Sample records for primary study objective

  1. An Evaluative Study of Primary Education in the Light of Policies and Plans in Pakistan (1947-2006)

    ERIC Educational Resources Information Center

    Parveen, Shahida

    2008-01-01

    The paper is based on a research conducted to evaluate primary education in the light of education policies and plans in Pakistan. This article discusses the objectives of primary education, and analyzes different education policies and plans regarding the achievements of objectives. Results revealed that the objectives of primary education were…

  2. An Examination of the Role of Nursery Education on Primary School Pupils in Nigeria

    ERIC Educational Resources Information Center

    Oniwon, H. O. Evelyn

    2015-01-01

    This study examines the role of Nursery education among primary school pupils. The sole objective of the study was to find out the differences in academic achievement between primary school pupils who received nursery education and those who did not. Descriptive survey research design was adopted to achieve the study objective. Consequently, 20…

  3. National Positioning, Navigation, and Timing Architecture Study [Executive Summary

    DOT National Transportation Integrated Search

    2008-09-01

    This primary objective of this study is to develop a comprehensive workflow to guide Oklahoma DOT to apply the LIDAR technology to landslide monitoring and risk assessment on Oklahoma highways. In addition to the primary objective, this study also ai...

  4. OBJECT KINETIC MONTE CARLO SIMULATIONS OF CASCADE ANNEALING IN TUNGSTEN

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

    Nandipati, Giridhar; Setyawan, Wahyu; Heinisch, Howard L.

    2014-03-31

    The objective of this work is to study the annealing of primary cascade damage created by primary knock-on atoms (PKAs) of various energies, at various temperatures in bulk tungsten using the object kinetic Monte Carlo (OKMC) method.

  5. The Analysis of the Relationship between Primary Learning Styles and Learning Objects in an Online Environment

    ERIC Educational Resources Information Center

    Özdemir, Muzaffer

    2016-01-01

    This study investigates the relationships between the primary learning styles of students and different learning objects presented simultaneously in an online learning environment in the context of the usage levels of these objects. A total of 103 sophomores from a Turkish State University participated in the study. Felder-Solomon Index of…

  6. Feasibility and Preliminary Efficacy of the Fit4Fun Intervention for Improving Physical Fitness in a Sample of Primary School Children: A Pilot Study

    ERIC Educational Resources Information Center

    Eather, Narelle; Morgan, Philip J.; Lubans, David R.

    2013-01-01

    Objective: The primary objective of this study was to evaluate the feasibility and preliminary efficacy of a school-based physical fitness intervention (Fit4Fun) on the physical fitness and physical activity (PA) levels of primary school children. Methods: A group-randomized controlled trial with a 3-month wait-list control group was conducted in…

  7. An Evaluation of Learning Objects in Singapore Primary Education: A Case Study Approach

    ERIC Educational Resources Information Center

    Grace, Tay Pei Lyn; Suan, Ng Peck; Wanzhen, Liaw

    2008-01-01

    Purpose: The purpose of this paper is to evaluate the usability and interface design of e-learning portal developed for primary schools in Singapore. Design/methodology/approach: Using Singapore-based learning EDvantage (LEAD) portal as a case study, this paper reviews and analyses the usability and usefulness of embedded learning objects (LOs)…

  8. Program Development for Primary School Teachers' Critical Thinking

    ERIC Educational Resources Information Center

    Boonjeam, Waraporn; Tesaputa, Kowat; Sri-ampai, Anan

    2017-01-01

    The objectives of this research were: 1) to study the elements and indicators of primary school teachers' critical thinking, 2) to study current situation, desirable situation, development technique, and need for developing the primary school teachers' critical thinking, 3) to develop the program for developing the primary school teachers'…

  9. Influencing Attitudes Toward Near and Distant Objects

    PubMed Central

    Fujita, Kentaro; Eyal, Tal; Chaiken, Shelly; Trope, Yaacov; Liberman, Nira

    2008-01-01

    It is argued that the temporal distance of attitude objects systematically changes how the object is mentally represented, and thus influences the strength of particular persuasive appeals. Three experiments tested the hypothesis that people preferentially attend to arguments that highlight primary, abstract (high-level) vs. incidental, concrete (low-level) features when attitude objects are temporally distant vs. near. Results suggested that when attitude objects are temporally distant vs. near, arguments emphasizing primary vs. secondary features (Study 1), desirability vs. feasibility features (Study 2), and general classes vs. specific cases are more persuasive (Study 3). The relation of construal theory to dual process theories of persuasion and persuasion phenomena, such as personal relevance effects and functional matching effects, are discussed. PMID:19884971

  10. Reflective Teaching Practices in Turkish Primary School Teachers

    ERIC Educational Resources Information Center

    Tok, Sukran; Dolapcioglu, Sevda Dogan

    2013-01-01

    The objective of the study is to explore the prevalence of reflective teaching practices among Turkish primary school teachers. Qualitative and quantitative research methods were used together in the study. The sample was composed of 328 primary school teachers working in 30 primary education institutions in the town of Antakya in the province of…

  11. Perceptions of Parents Towards the Academic Performance of Female Students: The Case of Kutto Sorfella Primary School, Sodo Zuria Woreda, Southern Ethiopia

    ERIC Educational Resources Information Center

    Regasa, Guta; Taha, Mukerem

    2015-01-01

    The objectives of the study were to assess the current status of the academic performance of females in grade seven and eight and to study how perception of parents affect the academic performance of female students in Kutto Sorfella Primary School, Sodo Zuria Woreda, SNNPR, Ethiopia. To achieve the objectives of this research both qualitative and…

  12. Optimization-based scatter estimation using primary modulation for computed tomography

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

    Chen, Yi; Ma, Jingchen; Zhao, Jun, E-mail: junzhao

    Purpose: Scatter reduces the image quality in computed tomography (CT), but scatter correction remains a challenge. A previously proposed primary modulation method simultaneously obtains the primary and scatter in a single scan. However, separating the scatter and primary in primary modulation is challenging because it is an underdetermined problem. In this study, an optimization-based scatter estimation (OSE) algorithm is proposed to estimate and correct scatter. Methods: In the concept of primary modulation, the primary is modulated, but the scatter remains smooth by inserting a modulator between the x-ray source and the object. In the proposed algorithm, an objective function ismore » designed for separating the scatter and primary. Prior knowledge is incorporated in the optimization-based framework to improve the accuracy of the estimation: (1) the primary is always positive; (2) the primary is locally smooth and the scatter is smooth; (3) the location of penumbra can be determined; and (4) the scatter-contaminated data provide knowledge about which part is smooth. Results: The simulation study shows that the edge-preserving weighting in OSE improves the estimation accuracy near the object boundary. Simulation study also demonstrates that OSE outperforms the two existing primary modulation algorithms for most regions of interest in terms of the CT number accuracy and noise. The proposed method was tested on a clinical cone beam CT, demonstrating that OSE corrects the scatter even when the modulator is not accurately registered. Conclusions: The proposed OSE algorithm improves the robustness and accuracy in scatter estimation and correction. This method is promising for scatter correction of various kinds of x-ray imaging modalities, such as x-ray radiography, cone beam CT, and the fourth-generation CT.« less

  13. Combining Primary Prevention and Risk Reduction Approaches in Sexual Assault Protection Programming

    ERIC Educational Resources Information Center

    Menning, Chadwick; Holtzman, Mellisa

    2015-01-01

    Objective: The object of this study is to extend prior evaluations of Elemental, a sexual assault protection program that combines primary prevention and risk reduction strategies within a single program. Participants and Methods: During 2012 and 2013, program group and control group students completed pretest, posttest, and 6-week and 6-month…

  14. Semantic Interference during Object Naming in Agrammatic and Logopenic Primary Progressive Aphasia (PPA)

    ERIC Educational Resources Information Center

    Thompson, Cynthia K.; Cho, Soojin; Price, Charis; Wieneke, Christina; Bonakdarpour, Borna; Rogalski, Emily; Weintraub, Sandra; Mesulam, M-Marsel

    2012-01-01

    This study examined the time course of object naming in 21 individuals with primary progressive aphasia (PPA) (8 agrammatic (PPA-G); 13 logopenic (PPA-L)) and healthy age-matched speakers (n=17) using a semantic interference paradigm with related and unrelated interfering stimuli presented at stimulus onset asynchronies (SOAs) of -1000, -500, -100…

  15. 24 CFR 570.901 - Review for compliance with the primary and national objectives and other program requirements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... primary and national objectives and other program requirements. 570.901 Section 570.901 Housing and Urban... primary and national objectives and other program requirements. HUD will review each entitlement, Insular...)(3) that, consistent with the primary objective of the Act, not less than 70 percent of the aggregate...

  16. A Scale Development for 21st Century Skills of Primary School Students: A Validity and Reliability Study

    ERIC Educational Resources Information Center

    Boyaci, S. Dilek Belet; Atalay, Nurhan

    2016-01-01

    The objective of the present study is to develop a measurement tool to assess 21st Century learning and innovation skills of primary school students. Study data was collected from 632 fourth grade students in five different primary schools during 2014-2015 academic year and data obtained from 609 fourth grade students were utilized in the study.…

  17. Measuring primary care practice performance within an integrated delivery system: a case study.

    PubMed

    Stewart, Louis J; Greisler, David

    2002-01-01

    This article examines the use of an integrated performance measurement system to plan and control primary care service delivery within an integrated delivery system. We review a growing body of literature that focuses on the development and implementation of management reporting systems among healthcare providers. Our study extends the existing literature by examining the use of performance information generated by an integrated performance measurement system within a healthcare organization. We conduct our examination through a case study of the WMG Primary Care Medicine Group, the primary care medical group practice of WellSpan Health System. WellSpan Health System is an integrated delivery system that serves south central Pennsylvania and northern Maryland. Our study examines the linkage between WellSpan Health's strategic objectives and its primary care medicine group's integrated performance measurement system. The conceptual design of this integrated performance measurement system combines financial metrics with practice management and clinical operating metrics to provide a more complete picture of medical group performance. Our findings demonstrate that WellSpan Health was able to achieve superior financial results despite a weak linkage between its integrated performance measurement system and its strategic objectives. WellSpan Health achieved this objective for its primary care medicine group by linking clinical performance information to physician compensation and reporting practice management performance through the use of statistical process charts. They found that the combined mechanisms of integrated performance measurement and statistical process control charts improved organizational learning and communications between organizational stakeholders.

  18. Use of Laser Speckle Contrast Imaging to Assess Digital Microvascular Function in Primary Raynaud Phenomenon and Systemic Sclerosis: A Comparison Using the Raynaud Condition Score Diary.

    PubMed

    Pauling, John D; Shipley, Jacqueline A; Hart, Darren J; McGrogan, Anita; McHugh, Neil J

    2015-07-01

    Evaluate objective assessment of digital microvascular function using laser speckle contrast imaging (LSCI) in a cross-sectional study of patients with primary Raynaud phenomenon (RP) and systemic sclerosis (SSc), comparing LSCI with both infrared thermography (IRT) and subjective assessment using the Raynaud Condition Score (RCS) diary. Patients with SSc (n = 25) and primary RP (n = 18) underwent simultaneous assessment of digital perfusion using LSCI and IRT with a cold challenge on 2 occasions, 2 weeks apart. The RCS diary was completed between assessments. The relationship between objective and subjective assessments of RP was evaluated. Reproducibility of LSCI/IRT was assessed, along with differences between primary RP and SSc, and the effect of sex. There was moderate-to-good correlation between LSCI and IRT (Spearman rho 0.58-0.84, p < 0.01), but poor correlation between objective assessments and the RCS diary (p > 0.05 for all analyses). Reproducibility of IRT and LSCI was moderate at baseline (ICC 0.51-0.63) and immediately following cold challenge (ICC 0.56-0.86), but lower during reperfusion (ICC 0.3-0.7). Neither subjective nor objective assessments differentiated between primary RP and SSc. Men reported lower median daily frequency of RP attacks (0.82 vs 1.93, p = 0.03). Perfusion using LSCI/IRT was higher in men for the majority of assessments. Objective and subjective methods provide differing information on microvascular function in RP. There is good convergent validity of LSCI with IRT and acceptable reproducibility of both modalities. Neither subjective nor objective assessments could differentiate between primary RP and SSc. Influence of sex on subjective and objective assessment of RP warrants further evaluation.

  19. Engaging Parents with Sex and Relationship Education: A UK Primary School Case Study

    ERIC Educational Resources Information Center

    Alldred, Pam; Fox, Nick; Kulpa, Robert

    2016-01-01

    Objective: To assess an intervention to familiarise parents with children's books for use in primary (5-11 years) sex and relationship education (SRE) classes. Method: Case study of a 7-week programme in one London primary school, using ethnographic observation, semi-structured interviews and focus groups with parents (n = 7) and key stakeholders…

  20. The motion near L{sub 4} equilibrium point under non-point mass primaries

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

    Huda, I. N., E-mail: ibnu.nurul@students.itb.ac.id; Utama, J. A.; Madley, D.

    2015-09-30

    The Circular Restricted Three-Body Problem (CRTBP) possesses five equilibrium points, that comprise three collinear (L{sub 1}, L{sub 2}, and L{sub 3}) and two triangular points (L{sub 4} and L{sub 5}). The classical study (with the primaries are point mass) suggests that the equilibrium points may cause the velocity of infinitesimal object relatively becomes zero and reveals the zero velocity curve. We study the motion of infinitesimal object near triangular equilibrium point (L{sub 4}) and determine its zero velocity curve. We extend the study by taking into account the effects of radiation of the bigger primary (q{sub 1} ≠ 1, q{submore » 2} = 1) and oblateness of the smaller primary (A{sub 1} = 0, A{sub 2} ≠ 0). The location of L{sub 4} is analytically derived then the stability of L{sub 4} and its zero velocity curves are studied numerically. Our study suggests that the oblateness and the radiation of primaries may affect the stability and zero velocity curve around L{sub 4}.« less

  1. Effect of Emotional Intelligence and Gender on Job Satisfaction of Primary School Teachers

    ERIC Educational Resources Information Center

    Singh, Bhagat; Kumar, Arun

    2016-01-01

    The objective of the study was to find out the effect of EI and gender on job satisfaction of primary school teachers. A total of 300 (150 male and 150 female) primary school teachers were selected randomly for the study. Emotional Intelligence Scale (EIS) and Teachers' Job Satisfaction Scale (TJSS) were used to collect the data. The study found a…

  2. Model of Learning Organizational Development of Primary School Network under the Office of Basic Education Commission

    ERIC Educational Resources Information Center

    Sai-rat, Wipa; Tesaputa, Kowat; Sriampai, Anan

    2015-01-01

    The objectives of this study were 1) to study the current state of and problems with the Learning Organization of the Primary School Network, 2) to develop a Learning Organization Model for the Primary School Network, and 3) to study the findings of analyses conducted using the developed Learning Organization Model to determine how to develop the…

  3. TEMPORAL CHANGE IN GAP JUNCTION FUNCTION IN PRIMARY HEPATOCYTES

    EPA Science Inventory

    TEMPORAL CHANGES IN GAP JUNCTION FUNCTION IN PRIMARY *

    The objective of this study was to examine the reduction in gap junction communication (GJC) in primary hepatocytes due to coincident melatonin and magnetic field treatments to determine if these conditions could prov...

  4. Small Schools Student Learning Objectives, K-3: Reading, Language Arts, Mathematics, Science, Social Studies.

    ERIC Educational Resources Information Center

    Hartl, David, Ed.; And Others

    Developed by primary teachers and elementary principals from small districts in Snohomish and Island counties in Washington, this handbook contains sequenced student learning objectives for grades K-3 in the curriculum areas of reading, language arts, mathematics, science, and social studies. Each student learning objective is correlated to the…

  5. Experiences of Violence and Deficits in Academic Achievement among Urban Primary School Children in Jamaica

    ERIC Educational Resources Information Center

    Baker-Henningham, Helen; Meeks-Gardner, Julie; Chang, Susan; Walker, Susan

    2009-01-01

    Objective: The aim of this study was to examine the relationship between children's experiences of three different types of violence and academic achievement among primary school children in Kingston, Jamaica. Methods: A cross-sectional study of 1300 children in grade 5 [mean (S.D.) age: 11 (0.5) years] from 29 government primary schools in urban…

  6. Employing Machine-Learning Methods to Study Young Stellar Objects

    NASA Astrophysics Data System (ADS)

    Moore, Nicholas

    2018-01-01

    Vast amounts of data exist in the astronomical data archives, and yet a large number of sources remain unclassified. We developed a multi-wavelength pipeline to classify infrared sources. The pipeline uses supervised machine learning methods to classify objects into the appropriate categories. The program is fed data that is already classified to train it, and is then applied to unknown catalogues. The primary use for such a pipeline is the rapid classification and cataloging of data that would take a much longer time to classify otherwise. While our primary goal is to study young stellar objects (YSOs), the applications extend beyond the scope of this project. We present preliminary results from our analysis and discuss future applications.

  7. Objectives of Financial Statements. Report of the Study Group on the Objectives of Financial Statements.

    ERIC Educational Resources Information Center

    American Inst. of Certified Public Accountants, New York, NY.

    This report discusses the objectives of financial statements. Emphasis is placed on the function of objectives; users, their goals, and their information needs; the primary enterprise goal and earning power; accountability and financial statements; financial statements--reporting on the goal attainment of business enterprises; financial…

  8. Solution Strategies, Modes of Representation and Justifications of Primary Five Pupils in Solving Pre Algebra Problems: An Experience of Using Task-Based Interview and Verbal Protocol Analysis

    ERIC Educational Resources Information Center

    Ling, Gan We; Ghazali, Munirah

    2007-01-01

    This descriptive study was aimed at looking into how Primary 5 pupils solve pre-algebra problems concerning patterns and unknown quantities. Specifically, objectives of this study were to describe Primary 5 pupils' solution strategies, modes of representations and justifications in: (a) discovering, describing and using numerical and geometrical…

  9. Teaching Challenging Topics with Primary Sources

    ERIC Educational Resources Information Center

    Singer, Alan J.

    2012-01-01

    The most common activity in a social studies classroom should be the analysis of primary sources. Students are intrigued and engaged by edited and unedited documents, written statements, transcribed speeches, photographs, pictures, charts, graphs, cartoons, and even material objects. Ideally, the goal of social studies teachers is to prepare…

  10. Seeing touch is correlated with content-specific activity in primary somatosensory cortex.

    PubMed

    Meyer, Kaspar; Kaplan, Jonas T; Essex, Ryan; Damasio, Hanna; Damasio, Antonio

    2011-09-01

    There is increasing evidence to suggest that primary sensory cortices can become active in the absence of external stimulation in their respective modalities. This occurs, for example, when stimuli processed via one sensory modality imply features characteristic of a different modality; for instance, visual stimuli that imply touch have been observed to activate the primary somatosensory cortex (SI). In the present study, we addressed the question of whether such cross-modal activations are content specific. To this end, we investigated neural activity in the primary somatosensory cortex of subjects who observed human hands engaged in the haptic exploration of different everyday objects. Using multivariate pattern analysis of functional magnetic resonance imaging data, we were able to predict, based exclusively on the activity pattern in SI, which of several objects a subject saw being explored. Along with previous studies that found similar evidence for other modalities, our results suggest that primary sensory cortices represent information relevant for their modality even when this information enters the brain via a different sensory system.

  11. Resealing concrete pavement joints

    DOT National Transportation Integrated Search

    1999-07-01

    The primary objective of this study was to evaluate the relative performance of the selected joint sealant materials. Other objectives were to determine the effect of selected sealant configurations and installation methods, and to identify sealant m...

  12. Primary Care Screening of Depression and Treatment Engagement in a University Health Center: A Retrospective Analysis

    ERIC Educational Resources Information Center

    Klein, Michael C.; Ciotoli, Carlo; Chung, Henry

    2011-01-01

    Objectives: This retrospective study analyzed a primary care depression screening initiative in a large urban university health center. Depression detection, treatment status, and engagement data are presented. Participants: Participants were 3,713 graduate and undergraduate students who presented consecutively for primary care services between…

  13. Secondary Analysis of National Longitudinal Transition Study 2 Data

    ERIC Educational Resources Information Center

    Hicks, Tyler A.; Knollman, Greg A.

    2015-01-01

    This review examines published secondary analyses of National Longitudinal Transition Study 2 (NLTS2) data, with a primary focus upon statistical objectives, paradigms, inferences, and methods. Its primary purpose was to determine which statistical techniques have been common in secondary analyses of NLTS2 data. The review begins with an…

  14. LDR structural experiment definition

    NASA Technical Reports Server (NTRS)

    Russell, Richard A.; Gates, Richard M.

    1988-01-01

    A study was performed to develop the definition of a structural flight experiment for a large precision segmented reflector that would utilize the Space Station. The objective of the study was to use the Large Deployable Reflector (LDR) baseline configuration for focusing on experiment definition activity which would identify the Space Station accommodation requirements and interface constraints. Results of the study defined three Space Station based experiments to demonstrate the technologies needed for an LDR type structure. The basic experiment configurations are the same as the JPL baseline except that the primary mirror truss is 10 meters in diameter instead of 20. The primary objectives of the first experiment are to construct the primary mirror support truss and to determine its structural and thermal characteristics. Addition of the optical bench, thermal shield and primary mirror segments and alignment of the optical components occur on the second experiment. The structure will then be moved to the payload pointing system for pointing, optical control and scientific optical measurement for the third experiment.

  15. Astronomical telescope with holographic primary objective

    NASA Astrophysics Data System (ADS)

    Ditto, Thomas D.; Friedman, Jeffrey F.; Content, David A.

    2011-09-01

    A dual dispersion telescope with a plane grating primary objective was previously disclosed that can overcome intrinsic chromatic aberration of dispersive optics while allowing for unprecedented features such as million object spectroscopy, extraordinary étendue, flat primary objective with a relaxed figure tolerance, gossamer membrane substrate stowable as an unsegmented roll inside a delivery vehicle, and extensibility past 100 meter aperture at optical wavelengths. The novel design meets many criteria for space deployment. Other embodiments are suitable for airborne platforms as well as terrestrial and lunar sites. One problem with this novel telescope is that the grazing exodus configuration necessary to achieve a large aperture is traded for throughput efficiency. Now we show how the hologram of a point source used in place of the primary objective plane grating can improve efficiency by lowering the diffraction angle below grazing exodus. An intermediate refractive element is used to compensate for wavelength dependent focal lengths of the holographic primary objective.

  16. Weight Loss as a Primary Objective of Therapeutic Groups for Obese Women: Two Preliminary Studies

    ERIC Educational Resources Information Center

    Buckroyd, Julia; Rother, Sharon; Stott, David

    2006-01-01

    The studies reported here explored whether therapeutic groups for women who eat compulsively can demonstrate weight loss as a primary result as well as the improvements in emotional functioning reported by other investigators. In both studies questionnaire data showed little change in self-esteem or attitudes as measured by the Rosenberg…

  17. On the Relationship between Multiple Intelligences and Language Proficiency

    ERIC Educational Resources Information Center

    Razmjoo, Seyyed Ayatollah

    2008-01-01

    The intent of the present study was to examine the strength of the relationship between language proficiency in English and the 9 types of intelligences. As such, the objectives of this study were three-folded. The primary objective of the study was to investigate the relationship between multiple intelligences and language proficiency among the…

  18. A Survey of Student Teachers' Library Media Skills: A Replication.

    ERIC Educational Resources Information Center

    Thurman, Glenda B.

    This study investigated the current status of student teachers' library media skills. The primary objective of the study was to replicate a 1966 survey by the Knapp Foundation Project that examined student teachers' knowledge of library resources and services. Other objectives were to expand the population studied to include all teacher education…

  19. Emotional Symptoms in Inattentive Primary School Children: A Population-Based Study

    ERIC Educational Resources Information Center

    Sorensen, Lin; Hugdahl, Kenneth; Lundervold, Astri Johansen

    2008-01-01

    Objective: The present study investigates teacher and parent reports of inattention and emotional symptoms in 6,229 primary school children. Method: The assessment included the Emotional Symptoms subscale and the Impact scale from the Strengths and Difficulties Questionnaire and the inattention items from the Swanson, Nolan, and Pelham IV…

  20. Transtheoretical Model-Based Dietary Interventions in Primary Care: A Review of the Evidence in Diabetes

    ERIC Educational Resources Information Center

    Salmela, Sanna; Poskiparta, Marita; Kasila, Kirsti; Vahasarja, Kati; Vanhala, Mauno

    2009-01-01

    The objective of this study was to review the evidence concerning stage-based dietary interventions in primary care among persons with diabetes or an elevated diabetes risk. Search strategies were electronic databases and manual search. Selection criteria were randomized controlled studies with stage-based dietary intervention, conducted in…

  1. Exploring Literacy and Numeracy Teaching in Tanzanian Classrooms: Insights from Teachers' Classroom Practices

    ERIC Educational Resources Information Center

    Mmasa, Mussa; Anney, Vicent Naano

    2016-01-01

    The study investigated the literacy teaching practices in Tanzanian classrooms in the provision of Primary education. It comprehensively assessed why primary school leavers are graduating without skills of reading, writing and numeracy competencies. Three objectives guided this study, first, was to explore teachers classroom practices in the…

  2. The Development of Professional Learning Community in Primary Schools

    ERIC Educational Resources Information Center

    Sompong, Samoot; Erawan, Prawit; Dharm-tad-sa-na-non, Sudharm

    2015-01-01

    The objectives of this research are: (1) To study the current situation and need for developing professional learning community in primary schools; (2) To develop the model for developing professional learning community, and (3) To study the findings of development for professional learning community based on developed model related to knowledge,…

  3. Exploring AI Language Assistants with Primary EFL Students

    ERIC Educational Resources Information Center

    Underwood, Joshua

    2017-01-01

    The main objective of this study was to identify ways to incorporate voice-driven Artificial Intelligence (AI) effectively in classroom language learning. This nine month teacher-led design research study employed technology probes (Amazon's Alexa, Apple's Siri, Google voice search) and co-design methods with a class of primary age English as a…

  4. The Effects of Community Violence on Children in Cape Town, South Africa

    ERIC Educational Resources Information Center

    Shields, Nancy; Nadasen, Kathy; Pierce, Lois

    2008-01-01

    Objective: The primary objective of the study was to investigate the relationship between exposure to community violence (neighborhood, school, police, and gang violence) and psychological distress in a sample of children living in the Cape Town, South Africa area. Another objective was to identify variables that moderate and mediate the…

  5. Bangladesh: Summary Report. Financing Primary and Secondary Education in Bangladesh. Asia-South Pacific Education Watch

    ERIC Educational Resources Information Center

    Ahmad, Qazi Kholiquzzaman

    2007-01-01

    The main objective of the study is to gain an understanding on educational expenditure at primary and secondary levels in Bangladesh. In estimating educational expenditure by source, it has been sought to determine: (1) sources of financing of primary and secondary education; (2) rural-urban variation; (3) variation between boys and girls; (4)…

  6. Written Language Impairments in Primary Progressive Aphasia: A Reflection of Damage to Central Semantic and Phonological Processes

    ERIC Educational Resources Information Center

    Henry, Maya L.; Beeson, Pelagie M.; Alexander, Gene E.; Rapcsak, Steven Z.

    2012-01-01

    Connectionist theories of language propose that written language deficits arise as a result of damage to semantic and phonological systems that also support spoken language production and comprehension, a view referred to as the "primary systems" hypothesis. The objective of the current study was to evaluate the primary systems account in a mixed…

  7. Indonesia--Innovation in the Management of Primary School Construction: A Case Study. Education Building Report 8.

    ERIC Educational Resources Information Center

    Hussin

    This UNESCO report describes the progress of primary school building development under the second Five Year Plan of the Government of Indonesia. The main objective of the construction program was to increase the enrollement of children of primary school age to 85 per cent of all eligible children. Chapter I provides an historical perspective on…

  8. I-15 express lanes study, phase II : recommendations.

    DOT National Transportation Integrated Search

    2015-02-01

    The primary objective of this research was to recommend actions that will improve average speeds in the : Express Lanes (ELs) such that the lanes meet Utahs goal of 55 mph. To accomplish this objective it was important : to investigate the current...

  9. Evaluation of stone/RAP interlayers under accelerated loading : technical summary.

    DOT National Transportation Integrated Search

    2008-08-01

    The primary objective of this study was to determine the effectiveness of using an untreated RAP interlayer in lieu of a stone interlayer in a soil-cement asphalt pavement structure under accelerated loading. The secondary objective was to investigat...

  10. Quantitative research regarding performance measures for intermodal freight transportation : executive summary

    DOT National Transportation Integrated Search

    1995-10-01

    The primary objective of this study is to provide information relative to the development of a set of performance measures for intermodal freight transportation. To accomplish this objective, data was collected, processed, and analyzed on the basis o...

  11. Strategic advertising plans to deter drunk driving

    DOT National Transportation Integrated Search

    1996-12-01

    Primary objective for this study was to identify and profile subpopulations at highest risk for drinking and driving, and persons who may be in a position to intervene in their drinking and driving behavior. A related objective was to explore media m...

  12. School Effectiveness at Primary Level of Education in Relation to Classroom Teaching

    ERIC Educational Resources Information Center

    Panigrahi, Manas Ranjan

    2014-01-01

    The study aims to investigate the relationship of School Effectiveness with regard to classroom teaching at primary level of education. The objectives of the study were to identify the more-effective and less-effective schools; to find out the differences between more-effective and less-effective schools in relation to physical facilities, Head…

  13. LEVELS OF 2,4-DICHLOROPHENOXYACETIC ACID IN THE HOMES AND URINE OF 135 PRESCHOOL CHILDREN AND THEIR ADULT CAREGIVERS IN NORTH CAROLINA AND OHIO

    EPA Science Inventory

    This study investigated the aggregate exposures of preschool children and their primary adult caregivers to chemicals commonly found in their everyday environments. One primary objective of this study was to identify the important sources and pathways of the participant's exposur...

  14. Analysis of Sesame Marketing Chain in Case of Gimbi Districts, Ethiopia

    ERIC Educational Resources Information Center

    Temesgen, Fikru; Gobena, Efa; Megersa, Hailu

    2017-01-01

    This study was aimed at marketing chain of sesames in Gimbi Woredas of Oromia Region with specific objectives of identifying marketing channels and factors affecting outlet choice decisions of farm households. The data were collected from both primary and secondary sources. The primary data for this study were collected from 127 farmers, 17…

  15. OBJECT KINETIC MONTE CARLO SIMULATIONS OF RADIATION DAMAGE IN TUNGSTEN SUBJECTED TO NEUTRON FLUX WITH PKA SPECTRUM CORRESPONDING TO THE HFIR

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

    Nandipati, Giridhar; Setyawan, Wahyu; Heinisch, Howard L.

    2015-12-31

    The objective of this work is to study the damage accumulation in pure tungsten (W) subjected to neutron bombardment with a primary knock-on atom (PKA) spectrum corresponding to the High Flux Isotope Reactor (HFIR), using the object kinetic Monte Carlo (OKMC) method.

  16. Randomized Trial of the Availability, Responsiveness and Continuity (ARC) Organizational Intervention for Improving Youth Outcomes in Community Mental Health Programs

    ERIC Educational Resources Information Center

    Glisson, Charles; Hemmelgarn, Anthony; Green, Philip; Williams, Nathaniel J.

    2013-01-01

    Objectives: The primary objective of the study was to assess whether the Availability, Responsiveness and Continuity (ARC) organizational intervention improved youth outcomes in community based mental health programs. The second objective was to assess whether programs with more improved organizational social contexts following the 18-month ARC…

  17. Identification and its vicissitudes.

    PubMed

    Etchegoyen, R H

    1985-01-01

    This paper attempts to understand the vicissitudes of identification within the co-ordinates of narcissism and the object relation. Firstly the dialectic pair primary identification/secondary identification are studied, and primary narcissism is suggested as the hypothesis which best explains them. The complex identification processes in the primary scene are considered next and the importance of the introjection of the oedipal parents for the formation of the superego is underlined. The importance of the structuring function of the introjection and projection mechanisms becomes embodied in the concept of projective identification, which comes to question the postulate of primary narcissism. The theory of projective-introjective identification is an extremely powerful instrument for explaining phenomena, however it obliges one to accept that the first introjections are radically different from the others. They have nothing to do with mourning but rather with primitive mechanisms which question the subject/object polarity and, so this author believes, spring basically from envy. Lastly, it is maintained that envy and libido are factors of a dialectic from which the object relation and the earliest processes of identification, previous to the Oedipus complex, proceed at one and the same time.

  18. Staff Perspectives on the Use of a Computer-Based Concept for Lifestyle Intervention Implemented in Primary Health Care

    ERIC Educational Resources Information Center

    Carlfjord, Siw; Johansson, Kjell; Bendtsen, Preben; Nilsen, Per; Andersson, Agneta

    2010-01-01

    Objective: The aim of this study was to evaluate staff experiences of the use of a computer-based concept for lifestyle testing and tailored advice implemented in routine primary health care (PHC). Design: The design of the study was a cross-sectional, retrospective survey. Setting: The study population consisted of staff at nine PHC units in the…

  19. No physician gender difference in prescription of sick-leave certification: A retrospective study of the Skaraborg Primary Care Database

    PubMed Central

    Starzmann, Karin; Hjerpe, Per; Dalemo, Sofia; Björkelund, Cecilia; Boström, Kristina Bengtsson

    2012-01-01

    Objective The primary objective was to investigate how physicians’ gender and level of experience affects the rate and length of sick-leave certificate prescription. The secondary objective was to study the physicians’ gender and professional experience in relation to the diagnoses on the certificates. Design Retrospective, cross-sectional study of computerized medical records from 24 health care centres in 2005. Setting Primary care in Sweden. Subjects Primary care physicians (n = 589) and patients (n = 88 780) aged 18–64 years. Main outcome measures Rate and duration of sick leave certified by different categories of physicians and for different diagnoses and gender of patients. Results Sick leave was certified in 9.0% (musculoskeletal (3%) and psychiatric (2.3%) diagnoses were most common) of all contacts and the mean duration was 32.2 days. Overall there was no difference between male and female physicians in the sick-leave certification prescription rate (9.1% vs. 9.0%) or duration of sick leave (32.1 vs. 32.6 days). The duration of sick leave was associated with the physician's level of professional experience in general practice (GPs (Distriktläkare) 37, GP trainees (ST-läkare) 26, interns (AT-läkare) 20 and locum (vikarier) 19 days, p < 0.001). Conclusion Contrary to earlier studies we found no difference in sick-leave certification prescription rate and length between male and female physicians. PMID:22348513

  20. The Primary School Students of 1950s' Yozgat: Our Memories about Our Primary School Education

    ERIC Educational Resources Information Center

    Saglam, Mehmet

    2015-01-01

    The objective of the study is to lay bare the educational memories of primary school students in 1950s' Yozgat city which is in the center of Turkey. Memories that belong to education are also reflections of the individuals' past educational practices. Why they take part in lives of individuals as memories may let us see the importance of…

  1. Depression in Mothers of Children with Cerebral Palsy and Related Factors in Turkey: A Controlled Study

    ERIC Educational Resources Information Center

    Unsal-Delialioglu, Sibel; Kaya, Kurtulus; Ozel, Sumru; Gorgulu, Gulderen

    2009-01-01

    The primary objective of the study was to determine whether there was any difference, with respect to depression, between mothers of children with cerebral palsy (CP) and mothers of healthy children. The secondary objective was to evaluate whether some additional factors had an impact on the depression of the mothers. The study included 49…

  2. The Evaluation of the Opinions of Prospective Teachers about the Objectives of Human Rights Education

    ERIC Educational Resources Information Center

    Özbek, Ramazan

    2017-01-01

    The aim of this study is to evaluate opinions of prospective teachers attending Social Sciences Teaching Department Primary Education Section on the objectives of Human Rights Education in the scope of Citizenship and Democracy Education Curriculum. This study is vital for learning of democratic life. 25 prospective teachers studying in the 8th…

  3. Impact of Discipline on Academic Performance of Pupils in Public Primary Schools in Muhoroni Sub-County, Kenya

    ERIC Educational Resources Information Center

    Simba, Nicholas Odoyo; Agak, John Odwar; Kabuka, Eric K.

    2016-01-01

    In Muhoroni Sub-County, Kenya, pupils' academic performance has received little attention in relation to discipline. The objectives of this study were to determine the level of discipline and extent of impact of discipline on academic performance among class eight pupils in the sub-county's public primary schools. The study adopted descriptive…

  4. Engaging with Schools and Increasing Primary School Students' Interest in Science: An Intersectoral Collaboration

    ERIC Educational Resources Information Center

    Willsher, Kerre; Penman, Joy

    2011-01-01

    This paper discusses an initiative called "Scientists in Schools" which was implemented with a group of seventy (n=70) Year 4 and Year 7 students studying in a local school in regional South Australia with the primary objective of raising awareness and interest in the study of sciences. Mezirow's critical reflection was used by the…

  5. Assessment of the Effectiveness of the Educational Environment Supported by Computer Aided Presentations at Primary School Level

    ERIC Educational Resources Information Center

    Kose, Erdogan

    2009-01-01

    The objective of this study is to assess the effectiveness of the educational environment supported by computer aided presentations at primary school. The effectiveness of the environment has been evaluated in terms of students' learning and remembering what they have learnt. In the study, we have compared experimental group and control group in…

  6. Effectiveness of and Dropout from Outpatient Cognitive Behavioral Therapy for Adult Unipolar Depression: A Meta-Analysis of Nonrandomized Effectiveness Studies

    ERIC Educational Resources Information Center

    Hans, Eva; Hiller, Wolfgang

    2013-01-01

    Objective: The primary aim of this study was to assess the overall effectiveness of and dropout from individual and group outpatient cognitive behavioral therapy (CBT) for adults with a primary diagnosis of unipolar depressive disorder in routine clinical practice. Method: We conducted a random effects meta-analysis of 34 nonrandomized…

  7. Perceptions of Teachers on the Ban of Corporal Punishment in Pre-Primary Institutions in Kenya

    ERIC Educational Resources Information Center

    Mwai, Beth Kirigo; Kimengi, Isaac Njuguna; Kipsoi, Emmy Jerono

    2014-01-01

    The purpose of the study was to investigate perceptions of teachers on the ban of corporal punishment in pre-primary institutions. The objectives of the study were to investigate teachers' attitudes towards corporal punishment ban in pre-schools and to establish whether the level of education of teachers had an influence on the use of corporal…

  8. Archetype and object: primary deintegration and primary love in analytical play therapy with young children.

    PubMed

    Peery, J Craig

    2002-07-01

    Jungian and post-Jungian theory of the development of the child's psyche is reviewed. A discrimination between primary and secondary deintegration is suggested. Post-Freudian theory regarding primary object relations is integrated with the Jungian model. The two approaches can contribute synergistically to inform and advance play therapy with young children. Patients from widely diverse cultural backgrounds use their relationship with the therapist as a helpful person (object), and engage in archetypal material from the collective unconscious, to help them work on and through their unresolved emotional issues.

  9. Inattentional blindness for a gun during a simulated police vehicle stop.

    PubMed

    Simons, Daniel J; Schlosser, Michael D

    2017-01-01

    People often fail to notice unexpected objects and events when they are focusing attention on something else. Most studies of this "inattentional blindness" use unexpected objects that are irrelevant to the primary task and to the participant (e.g., gorillas in basketball games or colored shapes in computerized tracking tasks). Although a few studies have examined noticing rates for personally relevant or task-relevant unexpected objects, few have done so in a real-world context with objects that represent a direct threat to the participant. In this study, police academy trainees (n = 100) and experienced police officers (n = 75) engaged in a simulated vehicle traffic stop in which they approached a vehicle to issue a warning or citation for running a stop sign. The driver was either passive and cooperative or agitated and hostile when complying with the officer's instructions. Overall, 58% of the trainees and 33% of the officers failed to notice a gun positioned in full view on the passenger dashboard. The driver's style of interaction had little effect on noticing rates for either group. People can experience inattentional blindness for a potentially dangerous object in a naturalistic real-world context, even when noticing that object would change how they perform their primary task and even when their training focuses on awareness of potential threats.

