regarding associations between hearing difficulties and sick leave, and only two on hearing difficulties and risk of disability pension. Both measures of hearing difficulties and of sick leave varied considerable between the studies. Conclusions Remarkably few studies on hearing difficulties in relation to sickness absence or disability pension were identified. The results presented in them cannot provide evidence for direction or magnitude of potential associations. PMID:22966953

  7. FY 1980 scientific and technical reports, articles, papers, and presentations

    NASA Technical Reports Server (NTRS)

    White, O. L. (Compiler)

    1980-01-01

    Abstracts are presented for 60 technical memoranda and 5 technical papers published in technical journals or presented by MSFC personnel in FY 1980. Conference and reference publications are cited along with contractor reports and papers cleared for presentation.

  8. Does parent-child agreement vary based on presenting problems? Results from a UK clinical sample.

    PubMed

    Cleridou, Kalia; Patalay, Praveetha; Martin, Peter

    2017-01-01

    Discrepancies are often found between child and parent reports of child psychopathology, nevertheless the role of the child's presenting difficulties in relation to these is underexplored. This study investigates whether parent-child agreement on the conduct and emotional scales of the Strengths and Difficulties Questionnaire (SDQ) varied as a result of certain child characteristics, including the child's presenting problems to clinical services, age and gender. The UK-based sample consisted of 16,754 clinical records of children aged 11-17, the majority of which were female (57%) and White (76%). The dataset was provided by the Child Outcomes Research Consortium , which collects outcome measures from child services across the UK. Clinicians reported the child's presenting difficulties, and parents and children completed the SDQ. Using correlation analysis, the main findings indicated that agreement varied as a result of the child's difficulties for reports of conduct problems, and this seemed to be related to the presence or absence of externalising difficulties in the child's presentation. This was not the case for reports of emotional difficulties. In addition, agreement was higher when reporting problems not consistent with the child's presentation; for instance, agreement on conduct problems was greater for children presenting with internalising problems. Lastly, the children's age and gender did not seem to have an impact on agreement. These findings demonstrate that certain child presenting difficulties, and in particular conduct problems, may be related to informant agreement and need to be considered in clinical practice and research. Trial Registration This study was observational and as such did not require trial registration.

  9. FY 1984 scientific and technical reports, articles, papers and presentations

    NASA Technical Reports Server (NTRS)

    Turner, J. E. (Compiler)

    1984-01-01

    This bibliography lists formal NASA technical reports, papers published in technical journals, and presentations by MSFC personnel. Abstracts are presented for 56 technical memorandum, and 13 technical papers. Six publications, over 260 contractor reports, and more than 300 papers cleared for publication are cited.

  10. Heavy oil recovery process: Conceptual engineering of a downhole methanator and preliminary estimate of facilities cost for application to North Slope Alaska

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

    Gondouin, M.

    1991-10-31

    The West Sak (Upper Cretaceous) sands, overlaying the Kuparuk field, would rank among the largest known oil fields in the US, but technical difficulties have so far prevented its commercial exploitation. Steam injection is the most successful and the most commonly-used method of heavy oil recovery, but its application to the West Sak presents major problems. Such difficulties may be overcome by using a novel approach, in which steam is generated downhole in a catalytic Methanator, from Syngas made at the surface from endothermic reactions (Table 1). The Methanator effluent, containing steam and soluble gases resulting from exothermic reactions (Tablemore » 1), is cyclically injected into the reservoir by means of a horizontal drainhole while hot produced fluids flow form a second drainhole into a central production tubing. The downhole reactor feed and BFW flow downward to two concentric tubings. The large-diameter casing required to house the downhole reactor assembly is filled above it with Arctic Pack mud, or crude oil, to further reduce heat leaks. A quantitative analysis of this production scheme for the West Sak required a preliminary engineering of the downhole and surface facilities and a tentative forecast of well production rates. The results, based on published information on the West Sak, have been used to estimate the cost of these facilities, per daily barrel of oil produced. A preliminary economic analysis and conclusions are presented together with an outline of future work. Economic and regulatory conditions which would make this approach viable are discussed. 28 figs.« less

  11. [The mental health promotion of children and teenagers in vulnerability and social violence: the challenges for an intersectoral network].

    PubMed

    Passos, Izabel Christina Friche; Vieira, Kelly; Moreira, Laura; Rodrigues, Flávia; Amorim, Margarete; Santos, Cláudia; Abreu, Ana; Gomes, Lucas; Mendes, Luciana; Lima, Isabella; Moura, Francisco; França, Cassandra; Ferraz, Cláudia

    This paper presents and discusses the results of an intervention research conducted in Ouro Preto, Brazil from August 2014 to March 2016. The main objective was to contribute to the development of an intersectoral and interdisciplinary network to face psychosocial vulnerabilities of children and teenagers, especially related to sexual violence and drug use. To achieve this, we identified the difficulties faced by the Sistema de Garantia de Direitos Humanos da Criança e do Adolescente (SGDHCA) implemented by the municipality which take care of this population. We also identified protective and promotion factors accomplished to empower them. The methodology used combines Deleuze and Guattari Cartography, Institutional Analysis and the Cross Training. This latter methodology was developed by a group of researchers of Douglas Institute, in Montreal, which we met through scientific co-operation with our laboratory. On account of the practical-theoric and co-participative activities with the professional network of Ouro Preto, we produced a detailed diagnosis of the SGDHCA and a document proposing short, medium and long-term strategies. As final result, we intend to help the local collective-the Forum Intersetorial da Infância e Juventude-to develop a work plan from the proposed actions. In this paper we will concentrate the potential of the methodology used by presenting outcome from two important moments of the research: the discussions of successful and unsuccessful cases that elucidate the network operation and the potential and difficulties arising from the Rotation Positional, important technical of the Cross Training.

  12. The processing and presentation of lipids and glycolipids to the immune system

    PubMed Central

    Vartabedian, Vincent F.; Savage, Paul B.; Teyton, Luc

    2016-01-01

    Summary The recognition of CD1-lipid complexes by T cells was discovered twenty years ago and has since been an emerging and expanding field of investigation. Unlike protein antigens, which are presented on MHC class I and II molecules, lipids can only be presented by CD1 molecules, a unique family of MHC-like proteins whose singularity is a hydrophobic antigen binding groove. The processing and loading of lipid antigens inside this groove of CD1 molecules require localization to late endosomal and lysosomal subcellular compartments and their acidic pHs. This particular environment provides the necessary glycolytic enzymes and lipases that process lipid and glycolipid antigens, as well as a set of lipid transfer proteins that load the final version of the antigen inside the groove of CD1. The overall sequence of events needed for efficient presentation of lipid antigens is now understood and presented in this review. However, a large number of important details have been elusive. This elusiveness is linked to the inherent technical difficulties of studying lipids and the lipid-protein interface in vitro and in vivo. Here, we will expose some of those limitations and describe new approaches to address them during the characterization of lipids and glycolipids antigen presentation. PMID:27319346

  13. Remote electrochemical sensor

    DOEpatents

    Wang, Joseph; Olsen, Khris; Larson, David

    1997-01-01

    An electrochemical sensor for remote detection, particularly useful for metal contaminants and organic or other compounds. The sensor circumvents technical difficulties that previously prevented in-situ remote operations. The microelectrode, connected to a long communications cable, allows convenient measurements of the element or compound at timed and frequent intervals and instrument/sample distances of ten feet to more than 100 feet. The sensor is useful for both downhole groundwater monitoring and in-situ water (e.g., shipboard seawater) analysis.

  14. Semiannual Technical Report

    NASA Technical Reports Server (NTRS)

    1997-01-01

    This report covers the third six month period of the subject contract from January 26, 1997 to July 26, 1997. The contract statement of work covers four specific applications of Aeromover's 'N'-output differential technology that are being developed in cooperation with industry and NASA. A quantitative description of work, project difficulties, proposed solutions, and a statement of the work that will be performed during the next six months has been included for each of the four projects.

  15. Afghanistan: Post-Taliban Governance, Security, and U.S. Policy

    DTIC Science & Technology

    2016-11-08

    Ogap Tsuka) delivered components of the third turbine to the dam, hoping to install it by 2010, but technical and security problems delayed the...that difficulty. The problem was further alleviated with better pay and other reforms, and the force composition is now roughly in line with that of...utilized extensively to reverse Taliban gains, and its roles as an elite force might be eroding. There problem of absenteeism within the ANA is in

  16. Afghanistan: Post Taliban Governance, Security, and U.S. Policy

    DTIC Science & Technology

    2017-01-12

    components of the third turbine to the dam, hoping to install it by 2010, but technical and security problems delayed the project. In 2013, USAID...Pashtuns, in reaction, refused recruitment, but the naming of a Pashtun as Defense Minister in December 2004 mitigated that difficulty. The problem ...utilized extensively to reverse Taliban gains, and its roles as an elite force might be eroding. The problem of absenteeism within the ANA is in

  17. Curing of a Bisphenol-E Based Cyanate Ester using Magnetic Nanoparticles as an Internal Heat Source through Induction Heating

    DTIC Science & Technology

    2013-11-01

    magnetic field as a heat source for the polymerization avoids some of these difficulties. EXPERIMENTAL SECTION Iron (III) chloride hexahydrate (ACS...reagent, 97%), iron (II) chloride tetrahydrate (ReagentPlus®, 98%), tetramethylammonium hydroxide solution (25 wt. % in water), and oleic acid (technical...Edwards Air Force Base and used without further purification. Preparation of Iron Oxide Magnetic Nanoparticles.51 Iron (III) chloride hexahydrate (11.75

  18. Automation pilot

    NASA Technical Reports Server (NTRS)

    1983-01-01

    An important concept of the Action Information Management System (AIMS) approach is to evaluate office automation technology in the context of hands on use by technical program managers in the conduct of human acceptance difficulties which may accompany the transition to a significantly changing work environment. The improved productivity and communications which result from application of office automation technology are already well established for general office environments, but benefits unique to NASA are anticipated and these will be explored in detail.

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

    Bolonkin, A.

    A first-hand account of developments in the Soviet rocket industry is presented. The organization and leadership of the rocket and missile industry are traced from its beginning in the 1920s. The development of the Glushko Experimental Design Bureau, where the majority of Soviet rocket engines were created, is related. The evolution of Soviet rocket engines is traced in regard to both their technical improvement and their application in missiles and space vehicles. Improved Glushko engines and specialized Isaev and Kosberg engines are discussed. The difficulties faced by the Soviet missile and space program, such as the pre-Sputnik failures, the oscillationmore » problem of 1965/1966, which exposed a weakness in Soviet ICBM missiles, and the Nedelin disaster of 1960, which cost the lives of more than 200 scientists and engineers, as well as the Commander-in-Chief of the Strategic Rocket Forces, Marshall Nedelin, are examined. 122 refs.« less

  20. Assessing bone banking activities at University of Malaya medical centre.

    PubMed

    Mohd, Suhaili; Samsuddin, Sharifah Mazni; Ramalingam, Saravana; Min, Ng Wuey; Yusof, Norimah; Zaman, T Kamarul; Mansor, Azura

    2015-12-01

    The main advantage of establishing in-house bone banks is its ability to readily provide allograft bones for local surgeries. Bone procurement activities of our university bone bank during the 10 years of operation were reviewed. Socio-demographic data of donors, types of bone procured, cases of rejected bones and types of allograft bones transplanted are presented. From 179 potential donors, 73 % were accepted with 213 procured bones. Femoral head was the common bone transplanted (45 %), as it was also the most common procured (82 %). Bones were rejected mainly due to non-technical reasons (83 %) rather than positive results of microbiological (13 %) and serological (4 %) tests. Comprehensive data could not be obtained for further analysis due to difficulties in retrieving information. Therefore, quality assurance system was improved to establish more systematic documentations, as the basis of good banking practice with process control hence allowing traceability.

  1. On mixed reality environments for minimally invasive therapy guidance: Systems architecture, successes and challenges in their implementation from laboratory to clinic

    PubMed Central

    Linte, Cristian A.; Davenport, Katherine P.; Cleary, Kevin; Peters, Craig; Vosburgh, Kirby G.; Navab, Nassir; Edwards, Philip “Eddie”; Jannin, Pierre; Peters, Terry M.; Holmes, David R.; Robb, Richard A.

    2013-01-01

    Mixed reality environments for medical applications have been explored and developed over the past three decades in an effort to enhance the clinician’s view of anatomy and facilitate the performance of minimally invasive procedures. These environments must faithfully represent the real surgical field and require seamless integration of pre- and intra-operative imaging, surgical instrument tracking, and display technology into a common framework centered around and registered to the patient. However, in spite of their reported benefits, few mixed reality environments have been successfully translated into clinical use. Several challenges that contribute to the difficulty in integrating such environments into clinical practice are presented here and discussed in terms of both technical and clinical limitations. This article should raise awareness among both developers and end-users toward facilitating a greater application of such environments in the surgical practice of the future. PMID:23632059

  2. A simple method for the construction of small format tissue arrays

    PubMed Central

    Hidalgo, A; Piña, P; Guerrero, G; Lazos, M; Salcedo, M

    2003-01-01

    Tissue arrays can evaluate molecular targets in high numbers of samples in parallel. Array construction presents technical difficulties and tissue arrayers are expensive, particularly for small and medium sized laboratories. This report describes a method for the construction of 36 sample arrays using widely available materials. A blunted 16 gauge needle for bone marrow aspiration was used to extract paraffin wax cylinders and manually define a 6 × 6 matrix on a blank paraffin wax block. Tissue cores from 36 paraffin wax embedded premalignant lesions and invasive cervical carcinomas were injected into the matrix using a 14 gauge needle. This tissue array was sectioned using a standard microtome and used for the immunodetection of CD44 variant 9 and interleukin 18 with satisfactory results. This method can be applied in any laboratory, without the need of specialised equipment, offering a good alternative for the wider application of tissue arrays. PMID:12560397

  3. Distributed Adaptive Finite-Time Approach for Formation-Containment Control of Networked Nonlinear Systems Under Directed Topology.

    PubMed

    Wang, Yujuan; Song, Yongduan; Ren, Wei

    2017-07-06

    This paper presents a distributed adaptive finite-time control solution to the formation-containment problem for multiple networked systems with uncertain nonlinear dynamics and directed communication constraints. By integrating the special topology feature of the new constructed symmetrical matrix, the technical difficulty in finite-time formation-containment control arising from the asymmetrical Laplacian matrix under single-way directed communication is circumvented. Based upon fractional power feedback of the local error, an adaptive distributed control scheme is established to drive the leaders into the prespecified formation configuration in finite time. Meanwhile, a distributed adaptive control scheme, independent of the unavailable inputs of the leaders, is designed to keep the followers within a bounded distance from the moving leaders and then to make the followers enter the convex hull shaped by the formation of the leaders in finite time. The effectiveness of the proposed control scheme is confirmed by the simulation.

  4. Modeling read counts for CNV detection in exome sequencing data.

    PubMed

    Love, Michael I; Myšičková, Alena; Sun, Ruping; Kalscheuer, Vera; Vingron, Martin; Haas, Stefan A

    2011-11-08

    Varying depth of high-throughput sequencing reads along a chromosome makes it possible to observe copy number variants (CNVs) in a sample relative to a reference. In exome and other targeted sequencing projects, technical factors increase variation in read depth while reducing the number of observed locations, adding difficulty to the problem of identifying CNVs. We present a hidden Markov model for detecting CNVs from raw read count data, using background read depth from a control set as well as other positional covariates such as GC-content. The model, exomeCopy, is applied to a large chromosome X exome sequencing project identifying a list of large unique CNVs. CNVs predicted by the model and experimentally validated are then recovered using a cross-platform control set from publicly available exome sequencing data. Simulations show high sensitivity for detecting heterozygous and homozygous CNVs, outperforming normalization and state-of-the-art segmentation methods.