  10. An analysis of characteristics of post-authorisation studies registered on the ENCePP EU PAS Register

    PubMed Central

    Carroll, Robert; Ramagopalan, Sreeram V.; Cid-Ruzafa, Javier; Lambrelli, Dimitra; McDonald, Laura

    2017-01-01

    Background: The objective of this study was to investigate the study design characteristics of Post-Authorisation Studies (PAS) requested by the European Medicines Agency which were recorded on the European Union (EU) PAS Register held by the European Network of Centres for Pharmacoepidemiology and Pharmacovigilance (ENCePP). Methods: We undertook a cross-sectional descriptive analysis of all studies registered on the EU PAS Register as of 18 th October 2016. Results: We identified a total of 314 studies on the EU PAS Register, including 81 (26%) finalised, 160 (51%) ongoing and 73 (23%) planned. Of those studies identified, 205 (65%) included risk assessment in their scope, 133 (42%) included drug utilisation and 94 (30%) included effectiveness evaluation. Just over half of the studies (175; 56%) used primary data capture, 135 (43%) used secondary data and 4 (1%) used a hybrid design combining both approaches. Risk assessment and effectiveness studies were more likely to use primary data capture (60% and 85% respectively as compared to 39% and 14% respectively for secondary). The converse was true for drug utilisation studies where 59% were secondary vs. 39% for primary. For type 2 diabetes mellitus, database studies were more commonly used (80% vs 3% chart review, 3% hybrid and 13% primary data capture study designs) whereas for studies in oncology, primary data capture were more likely to be used (85% vs 4% chart review, and 11% database study designs). Conclusions: Results of this analysis show that PAS design varies according to study objectives and therapeutic area. PMID:29188016

  11. A Randomized, Placebo-Controlled Study of Once-Daily Atomoxetine in the School Setting in Children with ADHD

    ERIC Educational Resources Information Center

    Weiss, Margaret; Tannock, Rosemary; Kratochvil, Christopher; Dunn, David; Velez-Borras, Jesus; Thomason, Christine; Tamura, Roy; Kelsey, Douglas; Stevens, Linda; Allen, Albert J.

    2005-01-01

    Objective: Five studies have demonstrated the effectiveness of atomoxetine compared with placebo in reducing symptoms of attention-deficit/hyperactivity disorder (ADHD) based on parent reports. The primary objective of this clinical trial was to assess the efficacy of once-daily atomoxetine compared with placebo using teacher reports. Method: One…

  12. Quality of Life in Patients with Spinal Cord Injury

    ERIC Educational Resources Information Center

    Gurcay, Eda; Bal, Ajda; Eksioglu, Emel; Cakci, Aytul

    2010-01-01

    The primary objective of this study was to assess the quality of life (QoL) in spinal cord injury (SCI) survivors. Secondary objectives were to determine the effects of various sociodemographic and clinical characteristics on QoL. This cross-sectional study included 54 patients with SCI. The Turkish version of the Short-Form-36 Health Survey was…

  13. Health Education: Effects on Classroom Climate and Physical Activity

    ERIC Educational Resources Information Center

    Efstathiou, Nicholas T.; Risvas, Grigorios S.; Theodoraki, Eleni-Maria M.; Galanaki, Evangelia P.; Zampelas, Antonios D.

    2016-01-01

    Objective: The objective of this study was to investigate the relationship between classroom psychological climate and the physical and sedentary behaviour of primary school students after the implementation of an innovative education programme regarding nutrition and physical activity. Design: Randomised controlled trial. Setting: Study…

  14. A Systematic Review of Depression Treatments in Primary Care for Latino Adults

    ERIC Educational Resources Information Center

    Cabassa, Leopoldo J.; Hansen, Marissa C.

    2007-01-01

    Objective: A systematic literature review of randomized clinical trials (RCTs) assessing depression treatments in primary care for Latinos is conducted. The authors rate the methodological quality of studies, examine cultural and linguistic adaptations, summarize clinical outcomes and cost-effectiveness findings, and draw conclusions for improving…

  15. Unintended Learning in Primary School Practical Science Lessons from Polanyi's Perspective of Intellectual Passion

    ERIC Educational Resources Information Center

    Park, Jisun; Song, Jinwoong; Abrahams, Ian

    2016-01-01

    This study explored, from the perspective of intellectual passion developed by Michael Polanyi, the unintended learning that occurred in primary practical science lessons. We use the term "unintended" learning to distinguish it from "intended" learning that appears in teachers' learning objectives. Data were collected using…

  16. Concept Mapping and Pupils' Learning in Primary Science in Singapore

    ERIC Educational Resources Information Center

    Ling, Yuan; Boo, Hong Kwen

    2007-01-01

    This paper reports on a quasi-experimental study which examined the effectiveness of concept mapping as a revision tool in enhancing pupils' examination performances in primary science. The research objective seeks to determine whether there are significant differences in achievement between the concept mapping and traditional method of revision…

  17. Are We Alone in the Universe?

    ERIC Educational Resources Information Center

    Waring, Scott M.; Herlihy, Christine

    2015-01-01

    Primary sources, as defined by the Library of Congress, are the "raw materials of history--original documents and objects which were created at the time under study" (Library of Congress, 2014, p. 1). Primary sources differ from secondary sources, which interpret events without the benefit of firsthand experience. While often employed in…

  18. 49 CFR Appendix B to Part 21 - Activities to Which This Part Applies When a Primary Objective of the Federal Financial...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Primary Objective of the Federal Financial Assistance Is To Provide Employment B Appendix B to Part 21... DEPARTMENT OF TRANSPORTATION-EFFECTUATION OF TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 Pt. 21, App. B Appendix B to Part 21—Activities to Which This Part Applies When a Primary Objective of the Federal Financial...

  19. When apperceptive agnosia is explained by a deficit of primary visual processing.

    PubMed

    Serino, Andrea; Cecere, Roberto; Dundon, Neil; Bertini, Caterina; Sanchez-Castaneda, Cristina; Làdavas, Elisabetta

    2014-03-01

    Visual agnosia is a deficit in shape perception, affecting figure, object, face and letter recognition. Agnosia is usually attributed to lesions to high-order modules of the visual system, which combine visual cues to represent the shape of objects. However, most of previously reported agnosia cases presented visual field (VF) defects and poor primary visual processing. The present case-study aims to verify whether form agnosia could be explained by a deficit in basic visual functions, rather that by a deficit in high-order shape recognition. Patient SDV suffered a bilateral lesion of the occipital cortex due to anoxia. When tested, he could navigate, interact with others, and was autonomous in daily life activities. However, he could not recognize objects from drawings and figures, read or recognize familiar faces. He was able to recognize objects by touch and people from their voice. Assessments of visual functions showed blindness at the centre of the VF, up to almost 5°, bilaterally, with better stimulus detection in the periphery. Colour and motion perception was preserved. Psychophysical experiments showed that SDV's visual recognition deficits were not explained by poor spatial acuity or by the crowding effect. Rather a severe deficit in line orientation processing might be a key mechanism explaining SDV's agnosia. Line orientation processing is a basic function of primary visual cortex neurons, necessary for detecting "edges" of visual stimuli to build up a "primal sketch" for object recognition. We propose, therefore, that some forms of visual agnosia may be explained by deficits in basic visual functions due to widespread lesions of the primary visual areas, affecting primary levels of visual processing. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. Happiness as a motivator: positive affect predicts primary control striving for career and educational goals.

    PubMed

    Haase, Claudia M; Poulin, Michael J; Heckhausen, Jutta

    2012-08-01

    What motivates individuals to invest time and effort and overcome obstacles (i.e., strive for primary control) when pursuing important goals? We propose that positive affect predicts primary control striving for career and educational goals, and we explore the mediating role of control beliefs. In Study 1, positive affect predicted primary control striving for career goals in a two-wave longitudinal study of a U.S. sample. In Study 2, positive affect predicted primary control striving for career and educational goals and objective career outcomes in a six-wave longitudinal study of a German sample. Control beliefs partially mediated the longitudinal associations with primary control striving. Thus, when individuals experience positive affect, they become more motivated to invest time and effort, and overcome obstacles when pursuing their goals, in part because they believe they have more control over attaining their goals.

  1. Assessment of the potential of Allium sativum oil as a new medicament for non-vital pulpotomy of primary teeth

    PubMed Central

    Mohammad, Shukry Gamal; Baroudi, Kusai

    2015-01-01

    Objective: The objective of this study was to compare the clinical and radiographic effects of Allium sativum oil and formocresol in nonvital pulpotomy in primary teeth. Materials and Methods: Twenty children ranging in age from 4 to 8 years were included in the study. In every one of those children, pulpotomy was indicated for the primary molars. Pulpotomy procedure was performed and the radicular pulp tissue of one molar was capped with A. sativum oil in a cotton pellet while the other molar was capped with formocresol. The teeth were evaluated clinically and radiographically before and after 6 months using standard clinical and radiographic criteria. Statistically, these results revealed significant difference between the radiographic findings of nonvital pulpotomy in primary molars with the two medicaments. Statistical analysis was performed using independent t-test and paired t-test at the significance level of α = 0.05. Results: A. sativum oil has potent antibacterial properties that enable it to combat intracanal microbes in the infected pulp of primary molars. Better results were obtained when A. sativum oil was used. Conclusion: A. sativum oil had more powerful effects than formocresol on the infected pulp of primary nonvital molars. PMID:26312232

  2. LDR structural experiment definition

    NASA Technical Reports Server (NTRS)

    Russell, R. A.

    1988-01-01

    A system study to develop the definition of a structural flight experiment for a large precision segmented reflector on the Space Station was accomplished by the Boeing Aerospace Company for NASA's Langley Research Center. The objective of the study was to use a Large Deployable Reflector (LDR) baseline configuration as the basis for focusing an experiment definition, so that the resulting accommodation requirements and interface constraints could be used as part of the mission requirements data base for Space Station. The primary objectives of the first experiment are to construct the primary mirror support truss and to determine its structural and thermal characteristics. Addition of an optical bench, thermal shield and primary mirror segments, and alignment of the optical components, would occur on a second experiment. The structure would then be moved to the payload point system for pointing, optical control, and scientific optical measurement for a third experiment. Experiment 1 will deploy the primary support truss while it is attached to the instrument module structure. The ability to adjust the mirror attachment points and to attach several dummy primary mirror segments with a robotic system will also be demonstrated. Experiment 2 will be achieved by adding new components and equipment to experiment one. Experiment 3 will demonstrate advanced control strategies, active adjustment of the primary mirror alignment, and technologies associated with optical sensing.

  3. Needling versus liquid nitrogen cryotherapy for the treatment of pedal warts a randomized controlled pilot study.

    PubMed

    Cunningham, Daniel J; Brimage, Jessica T; Naraghi, Reza N; Bower, Virginia M

    2014-07-01

    We hypothesized that needling of a pedal wart creates local inflammation and a subsequent cell-mediated immune response (CMIR) against human papillomavirus. The primary objective of this study was to investigate whether needling to induce a CMIR against human papillomavirus is an effective treatment for pedal warts compared with liquid nitrogen cryotherapy. A secondary objective was to investigate whether the CMIR induced by needling is effective against satellite pedal warts. Eligible patients with pedal warts were randomly allocated to receive either needling or liquid nitrogen cryotherapy. Only the primary pedal wart was treated during the study. Follow-up was 12 weeks, with outcome assessments made independently under blinded circumstances. Of 37 patients enrolled in the study, 18 were allocated to receive needling and 19 to receive liquid nitrogen cryotherapy. Regression of the primary pedal wart occurred in 64.7% of the needling group (11 of 17) and in 6.2% of the liquid nitrogen cryotherapy group (1 of 16) (P =  .001). No significant relationship was found between needling of the primary pedal wart and regression of satellite pedal warts (P = .615) or complete pedal wart regression (P = .175). There was no significant difference in pain, satisfaction, or cosmesis between the two groups. The regression rate of the primary pedal wart was significantly higher in the needling group compared with the liquid nitrogen cryotherapy group.

  4. Primary care physicians' perceived barriers and facilitators to conservative care for older adults with chronic kidney disease: design of a mixed methods study.

    PubMed

    Tam-Tham, Helen; Hemmelgarn, Brenda; Campbell, David; Thomas, Chandra; Quinn, Robert; Fruetel, Karen; King-Shier, Kathryn

    2016-01-01

    Guideline committees have identified the need for research to inform the provision of conservative care for older adults with stage 5 chronic kidney disease (CKD) who have a high burden of comorbidity or functional impairment. We will use both qualitative and quantitative methodologies to provide a comprehensive understanding of barriers and facilitators to care for these patients in primary care. Our objectives are to (1) interview primary care physicians to determine their perspectives of conservative care for older adults with stage 5 CKD and (2) survey primary care physicians to determine the prevalence of key barriers and facilitators to provision of conservative care for older adults with stage 5 CKD. A sequential exploratory mixed methods design was adopted for this study. The first phase of the study will involve fundamental qualitative description and the second phase will be a cross-sectional population-based survey. The research is conducted in Alberta, Canada. The participants are primary care physicians with experience in providing care for older adults with stage 5 CKD not planning on initiating dialysis. The first objective will be achieved by undertaking interviews with primary care physicians from southern Alberta. Participants will be selected purposively to include physicians with a range of characteristics (e.g., age, gender, and location of clinical practice). Interviews will be recorded, transcribed verbatim, and analyzed using conventional content analysis to generate themes. The second objective will be achieved by undertaking a population-based survey of primary care physicians in Alberta. The questionnaire will be developed based on the findings from the qualitative interviews and pilot tested for face and content validity. Physicians will be provided multiple options to complete the questionnaire including mail, fax, and online methods. Descriptive statistics and associations between demographic factors and barriers and facilitators to care will be analyzed using regression models. A potential limitation of this mixed methods study is its cross-sectional nature. This work will inform development of clinical resources and tools for care of older adults with stage 5 CKD, to address barriers and enable facilitators to community-based conservative care.

  5. Space transfer vehicle concepts and requirements, volume 2, book 1

    NASA Technical Reports Server (NTRS)

    1991-01-01

    The objective of the systems engineering task was to develop and implement an approach that would generate the required study products as defined by program directives. This product list included a set of system and subsystem requirements, a complete set of optimized trade studies and analyses resulting in a recommended system configuration, and the definition of an integrated system/technology and advanced development growth path. A primary ingredient in the approach was the TQM philosophy stressing job quality from the inception. Included throughout the Systems Engineering, Programmatics, Concepts, Flight Design, and Technology sections are data supporting the original objectives as well as supplemental information resulting from program activities. The primary result of the analyses and studies was the recommendation of a single propulsion stage Lunar Transportation System (LTS) configuration that supports several different operations scenarios with minor element changes. This concept has the potential to support two additional scenarios with complex element changes. The space based LTS concept consists of three primary configurations--Piloted, Reusable Cargo, and Expendable Cargo.

  6. Hospitalisation Rates for Ambulatory Care Sensitive Conditions for Persons with and without an Intellectual Disability--A Population Perspective

    ERIC Educational Resources Information Center

    Balogh, R.; Brownell, M.; Ouellette-Kuntz, H.; Colantonio, A.

    2010-01-01

    Background: There is evidence that persons with an intellectual disability (ID) face barriers to primary care; however, this has not been extensively studied at the population level. Rates of hospitalisation for ambulatory care sensitive conditions are used as an indicator of access to, and quality of, primary care. The objective of the study was…

  7. Predictive Effects of the Quality of Online Peer-Feedback Provided and Received on Primary School Students' Quality of Question-Generation

    ERIC Educational Resources Information Center

    Yu, Fu-Yun; Wu, Chun-Ping

    2016-01-01

    The research objectives of this study were to examine the individual and combined predictive effects of the quality of online peer-feedback provided and received on primary school students' quality of question-generation. A correlational study was adopted, and performance data from 213 fifth-grade students engaged in online question-generation and…

  8. Child Delinquency and Pupils' Academic Performance in Fumesua Municipal Assembly Primary School in the Ejisu-Juaben Municipality, Ashanti Region, Ghana

    ERIC Educational Resources Information Center

    Gyansah, Samuel Tieku; Soku, Rejoice; Esilfie, Gabriel

    2015-01-01

    This research was conducted purposely to examine child delinquency on pupils' academic performance. Fumesua Municipal Assembly (M/A) primary school was used as the case study for the research. The specific objectives of the study are to find out the factors that contribute to child delinquent behavior, identify, if delinquent behavior influence…

  9. Small Schools Student Learning Objectives, K-8: Reading, Language Arts, Mathematics. K-3; Science, Social Studies.

    ERIC Educational Resources Information Center

    Hartl, David, Ed.; And Others

    Developed by 40 primary teachers and 10 elementary principals from small school districts in Washington, this handbook contains sequenced student learning objectives for grades K-3 in science and social studies and for grades K-8 in reading, language arts, and mathematics. The handbook is designed to assist teachers with the improvement of…

  10. Projecting Agricultural Education Programs for the 21st Century Using a Modified Delphi Technique.

    ERIC Educational Resources Information Center

    Iverson, Maynard J.

    A modified three-step Delphi procedure was used to conduct a series of national studies of futurists regarded by their peers as top experts in agricultural education. The primary objective was to project enrollments in agricultural education programs for the 21st century. Other study objectives were to ascertain whether the Delphi technique could…

  11. [Primary and secondary encopresis].

    PubMed

    Lang-Langer, Ellen

    2007-01-01

    While the difficulty of the child to part with its faeces in primary encopresis is linked to the incapability to experience the object as separated and independent from himself, secondary encopresis is a progressed psychical state of development. In this case we have to deal with regression caused by conflict. Two case-studies show clearly the differences.

  12. Comparison of Primary School Foreign Language Curricula of Turkey, Germany and the Netherlands

    ERIC Educational Resources Information Center

    Aslan, Yasin

    2016-01-01

    Foreign language education at early ages involves a broad spectrum of communication skills using communication, culture, connections, comparisons and community. The aim of this study is to compare the primary foreign language curricula of Turkey, Germany and the Netherlands in terms of objectives, content, teaching processes and evaluation…

  13. Physical Education in Primary Schools: Classroom Teachers' Perceptions of Benefits and Outcomes

    ERIC Educational Resources Information Center

    Morgan, Philip J.; Hansen, Vibeke

    2008-01-01

    Objective: The aim of the current study was to examine the perceptions of classroom teachers regarding the benefits and outcomes of their PE programs. Design: Cross-sectional. Setting: Thirty eight randomly selected primary schools in New South Wales (NSW), Australia. Method: A mixed-mode methodology was utilized, incorporating semi-structured…

  14. Attention-Deficit/Hyperactivity Disorder through Sri Lankan Primary School Teachers' Eyes

    ERIC Educational Resources Information Center

    Menikdiwela, Kanchana R.; Vojtova, Vera

    2017-01-01

    Attention-Deficit/Hyperactivity Disorder (ADHD) has been identified as one of the most common behavioral disorders in childhood. The main objective of this study was analyzing the current situation of supporting children with ADHD in mainstream schools in Sri Lanka; especially how Sri Lankan primary school teachers support such children in…

  15. Parental Views of Food-Safety Education in a Japanese Primary School

    ERIC Educational Resources Information Center

    Horikawa, Haruka; Akamatsu, Rie; Horiguchi, Itsuko; Marui, Eiji

    2013-01-01

    Objective: This study examined Japanese mothers' satisfaction with food-safety education in primary schools, compared the characteristics of mothers who were not satisfied, and identified topics that should be included in food-safety education, according to mothers. Design: An online survey was conducted in March 2011 in Japan. The questionnaire…

  16. Evaluating the Implementation of an Emotional Wellbeing Programme for Primary School Children Using Participatory Approaches

    ERIC Educational Resources Information Center

    Clarke, Aleisha M.; Sixsmith, Jane; Barry, Margaret M.

    2015-01-01

    Objective: This paper reports on the use of child participatory approaches to evaluate the implementation and impact of the "Zippy's Friends" emotional wellbeing programme on children in disadvantaged primary schools in Ireland. Design: As part of the overall evaluation study, which comprised a clustered randomised controlled trial,…

  17. Accounting for Tibetan University Students' and Teachers' Intellectual Styles

    ERIC Educational Resources Information Center

    Zhang, Li-Fang; Fu, Hong; Jiao, Ben

    2008-01-01

    The primary objective of this study was to further understand Tibetan university students' learning styles through investigating Tibetan university teachers' teaching styles and their preferred student learning styles. This objective was achieved by analysing the interview data from a group of Tibetan university teachers and the comparative survey…

  18. Diagnostic Coding of Abuse Related Fractures at Two Children's Emergency Departments

    ERIC Educational Resources Information Center

    Somji, Zeeshanefatema; Plint, Amy; McGahern, Candice; Al-Saleh, Ahmed; Boutis, Kathy

    2011-01-01

    Objectives: Pediatric fractures suspicious for abuse are often evaluated in emergency departments (ED), although corresponding diagnostic coding for possible abuse may be lacking. Thus, the primary objective of this study was to determine the proportion of fracture cases investigated in the ED for abuse that had corresponding International…

  19. Student Laptop Use and Scores on Standardized Tests

    ERIC Educational Resources Information Center

    Kposowa, Augustine J.; Valdez, Amanda D.

    2013-01-01

    Objectives: The primary objective of the study was to investigate the relationship between ubiquitous laptop use and academic achievement. It was hypothesized that students with ubiquitous laptops would score on average higher on standardized tests than those without such computers. Methods: Data were obtained from two sources. First, demographic…

  20. Funding source and primary outcome changes in clinical trials registered on ClinicalTrials.gov are associated with the reporting of a statistically significant primary outcome: a cross-sectional study.

    PubMed

    Ramagopalan, Sreeram V; Skingsley, Andrew P; Handunnetthi, Lahiru; Magnus, Daniel; Klingel, Michelle; Pakpoor, Julia; Goldacre, Ben

    2015-01-01

    We and others have shown a significant proportion of interventional trials registered on ClinicalTrials.gov have their primary outcomes altered after the listed study start and completion dates. The objectives of this study were to investigate whether changes made to primary outcomes are associated with the likelihood of reporting a statistically significant primary outcome on ClinicalTrials.gov. A cross-sectional analysis of all interventional clinical trials registered on ClinicalTrials.gov as of 20 November 2014 was performed. The main outcome was any change made to the initially listed primary outcome and the time of the change in relation to the trial start and end date. 13,238 completed interventional trials were registered with ClinicalTrials.gov that also had study results posted on the website. 2555 (19.3%) had one or more statistically significant primary outcomes. Statistical analysis showed that registration year, funding source and primary outcome change after trial completion were associated with reporting a statistically significant primary outcome .  Funding source and primary outcome change after trial completion are associated with a statistically significant primary outcome report on clinicaltrials.gov.

  1. Operation REDWING. Technical Summary of Military Effects. Programs 1-9

    DTIC Science & Technology

    1981-05-15

    study chorioretinal burns. The primary objective of the program on effects on aircraft structures was to ascer- tain the reliability of current weapons...other aircraft. In the program of tests on service equipment and studies of electromagnetic effects,I 4k. the emphasis was placed on studying long...range detection of nuclear explosions. An additional objective was the study of the effects of nuclear detonations on the ionosphere and microwave

  2. Information transfer satellite concept study. Volume 2: Technical

    NASA Technical Reports Server (NTRS)

    Bergin, P.; Kincade, C.; Kurpiewski, D.; Leinhaupel, F.; Millican, F.; Onstad, R.

    1971-01-01

    The ITS concept study is preceded by two requirements studies whose primary objectives are to identify viable demands and to develop the functional requirements associated with these demands. In addition to continuing this basic activity the ITS concept study objectives are to: (1) develop tools and techniques for planning advanced information transfer satellite communications systems, and to (2) select viable systems for further analysis both in their near-term and in the far-term aspects.

  3. Policy Levers Key for Primary Health Care Organizations to Support Primary Care Practices in Meeting Medical Home Expectations: Comparing Leading States to the Australian Experience.

    PubMed

    Takach, Mary

    2016-10-01

    Several countries with highly ranked delivery systems have implemented locally-based, publicly-funded primary health care organizations (PHCOs) as vehicles to strengthen their primary care foundations. In the United States, state governments have started down a similar pathway with models that share similarities with international PHCOs. The objective of this study was to determine if these kinds of organizations were working with primary care practices to improve their ability to provide comprehensive, coordinated, and accessible patient-centered care that met quality, safety, and efficiency outcomes-all core attributes of a medical home. This qualitative study looked at 4 different PHCO models-3 from the United States and 1 from Australia-with similar objectives and scope. Primary and secondary data included semi-structured interviews with 26 PHCOs and a review of government documents. The study found that the 4 PHCO models were engaging practices to meet a number of medical home expectations, but the US PHCOs were more uniform in efforts to work with practices and focused on arranging services to meet the needs of complex patients. There was significant variation in level of effort between the Australian PHCOs. These differences can be explained through the state governments' selection of payment models and use of data frameworks to support collaboration and incentivize performance of both PHCOs and practices. These findings offer policy lessons to inform health reform efforts under way to better capitalize on the potential of PHCOs to support a high-functioning primary health foundation as an essential component to a reformed health system.

  4. Computational Design Tool for the Synthesis and Optimization of Gel Formulations (SOGeF)

    DTIC Science & Technology

    2009-01-01

    ACCOMPLISHMENTS 2.1 Phase I Technical Objectives TIle primary technical objective of the Phase I program was the development of a model(s) to describe the...Figure 37: Storage Modulus G’, Loss Modulus G", and Stress vs. Strain. Yield Stress ~460Pa. (Tri-ethylamine 11% Cabosil) The primary detenninant of...GUI The primary objective of this task was to design and implement a graphical user interface (GUI) for the NN algorithms and gel database files. The

  5. Comparison of measured and modeled radiation, heat and water vapor fluxes: FIFE pilot study

    NASA Technical Reports Server (NTRS)

    Blad, Blaine L.; Verma, Shashi B.; Hubbard, Kenneth G.; Starks, Patrick; Hays, Cynthia; Norman, John M.; Waltershea, Elizabeth

    1988-01-01

    The primary objectives of the 1985 study were to test the feasibility of using radio frequency receivers to collect data from automated weather stations and to evaluate the use of the data collected by the automated weather stations for modeling the fluxes of latent heat, sensible heat, and radiation over wheat. The model Cupid was used to calculate these fluxes which were compared with fluxes of these entities measured using micrometeorological techniques. The primary objectives of the 1986 study were to measure and model reflected and emitted radiation streams at a few locations within the First International Satellite Land-Surface Climatology Project Field Experiment (FIFE) site and to compare modeled and measured latent heat and sensible heat fluxes from the prairie vegetation.

  6. The Use of Nonprint Media in the Public Schools of Maryland: An Exploratory Study. Final Report.

    ERIC Educational Resources Information Center

    Liesener, James W.

    The primary objective of this project was the study of the utilization of nonprint media in the public schools of the State of Maryland in order to determine current patterns and identify developing trends in the use of media materials and equipment. Secondary objectives were to determine variations in patterns of use of media materials and…

  7. Perceptions of Teachers Regarding Technology Integration in Classrooms: A Comparative Analysis of Elite and Mediocre Schools

    ERIC Educational Resources Information Center

    Zehra, Rida; Bilwani, Anam

    2016-01-01

    The primary purpose and objective of this study was to examine and compare the perceptions of teachers in elite and mediocre schools in Karachi. The secondary objectives included comparing the use of technology in classrooms by teachers and the challenges and barriers that they face in the integration of technology. This study was designed as a…

  8. Child Maltreatment Prevalence and Mental Disorders Outcomes among American Indian Women in Primary Care

    ERIC Educational Resources Information Center

    Duran, Bonnie; Malcoe, Lorraine Halinka; Sanders, Margaret; Waitzkin, Howard; Skipper, Betty; Yager, Joel

    2004-01-01

    Objective: To examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services. Methods: A cross-sectional study was conducted among 234 American Indian women, age 18-45 who presented for outpatient…

  9. Teachers' Involvement in Implementing the Basic Science and Technology Curriculum of the Nine-Year Basic Education

    ERIC Educational Resources Information Center

    Odili, John Nwanibeze; Ebisine, Sele Sylvester; Ajuar, Helen Nwakaife

    2011-01-01

    The study investigated teachers' involvement in implementing the basic science and technology curriculum in primary schools in WSLGA (Warri South Local Government Area) of Delta State. It sought to identify the availability of the document in primary schools and teachers' knowledge of the objectives and activities specified in the curriculum.…

  10. Screening for ADHD in an Adult Social Phobia Sample

    ERIC Educational Resources Information Center

    Mortberg, Ewa; Tilfors, Kerstin; Bejerot, Susanne

    2012-01-01

    Objective: Recent studies have suggested a link between a primary anxiety disorder and ADHD. Method: A total of 39 participants with a primary diagnosis of social phobia were compared with 178 patients with ADHD and 88 patients with other psychiatric disorders on measures for childhood and adult ADHD (the Wender Utah Rating Scale and the Adult…

  11. The Impact of Inattention and Emotional Problems on Cognitive Control in Primary School Children

    ERIC Educational Resources Information Center

    Sorensen, Lin; Plessen, Kerstin J.; Lundervold, Astri J.

    2012-01-01

    Objective: The present study investigated the predictive value of parent/teacher reports of inattention and emotional problems on cognitive control function in 241 children in primary school. Method: Cognitive control was measured by functions of set-shifting and working memory as assessed by the Behavior Rating Inventory of Executive Function…

  12. Cluster Supervision Practices in Primary School of Jimma Zone

    ERIC Educational Resources Information Center

    Afework, E. A.; Frew, A. T.; Abeya, G. G.

    2017-01-01

    The main objective of this study was to assess the supervisory practice of cluster resource centre (CRC) supervisors in Jimma Zone primary schools. To achieve this purpose, the descriptive survey design was employed. Data were collected from 238 randomly selected teachers, and 60 school principals with a response rate of 98.6%. Moreover, 12 CRC…

  13. Words and Objects at the Tip of the Left Temporal Lobe in Primary Progressive Aphasia

    ERIC Educational Resources Information Center

    Mesulam, M.-Marsel; Wieneke, Christina; Hurley, Robert; Rademaker, Alfred; Thompson, Cynthia K.; Weintraub, Sandra; Rogalski, Emily J.

    2013-01-01

    Eleven of 69 prospectively enrolled primary progressive aphasics were selected for this study because of peak atrophy sites located predominantly or exclusively within the anterior left temporal lobe. Cortical volumes in these areas were reduced to less than half of control values, whereas average volume elsewhere in the left hemisphere deviated…

  14. Mathematical modeling of growth of Salmonella in raw ground beef under isothermal conditions from 10 to 45 Degree C

    USDA-ARS?s Scientific Manuscript database

    The objective of this study was to develop primary and secondary models to describe the growth of Salmonella in raw ground beef. Primary and secondary models can be integrated into a dynamic model that can predict the microbial growth under varying environmental conditions. Growth data of Salmonel...

  15. Infant growth outcomes from birth to 12 months of age: findings from the Delta Healthy Sprouts comparative impact trial

    USDA-ARS?s Scientific Manuscript database

    Objective: Multicomponent lifestyle modification interventions designed for gestational and early postnatal periods may be key to preventing obesity in children. The primary objective of the study was to determine if infant growth outcomes differed between treatment arms of an 18-month, maternal, i...

  16. Teacher Preparation: A High Intensity Integrated Social Studies Summer Program in a Clinical Setting.

    ERIC Educational Resources Information Center

    Van Cleaf, David W.; And Others

    This paper describes and evaluates a summer program in teacher education--Summer Adventure in Learning (SAIL). The project's major objective was to help preservice teachers design educational materials which would improve the reading accuracy and comprehension of their students. Primary objectives of project SAIL were to provide field-based…

  17. In-space propellant systems safety. Volume 3: System safety analysis

    NASA Technical Reports Server (NTRS)

    1972-01-01

    The primary objective was to examine from a system safety viewpoint in-space propellant logistic elements and operations to define the potential hazards and to recommend means to reduce, eliminate or control them. A secondary objective was to conduct trade studies of specific systems or operations to determine the safest of alternate approaches.

  18. Curriculum Guide for Teachers of Educable Mentally Retarded -- Primary.

    ERIC Educational Resources Information Center

    Palm Beach County Board of Public Instruction, West Palm Beach, FL.

    Designed for use with primary level educable mentally handicapped children, the guide lists general objectives, gives a unit and a daily lesson plan on wise buying from the grocery or stationery store, and explains how to make experience charts. Over three-fourths of the guide consists of behavioral objectives with general objectives and terminal…

  19. Cosmogenic-nuclide production by primary cosmic-ray protons

    NASA Technical Reports Server (NTRS)

    Reedy, R. C.

    1985-01-01

    The production rates of cosmogenic nuclides were calculated for the primary protons in the galactic and solar cosmic rays. At 1 AU, the long-term average fluxes of solar protons usually produce many more atoms of cosmogenic nuclide than the primary protons in the galactic cosmic rays (GCR). Because the particle fluxes inside meteorites and other large objects in space include many secondary neutrons, the production rates and ratios inside large objects are often very different from those by just the primary GCR protons. It is possible to determine if a small object, was small in space or broken from a meteorite. Because heliospherical modulation and other interactions change the GCR particle spectrum, the production of cosmogenic nuclides by the GCR particles outside the heliosphere will be different from that by modulated GCR primaries.

  20. Phytotherapy in primary health care

    PubMed Central

    Antonio, Gisele Damian; Tesser, Charles Dalcanale; Moretti-Pires, Rodrigo Otavio

    2014-01-01

    OBJECTIVE To characterize the integration of phytotherapy in primary health care in Brazil. METHODS Journal articles and theses and dissertations were searched for in the following databases: SciELO, Lilacs, PubMed, Scopus, Web of Science and Theses Portal Capes, between January 1988 and March 2013. We analyzed 53 original studies on actions, programs, acceptance and use of phytotherapy and medicinal plants in the Brazilian Unified Health System. Bibliometric data, characteristics of the actions/programs, places and subjects involved and type and focus of the selected studies were analyzed. RESULTS Between 2003 and 2013, there was an increase in publications in different areas of knowledge, compared with the 1990-2002 period. The objectives and actions of programs involving the integration of phytotherapy into primary health care varied: including other treatment options, reduce costs, reviving traditional knowledge, preserving biodiversity, promoting social development and stimulating inter-sectorial actions. CONCLUSIONS Over the past 25 years, there was a small increase in scientific production on actions/programs developed in primary care. Including phytotherapy in primary care services encourages interaction between health care users and professionals. It also contributes to the socialization of scientific research and the development of a critical vision about the use of phytotherapy and plant medicine, not only on the part of professionals but also of the population. PMID:25119949

  1. Representation of Sound Objects within Early-Stage Auditory Areas: A Repetition Effect Study Using 7T fMRI

    PubMed Central

    Da Costa, Sandra; Bourquin, Nathalie M.-P.; Knebel, Jean-François; Saenz, Melissa; van der Zwaag, Wietske; Clarke, Stephanie

    2015-01-01

    Environmental sounds are highly complex stimuli whose recognition depends on the interaction of top-down and bottom-up processes in the brain. Their semantic representations were shown to yield repetition suppression effects, i. e. a decrease in activity during exposure to a sound that is perceived as belonging to the same source as a preceding sound. Making use of the high spatial resolution of 7T fMRI we have investigated the representations of sound objects within early-stage auditory areas on the supratemporal plane. The primary auditory cortex was identified by means of tonotopic mapping and the non-primary areas by comparison with previous histological studies. Repeated presentations of different exemplars of the same sound source, as compared to the presentation of different sound sources, yielded significant repetition suppression effects within a subset of early-stage areas. This effect was found within the right hemisphere in primary areas A1 and R as well as two non-primary areas on the antero-medial part of the planum temporale, and within the left hemisphere in A1 and a non-primary area on the medial part of Heschl’s gyrus. Thus, several, but not all early-stage auditory areas encode the meaning of environmental sounds. PMID:25938430

  2. Dermatoglyphics and Karyotype Analysis in Primary Amenorrhoea

    PubMed Central

    Sontakke, Bharat R; Waghmare, Jwalant E; Tarnekar, Aditya M; Shende, Moreshwar R; Pal, Asoke K

    2014-01-01

    Background: Dermatoglyphics is the scientific study of the skin ridge patterns on the fingers, toes, palms of the hands and soles of feet. Dermatoglyphics is in use as a supportive diagnostic tool in genetic or chromosomal disorders as well as in clinical conditions with genetic etiologies. Primary amenorrhoea and Dermatoglyphics, both have the suspected multifactorial (genetic and environmental) aetiologies. Objective: In the present study the finger dermatoglyphic patterns were studied in primary amenorrhoea cases and age matched fertile control females and also attention was given to find out whether a specific dermatoglyphic trait exists in primary amenorrhoea cases and whether it was statistically significant. Materials and Methods: To study the role of dermatoglyphics in primary amenorrhoea, a study was conducted on 30 subjects with primary amenorrhoea (as cases) and compared it with equal number of age matched fertile females (as controls). We studied fingertip patterns in all the subjects enrolled. Simultaneously we have assessed the Karyotype of primary amenorrhoea cases. Result and Conclusion: Two subjects in experimental group have shown abnormal Karyotypes. The most significant finding in present study was increased total finger ridge count (TFRC) in primary amenorrhoea cases which was statistically significant. We also found higher frequency of loops and arches in primary amenorrhoea with abnormal karyotypes. This type of study may be quite useful as a supportive investigation, in stating the predisposition of an individual to primary amenorrhoea and referral of an individual for karyotyping. PMID:25653930

  3. Methodology of phase II clinical trials in metastatic elderly breast cancer: a literature review.

    PubMed

    Cabarrou, B; Mourey, L; Dalenc, F; Balardy, L; Kanoun, D; Roché, H; Boher, J M; Rougé-Bugat, M E; Filleron, Thomas

    2017-08-01

    As the incidence of invasive breast cancer will increase with age, the number of elderly patients with a diagnosis metastatic breast cancer will also rise. But the use of cytotoxic drugs in elderly metastatic breast cancer patients is not systematic and is dreaded by medical oncologists. The need for prospective oncologic data from this population seems increasingly obvious. The main objective of this review is to investigate design and characteristics of phase II trials that assess activity and feasibility of chemotherapies in elderly advanced/metastatic breast cancer patients. An electronic search in PUBMED allowed us to retrieve articles published in English language on phase II trials in elderly metastatic breast cancer between January 2002 and May 2016. Sixteen publications were finally included in this review. The primary endpoint was a simple, a composite, and a co-primary endpoints in 11, three, and two studies, respectively. Efficacy was the primary objective in 15 studies: simple (n = 10), composite (n = 3), co-primary endpoints (n = 2). Composite or co-primary endpoints combined efficacy and toxicity. Thirteen studies used multistage designs. Only five studies evaluated the feasibility, i.e., to jointly assess efficacy and tolerance to treatment (toxicity, quality of life, etc) as primary endpoint. Development of elderly specific phase III clinical trials might be challenging, it therefore seems essential to conduct phase II clinical trials evaluating jointly efficacy and toxicity in a well-defined geriatric population. Use of multistage designs that take into account heterogeneity would allow to identify a subpopulation at interim analysis and to reduce the number of patients exposed to an inefficient or a toxic treatment regimen. It is crucial to evaluate new therapies (targeted therapies, immunotherapies) using adequate methodologies (Study design, endpoint).

  4. Hierarchical Robot Control System and Method for Controlling Select Degrees of Freedom of an Object Using Multiple Manipulators

    NASA Technical Reports Server (NTRS)

    Platt, Robert (Inventor); Wampler, II, Charles W. (Inventor); Abdallah, Muhammad E. (Inventor)

    2013-01-01

    A robotic system includes a robot having manipulators for grasping an object using one of a plurality of grasp types during a primary task, and a controller. The controller controls the manipulators during the primary task using a multiple-task control hierarchy, and automatically parameterizes the internal forces of the system for each grasp type in response to an input signal. The primary task is defined at an object-level of control, e.g., using a closed-chain transformation, such that only select degrees of freedom are commanded for the object. A control system for the robotic system has a host machine and algorithm for controlling the manipulators using the above hierarchy. A method for controlling the system includes receiving and processing the input signal using the host machine, including defining the primary task at the object-level of control, e.g., using a closed-chain definition, and parameterizing the internal forces for each of grasp type.