  5. Wind shear predictive detector technology study status

    NASA Technical Reports Server (NTRS)

    Gandolfi, C.

    1990-01-01

    Among the different elements to be investigated when considering the Wind Shear hazard, the Aeronautical Navigation Technical Service (STNA/3E), whose task is to participate in the development of new technologies and equipments, focused its effort on airborne and ground sensors for the detection of low-level wind shear. The first task, initiated in 1986, consists in the evaluation of three candidate techniques for forward-looking sensors: lidar, sodar, and radar. No development is presently foreseen for an infrared based air turbulence advance warning system although some flight experiments took place in the 70's. A Thomson infrared radiometer was then installed on an Air France Boeing 707 to evaluate its capability of detecting clear air turbulence. The conclusion showed that this technique was apparently able to detect cloud layers but that additional experiments were needed; on the other hand, the rarity of the phenomenon and the difficulty in operating on a commercial aircraft were also mentioned.

  6. Technical difficulties in retro-peritoneoscopic radical nephrectomy. Is tumor location important?

    PubMed

    Lucan, M; Lucan, V; Ghervan, L; Elec, F; Iacob, G; Barbos, A

    2007-01-01

    Tumor location on the posterior aspect of the kidney or close to the renal hilum could increase the difficulty of the retro-peritoneoscopic radical nephrectomy. The aim of our study was to assess how tumor location influences the difficulty of the retro-peritoneoscopic radical nephrectomy. We performed a nonrandomized prospective study in 116 patients with localized renal cell carcinoma who underwent RRN, between Jan. 2000 and Jan. 2005. Twenty-nine patients with a tumor located close to the renal hilum or on the posterior aspect of the kidney (Gr.A) were compared with 87 patients with a tumor at a distance from the renal hilum (Gr.B) in terms of operative time, intraoperative blood loss, and difficulty of the dissection. The difficulty of the dissection was subjectively estimated by the main surgeon using a three degree scale (G1-easy, G2-medium, and G3-difficult). All the operations were finalized by retro-peritoneoscopy and G4-very difficult degree--was not recorded. In the Gr. A, the operative time was longer (117.28 min vs. 94.63 min, p < 0.001) and blood loss was higher (291.86 ml vs. 199.54 ml, p < 0.001). The dissection of the renal pedicle was also more difficult in the Gr. A either for artery dissection (G3 27.59% vs. 11.49%, p = 0.0202) or for vein dissection (G3 20.69% vs. 8.05%, p = 0.0321), while peri-fascial dissection was less frequently difficult (G3 10.34% vs. 28.74%, p = 0.0237). Tumor location close to the renal hilum or on the posterior aspect of the kidney increases the difficulty of renal pedicle dissection.

  7. [Urotechnology: a new interdisciplinary platform for promoting and managing of technical innovations in urology].

    PubMed

    Miernik, A; Becker, C; Wullich, B; Schoenthaler, M; Arnolds, B J; Wetterauer, U

    2015-01-01

    The innovative power in medical engineering and technology development requires a close cooperation between universities and non-university research institutions and a collaboration with industrial partners. German knowledge in the fields of video and micro-optics, microsystem technology and of informational technology and software applications seem to be highly competitive at international level. Germany's previous leadership in the development of technical equipment will be challenged by today's requirements and difficulties in medical engineering. Research and expenses demands for the development of novel medical instruments, products and applications will increase continuously. Transparency and coordinated collaboration between universities and industrial partners will contribute to a substantial improvement in surgical therapy. Medical technology of the future, including urotechnology, requires professional structures and coordination and will have to be based on evidence.

  8. Cardiothoracic surgery at a crossroads: The impact of disruptive technologic change

    PubMed Central

    Cohen, David J

    2007-01-01

    At the beginning of the twenty-first century, cardiothoracic surgery is arguably the most successful of all medical specialties. There are effective treatments including transplantation, for almost all cardiac and thoracic diseases that can be performed with low morbidity and mortality. Cardiothoracic surgeons have mastered technical difficulties through innovation, hard work, planning and skill. Yet in the past decade, the primacy of cardiothoracic surgery has been challenged by new technologies. This paper applies business school theories to examine how cardiothoracic surgeons might best respond to such "disruptive technologies". Otherwise well-managed business and industrial enterprises have had difficulty dealing with disruptive technological change because of well-recognized organizational impediments. Cardiothoracic surgeons must understand the characteristics of disruptive technologies and consider organizational changes that will allow the profession to better adapt to them. PMID:17686151

  9. A comparison of buffered lidocaine versus ELA-Max before peripheral intravenous catheter insertions in children.

    PubMed

    Luhmann, Janet; Hurt, Sarah; Shootman, Mario; Kennedy, Robert

    2004-03-01

    Peripheral intravenous catheter (PIV) insertion is a common, painful experience for many children in the pediatric emergency department. Although local anesthetics such as injected buffered lidocaine have been shown to be effective at reducing pain and anxiety associated with PIV insertion, they are not routinely used. ELA-Max, a topical local anesthetic, has the advantage of needle-free administration but has not been compared with buffered lidocaine for PIV insertion. To compare the reduction of pain and anxiety during PIV insertion provided by subcutaneous buffered 1% lidocaine or topical ELA-Max in children. A randomized trial in children 4 to 17 years old undergoing PIV insertion with 22-gauge catheters was conducted. Children received either buffered lidocaine or ELA-Max. Buffered lidocaine was administered by using 30-gauge needles to inject 0.1 to 0.2 mL subcutaneously just before PIV insertion. ELA-Max was applied to the skin and occluded with Tegaderm 30 minutes before PIV insertion. Self-reported Visual Analog Scale (VAS) questionnaires (rating on a scale of 1-10; 1 = no pain, anxiety) were completed by patients and their parents before PIV insertion to assess baseline perceptions about pain and anxiety associated with PIV insertion and immediately after PIV insertion to assess pain and anxiety associated with the experience. After PIV insertion, the nurse who inserted the PIV also completed a VAS questionnaire assessing technical difficulty and satisfaction with the local anesthesia. A blinded observer also completed a VAS questionnaire to assess pain and anxiety associated with the PIV insertion. Data were analyzed by using chi2 and t tests. Sixty-nine subjects were enrolled, and questionnaires were competed by all (mean age: 12.1 +/- 4.5 years; 61% female). There were no differences for buffered lidocaine and ELA-Max groups in age, gender, race, prior IV experience, or baseline pain and anxiety. There were no significant differences between buffered lidocaine and ELA-Max in mean pain and anxiety after PIV insertion by patient, parent, and blinded observer ratings. Nurse ratings of technical difficulty, number of PIV-insertion attempts, and satisfaction with local anesthesia also were not significantly different for buffered lidocaine and ELA-Max groups. ELA-Max provided similar pain and anxiety reduction during PIV insertion in children compared with injected buffered lidocaine. Technical difficulty and satisfaction by nurses inserting the PIV also were similar.

  10. Identifying and Addressing Student Difficulties and Misconceptions: Examples from Physics and from Materials Science and Engineering

    ERIC Educational Resources Information Center

    Rosenblatt, Rebecca

    2012-01-01

    Here I present my work identifying and addressing student difficulties with several materials science and physics topics. In the first part of this thesis, I present my work identifying student difficulties and misconceptions about the directional relationships between net force, velocity, and acceleration in one dimension. This is accomplished…

  11. Small launchers (current and future projects in the world)

    NASA Astrophysics Data System (ADS)

    Naumann, W. G.

    1993-01-01

    Small satellites need launching services using small launchers capable of injecting 100 to 1000 kg into a polar orbit at an altitude of 1000 km. Operational small launchers are reviewed as well as developing and planned ones. Launcher characteristics, constraints, performance, and status are detailed. Few technical problems are encountered, as most launcher projects call for existing components and well known technologies. Most of the difficulties have come from launch site availability and from financial considerations.

  12. Remote electrochemical sensor

    DOEpatents

    Wang, J.; Olsen, K.; Larson, D.

    1997-10-14

    An electrochemical sensor is described for remote detection, particularly useful for metal contaminants and organic or other compounds. The sensor circumvents technical difficulties that previously prevented in-situ remote operations. The microelectrode, connected to a long communications cable, allows convenient measurements of the element or compound at timed and frequent intervals and instrument/sample distances of ten feet to more than 100 feet. The sensor is useful for both downhole groundwater monitoring and in-situ water (e.g., shipboard seawater) analysis. 21 figs.

  13. Percutaneous Pancreatic Stent Placement for Postoperative Pancreaticojejunostomy Stenosis: A Case Report

    PubMed Central

    Yang, Seung Koo

    2016-01-01

    Stenosis of the pancreatico-enteric anastomosis is one of the major complications of pancreaticoduodenectomy (PD). Endoscopic stent placement, has limited success rate as a nonsurgical treatment due to altered gastrointestinal anatomy. Percutaneous treatment is rarely attempted due to the technical difficulty in accessing the pancreatic duct. We reported a case of pancreaticojejunostomy stenosis after PD, in which a pancreatic stent was successfully placed using a rendezvous technique with a dual percutaneous approach. PMID:27587970

  14. The Role of the Omental Microenvironment in Ovarian Cancer Metastatic Colonization

    DTIC Science & Technology

    2010-08-01

    Cancer cells which have adhered to the surface of the omentum stain positively for this proliferative marker , confirming their viability under our ex...6 mice (Figure 1). Due to technical difficulties, we had to change some of the proposed immune cell markers for the FACS analysis. We are currently...for F4/80 (macrophage cell marker ) was even more dramatic. Representative data from the macrophage localization in milky spots after i.p injection of

  15. Feasibility of applying data mining techniques for predicting technical difficulties during laparoscopic cholecystectomy based on routine patient work-up in a small community hospital.

    PubMed

    Stanisic, Veselin; Andjelkovic, Igor; Vlaovic, Darko; Babic, Igor; Kocev, Nikola; Nikolic, Bosko; Milicevic, Miroslav

    2013-10-01

    Predicting technical difficulties in laparoscopic cholecystectomy (LC) in a small regional hospital increases efficacy, cost-benefit and safety of the procedure. The aim of the study was to assess whether it is possible to accurately predict a difficult LC (DLC) in a small regional hospital based only on the routine available clinical work-up parameters (patient history, ultrasound examination and blood chemistry) and their combinations. A prospective, cohort, of 369 consecutive patients operated by the same surgeon was analyzed. Conversion rate was 10 (2.7%). DLC was registered in 55 (14.90%). Various data mining techniques were applied and assessed. Seven significant predictors of DLC were identified: i) shrunken (fibrotic) gallbladder (GB); ii) ultrasound (US) GB wall thickness >4 mm; iii) >5 attacks of pain lasting >5 hours; iv) WBC >10x109 g/L; v) pericholecystic fluid; vi) urine amylase >380 IU/L, and vii) BMI >30kg/m2. Bayesian network was selected as the best classifier with accuracy of 94.57, specificity 0.98, sensitivity 0.77, AUC 0.96 and F-measure 0.81. It is possible to predict a DLC with high accuracy using data mining techniques, based on routine preoperative clinical parameters and their combinations. Use of sophisticated diagnostic equipment is not necessary.

  16. Facets of Career Decision-Making Difficulties

    ERIC Educational Resources Information Center

    Amir, Tami; Gati, Itamar

    2006-01-01

    The present research investigated the relations among the measured and the expressed career decision-making difficulties in a sample of 299 young adults who intended to apply to college or university. As hypothesised, the correlations between career decision-making difficulties, as measured by the Career Decision-Making Difficulties Questionnaire…

  17. ASK Talks With Judy Stokley

    NASA Technical Reports Server (NTRS)

    Stokley, Judy

    2002-01-01

    In the summer of 1997, Judy Stokley took over as Program Director of the Air-to-Air Joint System Project Office (JSPO) at Eglin Air Force Base in Florida. As the JSPO Program Director, she directed much of her attention to reforming the Advanced Medium Range Air to Air Missile (AMRAAM) program, which had been operational since 1991 and was presently being produced for the Air Force, Navy, Marine Corps, and many international customers. Upon careful analysis of the program, she found it rife with problems. Two of the most pressing included a bloated Average Unit Procurement Cost and an Air Force mandated draw down plan that had not been met. In this interview, following her presentation at the Fourth NASA Masters Forum of Program and Project Managers in Dallas last February, Stokley discusses some of the difficulties she experienced in carrying out the AMRAAM reforms. Stokley is presently Air Force Program Executive Officer for Weapons in Washington, D.C. She is responsible for the cost, schedule, and technical performance of a portfolio of air-to-air and air-to-ground weapons programs. These programs represent the leading edge of weapons technology, including developing the next generation of precision-guided munitions -- 'smart' bombs -- and air superiority missiles.

  18. Acoustic measurement and morphological features of organic sediment deposits in combined sewer networks.

    PubMed

    Carnacina, Iacopo; Larrarte, Frédérique; Leonardi, Nicoletta

    2017-04-01

    The performance of sewer networks has important consequences from an environmental and social point of view. Poor functioning can result in flood risk and pollution at a large scale. Sediment deposits forming in sewer trunks might severely compromise the sewer line by affecting the flow field, reducing cross-sectional areas, and increasing roughness coefficients. In spite of numerous efforts, the morphological features of these depositional environments remain poorly understood. The interface between water and sediment remains inefficiently identified and the estimation of the stock of deposit is frequently inaccurate. In part, this is due to technical issues connected to difficulties in collecting accurate field measurements without disrupting existing morphologies. In this paper, results from an extensive field campaign are presented; during the campaign a new survey methodology based on acoustic techniques has been tested. Furthermore, a new algorithm for the detection of the soil-water interface, and therefore for the correct esteem of sediment stocks is proposed. Finally, results in regard to bed topography, and morphological features at two different field sites are presented and reveal that a large variability in bed forms is present along sewer networks. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Comparative analysis of waste-to-energy alternatives for a low-capacity power plant in Brazil.

    PubMed

    Ferreira, Elzimar Tadeu de F; Balestieri, José Antonio P

    2018-03-01

    The Brazilian National Solid Waste Policy has been implemented with some difficulty, especially in convincing the different actors of society about the importance of conscious awareness among every citizen and businesses concerning adequate solid waste disposal and recycling. Technologies for recovering energy from municipal solid waste were considered in National Solid Waste Policy (NSWP), given that their technical and environmental viability is ensured, being the landfill biogas burning in internal combustion engines and solid waste incineration suggested options. In the present work, an analysis of current technologies and a collection of basic data on electricity generation using biogas from waste/liquid effluents is presented, as well as an assessment of the installation of a facility that harnesses biogas from waste or liquid effluents for producing electricity. Two combined cycle concepts were evaluated with capacity in the range 4-11 MW, gas turbine burning landfill biogas and an incinerator that burns solid waste hybrid cycle, and a solid waste gasification system to burn syngas in gas turbines. A comparative analysis of them demonstrated that the cycle with gasification from solid waste has proved to be technically more appealing than the hybrid cycle integrated with incineration because of its greater efficiency and considering the initially defined guidelines for electricity generation. The economic analysis does not reveal significant attractive values; however, this is not a significant penalty to the project given the fact that this is a pilot low-capacity facility, which is intended to be constructed to demonstrate appropriate technologies of energy recovery from solid waste.

  20. What Do Romanian Teachers Know about Learning Difficulties

    ERIC Educational Resources Information Center

    Pop, Cristina Florina; Ciascai, Liliana

    2013-01-01

    There is a growing concern for students with learning difficulties and teachers are responsible for identifying and helping these students. The present study aims to explore the teachers' knowledge of manifestations, causes and types of learning difficulties, necessary to diagnose, prevent or remedy learning difficulties. The participants involved…

  1. Indicators of Late Emerging Reading-Accuracy Difficulties in Australian Schools

    ERIC Educational Resources Information Center

    Galletly, Susan A.; Knight, Bruce Allen; Dekkers, John; Galletly, Tracey A.

    2009-01-01

    Late-emerging reading-accuracy difficulties are those found present in older students not showing reading-accuracy difficulties when tested in earlier years (Leach, Scarborough and Rescorla, 2003). This paper discusses the constructs of reading-accuracy and late-emerging reading-accuracy difficulties. It then discusses data from a cross-sectional…

  2. Feasibility and Acceptability of Smartphone Assessment in Older Adults with Cognitive and Emotional Difficulties

    PubMed Central

    Ramsey, Alex T.; Wetherell, Julie Loebach; Depp, Colin; Dixon, David; Lenze, Eric

    2016-01-01

    Objectives Ecological momentary assessment (EMA) has several advantages in clinical research yet little is known about the feasibility of collecting EMA data with mobile technologies in older adults, particularly those with emotional or cognitive difficulties. The aim of this feasibility study was to assess perceived acceptability, adherence rates, and reasons for non-adherence to smartphone-based EMA. Method At two sites, participants (n=103) aged 65 years or older with a DSM-IV-defined anxiety or depressive disorder and cognitive concerns responded three times daily to smartphone-based EMA questions assessing clinical outcomes for two 10-day periods. Quantitative and qualitative measures assessed acceptability, adherence, and reasons for non-adherence following both 10-day EMA periods. Results Participants were moderately satisfied with and comfortable using smartphone-based EMA. Overall, 76% of participants completed surveys on ≥10 of the 20 assessment days, and 70% of participants completed at least 30% of the total surveys. Reasons for non-adherence included technical (malfunction), logistical (competing demands), physiological (hearing difficulties), and cognitive (forgetting) issues. Discussion Smartphone-based EMA is feasible in older adults with cognitive and emotional difficulties. EMA tools should be responsive to the needs and preferences of participants to ensure adequate acceptability and adherence in this population. Our findings can inform the design, development, and implementation of mobile technologies in older adults in research and clinical contexts. PMID:27683018

  3. Feasibility and Acceptability of Smartphone Assessment in Older Adults with Cognitive and Emotional Difficulties.

    PubMed

    Ramsey, Alex T; Wetherell, Julie Loebach; Depp, Colin; Dixon, David; Lenze, Eric

    Ecological momentary assessment (EMA) has several advantages in clinical research yet little is known about the feasibility of collecting EMA data with mobile technologies in older adults, particularly those with emotional or cognitive difficulties. The aim of this feasibility study was to assess perceived acceptability, adherence rates, and reasons for non-adherence to smartphone-based EMA. At two sites, participants ( n =103) aged 65 years or older with a DSM-IV-defined anxiety or depressive disorder and cognitive concerns responded three times daily to smartphone-based EMA questions assessing clinical outcomes for two 10-day periods. Quantitative and qualitative measures assessed acceptability, adherence, and reasons for non-adherence following both 10-day EMA periods. Participants were moderately satisfied with and comfortable using smartphone-based EMA. Overall, 76% of participants completed surveys on ≥10 of the 20 assessment days, and 70% of participants completed at least 30% of the total surveys. Reasons for non-adherence included technical (malfunction), logistical (competing demands), physiological (hearing difficulties), and cognitive (forgetting) issues. Smartphone-based EMA is feasible in older adults with cognitive and emotional difficulties. EMA tools should be responsive to the needs and preferences of participants to ensure adequate acceptability and adherence in this population. Our findings can inform the design, development, and implementation of mobile technologies in older adults in research and clinical contexts.

  4. Factors associated with difficulty achieving initial control with crotalidae polyvalent immune fab antivenom in snakebite patients.

    PubMed

    Yin, Shan; Kokko, Jamie; Lavonas, Eric; Mlynarchek, Sara; Bogdan, Greg; Schaeffer, Tammi

    2011-01-01

    The prescribing information for Crotalidae Fab antivenom (FabAV) instructs clinicians to administer FabAV until initial control of the envenomation syndrome is achieved. Risk factors for difficulty achieving initial control are not known. The study aim was to identify factors present before administration of antivenom associated with difficulty achieving initial control. The authors conducted a retrospective study of all patients presenting to any one of 17 centers and receiving FabAV from 2002 to 2004. Demographic and historical information, as well as data about nine specific venom effects, were collected prior to the administration of antivenom. An expert panel used standard criteria to determine if initial control was achieved. The patient group that had difficulty achieving initial control was compared to the group that achieved initial control, and adjusted odds ratios were calculated using stepwise logistic regression. A total of 247 patients were included in the final analysis. The majority of patients were envenomated on the upper extremity and were young males. A total of 203 patients (82.2%) achieved initial control. In univariate analysis, thrombocytopenia, bleeding, neurologic effects, and a severe bite were significantly associated with difficulty achieving initial control. After logistic regression, the presence of neurologic effects and thrombocytopenia remained significantly associated with difficulty achieving initial control. When both factors were present, the patient was 13.8 times more likely to have difficulty achieving initial control. A number of factors were present before the administration of FabAV that were independently associated with difficulty achieving initial control of the envenomation syndrome. Predicting which patients will have difficulty achieving initial control has important ramifications for patient disposition and may provide insight into the mechanisms for lack of antivenom efficacy. © 2010 by the Society for Academic Emergency Medicine.

  5. Center for Space Microelectronics Technology. 1993 Technical Report

    NASA Technical Reports Server (NTRS)

    1995-01-01

    The 1993 Technical Report of the Jet Propulsion Laboratory Center for Space Microelectronics Technology summarizes the technical accomplishments, publications, presentations, and patents of the Center during the past year. The report lists 170 publications, 193 presentations, and 84 New Technology Reports and patents. The 1993 Technical Report of the Jet Propulsion Laboratory Center for Space Microelectronics Technology summarizes the technical accomplishments, publications, presentations, and patents of the Center during the past year. The report lists 170 publications, 193 presentations, and 84 New Technology Reports and patents.

  6. [Home hemodialysis: the technical overview. A 2010 survey].

    PubMed

    Ponson, Laurent; Arkouche, Walid; Laville, Maurice

    2012-04-01

    Compared to the daily work in dialysis units, home haemodialysis represents a particular task for the technical services of healthcare facilities. This survey concerns this modality of treatment of end-stage chronic renal failure, and was led to three objectives: to make a snapshot of the practices done by the technical staff, to point out significant differences, and to identify common issues. This is also an opportunity to discuss about the future of this treatment. Numbers of registries show a continuous decline of home haemodialysis during past decades. This could be explained by many factors, but on the other hand several points tend to forecast a renewed interest for this method of treatment. A questionnaire was sent to every technical service of health organizations dispensing dialysis in France. Seventeen health facilities providing home haemodialysis have sent back their information, representing 238 patients, that to say almost the totality of the patients of the country. These data were analysed, relevant indicators were sorted out, so that initial objectives could be completed. The results are explained as follows: site activities, procedures before and during patient installation, equipment, preventive visits, and corrective maintenance. In lack of a precise regulation on the technical support of these patients, significant differences of operations were noted and are detailed, as well as several common difficulties. All these elements can be used as a basis for the development of a practical guide intended to technical services. This work is voluntarily centered on the technical aspects, but other levers exist to revitalize this method. Copyright © 2012 Association Société de néphrologie. Published by Elsevier SAS. All rights reserved.

  7. Fully covered stents versus partially covered stents for palliative treatment of esophageal cancer: Is there a difference?

    PubMed

    Alonso Lárraga, J O; Flores Carmona, D Y; Hernández Guerrero, A; Ramírez Solís, M E; de la Mora Levy, J G; Sánchez Del Monte, J C

    2018-02-26

    Malignant dysphagia is difficulty swallowing resulting from esophageal obstruction due to cancer. The goal of palliative treatment is to reduce the dysphagia and improve oral dietary intake. Self-expandable metallic stents are the current treatment of choice, given that they enable the immediate restoration of oral intake. The aim of the present study was to describe the results of using totally covered and partially covered esophageal stents for palliating esophageal cancer. A retrospective study was conducted on patients with inoperable esophageal cancer treated with self-expandable metallic stents. The 2 groups formed were: group A, which consisted of patients with a fully covered self-expandable stent (SX-ELLA ® ), and group B, which was made up of patients with a partially covered self-expandable stent (Ultraflex ® ). Of the 69-patient total, 50 were included in the study. Group A had 19 men and 2 women and their mean age was 63.6 years (range 41-84). Technical success was achieved in 100% (n=21) of the cases and clinical success in 90.4% (n=19). Group B had 24 men and 5 women and their mean age was 67.5 years (range 43-92). Technical success was achieved in 100% (n=29) of the cases and clinical success in 89.6% (n=26). Complications were similar in both groups (33.3 vs. 51.7%). There was no difference between the 2 types of stent for the palliative treatment of esophageal cancer with respect to technical success, clinical success, or complications. Copyright © 2018 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.

  8. Peroral Endoscopic Myotomy in Children: First Experience With a New Triangular Knife.

    PubMed

    Nabi, Zaheer; Ramchandani, Mohan; Chavan, Radhika; Tandan, Manu; Kalapala, Rakesh; Darisetty, Santosh; Reddy, Duvuur Nageshwar

    2018-01-01

    Peroral endoscopic myotomy (POEM) is a novel treatment modality for achalasia cardia. The procedure is technically challenging and time consuming. Recently, a new triangle tip knife (TTJ) has been introduced, which is equipped with water jet facility. In the present study, we analyzed the feasibility, safety, and efficacy of POEM in children with new triangle tip knife. We retrospectively evaluated the data of children (18 years or younger) who underwent POEM using TTJ knife at our institution. All POEM procedures were performed under general anesthesia in an endoscopy suite. Technical feasibility, safety, efficacy, and procedure duration were assessed. Ten children (4 boys, 6 girls) with mean age of 14.2 ± 2.74 (9-18) years, underwent POEM with TTJ knife. The subtypes of achalasia cardia were type I (4), type II (5), and type III (1). Two children had prior treatment with pneumatic balloon dilatation. POEM was performed via anterior route in majority of children (70%). Mean operating time was 47.6 ± 19.74 (30-98) minutes with no significant difference between anterior and posterior approaches to POEM (48.57 ± 24.01 vs 45.3 ± 3.51; P < 0.05). Four gas-related adverse events were encountered including capnoperitoneum and retroperitoneal carbon dioxide in 2 children each. Clinical success was noticed in 9 children with significant reduction in Eckardt score at 1 month after POEM (6.7 ± 1.49 vs 0.3 ± 0.48; P = 0.0001). POEM can be efficiently performed with new triangle knife equipped with water jet technique. Integration of water jet reduces procedure duration and technical difficulty with POEM.

  9. Technical Writing: Past, Present, and Future.

    ERIC Educational Resources Information Center

    Mathes, J. C., Comp.; Pinelli, Thomas E., Comp.

    This compilation of papers addresses the history, present status, and trends of technical and related writing. The first of the eight papers surveys the present environment of the technical report and assesses the effectiveness of the technical report format of the National Aeronautics and Space Administration (NASA) in transmitting information.…

  10. Subscale Test Methods for Combustion Devices

    NASA Technical Reports Server (NTRS)

    Anderson, W. E.; Sisco, J. C.; Long, M. R.; Sung, I.-K.

    2005-01-01

    Stated goals for long-life LRE s have been between 100 and 500 cycles: 1) Inherent technical difficulty of accurately defining the transient and steady state thermochemical environments and structural response (strain); 2) Limited statistical basis on failure mechanisms and effects of design and operational variability; and 3) Very high test costs and budget-driven need to protect test hardware (aversion to test-to-failure). Ambitious goals will require development of new databases: a) Advanced materials, e.g., tailored composites with virtually unlimited property variations; b) Innovative functional designs to exploit full capabilities of advanced materials; and c) Different cycles/operations. Subscale testing is one way to address technical and budget challenges: 1) Prototype subscale combustors exposed to controlled simulated conditions; 2) Complementary to conventional laboratory specimen database development; 3) Instrumented with sensors to measure thermostructural response; and 4) Coupled with analysis

  11. Laparoscopic splenic hilar lymphadenectomy for advanced gastric cancer.

    PubMed

    Hosogi, Hisahiro; Okabe, Hiroshi; Shinohara, Hisashi; Tsunoda, Shigeru; Hisamori, Shigeo; Sakai, Yoshiharu

    2016-01-01

    Laparoscopic distal gastrectomy has recently become accepted as a surgical option for early gastric cancer in the distal stomach, but laparoscopic total gastrectomy (LTG) has not become widespread because of technical difficulties of esophagojejunal anastomosis and splenic hilar lymphadenectomy. Splenic hilar lymphadenectomy should be employed in the treatment of advanced proximal gastric cancer to complete D2 dissection, but laparoscopically it is technically difficult even for skilled surgeons. Based on the evidence that prophylactic combined resection of spleen in total gastrectomy increased the risk of postoperative morbidity with no survival impact, surgeons have preferred laparoscopic spleen-preserving splenic hilar lymphadenectomy (LSPL) for advanced tumors without metastasis to splenic hilar nodes or invasion to the greater curvature of the stomach, and reports with LSPL have been increasing rather than LTG with splenectomy. In this paper, recent reports with laparoscopic splenic hilar lymphadenectomy were reviewed.

  12. Technical challenges in the isolation and analysis of circulating tumor cells.

    PubMed

    van der Toom, Emma E; Verdone, James E; Gorin, Michael A; Pienta, Kenneth J

    2016-09-20

    Increasing evidence suggests that cancer cells display dynamic molecular changes in response to systemic therapy. Circulating tumor cells (CTCs) in the peripheral blood represent a readily available source of cancer cells with which to measure this dynamic process. To date, a large number of strategies to isolate and characterize CTCs have been described. These techniques, however, each have unique limitations in their ability to sensitively and specifically detect these rare cells. In this review we focus on the technical limitations and pitfalls of the most common CTC isolation and detection strategies. Additionally, we emphasize the difficulties in correctly classifying rare cells as CTCs using common biomarkers. As for assays developed in the future, the first step must be a uniform and clear definition of the criteria for assigning an object as a CTC based on disease-specific biomarkers.

  13. A Tutor That's Up to the Task

    NASA Technical Reports Server (NTRS)

    2003-01-01

    With assistance from NASA s Marshall Space Flight Center, a new breed of ITS for technical training and complex problem-solving has hit the market to provide students and trainees with the decision-making skills necessary to succeed to the next level. The Task Tutor Toolkit (T3), developed by Stottler Henke Associates, Inc., of San Mateo, California, is a generic tutoring system shell and scenario authoring tool that emulates expert instructors and lowers the cost and difficulty of creating scenario-based ITS for technical training. The functionality of Stottler Henke Associates T3 far exceeds that of traditional computer-based training systems, which test factual recall and narrow skills by prompting students to answer multiple-choice or fill-inthe- blank questions. The T3, on the contrary, lets students assess situations, generate solutions, make decisions, and carry out actions in realistically complex scenarios.At the beginning of each scenario, the T3 tutoring system presents a briefing that describes the situation and the goals the students should pursue. Each scenario contains a solution template that specifies a partially-ordered sequence of action patterns that match correct sequences of student actions. During each scenario, the built-in simulator notifies the tutoring system of each student action. The T3 uses this information to evaluate the student action by comparing it with the scenario s solution template and with error rules that detect incorrect actions.