  5. Presentation Annotated

    NASA Technical Reports Server (NTRS)

    Ditto, Thomas

    2017-01-01

    This Report is not the latest word on an old idea but the first word on a new one. The new idea reverses the old one, the axiom that the best primary objective for an astronomical telescope exhibits the least chromatic aberration. That axiomatic distinction goes back to a young Isaac Newton who knew from experiments with prisms and mirrors in the 1660's that magnification with a reflection primary was completely free of the dispersion he saw with refraction. The superiority of reflection primary objectives for eyeball or photographic viewing is now considered obvious. It was this piece of wisdom on achromatic primary objectives that led to the dominance of the parabolic mirror as the means to collect star light. Newton was aware of the problem when he introduced his telescope to the scientific world in 1670.This Report is not the latest word on an old idea but the first word on a new one. The new idea reverses the old one, the axiom that the best primary objective for an astronomical telescope exhibits the least chromatic aberration. That axiomatic distinction goes back to a young Isaac Newton who knew from experiments with prisms and mirrors in the 1660's that magnification with a reflection primary was completely free of the dispersion he saw with refraction. The superiority of reflection primary objectives for eyeball or photographic viewing is now considered obvious. Actually, Newton's design innovation was in a secondary mirror, a plane mirror far more easily fabricated than Gregory's embodiment of 1663 which required two curved mirrors.

  6. Verbal Communication among Alzheimer’s Disease Patients, their Caregivers, and Primary Care Physicians during Primary Care Office Visits

    PubMed Central

    Schmidt, Karen L.; Lingler, Jennifer H.; Schulz, Richard

    2009-01-01

    Objective Primary care visits of patients with Alzheimer’s disease (AD) often involve communication among patients, family caregivers, and primary care physicians (PCPs). The objective of this study was to understand the nature of each individual’s verbal participation in these triadic interactions. Methods To define the verbal communication dynamics of AD care triads, we compared verbal participation (percent of total visit speech) by each participant in patient/caregiver/PCP triads. Twenty three triads were audio taped during a routine primary care visit. Rates of verbal participation were described and effects of patient cognitive status (MMSE score, verbal fluency) on verbal participation were assessed. Results PCP verbal participation was highest at 53% of total visit speech, followed by caregivers (31%) and patients (16%). Patient cognitive measures were related to patient and caregiver verbal participation, but not to PCP participation. Caregiver satisfaction with interpersonal treatment by PCP was positively related to caregiver’s own verbal participation. Conclusion Caregivers of AD patients and PCPs maintain active, coordinated verbal participation in primary care visits while patients participate less. Practice Implications Encouraging verbal participation by AD patients and their caregivers may increase the AD patient’s active role and caregiver satisfaction with primary care visits. PMID:19395224

  7. Development of a Knowledge Management Model for the Development of a Quality Public Sector Management System for the Office of the Primary Educational Service Area

    ERIC Educational Resources Information Center

    Khotbancha, Wijitra; Chantarasombat, Chalard; Sriampai, Anan

    2015-01-01

    The objectives of this research were: 1) to study the current situation and problem of Knowledge Management of the office of the primary education service area, 2) to develop a Knowledge Management model, 3) to study the success of the implementation of the Knowledge Management system. There were 25 persons in the target group. There were 2 kinds…

  8. Motions of Kepler circumbinary planets in restricted three-body problem under radiating primaries

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

    Dermawan, B., E-mail: budider@as.itb.ac.id; Hidayat, T., E-mail: taufiq@as.itb.ac.id; Huda, I. N., E-mail: ibnu.nurul@students.itb.ac.id

    2015-09-30

    By observing continuously a single field of view in the sky, Kepler mission reveals outstanding results on discoveries of exoplanets. One of its recent progress is the discoveries of circumbinary planets. A circumbinary planet is an exoplanet that moves around a binary system. In this study we investigate motions of Kepler circumbinary planets belong to six binary systems, namely Kepler-16, -34, -35, -38, -47, and -413. The motions are considered to follow the Restricted Three-Body Problem (RTBP). Because the primaries (central massive objects) are stars, they are both radiatives, while the planet is an infinitesimal object. The primaries move inmore » nearly circular and elliptic orbits with respect to their center of masses. We describe, in general, motions of the circumbinary planets in RTBP under radiating primaries. With respect to the averaged zero velocity curves, we show that motions of the exoplanets are stable, in accordance with their Hill stabilities.« less

  9. Policy Levers Key for Primary Health Care Organizations to Support Primary Care Practices in Meeting Medical Home Expectations: Comparing Leading States to the Australian Experience

    PubMed Central

    2016-01-01

    Abstract Several countries with highly ranked delivery systems have implemented locally-based, publicly-funded primary health care organizations (PHCOs) as vehicles to strengthen their primary care foundations. In the United States, state governments have started down a similar pathway with models that share similarities with international PHCOs. The objective of this study was to determine if these kinds of organizations were working with primary care practices to improve their ability to provide comprehensive, coordinated, and accessible patient-centered care that met quality, safety, and efficiency outcomes—all core attributes of a medical home. This qualitative study looked at 4 different PHCO models—3 from the United States and 1 from Australia—with similar objectives and scope. Primary and secondary data included semi-structured interviews with 26 PHCOs and a review of government documents. The study found that the 4 PHCO models were engaging practices to meet a number of medical home expectations, but the US PHCOs were more uniform in efforts to work with practices and focused on arranging services to meet the needs of complex patients. There was significant variation in level of effort between the Australian PHCOs. These differences can be explained through the state governments' selection of payment models and use of data frameworks to support collaboration and incentivize performance of both PHCOs and practices. These findings offer policy lessons to inform health reform efforts under way to better capitalize on the potential of PHCOs to support a high-functioning primary health foundation as an essential component to a reformed health system. PMID:26636485

  10. Renin angiotensin-aldosterone system (RAAS) blockers usage among type II diabetes mellitus patients-A Retrospective Study.

    PubMed

    Ng, Yen Ping; Balasubramanian, Ganesh Pandian; Heng, Yi Ping; Kalaiselvan, Meera; Teh, Yu Wen; Cheong, Kin Man; Hadi, Muhammad Faiz Bin Abdul; Othman, Rosmaliza Bt

    2018-05-01

    Recent data showed an alarming rise of new dialysis cases secondary to diabetic nephropathy despite the growing usage of RAAS blockers. Primary objective of this study is to explore the prevalence of RAAS blockers usage among type II diabetic patients, secondary objectives are to compare the prescribing pattern of RAAS blocker between primary and tertiary care center and to explore if the dose of RAAS blocker prescribed was at optimal dose as suggested by trials. This is a retrospective study conducted at one public tertiary referral hospital and one public health clinic in Sungai Petani, Kedah, Malaysia. RAAS blockers in T2DM patients was found to be 65%. In primary care, 14.3% of the RAAS blockers prescribed was ARB. Tertiary care had higher utilization of ARB, which was 42.9%. In primary care setting, the most commonly used ACEI were perindopril (92.4%) followed by enalapril (7.6%), meanwhile perindopril was the only ACEI being prescribed in tertiary care. The most prescribed ARB was irbesartan (63.6%) and telmisartan (54.2%) respectively in primary and tertiary care. Overall, 64.9% of RAAS blockers prescribed by both levels of care were found to be achieving the target dose as recommended in landmark trials. Crude odd ratio of prescribing RAAS blocker in primary care versus tertiary care was reported as 2.70 (95% CI: 1.49 to 4.91). RAAS blockers usage among T2DM patients was higher in primary care versus tertiary care settings. Majority of the patients did not receive optimal dose of RAAS blockers. Copyright © 2017 Diabetes India. Published by Elsevier Ltd. All rights reserved.

  11. SSS-A spacecraft and experiment description.

    NASA Technical Reports Server (NTRS)

    Longanecker, G. W.; Hoffman, R. A.

    1973-01-01

    The scientific objectives of the Explorer-45 mission are discussed. The primary objective is the study of the ring current responsible for the main phase of magnetic storms. Closely associated with this objective is the determination of the relationship between magnetic storms, substorms, and the acceleration of charged particles in the magnetosphere. Further objectives are the measurement of a wide range of proton, electron and alpha-particle energies, and studies of wave-particle interactions responsible for particle transport and loss in the inner magnetosphere. The orbital parameters, the spacecraft itself, and some of its unique features, such as the data handling system, which is programmable from the ground, are described.

  12. Sick-leave decisions for patients with severe subjective health complaints presenting in primary care: A cross-sectional study in Norway, Sweden, and Denmark

    PubMed Central

    2013-01-01

    Abstract Objectives The primary objective of this study was to explore whether general practitioners (GPs) in Norway, Sweden, and Denmark make similar or different decisions regarding sick leave for patients with severe subjective health complaints (SHC). The secondary objective was to investigate if patient diagnoses, the reasons attributed for patient complaints, and GP demographics could explain variations in sick leave decisions. Design A cross-sectional study. Method Video vignettes of GP consultations with nine different patients. Subjects 126 GPs in Norway, Sweden, and Denmark. Setting Primary care in Norway, Sweden, and Denmark. Main outcome measure Sick leave decisions made by GPs. Results “Psychological” diagnoses in Sweden were related to lower odds ratio (OR) of granting sick leave than in Norway (OR = 0.07; 95% CI = 0.01–0.83) Assessments of patient health, the risk of deterioration, and their ability to work predicted sick leave decisions. Specialists in general medicine grant significantly fewer sick leaves than non-specialists. Conclusion Sick-leave decisions made by GPs in the three countries were relatively similar. However, Swedish GPs were more reluctant to grant sick leave for patients with “psychological” diagnoses. Assessments regarding health-related factors were more important than diagnoses in sick-leave decisions. Specialist training may be of importance for sick-leave decisions. PMID:24164371

  13. Object-Based Visual Attention in 8-Month-Old Infants: Evidence from an Eye-Tracking Study

    ERIC Educational Resources Information Center

    Bulf, Hermann; Valenza, Eloisa

    2013-01-01

    Visual attention is one of the infant's primary tools for gathering relevant information from the environment for further processing and learning. The space-based component of visual attention in infants has been widely investigated; however, the object-based component of visual attention has received scarce interest. This scarcity is…

  14. Nondestructive evaluation of standing trees with a stress wave method.

    Treesearch

    Xiping Wang; Robert J. Ross; Michael McClellan; R. James Barbour; John R. Erickson; John W. Forsman; Gary D. McGinnis

    2001-01-01

    The primary objective of this study was to investigate the usefulness of a stress wave technique for evaluating wood strength and stiffness of young-growth western hemlock and Sitka spruce in standing trees. A secondary objective was to determine if the effects of silvicultural practices on wood quality can be identified using this technique. Stress wave measurements...

  15. Metabolic Syndrome, Obesity, and Related Risk Factors among College Men and Women

    ERIC Educational Resources Information Center

    Morrell, Jesse S.; Lofgren, Ingrid E.; Burke, Joanne D.; Reilly, Ruth A.

    2012-01-01

    Objectives: The primary objective of this study was to characterize the prevalence of overweight/obesity, metabolic syndrome (MbS) and its criteria, and nutrient intakes of college-age men and women via a large-scale screening. Participants and Methods: From August 2005 to July 2008, 2,722 subjects were recruited for the ongoing, cross-sectional…

  16. Effect of structured physical activity and nutritional supplementation on physical function in mobility-limited older adults: results from the VIVE2 randomized trial

    USDA-ARS?s Scientific Manuscript database

    Objectives: The interactions between nutritional supplementation and physical activity on changes in physical function among older adults remain unclear. The primary objective of this study was to examine the impact of nutritional supplementation plus structured physical activity on 400M walk capaci...

  17. Schoolyard Geographies: The Influence of Object-Play and Place-Making on Relationships

    ERIC Educational Resources Information Center

    Johnson, Paul

    2013-01-01

    The exploration of relationships between the physical characteristics of place and the activities that occur there is a fundamental question for geography (Patton 2002). This report is part of a larger case study documenting how the places, objects and practices in a naturalized primary school playground influenced a newly enrolled student's…

  18. Improving Organ Donor Registration Using Kiosks in Primary Care Clinics

    ERIC Educational Resources Information Center

    Salim, Ali; Berry, Cherisse; Ley, Eric J.; Schulman, Danielle; Anderson, Jacqueline; Navarro, Sonia; Zheng, Ling; Chan, Linda S.

    2015-01-01

    Objective: In the USA, organ donor shortage is especially pronounced among minority ethnic populations such as Hispanics, who are 60% less likely to donate compared to non-Hispanic Whites. Recent evidence suggests that US Hispanics may consent to organ donation via a registry within a doctor's office. The objective of this study was to investigate…

  19. Exploring the Clinical Utility of Relative Fundamental Frequency as an Objective Measure of Vocal Hyperfunction

    ERIC Educational Resources Information Center

    Roy, Nelson; Fetrow, Rebecca A.; Merrill, Ray M.; Dromey, Christopher

    2016-01-01

    Purpose: Vocal hyperfunction, related to abnormal laryngeal muscle activity, is considered the proximal cause of primary muscle tension dysphonia (pMTD). Relative fundamental frequency (RFF) has been proposed as an objective acoustic marker of vocal hyperfunction. This study examined (a) the ability of RFF to track changes in vocal hyperfunction…

  20. Prevalence, Patterns, and Predictors of Sleep Problems and Daytime Sleepiness in Young Adolescents with Attention-Deficit/Hyperactivity Disorder

    ERIC Educational Resources Information Center

    Langberg, Joshua M.; Molitor, Stephen J.; Oddo, Lauren E.; Eadeh, Hana-May; Dvorsky, Melissa R.; Becker, Stephen P.

    2017-01-01

    Objective: The primary objective of this study was to evaluate the prevalence of multiple types of sleep problems in young adolescents with ADHD. Method: 262 adolescents comprehensively diagnosed with ADHD and their caregivers completed well-validated measures of sleep problems and daytime sleepiness. Participants also completed measures related…

  1. Studying Absenteeism in Principles of Macroeconomics: Do Attendance Policies Make a Difference?

    ERIC Educational Resources Information Center

    Self, Sharmistha

    2012-01-01

    The primary objective of this article is to see if and how attendance policy influences class attendance in undergraduate-level principles of macroeconomics classes. The second objective, which is related to the first, is to examine whether the nature of the attendance policy matters in terms of its impact on class attendance behavior. The results…

  2. Using a Review Book to Improve Knowledge Retention

    ERIC Educational Resources Information Center

    Elmas, Ridvan; Aydogdu, Bülent; Saban, Yakup

    2017-01-01

    This study has two primary objectives. The first one is preparation of an efficient review book including a series of activities, which will help fourth grade students exercise what they learned in the elementary science course in a year. The second objective is examination of the prepared book in the framework of student and teacher opinions. In…

  3. Travtek Evaluation Task C3: Camera Car Study

    DOT National Transportation Integrated Search

    1998-11-01

    A "biometric" technology is an automatic method for the identification, or identity verification, of an individual based on physiological or behavioral characteristics. The primary objective of the study summarized in this tech brief was to make reco...

  4. The Impact of Sleep-Related Attentional Bias on Polysomnographically Measured Sleep in Primary Insomnia

    PubMed Central

    Spiegelhalder, Kai; Kyle, Simon D.; Feige, Bernd; Prem, Martin; Nissen, Christoph; Espie, Colin A.; Riemann, Dieter

    2010-01-01

    Study Objectives: Although sleep-related attentional bias has been shown to be evident in primary insomnia, the association with objectively measured sleep has not been investigated. In the present study, we used polysomnography (PSG) to fill this void. Design: Patients with primary insomnia and healthy controls were studied using a visual dot probe task (VDP) and an emotional Stroop task (EST). Additionally, polysomnography was carried out in a sub-sample (n = 22) of patients in the subsequent night. Setting: Department of Psychiatry and Psychotherapy of the University of Freiburg Medical Center. Participants: Thirty patients with primary insomnia and 30 matched healthy controls. Interventions: N/A Measurements and Results: Patients with primary insomnia demonstrated a significant sleep-related attentional bias compared to controls in the EST but no significant group effects were found for the VDP. VDP attentional bias scores were positively correlated with measures of sleep pressure, including total sleep time, sleep efficiency, and the amount of slow wave sleep. EST attentional bias scores were not correlated with subsequent PSG parameters, and we did not observe a correlation between attentional bias scores on the two tasks. Conclusions: The unexpected relationship between increased attentional bias, in the VDP task, and improved markers of sleep duration and continuity, may be indicative of a homeostatic craving for sleep in those with high attentional bias. This awaits further testing in multiple night studies, to shed light on the mechanisms and implications of sleep-related attentional bias. Citation: Spiegelhalder K; Kyle SD; Feige B; Prem M; Nissen C; Espie CA; Riemann D. The impact of sleep-related attentional bias on polysomnographically measured sleep in primary insomnia. SLEEP 2010;33(1):107-112. PMID:20120627

  5. Iridotomy to slow progression of angle-closure glaucoma

    PubMed Central

    Le, Jimmy T; Rouse, Benjamin; Gazzard, Gus

    2016-01-01

    This is the protocol for a review and there is no abstract. The objectives are as follows: The primary objective is to assess the role of iridotomy-compared with observation-in the prevention of visual field loss for individuals who have primary angle closure or primary angle-closure glaucoma in at least one eye. We will also examine the role of iridotomy in the prevention of elevated intraocular pressure (IOP) in individuals with narrow angles (primary angle-closure suspect) in at least one eye. PMID:27551238

  6. Primary Teachers' Conceptions about the Concept of Volume: The Case of Volume-Measurable Objects

    ERIC Educational Resources Information Center

    Saiz, Mariana

    2003-01-01

    In this paper part of the results obtained by a research project called "Primary Teachers' Thinking about the Concept of Volume and its Teaching", performed from 1997 to 2001, are reported. This paper focuses in one of the two main objectives of the aforementioned research: To describe the mental object volume of the participant…

  7. Content knowledge of prospective elementary school teacher for fractional concepts

    NASA Astrophysics Data System (ADS)

    Pattimukay, N.; Juniati, D.; Budiarto, M. T.

    2018-03-01

    The aim of this study was to describe the content knowledge especially the concept of fraction of prospective elementary school teacher. The purpose of this study is to describe the content knowledge, especially the concept of fraction of prospective elementary school teacher. The subject of the study was one of prospective elementary school teacher of Pattimura University. This research is qualitative research. Data were collected through the provision of tests to explore the knowledge content of primary school teacher candidates about fractional concepts. Then continued with qualitative data analysis. The results of this study are as follows: that the prospective primary school teacher defines fractions as part of the whole if an object is divided into equal parts, so that the part that has been divided is part of the whole. Furthermore, the prospective elementary school teacher understood the fractions as division shown in two ways, namely the prospective elementary school teacher understood the fraction as a division operation, the primary school teacher candidate interpreted the fraction as a division when an object is divided be part of the same. Meanwhile, the fraction as a ratio is interpreted as the relationship between a pair of numbers. Then, the denominations are interpreted as a ratio between the numerator and the denominator of the same value. The prospective elementary school teacher also understands fractions of value when simplifying fractions. Primary school teacher candidates understand the concept of fractional operations.

  8. Nuclear density evaluation on asphaltic concrete: final report.

    DOT National Transportation Integrated Search

    1967-04-01

    This study was one of two studies designated as Research Project 62-1SB to evaluate the use of nuclear devices in highway construction. (1) The primary objective of this study was to evaluate a nuclear density device for obtaining densities on asphal...

  9. Primary care models for treating opioid use disorders: What actually works? A systematic review

    PubMed Central

    Klasa, Katarzyna; Bush, Christopher; Heisler, Michele; Chopra, Vineet; Bohnert, Amy

    2017-01-01

    Background Primary care-based models for Medication-Assisted Treatment (MAT) have been shown to reduce mortality for Opioid Use Disorder (OUD) and have equivalent efficacy to MAT in specialty substance treatment facilities. Objective The objective of this study is to systematically analyze current evidence-based, primary care OUD MAT interventions and identify program structures and processes associated with improved patient outcomes in order to guide future policy and implementation in primary care settings. Data sources PubMed, EMBASE, CINAHL, and PsychInfo. Methods We included randomized controlled or quasi experimental trials and observational studies evaluating OUD treatment in primary care settings treating adult patient populations and assessed structural domains using an established systems engineering framework. Results We included 35 interventions (10 RCTs and 25 quasi-experimental interventions) that all tested MAT, buprenorphine or methadone, in primary care settings across 8 countries. Most included interventions used joint multi-disciplinary (specialty addiction services combined with primary care) and coordinated care by physician and non-physician provider delivery models to provide MAT. Despite large variability in reported patient outcomes, processes, and tasks/tools used, similar key design factors arose among successful programs including integrated clinical teams with support staff who were often advanced practice clinicians (nurses and pharmacists) as clinical care managers, incorporating patient “agreements,” and using home inductions to make treatment more convenient for patients and providers. Conclusions The findings suggest that multidisciplinary and coordinated care delivery models are an effective strategy to implement OUD treatment and increase MAT access in primary care, but research directly comparing specific structures and processes of care models is still needed. PMID:29040331

  10. What Looks Like a Jiggy but Acts like a Zimbo?: A Study of Early Word Meaning Using Artificial Objects. Papers and Reports on Child Language Development, Number 15.

    ERIC Educational Resources Information Center

    Gentner, Dedre

    A major concern in recent research is whether perceptual or functional information is of primary importance in children's early word meanings. In the study described here, artificial objects were used so that form and function could be independently manipulated. There were 57 subjects, ranging in age from 2.5 years to adulthood. The subjects were…

  11. Unintended knowledge learnt in primary science practical lessons

    NASA Astrophysics Data System (ADS)

    Park, Jisun; Abrahams, Ian; Song, Jinwoong

    2016-11-01

    This study explored the different kinds of unintended learning in primary school practical science lessons. In this study, unintended learning has been defined as student learning that was found to occur that was not included in the teachers learning objectives for that specific lesson. A total of 22 lessons, taught by five teachers in Korean primary schools with 10- to 12-year-old students, were audio-and video recorded. Pre-lesson interviews with the teachers were conducted to ascertain their intended learning objectives. Students were asked to write short memos after the lesson about what they learnt. Post-lesson interviews with students and teachers were undertaken. What emerged was that there were three types of knowledge that students learnt unintentionally: factual knowledge gained by phenomenon-based reasoning, conceptual knowledge gained by relation- or model-based reasoning, and procedural knowledge acquired by practice. Most unintended learning found in this study fell into the factual knowledge and only a few cases of conceptual knowledge were found. Cases of both explicit procedural knowledge and implicit procedural knowledge were found. This study is significant in that it suggests how unintended learning in practical work can be facilitated as an educative opportunity for meaningful learning by exploring what and how students learnt.

  12. Comprehensive shear wave velocity study in the Popular Bluff Area, Southeast Missouri.

    DOT National Transportation Integrated Search

    2005-04-30

    The University of Missouri-Rolla in collaboration with the Missouri Department of Transportation acquired : multiple geophysical, geotechnical and borehole data sets in the Poplar Bluff study area. The primary objective : was to evaluate the utility ...

  13. Characterization of manufactured TiO2 nanoparticles

    NASA Astrophysics Data System (ADS)

    Motzkus, C.; Macé, T.; Vaslin-Reimann, S.; Ausset, P.; Maillé, M.

    2013-04-01

    Technological advances in nanomaterials have allowed the development of new applications in industry, increasing the probability of finding airborne manufactured and engineered nano-objects in the workplace, as well as in ambient air. Scientific studies on health and environmental risks have indicated that airborne nano-objects in ambient air have potential adverse effects on the health of exposed workers and the general population. For regulatory purposes, ambient measurements of particulate matter are based on the determination of mass concentrations for PM10 and PM2.5, as regulated in the European Directive 2008/50/EC. However, this legislation is not suitable for airborne manufactured and engineered nano-objects. Parameters characterising ultrafine particles, such as particle number concentration and size distribution, are under consideration for future health-based legislation, to monitor workplaces and to control industrial processes. Currently, there are no existing regulations covering manufactured airborne nano-objects. There is therefore a clear, unaddressed need to focus on the toxicology and exposure assessment of nano-objects such as titanium dioxide (TiO2), which are manufactured and engineered in large quantities in industry. To perform reliable toxicology studies it is necessary to determine the relevant characteristics of nano-objects, such as morphology, surface area, agglomeration, chemical composition, particle size and concentration, by applying traceable methods. Manufacturing of nanomaterials, and their use in industrial applications, also require traceable characterisation of the nanomaterials, particularly for quality control of the process. The present study arises from the OECD WPMN sponsorship programme, supported by the French Agency for Environmental and Occupational Health Safety (ANSES), in order to develop analytical methods for the characterization of TiO2 nanoparticles in size and count size distribution, based on different techniques to characterize five different manufactured TiO2 nanoparticles. In this study, different measurement techniques have been implemented: Transmission Electron Microscopy (TEM), Scanning Mobility Particle Sizer (SMPS) and Aerodynamic Particle Sizer (APS). The TEM results lead to a relatively good agreement between data from the manufacturer and our characterizations of primary particle size. With regard to the dustiness, the results show a strong presence of agglomerates / aggregates of primary particles and a significant presence of emitted airborne nanoparticles with a diameter below 100 nm (composed of isolated primary particles and small aggregates / agglomerates formed from a few primary particles): the number proportion of these particles varies from 0 to 44 % in the measurement range 14-360 nm depending on the types of powders and corrections of measurements.

  14. Hydrodynamics and Eutrophication Model Study of Indian River and Rehoboth Bay, Delaware

    DTIC Science & Technology

    1994-05-01

    Station, Vicksburg, MS. V Chapter I: Introduction The Study System Indian River and Rehoboth Bay (Figure 1-1) are two water bodies that form part of the...and mass trans- port throughout the system . Objectives The primary objective of this study is to provide a hydrodynamic/ water quality model packge of...portion opens out into Indian River Bay (Figure 3-1). The cooling water diversion was included in the hydrodynamic model. Flow through the power plant, at

  15. A Treatment Stage Specific Approach to Improving Quality of Life for Women with Ovarian Cancer

    DTIC Science & Technology

    2005-10-01

    This study focuses on quality of life among women with ovarian cancer. The primary objective of the study is to identify the issues that are of...repeated measures design will be used to assess changes in problem areas and quality of life from diagnosis to recurrence among women newly diagnosed with...objectives are of the study are as follows: (1) to assess changes in quality of life (as quantified by the FACT-O questionnaire) across the different

  16. Neurology of anomia in the semantic variant of primary progressive aphasia

    PubMed Central

    Rogalski, Emily; Wieneke, Christina; Cobia, Derin; Rademaker, Alfred; Thompson, Cynthia; Weintraub, Sandra

    2009-01-01

    The semantic variant of primary progressive aphasia (PPA) is characterized by the combination of word comprehension deficits, fluent aphasia and a particularly severe anomia. In this study, two novel tasks were used to explore the factors contributing to the anomia. The single most common factor was a blurring of distinctions among members of a semantic category, leading to errors of overgeneralization in word–object matching tasks as well as in word definitions and object descriptions. This factor was more pronounced for natural kinds than artifacts. In patients with the more severe anomias, conceptual maps were more extensively disrupted so that inter-category distinctions were as impaired as intra-category distinctions. Many objects that could not be named aloud could be matched to the correct word in patients with mild but not severe anomia, reflecting a gradual intensification of the semantic factor as the naming disorder becomes more severe. Accurate object descriptions were more frequent than accurate word definitions and all patients experienced prominent word comprehension deficits that interfered with everyday activities but no consequential impairment of object usage or face recognition. Magnetic resonance imaging revealed three characteristics: greater atrophy of the left hemisphere; atrophy of anterior components of the perisylvian language network in the superior and middle temporal gyri; and atrophy of anterior components of the face and object recognition network in the inferior and medial temporal lobes. The left sided asymmetry and perisylvian extension of the atrophy explains the more profound impairment of word than object usage and provides the anatomical basis for distinguishing the semantic variant of primary progressive aphasia from the partially overlapping group of patients that fulfil the widely accepted diagnostic criteria for semantic dementia. PMID:19506067

  17. Neurology of anomia in the semantic variant of primary progressive aphasia.

    PubMed

    Mesulam, Marsel; Rogalski, Emily; Wieneke, Christina; Cobia, Derin; Rademaker, Alfred; Thompson, Cynthia; Weintraub, Sandra

    2009-09-01

    The semantic variant of primary progressive aphasia (PPA) is characterized by the combination of word comprehension deficits, fluent aphasia and a particularly severe anomia. In this study, two novel tasks were used to explore the factors contributing to the anomia. The single most common factor was a blurring of distinctions among members of a semantic category, leading to errors of overgeneralization in word-object matching tasks as well as in word definitions and object descriptions. This factor was more pronounced for natural kinds than artifacts. In patients with the more severe anomias, conceptual maps were more extensively disrupted so that inter-category distinctions were as impaired as intra-category distinctions. Many objects that could not be named aloud could be matched to the correct word in patients with mild but not severe anomia, reflecting a gradual intensification of the semantic factor as the naming disorder becomes more severe. Accurate object descriptions were more frequent than accurate word definitions and all patients experienced prominent word comprehension deficits that interfered with everyday activities but no consequential impairment of object usage or face recognition. Magnetic resonance imaging revealed three characteristics: greater atrophy of the left hemisphere; atrophy of anterior components of the perisylvian language network in the superior and middle temporal gyri; and atrophy of anterior components of the face and object recognition network in the inferior and medial temporal lobes. The left sided asymmetry and perisylvian extension of the atrophy explains the more profound impairment of word than object usage and provides the anatomical basis for distinguishing the semantic variant of primary progressive aphasia from the partially overlapping group of patients that fulfil the widely accepted diagnostic criteria for semantic dementia.

  18. Initiation into Teaching from the Perspective of Primary School Teachers: Differences between Newly Qualified and Experienced Teachers

    ERIC Educational Resources Information Center

    Rodríguez, Ruth Cañón; Mayo, Isabel Cantón; Gago, Ana Rosa Arias; Álvarez, Roberto Baelo

    2017-01-01

    This study consists of an investigation into the experiences of new teachers in primary education in the province of León, during their initiation into teaching. The objective was to explore how they experience this stage, and to recognize the training needs that exist along with the degree of motivation and satisfaction expressed with the…

  19. Effects of application of mill-generated primary sludge and boiler ash on loblolly pine survival and growth

    Treesearch

    Emily J. Goodwin; Andrew M. Burrow

    2006-01-01

    Use of Kraft primary sludge and boiler ash in forest production systems holds promise as a cost-effective alternative to landfilling. From a soil quality perspective, particularly in coarse-textured sandy soils, increases in organic matter content from inputs of sludge/ash may improve soil chemical, biological, and physical properties. The objective of this study was...

  20. Childhood Emotional Abuse and Neglect as Predictors of Psychological and Physical Symptoms in Women Presenting to a Primary Care Practice

    ERIC Educational Resources Information Center

    Spertus, Ilyse L.; Yehuda, Rachel; Wong, Cheryl M.; Halligan, Sarah; Seremetis, Stephanie V.

    2003-01-01

    Objective: There were two aims to this study: first to examine whether emotional abuse and neglect are significant predictors of psychological and somatic symptoms, and lifetime trauma exposure in women presenting to a primary care practice, and second to examine the strength of these relationships after controlling for the effects of other types…

  1. Primary Prevention of Parent-Child Conflict and Abuse in Iranian Mothers: A Randomized-Controlled Trial

    ERIC Educational Resources Information Center

    Oveisi, Sonia; Ardabili, Hassan Eftekhare; Dadds, Mark R.; Majdzadeh, Reza; Mohammadkhani, Parvaneh; Rad, Javad Alaqband; Shahrivar, Zahra

    2010-01-01

    Objective: The aim of this study was to assess whether primary health care settings can be used to engage and provide a preventive intervention to mothers of young children. Methods: Two hundred and twenty-four mothers who had come to the health centers were randomly assigned to either control group (CG: n=116) or intervention group (IG: n = 108).…

  2. "If Michael Owen Drinks It, Why Can't I? "--9 and 10 Year Olds' Perceptions of Physical Activity and Healthy Eating

    ERIC Educational Resources Information Center

    Gosling, Rachael; Stanistreet, Debbi; Swami, Viren

    2008-01-01

    Objective: To explore the perceptions of physical activity and healthy eating among children from two north west of England primary schools, with the ultimate aim of improving healthy lifestyle choices. Design: A qualitative study in which each child participated in two focus groups. Setting: Two primary schools in a deprived ward of Warrington,…

  3. Comparison of the Core Primary Curriculum in England to Those of Other High Performing Countries. Research Report DCSF-RW048

    ERIC Educational Resources Information Center

    Ruddock, Graham; Sainsbury, Marian

    2008-01-01

    This study looks at the curricula for mathematics, science and literacy, comparing England's curricula with those of other countries based on performance in international comparative surveys. The main objective was to answer the question: How does the content of the Primary Curriculum in England at Key stage 2 compare in literacy, math and science…

  4. A synthesis study of noncontact nondestructive evaluation of top-down cracking in asphalt pavements.

    DOT National Transportation Integrated Search

    2013-12-01

    The primary objective of this research study was to conduct an extensive literature review on top-down : cracking evaluation studies, prepare a synthesis of findings, and recommend a follow up phase for a : pilot study in Mississippi with a candidate...

  5. Distinct functional contributions of primary sensory and association areas to audiovisual integration in object categorization.

    PubMed

    Werner, Sebastian; Noppeney, Uta

    2010-02-17

    Multisensory interactions have been demonstrated in a distributed neural system encompassing primary sensory and higher-order association areas. However, their distinct functional roles in multisensory integration remain unclear. This functional magnetic resonance imaging study dissociated the functional contributions of three cortical levels to multisensory integration in object categorization. Subjects actively categorized or passively perceived noisy auditory and visual signals emanating from everyday actions with objects. The experiment included two 2 x 2 factorial designs that manipulated either (1) the presence/absence or (2) the informativeness of the sensory inputs. These experimental manipulations revealed three patterns of audiovisual interactions. (1) In primary auditory cortices (PACs), a concurrent visual input increased the stimulus salience by amplifying the auditory response regardless of task-context. Effective connectivity analyses demonstrated that this automatic response amplification is mediated via both direct and indirect [via superior temporal sulcus (STS)] connectivity to visual cortices. (2) In STS and intraparietal sulcus (IPS), audiovisual interactions sustained the integration of higher-order object features and predicted subjects' audiovisual benefits in object categorization. (3) In the left ventrolateral prefrontal cortex (vlPFC), explicit semantic categorization resulted in suppressive audiovisual interactions as an index for multisensory facilitation of semantic retrieval and response selection. In conclusion, multisensory integration emerges at multiple processing stages within the cortical hierarchy. The distinct profiles of audiovisual interactions dissociate audiovisual salience effects in PACs, formation of object representations in STS/IPS and audiovisual facilitation of semantic categorization in vlPFC. Furthermore, in STS/IPS, the profiles of audiovisual interactions were behaviorally relevant and predicted subjects' multisensory benefits in performance accuracy.

  6. Introducing Pre-university Students to Primary Scientific Literature Through Argumentation Analysis

    NASA Astrophysics Data System (ADS)

    Koeneman, Marcel; Goedhart, Martin; Ossevoort, Miriam

    2013-10-01

    Primary scientific literature is one of the most important means of communication in science, written for peers in the scientific community. Primary literature provides an authentic context for showing students how scientists support their claims. Several teaching strategies have been proposed using (adapted) scientific publications, some for secondary education, but none of these strategies focused specifically on scientific argumentation. The purpose of this study is to evaluate a strategy for teaching pre-university students to read unadapted primary scientific literature, translated into students' native language, based on a new argumentation analysis framework. This framework encompasses seven types of argumentative elements: motive, objective, main conclusion, implication, support, counterargument and refutation. During the intervention, students studied two research articles. We monitored students' reading comprehension and their opinion on the articles and activities. After the intervention, we measured students' ability to identify the argumentative elements in a third unadapted and translated research article. The presented framework enabled students to analyse the article by identifying the motive, objective, main conclusion and implication and part of the supports. Students stated that they found these activities useful. Most students understood the text on paragraph level and were able to read the article with some help for its vocabulary. We suggest that primary scientific literature has the potential to show students important aspects of the scientific process and to learn scientific vocabulary in an authentic context.

  7. A landscape plan based on historical fire regimes for a managed forest ecosystem: the Augusta Creek study.

    Treesearch

    John H. Cissel; Frederick J. Swanson; Gordon E. Grant; Deanna H. Olson; Gregory V. Stanley; Steven L. Garman; Linda R. Ashkenas; Matthew G. Hunter; Jane A. Kertis; James H. Mayo; Michelle D. McSwain; Sam G. Swetland; Keith A. Swindle; David O. Wallin

    1998-01-01

    The Augusta Creek project was initiated to establish and integrate landscape and watershed objectives into a landscape plan to guide management activities within a 7600-hectare (19,000-acre) planning area in western Oregon. Primary objectives included the maintenance of native species, ecosystem processes and structures, and long-term ecosystem productivity in a...

  8. Small Schools Mathematics Curriculum, K-3: Reading, Language Arts, Mathematics, Science, Social Studies. Scope, Objectives, Activities, Resources, Monitoring Procedures.

    ERIC Educational Resources Information Center

    Hartl, David, Ed.; And Others

    Developed during 1975-76 by 40 primary teachers and 10 elementary principals from 12 small school districts in 2 Washington counties and first used during 1976-77 in more than 20 districts, this K-3 mathematics curriculum is designed to assist district compliance with Washington's Student Learning Objectives (SLO) Law, which requires…

  9. ANALYSIS OF METEOROLOGICAL CONDITIONS DURING THE 1977 ANCLOTE KEYS PLUME STUDY

    EPA Science Inventory

    Meteorological conditions are described and analyzed for nine experimental observation periods of the Anclote Keys Plume Study, which was conducted near Tampa, Florida during February 1977. The primary objective of the Plume Study was to investigate both the short and long range ...

  10. An evaluation of energy conservation measures utilized by public transit systems : a case study in Texas

    DOT National Transportation Integrated Search

    1995-07-01

    The primary focus of this study was to emphasize transit system energy characteristics by examining the vehicle characteristics, right-of-way charactertistics and the operational aspects of the services. The objectives : of this study were to become ...

  11. Seismic design of passive tuned mass damper parameters using active control algorithm

    NASA Astrophysics Data System (ADS)

    Chang, Chia-Ming; Shia, Syuan; Lai, Yong-An

    2018-07-01

    Tuned mass dampers are a widely-accepted control method to effectively reduce the vibrations of tall buildings. A tuned mass damper employs a damped harmonic oscillator with specific dynamic characteristics, thus the response of structures can be regulated by the additive dynamics. The additive dynamics are, however, similar to the feedback control system in active control. Therefore, the objective of this study is to develop a new tuned mass damper design procedure based on the active control algorithm, i.e., the H2/LQG control. This design facilitates the similarity of feedback control in the active control algorithm to determine the spring and damper in a tuned mass damper. Given a mass ratio between the damper and structure, the stiffness and damping coefficient of the tuned mass damper are derived by minimizing the response objective function of the primary structure, where the structural properties are known. Varying a single weighting in this objective function yields the optimal TMD design when the minimum peak in the displacement transfer function of the structure with the TMD is met. This study examines various objective functions as well as derives the associated equations to compute the stiffness and damping coefficient. The relationship between the primary structure and optimal tuned mass damper is parametrically studied. Performance is evaluated by exploring the h2-and h∞-norms of displacements and accelerations of the primary structure. In time-domain analysis, the damping effectiveness of the tune mass damper controlled structures is investigated under impulse excitation. Structures with the optimal tuned mass dampers are also assessed under seismic excitation. As a result, the proposed design procedure produces an effective tuned mass damper to be employed in a structure against earthquakes.

  12. Block 2 Solid Rocket Motor (SRM) conceptual design study. Volume 1: Appendices

    NASA Technical Reports Server (NTRS)

    1986-01-01

    The design studies task implements the primary objective of developing a Block II Solid Rocket Motor (SRM) design offering improved flight safety and reliability. The SRM literature was reviewed. The Preliminary Development and Validation Plan is presented.