  14. Towards the pre-clinical diagnosis of hypothyroidism caused by iodotyrosine deiodinase (DEHAL1) defects.

    PubMed

    Iglesias, Ainhoa; García-Nimo, Laura; Cocho de Juan, José A; Moreno, José C

    2014-03-01

    DEHAL1 (also named IYD) is the thyroidal enzyme that deiodinates mono- and diiodotyrosines (MIT, DIT) and recycles iodine, a scarce element in the environment, for the efficient synthesis of thyroid hormone. Failure of this enzyme leads to the iodotyrosine deiodinase deficiency (ITDD), characterized by hypothyroidism, compressive goiter and variable mental retardation, whose diagnostic hallmark is the elevation of iodotyrosines in serum and urine. However, the specific diagnosis of this type of hypothyroidism is not routinely performed, due to technical and practical difficulties in iodotyrosine determinations. A handful of mutations in the DEHAL1 gene have been identified as the molecular basis for the ITDD. Patients harboring DEHAL1 defects so far described all belong to consanguineous families, and psychomotor deficits were present in some affected individuals. This is probably due to the lack of biochemical expression of the disease at the beginning of life, which causes ITDD being undetected in screening programs for congenital hypothyroidism, as currently performed. This worrying feature calls for efforts to improve pre-clinical detection of iodotyrosine deiodinase deficiency during the neonatal time. Such a challenge poses questions of patho-physiological (natural history of the disease, environmental factors influencing its expression) epidemiological (prevalence of ITDD) and technical nature (development of optimal methodology for safe detection of pre-clinical ITDD), which will be addressed in this review. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. Conservative Socket Regeneration with Buccal Wall Defect Using Guided Tissue.

    PubMed

    Al-Juboori, Mohammed Jasim

    2016-01-01

    Progressive alveolar bone resorption after tooth extraction may lead to surgical and prosthetic-driven difficulties, especially when deciding to use a dental implant to replace the extracted tooth. This case report discusses an irreparable lower left second premolar tooth with a periodontal lesion on the buccal side. A preservative tooth extraction was performed. Then, the socket was grafted with bovine bone, a collagen membrane was placed between the buccal bone and the attached gingiva, covering the bone dehiscence buccally, and the socket without a flap was raised. After a 6-month healing period, there was minimal socket width resorption and a shallow buccal vestibule. The implant was placed with high primary stability and sufficient buccal plate thickness. In conclusion, this guided tissue regeneration technique can minimize alveolar bone resorption in a socket with buccal dehiscence, but technical difficulties and shallowing of the buccal vestibule still exist.

  16. Clinical Neuropathology Views - 2/2016: Digital networking in European neuropathology: An initiative to facilitate truly interactive consultations.

    PubMed

    Idoate, Miguel A; García-Rojo, Marcial

    2016-01-01

    Digital technology is progressively changing our vision of the practice of neuropathology. There are a number of facts that support the introduction of digital neuropathology. With the development of wholeslide imaging (WSI) systems the difficulties involved in implementing a neuropathology network have been solved. A relevant difficulty has been image standardization, but an open digital image communication protocol defined by the Digital Imaging and Communications in Medicine (DICOM) standard is already a reality. The neuropathology network should be established in Europe because it is the expected geographic context for relationships among European neuropathologists. There are several limitations in the implementation of a digital neuropathology consultancy network such as financial support, operational costs, legal issues, and technical assistance of clients. All of these items have been considered and should be solved before implementing the proposal. Finally, the authors conclude that a European digital neuropathology network should be created for patients' benefit.

  17. Forgotten hardware: how to urinate in a spacesuit.

    PubMed

    Hollins, Hunter

    2013-06-01

    On May 5, 1961, astronaut Alan Shepard became the first American to fly in space. Although National Aeronautics and Space Administration (NASA) had discounted the need for him to urinate, Shepard did, in his spacesuit, short circuiting his electronic biosensors. With the development of the pressure suit needed for high-altitude and space flight during the 1950s, technicians had developed the means for urine collection. However, cultural mores, combined with a lack of interagency communication, and the technical difficulties of spaceflight made human waste collection a difficult task. Despite the difficulties, technicians at NASA created a successful urine collection device that John Glenn wore on the first Mercury orbital flight on February 20, 1962. With minor modifications, male astronauts used this system to collect urine until the Space Shuttle program. John Glenn's urine collection device is at the National Air and Space Museum and has been on view to the public since 1976.

  18. Ethics Regulation in Social Computing Research: Examining the Role of Institutional Review Boards.

    PubMed

    Vitak, Jessica; Proferes, Nicholas; Shilton, Katie; Ashktorab, Zahra

    2017-12-01

    The parallel rise of pervasive data collection platforms and computational methods for collecting, analyzing, and drawing inferences from large quantities of user data has advanced social computing research, investigating digital traces to understand mediated behaviors of individuals, groups, and societies. At the same time, methods employed to access these data have raised questions about ethical research practices. This article provides insights into U.S. institutional review boards' (IRBs) attitudes and practices regulating social computing research. Through descriptive and inferential analysis of survey data from staff at 59 IRBs at research universities, we examine how IRBs evaluate the growing variety of studies using pervasive digital data. Findings unpack the difficulties IRB staff face evaluating increasingly technical research proposals while highlighting the belief in their ability to surmount these difficulties. They also indicate a lack of consensus among IRB staff about what should be reviewed and a willingness to work closely with researchers.

  19. Investigation of man's immune system (M112), part B

    NASA Technical Reports Server (NTRS)

    Ritzmann, S. E.; Levin, W. C.

    1973-01-01

    Fifty-six days of residence in a Skylab-type environment produce essentially no change in the reactivity of the human immune system, as typified by the rate of RNA or DNA synthesis in small lymphocytes. The one point of divergence between the Skylab simulation crew and previous Apollo crews, a marked depression in synthesis rates on the fourteenth day after the chamber study, may be due to some technical difficulty in the experiment. Lymphocyte morphology changes paralleled functional changes.

  20. Cell electrophoresis for diagnostic purposes. II. Critical evaluation of conventional cytopherometry.

    PubMed Central

    Hoffmann, W.; Kaufmann, R.; Steiner, R.; Werner, W.

    1981-01-01

    Determination of the electrophoretic mobility of test cells has been widely used in an attempt to detect so-called lymphokines in a laboratory test for cancer, but operational difficulties are inherent in conventional cytopherometers. This study therefore investigates the technical and operational aspects of cell electrophoresis, using the Zeiss cytopherometer; e.g. influence of electro-osmosis, focus uncertainty, movement due to convection and other sources of error. Implications and possible improvements in the test are discussed. PMID:7248145

  1. Consequences of electroplated targets on radiopharmaceutical preparations

    NASA Astrophysics Data System (ADS)

    Finn, R. D.; Tirelli, S.; Sheh, Y.; Knott, A.; Gelbard, A. S.; Larson, S. M.; Dahl, J. R.

    1991-05-01

    The staff of the cyclotron facility at Memorial Sloan-Kettering Cancer Center is involved in a comprehensive radionuclide preparation program which culminates with the formulation of numerous requested short-lived, positron-emitting radiopharmaceutical agents for clinical investigation. Both the produced radionuclide as well as the final radiolabeled compound are subjected to stringent quality control standards including assays for radiochemical and chemical purity. The subtle chemical consequences resulting from the irradiation of a nickel-plated target for 13N production serve to emphasize some of these potential technical difficulties.

  2. Apollo-Soyuz US-USSR joint mission results

    NASA Technical Reports Server (NTRS)

    Bean, A. L.; Evans, R. E.

    1975-01-01

    The technical and nontechnical objectives of the Apollo-Soyuz mission are briefly considered. The mission demonstrated that Americans and Russians can work together to perform a very complex operation, including rendezvous in space, docking, and the conduction of joint experiments. Certain difficulties which had to be overcome were partly related to differences concerning the role of the astronaut in the basic alignment and docking procedures for space vehicles. Attention is also given to the experiments conducted during the mission and the approach used to overcome the language barrier.

  3. The "erotic transference": some technical and countertransferential difficulties.

    PubMed

    Book, H E

    1995-01-01

    This paper highlights dynamics that may interfere with the therapist's identifying and addressing the erotic transference: (1) deficient training; (2) theoretical orientations that devalue the transference while espousing a "real" relationship including self-disclosure; (3) countertransference responses to the erotic transference; and (4) clinical errors of focusing on the manifest erotic transference while overlooking significant but latent pre-oedipal, oedipal, aggressive, or selfobject issues. Inattention to these dynamics may render the therapist vulnerable to sexual acting out with his patient.

  4. Natural Diels-Alderases: Elusive and Irresistable

    PubMed Central

    Klas, Kimberly; Tsukamoto, Sachiko; Sherman, David H.; Williams, Robert M.

    2016-01-01

    Eight examples of biosynthetic pathways wherein a natural enzyme has been identified and claimed to function as a catalyst for the [4+2] cycloaddition reaction, namely, Diels-Alderases, are briefly reviewed. These are discussed in the context of the mechanistic challenges associated with the technical difficulty of proving that the net formal [4+2] cycloaddition under study, indeed proceeds through a synchronous, mechanism and that the putative biosynthetic enzyme deploys the pericyclic transition state required for a Diels-Alder cycloaddition reaction. PMID:26495876

  5. On the availability of geoscientific data and scientific collaborators of an in Africa

    USGS Publications Warehouse

    Hastings, David A.

    1982-01-01

    In addition to the technical papers, the major topic of discussion at the symposium which formed the stepping-off point for this issue of Geoexplorution was the difficult communications between specialists on Africa and the lack of available geological and geophysical data. However, much of this difficulty stems from a lack of advice on where to turn for data and for eollaboration with other interested scientists. This short note attempts to address these problems with some possible solutions.

  6. On axionic field ranges, loopholes and the weak gravity conjecture

    DOE PAGES

    Brown, Jon; Cottrell, William; Shiu, Gary; ...

    2016-04-05

    Here, we clarify some aspects of the impact that the Weak Gravity Conjecture has on models of (generalized) natural inflation. In particular we address certain technical and conceptual concerns recently raised regarding the stringent constraints and conclusions found in our previous work. We also point out the difficulties faced by attempts to evade these constraints. Furthermore, these new considerations improve the understanding of the quantum gravity constraints we found and further support the conclusion that it remains challenging for axions to drive natural inflation.

  7. Current and emerging laser sensors for greenhouse gas sensing and leak detection

    NASA Astrophysics Data System (ADS)

    Frish, Michael B.

    2014-05-01

    To reduce atmospheric accumulation of the greenhouse gases methane and carbon dioxide, networks of continuously operating sensors that monitor and map their sources are desirable. In this paper, we discuss advances in laser-based open-path leak detectors, as well as technical and economic challenges inhibiting widespread sensor deployment for "ubiquitous monitoring". We describe permanently-installed, wireless, solar-powered sensors that overcome previous installation and maintenance difficulties while providing autonomous real-time leak reporting without false alarms.

  8. Third-Party Software's Trust Quagmire.

    PubMed

    Voas, J; Hurlburt, G

    2015-12-01

    Current software development has trended toward the idea of integrating independent software sub-functions to create more complete software systems. Software sub-functions are often not homegrown - instead they are developed by unknown 3 rd party organizations and reside in software marketplaces owned or controlled by others. Such software sub-functions carry plausible concern in terms of quality, origins, functionality, security, interoperability, to name a few. This article surveys key technical difficulties in confidently building systems from acquired software sub-functions by calling out the principle software supply chain actors.

  9. Composite Riflescope

    NASA Technical Reports Server (NTRS)

    1989-01-01

    Bushnell Division of Bausch & Lomb's Armor-Sight riflescope combines the company's world-renowned optics with a graphite composite (Graphlon VI) developed for space applications. The riflescope is 10 percent lighter than aluminum scopes, and, because its thermal expansion coefficient is near zero, optical distortion from heat and cold extremes is eliminated. It is fogproof and waterproof; advanced multicoated optics provide maximum light transmission to brighten target ranges. Bushnell was assisted by NIAC/USC in searching for technical information on graphic composites and in overcoming difficulties with bonding and porosity.

  10. Counting your chickens before they're hatched: power analysis.

    PubMed

    Jupiter, Daniel C

    2014-01-01

    How does an investigator know that he has enough subjects in his study design to have the predicted outcomes appear statistically significant? In this Investigators' Corner I discuss why such planning is necessary, give an intuitive introduction to the calculations needed to determine required sample sizes, and hint at some of the more technical difficulties inherent in this aspect of study planning. Copyright © 2014 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

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

    Chen, Yong, E-mail: 83229994@qq.com; Ge, Hao, E-mail: haoge@pku.edu.cn; Xiong, Jie, E-mail: jiexiong@umac.mo

    Fluctuation theorem is one of the major achievements in the field of nonequilibrium statistical mechanics during the past two decades. There exist very few results for steady-state fluctuation theorem of sample entropy production rate in terms of large deviation principle for diffusion processes due to the technical difficulties. Here we give a proof for the steady-state fluctuation theorem of a diffusion process in magnetic fields, with explicit expressions of the free energy function and rate function. The proof is based on the Karhunen-Loève expansion of complex-valued Ornstein-Uhlenbeck process.

  12. Fiscal year 1979 scientific and technical reports, articles, papers and presentations

    NASA Technical Reports Server (NTRS)

    White, O. L. (Compiler)

    1979-01-01

    This bibliography lists approximately 590 formal NASA technical reports, papers published in technical journals, presentations by MSFC personnel, and reports of MSFC contractors introduced into the NASA scientific and technical information system in 1979.

  13. FY 1986 scientific and technical reports, articles, papers and presentations

    NASA Technical Reports Server (NTRS)

    Turner, Joyce E. (Compiler)

    1986-01-01

    Formal NASA technical reports, papers published in technical journals, and presentations by Marshall Space Flight Center (MSFC) personnel in FY-86 are presented. Also included are papers of MSFC contractors.

  14. Are Externalizing and Internalizing Difficulties of Young Children with Spelling Impairment Related to Their ADHD Symptoms?

    ERIC Educational Resources Information Center

    Rietz, Chantal Sabrina; Hasselhorn, Marcus; Labuhn, Andju Sara

    2012-01-01

    Children with literacy difficulties often suffer from a variety of co-occurring externalizing and internalizing difficulties, as well as comorbid ADHD. Therefore, these externalizing and internalizing problems might be more related to comorbid ADHD, rather than being a correlate of literacy difficulties per se. In the present study, we…

  15. Memory Abilities in Children with Mathematical Difficulties: Comorbid Language Difficulties Matter

    ERIC Educational Resources Information Center

    Reimann, Giselle; Gut, Janine; Frischknecht, Marie-Claire; Grob, Alexander

    2013-01-01

    The present study investigated cognitive abilities in children with difficulties in mathematics only (n = 48, M = 8 years and 5 months), combined mathematical and language difficulty (n = 27, M = 8 years and 1 month) and controls (n = 783, M = 7 years and 11 months). Cognitive abilities were measured with seven subtests, tapping visual perception,…

  16. FY 2002 Scientific and Technical Reports, Articles, Papers, and Presentations

    NASA Technical Reports Server (NTRS)

    Fowler, B. A. (Compiler)

    2003-01-01

    This Technical Memorandum (TM) presents formal NASA technical reports, papers published in technical journals, and presentations by MSFC personnel in FY 2002. It also includes papers of MSFC contractors. The information in this TM may be of value to the scientific and engineering community in determining what information has been published and what is available.