  13. Evaluation of intersection countermeasures on high-speed rural multi-lane facilities.

    DOT National Transportation Integrated Search

    2012-01-01

    The primary objective of this study is the evaluation of the effectiveness of several proposed safety : treatments at two intersections in Habersham County, Georgia. The intersections selected for this study had high : crash rates leading to a Georgi...

  14. Management of Simple Clavicle Fractures by Primary Care Physicians.

    PubMed

    Stepanyan, Hayk; Gendelberg, David; Hennrikus, William

    2017-05-01

    The clavicle is the most commonly fractured bone. Children with simple fractures are often referred to orthopedic surgeons by primary care physician to ensure adequate care. The objective of this study was to show that simple clavicle fractures have excellent outcomes and are within the scope of primary care physician's practice. We performed a retrospective chart review of 16 adolescents with simple clavicle fractures treated with a sling. Primary outcomes were bony union, pain, and function. The patients with simple clavicle fractures had excellent outcomes with no complications or complaints of pain or restriction of their activities of daily living. The outcomes are similar whether treated by an orthopedic surgeon or a primary care physician. The cost to society and the patient is less when the primary care physician manages the fracture. Therefore, primary care physicians should manage simple clavicle fractures.

  15. LESSONS LEARNED FROM FOUR EXPOSURE PANEL STUDIES: THE U.S. EPA'S PARTICULATE MATTER STUDIES INVOLVING ELDERLY COHORTS

    EPA Science Inventory

    The U.S. Environmental Protection Agency and its collaborators are conducting a series of human exposure panel studies on elderly (65+ years) subpopulations. The primary objectives of these studies are

    -To determine personal and indoor exposures to particles and relate...

  16. ADHD in the Arab World: A Review of Epidemiologic Studies

    ERIC Educational Resources Information Center

    Farah, Lynn G.; Fayyad, John A.; Eapen, Valsamma; Cassir,Youmna; Salamoun, Mariana M.; Tabet, Caroline C.; Mneimneh, Zeina N.; Karam, Elie G.

    2009-01-01

    Objective: Epidemiological studies on psychiatric disorders are quite rare in the Arab World. This article reviews epidemiological studies on ADHD in all the Arab countries. Method: All epidemiological studies on ADHD conducted from 1966 through th present were reviewed. Samples were drawn from the general community, primary care clinical…

  17. Colorado Longitudinal Twin Study of Reading Disability

    ERIC Educational Resources Information Center

    Wadsworth, Sally J.; DeFries, John C.; Olson, Richard K.; Willcutt, Erik G.

    2007-01-01

    The primary objectives of the present study are to introduce the Colorado Longitudinal Twin Study of Reading Disability, the first longitudinal twin study in which subjects have been specifically selected for having a history of reading difficulties, and to present some initial assessments of the stability of reading performance and cognitive…

  18. 10 CFR 4.13 - Employment practices.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... practices. (a) Where a primary objective of the Federal financial assistance to a program to which this... compensation, and use of facilities), including programs where a primary objective of the Federal financial... commencement or continuation of their education or training, or (2) to provide work experience which...

  19. Fast Appearance Modeling for Automatic Primary Video Object Segmentation.

    PubMed

    Yang, Jiong; Price, Brian; Shen, Xiaohui; Lin, Zhe; Yuan, Junsong

    2016-02-01

    Automatic segmentation of the primary object in a video clip is a challenging problem as there is no prior knowledge of the primary object. Most existing techniques thus adapt an iterative approach for foreground and background appearance modeling, i.e., fix the appearance model while optimizing the segmentation and fix the segmentation while optimizing the appearance model. However, these approaches may rely on good initialization and can be easily trapped in local optimal. In addition, they are usually time consuming for analyzing videos. To address these limitations, we propose a novel and efficient appearance modeling technique for automatic primary video object segmentation in the Markov random field (MRF) framework. It embeds the appearance constraint as auxiliary nodes and edges in the MRF structure, and can optimize both the segmentation and appearance model parameters simultaneously in one graph cut. The extensive experimental evaluations validate the superiority of the proposed approach over the state-of-the-art methods, in both efficiency and effectiveness.

  20. Testing Activity Monitors’ Effect on Health: Study Protocol for a Randomized Controlled Trial Among Older Primary Care Patients

    PubMed Central

    Ottenbacher, Kenneth J; Fisher, Steve R; Jennings, Kristofer; Brown, Arleen F; Swartz, Maria C; Lyons, Elizabeth J

    2016-01-01

    Background Cardiovascular disease is the leading cause of mortality in the United States. Maintaining healthy levels of physical activity is critical to cardiovascular health, but many older adults are inactive. There is a growing body of evidence linking low motivation and inactivity. Standard behavioral counseling techniques used within the primary care setting strive to increase motivation, but often do not emphasize the key component of self-control. The addition of electronic activity monitors (EAMs) to counseling protocols may provide more effective behavior change and increase overall motivation for exercise through interactive self-monitoring, feedback, and social support from other users. Objective The objective of the study is to conduct a three month intervention trial that will test the feasibility of adding an EAM system to brief counseling within a primary care setting. Participants (n=40) will be randomized to receive evidence-based brief counseling plus either an EAM or a pedometer. Methods Throughout the intervention, we will test its feasibility and acceptability, the change in primary outcomes (cardiovascular risk and physical activity), and the change in secondary outcomes (adherence, weight and body composition, health status, motivation, physical function, psychological feelings, and self-regulation). Upon completion of the intervention, we will also conduct focus groups with the participants and with primary care stakeholders. Results The study started recruitment in October 2015 and is scheduled to be completed by October 2016. Conclusions This project will lay the groundwork and establish the infrastructure for intervention refinement and ultimately translation within the primary care setting in order to prevent cardiovascular disease on a population level. Trial Registration ClinicalTrails.gov NCT02554435; https://clinicaltrials.gov/ct2/show/NCT02554435 (Archived by WebCite at http://www.webcitation/6fUlW5tdT) PMID:27129602

  1. Primary Surgery vs Radiotherapy for Early Stage Oral Cavity Cancer.

    PubMed

    Ellis, Mark A; Graboyes, Evan M; Wahlquist, Amy E; Neskey, David M; Kaczmar, John M; Schopper, Heather K; Sharma, Anand K; Morgan, Patrick F; Nguyen, Shaun A; Day, Terry A

    2018-04-01

    Objective The goal of this study is to determine the effect of primary surgery vs radiotherapy (RT) on overall survival (OS) in patients with early stage oral cavity squamous cell carcinoma (OCSCC). In addition, this study attempts to identify factors associated with receiving primary RT. Study Design Retrospective cohort study. Setting National Cancer Database (NCDB, 2004-2013). Subjects and Methods Reviewing the NCDB from 2004 to 2013, patients with early stage I to II OCSCC were identified. Kaplan-Meier estimates of survival, Cox regression analysis, and propensity score matching were used to examine differences in OS between primary surgery and primary RT. Multivariable logistic regression analysis was performed to identify factors associated with primary RT. Results Of the 20,779 patients included in the study, 95.4% (19,823 patients) underwent primary surgery and 4.6% (956 patients) underwent primary RT. After adjusting for covariates, primary RT was associated with an increased risk of mortality (adjusted hazard ratio [aHR], 1.97; 99% confidence interval [CI], 1.74-2.22). On multivariable analysis, factors associated with primary RT included age ≥70 years, black race, Medicaid or Medicare insurance, no insurance, oral cavity subsite other than tongue, clinical stage II disease, low-volume treatment facilities, and earlier treatment year. Conclusion Primary RT for early stage OCSCC is associated with increased mortality. Approximately 5% of patients receive primary RT; however, this percentage is decreasing. Patients at highest risk for receiving primary RT include those who are elderly, black, with public insurance, and treated at low-volume facilities.

  2. Comparing Quality of Public Primary Care between Hong Kong and Shanghai Using Validated Patient Assessment Tools

    PubMed Central

    Wei, Xiaolin; Li, Haitao; Yang, Nan; Wong, Samuel Y. S.; Owolabi, Onikepe; Xu, Jianguang; Shi, Leiyu; Tang, Jinling; Li, Donald; Griffiths, Sian M.

    2015-01-01

    Objectives Primary care is the key element of health reform in China. The objective of this study was to compare patient assessed quality of public primary care between Hong Kong, a city with established primary care environment influenced by its colonial history, and Shanghai, a city leading primary care reform in Mainland China; and to measure the equity of care in the two cities. Methods Cross sectional stratified random sampling surveys were conducted in 2011. Data were collected from 1,994 respondents in Hong Kong and 811 respondents in Shanghai. A validated Chinese version of the primary care assessment tool was employed to assess perceived quality of primary care with respect to socioeconomic characteristics and health status. Results We analyzed 391 and 725 respondents in Hong Kong and Shanghai, respectively, who were regular public primary care users. Respondents in Hong Kong reported significant lower scores in first contact accessibility (1.59 vs. 2.15), continuity of care (2.33 vs. 3.10), coordination of information (2.84 vs. 3.64), comprehensiveness service availability (2.43 vs. 3.31), comprehensiveness service provided (2.11 vs. 2.40), and the total score (23.40 vs. 27.40), but higher scores in first contact utilization (3.15 vs. 2.54) and coordination of services (2.67 vs. 2.40) when compared with those in Shanghai. Respondents with higher income reported a significantly higher total primary care score in Hong Kong, but not in Shanghai. Conclusions Respondents in Shanghai reported better quality of public primary care than those in Hong Kong, while quality of public primary care tended to be more equitable in Shanghai. PMID:25826616

  3. Rich in vitamin C or just a convenient snack? Multiple-category reasoning with cross-classified foods.

    PubMed

    Hayes, Brett K; Kurniawan, Hendy; Newell, Ben R

    2011-01-01

    Two studies examined multiple category reasoning in property induction with cross-classified foods. Pilot tests identified foods that were more typical of a taxonomic category (e.g., "fruit"; termed 'taxonomic primary') or a script based category (e.g., "snack foods"; termed 'script primary'). They also confirmed that taxonomic categories were perceived as more coherent than script categories. In Experiment 1 participants completed an induction task in which information from multiple categories could be searched and combined to generate a property prediction about a target food. Multiple categories were more often consulted and used in prediction for script primary than for taxonomic primary foods. Experiment 2 replicated this finding across a range of property types but found that multiple category reasoning was reduced in the presence of a concurrent cognitive load. Property type affected which categories were consulted first and how information from multiple categories was weighted. The results show that multiple categories are more likely to be used for property predictions about cross-classified objects when an object is primarily associated with a category that has low coherence.

  4. The glass spherical hollow orbital implant: a prospective study.

    PubMed

    Stephen, B E

    1999-06-01

    Various types of orbital implants are in use in the rehabilitation of anophthalmic patients. The latest is the expensive hydroxyapatite implant. The study objective was to evaluate the effectiveness of low cost glass spherical hollow implants, as primary and secondary implants. St Michaels and Frazer Private Hospitals, Colombo. 65 patients had glass sphere orbital implants between 1987 and 1995; 51 primary (evisceration 46, enucleation 5) and 14 secondary (evisceration 2, enucleation 12). At 9 to 12 months follow up, patients were evaluated for mobility of implant, prosthesis mobility, lid sulcus deformity, cosmetic results and complications. Primary glass spherical hollow implants provide excellent mobility of the implant (92%), cosmesis (88%), prosthesis mobility (67%), with a low rate of complications (9.5%). Results of primary implant was superior to that of secondary (p < 0.001). Excellent results were obtained with spherical glass spheres as primary implants following evisceration.

  5. 14 CFR 1250.103-3 - Employment practices.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Employment practices. (a) Where a primary objective of the Federal financial assistance to a program to which... compensation, and use of facilities), including programs where a primary objective of the Federal financial... or continuation of their education or training, or (2) to provide work experience which contributes...

  6. 14 CFR 1250.103-3 - Employment practices.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Employment practices. (a) Where a primary objective of the Federal financial assistance to a program to which... compensation, and use of facilities), including programs where a primary objective of the Federal financial... or continuation of their education or training, or (2) to provide work experience which contributes...

  7. 45 CFR 1203.4 - Discrimination prohibited.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... impairing accomplishment of the objectives of the program with respect to individuals of a particular race.... (1) When a primary objective of the Federal financial assistance to which this part applies is to... financial assistance to programs under laws funded or administered by ACTION which have as a primary...

  8. 24 CFR 570.1 - Purpose and primary objective.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Purpose and primary objective. 570.1 Section 570.1 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND...

  9. 24 CFR 570.1 - Purpose and primary objective.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Purpose and primary objective. 570.1 Section 570.1 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR COMMUNITY PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND...

  10. The Treatment Advocacy Program: A Randomized Controlled Trial of a Peer-Led Safer Sex Intervention for HIV-Infected Men Who Have Sex with Men

    ERIC Educational Resources Information Center

    McKirnan, David J.; Tolou-Shams, Marina; Courtenay-Quirk, Cari

    2010-01-01

    Objective: Primary care may be an effective venue for delivering behavioral interventions for sexual safety among HIV-positive men who have sex with men (MSM); however, few studies show efficacy for such an approach. We tested the efficacy of the Treatment Advocacy Program (TAP), a 4-session, primary-care-based, individual counseling intervention…

  11. Primary properties of MDF using thermomechanical pulp made from oxalic acid pretreated rice straw particles

    Treesearch

    Xianjun Li; Yiqiang Wu; Zhiyong Cai; Jerrold E. Winandy

    2013-01-01

    The main objective of this study is to evaluate the effect the oxalic acid (OA) and steam pretreatment on the primary properties of rice straw medium-density fiberboard (MDF). The results show the IB strength increased about 9.6% and 13.4% for steam-treated MDF (PC) and OA-treated MDF compared with raw control panels, while OA pretreatment has a slight negative effect...

  12. Providing Effective Support to Teachers in Addressing Social, Emotional and Behavioural Difficulties in Mainstream Classrooms in a Bangalore Pre-Primary School

    ERIC Educational Resources Information Center

    D'Souza, Mildred; Jament, Johnson

    2015-01-01

    This article reports a study conducted on children's social, emotional and behavioural difficulties (SEBD) in a single pre-primary school in Bangalore, with the objective of developing a behaviour management policy for use by teachers. Limited evidence is available in the Indian literature in the area of SEBD and it remains important to know how…

  13. Using video-based observation research methods in primary care health encounters to evaluate complex interactions

    PubMed Central

    Asan, Onur; Montague, Enid

    2015-01-01

    Objective The purpose of this paper is to describe the use of video-based observation research methods in primary care environment and highlight important methodological considerations and provide practical guidance for primary care and human factors researchers conducting video studies to understand patient-clinician interaction in primary care settings. Methods We reviewed studies in the literature which used video methods in health care research and, we also used our own experience based on the video studies we conducted in primary care settings. Results This paper highlighted the benefits of using video techniques such as multi-channel recording and video coding and compared “unmanned” video recording with the traditional observation method in primary care research. We proposed a list, which can be followed step by step to conduct an effective video study in a primary care setting for a given problem. This paper also described obstacles researchers should anticipate when using video recording methods in future studies. Conclusion With the new technological improvements, video-based observation research is becoming a promising method in primary care and HFE research. Video recording has been under-utilized as a data collection tool because of confidentiality and privacy issues. However, it has many benefits as opposed to traditional observations, and recent studies using video recording methods have introduced new research areas and approaches. PMID:25479346

  14. Fundamental movement skills and physical activity among children living in low-income communities: a cross-sectional study.

    PubMed

    Cohen, Kristen E; Morgan, Philip J; Plotnikoff, Ronald C; Callister, Robin; Lubans, David R

    2014-04-08

    Although previous studies have demonstrated that children with high levels of fundamental movement skill competency are more active throughout the day, little is known regarding children's fundamental movement skill competency and their physical activity during key time periods of the school day (i.e., lunchtime, recess and after-school). The purpose of this study was to examine the associations between fundamental movement skill competency and objectively measured moderate-to-vigorous physical activity (MVPA) throughout the school day among children attending primary schools in low-income communities. Eight primary schools from low-income communities and 460 children (8.5 ± 0.6 years, 54% girls) were involved in the study. Children's fundamental movement skill competency (TGMD-2; 6 locomotor and 6 object-control skills), objectively measured physical activity (ActiGraph GT3X and GT3X + accelerometers), height, weight and demographics were assessed. Multilevel linear mixed models were used to assess the cross-sectional associations between fundamental movement skills and MVPA. After adjusting for age, sex, BMI and socio-economic status, locomotor skill competency was positively associated with total (P=0.002, r=0.15) and after-school (P=0.014, r=0.13) MVPA. Object-control skill competency was positively associated with total (P<0.001, r=0.20), lunchtime (P=0.03, r=0.10), recess (P=0.006, r=0.11) and after-school (P=0.022, r=0.13) MVPA. Object-control skill competency appears to be a better predictor of children's MVPA during school-based physical activity opportunities than locomotor skill competency. Improving fundamental movement skill competency, particularly object-control skills, may contribute to increased levels of children's MVPA throughout the day. Australian New Zealand Clinical Trials Registry No: ACTRN12611001080910.

  15. [Coping and subjective burden in primary caregivers of dependent elderly relatives in Andalusia, Spain].

    PubMed

    Pérez-Cruz, Margarita; Muñoz-Martínez, M Ángeles; Parra-Anguita, Laura; Del-Pino-Casado, Rafael

    To analyse the relationship between the type of coping and subjective burden in caregivers of dependent elderly relatives in Andalusia (Spain). Cross-sectional study. Primary Health Care (autonomous community of Andalusia, Spain). A convenience sample of 198 primary caregivers of dependent elderly relatives. Coping (Brief COPE), subjective burden (caregiver stress index), objective burden (functional capacity [Barthel Index], cognitive impairment [Pfeiffer Test], behavioural problems of the care recipient [Neuropsychiatric Inventory], and caregivers' dedication to caring), gender and kinship. Most caregivers were women (89.4%), daughters of the care recipient (57.1%), and shared home with him/her (69.7%). On controlling for objective burden, gender and kinship, it was found that subjective burden was positively associated with dysfunctional coping (β=0.28; P<.001) and negatively with emotion-focused coping (β=-0.25; P=.001), while no association was found with problem-focused coping. Dysfunctional coping may be a risk factor for subjective burden, and emotion-focused coping may be a protective factor for that subjective burden regardless of the objective burden, and gender and kinship of the caregivers. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  16. An innovative acupuncture treatment for primary dysmenorrhea: a randomized cross-over pilot study

    PubMed Central

    Wade, Christine M.; Abercrombie, Priscilla D.; Gomolak, Denise

    2013-01-01

    Background/Objective Dysmenorrhea is highly prevalent among adolescent women and a major cause of activity restriction. Standard pharmaceuticals used to treat dysmenorrhea are not effective for all women and have side effects that limit their use. Our study objective was to examine feasibility, acceptability, and preliminary effects of acupuncture point injection of vitamin K1 as an alternative treatment for primary dysmenorrhea among US women. Methods/Design We conducted a pilot study using a crossover trial design. Women with primary dysmenorrhea were randomized to receive vitamin K1 injection in the Spleen-6 acupuncture point at the start of menstruation followed by saline in a non-acupuncture point after two months, or the reverse order of treatments. Setting/Participants The study was conducted in the San Francisco Bay Area among women 18 and 25 years of age diagnosed with primary dysmenorrhea; fourteen women completed all study visits. Primary Outcome Measure Dysmenorrhea pain intensity was measured using a 0–10 numeric rating scale before and after injections. Results Women had an average 2.5 point decrease in pain after vitamin K1 injection in Spleen-6 (p < 0.001) compared with a 1.8 point decrease after saline (p < 0.001). Change scores of vitamin K1 compared with saline injection approached statistical significance (p < 0.10). Intensity and duration of menstrual symptoms measured by the Cox Retrospective Symptom Score also decreased following injections. After participating, 94% would still agree to go through with the injection therapy and 77% reported they would come every month were the treatment available. Conclusions Findings suggest high acceptability of acupuncture point injection of vitamin K1 as treatment for primary dysmenorrhea among young women in San Francisco. Pain decreased with both treatments, with a trend toward greater pain reduction for vitamin K1/Spleen-6 injection. This is consistent with outcomes from the Obstetrics & Gynecology Hospital in Shanghai, China, where the protocol was developed. PMID:24445356

  17. The New Nursery School Research Project; Evaluating the Effectiveness of an Open, Responsive Environment in Achieving Selected Objectives of Early Childhood Education. Final Report.

    ERIC Educational Resources Information Center

    University of Northern Colorado, Greeley.

    The primary objectives of the New Nursery School were to increase children's sensory and perceptual acuity, develop positive self concept, and increase language, conceptual and problem solving abilities. During 1969-1970 the longitudinal study, begun in 1964, included 28 children who were 3- and 4-year-olds from lower socioeconomic homes…

  18. Primary Objective Grating Astronomical Telescope

    NASA Technical Reports Server (NTRS)

    Ditto, Thomas D.

    2007-01-01

    It has been 370 years since a seventeenth century French mathematician, Mersenne, presciently sketched out an astronomical telescope based on dual parabolic reflectors. Since that time the concept of the primary objective has been virtually unchanged. Now a new class of astronomical telescope with a primary objective grating (POG) has been studied as an alternative. The POG competes with mirrors, in part, because diffraction gratings provide the very chromatic dispersion that mirrors defeat. The resulting telescope deals effectively with long-standing restrictions on multiple object spectroscopy (MOS). Other potential benefits include unprecedented apertures and collection areas. The new design also favors space deployment as a gossamer membrane. The inventor, Tom Ditto, first discovered that higher-order diffraction images contain hidden depth cues, for which he was granted a seminal range finding patent in 1987. Subsequently, he invented and patented 3D localizers, profilometers and microscopes using POGs. The POG telescope was placed in the public domain to expedite research. The function of a telescopes primary objective is to collect flux and to deliver images. Both functions dictate that size matters, and bigger is better. For that reason, there has been a steady push over the past century to ramp up the size of the primary mirror. However, for every doubling of mirror diameter, the elapsed time between initial effort and first light has also doubled. Meanwhile, costs escalated beyond the mirror alone, because larger instruments required larger enclosures and better pointing mechanisms. One key catalog of observation, spectrographic data, is far more difficult to amass than two-dimensional imagery. While the number of observable objects has increased with mirror size, the capacity to take spectra has not increased proportionately. In the best of circumstances, spectrograms are available for one per cent of the all objects surveyed. Spectroscopy was a historical afterthought introduced in the nineteenth century shortly after the invention of the diffraction grating and over a century after Newtons 1670 telescope. Spectroscopy is generally accomplished using a diffraction grating as the disperser in the secondary. The light being delivered to the spectrograph is first captured by a primary mirror which provides no chromatic magnification by itself. Sizeable spectrographs could not be deployed while diffraction gratings were rare commodities scribed using mechanical ruling engines that produced one grating line at a time. Today diffraction gratings are commonplace. Their recent availability is a product of both the invention of holography and the mass replication of surface microstructures. Holography permits all lines in a grating to be made simultaneously in a single photographic exposure. Holograms can then be reproduced by embossing processes. The improvement in replication is analogous to how Gutenberg changed the availability of books. The masters may be expensive, but the copies are not. Computer science is another technology that emerged in the second half of the twentieth century without which our proposed spectrographic instrument could not function due to the complexity of image processing required in data reduction. The employment of very large diffraction gratings as primary objectives for astronomical telescopes requires a novel

  19. Longitudinal study of skin aging: from microrelief to wrinkles.

    PubMed

    Bazin, Roland; Lévêque, Jean Luc

    2011-05-01

    To study the changes in skin microrelief and periocular wrinkles during the aging process. Replicas of the crow's feet area of volunteers were recorded in 1987 and 2008 and observed comparatively. Characteristic features were quantified by image analysis. Observation shows that some microrelief features disappear and even merge with wrinkles that become more marked. Some primary lines also tend to merge to form thin new wrinkles. Quantitative data support these observations: the size of small and medium objects of skin relief decreases with age while large objects are becoming larger. Over 21 years, in the group studied, the total area of the detected objects remains quite constant. Only the distribution between small and large detected objects (microrelief features and wrinkles, respectively) is modified. © 2011 John Wiley & Sons A/S.

  20. Structure and work process in primary care and hospitalizations for sensitive conditions

    PubMed Central

    Araujo, Waleska Regina Machado; Queiroz, Rejane Christine de Sousa; Rocha, Thiago Augusto Hernandes; da Silva, Núbia Cristina; Thumé, Elaine; Tomasi, Elaine; Facchini, Luiz Augusto; Thomaz, Erika Barbara Abreu Fonseca

    2017-01-01

    ABSTRACT OBJECTIVE The objective of this study is to investigate whether the characteristics of the structure of primary health units and the work process of primary care teams are associated with the number of hospitalizations for primary care sensitive conditions. METHODS In this ecological study, we have analyzed data of Brazilian municipalities related to sociodemographic characteristics, coverage of care programs, structure of primary health units, and work process of primary care teams. We have obtained the data from the first cycle of the Brazilian Program for Improving Access and Quality of the Primary Care, of the Department of Information Technology of the Brazilian Unified Health System, the Brazilian Institute of Geography and Statistics, and the United Nations Development Programme. The associations have been estimated using negative binomial regression coefficients (β) and respective 95% confidence intervals, with a hierarchical approach in three levels (alpha = 5%). RESULTS In the adjusted analysis for the outcome in 2013, in the distal level, the coverage of the Bolsa Família Program (β = -0.001) and private insurance (β = -0.01) had a negative association, and the human development index (β = 1.13), the proportion of older adults (β = 0.05) and children under the age of five (β = 0.05), and the coverage of the Community Health Agent Strategy (β = 0.002) showed positive association with hospitalizations for primary care sensitive conditions. In the intermediate level, minimum hours (β = -0.14) and availability of vaccines (β = -0.16) showed a negative association, and availability of medications showed a positive association (β = 0.16). In the proximal level, only the variable of matrix support (β = 0.10) showed a positive association. The variables in the adjusted analysis of the number of hospitalizations for primary care sensitive conditions in 2014 presented the same association as in 2013. CONCLUSIONS The characteristics of the structure of primary health units and the work process of the primary care teams impact the number of hospitalizations for primary care sensitive conditions in Brazilian municipalities. PMID:28832757

  1. Literacy Infrastructure, Access to Books, and the Implementation of the School Literacy Movement in Primary Schools in Indonesia

    NASA Astrophysics Data System (ADS)

    Laksono, K.; Retnaningdyah, P.

    2018-01-01

    Literacy Infrastructure and access to books are the foundation of literacy activity. Indonesia has regulations from the Ministry of Education and Culture requiring that 15 minutes should be used each day before the learning begins to read books other than textbooks. However, many schools are not yet obeying this requirement. The purposes of this study are to describe the literacy infrastructure in primary schools in Indonesia, to analyze access to books in primary schools, to explain the School Literacy Movement implementation, and to identify issues around the implementation of reading strategies in a context in which there is limited access to books. The questionnaire and interview study were conducted in 30 primary schools in East Java, Indonesia. The study concluded that the literacy infrastructure and access to books in 30 primary schools are below standard, but the school community enthusiastically implements the objectives of the School Literacy Movement. Many primary schools are already implementing good many reading strategies although there are some problems related to teacher competence.

  2. Exceptional Longevity: An Introduction to the Iowa Centenarian Study

    ERIC Educational Resources Information Center

    Martin, Peter; Deshpande-Kamat, Neha; Margrett, Jennifer A.; Franke, Warren; Garasky, Steven

    2012-01-01

    The primary objective of the Iowa Centenarian Study is to further our understanding of determinants of exceptional longevity above and beyond health outcomes, particularly in rural environments. This introductory article provides a general overview of the study, its methodology and basic descriptive results. One hundred and fifty-two centenarians…

  3. 24 CFR 1003.208 - Criteria for compliance with the primary objective.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 4 2011-04-01 2011-04-01 false Criteria for compliance with the primary objective. 1003.208 Section 1003.208 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN DEVELOPMENT (CONTINUED) OFFICE OF ASSISTANT SECRETARY FOR PUBLIC AND INDIAN HOUSING...

  4. 22 CFR 141.3 - Discrimination prohibited.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) Where a primary objective of the Federal financial assistance to a program to which this part applies is... facilities), including programs where a primary objective of the Federal financial assistance is: (i) To... program as an employee in accordance with paragraph (d) of this section. (vii) Deny a person the...

  5. Why Inquiry? Primary Teachers' Objectives in Choosing Inquiry- and Context-Based Instructional Strategies to Stimulate Students' Science Learning

    NASA Astrophysics Data System (ADS)

    Walan, Susanne; Nilsson, Pernilla; Ewen, Birgitta Mc

    2017-10-01

    Studies have shown that there is a need for pedagogical content knowledge among science teachers. This study investigates two primary teachers and their objectives in choosing inquiry- and context-based instructional strategies as well as the relation between the choice of instructional strategies and the teachers' knowledge about of students' understanding and intended learning outcomes. Content representations created by the teachers and students' experiences of the enacted teaching served as foundations for the teachers' reflections during interviews. Data from the interviews were analyzed in terms of the intended, enacted, and experienced purposes of the teaching and, finally, as the relation between intended, enacted, and experienced purposes. Students' experiences of the teaching were captured through a questionnaire, which was analyzed inductively, using content analysis. The results show that the teachers' intended teaching objectives were that students would learn about water. During the enacted teaching, it seemed as if the inquiry process was in focus and this was also how many of the students experienced the objectives of the activities. There was a gap between the intended and experienced objectives. Hardly any relation was found between the teachers' choice of instructional strategies and their knowledge about students' understanding, with the exception that the teacher who also added drama wanted to support her students' understanding of the states of water.

  6. Analysis of traffic growth rates

    DOT National Transportation Integrated Search

    2001-08-01

    The primary objectives of this study were to determine patterns of traffic flow and develop traffic growth rates by traffic composition and highway type for Kentucky's system of highways. Additional subtasks included the following: 1) a literature se...

  7. Continuous GPS : pilot applications - Phase II

    DOT National Transportation Integrated Search

    2003-08-01

    The primary objective of this research was to evaluate the feasibility of applying Global Positioning System (GPS) technology in the study of geotechnical phenomenon by developing, integrating, and test deploying a GPS-based instrumentation package u...

  8. Prevalence of primary outcome changes in clinical trials registered on ClinicalTrials.gov: a cross-sectional study.

    PubMed

    Ramagopalan, Sreeram; Skingsley, Andrew P; Handunnetthi, Lahiru; Klingel, Michelle; Magnus, Daniel; Pakpoor, Julia; Goldacre, Ben

    2014-01-01

    An important principle in the good conduct of clinical trials is that a summary of the trial protocol, with a pre-defined primary outcome, should be freely available before the study commences. The clinical trials registry ClinicalTrials.gov provides one method of doing this, and once the trial is registered, any changes made to the primary outcome are documented. The objectives of this study were: to assess the proportion of registered trials on ClinicalTrials.gov that had the primary outcome changed; to assess when the primary outcome was changed in relation to the listed study start and end dates and to assess whether the primary outcome change had any relation to the study sponsor. A cross-sectional analysis of all interventional clinical trials registered on ClinicalTrials.gov as of 25 October 2012 was performed. The main outcome was any change made to the initially listed primary outcome and the time of the change in relation to the trial start and end date. Our analysis showed that 28229 of 89204 (31.7%) registered studies had their primary outcome changed.  Industry funding was associated with all primary outcome changes, odds ratio (OR)= 1.36, 95% confidence interval (CI)=1.31-1.41, p<0.001; with primary outcome changes after study start date OR=1.37, 95% CI=1.32-1.42, p<0.001; with primary outcome changes after primary completion date OR=1.84, 95% CI=1.75-1.94, p<0.001 and with primary outcome changes after study completion date OR=1.82, 95% CI=1.73-1.91, p<0.001.  Conclusions A significant proportion of interventional trials registered on ClinicalTrials.gov have their primary outcomes altered after the listed study start and completion dates. These changes are associated with funding source.

  9. An Improved Maintenance Model for the Simulation of Strategic Airlift Capability.

    DTIC Science & Technology

    1982-03-01

    developed using SLAM as the primary simulation language. Maintenance manning is modeled at the Air Force Specialty Code level, to allow the possibility of...Atlantic Treaty Organization (NATO) allies is one of our primary national objectives, but recent increases in Soviet ground and air forces (Ref 5:100) have...arrive from the United States. Consequently, the primary objective of the United States Air Force mobility program is to be able, by 1982, to double the

  10. Design Requirements for a Decision Support System for the Dynamic Retasking of Electronic Combat Assets.

    DTIC Science & Technology

    1988-03-01

    primary mission was not pursued. The question of the *t employment and retasking of EC assets is basically a question of command and control, though...The] primary function of command is deploying and maneuvering forces or other sources of potential power to be in the best possible position to...unstructured, and multivariable problem. Research Objective The primary objective of this research is to develop an initial set requirements for a decision

  11. Study Heterogeneity and Estimation of Prevalence of Primary Aldosteronism: A Systematic Review and Meta-Regression Analysis.

    PubMed

    Käyser, Sabine C; Dekkers, Tanja; Groenewoud, Hans J; van der Wilt, Gert Jan; Carel Bakx, J; van der Wel, Mark C; Hermus, Ad R; Lenders, Jacques W; Deinum, Jaap

    2016-07-01

    For health care planning and allocation of resources, realistic estimation of the prevalence of primary aldosteronism is necessary. Reported prevalences of primary aldosteronism are highly variable, possibly due to study heterogeneity. Our objective was to identify and explain heterogeneity in studies that aimed to establish the prevalence of primary aldosteronism in hypertensive patients. PubMed, EMBASE, Web of Science, Cochrane Library, and reference lists from January 1, 1990, to January 31, 2015, were used as data sources. Description of an adult hypertensive patient population with confirmed diagnosis of primary aldosteronism was included in this study. Dual extraction and quality assessment were the forms of data extraction. Thirty-nine studies provided data on 42 510 patients (nine studies, 5896 patients from primary care). Prevalence estimates varied from 3.2% to 12.7% in primary care and from 1% to 29.8% in referral centers. Heterogeneity was too high to establish point estimates (I(2) = 57.6% in primary care; 97.1% in referral centers). Meta-regression analysis showed higher prevalences in studies 1) published after 2000, 2) from Australia, 3) aimed at assessing prevalence of secondary hypertension, 4) that were retrospective, 5) that selected consecutive patients, and 6) not using a screening test. All studies had minor or major flaws. This study demonstrates that it is pointless to claim low or high prevalence of primary aldosteronism based on published reports. Because of the significant impact of a diagnosis of primary aldosteronism on health care resources and the necessary facilities, our findings urge for a prevalence study whose design takes into account the factors identified in the meta-regression analysis.

  12. Assessment of Control Techniques for Reducing Emissions from Locomotive Engines

    DOT National Transportation Integrated Search

    1973-04-01

    The primary objective of this study was to determine the most effective method of reducing emissions of oxides of nitrogen from a two-cylinder version of an EMD series 567C locomotive engine. The NOx control techniques selected for use in this study ...

  13. DIFFERENCES IN STRESSOR SENSITIVITY IN GEOGRAPHICALLY DISTINCT POPULATIONS OF AMPELISCA ABDITA

    EPA Science Inventory

    Risk assessment methods for contaminated sediments typically rely upon data derived from laboratory studies in which effects on individuals from a reference environment are the primary measure. The objective of this study was to determine if amphipods endemic to a contaminated si...

  14. Methodology for Determination of Grade Crossing Resource-Allocation Guidelines

    DOT National Transportation Integrated Search

    1975-04-01

    The primary objective of this study was to determine the most effective method of reducing emissions of oxides of nitrogen from a two-cylinder version of an EMD series 567C locomotive engine. The NOx control techniques selected for use in this study ...

  15. Space station architectural elements and issues definition study

    NASA Technical Reports Server (NTRS)

    Taylor, T. C.; Spencer, J. S.; Rocha, C. J.

    1986-01-01

    A study was conducted to define the architectural elements and issues of the Space Station. The objective of the study was to identify those questions which require further research and suggest ways in which the research can be undertaken. The study examined five primary topics, asked salient questions and described the merits of alternative solutions.

  16. Evaluating Training Programs for Primary Care Providers in Child/Adolescent Mental Health in Canada: A Systematic Review.

    PubMed

    Gotovac, Sandra; Espinet, Stacey; Naqvi, Reza; Lingard, Lorelei; Steele, Margaret

    2018-04-01

    The need for child/adolescent mental health care in Canada is growing. Primary care can play a key role in filling this gap, yet most providers feel they do not have adequate training. This paper reviews the Canadian literature on capacity building programs in child and adolescent psychiatry for primary care providers, to examine how these programs are being implemented and evaluated to contribute to evidence-based initiatives. A systematic literature review of peer-reviewed published articles of capacity building initiatives in child/adolescent mental health care for primary care practitioners that have been implemented in Canada. Sixteen articles were identified that met inclusion criteria. Analysis revealed that capacity building initiatives in Canada are varied but rigorous evaluation methodology is lacking. Primary care providers welcome efforts to increase mental health care capacity and were satisfied with the implementation of most programs. Objective conclusions regarding the effectiveness of these programs to increase mental health care capacity is challenging given the evaluation methodology of these studies. Rigorous evaluation methods are needed to make evidence-based decisions on ways forward to be able to build child/adolescent mental health care capacity in primary care. Outcome measures need to move beyond self-report to more objective measures, and should expand the measurement of patient outcomes to ensure that these initiative are indeed leading to improved care for families.

  17. Impact of sleep deprivation and obstructive sleep apnea syndrome on daytime vigilance and driving performance: a laboratory perspective.

    PubMed

    Pizza, F; Contardi, S; Mondini, S; Cirignotta, F

    2012-01-01

    To study the impact of sleepiness, a well-established cause of car accidents, on driving ability, we designed a 30-min monotonous simulated driving task. Our simulated driving task encompasses both primary vehicle control (standard deviation of lane position, crash occurrence) and secondary tasks (type and reaction times to divided attention tasks). Driving simulator data were correlated to subjective (state/trait) and objective (MSLT/MWT) sleepiness measures in healthy subjects undergoing sleep deprivation (SD) and in obstructive sleep apnea (OSAS) patients. SD induced severe sleepiness during nighttime, when state sleepiness increased while primary vehicle control ability worsened. After SD, driving ability decreased and was inversely correlated to subjective and objective sleepiness at MSLT. OSAS patients driving ability was well correlated to objective sleepiness, with inverse correlation to sleep propensity at the MSLT and even more strict relation with the ability to maintain wakefulness at the MWT. Sleepiness worsens driving ability in healthy subjects after SD and in OSAS patients. Driving ability correlates with subjective and objective sleepiness measures, in particular to the ability to maintain wakefulness.

  18. Factors Influencing the Efficacy of Free Primary Education Policy in Relation to the Enrolment of Children with Special Needs Education in West Pokot County, Kenya

    ERIC Educational Resources Information Center

    Nyeris, Raymond; Koross, Benjamin Towett

    2015-01-01

    The introduction of Free Primary Education (FPE) policy in 2003 was aimed at enhancing the enrolment of all school going-age children in Kenya indiscriminately. However, significant concerns have been raised by scholars and the public over the low enrolment of children with Special Needs Education (SNE). The main objective of this study was to…

  19. Tabla de Especificaciones e Instructivo sobre Elaboracion de Pruebas Objetivas en la Ensenanza Primaria, para las asignaturas de Estudios Sociales, Idioma Espanol, Matematicas y Ciencias Naturales (Specification Tables and Instructions for the Construction of Objective Tests in the Primary Grades in Social Studies, Spanish, Mathematics, and Natural Sciences).

    ERIC Educational Resources Information Center

    Ministerio de Educacion, Guatemala City (Guatemala). Direccion de Bienestar Estudiantil y Educacion Especial.