  17. Laparoscopic resection of transverse colon cancer at splenic flexure: technical aspects and results.

    PubMed

    Okuda, Junji; Yamamoto, Masashi; Tanaka, Keitaro; Masubuchi, Shinsuke; Uchiyama, Kazuhisa

    2016-03-01

    Laparoscopic resection of transverse colon cancer at splenic flexure is technical demanding and its efficacy remains controversial. The aim of this study was to investigate its technical aspects such as pitfalls and overcoming them, and to demonstrate the short-term and oncologic long-term outcomes. To overcome the difficulty in laparoscopic resection of transverse colon cancer at splenic flexure, we recognized the following technical tips as essential. First of all, we have to precisely identify major vessels variations feeding tumor. Secondary, anatomical dissection of mesocolon through medial approach is indispensible. Third, safe takedown of splenic flexure to fully mobilization of left hemicolon is mandatory. This cohort study analyzed 95 patients with stage II (43) and III (52) underwent resection of transverse colon cancer at splenic flexure. 61 laparoscopic surgeries (LAC) and 34 conventional open surgeries (OC) from December 1996 to December 2009 were evaluated. Short-term and oncologic long-term outcomes were recorded. Operative time was longer in LAC. However, blood loss was less, recovery of bowel function and hospital stay were shorter in LAC. There was no conversion in LAC and no significant difference in the postoperative complications. Regarding oncologic long-term outcomes, there were no significant differences between OC and LAC. Laparoscopic resection of transverse colon cancer at splenic flexure resulted in acceptable short-term and oncologic long-term outcomes. Once technical tips acquired, laparoscopic resection of transverse colon cancer at splenic flexure could be feasible as minimally invasive surgery.

  18. FY 2001 Scientific and Technical Reports, Articles, Papers, and Presentations

    NASA Technical Reports Server (NTRS)

    Waits, J. E. Turner (Compiler)

    2002-01-01

    This Technical Memorandum (TM) presents formal NASA technical reports, papers published in technical journals, and presentations by MSFC personnel in FY 2001. It also includes papers of MSFC contractors. After being announced in STAR, all NASA series reports may be obtained from the National Technical Information Service, 5285 Port Royal Road, Springfield, VA 22161. The information in this TM may be of value to the scientific and engineering community in determining what information has been published and what is available.

  19. FY 2004 Scientific and Technical Reports, Articles, Papers, and Presentations

    NASA Technical Reports Server (NTRS)

    Fowler, B. A. (Compiler)

    2006-01-01

    This Technical Memorandum (TM) presents formal NASA technical reports, papers published in technical journals, and presentations by Marshall Space Flight Center (MSFC) personnel FY 2004. It also includes papers of MSFC contractors. After being announced in STAR, all NASA series reports may be obtained from the National Technical Information Service, 5285 Port Royal Road, Springfield, VA 22161. The information in this TM maybe of value to the scientific and engineering community in determining what information has been published and what is available.

  20. FY 2003 Scientific and Technical Reports, Articles, Papers, and Presentations

    NASA Technical Reports Server (NTRS)

    Fowler, B. A. (Compiler)

    2004-01-01

    This Technical Memorandum (TM) presents formal NASA technical reports, papers published in technical journals, and presentations by Marshall Space Flight Center (MSFC) personnel in FY 2003. It also includes papers of MSFC contractors. After being announced in STAR, all NASA series reports may be obtained from the National Technical Information Service, 5285 Port Royal Road, Spring.eld, VA 22161. The information in this TM may be of value to the scientific and engineering community in determining what information has been published and what is available.

  1. FY 2005 Scientific and Technical Reports, Articles, Papers, and Presentations

    NASA Technical Reports Server (NTRS)

    Narmore, K. A. (Compiler)

    2007-01-01

    This Technical Memorandum (TM) presents formal NASA technical reports, papers published in technical journals, and presentations by Marshall Space Flight Center (MSFC) personnel in FY 2005. It also includes papers of MSFC contractors. The information in this TM may be of value to the scientific and engineering community in determining what information has been published and what is available.

  2. FY 1989 scientific and technical reports, articles, papers, and presentations

    NASA Technical Reports Server (NTRS)

    Turner, Joyce E. (Compiler)

    1989-01-01

    A compendium of bibliographic references to papers presented by Marshall Space Flight Center (MSFC) personnel and contractors during FY 1989 is provided. The papers include formal NASA technical reports, memoranda, papers which were published in technical journals, and presentations by MSFC personnel. The formal NASA technical reports and memoranda have abstracts included. Sources for obtaining these documents are also included.

  3. FY 1985 scientific and technical reports, articles, papers and presentations

    NASA Technical Reports Server (NTRS)

    Turner, Joyce E. (Compiler)

    1985-01-01

    This document presents formal NASA technical reports, papers published in technical journals, and presentations by Marshal Space Flight Center (MSFC) personnel in FY 85. It also includes papers of MSFC contractors. After being announced in STAR, all of the NASA series reports may be obtained from the National Technical Information Service (NTIS), 5285 Port Royal Road, Springfield, Va. 22161.

  4. Item Writer Judgments of Item Difficulty versus Actual Item Difficulty: A Case Study

    ERIC Educational Resources Information Center

    Sydorenko, Tetyana

    2011-01-01

    This study investigates how accurate one item writer can be on item difficulty estimates and whether factors affecting item writer judgments correspond to predictors of actual item difficulty. The items were based on conversational dialogs (presented as videos online) that focus on pragmatic functions. Thirty-five 2nd-, 3rd-, and 4th-year learners…

  5. Students' performance in phonological awareness, rapid naming, reading, and writing.

    PubMed

    Capellini, Simone Aparecida; Lanza, Simone Cristina

    2010-01-01

    phonological awareness, rapid naming, reading and writing in students with learning difficulties of a municipal public school. to characterize and compare the performance of students from public schools with and without learning difficulties in phonological awareness, rapid naming, reading and writing. participants were 60 students from the 2nd to the 4th grades of municipal public schools divided into 6 groups. Each group was composed by 10 students, being 3 groups of students without learning difficulties and 3 groups with students with learning difficulties. As testing procedure phonological awareness, rapid automatized naming, oral reading and writing under dictation assessments were used. the results highlighted the better performance of students with no learning difficulties. Students with learning difficulties presented a higher ratios considering time/speed in rapid naming tasks and, consequently, lower production in activities of phonological awareness and reading and writing, when compared to students without learning difficulties. students with learning difficulties presented deficits when considering the relationship between naming and automatization skills, and among lexical access, visual discrimination, stimulus frequency use and competition in using less time for code naming, i.e. necessary for the phoneme-grapheme conversion process required in the reading and writing alphabetic system like the Portuguese language.

  6. EFL College Students' Perceptions of the Difficulties in Oral Presentation as a Form of Assessment

    ERIC Educational Resources Information Center

    Al-Nouh, Nowreyah A.; Abdul-Kareem, Muneera M.; Taqi, Hanan A.

    2015-01-01

    Oral presentation skills are considered one of the most important proficiencies needed for higher education and future careers. Thus, the present study is interested in eliciting English as a Foreign Language (EFL) college students' perceptions of the difficulties they face in oral presentation as a form of assessment. Participants were 500 female…

  7. Computerized physical activity training for persons with severe mental illness - experiences from a communal supported housing project.

    PubMed

    Gyllensten, Amanda Lundvik; Forsberg, Karl-Anton

    2017-11-01

    To study the effectiveness of Exergames in communal psychiatry for persons with severe mental illness, a randomized cluster study was performed. The hypothesis was to increase physical activity habits to improve somatic health. To identify factors promoting or impeding the use of the Exergames. Assessments of BMI, blood pressure, physical fitness, SF36, GAF and social interactions were studied at baseline and 10 months. An integrated methods design using content analysis of focus group interviews was integrated with a statistical analysis. Forty-three persons were randomized to the intervention and 30 to the control group. The qualitative interviews included 18 users, 11 staffs and one technical assistant. There were no significant between-group changes in physical activity behaviours or somatic health parameters after 10 months. Only 5% of the intervention group made systematic use of the intervention. Technological difficulties and staff attitudes were found to be barriers. The Exergames were perceived as technically complicated. The staff did not see playing TV games as important and negative attitudes were found. Exergames was not a successful intervention to increase physical activity behaviours in persons with severe mental illness in the community. Exergames and motivation for physical activity in this group is problematic. Implications for rehabilitation There are difficulties to change passive physical activity habits for persons with severe mental illness, living in sheltered housing conditions in the community due to negative symptoms with depression, low motivation and bad self -confidence. An exergame intervention was not successful in this group of persons. No somatic health benefits were found. Simple physical activities and offering different choices meeting different user needs should be offered. Ensuring user and staff engagement, good technical knowledge and good monitoring is a need for a successful intervention, if Exergames are offered as an alternative physical activity.

  8. Preparing Facilitators From Community-Based Organizations for Evidence-Based Intervention Training in Second Life

    PubMed Central

    Valladares, Angel Felix; Tschannen, Dana; Villarruel, Antonia Maria

    2014-01-01

    Background A major barrier to the use and scale-up of evidence-based interventions are challenges related to training and capacity building. A cost-effective and highly interactive multi-user virtual environment, Second Life (SL) is a promising alternative for comprehensive face-to-face facilitator training. Objective The purpose of this study was to examine the feasibility of using SL to train facilitators from community-based organizations to use ¡Cuídate! (Take Care of Yourself), one of the few evidence-based interventions developed and tested with Latino youth to reduce sexual risk behaviors. Methods We recruited 35 participants from community-based organizations throughout the United States to participate in the SL ¡Cuídate! Training of Facilitators. Preparation to use SL consisted of four phases: (1) recruitment and computer capacity screening, (2) enrollment, (3) orientation to the SL program, and (4) technical support throughout the synchronous training sessions. Technical difficulties, the associated cause, and the mitigation strategy implemented were recorded during each session. Participants completed evaluations including perceptions of self-efficacy and confidence to complete the necessary skills to participate in SL training. Results Overall, participants reported high levels of self-efficacy for all skills necessary to participate in SL training. Based on an 11-point scale (0-10), self-efficacy to download and access the software was rated the highest: mean 8.29 (SD 2.19). Interacting with items in SL had the lowest mean score: mean 7.49 (SD 2.89). The majority of technical difficulties experienced by participants were related to inadequate Internet connections or computer malfunctions. Conclusions Our findings support the feasibility of using SL for the ¡Cuídate! Training of Facilitators. The process used in this study to prepare participants to use SL can be used as a basis for other evidence-based intervention training in SL. This study is an important contribution to developing cost-effective and accessible training options for evidence-based interventions. PMID:25270991

  9. Preparing facilitators from community-based organizations for evidence-based intervention training in Second Life.

    PubMed

    Valladares, Angel Felix; Aebersold, Michelle; Tschannen, Dana; Villarruel, Antonia Maria

    2014-09-30

    A major barrier to the use and scale-up of evidence-based interventions are challenges related to training and capacity building. A cost-effective and highly interactive multi-user virtual environment, Second Life (SL) is a promising alternative for comprehensive face-to-face facilitator training. The purpose of this study was to examine the feasibility of using SL to train facilitators from community-based organizations to use ¡Cuídate! (Take Care of Yourself), one of the few evidence-based interventions developed and tested with Latino youth to reduce sexual risk behaviors. We recruited 35 participants from community-based organizations throughout the United States to participate in the SL ¡Cuídate! Training of Facilitators. Preparation to use SL consisted of four phases: (1) recruitment and computer capacity screening, (2) enrollment, (3) orientation to the SL program, and (4) technical support throughout the synchronous training sessions. Technical difficulties, the associated cause, and the mitigation strategy implemented were recorded during each session. Participants completed evaluations including perceptions of self-efficacy and confidence to complete the necessary skills to participate in SL training. Overall, participants reported high levels of self-efficacy for all skills necessary to participate in SL training. Based on an 11-point scale (0-10), self-efficacy to download and access the software was rated the highest: mean 8.29 (SD 2.19). Interacting with items in SL had the lowest mean score: mean 7.49 (SD 2.89). The majority of technical difficulties experienced by participants were related to inadequate Internet connections or computer malfunctions. Our findings support the feasibility of using SL for the ¡Cuídate! Training of Facilitators. The process used in this study to prepare participants to use SL can be used as a basis for other evidence-based intervention training in SL. This study is an important contribution to developing cost-effective and accessible training options for evidence-based interventions.

  10. EHRs in primary care practices: benefits, challenges, and successful strategies.

    PubMed

    Goetz Goldberg, Debora; Kuzel, Anton J; Feng, Lisa Bo; DeShazo, Jonathan P; Love, Linda E

    2012-02-01

    To understand the current use of electronic health records (EHRs) in small primary care practices and to explore experiences and perceptions of physicians and staff toward the benefits, challenges, and successful strategies for implementation and meaningful use of advanced EHR functions. Qualitative case study of 6 primary care practices in Virginia. We performed surveys and in-depth interviews with clinicians and administrative staff (N = 38) and observed interpersonal relations and use of EHR functions over a 16-month period. Practices with an established EHR were selected based on a maximum variation of quality activities, location, and ownership. Physicians and staff report increased efficiency in retrieving medical records, storing patient information, coordination of care, and office operations. Costs, lack of knowledge of EHR functions, and problems transforming office operations were barriers reported for meaningful use of EHRs. Major disruption to patient care during upgrades and difficulty utilizing performance tracking and quality functions were also reported. Facilitators for adopting and using advanced EHR functions include team-based care, adequate technical support, communication and training for employees and physicians, alternative strategies for patient care during transition, and development of new processes and work flow procedures. Small practices experience difficulty with implementation and utilization of advanced EHR functions. Federal and state policies should continue to support practices by providing technical assistance and financial incentives, grants, and/or loans. Small practices should consider using regional extension center services and reaching out to colleagues and other healthcare organizations with similar EHR systems for advice and guidance.

  11. Fiscal year 1981 scientific and technical reports, articles, papers, and presentations

    NASA Technical Reports Server (NTRS)

    Thacker, S. S. (Compiler)

    1981-01-01

    This bibliography lists approximately 503 formal NASA technical reports, papers published in technical journals, and presentations by MSFC personnel in FY-1981. It also includes papers of MSFC contractors. Citations announced in the NASA scientific and technical information system are noted.

  12. Young people with features of gender dysphoria: Demographics and associated difficulties.

    PubMed

    Holt, Vicky; Skagerberg, Elin; Dunsford, Michael

    2016-01-01

    This article presents the findings from a cross-sectional study on demographic variables and associated difficulties in 218 children and adolescents (Mean age = 14 years, SD = 3.08, range = 5-17 years), with features of gender dysphoria, referred to the Gender Identity Development Service (GIDS) in London during a 1-year period (1 January 2012-31 December 2012). Data were extracted from patient files (i.e. referral letters, clinical notes and clinician reports). The most commonly reported associated difficulties were bullying, low mood/depression and self-harming. There was a gender difference on some of the associated difficulties with reports of self-harm being significantly more common in the natal females and autism spectrum conditions being significantly more common in the natal males. The findings also showed that many of the difficulties increased with age. Findings regarding demographic variables, gender dysphoria, sexual orientation and family features are reported, and limitations and implications of the cross-sectional study are discussed. In conclusion, young people with gender dysphoria often present with a wide range of associated difficulties which clinicians need to take into account, and our article highlights the often complex presentations of these young people. © The Author(s) 2014.