    This booklet presents specification tables illustrating the relative importance given to topics on tests within a particular subject area. The general subject areas are social studies, Spanish, mathematics, and natural sciences. Tables are provided for final exams in each of these areas for several primary grades, illustrating the importance of…

  20. Perform MetalMapper Classification Treatability Investigations as Part of Remedial Investigation/Feasibility Studies: Live Site Demonstrations: Pueblo Chemical Depot

    DTIC Science & Technology

    2016-03-14

    DoD Department of Defense EMI electromagnetic induction ESTCP Environmental Security Technology Certification Program ft. foot GPS global...three primary objectives:  Test and validate detection and discrimination capabilities of a currently available advanced electromagnetic induction ... induction (EMI) sensors in dynamic and static data acquisition modes and associated analysis software. To achieve these objectives, a controlled test was

  1. Primary and Secondary Control among Children Undergoing Medical Procedures: Adjustment as a Function of Coping Style.

    ERIC Educational Resources Information Center

    Weisz, John R.; And Others

    1994-01-01

    Obtained reports of coping and goals from 33 children being treated for leukemia. Coping strategies were classified as primary control coping (attempts to alter objective conditions), secondary control coping (attempts to adjust to objective conditions), or relinquished control (no attempt to cope). Secondary control coping was positively…

  2. 24 CFR 1003.200 - General policies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ....200 General policies. An activity may be assisted in whole or in part with ICDBG funds only if the... and if the criteria for compliance with the primary objective of the Act set forth under § 1003.208 have been met. The requirements for compliance with the primary objective of the Act do not apply to...

  3. Development and feasibility of an objective measure of patient-centered communication fidelity in a pediatric obesity intervention

    USDA-ARS?s Scientific Manuscript database

    Our objective was to develop a measure of person-centered communication (PCC) and demonstrate feasibility for use in primary care child obesity interventions. Helping Healthy Activity and Nutrition Directions was a primary care intervention for families of overweight or obese 5- to 8-year-old childr...

  4. Water Transportation Requirements for Coal Movement in 1985

    DOT National Transportation Integrated Search

    1978-12-01

    This study of transportation requirements for coal movements through 1985 is one of a series conducted for the U.S. Department of Transportation to identify and quantify future transportation requirements for energy materials. The primary objectives ...

  5. Performance evaluation of thin wearing courses through scaled accelerated trafficking.

    DOT National Transportation Integrated Search

    2014-01-01

    The primary objective of this study was to evaluate the permanent deformation (rutting) and fatigue performance of : several thin asphalt concrete wearing courses using a scaled-down accelerated pavement testing device. The accelerated testing : was ...

  6. Performance Evaluation of Thin Wearing Courses Through Scaled Accelerated Trafficking.

    DOT National Transportation Integrated Search

    2014-01-01

    "The primary objective of this study was to evaluate the permanent deformation (rutting) and fatigue performance of : several thin asphalt concrete wearing courses using a scaled-down accelerated pavement testing device. The accelerated testing : was...

  7. Sleep Apnea Crash Risk Study (Report)

    DOT National Transportation Integrated Search

    2004-09-01

    Sleep apnea is a condition in which a narrowing or closure of the upper airway during sleep causes repeated sleep disturbances, and possible complete awakenings, leading to poor sleep quality and excessive daytime sleepiness. The primary objectives o...

  8. Health risk appraisal and safety belt use

    DOT National Transportation Integrated Search

    1987-05-01

    The primary objective of this study was to determine the effectiveness of health risk appraisal (HRA) programs for increasing claimed and observed safety belt use. HRA programs were field tested with and without supplemental educational materials on ...

  9. General Aviation Avionics Statistics : 1974

    DOT National Transportation Integrated Search

    1977-08-01

    The primary objectives of this study were to (1) provide a framework for viewing the general aviation (GA) aircraft fleet, which would relate airborne avionics equipment to the capability for an aircraft to perform in the National Airspace System, an...

  10. 1988/1989 household travel survey

    DOT National Transportation Integrated Search

    1989-07-01

    The primary objectives of this study were to provide the data: (1) : to update the trip generation rates used in the Maricopa Association of Governments (MAG) travel demand forecasting process, and; (2) to validate the MAG trip distribution model. Th...

  11. Public perceptions of the Midwest's pavements : executive summary: Wisconsin.

    DOT National Transportation Integrated Search

    2001-01-01

    The primary objective of the study was to seek systematic customer input to improve the Departments' pavement improvement policy by: determining how drivers perceive the Departments' pavements in terms of comfort and convenience and related tradeoffs...

  12. Carbonaceous Aerosols and Radiative Effects Study (CARES), g1-aircraft, sedlacek sp2

    DOE Data Explorer

    Sedlacek, Art

    2011-08-30

    The primary objective of the Carbonaceous Aerosol and Radiative Effects Study (CARES) in 2010 was to investigate the evolution of carbonaceous aerosols of different types and their optical and hygroscopic properties in central California, with a focus on the Sacramento urban plume.

  13. Basic Understanding of Earth Tunneling by Melting : Volume 1. Basic Physical Principles.

    DOT National Transportation Integrated Search

    1974-07-01

    A novel technique, which employs the melting of rocks and soils as a means of excavating or tunneling while simultaneously generating a glass tunnel lining and/or primary support, was studied. The object of the study was to produce a good basic under...

  14. Inclusive Education at Primary Level: Reality or Phantasm

    ERIC Educational Resources Information Center

    Khan, Itfaq Khaliq; Behlol, Malik Ghulam

    2014-01-01

    The objectives of this study were to assess the impacts of Inclusive Education (IE) Project implemented in government schools of Islamabad and anticipate its practicability for public schools. Quantitative and qualitative methods were applied for data collection. Study instruments were structured interviews, unstructured focus group discussions,…

  15. Paraprofessional Education in SA DETAFE.

    ERIC Educational Resources Information Center

    Mills, Paul; Cesnich, Janine

    A study examined the current outcomes and future of paraprofessional education provided under the auspices of South Australia's Department of Employment and Technical and Further Education (SA DETAFE). The primary objectives of the study were as follows: (1) determine whether an autonomous middle-level employment base exists in selected…

  16. NASA-UVa Light Aerospace Alloy and Structures Technology Program: Aluminum-Based Materials for High Speed Aircraft

    NASA Technical Reports Server (NTRS)

    Starke, E. A., Jr. (Editor)

    1996-01-01

    This report is concerned with 'Aluminum-Based Materials for High Speed Aircraft' which was initiated to identify the technology needs associated with advanced, low-cost aluminum base materials for use as primary structural materials. Using a reference baseline aircraft, these materials concept will be further developed and evaluated both technically and economically to determine the most attractive combinations of designs, materials, and manufacturing techniques for major structural sections of an HSCT. Once this has been accomplished, the baseline aircraft will be resized, if applicable, and performance objectives and economic evaluations made to determine aircraft operating costs. The two primary objectives of this study are: (1) to identify the most promising aluminum-based materials with respect to major structural use on the HSCT and to further develop those materials, and (2) to assess these materials through detailed trade and evaluation studies with respect to their structural efficiency on the HSCT.

  17. A study on the utilization of advanced composites in commercial aircraft wing structure: Executive summary

    NASA Technical Reports Server (NTRS)

    Watts, D. J.

    1978-01-01

    The overall wing study objectives are to study and plan the effort by commercial transport aircraft manufacturers to accomplish the transition from current conventional materials and practices to extensive use of advanced composites in wings of aircraft that will enter service in the 1985-1990 time period. Specific wing study objectives are to define the technology and data needed to support an aircraft manufacturer's commitment to utilize composites primary wing structure in future production aircraft and to develop plans for a composite wing technology program which will provide the needed technology and data.

  18. The Type 3 Adenylyl Cyclase is Required for Novel Object Learning and Extinction of Contextual Memory: Role of cAMP Signaling in Primary Cilia

    PubMed Central

    Wang, Zhenshan; Phan, Trongha; Storm, Daniel R.

    2011-01-01

    Although primary cilia are found on neurons throughout the brain, their physiological function remains elusive. Human ciliopathies are associated with cognition defects and transgenic mice lacking proteins expressed in primary cilia exhibit defects in learning and memory. Recently, it was reported that mice lacking the G-protein coupling receptor somatostatin receptor-3 (SSTR3), a protein expressed predominately in the primary cilia of neurons, have defective memory for novel object recognition and lower cAMP levels in the brain. Since SSTR3 is coupled to regulation of adenylyl cyclase this suggests that adenylyl cyclase activity in primary cilia of CNS neurons may be critical for some forms of learning and memory. Because the type 3 adenylyl cyclase (AC3) is expressed in primary cilia of hippocampal neurons, we examined AC3−/− mice for several forms of learning and memory. Here, we report that AC3−/− mice show no short-term memory for novel objects and fail to exhibit extinction of contextual fear conditioning. They also show impaired learning and memory for temporally dissociated passive avoidance (TDPA). Since AC3 is exclusively expressed in primary cilia we conclude that cAMP signals generated within primary cilia contribute to some forms of learning and memory including extinction of contextual fear conditioning. PMID:21490195

  19. The type 3 adenylyl cyclase is required for novel object learning and extinction of contextual memory: role of cAMP signaling in primary cilia.

    PubMed

    Wang, Zhenshan; Phan, Trongha; Storm, Daniel R

    2011-04-13

    Although primary cilia are found on neurons throughout the brain, their physiological function remains elusive. Human ciliopathies are associated with cognition defects, and transgenic mice lacking proteins expressed in primary cilia exhibit defects in learning and memory. Recently, it was reported that mice lacking the G-protein-coupling receptor somatostatin receptor-3 (SSTR3), a protein expressed predominately in the primary cilia of neurons, have defective memory for novel object recognition and lower cAMP levels in the brain. Since SSTR3 is coupled to regulation of adenylyl cyclase, this suggests that adenylyl cyclase activity in primary cilia of CNS neurons may be critical for some forms of learning and memory. Because the type 3 adenylyl cyclase (AC3) is expressed in primary cilia of hippocampal neurons, we examined AC3(-/-) mice for several forms of learning and memory. Here, we report that AC3(-/-) mice show no short-term memory for novel objects and fail to exhibit extinction of contextual fear conditioning. They also show impaired learning and memory for temporally dissociative passive avoidance. Since AC3 is exclusively expressed in primary cilia, we conclude that cAMP signals generated within primary cilia contribute to some forms of learning and memory, including extinction of contextual fear conditioning.

  20. Social Studies: A Primary Activities Handbook/A Language Arts Approach.

    ERIC Educational Resources Information Center

    Pennsylvania State Dept. of Education, Harrisburg.

    Learning activities and teaching methods based on the social science disciplines and language arts skills are presented to aid classroom teachers in grades one through three as they develop and implement social studies education programs. Major objectives of the handbook are to identify social studies concepts which are within the realm of…

  1. Improving the Quality of Home Visitation: An Exploratory Study of Difficult Situations

    ERIC Educational Resources Information Center

    LeCroy, Craig Winston; Whitaker, Kate

    2005-01-01

    Objective: The primary purpose of this study was to use an ecological assessment model to obtain a better understanding of difficult situations that home visitors confront when implementing home visitation services. Method: A mixed method study was used which included conducting focus groups to identify specific situations faced by home visitors…

  2. Evaluation of a Web-Based Malaria Risk Reduction Game for Study Abroad Students

    ERIC Educational Resources Information Center

    Hartjes, Laurie B.; Baumann, Linda C.

    2012-01-01

    Objective: Compare feedback strategies in 3 versions of an educational game. Participants: Study abroad students (N = 482) participated by playing the game and completing pregame/postgame surveys January-March 2010. Methods: This study employed an experimental design. Primary outcome measures were knowledge gain, player satisfaction, and risk…

  3. Increase in antibiotic prescriptions in out-of-hours primary care in contrast to in-hours primary care prescriptions: service evaluation in a population of 600 000 patients

    PubMed Central

    Hayward, G. N.; Fisher, R. F. R.; Spence, G. T.; Lasserson, D. S.

    2016-01-01

    Objectives The objective of this study was to describe the frequency and nature of antibiotic prescriptions issued by a primary care out-of-hours (OOH) service and compare time trends in prescriptions between OOH and in-hours primary care. Methods We performed a retrospective audit of 496 931 patient contacts with the Oxfordshire OOH primary care service. Comparison of time trends in antibiotic prescriptions from OOH primary care and in-hours primary care for the same population was made using multiple linear regression models fitted to the monthly data for OOH prescriptions, OOH contacts and in-hours prescriptions between September 2010 and August 2014. Results Compared with the overall population contacting the OOH service, younger age, female sex and patients who were less deprived were independently correlated with an increased chance of a contact resulting in prescription of antibiotics. The majority of antibiotics were prescribed to patients contacting the service at weekends. Despite a reduction in patient contacts with the OOH service [an estimated decrease of 486.5 monthly contacts each year (95% CI −676.3 to −296.8), 5.0% of the average monthly contacts], antibiotic prescriptions from this service rose during the study period [increase of 37.1 monthly prescriptions each year (95% CI 10.6–63.7), 2.5% of the average monthly prescriptions]. A matching increase was not seen for in-hours antibiotic prescriptions; the difference between the year trends was significant (Z test, P = 0.002). Conclusions We have demonstrated trends in prescribing that could represent a partial displacement of antibiotic prescribing from in-hours to OOH primary care. The possibility that the trends we describe are evident nationally should be explored. PMID:27287234

  4. Return on Investment in Electronic Health Records in Primary Care Practices: A Mixed-Methods Study

    PubMed Central

    Sanche, Steven

    2014-01-01

    Background The use of electronic health records (EHR) in clinical settings is considered pivotal to a patient-centered health care delivery system. However, uncertainty in cost recovery from EHR investments remains a significant concern in primary care practices. Objective Guided by the question of “When implemented in primary care practices, what will be the return on investment (ROI) from an EHR implementation?”, the objectives of this study are two-fold: (1) to assess ROI from EHR in primary care practices and (2) to identify principal factors affecting the realization of positive ROI from EHR. We used a break-even point, that is, the time required to achieve cost recovery from an EHR investment, as an ROI indicator of an EHR investment. Methods Given the complexity exhibited by most EHR implementation projects, this study adopted a retrospective mixed-method research approach, particularly a multiphase study design approach. For this study, data were collected from community-based primary care clinics using EHR systems. Results We collected data from 17 primary care clinics using EHR systems. Our data show that the sampled primary care clinics recovered their EHR investments within an average period of 10 months (95% CI 6.2-17.4 months), seeing more patients with an average increase of 27% in the active-patients-to-clinician-FTE (full time equivalent) ratio and an average increase of 10% in the active-patients-to-clinical-support-staff-FTE ratio after an EHR implementation. Our analysis suggests, with a 95% confidence level, that the increase in the number of active patients (P=.006), the increase in the active-patients-to-clinician-FTE ratio (P<.001), and the increase in the clinic net revenue (P<.001) are positively associated with the EHR implementation, likely contributing substantially to an average break-even point of 10 months. Conclusions We found that primary care clinics can realize a positive ROI with EHR. Our analysis of the variances in the time required to achieve cost recovery from EHR investments suggests that a positive ROI does not appear automatically upon implementing an EHR and that a clinic’s ability to leverage EHR for process changes seems to play a role. Policies that provide support to help primary care practices successfully make EHR-enabled changes, such as support of clinic workflow optimization with an EHR system, could facilitate the realization of positive ROI from EHR in primary care practices. PMID:25600508

  5. Configuration management issues and objectives for a real-time research flight test support facility

    NASA Technical Reports Server (NTRS)

    Yergensen, Stephen; Rhea, Donald C.

    1988-01-01

    Presented are some of the critical issues and objectives pertaining to configuration management for the NASA Western Aeronautical Test Range (WATR) of Ames Research Center. The primary mission of the WATR is to provide a capability for the conduct of aeronautical research flight test through real-time processing and display, tracking, and communications systems. In providing this capability, the WATR must maintain and enforce a configuration management plan which is independent of, but complimentary to, various research flight test project configuration management systems. A primary WATR objective is the continued development of generic research flight test project support capability, wherein the reliability of WATR support provided to all project users is a constant priority. Therefore, the processing of configuration change requests for specific research flight test project requirements must be evaluated within a perspective that maintains this primary objective.

  6. BISPHENOL-A AND PHTHALATE ESTERS: POTENTIAL SOURCES OF RESIN COMPONENTS IN THE EVERYDAY ENVIRONMENTS OF PRESCHOOL CHILDREN

    EPA Science Inventory

    The Children's Total Exposure to Persistent Pesticides and Other Persistent Organic Pollutants (CTEPP) study examined the aggregate exposures of 257 preschool children to pollutants commonly found in their everyday environments. A primary objective of the CTEPP study was to ide...

  7. 75 FR 4043 - Endangered Species; File No. 14396

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-26

    ... scientific research. ADDRESSES: The permit and related documents are available for review upon written..., notice was published in the Federal Register (74 FR 42861) that a request for a scientific research... scientific study of shortnose sturgeon in the Delaware River where primary study objectives are to locate and...

  8. Linguistic Challenges in Mendelian Genetics: Teachers' Talk in Action

    ERIC Educational Resources Information Center

    Thörne, Karin; Gericke, Niklas M.; Hagberg, Mariana

    2013-01-01

    This study investigates Swedish teachers' use of language when teaching Mendelian genetics in compulsory school. The primary objective of the study is to explore how teachers use the related concepts "gene," "allele," and "anlag" (a Swedish variant of the German word "anlage") and how these are related to…

  9. Farm-to-School Programs: Perspectives of School Food Service Professionals

    ERIC Educational Resources Information Center

    Izumi, Betty T.; Alaimo, Katherine; Hamm, Michael W.

    2010-01-01

    Objective: This qualitative study used a case study approach to explore the potential of farm-to-school programs to simultaneously improve children's diets and provide farmers with viable market opportunities. Design: Semistructured interviews were the primary data collection strategy. Setting: Seven farm-to-school programs in the Upper Midwest…

  10. Building Inclusive Processes for School Improvement: A Case Study

    ERIC Educational Resources Information Center

    Arnaiz, Pilar; Escarbajal, Andrés; Guirao, José Manuel; Martínez, Rogelio

    2016-01-01

    This paper presents a study carried out in a nursery and primary school in order to ascertain the level of self-assessment undertaken by teachers with respect to their educational processes using the "ACADI" instrument, "School-based self-assessment of diversity awareness from an inclusive approach." The objective was to…

  11. Quantifying Evaporation and Evaluating Runoff Estimation Methods in a Permeable Pavement System - abstract

    EPA Science Inventory

    Studies on quantifying evaporation in permeable pavement systems are limited to few laboratory studies that used a scale to weigh evaporative losses and a field application with a tunnel-evaporation gauge. A primary objective of this research was to quantify evaporation for a la...

  12. Microdamage healing in asphalt and asphalt concrete, Volume 1 : microdamage and microdamage healing, project summary report

    DOT National Transportation Integrated Search

    2001-06-01

    Volume 1 is a summary report which chronicles the research highlights of the entire study of microdamage healing in asphalt concrete. The primary objectives of the study were to: (1) Demonstrate that microdamage healing occurs and that it can be meas...

  13. Basic Understanding of Earth Tunneling by Melting : Volume 2. Earth Structure and Design Solutions.

    DOT National Transportation Integrated Search

    1974-07-01

    A novel technique, which employs the melting of rocks and soils as a means of excavating or tunneling while simultaneously generating a glass tunnel lining and/or primary support, was studied. The object of the study was to produce a good basic under...

  14. Pivotal ERIVANCE basal cell carcinoma (BCC) study: 12-month update of efficacy and safety of vismodegib in advanced BCC.

    PubMed

    Sekulic, Aleksandar; Migden, Michael R; Lewis, Karl; Hainsworth, John D; Solomon, James A; Yoo, Simon; Arron, Sarah T; Friedlander, Philip A; Marmur, Ellen; Rudin, Charles M; Chang, Anne Lynn S; Dirix, Luc; Hou, Jeannie; Yue, Huibin; Hauschild, Axel

    2015-06-01

    Primary analysis from the pivotal ERIVANCE BCC study resulted in approval of vismodegib, a Hedgehog pathway inhibitor indicated for treatment of adults with metastatic or locally advanced basal cell carcinoma (BCC) that has recurred after surgery or for patients who are not candidates for surgery or radiation. An efficacy and safety analysis was conducted 12 months after primary analysis. This was a multinational, multicenter, nonrandomized, 2-cohort study in patients with measurable and histologically confirmed locally advanced or metastatic BCC taking oral vismodegib (150 mg/d). Primary outcome measure was objective response rate (complete and partial responses) assessed by independent review facility. After 12 months of additional follow-up, median duration of exposure to vismodegib was 12.9 months. Objective response rate increased from 30.3% to 33.3% in patients with metastatic disease, and from 42.9% to 47.6% in patients with the locally advanced form. Median duration of response in patients with locally advanced BCC increased from 7.6 to 9.5 months. No new safety signals emerged with extended treatment duration. Limitations include low prevalence of advanced BCC and challenges of designing a study with heterogenous manifestations. The 12-month update of the study confirms the efficacy and safety of vismodegib in management of advanced BCC. Copyright © 2015 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  15. Condition assessment of short-line railroad bridges in Pennsylvania.

    DOT National Transportation Integrated Search

    2010-02-01

    Current levels of available resources to maintain and preserve the Pennsylvania short-line railroad (SLRR) bridge infrastructure require that important priority decisions be made on an annual basis. The primary objective of this study was to establis...

  16. Performance oriented guidance for Mississippi chip seals - volume II.

    DOT National Transportation Integrated Search

    2013-12-01

    A laboratory and field study was conducted related to long term chip seal performance. This reports primary : objective was to initiate development of a long term performance (LTP) test protocol for chip seals focused on : aggregate retention. Key...

  17. A laboratory evaluation of rubber-asphalt paving mixtures : final report.

    DOT National Transportation Integrated Search

    1974-06-01

    The primary objective of this study was to evaluate rubber additive asphalt and its aggregate mixtures in the laboratory with respect to their physical characteristics. : Results obtained on the physical properties of the rubberized asphalt binder we...

  18. Assessing corrosion of MSE wall reinforcement.

    DOT National Transportation Integrated Search

    2010-09-01

    The primary objective of this study was to extract reinforcement coupons from select MSE walls and document the extent of corrosion. In doing this, a baseline has been established against which coupons extracted in the future can be compared. A secon...

  19. Ground vibration monitoring for construction blasting in urban areas.

    DOT National Transportation Integrated Search

    2001-04-01

    The primary objectives of this study were to determine a recommendation for the preblast : area for surveys, and to obtain actual field vibrations from rock blasting : operations, in populated regions within specific geologic units. The area confined...

  20. Evaluation of DOTD's Existing Queue Estimation Procedures : Research Project Capsule

    DOT National Transportation Integrated Search

    2017-10-01

    The primary objective of this study is to evaluate the effectiveness of DOTDs queue estimation procedures by comparing results with those obtained directly from site observations through video camera footage or other means. Actual queue start time...

  1. Portland cement concrete (PCC) partial-depth spall repair

    DOT National Transportation Integrated Search

    1999-11-01

    The primary aim of the partial-depth spall repair study was to determine the most effective and economical materials and procedures for placing quality, long-lasting partial-depth patches in jointed concrete pavements. A secondary objective of the st...

  2. Annual Forest Inventories for the North Central Region of the United States

    Treesearch

    Ronald E. McRoberts; Mark H. Hansen

    1999-01-01

    The primary objective in developing procedures for annual forest inventories for the north central region of the United States is to establish the capability of producing standard forest inventory and analysis estimates on an annual basis. The inventory system developed to accomplish this objective features several primary functions, including (1) an annual sample of...

  3. Differences in the diagnosis and management of systemic lupus erythematosus by primary care and specialist providers in the American Indian/Alaska Native population.

    PubMed

    McDougall, J A; Helmick, C G; Lim, S S; Johnston, J M; Gaddy, J R; Gordon, C; Ferucci, E D

    2018-06-01

    Objectives The objective of this study is to investigate differences in the diagnosis and management of systemic lupus erythematosus (SLE) by primary care and specialist physicians in a population-based registry. Methods This study includes individuals from the 2009 Indian Health Service lupus registry population with a diagnosis of SLE documented by either a primary care provider or specialist. SLE classification criteria, laboratory testing, and medication use at any time during the course of disease were determined by medical record abstraction. Results Of the 320 individuals with a diagnosis of SLE, 249 had the diagnosis documented by a specialist, with 71 documented by primary care. Individuals with a specialist diagnosis of SLE were more likely to have medical record documentation of meeting criteria for SLE by all criteria sets (American College of Rheumatology, 79% vs 22%; Boston Weighted, 82% vs 32%; and Systemic Lupus International Collaborating Clinics, 83% vs 35%; p < 0.001 for all comparisons). In addition, specialist diagnosis was associated with documentation of ever having been tested for anti-double-stranded DNA antibody and complement 3 and complement 4 ( p < 0.001). Documentation of ever receiving hydroxychloroquine was also more common with specialist diagnosis (86% vs 64%, p < 0.001). Conclusions Within the population studied, specialist diagnosis of SLE was associated with a higher likelihood of having SLE classification criteria documented, being tested for biomarkers of disease, and ever receiving treatment with hydroxychloroquine. These data support efforts both to increase specialist access for patients with suspected SLE and to provide lupus education to primary care providers.

  4. US primary care physicians' opinions about conscientious refusal: a national vignette experiment.

    PubMed

    Brauer, Simon G; Yoon, John D; Curlin, Farr A

    2016-02-01

    Previous research has found that physicians are divided on whether they are obligated to provide a treatment to which they object and whether they should refer patients in such cases. The present study compares several possible scenarios in which a physician objects to a treatment that a patient requests, in order to better characterise physicians' beliefs about what responses are appropriate. We surveyed a nationally representative sample of 1504 US primary care physicians using an experimentally manipulated vignette in which a patient requests a clinical intervention to which the patient's physician objects. We used multivariate logistic regression models to determine how vignette and respondent characteristics affected respondent's judgements. Among eligible respondents, the response rate was 63% (896/1427). When faced with an objection to providing treatment, referring the patient was the action judged most appropriate (57% indicated it was appropriate), while few physicians thought it appropriate to provide treatment despite one's objection (15%). The most religious physicians were more likely than the least religious physicians to support refusing to accommodate the patient's request (38% vs 22%, OR=1.75; 95% CI 1.06 to 2.86). This study indicates that US physicians believe it is inappropriate to provide an intervention that violates one's personal or professional standards. Referring seems to be physicians' preferred way of responding to requests for interventions to which physicians object. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  5. Tranexamic Acid as Antifibrinolytic Agent in Non Traumatic Intracerebral Hemorrhages

    PubMed Central

    ARUMUGAM, Ananda; A RAHMAN, Noor Azman; THEOPHILUS, Sharon Casilda; SHARIFFUDIN, Ashraf; ABDULLAH, Jafri Malin

    2015-01-01

    Background: Mortality and morbidity associated with intracerebral hemorrhage is still high. Up to now, there are no evidence-based effective treatments for acute ICH. This study is to assess the effect of tranexamic acid (TXA) on hematoma growth of patients with spontaneous ICH compared to a placebo. Methods: We performed a single-blinded, randomised placebo-controlled trial of TXA (intravenous 1g bolus, followed by infusion TXA 1 g/hour for 8 hours) in acute (< 8 hours) primary ICH. Strict blood pressure control (target SBP 140-160 mmHg). A repeat Computed Tomography brain was done after 24 hours to reassess hematoma growth. The primary objective is to test the effect of TXA on hematoma growth. Other objective was to test the feasibility, tolerability, and adverse events of TXA in primary ICH. Results: Statistical analysis showed significant hematoma growth in control group after 24 hours compared to baseline (14.3300 vs 17.9940, P = 0.001) whereas the treatment group there is no significant hematoma size expansion between baseline and after 24 hours (P = 0.313). Conclusions: This study showed a significant hematoma volume expansion in the control group compared to the treatment group. PMID:27006639

  6. Tranexamic Acid as Antifibrinolytic Agent in Non Traumatic Intracerebral Hemorrhages.

    PubMed

    Arumugam, Ananda; A Rahman, Noor Azman; Theophilus, Sharon Casilda; Shariffudin, Ashraf; Abdullah, Jafri Malin

    2015-12-01

    Mortality and morbidity associated with intracerebral hemorrhage is still high. Up to now, there are no evidence-based effective treatments for acute ICH. This study is to assess the effect of tranexamic acid (TXA) on hematoma growth of patients with spontaneous ICH compared to a placebo. We performed a single-blinded, randomised placebo-controlled trial of TXA (intravenous 1g bolus, followed by infusion TXA 1 g/hour for 8 hours) in acute (< 8 hours) primary ICH. Strict blood pressure control (target SBP 140-160 mmHg). A repeat Computed Tomography brain was done after 24 hours to reassess hematoma growth. The primary objective is to test the effect of TXA on hematoma growth. Other objective was to test the feasibility, tolerability, and adverse events of TXA in primary ICH. Statistical analysis showed significant hematoma growth in control group after 24 hours compared to baseline (14.3300 vs 17.9940, P = 0.001) whereas the treatment group there is no significant hematoma size expansion between baseline and after 24 hours (P = 0.313). This study showed a significant hematoma volume expansion in the control group compared to the treatment group.

  7. System engineering analysis of derelict collision prevention options

    NASA Astrophysics Data System (ADS)

    McKnight, Darren S.; Di Pentino, Frank; Kaczmarek, Adam; Dingman, Patrick

    2013-08-01

    Sensitivities to the future growth of orbital debris and the resulting hazard to operational satellites due to collisional breakups of large derelict objects are being studied extensively. However, little work has been done to quantify the technical and operational tradeoffs between options for minimizing future derelict fragmentations that act as the primary source for future debris hazard growth. The two general categories of debris mitigation examined for prevention of collisions involving large derelict objects (rocket bodies and payloads) are active debris removal (ADR) and just-in-time collision avoidance (JCA). Timing, cost, and effectiveness are compared for ADR and JCA solutions highlighting the required enhancements in uncooperative element set accuracy, rapid ballistic launch, despin/grappling systems, removal technologies, and remote impulsive devices. The primary metrics are (1) the number of derelict objects moved/removed per the number of catastrophic collisions prevented and (2) cost per collision event prevented. A response strategy that contains five different activities, including selective JCA and ADR, is proposed as the best approach going forward.

  8. Influence of commercial information on prescription quantity in primary care.

    PubMed

    Caamaño, Francisco; Figueiras, Adolfo; Gestal-Otero, Juan Jesus

    2002-09-01

    In the last few years we have witnessed many publicly-financed health services reaching a crisis point. Thus, drug expenditure is nowadays one of the main concerns of health managers, and its containment one of the first goals of health authorities in western countries. The objective of this study is to identify the effect of the perceived quality stated in commercial information, its uses, and how physicians perceive the influence it has on prescription amounts. A cross-sectional study of 405 primary care physicians was conducted in Galicia (north-west Spain). The independent variables physician's education and speciality, physician's perception of the quality of available drug information sources, type of practice, and number of patients were collected, through a postal questionnaire. Environmental characteristics of the practice were obtained from secondary sources. Multiple regression models were constructed using as dependent variables two indicators of prescription volume. The response rate was 75.2%. Prescription amounts was found to be associated with perceived credibility of information provided by medical visitors, regulated physician training, and environmental characteristics of the practice (primary care team practice, urban environment). The study results suggest that in order to decrease prescription amounts it is necessary to limit the role of pharmaceutical companies in physician training, improve physician education and training, and emphasize more objective sources of information.

  9. Prostate Active Surveillance Study — EDRN Public Portal

    Cancer.gov

    Primary Objective: To discover and confirm biomarkers that predict aggressive disease as defined by pre-specified histological, PSA, clinical criteria, or outcomes based on these variables. Secondary Objectives: To determine the proportion of patients on active surveillance who progress based on the above criteria. To determine the clinical predictors of disease progression. To measure the recurrence-free, disease-specific, and overall survival of men on active surveillance for clinically localized prostate cancer.

  10. Direct coal liquefaction baseline design and system analysis. Quarterly report, January--March 1991

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

    Not Available

    1991-04-01

    The primary objective of the study is to develop a computer model for a base line direct coal liquefaction design based on two stage direct coupled catalytic reactors. This primary objective is to be accomplished by completing the following: a base line design based on previous DOE/PETC results from Wilsonville pilot plant and other engineering evaluations; a cost estimate and economic analysis; a computer model incorporating the above two steps over a wide range of capacities and selected process alternatives; a comprehensive training program for DOE/PETC Staff to understand and use the computer model; a thorough documentation of all underlyingmore » assumptions for baseline economics; and a user manual and training material which will facilitate updating of the model in the future.« less

  11. Direct coal liquefaction baseline design and system analysis

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

    Not Available

    1991-04-01

    The primary objective of the study is to develop a computer model for a base line direct coal liquefaction design based on two stage direct coupled catalytic reactors. This primary objective is to be accomplished by completing the following: a base line design based on previous DOE/PETC results from Wilsonville pilot plant and other engineering evaluations; a cost estimate and economic analysis; a computer model incorporating the above two steps over a wide range of capacities and selected process alternatives; a comprehensive training program for DOE/PETC Staff to understand and use the computer model; a thorough documentation of all underlyingmore » assumptions for baseline economics; and a user manual and training material which will facilitate updating of the model in the future.« less

  12. Absorption of nickel, chromium, and iron by the root surface of primary molars covered with stainless steel crowns.

    PubMed

    Keinan, David; Mass, Eliyahu; Zilberman, Uri

    2010-01-01

    Objective. The purpose of this study was to analyze the absorption of metal ions released from stainless steel crowns by root surface of primary molars. Study Design. Laboratory research: The study included 34 primary molars, exfoliated or extracted during routine dental treatment. 17 molars were covered with stainless-steel crowns for more than two years and compared to 17 intact primary molars. Chemical content of the mesial or distal root surface, 1 mm apically to the crown or the cemento-enamel junction (CEJ), was analyzed. An energy dispersive X-ray spectrometer (EDS) was used for chemical analysis. Results. Higher amounts of nickel, chromium, and iron (5-6 times) were found in the cementum of molars covered with stainless-steel crowns compared to intact molars. The differences between groups were highly significant (P < .001). Significance. Stainless-steel crowns release nickel, chromium, and iron in oral environment, and the ions are absorbed by the primary molars roots. The additional burden of allergenic metals should be reduced if possible.

  13. Overcoming Barriers to Integrating Behavioral Health and Primary Care Services

    PubMed Central

    Grazier, Kyle L.; Smiley, Mary L.; Bondalapati, Kirsten S.

    2016-01-01

    Objective: Despite barriers, organizations with varying characteristics have achieved full integration of primary care services with providers and services that identify, treat, and manage those with mental health and substance use disorders. What are the key factors and common themes in stories of this success? Methods: A systematic literature review and snowball sampling technique was used to identify organizations. Site visits and key informant interviews were conducted with 6 organizations that had over time integrated behavioral health and primary care services. Case studies of each organization were independently coded to identify traits common to multiple organizations. Results: Common characteristics include prioritized vulnerable populations, extensive community collaboration, team approaches that included the patient and family, diversified funding streams, and data-driven approaches and practices. Conclusions: While significant barriers to integrating behavioral health and primary care services exist, case studies of organizations that have successfully overcome these barriers share certain common factors. PMID:27380923

  14. Use of Polyphosphate to Decrease Uranium Leaching in Hanford 300 Area Smear Zone Sediments

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

    Szecsody, James E.; Zhong, Lirong; Oostrom, Martinus

    2012-09-30

    The primary objective of this study is to summarize the laboratory investigations performed to evaluate short- and long-term effects of phosphate treatment on uranium leaching from 300 area smear zone sediments. Column studies were used to compare uranium leaching in phosphate-treated to untreated sediments over a year with multiple stop flow events to evaluate longevity of the uranium leaching rate and mass. A secondary objective was to compare polyphosphate injection, polyphosphate/xanthan injection, and polyphosphate infiltration technologies that deliver phosphate to sediment.

  15. Community and environmental impact of highway investment decisions.

    DOT National Transportation Integrated Search

    1971-01-01

    The primary objectives of this study were (1) to determine the state of the art of procedures for the investigation and evaluation of the community and environmental impact of investments in highway facilities, (2) to develop in detail those investig...

  16. Ground vibration monitoring for construction blasting in urban areas

    DOT National Transportation Integrated Search

    2001-04-01

    The primary objectives of this study were to determine a recommendation for the pre-blast area for surveys, and to obtain actual field vibrations from rock blasting operations, in populated regions within specific geologic units. The area confined wi...

  17. Performance analysis of Virginia's safety service patrol programs : a case study approach.

    DOT National Transportation Integrated Search

    2006-01-01

    Many state departments of transportation (DOTs) operate safety service patrols (SSPs) as part of their incident management programs. The primary objectives of SSPs are to minimize the duration of freeway incidents, restore full capacity of the freewa...

  18. Design values of resilient modulus of stabilized and non-stabilized base.

    DOT National Transportation Integrated Search

    2010-10-01

    The primary objective of this research study is to determine design value ranges for typical base materials, as allowed by LADOTD specifications, through laboratory tests with respect to resilient modulus and other parameters used by pavement design ...

  19. Upper Washita River experimental watersheds: Sediment Database

    USDA-ARS?s Scientific Manuscript database

    Improving the scientific understanding of the effectiveness of watershed conservation practices and floodwater-retardation structures to control floods and soil erosion is one of the primary objectives for sediment studies in the upper Washita River Experimental Watersheds. This paper summarizes se...

  20. Evaluation of TxDOT'S traffic data collection and load forecasting process

    DOT National Transportation Integrated Search

    2001-01-01

    This study had two primary objectives: (1) compare current Texas Department of Transportation (TxDOT) procedures and protocols with the state-of-the-practice and the needs of its data customers; and (2) develop enhanced traffic collection, archival, ...

  1. I-15 express lanes study, phase I : system evaluation.

    DOT National Transportation Integrated Search

    2014-06-01

    The primary objectives of this research included an identification of literature in Utah and nationally on : how changing toll rates, occupancies, and violation rates have had an effect on Express Lane use and an examination : of the utilization of t...

  2. 24 CFR 570.415 - Community Development Work Study Program.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... and economic development, community planning, and community management. The primary objectives of the... economic development, community planning, and community management, and to provide a cadre of well... economic development, community planning, community management, land use and housing activities. Community...

  3. Study of elastomeric bearings for superelevated U-Beam bridges.

    DOT National Transportation Integrated Search

    2009-10-01

    The primary objective of this research was to determine the best way to consider the effects of transverse : superelevation on uniform-height steel-reinforced elastomeric bearing pads for U-Beam bridges. Existing TxDOT : design provisions did not spe...

  4. Analysis of traffic accident data in Kentucky (1994-1998)

    DOT National Transportation Integrated Search

    1999-09-01

    This report includes an analysis of traffic accident data in Kentucky for the years of 1994 through 1998. A primary objective of this study was to determine average accident statistics for Kentucky highways. Average and critical numbers and rates of ...

  5. Analysis of traffic crash data in Kentucky : 2002-2006.

    DOT National Transportation Integrated Search

    2007-09-01

    This report includes an analysis of traffic accident data in Kentucky for the years of 2002 through 2006. A primary objective of this study was to determine average accident statistics for Kentucky highways. Average and critical numbers and rates of ...

  6. Analysis of traffic crash data in Kentucky : 2003-2007.

    DOT National Transportation Integrated Search

    2008-08-01

    This report includes an analysis of traffic accident data in Kentucky for the years of 2003 through 2007. A primary objective of this study was to determine average accident statistics for Kentucky highways. Average and critical numbers and rates of ...

  7. CHARACTERIZATION OF EMISSIONS FROM BURNING INCENSE

    EPA Science Inventory

    The primary objective of this study was to improve the characterization of particulate matter emissions from burning incense. Emissions of particulate matter were measured for 23 different types of incense using a cyclone/filter method. Emission rates for PM2.5 (particulate matte...

  8. FINAL REPORT: NATIONAL CHILDREN'S STUDY FOCUS GROUPS

    EPA Science Inventory

    The primary objective of this work assignment was to develop a better understanding of

    the issues affecting the recruitment and retention of expectant parents and other selected

    stakeholders (parents, healthcare providers and community organizations) for the Nationa...

  9. Safety evaluation of new roads.

    DOT National Transportation Integrated Search

    2002-09-01

    The primary objective of this research study was to evaluate the crash history of bypass routes to determine if there were unusual patterns or changes in the crash history on these routes over the first years of operation. The focus of the evaluation...