  13. Application de la methode de la reponse frequentielle a l'arret "SSFR", sur une machine synchrone a poles saillants de grande puissance

    NASA Astrophysics Data System (ADS)

    Belqorchi, Abdelghafour

    Forty years after Watson and Manchur conducted the Stand-Still Frequency Response (SSFR) test on a large turbogenerator, the applicability of this technic on a powerful salient pole synchronous generator has yet to be confirmed. The scientific literature on the subject is rare and very few have attempted to compare SSFR parameter results with those deduced by classical tests. The validity of SSFR on large salient pole machines has still to be proven. The present work aims in participating to fill this knowledge gap. It can be used to build a database of measurements highly needed to draw the validity of the technic. Also, the author hopes to demonstrate the potential of SSFR model to represent the machine, not only in cases of weak disturbances but also strong ones such as instantaneous three-phase short-circuit faults. The difficulties raised by previous searchers are: The lack of accuracy in very low frequency measurements; The difficulty in rotor positioning, according to d and q axes, in case of salient pole machines; The measurement current level influence on magnetizing inductances, in axes-d and; The rotation impact on damper circuits for some rotors design. Aware of the above difficulties, the author conducted an SSFR test on a large salient pole machine (285 MVA). The generator under test has laminated non isolated rotor and an integral slot number. The damper windings in adjacent poles are connected together, via the polar core and the rotor rim. Finally, the damping circuit is unaffected by rotation. To improve the measurement accuracy, in very low frequencies, the most precise frequency response analyser available on the market was used. Besides, the frequency responses of the signals conditioning modules (i.e., isolation, amplification...) were accounted for to correct the four measured SSFR transfer functions. Immunization against noise and use of instrumentation in their optimum range, were other technics rigorously applied. Magnetizing inductances, being influenced by the measurement current magnitude, the latter was maintained constant in the range 1mHz-20Hz. Other problems such as the rotation impact on damper circuits or the difficulty of rotor positioning are eliminated or attenuated by the intrinsic characteristics of the machine. Regarding the data analysis, the Maximum Likelihood Estimation (MLE) method was used to determine the third and second order equivalent circuit from SSFR measurements. In d-axis, the approaches of adjustment to two and three transfer functions (Ld(s), sG(s) and Lafo(s)) were explored. The second order model, derived from (Ld( s) and G(s)), was used to deduce the machine standard parameters. The latter were compared with the values given by the manufacturer and by conventional on-site tests: Instantaneous three-phase short-circuit, Dalton-Cameron and the d-axis transient time constant at open stator (T'do). The comparison showed the good accuracy of SSFR values. Subsequently, a machine model was built in EMTP-RV based on SSFR standard parameters. The model was able to reproduce stator and rotor currents measured during instantaneous three-phase short-circuit test. Some adjustments, to SSFR parameters, were needed to reproduce stator voltage and rotor current acquired during load rejection d-axis test. It is worthwhile noting that the load rejection d-axis test, recently added to IEEE 115-2009 annex, must be modified to take into account the saturation and excitation impedance impact on deduced parameters. Regarding this issue, some suggestions are proposed by the author. The obtained SSFR results, contribute to raise confidence on SSFR application on large salient pole machines. In addition, it shows the aptitude of the SSFR model to represent the machine in both cases of weak and strong disturbances, at least on machines similar the one studied. Index Terms: Salient pole, frequency response, SSFR, equivalent circuit, operational inductance.

  14. Creating a bridge between data collection and program planning: a technical assistance model to maximize the use of HIV/AIDS surveillance and service utilization data for planning purposes.

    PubMed

    Logan, Jennifer A; Beatty, Maile; Woliver, Renee; Rubinstein, Eric P; Averbach, Abigail R

    2005-12-01

    Over time, improvements in HIV/AIDS surveillance and service utilization data have increased their usefulness for planning programs, targeting resources, and otherwise informing HIV/AIDS policy. However, community planning groups, service providers, and health department staff often have difficulty in interpreting and applying the wide array of data now available. We describe the development of the Bridging Model, a technical assistance model for overcoming barriers to the use of data for program planning. Through the use of an iterative feedback loop in the model, HIV/AIDS data products constantly are evolving to better inform the decision-making tasks of their multiple users. Implementation of this model has led to improved data quality and data products and to a greater willingness and ability among stakeholders to use the data for planning purposes.

  15. Quantitative techniques for musculoskeletal MRI at 7 Tesla.

    PubMed

    Bangerter, Neal K; Taylor, Meredith D; Tarbox, Grayson J; Palmer, Antony J; Park, Daniel J

    2016-12-01

    Whole-body 7 Tesla MRI scanners have been approved solely for research since they appeared on the market over 10 years ago, but may soon be approved for selected clinical neurological and musculoskeletal applications in both the EU and the United States. There has been considerable research work on musculoskeletal applications at 7 Tesla over the past decade, including techniques for ultra-high resolution morphological imaging, 3D T2 and T2* mapping, ultra-short TE applications, diffusion tensor imaging of cartilage, and several techniques for assessing proteoglycan content in cartilage. Most of this work has been done in the knee or other extremities, due to technical difficulties associated with scanning areas such as the hip and torso at 7 Tesla. In this manuscript, we first provide some technical context for 7 Tesla imaging, including challenges and potential advantages. We then review the major quantitative MRI techniques being applied to musculoskeletal applications on 7 Tesla whole-body systems.

  16. [Current status and prospect of translational medicine in nanotechnology].

    PubMed

    Gao, Guang-yu; Chen, Mei-ling; Li, Ming-yuan; Yang, Zhen-bo; Li, Zhi-ping; Mei, Xing-guo

    2015-08-01

    Nowadays, nanotechnologies have shown wide application foreground in the biomedical field of medicine laboratory tests, drug delivery, gene therapy and bioremediation. However, in recent years, nanomaterials have been labeled poisonous, because of the disputes and misunderstandings of mainstream views on their safety. Besides, for the barriers of technical issues in preparation like: (1) low efficacy (poor PK & PD and low drug loading), (2) high cost (irreproducibility and difficulty in scale up), little of that research has been successfully translated into commercial products. Currently, along with the new theory of "physical damage is the origin of nanotoxicity", biodegradability and biocompatibility of nanomaterials are listed as the basic principle of safe application of nanomaterials. Combining scientific design based on molecular level with precision control of process engineering will provide a new strategy to overcome the core technical challenges. New turning point of translational medicine in nanotechnology may emerge.

  17. Hypopharyngeal reconstruction using a circular stapler.

    PubMed

    Schultz, P; Dupret-Bories, A; Ciftci, S; Fath, L

    2018-02-01

    Distal anastomosis by tubed free flap is one of the main technical difficulties encountered during hypopharyngeal reconstruction. Although high flap survival probability can be achieved by experienced surgical teams, two complications are commonly observed at the flap-oesophagus junction: fistula and stenosis. Use of a circular stapler reduced the frequency of these complications by ensuring a perfectly circular and resistant suture line. Salivary stent placement is therefore unnecessary, allowing earlier resumption of feeding. The stapling procedure is simple, but a few technical skills are required, as the stapler is not specifically designed for this purpose. We describe the indications, surgical procedure and global results based on our series. We consider the forearm flap to be the gold standard for this reconstruction, but thicker flaps, such as pectoralis major flap, can also be used, but with poorer results in terms of healing and swallowing performance. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

  18. Modified single stapler technique in anterior resection for rectal cancer.

    PubMed

    Akbaba, Soner; Ersoy, Pamir Eren; Gundogdu, Riza Haldun; Ulas, Murat; Menekse, Ebru

    2015-01-01

    Technical difficulties during colorectal surgery increase the complication rates. We introduce a modified single stapler technique for patients in whom technical problems are encountered while performing double stapler technique. Before pelvic dissection, descending colon is divided at minimum 10 cm proximal to the tumoral segment. Tumor specific mesorectal excision is performed and two purse string sutures are placed at the distal margin with an interval of 1 - 2 cm. After introducing a circular stapler via the anus, the distal purse string suture is tied around the central shaft of the stapler and the proximal purse string suture around the colonic lumen. After the resection is completed between the two sutures, the anvil shaft is connected to the central shaft and the stapler is closed and fired. None of the patients had an anastomotic leak. This technique may be a safe alternative particularly in patients with narrow pelvis and distal tumors.

  19. New technique of transanal proctectomy with completely robotic total mesorrectal excision for rectal cancer.

    PubMed

    Gómez Ruiz, Marcos; Palazuelos, Carlos Manuel; Martín Parra, José Ignacio; Alonso Martín, Joaquín; Cagigas Fernández, Carmen; del Castillo Diego, Julio; Gómez Fleitas, Manuel

    2014-05-01

    Anterior resection with total mesorectal excision is the standard method of rectal cancer resection. However, this procedure remains technically difficult in mid and low rectal cancer. A robotic transanal proctectomy with total mesorectal excision and laparoscopic assistance is reported in a 57 year old male with BMI 32 kg/m2 and rectal adenocarcinoma T2N1M0 at 5 cm from the dentate line. Operating time was 420 min. Postoperative hospital stay was 6 days and no complications were observed. Pathological report showed a 33 cm specimen with ypT2N0 adenocarcinoma at 2 cm from the distal margin, complete TME and non affected circumferential resection margin. Robotic technology might reduce some technical difficulties associated with TEM/TEO or SILS platforms in transanal total mesorectal excision. Further clinical trials will be necessary to assess this technique. Copyright © 2013 AEC. Published by Elsevier Espana. All rights reserved.

  20. Health support for the Raid of the Seven Stones : in the footsteps of Navy physician Jules Crevaux in French Guiana.

    PubMed

    Barthes, N; Boudsocq, J-P

    2017-06-01

    In the summer of 2015, soldiers of the 3rd Foreign Infantry Regiment and civilian scientists mounted a joint expedition on foot to reconnoiter and better define the southern frontier of French Guiana with Brazil. Three doctor-nurse pairs worked in relay to provide medical support for this unprecedented 42-day, 320-km journey through a hostile and isolated environment, a mission whose success was made possible by large-scale logistic and technical prowess. The army health department, using knowledge gained from previous large-scale missions and expeditions and from its staff's local experience, provided its technical support for personnel selection, organization of the health logistics, and field support. This article describes the difficulties encountered from a medical perspective, the diseases encountered, and the final assessments of the personnel who completed this expedition.

  1. Application of nonlinear ultrasonics to inspection of stainless steel for dry storage

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

    Ulrich, Timothy James II; Anderson, Brain E.; Remillieux, Marcel C.

    This report summarized technical work conducted by LANL staff an international collaborators in support of the UFD Storage Experimentation effort. The focus of the current technical work is on the detection and imaging of a failure mechanism known as stress corrosion cracking (SCC) in stainless steel using the nonlinear ultrasonic technique known as TREND. One of the difficulties faced in previous work is in finding samples that contain realistically sized SCC. This year such samples were obtained from EPRI. Reported here are measurements made on these samples. One of the key findings is the ability to detect subsurface changes tomore » the direction in which a crack is penetrating into the sample. This result follows from last year's report that demonstrated the ability of TREND techniques to image features below the sample surface. A new collaboration was established with AGH University of Science and Technology, Krakow, Poland.« less

  2. A case of Mirizzi syndrome that was successfully treated by laparoscopic choledochoplasty using a gallbladder patch.

    PubMed

    Hiraki, Masatsugu; Ueda, Junji; Kono, Hiroshi; Egawa, Noriyuki; Saeki, Kiyoshi; Tsuru, Yasuhiro; Ide, Takao; Noshiro, Hirokazu

    2017-11-01

    The use of laparoscopic surgery in the treatment of Mirizzi syndrome is considered controversial due to the degree of technical difficulty. We herein describe the case of a 36-year-old woman who was admitted to our hospital due to appetite loss, nausea and back pain. Endoscopic retrograde cholangiography revealed a round-shaped filling defect at the confluence of the bile duct. The patient was diagnosed with Mirizzi syndrome Type II according to the Csendes classification. Before surgery, an endoscopic nasobiliary drainage tube was placed for intraoperative cholangiography. Based on the intraoperative findings, the anterior wall of Hartmann's pouch was excised to remove the impacted gallstone. The neck portion of the gallbladder wall was then used to make a gallbladder patch, which was sutured to cover the anterior wall of the common hepatic bile duct. Laparoscopic choledochoplasty using a gallbladder patch was a technically feasible treatment for Mirizzi syndrome Type II.

  3. "We now control our evolution": circumventing ethical and logical cul-de-sacs of an anticipated engineering revolution.

    PubMed

    Miller, Lantz Fleming

    2014-12-01

    Philosophers, scientists, and other researchers have increasingly characterized humanity as having reached an epistemic and technical stage at which “we can control our own evolution.” Moral–philosophical analysis of this outlook reveals some problems, beginning with the vagueness of “we.” At least four glosses on “we” in the proposition “we, humanity, control our evolution” can be made: “we” is the bundle of all living humans, a leader guiding the combined species, each individual acting severally, or some mixture of these three involving a market interpretation of future evolutionary processes. While all of these glosses have difficulties under philosophical analysis, how we as a species handle our fate via technical developments is all-important. I propose our role herein should be understood as other than controllers of our evolution.

  4. Escalating role of piezosurgery in dental therapeutics.

    PubMed

    Agarwal, Esha; Masamatti, Sujata Surendra; Kumar, Ashish

    2014-10-01

    Dentistry, an art in science and tranquilizer in medicine, has seen a lot of changing concepts over a decade and one such novel innovation is piezosurgery. Piezosurgery is a true revolution in bone surgery as it fulfils both biological and technical criteria. It has a variety of applications ranging from minor surgical procedures to complex implantology, plastic and reconstructive surgeries. Piezosurgery uses a low frequency modulated ultrasonic insert which produces microvibrations in the range of 60-200micro meter/sec and leads to safe and precise bony incision without damaging underlying vital structures like nerves, mucosa and vessels. It overcomes technical difficulties such as visibility by producing bloodless field during surgery and removes debris simultaneously through internal irrigation mechanism. The soft tissues remain safe and biological factors like release of certain cytokines promote bone healing and enhance patients recovery. This critical review outweighs piezosurgery over traditional tools and emphasizes on its clinical and biological aspects contributing to beneficial dental health.

  5. Dependability of technical items: Problems of standardization

    NASA Astrophysics Data System (ADS)

    Fedotova, G. A.; Voropai, N. I.; Kovalev, G. F.

    2016-12-01

    This paper is concerned with problems blown up in the development of a new version of the Interstate Standard GOST 27.002 "Industrial product dependability. Terms and definitions". This Standard covers a wide range of technical items and is used in numerous regulations, specifications, standard and technical documentation. A currently available State Standard GOST 27.002-89 was introduced in 1990. Its development involved a participation of scientists and experts from different technical areas, its draft was debated in different audiences and constantly refined, so it was a high quality document. However, after 25 years of its application it's become necessary to develop a new version of the Standard that would reflect the current understanding of industrial dependability, accounting for the changes taking place in Russia in the production, management and development of various technical systems and facilities. The development of a new version of the Standard makes it possible to generalize on a terminological level the knowledge and experience in the area of reliability of technical items, accumulated over a quarter of the century in different industries and reliability research schools, to account for domestic and foreign experience of standardization. Working on the new version of the Standard, we have faced a number of issues and problems on harmonization with the International Standard IEC 60500-192, caused first of all by different approaches to the use of terms and differences in the mentalities of experts from different countries. The paper focuses on the problems related to the chapter "Maintenance, restoration and repair", which caused difficulties for the developers to harmonize term definitions both with experts and the International Standard, which is mainly related to differences between the Russian concept and practice of maintenance and repair and foreign ones.

  6. Prospective Multicenter Study on the Challenges Inherent to Using Large Cell-Type Stents for Bilateral Stent-in-Stent Placement in Patients with Inoperable Malignant Hilar Biliary Obstruction.