  10. Emotional Face Identification in Youths with Primary Bipolar Disorder or Primary Attention-Deficit/Hyperactivity Disorder

    ERIC Educational Resources Information Center

    Seymour, Karen E.; Pescosolido, Matthew F.; Reidy, Brooke L.; Galvan, Thania; Kim, Kerri L.; Young, Matthew; Dickstein, Daniel P.

    2013-01-01

    Objective: Bipolar disorder (BD) and attention-deficit/hyperactivity disorder (ADHD) are often comorbid or confounded; therefore, we evaluated emotional face identification to better understand brain/behavior interactions in children and adolescents with either primary BD, primary ADHD, or typically developing controls (TDC). Method: Participants…

  11. Strengthening Collaborative Leadership for Thai Primary School Administrators

    ERIC Educational Resources Information Center

    Samriangjit, Prapaporn; Tesaputa, Kowat; Somprach, Kanokorn

    2016-01-01

    The objectives of this research were: 1) to investigate the elements and indicators of collaborative leadership of primary school administrators, 2) to explore the existing situation and required situation of collaborative leadership of primary school administrators, 3) to develop a program to enhance collaborative leadership of primary school…

  12. Evaluating Training Programs for Primary Care Providers in Child/Adolescent Mental Health in Canada: A Systematic Review

    PubMed Central

    Espinet, Stacey; Naqvi, Reza; Lingard, Lorelei; Steele, Margaret

    2018-01-01

    Introduction The need for child/adolescent mental health care in Canada is growing. Primary care can play a key role in filling this gap, yet most providers feel they do not have adequate training. This paper reviews the Canadian literature on capacity building programs in child and adolescent psychiatry for primary care providers, to examine how these programs are being implemented and evaluated to contribute to evidence-based initiatives. Methods A systematic literature review of peer-reviewed published articles of capacity building initiatives in child/adolescent mental health care for primary care practitioners that have been implemented in Canada. Results Sixteen articles were identified that met inclusion criteria. Analysis revealed that capacity building initiatives in Canada are varied but rigorous evaluation methodology is lacking. Primary care providers welcome efforts to increase mental health care capacity and were satisfied with the implementation of most programs. Discussion Objective conclusions regarding the effectiveness of these programs to increase mental health care capacity is challenging given the evaluation methodology of these studies. Conclusion Rigorous evaluation methods are needed to make evidence-based decisions on ways forward to be able to build child/adolescent mental health care capacity in primary care. Outcome measures need to move beyond self-report to more objective measures, and should expand the measurement of patient outcomes to ensure that these initiative are indeed leading to improved care for families. PMID:29662521

  13. Self-Reported Disability: Association With Lower Extremity Performance and Other Determinants in Older Adults Attending Primary Care.

    PubMed

    Silva, Anabela G; Queirós, Alexandra; Sa-Couto, Pedro; Rocha, Nelson P

    2015-12-01

    Measurement of function usually involves the use of both performance-based and self-report instruments. However, the relationship between both types of measures is not yet completely understood, in particular for older adults attending primary care. The main objective of the study was to investigate the association between the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and the Short Physical Performance Battery (SPPB) for older adults at primary care. A secondary objective was to determine the influence of sociodemographic and health-related variables on this relationship. This was a cross-sectional study. A total of 504 participants aged 60 years and older from 18 different primary care centers underwent a one-session assessment including: sociodemographic variables, comorbidities, performance, self-reported disability, pain, depressive symptoms, and physical activity. Performance was assessed using the SPPB, and self-reported disability was assessed using the WHODAS 2.0. The correlation between WHODAS 2.0 and SPPB scores was strong (r=.65). Regression analysis showed that the SPPB total score explained 41.7% of the variance in WHODAS 2.0 scores (adjusted R(2)=41.6%). A second model including the SPPB subtests (balance, gait, and sit-to-stand), depressive symptoms, number of pain sites, pain intensity, and level of physical activity explained 61.7% of the variance in WHODAS 2.0 scores (adjusted R(2)=60.4%). No model improvement was found when considering the 6 WHODAS 2.0 individual domains. The cross-sectional nature of the study does not allow inferences on causal relationships. This study's findings confirm that self-report and performance-based measures relate to different aspects of functioning. Further study is needed to determine if primary care interventions targeting lower extremity performance and depressive symptoms improve self-reported disability. © 2015 American Physical Therapy Association.

  14. 77 FR 72871 - Proposed Collection; Comment Request (60-Day FRN): The Agricultural Health Study: A Prospective...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-06

    ... Disease Among Men and Women in Agriculture (NCI) Summary: In compliance with the requirement of Section... Prospective Cohort Study of Cancer and Other Disease Among Men and Women in Agriculture, 0925-0406, Expiration... Effects in Agriculture (BEEA). The primary objectives of the study are to determine the health effects...

  15. Late Language Emergence at 24 Months: An Epidemiological Study of Prevalence, Predictors, and Covariates

    ERIC Educational Resources Information Center

    Zubrick, Stephen R.; Taylor, Catherine L.; Rice, Mabel L.; Slegers, David W.

    2007-01-01

    Purpose: The primary objectives of this study were to determine the prevalence of late language emergence (LLE) and to investigate the predictive status of maternal, family, and child variables. Method: This is a prospective cohort study of 1,766 epidemiologically ascertained 24-month-old singleton children. The framework was an ecological model…

  16. A Phenomenological Study of Autonomous Management Performance Schools (AMPS) in the Chicago Public Schools

    ERIC Educational Resources Information Center

    Moore, Forrest W.

    2009-01-01

    The primary objective of this qualitative study is to explore the impact of autonomy on the relationship between schools and districts of the school level across governance, operations, curriculum and instruction and the decision making that accompanies the each of these factors. More specifically, this study focuses the impact of autonomy within…

  17. A City Goes to War: A Case Study of Bridgeport, Connecticut, 1914-1917.

    ERIC Educational Resources Information Center

    Banit, Thomas

    1989-01-01

    Presents a case study used for teaching about World War I. Describes Bridgeport, Connecticut, during the period 1914-17. Includes maps, ethnographic data, and primary materials, such as newspaper accounts and speeches by U.S. President Woodrow Wilson. Provides learning objectives, study questions, and a glossary. Discusses the impact of the war on…

  18. General Practitioners' Clinical Impression in the Screening for Frailty: Data From the FAP Study Pilot.

    PubMed

    Fougère, Bertrand; Sirois, Marie-Josée; Carmichael, Pierre-Hugues; Batomen-Kuimi, Brice-Lionel; Chicoulaa, Bruno; Escourrou, Emile; Nourhashémi, Fati; Oustric, Stéphane; Vellas, Bruno

    2017-02-01

    The progression of frailty is marked by an increased risk of adverse health outcomes in the elderly including falls, physical and/or cognitive disability, hospitalizations, and mortality. In primary care, the general practitioner's (GP's) clinical impression about their elderly patients' frailty state seems to be a key point in identifying frail individuals in their clinical practice. The aim of this article is to examine if GPs' clinical impressions regarding frailty concurs with objective measures of the gold standard frailty phenotype as described by Fried in community-dwelling older persons. Cross-sectional study in 14 primary care GP offices in the Toulouse area from May 1st to October 31st, 2015. Fourteen GPs screened their patients ≥70 years old. GPs' "frailty impression" was based on the Gérontopôle Frailty Screening Tool. "Objective measures of the five Fried frailty criteria" were obtained by a geriatric nurse through standardized testing. The capacity of the GPs' clinical impression to detect participants objectively measured as frail was examined with diagnostic values of observed sensitivity (Se), specificity (Sp), positive predictive value (PPV), and negative predictive value (NPV). A total of 268 participants were screened by GPs and assessed by a nurse. Mean age was 81 years and 62.3% were female. According to the objective measures of Fried's criteria, frailty (three to five criteria) and pre-frailty (one to two criteria) states were identified in 31% and 45.2% of participants, respectively. The Se of the GPs' impression was good (80.39%; 95% confidence interval [CI], 74.27%-85.61%), and the Sp was moderate (64.06%; 95% CI, 5.10%-75.68%). The overall PPV of the GPs' impression was 87.70% (95% CI, 82.12%-92.04%), and the NPV was 50.51% (95% CI, 39.27%-61.91%). Although the PPV increased with age reaching 93.33% (95% CI, 85.12%-97.80%) among patients ≥ 85 years old, the NPV decreased accordingly to a minimal 21.43% (95% CI, 4.66%-50.80%) in that subgroup. The present study highlights the importance of the GPs' clinical impression on frailty as a fair means to identify this syndrome in community-dwelling older patients in primary care. This clinical impression may not be sufficient, however, and some objective tests could be added to improve the accuracy of frailty detection in older patients in primary care. Copyright © 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  19. Kleine-Levin Syndrome in an 8-Year-Old Girl with Autistic Disorder: Does Autism Account a Primary or Secondary Cause?

    PubMed

    Hakim Shoushtari, Mitra; Ghalebandi, Mirfarhad; Tavasoli, Azita; Pourshams, Maryam

    2015-01-01

    Objective Kleine-Levin syndrome (KLS) is a rare disorder with an unknown etiology. Autism spectrum disorder is characterized by various degrees of impairment in social communication, repetitive behavior and restricted interests. Only four patients of KLS with autistic spectrum disorder (ASD) have been reported so far. This report presents an 8-year-old girl with history of autistic disorder and epilepsy that superimposed KLS. Because of the rarity of KLS and related studies did not address whether autism accounts for a primary or secondary cause, the area required attention further studies.

  20. Effects of a Hypertension Management Program by Seongcheon Primary Health Care Post in South Korea: An Analysis of Changes in the Level of Knowledge of Hypertension in the Period from 2004 to 2009

    ERIC Educational Resources Information Center

    Song, In Han; Kim, Sang-A; Park, Woong-Sub

    2012-01-01

    The objective of this study was to examine the effects of a hypertension management program provided by a primary health care post located in a distant rural area in South Korea on the level of knowledge of hypertension. The panel data consisted of a total of 319 people or the entire population aged above 40 years of five villages located in…

  1. Causes of Male Dropout Rate in Pakistan

    ERIC Educational Resources Information Center

    Ud Din, Muhammad Naseer; Dad, Hukam; Iqbal, Javid; Shah, Syed Shafqat Ali; Niazi, Muhammad Imran

    2011-01-01

    This study aimed to seek the cause of male students' dropout rate at the primary level of F.R. Peshawar. The main objectives of the study were: 1) to study the teacher problems and attitudes of the dropouts, 2) to determine the factors that cause dropouts, 3) to study the government's strategy of dropouts, and 4) to provide suggestions to overcome…

  2. Goldstone Solar System Radar (GSSR)

    NASA Technical Reports Server (NTRS)

    Renzetti, N. A.

    1991-01-01

    The primary objective of the Goldstone Solar System Radar is the investigation of solar system bodies by means of Earth-based radar. Targets of primary interest include the Galilean moons, Saturn's rings and moons, and Earth-approaching asteroids and comets. Planets are also of interest, particularly Mercury and the planets to which NASA has not yet planned spacecraft visits. Based on a history of solid achievement, including the definition of the Astronomical Unit, imaging and topography of Mars, Venus, and Mercury, and contributions to the general theory of relativity, the program will continue to support flight project requirements and its primary objectives. The individual target objectives are presented, and information on the following topics are presented in tabular form: Deep Space Network support, compatibility tests, telemetry, command, and tracking support responsibility.

  3. A Qualitative Investigation of Fifth- and Sixth-Grade Students' Attitudes towards Intellectual Disability

    ERIC Educational Resources Information Center

    Beaulieu-Bergeron, Rebecca; Morin, Diane

    2016-01-01

    Research suggests that attitudes of typically developing children towards intellectual disability (ID) play an important role in the social integration and acceptance of children with IDs. To date, however, few studies have investigated children's attitudes towards ID. The primary objective of this study was to examine the cognitive, affective,…

  4. PILOT STUDY OF THE POTENTIAL FOR HUMAN EXPOSURES TO PET-BORNE DIAZINON RESIDUES FOLLOWING LAWN APPLICATIONS IN NORTH CAROLINA

    EPA Science Inventory

    This study examined the potential for indoor/outdoor pet dogs to be an important pathway for transporting diazinon residues into homes and onto occupants following residential lawn applications. The primary objective was to investigate the potential exposures of children and thei...

  5. Postpartum Mental State of Mothers of Twins

    ERIC Educational Resources Information Center

    Brantmüller, Éva; Gyúró, Mónika; Galgán, Kitti; Pakai, Annamária

    2016-01-01

    Twin birth is a relevant risk factor for postnatal depression (PND). The primary objective of our study is to reveal the prevalence of suspected cases of depression and to identify some background factors among mothers of twins. We applied convenience sampling method within a retrospective, quantitative study among mothers given birth to twins for…

  6. NEAR-COASTAL SEDIMENT AS A HABITAT IN THE GULF OF MEXICO: CHEMICAL QUALITY, TOXICITY, AND BENTHIC COMMUNITY COMPOSITION

    EPA Science Inventory

    Sediment quality was determined in a multiyear study for 108 near-coastal sites located in Mississippi, Alabama and Florida. The primary objective of the study was to determine the relative impact of common stressor sources on sediment quality utilizing a weight-of-evidence appro...

  7. Violence against Teachers--Rule or Exception?

    ERIC Educational Resources Information Center

    Lokmic, Maja; Opic, Siniša; Bilic, Vesna

    2013-01-01

    The objective of this study is to examine the prevalence of violence against teachers by students. The study included 175 teachers, five primary and five secondary schools. The age of respondents (teachers) ranges from 20 to 65, with average age being 44,33 years. The used instrument has assessed violence against teachers and has consisted of data…

  8. Pediatric Residents' Responses that Discourage Discussion of Psychosocial Problems in Primary Care

    ERIC Educational Resources Information Center

    Wissow, Lawrence S.; Larson, Susan; Anderson, Jada; Hadjiisky, Elizabeth

    2005-01-01

    Objective: Studies spanning nearly 4 decades demonstrate that doctors ignore or dismiss many patient bids for discussion of psychosocial topics. We sought to understand characteristics of doctors, patients, and visits in which this occurs. Methods: Reanalysis of 167 audiotapes from 2 studies of parent-doctor communication in a pediatric residents'…

  9. Beliefs Regarding Classroom Management Style: Relationships to Particular Teacher Personality Characteristics.

    ERIC Educational Resources Information Center

    Martin, Nancy K.; And Others

    This study was a continuation of an in-process research effort to further refine the Inventory of Classroom Management Styles (ICMS), an instrument designed to measure teachers' perceptions of their classroom management beliefs and practices. Using preliminary data analysis based on partial data collection, the primary objective of this study was…

  10. Schooling the Middle Manager. Professional Study No. 5406.

    ERIC Educational Resources Information Center

    Robinson, George D.

    The aim of this study is to evaluate industrial approaches to management development programs to ascertain the applicability of using similar schooling techniques in Air Force managerial development. The primary emphasis is on where the Air Force might benefit from industry's experience in the middle manager area. An additional objective is the…

  11. Gender Construction through Textbooks: The Case of an Ethiopian Primary School English Textbook

    ERIC Educational Resources Information Center

    Gebregeorgis, Mehari Yimulaw

    2016-01-01

    The objective of the study was to explore how gender was constructed in the "English for Ethiopia Student's Book" for grade four. In order to find out the discursive actions, representations and identifications by unpacking the employed genre, discourse and style, respectively, the case study was conducted using Fairclough's…

  12. Strategies to increase seat belt use : an analysis of levels of fines and the type of law.

    DOT National Transportation Integrated Search

    2010-11-01

    The main objectives of this study were to determine the relationships between seat belt use in the States and (1) the : type of seat belt law enforcement (primary versus secondary), and (2) seat belt fine levels. : The study examined law type and lev...

  13. Genome-wide association study of swine farrowing traits. Part I: Genetic and genomic parameter estimates

    USDA-ARS?s Scientific Manuscript database

    The primary objective of this study was to determine genetic and genomic parameters among swine farrowing traits. Genetic parameters were obtained by using MTDFREML and genomic parameters were obtained using GenSel. Genetic and residual variances obtained from MTDFREML were used as priors for the ...

  14. Learning from Tragedy: A Survey of Child and Adolescent Restraint Fatalities

    ERIC Educational Resources Information Center

    Nunno, Michael A.; Holden, Martha J.; Tollar, Amanda

    2006-01-01

    Objective: This descriptive study examines 45 child and adolescent fatalities related to restraints in residential (institutional) placements in the United States from 1993 to 2003. Method: The study team used common Internet search engines as its primary case discovery strategy to determine the frequency and the nature of the fatalities, as well…

  15. A COMPARATIVE ASSESSMENT OF BOISE, IDAHO, AMBIENT AIR FINE PARTICLE SAMPLES USING THE PLATE AND MICROSUSPENSION SALMONELLA MUTAGENICITY ASSAYS

    EPA Science Inventory

    The primary objective of this study is to characterize the genotoxic potential of the ambient air aerosols collected within an air shed impacted primarily by wood smoke and automotive emissions. The study also examines the relative merits of a microsuspension assay and the standa...

  16. 75 FR 46946 - Proposed Collection; Comment Request; Assessing the Long-Term Impacts of the John E. Fogarty...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... countries. The primary objective of the study is to develop detailed case studies of the long- term impacts... income countries. The findings will provide valuable information concerning return on the Center's... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; Comment...

  17. School Bullying and Collective Efficacy: A Study of Elementary Schools

    ERIC Educational Resources Information Center

    Hyde, Tonya Nichelle

    2014-01-01

    Recently, widely publicized incidents of school violence have prompted questions about the abilities of school leaders to educate students in safe and socially productive environments. In many cases, incidents of school violence are linked directly to bullying episodes. The primary objective of this study is to examine the relationship between…

  18. Children's After-School Physical Activity Participation in Hong Kong: Does Family Socioeconomic Status Matter?

    ERIC Educational Resources Information Center

    Cheung, Peggy PY

    2017-01-01

    Objective: This study aimed to examine the association between parental socioeconomic status (SES) and children's physical activity (PA) behaviour during after-school hours. Design: Cross-sectional study. Methods: Participants included 663 schoolchildren (aged between 10 and 13 years) and their parents from nine primary schools in Hong Kong.…

  19. LEVELS OF ORGANOPHOSPHATES AND THEIR DEGRADATION PRODUCTS IN THE HOMES, DAY CARE CENTERS, AND URINE OF 127 OHIO PRESCHOOL CHILDREN

    EPA Science Inventory

    This study examined the aggregate exposures of 257 preschool children to pollutants commonly found in their everyday environments. A primary objective of the study was to identify important sources and routes that contribute to the children's exposures in these environments. Pa...

  20. Ohio Social Studies Curriculum Guide: Washington Middle School. 1984-1989.

    ERIC Educational Resources Information Center

    Taylor, John P.

    Designed for use in a one-semester seventh-grade Ohio social studies class, this curriculum guide is divided into teaching, testing, and activity units. The primary purposes of this guide are to teach participatory citizenship and to emphasize self-learning. Twelve broad instructional objectives include the ability to: (1) interpret Article I of…

  1. Economic Education for Arkansas Elementary Schools. Teaching Guide.

    ERIC Educational Resources Information Center

    Nixon, Ila M., Ed.

    The primary objective of this guide is to set forth goals of learning that will contribute to student achievement of economic literacy, suggest activities, and resources. It is a skeletal structure which teachers can incorporate into a continuous social studies curriculum, and other appropriate studies. The main purpose of economic education is to…

  2. Profile of a Museum Registrar: CASE Research Project 7-78.

    ERIC Educational Resources Information Center

    Hoachlander, Marjorie E.

    This book represents the first independent research study directed toward the educational needs and interests of museum registrars to be undertaken by a university in collaboration with a nationally recognized museum. The study's primary objective was to provide data to be used for the development of materials and methods in the training and…

  3. Career Education for Mentally Handicapped Adults. Discussion Paper 01/83.

    ERIC Educational Resources Information Center

    Lindsay, Janis

    A study examined the career education opportunities available to mentally handicapped adults in British Columbia. The primary objectives of the study were to assess the effectiveness of various methods and models in meeting the needs of mentally handicapped adults, to explore the policy implications of the program strengths and weaknesses, to…

  4. Supervisory Neglect and Risk of Harm. Evidence from the Canadian Child Welfare System

    ERIC Educational Resources Information Center

    Ruiz-Casares, Monica; Trocme, Nico; Fallon, Barbara

    2012-01-01

    Objective: This study explores prevalence and characteristics associated with supervisory neglect and physical harm in children in the child welfare system in Canada. Methods: The sample included all substantiated primary maltreatment investigations in the 2008 Canadian Incidence Study of Reported Child Abuse and Neglect excluding cases where…

  5. Non-Abused Preschool Children's Perception of an Anogenital Examination

    ERIC Educational Resources Information Center

    Gulla, Kari; Fenheim, Gred Eva; Myhre, Arne K.; Lydersen, Stian

    2007-01-01

    Objective: An anogenital examination is usually part of the standard medical assessment in children evaluated for suspected sexual abuse, and the emotional impact on the child has been studied. The primary aim of this study was to assess non-abused preschool children's responses to an anogenital examination. Method: One hundred and fifty-eight…

  6. Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : transportation systems and deficiencies, working paper #1

    DOT National Transportation Integrated Search

    1997-06-18

    This document has been prepared as part of the New York State Department of Transportation (NYSDOT) Buffalo and Niagara Falls Intelligent Transportation Systems Study. The primary objective of this working paper is to define and document transportati...

  7. The Effect of Five Smoking Cessation Pharmacotherapies on Smoking Cessation Milestones

    ERIC Educational Resources Information Center

    Japuntich, Sandra J.; Piper, Megan E.; Leventhal, Adam M.; Bolt, Daniel M.; Baker, Timothy B.

    2011-01-01

    Objective: Most smoking cessation studies have used long-term abstinence as their primary outcome measure. Recent research has suggested that long-term abstinence may be an insensitive index of important smoking cessation mechanisms. The goal of the current study was to examine the effects of 5 smoking cessation pharmacotherapies using Shiffman et…

  8. Investigating Image Formation with a Camera Obscura: a Study in Initial Primary Science Teacher Education

    NASA Astrophysics Data System (ADS)

    Muñoz-Franco, Granada; Criado, Ana María; García-Carmona, Antonio

    2018-04-01

    This article presents the results of a qualitative study aimed at determining the effectiveness of the camera obscura as a didactic tool to understand image formation (i.e., how it is possible to see objects and how their image is formed on the retina, and what the image formed on the retina is like compared to the object observed) in a context of scientific inquiry. The study involved 104 prospective primary teachers (PPTs) who were being trained in science teaching. To assess the effectiveness of this tool, an open questionnaire was applied before (pre-test) and after (post-test) the educational intervention. The data were analyzed by combining methods of inter- and intra-rater analysis. The results showed that more than half of the PPTs advanced in their ideas towards the desirable level of knowledge in relation to the phenomena studied. The conclusion reached is that the camera obscura, used in a context of scientific inquiry, is a useful tool for PPTs to improve their knowledge about image formation and experience in the first person an authentic scientific inquiry during their teacher training.

  9. Fluoride Varnish Application in the Primary Care Setting. A Clinical Study.

    PubMed

    Rolnick, S J; Jackson, J M; DeFor, T A; Flottemesch, T J

    2015-01-01

    The study objectives were twofold: 1. To examine how an intervention to apply fluoride varnish (FV) in a primary health setting to all young, low-income children was implemented and sustained and 2. To assess the feasibility of tracking medical care utilization in this population. The study included children age 1-5, insured through a government program, seen (7/1/2010-4/30/2012). Data on age, race, sex, clinic encounter, eligibility for and receipt of FV was obtained. The level of data in primary care, specialty care, urgent care and hospitalizations to assess feasibility of future patient tracking was also acquired.. Of 12,067 children, 85% received FV. Differences were found by age (youngest had highest rates). Small differences by race (81%-88%, highest in Blacks.) was found. No differences were found by sex. Ability to track over time was mixed. Approximately 50% had comprehensive data. However, primary care visit and hospitalization data was available on a larger percentage. FV programs can be introduced in the primary care setting and sustained. Further, long-term follow up is possible. Future study of such cohorts capturing health and cost benefits of oral health prevention efforts is needed.

  10. Fundamental movement skills and physical activity among children living in low-income communities: a cross-sectional study

    PubMed Central

    2014-01-01

    Background Although previous studies have demonstrated that children with high levels of fundamental movement skill competency are more active throughout the day, little is known regarding children’s fundamental movement skill competency and their physical activity during key time periods of the school day (i.e., lunchtime, recess and after-school). The purpose of this study was to examine the associations between fundamental movement skill competency and objectively measured moderate-to-vigorous physical activity (MVPA) throughout the school day among children attending primary schools in low-income communities. Methods Eight primary schools from low-income communities and 460 children (8.5 ± 0.6 years, 54% girls) were involved in the study. Children’s fundamental movement skill competency (TGMD-2; 6 locomotor and 6 object-control skills), objectively measured physical activity (ActiGraph GT3X and GT3X + accelerometers), height, weight and demographics were assessed. Multilevel linear mixed models were used to assess the cross-sectional associations between fundamental movement skills and MVPA. Results After adjusting for age, sex, BMI and socio-economic status, locomotor skill competency was positively associated with total (P = 0.002, r = 0.15) and after-school (P = 0.014, r = 0.13) MVPA. Object-control skill competency was positively associated with total (P < 0.001, r = 0.20), lunchtime (P = 0.03, r = 0.10), recess (P = 0.006, r = 0.11) and after-school (P = 0.022, r = 0.13) MVPA. Conclusions Object-control skill competency appears to be a better predictor of children’s MVPA during school-based physical activity opportunities than locomotor skill competency. Improving fundamental movement skill competency, particularly object-control skills, may contribute to increased levels of children’s MVPA throughout the day. Trial registration Australian New Zealand Clinical Trials Registry No: ACTRN12611001080910. PMID:24708604

  11. Selective verbal recognition memory impairments are associated with atrophy of the language network in non-semantic variants of primary progressive aphasia.

    PubMed

    Nilakantan, Aneesha S; Voss, Joel L; Weintraub, Sandra; Mesulam, M-Marsel; Rogalski, Emily J

    2017-06-01

    Primary progressive aphasia (PPA) is clinically defined by an initial loss of language function and preservation of other cognitive abilities, including episodic memory. While PPA primarily affects the left-lateralized perisylvian language network, some clinical neuropsychological tests suggest concurrent initial memory loss. The goal of this study was to test recognition memory of objects and words in the visual and auditory modality to separate language-processing impairments from retentive memory in PPA. Individuals with non-semantic PPA had longer reaction times and higher false alarms for auditory word stimuli compared to visual object stimuli. Moreover, false alarms for auditory word recognition memory were related to cortical thickness within the left inferior frontal gyrus and left temporal pole, while false alarms for visual object recognition memory was related to cortical thickness within the right-temporal pole. This pattern of results suggests that specific vulnerability in processing verbal stimuli can hinder episodic memory in PPA, and provides evidence for differential contributions of the left and right temporal poles in word and object recognition memory. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Dissociated active and passive tactile shape recognition: a case study of pure tactile apraxia.

    PubMed

    Valenza, N; Ptak, R; Zimine, I; Badan, M; Lazeyras, F; Schnider, A

    2001-11-01

    Disorders of tactile object recognition (TOR) may result from primary motor or sensory deficits or higher cognitive impairment of tactile shape representations or semantic memory. Studies with healthy participants suggest the existence of exploratory motor procedures directly linked to the extraction of specific properties of objects. A pure deficit of these procedures without concomitant gnostic disorders has never been described in a brain-damaged patient. Here, we present a patient with a right hemispheric infarction who, in spite of intact sensorimotor functions, had impaired TOR with the left hand. Recognition of 2D shapes and objects was severely deficient under the condition of spontaneous exploration. Tactile exploration of shapes was disorganized and exploratory procedures, such as the contour-following strategy, which is necessary to identify the precise shape of an object, were severely disturbed. However, recognition of 2D shapes under manually or verbally guided exploration and the recognition of shapes traced on the skin were intact, indicating a dissociation in shape recognition between active and passive touch. Functional MRI during sensory stimulation of the left hand showed preserved activation of the spared primary sensory cortex in the right hemisphere. We interpret the deficit of our patient as a pure tactile apraxia without tactile agnosia, i.e. a specific inability to use tactile feedback to generate the exploratory procedures necessary for tactile shape recognition.

  13. Analysis of traffic crash data in Kentucky : 1997-2001.

    DOT National Transportation Integrated Search

    2002-08-01

    This report documents an analysis of traffic crash data in Kentucky for the years of 1997 through 2001. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

  14. Bearing capacity analysis and design of highway base materials reinforced with geofabrics.

    DOT National Transportation Integrated Search

    2005-06-01

    The primary objective of this study was to develop and implement mathematical bearing capacity models originally proposed by Hopkins (1988, 1991) and Slepak and Hopkins (1993; 1995). These advanced models, which are based on limit equilibrium and are...

  15. Evaluation of the gyratory compactor for use in designing asphaltic concrete mixtures : final report.

    DOT National Transportation Integrated Search

    1966-12-01

    The primary objective of this study was to evaluate the gyratory kneading compactor and to investigate the possibilities and capabilities of this type of equipment. : Curves were developed for six different asphaltic concrete mixes with varying compa...

  16. Investigation of premature distress in conventional asphalt materials on Interstate 10 at Columbus, Texas.

    DOT National Transportation Integrated Search

    1982-08-01

    The primary objectives of the study were to determine the probable causes of the distress and to make recommendations which could alleviate future problems. The investigation involved an analysis of construction records and laboratory test results pe...

  17. Performance measures for freight & general traffic : investigating similarities and differences using alternate data sources.

    DOT National Transportation Integrated Search

    2015-06-01

    Recent advances in probe vehicle data collection systems have enabled monitoring traffic : conditions at finer temporal and spatial resolution. The primary objective of the current study is : to leverage these probe data sources to understand if ther...

  18. Development of ODOT guidelines for the use of geogrids in aggregate bases.

    DOT National Transportation Integrated Search

    2012-11-01

    A primary objective of the current study was to help ODOT expand its selection of approved : geogrid products for base reinforcement applications by producing measured data on selected : geogrids and a dense-graded base aggregate commonly used in ODO...

  19. APT-ALF testing at LTRC in Louisiana : summary report.

    DOT National Transportation Integrated Search

    2012-09-01

    As an integral part of Study 0-6132, the primary objectives of this task included the following: : 1) To validate the new generation mix-design procedure (balanced) under APT testing using the ALF machine. : 2) To compare the HMA mix performance desi...

  20. Association between a social-business eating pattern and early asymptomatic atherosclerosis

    USDA-ARS?s Scientific Manuscript database

    BACKGROUND: The importance of a healthy diet in relation to cardiovascular health promotion is widely recognized. Identifying specific dietary patterns related to early atherosclerosis would contribute greatly to inform effective primary prevention strategies. OBJECTIVES: This study sought to quanti...

  1. Nutrients and bioactives in green leafy vegetables and cognitive decline: prospective study

    USDA-ARS?s Scientific Manuscript database

    Objective: To increase understanding of the biological mechanisms underlying this association, we investigated the individual relations to cognitive decline of the primary nutrients and bioactives in green leafy vegetables, including vitamin K (phylloquinone), lutein, beta-carotene, nitrate, folate,...

  2. Review and assessment of designated driver programs as an alcohol countermeasure approach

    DOT National Transportation Integrated Search

    1987-02-01

    Many drinking establishments have instituted designated driver programs (DDPs) which encourage one person in a group of patrons to remain sober and drive the others home. The primary objectives of this exploratory study were to: 1) identify DDPs thro...

  3. Analysis of traffic crash data in Kentucky (2011-2015).

    DOT National Transportation Integrated Search

    2016-09-01

    This report documents an analysis of traffic crash data in Kentucky for the years of 2011 through 2015. A primary objective of this study was to determine average crash statistics for Kentucky highways. Rates were calculated for various types of high...

  4. Analysis of traffic crash data in Kentucky (1997-2001)

    DOT National Transportation Integrated Search

    2002-08-01

    This report documents an analysis of traffic crash data in Kentucky for the years of 1997 through 2001. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

  5. Evaluation of waste concrete road materials for use in oyster aquaculture.

    DOT National Transportation Integrated Search

    2013-02-01

    The primary objective of this study was to determine the suitability of recycled concrete : aggregate (RCA) from road projects as bottom conditioning material for on-bottom oyster : aquaculture in the Chesapeake Bay. The testing was designed to (1) e...

  6. Analysis of Traffic Crash Data in Kentucky (2012-2016).

    DOT National Transportation Integrated Search

    2017-09-01

    This report documents an analysis of traffic crash data in Kentucky for the years of 2012 through 2016. A primary objective of this study was to determine average crash statistics for Kentucky highways. Rates were calculated for various types of high...

  7. Analysis of traffic crash data in Kentucky (2009-2013).

    DOT National Transportation Integrated Search

    2014-09-01

    This report documents an analysis of traffic crash data in Kentucky for the years of 2009 through 2013. A primary objective of this study was to determine average crash statistics for Kentucky highways. Rates were calculated for various types of high...

  8. Analysis of traffic crash data in Kentucky (1996-2000)

    DOT National Transportation Integrated Search

    2001-09-01

    This report documents an analysis of traffic crash data in Kentucky for the years of 1996 through 2000. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

  9. Analysis of traffic crash data in Kentucky : 1996-2000.

    DOT National Transportation Integrated Search

    2001-09-01

    This report documents an analysis of traffic crash data in Kentucky for the years of 1996 through 2000. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crash...

  10. Analysis of traffic crash data in Kentucky : 2000-2004.

    DOT National Transportation Integrated Search

    2005-08-01

    This report includes an analysis of traffic accident data in Kentucky for the years of 2000 through 2004. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of cra...

  11. Analysis of traffic crash data in Kentucky : 1998-2002.

    DOT National Transportation Integrated Search

    2003-09-01

    This report documents an analysis of traffic accident data in Kentucky for the years of 1998 through 2002. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of cr...

  12. Analysis of traffic crash data in Kentucky : 2001-2005.

    DOT National Transportation Integrated Search

    2006-08-01

    This report includes an analysis of traffic accident data in Kentucky for the years of 2001 through 2005. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical rates of crashes were ca...

  13. Analysis of traffic crash data in Kentucky : 2005-2009.

    DOT National Transportation Integrated Search

    2010-08-01

    This report documents an analysis of traffic crash data in Kentucky for the years of 2005 through 2009. A primary objectives of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of cras...

  14. Analysis of traffic crash data in Kentucky : 2004-2008.

    DOT National Transportation Integrated Search

    2009-09-01

    The report documents an analysis of traffic crash data in Kentucky for the years of 2004 through 2008. A primary objective of this study was to determine average crash statistics for Kentucky highways. Average and critical numbers and rates of crashe...

  15. Site assessment using echo sounding, side scan sonar and sub-bottom profiling.

    DOT National Transportation Integrated Search

    2014-02-01

    The primary objective of this research is to use multifaceted geophysical data techniques in order to better map karst terrain beneath : standing bodies of water. This study may help providing stronger mapping techniques for future bridge and dam con...

  16. Cognitive Assessment Interview (CAI): Validity as a co-primary measure of cognition across phases of schizophrenia.

    PubMed

    Ventura, Joseph; Subotnik, Kenneth L; Ered, Arielle; Hellemann, Gerhard S; Nuechterlein, Keith H

    2016-04-01

    Progress has been made in developing interview-based measures for the assessment of cognitive functioning, such as the Cognitive Assessment Interview (CAI), as co-primary measures that compliment objective neurocognitive assessments and daily functioning. However, a few questions remain, including whether the relationships with objective cognitive measures and daily functioning are high enough to justify the CAI as an co-primary measure and whether patient-only assessments are valid. Participants were first-episode schizophrenia patients (n=60) and demographically-similar healthy controls (n=35), chronic schizophrenia patients (n=38) and demographically similar healthy controls (n=19). Participants were assessed at baseline with an interview-based measure of cognitive functioning (CAI), a test of objective cognitive functioning, functional capacity, and role functioning at baseline, and in the first episode patients again 6 months later (n=28). CAI ratings were correlated with objective cognitive functioning, functional capacity, and functional outcomes in first-episode schizophrenia patients at similar magnitudes as in chronic patients. Comparisons of first-episode and chronic patients with healthy controls indicated that the CAI sensitively detected deficits in schizophrenia. The relationship of CAI Patient-Only ratings with objective cognitive functioning, functional capacity, and daily functioning were comparable to CAI Rater scores that included informant information. These results confirm in an independent sample the relationship of the CAI ratings with objectively measured cognition, functional capacity, and role functioning. Comparison of schizophrenia patients with healthy controls further validates the CAI as an co-primary measure of cognitive deficits. Also, CAI change scores were strongly related to objective cognitive change indicating sensitivity to change. Copyright © 2016 Elsevier B.V. All rights reserved.

  17. An Evaluation of Primary English Textbooks in Vietnam: A Sociolinguistic Perspective

    ERIC Educational Resources Information Center

    Dang, Tu Cam Thi; Seals, Corinne

    2018-01-01

    This article delves into the issue of incorporating sociolinguistic aspects of language and culture into the current primary English textbooks in Vietnam. The authors first provide an overview of primary English teaching in the Vietnamese setting and then evaluate the current primary English textbooks in relation to the objectives of foreign…

  18. Investigation of a carbon fiber/epoxy prepreg curing behavior for thick composite materials production: An industrial case-study

    NASA Astrophysics Data System (ADS)

    Giorgini, Loris; Mazzocchetti, Laura; Minak, Giangiacomo; Dolcini, Enrico

    2012-07-01

    A case-study is presented, in cooperation with RI-BA Composites srl, where the industrial production of a thick part for primary structural application is analysed. The final product is a bulk carbon fiber reinforced object characterized by great dimensions, with thickness ranging between 10mm and 35mm and obtained by Hand-Lay-Up of prepregs. The study shows that prepregs age along the time required for the process work up. Moreover, the isothermal curing investigation of the prepreg used in the production gives some useful hint for the design of a new thermal curing cycle, in order to avoid exotherm problems along the thickness of the object. The effect of the applied curing cycle on thermal properties of the object are reported.

  19. Silicosis in Sandblasters: A Case Study Adapted for Use in U.S. High Schools. NIOSH Case Study in Occupational Epidemiology.

    ERIC Educational Resources Information Center

    Malit, Bonita D.

    This document presents a case study of silicosis in sandblasters that has been adapted for instructional use in U.S. high schools. The primary objective of the case study is to teach students about epidemiology by studying an occupational hazard, disease associated with the hazard, and methods for preventing the disease. The introduction offers…

  20. A Study by the Chinese Academy of Sciences on the Benefits of Study Abroad

    ERIC Educational Resources Information Center

    Xiaoxuan, Li

    2004-01-01

    This article reports on a study by the Chinese Academy of Sciences relating to the benefits of study abroad. The Chinese Academy of Sciences, as a national-level research entity, has the mission of developing China's science and technology, and the primary objective of its studies abroad work is to carry forward and promote the advance of China's…

  1. An Assessment of the Effectiveness of the AGATE Program Management Model

    NASA Technical Reports Server (NTRS)

    Warner, Timothy P. (Technical Monitor); Masson, Paul

    2005-01-01

    This report describes the collaborative program model chosen to implement an aeronautics research and technology program from 1994 through 2001: the Advanced General Aviation Transport Experiments (AGATE) Program. The Program had one primary objective: to improve the ability of the General Aviation industry to adopt technology as a solution to fulfill public benefit objectives. The primary objective of this report is to assess the program s ability to meet a combination of "effectiveness measures" from multiple stakeholders. The "effectiveness" of any model forms the foundation of legitimate questions for policy makers and professional federal managers. The participants rated AGATE as achieving its primary objectives and rating well on effectiveness in most areas, with high measures for relevance, cost, speed and public benefit, but lower measures for institutional fit and flexibility at dealing with the larger NASA organizational structure. This pattern mirrors private sector surveys and represents a tradeoff between the benefits of tailoring a program using partnering, versus the changes necessary within the institutional structure to support such tailoring.