    PubMed

    Yang, Min Jae; Kim, Jin Hong; Hwang, Jae Chul; Yoo, Byung Moo; Lee, Sang Hyub; Ryu, Ji Kon; Kim, Yong-Tae; Woo, Sang Myung; Lee, Woo Jin; Jeong, Seok; Lee, Don Haeng

    2018-06-22

    Although endoscopic bilateral stent-in-stent placement is challenging, many recent studies have reported promising outcomes regarding technical success and endoscopic reintervention. This study aimed to evaluate the technical feasibility of stent-in-stent placement using large cell-type stents in patients with inoperable malignant hilar biliary obstruction. Forty-three patients with inoperable malignant hilar biliary obstruction from four academic centers were prospectively enrolled from March 2013 to June 2015. Bilateral stent-in-stent placement using two large cell-type stents was successfully performed in 88.4% of the patients (38/43). In four of the five cases with technical failure, the delivery sheath of the second stent became caught in the hook-cross-type vertex of the large cell of the first stent, and subsequent attempts to pass a guidewire and stent assembly through the mesh failed. Functional success was achieved in all cases with technical success. Stent occlusion occurred in 63.2% of patients (24/38), with a median patient survival of 300 days. The median stent patency was 198 days. The stent patency rate was 82.9%, 63.1%, and 32.1% at 3, 6, and 12 months, respectively. Endoscopic re-intervention was performed in 14 patients, whereas 10 underwent percutaneous drainage. Large cell-type stents for endoscopic bilateral stent-in-stent placement showed acceptable functional success and stent patency when technically successful. However, the technical difficulty associated with the entanglement of the second stent delivery sheath in the hook-cross-type vertex of the first stent may preclude large cell-type stents from being considered as a dedicated standard tool for stent-in-stent placement.

  7. Implications in dosimetry of the implementation of the revised dose limit to the lens of the eye.

    PubMed

    Broughton, J; Cantone, M C; Ginjaume, M; Shah, B; Czarwinski, R

    2015-04-01

    In 2012, International Radiation Protection Association (IRPA) established a Task Group to provide an assessment of the impact of the implementation of the ICRP-revised dose limit for the lens of the eye for occupational exposure. Associated Societies (ASs) of IRPA were asked to provide views and comments on the basis of a questionnaire addressing three principal topics: (i) implications for dosimetry, (ii) implications for methods of protection and (iii) wider implications of implementing the revised limits. A summary of the collated responses regarding dosimetry is presented and discussed. There is large agreement on the most critical aspects and difficulties in setting up an appropriate monitoring programme for the lens of the eyes. The recent international standards and technical documents provide guidance for some of the concerns but other challenges remain in terms of awareness, acceptance and practicalities. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. Simplified Calculation Model and Experimental Study of Latticed Concrete-Gypsum Composite Panels

    PubMed Central

    Jiang, Nan; Ma, Shaochun

    2015-01-01

    In order to address the performance complexity of the various constituent materials of (dense-column) latticed concrete-gypsum composite panels and the difficulty in the determination of the various elastic constants, this paper presented a detailed structural analysis of the (dense-column) latticed concrete-gypsum composite panel and proposed a feasible technical solution to simplified calculation. In conformity with mechanical rules, a typical panel element was selected and divided into two homogenous composite sub-elements and a secondary homogenous element, respectively for solution, thus establishing an equivalence of the composite panel to a simple homogenous panel and obtaining the effective formulas for calculating the various elastic constants. Finally, the calculation results and the experimental results were compared, which revealed that the calculation method was correct and reliable and could meet the calculation needs of practical engineering and provide a theoretical basis for simplified calculation for studies on composite panel elements and structures as well as a reference for calculations of other panels. PMID:28793631

  9. Renal, auricular, and ocular outcomes of Alport syndrome and their current management.

    PubMed

    Zhang, Yanqin; Ding, Jie

    2017-09-01

    Alport syndrome is a hereditary glomerular basement membrane disease caused by mutations in the COL4A3/4/5 genes encoding the type IV collagen alpha 3-5 chains. Most cases of Alport syndrome are inherited as X-linked dominant, and some as autosomal recessive or autosomal dominant. The primary manifestations are hematuria, proteinuria, and progressive renal failure, whereas some patients present with sensorineural hearing loss and ocular abnormalities. Renin-angiotensin-aldosterone system blockade is proven to delay the onset of renal failure by reducing proteinuria. Renal transplantation is a curative treatment for patients who have progressed to end-stage renal disease. However, only supportive measures can be used to improve hearing loss and visual loss. Although both stem cell therapy and gene therapy aim to repair the basement membrane defects, technical difficulties require more research in Alport mice before clinical studies. Here, we review the renal, auricular, and ocular manifestations and outcomes of Alport syndrome and their current management.

  10. Modeling of the focusing device and the elliptical neutron guide for the DN-6 diffractometer at IBR-2 reactor

    NASA Astrophysics Data System (ADS)

    Belushkin, A. V.; Manoshin, S. A.; Kozlenko, D. P.; Kichanov, S. E.

    2018-06-01

    Possible options for modernization of the neutron beam forming system of the DN-6 diffractometer for the study of crystal and magnetic structures of microsamples at high pressures are being considered. It was demonstrated that for samples with the cross-section not exceeding 5 × 5 mm2 the most efficient option would be the use of an elliptical neutron guide. It allows to deliver neutrons for large distances from the source to samples with minimal losses using, as a rule, just one neutron reflection per dimension i.e. one at a side and one at top or bottom. For the present moment due to technical difficulties of such option realization, the simplified solution was proposed. At the end of the curved neutron guide it is planned to install a vertical plane focusing 7-meter-long parabolic section. Such a modernization will increase the neutron flux at the sample by a factor 1.5-3.5 and reduce respectively the typical measurement times.

  11. New Frontiers in Optical Science: Terahertz Spectroscopy ot Two Dimensional Systems

    NASA Astrophysics Data System (ADS)

    Lee, Yun-Shik

    2011-10-01

    Terahertz (THz) radiation is electromagnetic radiation whose frequency lies between the microwave and infrared regions of the spectrum. Naturally occurring THz radiation fills up the space of everyday life providing warmth, yet this part of the spectrum remains the least explored region mainly due to the technical difficulties. The technological gap, however, has been rapidly diminishing for the last two decades. The new and exciting frontier of the THz science and technology has encroached on many different disciplines producing a broad range of applications such as medical imaging, sensing of biochemical agents, and ultra-high speed communication. Furthermore, the unique and advanced techniques of the THz spectroscopy have been proved to be a powerful tool to investigate the material properties inaccessible until recently. For example, THz waves strongly interact with electrons and holes in two dimensional systems, in which their dynamics are governed mainly by many-body Coulomb interactions. I will present our experimental studies demonstrating remarkable quantum effects in semiconductor nanostructures and exotic charge carrier dynamics in graphene.

  12. Sample size calculation in economic evaluations.

    PubMed

    Al, M J; van Hout, B A; Michel, B C; Rutten, F F

    1998-06-01

    A simulation method is presented for sample size calculation in economic evaluations. As input the method requires: the expected difference and variance of costs and effects, their correlation, the significance level (alpha) and the power of the testing method and the maximum acceptable ratio of incremental effectiveness to incremental costs. The method is illustrated with data from two trials. The first compares primary coronary angioplasty with streptokinase in the treatment of acute myocardial infarction, in the second trial, lansoprazole is compared with omeprazole in the treatment of reflux oesophagitis. These case studies show how the various parameters influence the sample size. Given the large number of parameters that have to be specified in advance, the lack of knowledge about costs and their standard deviation, and the difficulty of specifying the maximum acceptable ratio of incremental effectiveness to incremental costs, the conclusion of the study is that from a technical point of view it is possible to perform a sample size calculation for an economic evaluation, but one should wonder how useful it is.

  13. A Semi-Automated Workflow Solution for Data Set Publication

    DOE PAGES

    Vannan, Suresh; Beaty, Tammy W.; Cook, Robert B.; ...

    2016-03-08

    In order to address the need for published data, considerable effort has gone into formalizing the process of data publication. From funding agencies to publishers, data publication has rapidly become a requirement. Digital Object Identifiers (DOI) and data citations have enhanced the integration and availability of data. The challenge facing data publishers now is to deal with the increased number of publishable data products and most importantly the difficulties of publishing diverse data products into an online archive. The Oak Ridge National Laboratory Distributed Active Archive Center (ORNL DAAC), a NASA-funded data center, faces these challenges as it deals withmore » data products created by individual investigators. This paper summarizes the challenges of curating data and provides a summary of a workflow solution that ORNL DAAC researcher and technical staffs have created to deal with publication of the diverse data products. Finally, the workflow solution presented here is generic and can be applied to data from any scientific domain and data located at any data center.« less

  14. Exploratory Lattice QCD Study of the Rare Kaon Decay K^{+}→π^{+}νν[over ¯].

    PubMed

    Bai, Ziyuan; Christ, Norman H; Feng, Xu; Lawson, Andrew; Portelli, Antonin; Sachrajda, Christopher T

    2017-06-23

    We report a first, complete lattice QCD calculation of the long-distance contribution to the K^{+}→π^{+}νν[over ¯] decay within the standard model. This is a second-order weak process involving two four-Fermi operators that is highly sensitive to new physics and being studied by the NA62 experiment at CERN. While much of this decay comes from perturbative, short-distance physics, there is a long-distance part, perhaps as large as the planned experimental error, which involves nonperturbative phenomena. The calculation presented here, with unphysical quark masses, demonstrates that this contribution can be computed using lattice methods by overcoming three technical difficulties: (i) a short-distance divergence that results when the two weak operators approach each other, (ii) exponentially growing, unphysical terms that appear in Euclidean, second-order perturbation theory, and (iii) potentially large finite-volume effects. A follow-on calculation with physical quark masses and controlled systematic errors will be possible with the next generation of computers.

  15. Research on droplet size measurement of impulse antiriots water cannon based on sheet laser

    NASA Astrophysics Data System (ADS)

    Fa-dong, Zhao; Hong-wei, Zhuang; Ren-jun, Zhan

    2014-04-01

    As a new-style counter-personnel non-lethal weapon, it is the non-steady characteristic and large water mist field that increase the difficulty of measuring the droplet size distribution of impulse anti-riots water cannon which is the most important index to examine its tactical and technology performance. A method based on the technologies of particle scattering, sheet laser imaging and high speed handling was proposed and an universal droplet size measuring algorithm was designed and verified. According to this method, the droplet size distribution was measured. The measuring results of the size distribution under the same position with different timescale, the same axial distance with different radial distance, the same radial distance with different axial distance were analyzed qualitatively and some rational cause was presented. The droplet size measuring method proposed in this article provides a scientific and effective experiment method to ascertain the technical and tactical performance and optimize the relative system performance.

  16. Adaptive Management: From More Talk to Real Action

    NASA Astrophysics Data System (ADS)

    Williams, Byron K.; Brown, Eleanor D.

    2014-02-01

    The challenges currently facing resource managers are large-scale and complex, and demand new approaches to balance development and conservation goals. One approach that shows considerable promise for addressing these challenges is adaptive management, which by now is broadly seen as a natural, intuitive, and potentially effective way to address decision-making in the face of uncertainties. Yet the concept of adaptive management continues to evolve, and its record of success remains limited. In this article, we present an operational framework for adaptive decision-making, and describe the challenges and opportunities in applying it to real-world problems. We discuss the key elements required for adaptive decision-making, and their integration into an iterative process that highlights and distinguishes technical and social learning. We illustrate the elements and processes of the framework with some successful on-the-ground examples of natural resource management. Finally, we address some of the difficulties in applying learning-based management, and finish with a discussion of future directions and strategic challenges.

  17. On mixed reality environments for minimally invasive therapy guidance: systems architecture, successes and challenges in their implementation from laboratory to clinic.

    PubMed

    Linte, Cristian A; Davenport, Katherine P; Cleary, Kevin; Peters, Craig; Vosburgh, Kirby G; Navab, Nassir; Edwards, Philip Eddie; Jannin, Pierre; Peters, Terry M; Holmes, David R; Robb, Richard A

    2013-03-01

    Mixed reality environments for medical applications have been explored and developed over the past three decades in an effort to enhance the clinician's view of anatomy and facilitate the performance of minimally invasive procedures. These environments must faithfully represent the real surgical field and require seamless integration of pre- and intra-operative imaging, surgical instrument tracking, and display technology into a common framework centered around and registered to the patient. However, in spite of their reported benefits, few mixed reality environments have been successfully translated into clinical use. Several challenges that contribute to the difficulty in integrating such environments into clinical practice are presented here and discussed in terms of both technical and clinical limitations. This article should raise awareness among both developers and end-users toward facilitating a greater application of such environments in the surgical practice of the future. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. Metagenomic Approaches to Investigate the Contribution of the Vineyard Environment to the Quality of Wine Fermentation: Potentials and Difficulties

    PubMed Central

    Stefanini, Irene; Cavalieri, Duccio

    2018-01-01

    The winemaking is a complex process that begins in the vineyard and ends at consumption moment. Recent reports have shown the relevance of microbial populations in the definition of the regional organoleptic and sensory characteristics of a wine. Metagenomic approaches, allowing the exhaustive identification of microorganisms present in complex samples, have recently played a fundamental role in the dissection of the contribution of the vineyard environment to wine fermentation. Systematic approaches have explored the impact of agronomical techniques, vineyard topologies, and climatic changes on bacterial and fungal populations found in the vineyard and in fermentations, also trying to predict or extrapolate the effects on the sensorial characteristics of the resulting wine. This review is aimed at highlighting the major technical and experimental challenges in dissecting the contribution of the vineyard and native environments microbiota to the wine fermentation process, and how metagenomic approaches can help in understanding microbial fluxes and selections across the environments and specimens related to wine fermentation. PMID:29867889

  19. Simplified Calculation Model and Experimental Study of Latticed Concrete-Gypsum Composite Panels.

    PubMed

    Jiang, Nan; Ma, Shaochun

    2015-10-27

    In order to address the performance complexity of the various constituent materials of (dense-column) latticed concrete-gypsum composite panels and the difficulty in the determination of the various elastic constants, this paper presented a detailed structural analysis of the (dense-column) latticed concrete-gypsum composite panel and proposed a feasible technical solution to simplified calculation. In conformity with mechanical rules, a typical panel element was selected and divided into two homogenous composite sub-elements and a secondary homogenous element, respectively for solution, thus establishing an equivalence of the composite panel to a simple homogenous panel and obtaining the effective formulas for calculating the various elastic constants. Finally, the calculation results and the experimental results were compared, which revealed that the calculation method was correct and reliable and could meet the calculation needs of practical engineering and provide a theoretical basis for simplified calculation for studies on composite panel elements and structures as well as a reference for calculations of other panels.

  20. Exploratory Lattice QCD Study of the Rare Kaon Decay K+→π+ν ν ¯

    NASA Astrophysics Data System (ADS)

    Bai, Ziyuan; Christ, Norman H.; Feng, Xu; Lawson, Andrew; Portelli, Antonin; Sachrajda, Christopher T.; Rbc-Ukqcd Collaboration

    2017-06-01

    We report a first, complete lattice QCD calculation of the long-distance contribution to the K+→π+ν ν ¯ decay within the standard model. This is a second-order weak process involving two four-Fermi operators that is highly sensitive to new physics and being studied by the NA62 experiment at CERN. While much of this decay comes from perturbative, short-distance physics, there is a long-distance part, perhaps as large as the planned experimental error, which involves nonperturbative phenomena. The calculation presented here, with unphysical quark masses, demonstrates that this contribution can be computed using lattice methods by overcoming three technical difficulties: (i) a short-distance divergence that results when the two weak operators approach each other, (ii) exponentially growing, unphysical terms that appear in Euclidean, second-order perturbation theory, and (iii) potentially large finite-volume effects. A follow-on calculation with physical quark masses and controlled systematic errors will be possible with the next generation of computers.