  2. Effect of electronically delivered prescriptions on compliance and pharmacy wait time among emergency department patients.

    PubMed

    Fernando, Tasha J; Nguyen, Duy D; Baraff, Larry J

    2012-01-01

    The primary objectives were to assess whether electronically delivered prescriptions lead to reduced pharmacy wait time, improved patient satisfaction, and improved compliance with prescriptions. Secondary objectives included determining other reasons for noncompliance and if there was an association between prescription noncompliance and subsequent physician and emergency department (ED) visits. In this prospective study, patients discharged from the Ronald Reagan UCLA Medical Center ED with prescriptions for nonnarcotic medications were randomized to a control group who were discharged with standard written prescriptions or an intervention group who had their prescriptions electronically delivered to the pharmacy of their choice. All study participants were contacted 7 to 31 days after ED discharge for a structured telephone interview. Of the 454 patients enrolled, follow-up was successful for 224 patients (52.4%). Twenty-eight patients did not fill their prescriptions (12.5% noncompliance rate). The top three reasons patients stated for not picking up their medications were perceiving their prescription as unnecessary (n = 11), medication affordability (n = 5), and lack of time (n = 4). There was no difference in primary prescription noncompliance between the two study groups (p = 0.58). However, electronically delivered prescriptions significantly reduced the median pharmacy wait time, from 15 to 0 minutes (p = 0.001), and improved patient satisfaction at the pharmacy (p = 0.034). Neither subsequent physician nor ED visits were increased by primary prescription noncompliance. Electronically delivered prescriptions significantly minimized pharmacy wait time and improved patient satisfaction at the pharmacy, but did not improve primary compliance with prescriptions. © 2011 by the Society for Academic Emergency Medicine.

  3. Dimensions and intensity of inter-professional teamwork in primary care: evidence from five international jurisdictions.

    PubMed

    Levesque, Jean-Frederic; Harris, Mark F; Scott, Cathie; Crabtree, Benjamin; Miller, William; Halma, Lisa M; Hogg, William E; Weenink, Jan-Willem; Advocat, Jenny R; Gunn, Jane; Russell, Grant

    2017-10-23

    Inter-professional teamwork in primary care settings offers potential benefits for responding to the increasing complexity of patients' needs. While it is a central element in many reforms to primary care delivery, implementing inter-professional teamwork has proven to be more challenging than anticipated. The objective of this study was to better understand the dimensions and intensity of teamwork and the developmental process involved in creating fully integrated teams. Secondary analyses of qualitative and quantitative data from completed studies conducted in Australia, Canada and USA. Case studies and matrices were used, along with face-to-face group retreats, using a Collaborative Reflexive Deliberative Approach. Four dimensions of teamwork were identified. The structural dimension relates to human resources and mechanisms implemented to create the foundations for teamwork. The operational dimension relates to the activities and programs conducted as part of the team's production of services. The relational dimension relates to the relationships and interactions occurring in the team. Finally, the functional dimension relates to definitions of roles and responsibilities aimed at coordinating the team's activities as well as to the shared vision, objectives and developmental activities aimed at ensuring the long-term cohesion of the team. There was a high degree of variation in the way the dimensions were addressed by reforms across the national contexts. The framework enables a clearer understanding of the incremental and iterative aspects that relate to higher achievement of teamwork. Future reforms of primary care need to address higher-level dimensions of teamwork to achieve its expected outcomes. © The Author 2017. Published by Oxford University Press.

  4. Colorectal cancer screening practices of primary care providers: results of a national survey in Malaysia.

    PubMed

    Norwati, Daud; Harmy, Mohamed Yusoff; Norhayati, Mohd Noor; Amry, Abdul Rahim

    2014-01-01

    The incidence of colorectal cancer has been increasing in many Asian countries including Malaysia during the past few decades. A physician recommendation has been shown to be a major factor that motivates patients to undergo screening. The present study objectives were to describe the practice of colorectal cancer screening by primary care providers in Malaysia and to determine the barriers for not following recommendations. In this cross sectional study involving 132 primary care providers from 44 Primary Care clinics in West Malaysia, self-administered questionnaires which consisted of demographic data, qualification, background on the primary care clinic, practices on colorectal cancer screening and barriers to colorectal cancer screening were distributed. A total of 116 primary care providers responded making a response rate of 87.9%. About 21% recommended faecal occult blood test (FOBT) in more than 50% of their patients who were eligible. The most common barrier was "unavailability of the test". The two most common patient factors are "patient in a hurry" and "poor patient awareness". This study indicates that colorectal cancer preventive activities among primary care providers are still poor in Malaysia. This may be related to the low availability of the test in the primary care setting and poor awareness and understanding of the importance of colorectal cancer screening among patients. More awareness programmes are required for the public. In addition, primary care providers should be kept abreast with the latest recommendations and policy makers need to improve colorectal cancer screening services in health clinics.

  5. Designing a mixed methods study in primary care.

    PubMed

    Creswell, John W; Fetters, Michael D; Ivankova, Nataliya V

    2004-01-01

    Mixed methods or multimethod research holds potential for rigorous, methodologically sound investigations in primary care. The objective of this study was to use criteria from the literature to evaluate 5 mixed methods studies in primary care and to advance 3 models useful for designing such investigations. We first identified criteria from the social and behavioral sciences to analyze mixed methods studies in primary care research. We then used the criteria to evaluate 5 mixed methods investigations published in primary care research journals. Of the 5 studies analyzed, 3 included a rationale for mixing based on the need to develop a quantitative instrument from qualitative data or to converge information to best understand the research topic. Quantitative data collection involved structured interviews, observational checklists, and chart audits that were analyzed using descriptive and inferential statistical procedures. Qualitative data consisted of semistructured interviews and field observations that were analyzed using coding to develop themes and categories. The studies showed diverse forms of priority: equal priority, qualitative priority, and quantitative priority. Data collection involved quantitative and qualitative data gathered both concurrently and sequentially. The integration of the quantitative and qualitative data in these studies occurred between data analysis from one phase and data collection from a subsequent phase, while analyzing the data, and when reporting the results. We recommend instrument-building, triangulation, and data transformation models for mixed methods designs as useful frameworks to add rigor to investigations in primary care. We also discuss the limitations of our study and the need for future research.

  6. Which features of primary care affect unscheduled secondary care use? A systematic review

    PubMed Central

    Huntley, Alyson; Lasserson, Daniel; Wye, Lesley; Morris, Richard; Checkland, Kath; England, Helen; Salisbury, Chris; Purdy, Sarah

    2014-01-01

    Objectives To conduct a systematic review to identify studies that describe factors and interventions at primary care practice level that impact on levels of utilisation of unscheduled secondary care. Setting Observational studies at primary care practice level. Participants Studies included people of any age of either sex living in Organisation for Economic Co-operation and Development (OECD) countries with any health condition. Primary and secondary outcome measures The primary outcome measure was unscheduled secondary care as measured by emergency department attendance and emergency hospital admissions. Results 48 papers were identified describing potential influencing features on emergency department visits (n=24 studies) and emergency admissions (n=22 studies). Patient factors associated with both outcomes were increased age, reduced socioeconomic status, lower educational attainment, chronic disease and multimorbidity. Features of primary care affecting unscheduled secondary care were more complex. Being able to see the same healthcare professional reduced unscheduled secondary care. Generally, better access was associated with reduced unscheduled care in the USA. Proximity to healthcare provision influenced patterns of use. Evidence relating to quality of care was limited and mixed. Conclusions The majority of research was from different healthcare systems and limited in the extent to which it can inform policy. However, there is evidence that continuity of care is associated with reduced emergency department attendance and emergency hospital admissions. PMID:24860000

  7. [Individual linkage of primary data with secondary and registry data within large cohort studies - capabilities and procedural proposals].

    PubMed

    Stallmann, C; Ahrens, W; Kaaks, R; Pigeot, I; Swart, E; Jacobs, S

    2015-02-01

    Some German cohort studies have already linked secondary and registry data with primary data from interviews and medical examinations. This offers the opportunity to obtain more valid information by taking advantage of the strengths of these data synergistically and overcome their individual weaknesses at the same time. The potential and the requirements for linking secondary and registry data with primary data from cohort studies is described generally and illustrated by the example of the "German National Cohort" (GNC). The transfer and usage of secondary and registry data require that administrative and logistic efforts be made over the whole study period. In addition, rigid data protection regulations for using social data have to be observed. The particular strengths of secondary and registry data, namely their objectivity and independence from recall bias, add to the strengths of newly collected primary data and improve the assessment of morbidity endpoints, exposure history and need of patient care. Moreover, new insights on quality and on the added value of linking different data sources may be obtained. © Georg Thieme Verlag KG Stuttgart · New York.

  8. Role of Activin-A and Myostatin and Their Signaling Pathway in Human Myometrial and Leiomyoma Cell Function

    PubMed Central

    Islam, Md Soriful; Catherino, William H.; Protic, Olga; Janjusevic, Milijana; Gray, Peter Clarke; Giannubilo, Stefano Raffaele; Ciavattini, Andrea; Lamanna, Pasquale; Tranquilli, Andrea Luigi; Petraglia, Felice

    2014-01-01

    Context: Uterine leiomyomas are highly prevalent benign tumors of premenopausal women and the most common indication for hysterectomy. However, the exact etiology of this tumor is not fully understood. Objective: The objective of the study was to evaluate the role of activin-A and myostatin and their signaling pathways in human myometrial and leiomyoma cells. Design: This was a laboratory study. Setting: Myometrial and leiomyoma cells (primary and cell lines) were cultured in vitro. Patients: The study included premenopausal women who were admitted to the hospital for myomectomy or hysterectomy. Interventions: Primary myometrial and leiomyoma cells and/or cell lines were treated with activin-A (4 nM) and myostatin (4 nM) for different days of interval (to measure proliferation rate) or 30 minutes (to measure signaling molecules) or 48 hours to measure proliferating markers, extracellular matrix mRNA, and/or protein expression by real-time PCR, Western blot, and/or immunocytochemistry. Results: We found that activin-A and myostatin significantly reduce cell proliferation in primary myometrial cells but not in leiomyoma cells as measured by a CyQUANT cell proliferation assay kit. Reduced expression of proliferating cell nuclear antigen and Ki-67 were also observed in myometrial cells in response to activin-A and myostatin treatment. Activin-A also significantly increased mRNA expression of fibronectin, collagen1A1, and versican in primary leiomyoma cells. Finally, we found that activin-A and myostatin activate Smad-2/3 signaling but do not affect ERK or p38 signaling in both myometrial and leiomyoma cells. Conclusions: This study results suggest that activin-A and myostatin can exert antiproliferative and/or fibrotic effects on these cell types via Smad-2/3 signaling. PMID:24606069

  9. Patient involvement in decision-making: a cross-sectional study in a Malaysian primary care clinic

    PubMed Central

    Ambigapathy, Ranjini; Ng, Chirk Jenn

    2016-01-01

    Objective Shared decision-making has been advocated as a useful model for patient management. In developing Asian countries such as Malaysia, there is a common belief that patients prefer a passive role in clinical consultation. As such, the objective of this study was to determine Malaysian patients’ role preference in decision-making and the associated factors. Design A cross-sectional study. Setting Study was conducted at an urban primary care clinic in Malaysia in 2012. Participants Patients aged >21 years were chosen using systematic random sampling. Methods Consenting patients answered a self-administered questionnaire, which included demographic data and their preferred and actual role before and after consultation. Doctors were asked to determine patients’ role preference. The Control Preference Scale was used to assess patients’ role preference. Primary outcome Prevalence of patients’ preferred role in decision-making. Secondary outcomes (1) Actual role played by the patient in decision-making. (2) Sociodemographic factors associated with patients’ preferred role in decision-making. (3) Doctors’ perception of patients’ involvement in decision-making. Results The response rate was 95.1% (470/494). Shared decision-making was preferred by 51.9% of patients, followed by passive (26.3%) and active (21.8%) roles in decision-making. Higher household income was significantly associated with autonomous role preference (p=0.018). Doctors’ perception did not concur with patients’ preferred role. Among patients whom doctors perceived to prefer a passive role, 73.5% preferred an autonomous role (p=0.900, κ=0.006). Conclusions The majority of patients attending the primary care clinic preferred and played an autonomous role in decision-making. Doctors underestimated patients’ preference to play an autonomous role. PMID:26729393

  10. A Study of the Construct Validity of the Interactive Computer Interview System (ICIS) Using Student Evaluations as the Outcome Measure

    ERIC Educational Resources Information Center

    Gardner, Robby Christopher

    2009-01-01

    The primary objective of this study was to compare the individual teacher interview scores from the Interactive Computer Interview System (ICIS) with their students' responses to "The Steps to Excellence Student Questionnaire". Specifically, the study examined the correlation among the teacher interviews across four themes of the ICIS ("Knowledge…

  11. Teacher Experiences of Delivering an Obesity Prevention Programme (The WAVES Study Intervention) in a Primary School Setting

    ERIC Educational Resources Information Center

    Griffin, Tania L; Clarke, Joanne L; Lancashire, Emma R; Pallan, Miranda J; Passmore, Sandra; Adab, Peymane

    2015-01-01

    Objective: There has been a wealth of childhood obesity prevention studies in school-based settings. However, few have investigated the experiences of school staff charged with delivery of such programmes. This study aimed to elicit teachers' experiences of delivering a childhood obesity prevention programme for children aged 6-7 years. Design:…

  12. A Study of the Relationship between Academic Achievement Motivation and Home Environment among Standard Eight Pupils

    ERIC Educational Resources Information Center

    Muola, J. M.

    2010-01-01

    The objective of this study was to investigate the relationship between academic achievement motivation and home environment among standard eight pupils. The study was carried out on 235 standard eight Kenyan pupils from six urban and rural primary schools randomly selected from Machakos district. Their age ranged between 13 and 17 years. Two…

  13. Investigation of Prospective Primary Mathematics Teachers' Perceptions and Images for Quadrilaterals

    ERIC Educational Resources Information Center

    Turnuklu, Elif; Gundogdu Alayli, Funda; Akkas, Elif Nur

    2013-01-01

    The object of this study was to show how prospective elementary mathematics teachers define and classify the quadrilaterals and to find out their images. This research was a qualitative study. It was conducted with 36 prospective elementary mathematics teachers studying at 3rd and 4th years in an educational faculty. The data were collected by…

  14. Predicting Reading Comprehension Academic Achievement in Late Adolescents with Velo-Cardio-Facial (22q11.2 Deletion) Syndrome (VCFS): A Longitudinal Study

    ERIC Educational Resources Information Center

    Antshel, K.; Hier, B.; Fremont, W.; Faraone, S. V.; Kates, W.

    2014-01-01

    Background: The primary objective of the current study was to examine the childhood predictors of adolescent reading comprehension in velo-cardio-facial syndrome (VCFS). Although much research has focused on mathematics skills among individuals with VCFS, no studies have examined predictors of reading comprehension. Methods: 69 late adolescents…

  15. Can Funding for University Partnerships between Africa and the US Contribute to Social Development and Poverty Reduction?

    ERIC Educational Resources Information Center

    Collins, Christopher S.

    2014-01-01

    This study explores US funding for university partnerships between the US and Africa. The primary objective was to study how funds are facilitated through partnerships to promote social development and poverty reduction. Findings include the innovative and resilient nature of the 11 projects included in the study as well as pitfalls in the…

  16. The Nearly Forgotten Malay Folklore: Shall We Start with the Software?

    ERIC Educational Resources Information Center

    Abd Rahim, Normaliza

    2014-01-01

    The study focuses on the nearly forgotten Malay folklore in Malaysia. The objectives of the study were to identify and discuss the types of Malay folklore among primary school learners. The samples of the study were 100 male and female students at schools in Selangor. The samples were picked at random from several schools and they were given…

  17. Facility Effect Characterization Test of NASA's HERMeS Hall Thruster

    NASA Technical Reports Server (NTRS)

    Huang, Wensheng; Kamhawi, Hani; Haag, Thomas W.; Ortega, Alejandro Lopez; Mikellides, Ioannis G.

    2016-01-01

    A test to characterize the effect of varying background pressure on NASA's 12.5-kW Hall Effect Rocket with Magnetic Shielding had being completed. This thruster is the baseline propulsion system for the Solar Electric Propulsion Technology Demonstration Mission (SEP TDM). Potential differences in thruster performance and oscillation characteristics when in ground facilities versus on-orbit are considered a primary risk for the propulsion system of the Asteroid Redirect Robotic Mission, which is a candidate for SEP TDM. The first primary objective of this test was to demonstrate that the tools being developed to predict the zero-background-pressure behavior of the thruster can provide self-consistent results. The second primary objective of this test was to provide data for refining a physics-based model of the thruster plume that will be used in spacecraft interaction studies. Diagnostics deployed included a thrust stand, Faraday probe, Langmuir probe, retarding potential analyzer, Wien filter spectrometer, and high-speed camera. From the data, a physics-based plume model was refined. Comparisons of empirical data to modeling results are shown.

  18. First flush reactor for stormwater treatment for elevated linear transportation projects : technical summary.

    DOT National Transportation Integrated Search

    2009-06-01

    The primary objective of this study was to design and test a first flush-based stormwater treatment device for elevated linear transportation projects/roadways that is capable of complying with MS4 regulations. The innovative idea behind the device i...

  19. The effect of regulatory requirements and intervening groups on road construction in South Carolina.

    DOT National Transportation Integrated Search

    2017-06-09

    The primary objective of this study was to assess the impact of temporal delays to SCDOT road projects caused by legal : challenges brought by individuals and external entities with environmental-based concerns. Specifically, the focus was to : asses...

  20. A comparison of alcohol involvement in exposed and injured drivers, phases I and II

    DOT National Transportation Integrated Search

    1976-02-01

    Author's abstract: The primary objective of the study was to compare alcohol related data collected from drivers involved in injury producing automobile accidents with the same type of data collected from drivers who were similarly exposed to these m...

  1. SURFACTANT REMEDIATION FIELD DEMONSTRATION USING A VERTICAL CIRCULATION WELL

    EPA Science Inventory

    A field demonstration of surfactant-enhanced solubilization was completed in a shallow unconfined aquifer located at a Coast Guard Station in Traverse City, Michigan. The primary objectives of the study were: (1) to assess the ability of the vertical circulation well (VCW) system...

  2. Analysis of traffic accident data in Kentucky (1995-1999)

    DOT National Transportation Integrated Search

    2000-09-01

    This report includes an analysis of traffic accidents data in Kentucky for the year 1995-1999. A primary objective of this study was to determined average and critical numbers and rates of accidents for various types of highways in rural and urban ar...

  3. Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions

    PubMed Central

    Mendis, S.; Al Bashir, Igbal; Dissanayake, Lanka; Varghese, Cherian; Fadhil, Ibtihal; Marhe, Esha; Sambo, Boureima; Mehta, Firdosi; Elsayad, Hind; Sow, Idrisa; Algoe, Maltie; Tennakoon, Herbert; Truong, Lai Die; Lan, Le Thi Tuyet; Huiuinato, Dismond; Hewageegana, Neelamni; Fahal, Naiema A. W.; Mebrhatu, Goitom; Tshering, Gado; Chestnov, Oleg

    2012-01-01

    Objective. The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes. Methods. A cross-sectional survey was done in eight low- and middle-income countries (Benin, Bhutan, Eritrea, Sri Lanka, Sudan, Suriname, Syria, and Vietnam) in 90 PC facilities randomly selected. The survey included questions on the availability of human resources, equipment, infrastructure, medicines, utilization of services, financing, medical information, and referral systems. Results and Conclusions. Major deficits were identified in health financing, access to basic technologies and medicines, medical information systems, and the health workforce. The study has provided the foundation for strengthening PC to address noncommunicable diseases. There are important implications of the findings of this study for all low- and middle-income countries as capacity of PC is fundamental for equitable prevention and control of NCDs. PMID:23251789

  4. Eligibility for clinical trials in primary Sjögren’s syndrome: lessons from the UK Primary Sjögren’s Syndrome Registry

    PubMed Central

    Oni, Clare; Mitchell, Sheryl; James, Katherine; Ng, Wan-Fai; Griffiths, Bridget; Hindmarsh, Victoria; Price, Elizabeth; Pease, Colin T.; Emery, Paul; Lanyon, Peter; Jones, Adrian; Bombardieri, Michele; Sutcliffe, Nurhan; Pitzalis, Costantino; Hunter, John; Gupta, Monica; McLaren, John; Cooper, Annie; Regan, Marian; Giles, Ian; Isenberg, David; Saravanan, Vadivelu; Coady, David; Dasgupta, Bhaskar; McHugh, Neil; Young-Min, Steven; Moots, Robert; Gendi, Nagui; Akil, Mohammed; Barone, Francesca; Fisher, Ben; Rauz, Saaeha; Richards, Andrea; Bowman, Simon J.

    2016-01-01

    Abstract Objective: To identify numbers of participants in the UK Primary Sjögren’s Syndrome Registry (UKPSSR) who would fulfil eligibility criteria for previous/current or potential clinical trials in primary SS (pSS) in order to optimize recruitment. Methods: We did a retrospective analysis of UKPSSR cohort data of 688 participants who had pSS with evaluable data. Results: In relation to previous/current trials, 75.2% fulfilled eligibility for the Belimumab in Subjects with Primary Sjögren’s Syndrome study (Belimumab), 41.4% fulfilled eligibility for the Trial of Remicade in primary Sjögren’s syndrome study (Infliximab), 35.4% for the Efficacy of Tocilizumab in Primary Sjögren’s Syndrome study (Tocilizumab), 46.3% for the Tolerance and Efficacy of Rituximab in Sjögren’s Disease study (Rituximab), 26.9% for the Trial of anti-B-cell therapy in pSS study (Rituximab) and 26.6% for the Efficacy and Safety of Abatacept in Patients With Primary Sjögren’s Syndrome study (Abatacept). If recent measures of outcome, such as the EULAR Sjögren’s Syndrome Patient Reported Index (ESSPRI) score ⩾5 (measure of patient symptoms) and the EULAR Sjögren’s Syndrome Disease Activity Index (ESSDAI) score ⩾5 (measure of systemic disease activity) are incorporated into a study design, with requirements for an unstimulated salivary flow >0 and anti-Ro positivity, then the pool of eligible participants is reduced to 14.3%. Conclusion: The UKPSSR identified a number of options for trial design, including selection on ESSDAI ⩾5, ESSPRI ⩾5 and serological and other parameters. PMID:26510429

  5. [Relationship between perceived emotional intelligence and professional quality of life with the achievement of occupational objectives in the costa del sol primary health care district].

    PubMed

    Macías Fernández, Antonio José; Gutiérrez-Castañeda, Carlos; Carmona González, Francisco Jesús; Crespillo Vílchez, Daniel

    2016-05-01

    To examine the relationship between "Quality of Professional Life" and "Perceived Emotional Intelligence" and the relationship of both of these with the level of achievement of occupational objectives in the Costa del Sol Primary Health Care District. Multicentre descriptive cross-sectional observational study. The Costa del Sol Primary Health Care District in the province of Málaga. Sample of Employees of all categories in fixed and contracted employment in the Management Units of the Costa del Sol District. (N=303). Respondents 247 (81.5%) The data collected was that of the percentage of achievement of objectives in 2010 and the socio-demographic data of the participants, using ad hoc designed self-report questionnaires. The TMMS -24 questionnaire was used to measure the "Perceived Emotional Intelligence", with the following dimensions: Perception, comprehension, and emotional control, and the CVP-35 measuring: management support, work demands, and intrinsic motivation. Significant correlationas were observed between Quality of Professional Life and Emotional Intelligence in the Regulation (p<.01) and Comprehension categories (p<0.05). There were also significant correlations between the profession and the type of contract in the achievement of objectives (p<.005), and quality of professional life and type of contract (p<.05). The perceived quality of professional life is related to perception and regulation dimensions of Emotional Intelligence. Knowledge of emotion management methods should be promoted by management organisations for all employees. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  6. Scatter correction for x-ray conebeam CT using one-dimensional primary modulation

    NASA Astrophysics Data System (ADS)

    Zhu, Lei; Gao, Hewei; Bennett, N. Robert; Xing, Lei; Fahrig, Rebecca

    2009-02-01

    Recently, we developed an efficient scatter correction method for x-ray imaging using primary modulation. A two-dimensional (2D) primary modulator with spatially variant attenuating materials is inserted between the x-ray source and the object to separate primary and scatter signals in the Fourier domain. Due to the high modulation frequency in both directions, the 2D primary modulator has a strong scatter correction capability for objects with arbitrary geometries. However, signal processing on the modulated projection data requires knowledge of the modulator position and attenuation. In practical systems, mainly due to system gantry vibration, beam hardening effects and the ramp-filtering in the reconstruction, the insertion of the 2D primary modulator results in artifacts such as rings in the CT images, if no post-processing is applied. In this work, we eliminate the source of artifacts in the primary modulation method by using a one-dimensional (1D) modulator. The modulator is aligned parallel to the ramp-filtering direction to avoid error magnification, while sufficient primary modulation is still achieved for scatter correction on a quasicylindrical object, such as a human body. The scatter correction algorithm is also greatly simplified for the convenience and stability in practical implementations. The method is evaluated on a clinical CBCT system using the Catphan© 600 phantom. The result shows effective scatter suppression without introducing additional artifacts. In the selected regions of interest, the reconstruction error is reduced from 187.2HU to 10.0HU if the proposed method is used.

  7. Interventions for prevention of childhood obesity in primary care: a qualitative study

    PubMed Central

    Bourgeois, Nicole; Brauer, Paula; Simpson, Janis Randall; Kim, Susie; Haines, Jess

    2016-01-01

    Background: Preventing childhood obesity is a public health priority, and primary care is an important setting for early intervention. Authors of a recent national guideline have identified a need for effective primary care interventions for obesity prevention and that parent perspectives on interventions are notably absent from the literature. Our objective was to determine the perspectives of primary care clinicians and parents of children 2-5 years of age on the implementation of an obesity prevention intervention within team-based primary care to inform intervention implementation. Methods: We conducted focus groups with interprofessional primary care clinicians (n = 40) and interviews with parents (n = 26). Participants were asked about facilitators and barriers to, and recommendations for implementing a prevention program in primary care. Data were recorded and transcribed, and we used directed content analysis to identify major themes. Results: Barriers existed to addressing obesity-related behaviours in this age group and included a gap in well-child primary care between ages 18 months and 4-5 years, lack of time and sensitivity of the topic. Trust and existing relationships with primary care clinicians were facilitators to program implementation. Offering separate programs for parents and children, and addressing both general parenting topics and obesity-related behaviours were identified as desirable. Interpretation: Despite barriers to addressing obesity-related behaviours within well-child primary care, both clinicians and parents expressed interest in interventions in primary care settings. Next steps should include pilot studies to identify feasible strategies for intervention implementation. PMID:27398363

  8. PERSONAL CHARACTERISTICS OF OLDER PRIMARY CARE PATIENTS WHO PROVIDE A BUCCAL SWAB FOR APOE TESTING AND BANKING OF GENETIC MATERIAL: THE SPECTRUM STUDY

    PubMed Central

    Bogner, Hillary R.; Wittink, Marsha N.; Merz, Jon F.; Straton, Joseph B.; Cronholm, Peter F.; Rabins, Peter V.; Gallo, Joseph J.

    2009-01-01

    OBJECTIVE To determine the personal characteristics and reasons associated with providing a buccal swab for APOE genetic testing in a primary care study. METHODS The study sample consisted of 342 adults aged 65 years and older recruited from primary care settings. RESULTS In all, 88% of patients agreed to provide a DNA sample for APOE genotyping and 78% of persons providing a sample agreed to banking of the DNA. Persons aged 80 years and older and African-Americans were less likely to participate in APOE genotyping. Concern about confidentiality was the most common reason for not wanting to provide a DNA sample or to have DNA banked. CONCLUSION We found stronger relationships between sociodemographic variables of age and ethnicity with participation in genetic testing than we did between level of educational attainment, gender, function, cognition, and affect. PMID:15692195

  9. The job satisfaction and burnout levels of primary care health workers in the province of Malatya in Turkey.

    PubMed

    Cagan, Ozlem; Gunay, Osman

    2015-01-01

    The objective was to determine the job satisfaction and burnout levels of primary care health workers in Malatya in Turkey. The sample of the study included 186 physicians, 126 midwives and 106 nurses working in primary health care. The Minnesota Job Satisfaction Scale and the Maslach Burnout Scale were used in the study. The general, internal and external job satisfaction score medians of the study group were 3.35, 3.50 and 3.12 respectively, while the median of the Maslach Personal accomplishment score was 23.00, the Emotional Burnout score median was 15.00, and the Depersonalisation score median was found to be 3.00. The manner of their employment in the departments where they work, their perception of their economic circumstances and their satisfaction of the department where they work have an impact on the job satisfaction and burnout levels of workers.

  10. Psychological aspects of patients with intestinal stoma: integrative review 1

    PubMed Central

    Silva, Natália Michelato; dos Santos, Manoel Antônio; Rosado, Sara Rodrigues; Galvão, Cristina Maria; Sonobe, Helena Megumi

    2017-01-01

    ABSTRACT Objective: to analyze evidences of psychological aspects of patients with intestinal stoma. Method: integrative review with search of primary studies in the PsycINFO, PubMed, CINAHL and WOS databases and in the SciELO periodicals portal. Inclusion criteria were: primary studies published in a ten-year period, in Portuguese, Spanish or English, available in full length and addressing the theme of the review. Results: after analytical reading, 27 primary studies were selected and results pointed out the need to approach patients before surgery to prevent the complications, anxieties and fears generated by the stoma. The national and international scientific production on the experience of stomized patients in the perioperative moments is scarce. Conclusion: it is recomendable that health professionals invest in research on interventions aimed at the main psychological demands of stomized patients in the perioperative period, respecting their autonomy on the decisions to be made regarding their health/illness state and treatments. PMID:29236836

  11. Low cost missions to explore the diversity of near Earth objects

    NASA Technical Reports Server (NTRS)

    Belton, Michael J. S.; Delamere, Alan

    1992-01-01

    We propose a series of low-cost flyby missions to perform a reconnaissance of near-Earth cometary nuclei and asteroids. The primary scientific goal is to study the physical and chemical diversity in these objects. The mission concept is based on the Pegasus launch vehicle. Mission costs, inclusive of launch, development, mission operations, and analysis are expected to be near $50 M per mission. Launch opportunities occur in all years. The benefits of this reconnaissance to society are stressed.

  12. Planetary submillimeter spectroscopy

    NASA Technical Reports Server (NTRS)

    Klein, M. J.

    1988-01-01

    The aim is to develop a comprehensive observational and analytical program to study solar system physics and meterology by measuring molecular lines in the millimeter and submillimeter spectra of planets and comets. A primary objective is to conduct observations with new JPL and Caltech submillimeter receivers at the Caltech Submillimeter Observatory (CSO) on Mauna Kea, Hawaii. A secondary objective is to continue to monitor the time variable planetary phenomena (e.g., Jupiter and Uranus) at centimeter wavelength using the NASA antennas of the Deep Space Network (DSN).

  13. Validating the Usefulness of Combined Japanese GMS Data For Long-Term Global Change Studies

    NASA Technical Reports Server (NTRS)

    Simpson, James J.; Dodge, James C. (Technical Monitor)

    2001-01-01

    The primary objectives of the Geostationary Meteorological Satellite (GMS)-5 Pathfinder Project were the following: (1) to evaluate GMS-5 data for sources of error and develop methods for minimizing any such errors in GMS-5 data; (2) to prepare a GMS-5 Pathfinder data set for the GMS-5 Pathfinder Benchmark Period (1 July 95 - 30 June 96); and (3) show the usefulness of the improved Pathfinder data set in at least one geophysical application. All objectives were met.

  14. Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan

    PubMed Central

    Marvi, Kamyla; Howard, Natasha

    2013-01-01

    Objectives To explore perspectives of three modern contraceptive objects, using an emic approach, among women in a low-income community in Karachi, Pakistan. Design A qualitative interview study design was employed, using qualitative content analysis with an inductive approach and manual thematic coding. Setting Shah Faisal Colony, Karachi. Participants 20 women, potential contraceptive users of reproductive age and living within a health centre catchment, were purposively selected to provide a similar number of non-users (n=5), contraceptive injection users (n=7), pill users (n=4), and intrauterine device users (n=4). One interview was excluded because it was not recorded. No other exclusion criteria were used. Primary and secondary outcome measures The primary outcome was interpretation of potency and effects of selected family planning objects. Secondary outcome measures were knowledge of family planning and description of therapeutic approaches used and preferred. Results Awareness of family planning was high. Women described different therapeutic approaches, stating they generally preferred modern medicine for contraception as it was fastest and most powerful. They reported that fear of some contraceptive objects, particularly injections and intrauterine contraceptive devices, influenced their choices. Women explained their perceptions of how the heating effects of contraceptives could cause unwanted side effects including menstrual irregularities, weight gain and weakness, leading to disease. Conclusions Most women wanted family planning, but remained dissatisfied with the available contraceptives and their effects. While women reported that they relied on modern medicine for contraception, their descriptions of how contraceptives affected their health relied on the hot–cold explanatory idiom of traditional medicine. PMID:23906959

  15. Contact With Mental Health and Primary Care Providers Before Suicide: A Review of the Evidence

    PubMed Central

    Luoma, Jason B.; Martin, Catherine E.; Pearson, Jane L.

    2016-01-01

    Objective This study examined rates of contact with primary care and mental health care professionals by individuals before they died by suicide. Method The authors reviewed 40 studies for which there was information available on rates of health care contact and examined age and gender differences among the subjects. Results Contact with primary care providers in the time leading up to suicide is common. While three of four suicide victims had contact with primary care providers within the year of suicide, approximately one-third of the suicide victims had contact with mental health services. About one in five suicide victims had contact with mental health services within a month before their suicide. On average, 45% of suicide victims had contact with primary care providers within 1 month of suicide. Older adults had higher rates of contact with primary care providers within 1 month of suicide than younger adults. Conclusions While it is not known to what degree contact with mental health care and primary care providers can prevent suicide, the majority of individuals who die by suicide do make contact with primary care providers, particularly older adults. Given that this pattern is consistent with overall health-service-seeking, alternate approaches to suicide-prevention efforts may be needed for those less likely to be seen in primary care or mental health specialty care, specifically young men. PMID:12042175

  16. The Effect of Gender on the Construction of Backward Inferences

    ERIC Educational Resources Information Center

    Cakir, Ozler

    2008-01-01

    The main objective in the present study is to examine the effect of gender on primary school students' construction of elaborative backward inferences during text processing. A total of 333 children, aged 10-11 years (n = 158 girls and 175 boys) participated in the study. Each participant completed a backward inference test. The results indicate…

  17. Public Policy to Promote Healthy Nutrition in Schools: Views of Policymakers

    ERIC Educational Resources Information Center

    Walton, Mat; Signal, Louise; Thomson, George

    2013-01-01

    Objectives: This study aimed to identify policy options to support nutrition promotion in New Zealand primary schools. In achieving this aim, the study sought to identify framing by policymakers regarding child diet and obesity; views on the role of schools in nutrition promotion; policy options and degree of support for these options. Issue…

  18. Interaction of Students' Academic Background and Support Levels in a Resource-Based Learning Environment on Earth's Movement

    ERIC Educational Resources Information Center

    So, Wing Mui Winnie; Kong, Siu Cheung

    2010-01-01

    This research aims to study how a resource-based learning environment (RBLE) helps primary students develop better understanding of the Earth's movement. One objective of the study is to establish an RBLE by creating authentic contexts, selecting appropriate resources, designing relevant tools and adopting necessary scaffolds. The other objective…

  19. Reserve Training. An Alternative to the Active Army Education Program for National Guard Technicians. Report to Congressional Requesters.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Div. of National Security and International Affairs.

    A study examined the Military Education Program (MEP) for Army National Guard technicians. The MEP is an active Army program providing leadership and advanced military occupational specialty technical training. The primary objectives of the study were to determine whether the revised Reserve Component Noncommissioned Officer Education Program is a…

  20. Status and trends in demography of northern spotted owls, 1985-2003.

    Treesearch

    R.G. Anthony; E.D. Forsman; A.B. Franklin; D.R. Anderson; K.P. Burnham; G.C. White; C.J. Schwarz; J.D. Nichols; J.E. Hines; G.S. Olson; S.H. Ackers; L.S. Andrews; B.L. Biswell; P.C. Carlson; L.V. Diller; K.M. Dugger; K.E. Fehring; T.L. Fleming; R.P. Gerhardt; S.A. Gremel; R.J. Gutierrez; P.J. Happe; D.R. Herter; J.M. Higley; R.B. Horn; L.L. Irwin; P.J. Loschl; J.A. Reid; S.G. Sovern

    2006-01-01

    We analyzed demographic data from northern spotted owls(Strix occidentalis caurina)from 14 study areas in Washington, Oregon, and California for 1985-2003. The 14 study areas made up approximately 12 percent of the range of the subspecies and included federal, tribal, private, and mixed federal and private lands. Our primary objectives were to...

  1. Managing Emotion in a Maltreating Context: A Pilot Study Examining Child Neglect

    ERIC Educational Resources Information Center

    Shipman, Kimberly; Edwards, Anna; Brown, Amy; Swisher, Lisa; Jennings, Ernestine

    2005-01-01

    Objective: The primary goal of this pilot study was to examine emotion management skills (i.e., emotional understanding, emotion regulation) in children who had experienced neglect and a control group to determine the ways that neglect may interfere with children's emotional development. Method: Participants included children 6-12 years of age and…

  2. Landscape patterns of phenotypic variation and population structuring in a selfing grass, Elymus glaucus (blue wildrye).

    Treesearch

    Vicky J. Erickson; Nancy L. Mandel; Frank C. Sorensen

    2004-01-01

    Source-related phenotypic variance was investigated in a common garden study of populations of Elymus glaucus Buckley (blue wildrye) from the Blue Mountain Ecological Province of northeastern Oregon and adjoining Washington. The primary objective of this study was to assess geographic patterns of potentially adaptive differentiation in this self-...

  3. Hidden School Dropout among Immigrant Students: A Cross-Sectional Study

    ERIC Educational Resources Information Center

    Makarova, Elena; Herzog, Walter

    2013-01-01

    Actual school dropout among immigrant youth has been addressed in a number of studies, but research on hidden school dropout among immigrant students is rare. Thus, the objective of this paper is to analyze hidden school dropout among primary school students with an immigrant background. The analyses were performed using survey data of 1186…

  4. The Attitudes of Teachers towards 2005 Academic Year Primary Education Program

    ERIC Educational Resources Information Center

    Dogan, Suleyman

    2010-01-01

    This study is considered to be significant in objectively analyzing the negative-positive effects of the program during the process of learning, teacher's acquaintance to the new program in a closer way and acquiring a positive perspective of the program. This study has been conducted in order to discover the effects of 2005-2006 academic year…

  5. Understanding Social Work in the History of Ideas

    ERIC Educational Resources Information Center

    Soydan, Haluk

    2012-01-01

    Objectives: The purpose of this article is to present a theoretical frame of reference for the study and assessment of social work from the perspective of a history of ideas. Method: The study employed an analysis of primary and secondary historical sources. Results: Social work as a practice and research field is embedded in the genesis of modern…

  6. A Moral Economy of Patents: Case of Finnish Research Universities' Patent Policies

    ERIC Educational Resources Information Center

    Kauppinen, Ilkka

    2014-01-01

    The primary objective of this paper is to demonstrate the usefulness of the concept of moral economy for higher education studies through a study of Finnish research universities' patent policies. Patent policies not only stimulate the commercialization of research, they also set norms for behavior and aim to clarify how to distribute rights and…

  7. The Effectiveness of Mentoring for Adolescent Mothers and Their Infants: A Comparative Study between Sister Friend and Cal Learn.

    ERIC Educational Resources Information Center

    Tebb, Kathleen P.