  1. Competition of individual and institutional punishments in spatial public goods games

    NASA Astrophysics Data System (ADS)

    Szolnoki, Attila; Szabó, György; Czakó, Lilla

    2011-10-01

    We have studied the evolution of strategies in spatial public goods games where both individual (peer) and institutional (pool) punishments are present in addition to unconditional defector and cooperator strategies. The evolution of strategy distribution is governed by imitation based on the random sequential comparison of neighbors’ payoff for a fixed level of noise. Using numerical simulations, we evaluate the strategy frequencies and phase diagrams when varying the synergy factor, punishment cost, and fine. Our attention is focused on two extreme cases describing all the relevant behaviors in such a complex system. According to our numerical data peer punishers prevail and control the system behavior in a large segments of parameters while pool punishers can only survive in the limit of weak peer punishment when a rich variety of solutions is observed. Paradoxically, the two types of punishment may extinguish each other’s impact, resulting in the triumph of defectors. The technical difficulties and suggested methods are briefly discussed.

  2. A Semi-Automated Workflow Solution for Data Set Publication

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

    Vannan, Suresh; Beaty, Tammy W.; Cook, Robert B.

    In order to address the need for published data, considerable effort has gone into formalizing the process of data publication. From funding agencies to publishers, data publication has rapidly become a requirement. Digital Object Identifiers (DOI) and data citations have enhanced the integration and availability of data. The challenge facing data publishers now is to deal with the increased number of publishable data products and most importantly the difficulties of publishing diverse data products into an online archive. The Oak Ridge National Laboratory Distributed Active Archive Center (ORNL DAAC), a NASA-funded data center, faces these challenges as it deals withmore » data products created by individual investigators. This paper summarizes the challenges of curating data and provides a summary of a workflow solution that ORNL DAAC researcher and technical staffs have created to deal with publication of the diverse data products. Finally, the workflow solution presented here is generic and can be applied to data from any scientific domain and data located at any data center.« less

  3. Using the Nudge and Shove Methods to Adjust Item Difficulty Values.

    PubMed

    Royal, Kenneth D

    2015-01-01

    In any examination, it is important that a sufficient mix of items with varying degrees of difficulty be present to produce desirable psychometric properties and increase instructors' ability to make appropriate and accurate inferences about what a student knows and/or can do. The purpose of this "teaching tip" is to demonstrate how examination items can be affected by the quality of distractors, and to present a simple method for adjusting items to meet difficulty specifications.

  4. 48 CFR 2052.215-75 - Proposal presentation and format.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., i.e., competitive vs. noncompetitive, and the cost evaluation. (c) “Written Technical and Management... * copies. (1) The written Technical and Management Proposal or Oral Presentation and Supporting... objectives of this procurement. (3) The written Technical Proposal or Oral Presentation and Supporting...

  5. Detection of Noble Gas Radionuclides from an Underground Nuclear Explosion During a CTBT On-Site Inspection

    NASA Astrophysics Data System (ADS)

    Carrigan, Charles R.; Sun, Yunwei

    2014-03-01

    The development of a technically sound approach to detecting the subsurface release of noble gas radionuclides is a critical component of the on-site inspection (OSI) protocol under the Comprehensive Nuclear Test Ban Treaty. In this context, we are investigating a variety of technical challenges that have a significant bearing on policy development and technical guidance regarding the detection of noble gases and the creation of a technically justifiable OSI concept of operation. The work focuses on optimizing the ability to capture radioactive noble gases subject to the constraints of possible OSI scenarios. This focus results from recognizing the difficulty of detecting gas releases in geologic environments—a lesson we learned previously from the non-proliferation experiment (NPE). Most of our evaluations of a sampling or transport issue necessarily involve computer simulations. This is partly due to the lack of OSI-relevant field data, such as that provided by the NPE, and partly a result of the ability of computer-based models to test a range of geologic and atmospheric scenarios far beyond what could ever be studied by field experiments, making this approach very highly cost effective. We review some highlights of the transport and sampling issues we have investigated and complete the discussion of these issues with a description of a preliminary design for subsurface sampling that addresses some of the sampling challenges discussed here.

  6. Scientific and Technical Information Output of the Langley Research Center, for calendar year 1976

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Documents listed include NASA Technical Reports, Technical Notes, Technical Memorandums, Special Publications, Contractor Reports, journal articles, and technical presentations made at Society meetings. NASA formal reports listed are those that were mailed and distributed to the ultimate user. The material presented here is listed first by Division and then under the following headings: (a) Formal Reports, (b) Contractor Reports, (c) Articles and Meeting Presentations, and (d) High Number Technical Memorandums (High TMX's). Under each heading, the material cited authors in alphabetical order. If a report has more than one author and these authors are from different Divisions, the report is listed only once, under the senior author's name.

  7. Third generation of correlators for six antennas

    NASA Astrophysics Data System (ADS)

    Torres, Marc

    2000-07-01

    The technical evolution of the correlators of the Plateau de Bure interferometer since the first fringes, 14 years ago, is shortly presented. The progressive addition of antennas over this period has allowed the Grenoble correlator group to undertake several 'start-from-scratch' designs, which have replaced on-site equipment as it came obsolete. The tradeoff between design cycle time and lifetime of such equipment is discussed. The latest design is described in detail. The new correlator can be set to analyze up to eight simultaneous windows, adjustable in size and center frequency, thanks to a 2 X 220 MHz image rejection mixer. Advantages of analog IF processing are presented. The frequency plan of the IF processor has been designed to be fully compatible with MarkIV VLBI recording. The correlator is then used to sum up the signals of the 6 antennas over 256 MHz. The digital section mainly uses an IRAM-designed low-power, low-cost ASIC. Delay lines use FPGA's and phase rotators use DDS's. Surface-mount technology is used everywhere. A commercial CPU module runs the real-time software under Linux. A 21-slot VME chassis hosts the hardware. Test results and measurements of performance on the full-size machine are presented. The difficulties encountered in achieving this kind of machine within schedule in today's industrial environment are retrospectively analyzed.

  8. Effects on Text Simplification: Evaluation of Splitting up Noun Phrases

    PubMed Central

    Leroy, Gondy; Kauchak, David; Hogue, Alan

    2016-01-01

    To help increase health literacy, we are developing a text simplification tool that creates more accessible patient education materials. Tool development is guided by data-driven feature analysis comparing simple and difficult text. In the present study, we focus on the common advice to split long noun phrases. Our previous corpus analysis showed that easier texts contained shorter noun phrases. Subsequently, we conduct a user study to measure the difficulty of sentences containing noun phrases of different lengths (2-gram, 3-gram and 4-gram), conditions (split or not) and, to simulate unknown terms, use of pseudowords (present or not). We gathered 35 evaluations for 30 sentences in each condition (3×2×2 conditions) on Amazon’s Mechanical Turk (N=12,600). We conducted a three-way ANOVA for perceived and actual difficulty. Splitting noun phrases had a positive effect on perceived difficulty but a negative effect on actual difficulty. The presence of pseudowords increased perceived and actual difficulty. Without pseudowords, longer noun phrase led to increased perceived and actual difficulty. A follow-up study using the phrases (N = 1,350) showed that measuring awkwardness may indicate when to split noun phrases. We conclude that splitting noun phrases benefits perceived difficulty, but hurts actual difficulty when the phrasing becomes less natural. PMID:27043754

  9. Scientific and technical information output of the Langley Research Center for Calendar Year 1985

    NASA Technical Reports Server (NTRS)

    1986-01-01

    A compilation of the scientific and technical information that the Langley Research Center has produced during the calendar year 1985 is presented. Included are citations for Formal Reports, Quick-Release Technical Memorandums, Contractor Reports, Journal Articles and Other Publications, Meeting Presentations, Technical Talks, Computer Programs, Tech Briefs, and Patents.

  10. Polio eradication is just over the horizon: the challenges of global resource mobilization.

    PubMed

    Pirio, Gregory Alonso; Kaufmann, Judith

    2010-01-01

    This study draws lessons from the resource mobilization experiences of the Global Polio Eradication Initiative (GPEI). As the GPEI launched its eradication effort in 1988, it underestimated both the difficulty and the costs of the campaign. Advocacy for resource mobilization came as an afterthought in the late 1990s, when achieving eradication by the target date of 2000 began to look doubtful. The reality of funding shortfalls undercutting eradication leads to the conclusion that advocacy for resource mobilization is as central to operations as are scientific and technical factors.

  11. Innovation on Energy Power Technology (1)

    NASA Astrophysics Data System (ADS)

    Nagano, Susumu; Kakishima, Masayoshi

    After the last war, the output of single Steam Turbine Generator produced by the own technology in Japan returned to a prewar level. Electric power companies imported the large-capacity high efficiency Steam Turbine Generator from the foreign manufacturers in order to support the sudden increase of electric power demand. On the other hand, they decided to produce those in our own country to improve industrial technology. The domestic production of large-capacity 125MW Steam Turbine Generator overcome much difficulty and did much contribution for the later domestic technical progress.

  12. Double suturless hepaticojejunostomy.

    PubMed

    Brătucu, E; Straja, D; Cirimbei, C; Alecu, M; Nechita, D

    2011-01-01

    In iatrogenic lesions of the main bile duct, especially when the injury is above the level of the hepatic bifurcation, the surgeon ought to use two short and thin biliary stumps. It is necessary to perform separate anastomoses, using a "Y loop" and creating a double hepaticojejunostomy. Technical difficulties increase when the biliary ducts are thinner, tighter and separated from one another for a distance more than 2 cm. In such case we have attempted to develop a double sutureless hepaticojejunostomy by simply keeping the bilioenteric partners in apposition with continuous traction exerted via the biliary stents.

  13. Double second toe transfer in congenital hand anomalies.

    PubMed

    Van Holder, C; Giele, H; Gilbert, A

    1999-08-01

    A series of 14 patients with congenital hand anomalies who received staged double second toe transfers to the same hand for restoration of function or form were reviewed retrospectively. There were three children with constriction ring syndrome, two with symbrachydactyly and nine with transverse absence (failure of formation). There were different indications, technical difficulties and results with the various anomalies. All transferred toes were mobile and sensate, and were reported to be of benefit in both function and appearance. However, secondary surgical procedures were required in all patients.

  14. Simplified edentulous treatment technique for edentulous hemimaxillectomy patients: case history report.

    PubMed

    Ceruti, Paola; Bellia, Elisabetta; Gianfranco, Gassino; Carossa, Stefano

    2015-01-01

    Technical difficulties in the construction of hard palate obturators following oncologic surgery are due to the recording limitations of the entire defect area, plus prosthesis base instability during recording of maxillomandibular relationships. This article describes a time-saving technique that ensures stable and precise recording bases. A light-polymerizing acrylic resin layer is used for making the first impression of the defect, while simultaneously obtaining an acrylic resin impression tray and base for recording maxillomandibular relationships. Adhesive paper copies are used for the arrangement of the anterior teeth.

  15. Heterodyne Interferometry in InfraRed at OCA-Calern Observatory in the seventies

    NASA Astrophysics Data System (ADS)

    Gay, J.; Rabbia, Y.

    2014-04-01

    We report on various works carried four decades ago, so as to develop Heterodyne Interferometry in InfraRed (10 μm) at Calern Observatory (OCA, France), by building an experiment, whose the acronym "SOIRDETE" means "Synthese d'Ouverture en InfraRouge par Detection hETErodyne". Scientific and technical contexts by this time are recalled, as well as basic principles of heterodyne interferometry. The preliminary works and the SOIRDETE experiment are briefly described. Short comments are given in conclusion regarding the difficulties which have prevented the full success of the SOIRDETE experiment.

  16. Nicotine and Tobacco as Substances of Abuse in Children and Adolescents.

    PubMed

    Siqueira, Lorena M

    2017-01-01

    Nicotine is the primary pharmacologic component of tobacco, and users of tobacco products seek out its effects. The highly addictive nature of nicotine is responsible for its widespread use and difficulty with quitting. This technical report focuses on nicotine and discusses the stages of use in progression to dependence on nicotine-containing products; the physiologic characteristics, neurobiology, metabolism, pharmacogenetics, and health effects of nicotine; and acute nicotine toxicity. Finally, some newer approaches to cessation are noted. Copyright © 2017 by the American Academy of Pediatrics.

  17. Mg-perovskite/silicate melt and magnesiowuestite/silicate melt partition coefficients for KLB-1 at 250 Kbars

    NASA Technical Reports Server (NTRS)

    Drake, Michael J.; Rubie, David C.; Mcfarlane, Elisabeth A.

    1992-01-01

    The partitioning of elements amongst lower mantle phases and silicate melts is of interest in unraveling the early thermal history of the Earth. Because of the technical difficulty in carrying out such measurements, only one direct set of measurements was reported previously, and these results as well as interpretations based on them have generated controversy. Here we report what are to our knowledge only the second set of directly measured trace element partition coefficients for a natural system (KLB-1).

  18. Developing English Communication Expertise for Engineers in the Global Age

    NASA Astrophysics Data System (ADS)

    Ono, Yoshimasa A.; Morimura, Kumiko

    This paper discusses contents and results of a new graduate course “English for Engineers and Scientists” given at School of Engineering, The University of Tokyo. This course is a new attempt to develop English communication expertise for engineering graduate students: how to write technical papers and how to make technical presentations in English. For these purposes, differences in the writing styles and in the sentence structures of English and Japanese are stressed: conclusions come first in English versus conclusions come last in Japanese; the three-step style of introduction, body, and conclusion in English versus the four-step style of ki-sho-ten-ketsu in Japanese. In addition, proper styles of technical papers (rhetoric) and related grammatical points are discussed. Technical presentation course consists of four-week lecture and seven-week practice session. In the lecture, essential points of technical presentations in English are discussed in detail, and in the practice session students‧ presentation skills are improved through guidance and instructions given by native-speaker moderators. The class evaluation results show that most students have obtained necessary skills of technical presentation, indicating that the combined course of lecture and practice session is essential for training students to make better technical presentations in English.

  19. Present state of the telecommunications market in Poland

    NASA Astrophysics Data System (ADS)

    Zielinski, Andrzej

    2003-10-01

    This statement shortly describes the changes in the telecommunication market that have taken place in the last 12 years, during the socio-economical transformation in Poland. It concerns economical, legal and technical problems related to the development of the telecommunications in Poland based on the principles of the market economy. Especially it is related to the commercialization of this sector, what has been a result of the changes of the principal law ruling the national economy including changes ot the telecommunication law. Changes of the law enabled the creation of the commercial company Polish Telecom and opened the way to the privatization of this company. Due to the changed law the way to the step-by-step liberalization and de-monopolization process has been also opened in Poland. It has caused fully digital modernization of telecommunication network, introduction new services such as cellular communications and Internet services, as well as rapid development of the market, what has expressed in multiplication of number of subscribers of stationary telephony, creation of the big cellular market and new increasing Internet market. The statemnet also refers to present difficulties in development of this market and as well as to the prospects for the future developments.

  20. Marine genomics: News and views.

    PubMed

    Ribeiro, Ângela M; Foote, Andrew D; Kupczok, Anne; Frazão, Bárbara; Limborg, Morten T; Piñeiro, Rosalía; Abalde, Samuel; Rocha, Sara; da Fonseca, Rute R

    2017-02-01

    Marine ecosystems occupy 71% of the surface of our planet, yet we know little about their diversity. Although the inventory of species is continually increasing, as registered by the Census of Marine Life program, only about 10% of the estimated two million marine species are known. This lag between observed and estimated diversity is in part due to the elusiveness of most aquatic species and the technical difficulties of exploring extreme environments, as for instance the abyssal plains and polar waters. In the last decade, the rapid development of affordable and flexible high-throughput sequencing approaches have been helping to improve our knowledge of marine biodiversity, from the rich microbial biota that forms the base of the tree of life to a wealth of plant and animal species. In this review, we present an overview of the applications of genomics to the study of marine life, from evolutionary biology of non-model organisms to species of commercial relevance for fishing, aquaculture and biomedicine. Instead of providing an exhaustive list of available genomic data, we rather set to present contextualized examples that best represent the current status of the field of marine genomics. Copyright © 2016 Elsevier B.V. All rights reserved.

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