    This study evaluated Sister Friend, a mentoring program in Yolo County, California, serving low-income adolescent mothers and their infants. The primary objective was to determine if participating in the Sister Friend program improved the adolescent mother's parenting class attendance, the home environment, parenting behavior, and child…

  8. Comparison of Primary Cesarean Delivery Rates Among Low-Risk Women in Urban and Rural Hospitals in Hawaii.

    PubMed

    Chang, Ann Lee; Pacheco, Misty; Yoshino, Kurt; Miyamura, Jill; Maddock, Jay

    2016-09-01

    Objective The purpose of this study was to examine primary cesarean delivery rates among women with low risk pregnancies in urban and rural hospitals in Hawaii. Methods This is a retrospective study of all low-risk women (term, vertex, singleton) who had a primary cesarean delivery in any Hawaii hospital from 2010 to 2011 using a statewide health information database. Hospitals were divided into two categories: rural and urban. Results Of the 27,096 women who met criteria for this study, 7105 (26.2 %) delivered in a rural hospital. Low-risk women who delivered in a rural hospital had a primary cesarean delivery rate of 18.5 % compared to 11.8 % in the urban hospitals, p < .0001. Low-risk women who delivered at rural hospitals had significantly higher unadjusted and adjusted odds ratios for cesarean delivery. The association with rural hospital was stronger after adjusting for confounders, aOR 2.47 (95 % CI 2.23-2.73) compared to unadjusted OR 1.70 (95 % CI 1.58-1.83) for primary cesarean delivery. Conclusions on practice In a geographically isolated population, rates of primary cesarean delivery among low-risk women are significantly higher in rural hospitals. This disparity should be investigated further.

  9. Primary tumor resection in metastatic breast cancer: A propensity-matched analysis, 1988-2011 SEER data base.

    PubMed

    Vohra, Nasreen A; Brinkley, Jason; Kachare, Swapnil; Muzaffar, Mahvish

    2018-03-02

    Primary tumor resection (PTR) in metastatic breast cancer is not a standard treatment modality, and its impact on survival is conflicting. The primary objective of this study was to analyze impact of PTR on survival in metastatic patients with breast cancer. A retrospective study of metastatic patients with breast cancer was conducted using the 1988-2011 Surveillance, Epidemiology, and End Results (SEER) data base. Cox proportional hazards regression models were used to evaluate the relationship between PTR and survival and to adjust for the heterogeneity between the groups, and a propensity score-matched analysis was also performed. A total of 29 916 patients with metastatic breast cancer were included in the study, and 15 129 (51%) of patients underwent primary tumor resection, and 14 787 (49%) patients did not undergo surgery. Overall, decreasing trend in PTR for metastatic breast cancer in last decades was noted. Primary tumor resection was associated with a longer median OS (34 vs 18 months). In a propensity score-matched analysis, prognosis was also more favorable in the resected group (P = .0017). Primary tumor resection in metastatic breast cancer was associated with survival improvement, and the improvement persisted in propensity-matched analysis. © 2018 Wiley Periodicals, Inc.

  10. Challenges to Effective Primary Care-Specialty Communication and Coordination in the Mental Health Referral and Care Process for Publicly Insured Children.

    PubMed

    Porras-Javier, Lorena; Bromley, Elizabeth; Lopez, Maria; Coker, Tumaini R

    2018-03-26

    Publicly insured children needing referral to mental health (MH) services often do not access or receive services. The objective of this study was to identify gaps in communication and coordination between primary care providers (PCPs) and MH providers during the MH referral and care process for publicly insured children. Thirteen semi-structured interviews were conducted with 10 PCPs and staff from a federally qualified health center (FQHC) and 6 MH providers and staff from two local MH clinics. Interview participants identified multiple gaps in communication throughout the care process and different phases as priorities for improvement. PCPs described primary care-MH communication challenges during early phases, while MH providers described coordination challenges in transferring patients back to primary care for ongoing mental health management. Strategies are needed to improve primary care-specialty MH communication and coordination throughout all phases of the referral and care process, particularly at initial referral and transfer back to primary care.

  11. 45 CFR Appendix B to Part 1203 - Federal Financial Assistance to Which This Part Applies When a Primary Objective of the Federal...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 4 2013-10-01 2013-10-01 false Federal Financial Assistance to Which This Part Applies When a Primary Objective of the Federal Financial Assistance Is To Provide Employment B Appendix B... THE CIVIL RIGHTS ACT OF 1964 Pt. 1203, App. B Appendix B to Part 1203—Federal Financial Assistance to...

  12. 45 CFR Appendix B to Part 1203 - Federal Financial Assistance to Which This Part Applies When a Primary Objective of the Federal...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 4 2014-10-01 2014-10-01 false Federal Financial Assistance to Which This Part Applies When a Primary Objective of the Federal Financial Assistance Is To Provide Employment B Appendix B... THE CIVIL RIGHTS ACT OF 1964 Pt. 1203, App. B Appendix B to Part 1203—Federal Financial Assistance to...

  13. 45 CFR Appendix B to Part 1203 - Federal Financial Assistance to Which This Part Applies When a Primary Objective of the Federal...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 4 2011-10-01 2011-10-01 false Federal Financial Assistance to Which This Part Applies When a Primary Objective of the Federal Financial Assistance Is To Provide Employment B Appendix B... THE CIVIL RIGHTS ACT OF 1964 Pt. 1203, App. B Appendix B to Part 1203—Federal Financial Assistance to...

  14. Work Process in Primary Health Care: action research with Community Health Workers.

    PubMed

    Cordeiro, Luciana; Soares, Cassia Baldini

    2015-11-01

    The aim of this article was to describe and analyze the work of community health workers (CHW). The main objective of study was to analyze the development process of primary health care practices related to drug consumption. The study is based on the Marxist theoretical orientation and the action research methodology, which resulted in the performance of 15 emancipatory workshops. The category work process spawned the content analysis. It exposed the social abandonment of the environment in which the CHWs work is performed. The latter had an essential impact on the identification of the causes of drug-related problems. These findings made it possible to criticize the reiterative, stressful actions that are being undertaken there. Such an act resulted in raising of the awareness and creating the means for political action. The CHWs motivated themselves to recognize the object of the work process in primary health care, which they found to be the disease or addiction in the case of drug users. They have criticized this categorization as well as discussed the social division of work and the work itself whilst recognizing themselves as mere instruments in the work process. The latter has inspired the CHW to become subjects, or co-producers of transformations of social needs.

  15. Primary Hyperparathyroidism: The Influence of Bone Marrow Adipose Tissue on Bone Loss and of Osteocalcin on Insulin Resistance

    PubMed Central

    Mendonça, Maira L.; Batista, Sérgio L.; Nogueira-Barbosa, Marcello H.; Salmon, Carlos E.G.; de Paula, Francisco J.A.

    2016-01-01

    OBJECTIVES: Bone marrow adipose tissue has been associated with low bone mineral density. However, no data exist regarding marrow adipose tissue in primary hyperparathyroidism, a disorder associated with bone loss in conditions of high bone turnover. The objective of the present study was to investigate the relationship between marrow adipose tissue, bone mass and parathyroid hormone. The influence of osteocalcin on the homeostasis model assessment of insulin resistance was also evaluated. METHODS: This was a cross-sectional study conducted at a university hospital, involving 18 patients with primary hyperparathyroidism (PHPT) and 21 controls (CG). Bone mass was assessed by dual-energy x-ray absorptiometry and marrow adipose tissue was assessed by 1H magnetic resonance spectroscopy. The biochemical evaluation included the determination of parathyroid hormone, osteocalcin, glucose and insulin levels. RESULTS: A negative association was found between the bone mass at the 1/3 radius and parathyroid hormone levels (r = -0.69; p<0.01). Marrow adipose tissue was not significantly increased in patients (CG = 32.8±11.2% vs PHPT = 38.6±12%). The serum levels of osteocalcin were higher in patients (CG = 8.6±3.6 ng/mL vs PHPT = 36.5±38.4 ng/mL; p<0.005), but no associations were observed between osteocalcin and insulin or between insulin and both marrow adipose tissue and bone mass. CONCLUSION: These results suggest that the increment of adipogenesis in the bone marrow microenvironment under conditions of high bone turnover due to primary hyperparathyroidism is limited. Despite the increased serum levels of osteocalcin due to primary hyperparathyroidism, these patients tend to have impaired insulin sensitivity. PMID:27626477

  16. Use of communication tool within electronic medical record to improve primary nonadherence.

    PubMed

    Kerner, Daniel E; Knezevich, Emily L

    The primary objective of this study was to determine if an online reminder decreased the rate of primary nonadherence for antihypertensive medications in patients seen in 2 primary care clinics in Omaha, NE. The secondary objectives were to determine if patients receiving the intervention achieved lower blood pressure values at follow-up visits and to determine if the intervention decreased the number of days between prescribing and prescription pick-up. A report was generated in an electronic health record to identify patients prescribed a new antihypertensive medication from a physician at one of the primary care clinics. Patients that failed to pick up this new prescription from the pharmacy within 7 days were sent an electronic reminder via an online patient portal. A baseline comparator group was created with the use of retrospective chart reviews for the 6 months before prospective data collection. Primary nonadherence rate and blood pressure values at follow-up visits were compared between the prospective and baseline comparator groups. The primary nonadherence rate decreased from 65.5% to 22.2% when comparing the baseline and prospective groups, respectively. The mean days to prescription pick-up decreased from 24.5 to 12.56 in the baseline and prospective groups. The prospective group showed a larger decrease in systolic blood pressure (17.33 mm Hg vs. 0.75 mm Hg) and diastolic blood pressure (6.56 mm Hg vs. 2.25 mm Hg) compared with the baseline group. An online reminder through the electronic medical record appears to improve patient primary nonadherence, number of days between prescribing and prescription pick-up, and blood pressure measurements at follow-up visits. This research shows that an online reminder may be a valuable tool to improve patient primary adherence and health outcomes. Further research is needed with the use of a larger sample population to support any hypotheses about the effectiveness of the intervention. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  17. Monovision techniques for telerobots

    NASA Technical Reports Server (NTRS)

    Goode, P. W.; Carnils, K.

    1987-01-01

    The primary task of the vision sensor in a telerobotic system is to provide information about the position of the system's effector relative to objects of interest in its environment. The subtasks required to perform the primary task include image segmentation, object recognition, and object location and orientation in some coordinate system. The accomplishment of the vision task requires the appropriate processing tools and the system methodology to effectively apply the tools to the subtasks. The functional structure of the telerobotic vision system used in the Langley Research Center's Intelligent Systems Research Laboratory is discussed as well as two monovision techniques for accomplishing the vision subtasks.

  18. TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial.

    PubMed

    Krofta, Ladislav; Feyereisl, Jaroslav; Otcenásek, Michal; Velebil, Petr; Kasíková, Eva; Krcmár, Michal

    2010-02-01

    A study was conducted to compare the efficacy and complications of TVT and TVT-O. This study is a prospective randomized trial involving 300 women with primary SUI; 149 received TVT, and 151 patients were treated with TVT-O. At the 1 year follow-up, 141 TVT patients and 147 TVT-O patients (dropout, 5.3% and 2.6%) were evaluated using urodynamic studies, validated questionnaires, and a 1-h pad test. The mean operating time was shorter in the TVT-O group (p < 0.001). Urinary retention was not significantly different (p > 0.05). Inner thigh discomfort was reported by 5.4% of TVT-O patients. In the TVT and the TVT-O groups, respectively, 90.1% and 88.4% women were objectively cured. The satisfaction with the surgical outcome reflects the significant decrease in the questionnaire mean symptom scores in both groups. Postoperative de novo urgency was significantly more common in the TVT-O patients (p = 0.015). The groups showed comparable objective and subjective cure rates.

  19. Posttraumatic stress disorder symptom severity and control beliefs as the predictors of academic burnout amongst adolescents following the Wenchuan Earthquake.

    PubMed

    Zhou, Xiao; Zhen, Rui; Wu, Xinchun

    2017-01-01

    Background : Previous studies indicate that posttraumatic stress disorder (PTSD) and control beliefs can affect burnout and their unique role in this situation has been examined, but fewer studies have examined their combined role in adolescent's academic burnout following traumatic events. Objective : This study examined the combined effect of PTSD symptom severity and control beliefs on academic burnout among adolescents, and assessed the moderating role of primary and secondary control beliefs in the relation between PTSD symptom severity and academic burnout. Methods : Seven hundred and forty-five adolescents were investigated using self-report questionnaires, and a series of regression equations examined the impact of PTSD severity and control beliefs on academic burnout. Results : PTSD symptom severity is associated positively with academic burnout, while primary and secondary control beliefs have a negative relation with academic burnout. In addition, primary control beliefs buffer the positive effects of PTSD symptom severity on academic burnout. We found that the positive relation between PTSD symptom severity and academic burnout in the low primary control beliefs group is more intense than that found in the high primary control beliefs group. Conclusions : PTSD symptom severity is a risk factor, whereas primary and secondary control beliefs are protective factors in academic burnout. In addition, PTSD symptom severity and primary control beliefs have a combined effect on academic burnout in adolescents following natural disasters.

  20. General practitioners’ views on leadership roles and challenges in primary health care: a qualitative study

    PubMed Central

    Spehar, Ivan; Sjøvik, Hege; Karevold, Knut Ivar; Rosvold, Elin Olaug; Frich, Jan C.

    2017-01-01

    Objective To explore general practitioners’ (GPs) views on leadership roles and leadership challenges in general practice and primary health care. Design We conducted focus groups (FGs) with 17 GPs. Setting Norwegian primary health care. Subjects 17 GPs who attended a 5 d course on leadership in primary health care. Results Our study suggests that the GPs experience a need for more preparation and formal training for the leadership role, and that they experienced tensions between the clinical and leadership role. GPs recognized the need to take on leadership roles in primary care, but their lack of leadership training and credentials, and the way in which their practices were organized and financed were barriers towards their involvement. Conclusions GPs experience tensions between the clinical and leadership role and note a lack of leadership training and awareness. There is a need for a more structured educational and career path for GPs, in which doctors are offered training and preparation in advance. Key points Little is known about doctors’ experiences and views about leadership in general practice and primary health care. Our study suggests that: There is a lack of preparation and formal training for the leadership role. GPs experience tensions between the clinical and leadership role. GPs recognize leadership challenges at a system level and that doctors should take on leadership roles in primary health care. PMID:28277051

  1. Impact of viral load and the duration of primary infection on HIV transmission: systematic review and meta-analysis

    PubMed Central

    BLASER, Nello; WETTSTEIN, Celina; ESTILL, Janne; VIZCAYA, Luisa SALAZAR; WANDELER, Gilles; EGGER, Matthias; KEISER, Olivia

    2014-01-01

    Objectives HIV ‘treatment as prevention’ (TasP) describes early treatment of HIV-infected patients intended to reduce viral load (VL) and transmission. Crucial assumptions for estimating TasP's effectiveness are the underlying estimates of transmission risk. We aimed to determine transmission risk during primary infection, and of the relation of HIV transmission risk to VL. Design Systematic review and meta-analysis. Methods We searched PubMed and Embase databases for studies that established a relationship between VL and transmission risk, or primary infection and transmission risk, in serodiscordant couples. We analyzed assumptions about the relationship between VL and transmission risk, and between duration of primary infection and transmission risk. Results We found 36 eligible articles, based on six different study populations. Studies consistently found that larger VLs lead to higher HIV transmission rates, but assumptions about the shape of this increase varied from exponential increase to saturation. The assumed duration of primary infection ranged from 1.5 to 12 months; for each additional month, the log10 transmission rate ratio between primary and asymptomatic infection decreased by 0.40. Conclusions Assumptions and estimates of the relationship between VL and transmission risk, and the relationship between primary infection and transmission risk, vary substantially and predictions of TasP's effectiveness should take this uncertainty into account. PMID:24691205

  2. Reducing stigma among healthcare providers to improve mental health services (RESHAPE): protocol for a pilot cluster randomized controlled trial of a stigma reduction intervention for training primary healthcare workers in Nepal.

    PubMed

    Kohrt, Brandon A; Jordans, Mark J D; Turner, Elizabeth L; Sikkema, Kathleen J; Luitel, Nagendra P; Rai, Sauharda; Singla, Daisy R; Lamichhane, Jagannath; Lund, Crick; Patel, Vikram

    2018-01-01

    Non-specialist healthcare providers, including primary and community healthcare workers, in low- and middle-income countries can effectively treat mental illness. However, scaling-up mental health services within existing health systems has been limited by barriers such as stigma against people with mental illness. Therefore, interventions are needed to address attitudes and behaviors among non-specialists. Aimed at addressing this gap, RE ducing S tigma among H ealthc A re P roviders to Improv E mental health services (RESHAPE) is an intervention in which social contact with mental health service users is added to training for non-specialist healthcare workers integrating mental health services into primary healthcare. This protocol describes a mixed methods pilot and feasibility study in primary care centers in Chitwan, Nepal. The qualitative component will include key informant interviews and focus group discussions. The quantitative component consists of a pilot cluster randomized controlled trial (c-RCT), which will establish parameters for a future effectiveness study of RESHAPE compared to training as usual (TAU). Primary healthcare facilities (the cluster unit, k  = 34) will be randomized to TAU or RESHAPE. The direct beneficiaries of the intervention are the primary healthcare workers in the facilities ( n  = 150); indirect beneficiaries are their patients ( n  = 100). The TAU condition is existing mental health training and supervision for primary healthcare workers delivered through the Programme for Improving Mental healthcarE (PRIME) implementing the mental health Gap Action Programme (mhGAP). The primary objective is to evaluate acceptability and feasibility through qualitative interviews with primary healthcare workers, trainers, and mental health service users. The secondary objective is to collect quantitative information on health worker outcomes including mental health stigma (Social Distance Scale), clinical knowledge (mhGAP), clinical competency (ENhancing Assessment of Common Therapeutic factors, ENACT), and implicit attitudes (Implicit Association Test, IAT), and patient outcomes including stigma-related barriers to care, daily functioning, and symptoms. The pilot and feasibility study will contribute to refining recommendations for implementation of mhGAP and other mental health services in primary healthcare settings in low-resource health systems. The pilot c-RCT findings will inform an effectiveness trial of RESHAPE to advance the evidence-base for optimal approaches to training and supervision for non-specialist providers. ClinicalTrials.gov identifier, NCT02793271.

  3. Analysis of the serum reproductive system related autoantibodies of infertility patients in Tianjin region of China

    PubMed Central

    Huo, Yan; Xu, Yanying; Wang, Jianmei; Wang, Fang; Liu, Yu; Zhang, Yujuan; Zhang, Bumei

    2015-01-01

    Object: Reproductive system related autoantibodies have been proposed to be associated with natural infertility. However, large scale systematic analysis of these of antibodies has not been conducted. The aim of this study is to analyze the positive rate of antisperm antibody (ASAb), anti-endometrium antibody (EMAb), anti-ovary antibody (AOAb), anti-zona pellucida antibody (AZP) and anticardiolipin antibody (ACA) in infertility patients in Tianjin region of China. Methods: 1305 male and 1711 female primary infertility patients and 1100 female secondary infertility patients were included in this study, as well as 627 healthy female controls. The above autoantibodies were tested and the positive rates in each group were calculated. Results: the positive rate of ASAb were significantly higher in primary infertility female than that in male, further analysis revealed that primary infertility population all exhibit significant higher positive rate of EMAb, AOAb, AZP and ACA compared with control group. Furthermore, the positive rates of all the antibodies in primary infertility female were significantly higher than those in secondary infertility female. Conclusions: Our study thus indicates that these autoantibodies might be associated with immunological related primary infertility and may have clinical significance in its diagnosis and treatment. PMID:26550366

  4. Role Clarification Processes for Better Integration of Nurse Practitioners into Primary Healthcare Teams: A Multiple-Case Study

    PubMed Central

    D'Amour, Danielle; Contandriopoulos, Damien; Chouinard, Véronique; Dubois, Carl-Ardy

    2014-01-01

    Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to outline processes for clarifying professional roles when a new role is introduced into clinical teams, that of the primary healthcare nurse practitioner (PHCNP). To support our empirical analysis we used the Canadian National Interprofessional Competency Framework, which defines the essential components for role clarification among professionals. A qualitative multiple-case study was conducted on six cases in which the PHCNP role was introduced into primary care teams. Data collection included 34 semistructured interviews with key informants involved in the implementation of the PHCNP role. Our results revealed that the best performing primary care teams were those that used a variety of organizational and individual strategies to carry out role clarification processes. From this study, we conclude that role clarification is both an organizational process to be developed and a competency that each member of the primary care team must mobilize to ensure effective interprofessional collaboration. PMID:25692039

  5. Role clarification processes for better integration of nurse practitioners into primary healthcare teams: a multiple-case study.

    PubMed

    Brault, Isabelle; Kilpatrick, Kelley; D'Amour, Danielle; Contandriopoulos, Damien; Chouinard, Véronique; Dubois, Carl-Ardy; Perroux, Mélanie; Beaulieu, Marie-Dominique

    2014-01-01

    Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to outline processes for clarifying professional roles when a new role is introduced into clinical teams, that of the primary healthcare nurse practitioner (PHCNP). To support our empirical analysis we used the Canadian National Interprofessional Competency Framework, which defines the essential components for role clarification among professionals. A qualitative multiple-case study was conducted on six cases in which the PHCNP role was introduced into primary care teams. Data collection included 34 semistructured interviews with key informants involved in the implementation of the PHCNP role. Our results revealed that the best performing primary care teams were those that used a variety of organizational and individual strategies to carry out role clarification processes. From this study, we conclude that role clarification is both an organizational process to be developed and a competency that each member of the primary care team must mobilize to ensure effective interprofessional collaboration.

  6. Primary teachers' subject matter knowledge: decimals

    NASA Astrophysics Data System (ADS)

    Ubuz, Behiye; Yayan, Betül

    2010-09-01

    The main objective of this study was to investigate primary teachers' subject matter knowledge in the domain of decimals and more elaborately to investigate their performance and difficulties in reading scale, ordering numbers, finding the nearest decimal and doing operations, such as addition and subtraction. The difficulties in these particular areas are analysed and suggestions are made regarding their causes. Further, factors that influence this knowledge were explored. The sample of the study was 63 primary teachers. A decimal concepts test including 18 tasks was administered and the total scores for the 63 primary teachers ranged from 3 to 18 with a mean and median of 12. Fifty per cent of the teachers were above the mean score. The detailed investigation of the responses revealed that the primary teachers faced similar difficulties that students and pre-service teachers faced. Discrepancy on teachers' knowledge revealed important differences based on educational level attained, but not the number of years of teaching experience and experience in teaching decimals. Some suggestions have been made regarding the implications for pre- and in-service teacher training.

  7. Criteria pollutant and acid aerosol characterization study, Catano, Puerto Rico

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

    Edgerton, E.S.; Harlos, D.P.; Sune, J.M.

    1995-07-01

    The primary objective of the Catano Criteria Pollutant and Acid Aerosol Characterization Study (CPAACS) was to measure criteria pollutant concentrations and acid aerosol concentrations in and around the Ward of Catano, Puerto Rico, during the summer of 1994. Continuous air sampling for criteria pollutants was performed at three fixed stations and one moobile station that was deployed to four locations. Air samples for acid aerosol analyses and particulate matter measurements were collected at three sites. Semicontinuous sulfate analysis was performed at the primary site. Continuous measurements of wind speed, wind direction, temperature, and relative humidity were also made at eachmore » site. The study was conducted from June 1 through September 30, 1994.« less

  8. Assessment of the potential of Allium sativum oil as a new medicament for non-vital pulpotomy of primary teeth.

    PubMed

    Mohammad, Shukry Gamal; Baroudi, Kusai

    2015-01-01

    The objective of this study was to compare the clinical and radiographic effects of Allium sativum oil and formocresol in nonvital pulpotomy in primary teeth. Twenty children ranging in age from 4 to 8 years were included in the study. In every one of those children, pulpotomy was indicated for the primary molars. Pulpotomy procedure was performed and the radicular pulp tissue of one molar was capped with A. sativum oil in a cotton pellet while the other molar was capped with formocresol. The teeth were evaluated clinically and radiographically before and after 6 months using standard clinical and radiographic criteria. Statistically, these results revealed significant difference between the radiographic findings of nonvital pulpotomy in primary molars with the two medicaments. Statistical analysis was performed using independent t-test and paired t-test at the significance level of α = 0.05. A. sativum oil has potent antibacterial properties that enable it to combat intracanal microbes in the infected pulp of primary molars. Better results were obtained when A. sativum oil was used. A. sativum oil had more powerful effects than formocresol on the infected pulp of primary nonvital molars.

  9. OPTIMIZING BIOVENTING IN SHALLOW VADOSE ZONES AND COLD CLIMATES

    EPA Science Inventory

    This paper describes a bioventing study design and initial activities applied to a JP-4 jet fuel spill at Eielson Air Force Base, Alaska. The primary objectives of the project were to investigate the feasibility of using bioventing technology to remediate JP-4 jet fuel contaminat...

  10. Development of a fully automated software system for rapid analysis/processing of the falling weight deflectometer data.

    DOT National Transportation Integrated Search

    2009-02-01

    The Office of Special Investigations at Iowa Department of Transportation (DOT) collects FWD data on regular basis to evaluate pavement structural conditions. The primary objective of this study was to develop a fully-automated software system for ra...

  11. Exploring the Relationships between Principals' Life Experiences and Transformational Leadership Behaviours

    ERIC Educational Resources Information Center

    Nash, Steve; Bangert, Art

    2014-01-01

    The primary objective of this research study was to explore the relationships between principals' life experiences and their transformational leadership behaviours. Over 212 public school principals completed both the lifetime leadership inventory (LLI) and the multifactor leadership questionnaire (MLQ). Exploratory and confirmatory factor…

  12. Comparison of Oregon state highway division Table-1 and Table-2 asphalt : final report.

    DOT National Transportation Integrated Search

    1991-12-01

    The objective of this study was to compare the effect of using the Oregon State Highway Division (OSHD) modified Table-1 asphalts and the OSHD modified Table-2 asphalts in asphalt concrete; the primary factors for comparison were reflective and therm...

  13. Evaluation of the need for longitudinal median joints in bridge decks on dual structures.

    DOT National Transportation Integrated Search

    2015-09-01

    The primary objective of this project was to determine the effect of bridge width on deck cracking in bridges. Other parameters, : such as bridge skew, girder spacing and type, abutment type, pier type, and number of bridge spans, were also studied. ...

  14. NOVEL OXIDANT FOR ELEMENTAL MERCURY CONTROL FROM FLUE GAS

    EPA Science Inventory

    The primary objective of this study is to develop and test advanced noncarbonaceous solid sorbent materials suitable for removing the elemental form of mercury from power plant emissions. An efficient and cost-effective novel Hg(0) oxidant was evaluated in a lab-scale fixed-bed ...

  15. Children's Question Asking and Curiosity: A Training Study

    ERIC Educational Resources Information Center

    Jirout, Jamie; Klahr, David

    2011-01-01

    A primary instructional objective of most early science programs is to foster children's scientific curiosity and question-asking skills (Jirout & Klahr, 2011). However, little is known about the relationship between curiosity, question-asking behavior, and general inquiry skills. While curiosity and question asking are invariably mentioned in…

  16. Intelligent Transportation Systems, The National Architecture, A Framework For Integrated Transportation Into The 21St Century

    DOT National Transportation Integrated Search

    1985-08-01

    The primary objective of this study was to determine if freeway lighting can be reduced or eliminated during nighttime periods when traffic volume is much lower than design capacity without causing significant reductions in the ability of drivers to ...

  17. THE POTENTIAL FOR HUMAN EXPOSURES TO PET-BORNE DIAZINON RESIDUES FOLLOWING RESIDENTIAL LAWN APPLICATIONS

    EPA Science Inventory

    This observational study examined the potential for indoor/outdoor pet dogs to be an important pathway for transporting diazinon residues into homes and onto occupants following residential lawn applications. The primary objective was to investigate the potential exposures of chi...

  18. Seed dormancy in Mexican teosinte

    USDA-ARS?s Scientific Manuscript database

    Seed dormancy in wild Zea species may affect fitness and relate to ecological adaptation. The primary objective of this study was to characterize the variation in seed germination of the wild species of the genus Zea that currently grow in Mexico, and to relate this variation to their ecological zon...

  19. STUDY OF PATHOGENIC FREE-LIVING AMEBAS IN FRESH-WATER LAKES IN VIRGINIA

    EPA Science Inventory

    Pathogenic free-living amebas may produce fatal infection of the central nervous system known as Primary Amebic Meningoencephalitis (PAM). In Richmond, Virginia, 17 cases have occurred, more than in any other location in the world. The objectives were to examine freshwater lakes ...

  20. Women’s motivations for eating

    USDA-ARS?s Scientific Manuscript database

    The Motivation for Eating Scale (MFES) evaluates the primary motivation for eating initiation. The objective of this study was to examine energy intake by MFES categories and subscale scores across four seasons. Fifty-four women ages 40-60 y completed the MFES four times in one year, once each sea...

  1. Uranium transport in a crushed granodiorite: Experiments and reactive transport modeling

    DOE PAGES

    Dittrich, T. M.; Reimus, P. W.

    2015-02-12

    The primary objective of this study was to develop and demonstrate an experimental method to refine and better parameterize process models for reactive contaminant transport in aqueous subsurface environments and to reduce conservatism in such models without attempting to fully describe the geochemical system.

  2. Determination of the appropriate use of pavement surface history in the KDOT life-cycle analysis process.

    DOT National Transportation Integrated Search

    2008-09-01

    The primary objective of this study was to evaluate KDOTs pavement surfacing history and recommend : whether or not the departments life-cycle cost analysis (LCCA) procedure should include a surfacing history : component, and, if so, how the LC...

  3. [Effects of satisfaction with leisure time in family carers of elderly dependents].

    PubMed

    Del-Pino-Casado, Rafael; Ordóñez-Urbano, Carmen

    2016-05-01

    To analyse the relationship between satisfaction with leisure time and subjective burden, depression and anxiety in caregivers of dependent elderly relatives. Cross-sectional study. Primary health care (Andalusia, Spain). A probabilistic sample of 200 primary caregivers of dependent elderly relatives. Satisfaction with leisure time, subjective burden, anxiety, depression, and objective burden (functional ability, cognitive impairment and behavioural problems of the care recipient, and dedication to caring of the caregiver). Most of the caregivers were women, daughters of the care recipients, and shared home with them. An inverse statistical association was found between satisfaction with leisure time and subjective burden (r=-0.55, 95%CI: -0.45 to -0.64), anxiety (r=-0.30, 95%CI: -0.17 to -0.41) and depression (r=-0.25, 95%CI: -0.11 to -0.37). These associations remained after controlling for objective burden. Satisfaction with leisure time may have a protective effect on subjective burden, anxiety and depression, regardless of objective burden. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  4. Mobile medical apps for patient education: a graded review of available dermatology apps.

    PubMed

    Masud, Aisha; Shafi, Shahram; Rao, Babar K

    2018-02-01

    The utilization of mobile applications (apps) as educational resources for patients highlights the need for an objective method of evaluating the quality of health care-related mobile apps. In this study, a quantified rubric was developed to objectively grade publicly available dermatology mobile apps with the primary focus of patient education. The rubric included 5 criteria thought to be most important in evaluating the adequacy of these apps in relaying health information to patients: educational objectives, content, accuracy, design, and conflict of interest. A 4-point scale was applied to each criterion. The use of this objective rubric could have implications in the evaluation and recommendation of mobile health care apps as a vital educational resource for patients.

  5. Primary studies of trace quantities of green vegetation in Mono Lake area using 1990 AVIRIS data

    NASA Technical Reports Server (NTRS)

    Chen, Zhi-Kang; Elvidge, Chris D.; Groeneveld, David P.

    1992-01-01

    Our primary results in Jasper Ridge Biological Preserve indicate that high spectral resolution Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) data may provide a substantial advantage in vegetation, based on the chlorophyll red edge feature from 700-780 nm. The chlorophyll red edge was detected for green vegetation cover as low as 4.8 percent. The objective of our studies in Mono Lake area is to continue the experiments performed in Jasper Ridge and to examine the persistence of red edge feature of trace quantities of green vegetation for different plant communities with non-uniform soil backgrounds.

  6. Controversy and consensus on a clinical pharmacist in primary care in the Netherlands.

    PubMed

    Hazen, Ankie C M; Wal, Aletta W van der; Sloeserwij, Vivianne M; Zwart, Dorien L M; Gier, Johan J de; Wit, Niek J de; Leendertse, Anne J; Bouvy, Marcel L; Bont, Antoinette A de

    2016-10-01

    Background Controversy about the introduction of a non-dispensing pharmacist in primary care practice hampers implementation. Objective The aim of this study is to systematically map the debate on this new role for pharmacists amongst all stakeholders to uncover and understand the controversy and consensus. Primary health care in the Netherlands. Method Q methodology. 163 participants rank-ordered statements on issues concerning the integration of a non-dispensing pharmacist in primary care practice. Stakeholder perspectives on the role of the non-dispensing pharmacist and pharmaceutical care in primary care. Results This study identified the consensus on various features of the non-dispensing pharmacist role as well as the financial, organisational and collaborative aspects of integrating a non-dispensing pharmacist in primary care practice. Q factor analysis revealed four perspectives: "the independent community pharmacist", "the independent clinical pharmacist", "the dependent clinical pharmacist" and "the medication therapy management specialist". These four perspectives show controversies to do with the level of professional independency of the non-dispensing pharmacist and the level of innovation of task performance. Conclusion Despite the fact that introducing new professional roles in healthcare can lead to controversy, the results of this Q study show the potential of a non-dispensing pharmacist as a pharmaceutical care provider and the willingness for interprofessional collaboration. The results from the POINT intervention study in the Netherlands will be an important next step in resolving current controversies.

  7. Psychiatric treatment received by primary care patients with panic disorder with and without agoraphobia

    PubMed Central

    Marcks, Brook A.; Weisberg, Risa B.; Keller, Martin B.

    2013-01-01

    Objective Although the majority of individuals with panic disorder first present to the primary care setting, little is known about the psychiatric treatment primary care patients with the disorder typically receive. The purpose of the current study was to explore characteristics of treatment received by those with panic disorder with and without agoraphobia, examine demographic and clinical predictors of receiving treatment, and explore treatment barriers. Methods This study uses data from the Primary Care Anxiety Project (PCAP), which is a naturalistic, longitudinal study of anxiety disorders in primary care patients. This study presents data on 235 PCAP participants diagnosed with panic disorder with (N=150) or without agoraphobia (N=85) at the study intake assessment. Results Many patients with panic disorder were not receiving psychiatric treatment at study intake, with those without agoraphobia being less likely to receive treatment. Psychotropic medications were the treatment of choice, with SSRIs/SNRIs being the most commonly received class of medications. Only 39% of those with panic disorder with agoraphobia and 24% of those without agoraphobia were receiving psychotherapy, and use of empirically supported interventions was rare. The most common treatment barriers were: not believing in utilizing medication/therapy for emotional problems and not receiving a treatment recommendation from one’s provider. Conclusions The findings suggest a need for better treatment dissemination, in addition to making interventions more accessible and/or adapting them to the particular needs of primary care patients. PMID:19487354

  8. Use of Outpatient Care in Veterans Health Administration and Medicare among Veterans Receiving Primary Care in Community-Based and Hospital Outpatient Clinics

    PubMed Central

    Liu, Chuan-Fen; Chapko, Michael; Bryson, Chris L; Burgess, James F; Fortney, John C; Perkins, Mark; Sharp, Nancy D; Maciejewski, Matthew L

    2010-01-01

    Objective To examine differences in use of Veterans Health Administration (VA) and Medicare outpatient services by VA primary care patients. Data Sources/Study Setting VA administrative and Medicare claims data from 2001 to 2004. Study Design Retrospective cohort study of outpatient service use by 8,964 community-based and 6,556 hospital-based VA primary care patients. Principal Findings A significant proportion of VA patients used Medicare-reimbursed primary care (>30 percent) and specialty care (>60 percent), but not mental health care (3–4 percent). Community-based patients had 17 percent fewer VA primary care visits (p<.001), 9 percent more Medicare-reimbursed visits (p<.001), and 6 percent fewer total visits (p<.05) than hospital-based patients. Community-based patients had 22 percent fewer VA specialty care visits (p<.0001) and 21 percent more Medicare-reimbursed specialty care visits (p<.0001) than hospital-based patients, but no difference in total visits (p=.80). Conclusions Medicare-eligible VA primary care patients followed over 4 consecutive years used significant primary care and specialty care outside of VA. Community-based patients offset decreased VA use with increased service use paid by Medicare, suggesting that increasing access to VA primary care via community clinics may fragment veteran care in unintended ways. Coordination of care between VA and non-VA providers and health care systems is essential to improve the quality and continuity of care. PMID:20831716

  9. A systematic review of diagnostic criteria for psoriasis in adults and children: evidence from studies with a primary aim to develop or validate diagnostic criteria.

    PubMed

    Burden-Teh, E; Phillips, R C; Thomas, K S; Ratib, S; Grindlay, D; Murphy, R

    2017-11-06

    The diagnosis of psoriasis in adults and children is made clinically, for both patient management and the selection of participants in research. Diagnostic criteria provide a structure for clinical assessment, which in turn helps standardize patient recruitment into clinical trials and case definitions in observational studies. The aim of this systematic review was to identify and critically appraise the published studies to date that had a primary research aim to develop or validate diagnostic criteria for psoriasis. A search of Ovid MEDLINE and Ovid Embase was conducted in October 2016. The primary objective was to record the sensitivity and specificity of diagnostic criteria for psoriasis. Secondary objectives included diagnostic recommendations, applicability to children and study characteristics. Diagnostic accuracy studies were critically appraised for risk of bias using the QUADAS-2 tool. Twenty-three studies met the inclusion criteria. None detailed clinical examination-based diagnostic criteria. The included criteria varied from genetic and molecular diagnostic models to skin imaging, histopathology, and questionnaire-based, computer-aided and traditional Chinese medicine criteria. High sensitivity and specificity (> 90%) were reported in many studies. However, the study authors often did not specify how the criteria would be used clinically or in research. This review identified studies with varying risk of bias, and due to each study developing separate criteria meta-analysis was not possible. Clinical examination-based diagnostic criteria are currently lacking for psoriasis. Future research could follow an international collaborative approach and employ study designs allowing high-quality diagnostic accuracy testing. Existing and newly developed criteria require validation. © 2017 British Association of Dermatologists.

  10. A research agenda on patient safety in primary care. Recommendations by the LINNEAUS collaboration on patient safety in primary care

    PubMed Central

    Verstappen, Wim; Gaal, Sander; Bowie, Paul; Parker, Diane; Lainer, Miriam; Valderas, Jose M.; Wensing, Michel; Esmail, Aneez

    2015-01-01

    ABSTRACT Background: Healthcare can cause avoidable serious harm to patients. Primary care is not an exception, and the relative lack of research in this area lends urgency to a better understanding of patient safety, the future research agenda and the development of primary care oriented safety programmes. Objective: To outline a research agenda for patient safety improvement in primary care in Europe and beyond. Methods: The LINNEAUS collaboration partners analysed existing research on epidemiology and classification of errors, diagnostic and medication errors, safety culture, and learning for and improving patient safety. We discussed ideas for future research in several meetings, workshops and congresses with LINNEAUS collaboration partners, practising GPs, researchers in this field, and policy makers. Results: This paper summarizes and integrates the outcomes of the LINNEAUS collaboration on patient safety in primary care. It proposes a research agenda on improvement strategies for patient safety in primary care. In addition, it provides background information to help to connect research in this field with practicing GPs and other healthcare workers in primary care. Conclusion: Future research studies should target specific primary care domains, using prospective methods and innovative methods such as patient involvement. PMID:26339841

  11. Primary Care, Self-rated Health, and Reductions in Social Disparities in Health

    PubMed Central

    Shi, Leiyu; Starfield, Barbara; Politzer, Robert; Regan, Jerri

    2002-01-01

    Objective To examine the extent to which good primary-care experience attenuates the adverse association of income inequality with self-reported health. Data Sources Data for the study were drawn from the Robert Wood Johnson Foundation sponsored 1996–1997 Community Tracking Study (CTS) Household Survey and state indicators of income inequality and primary care. Study Design Cross-sectional, mixed-level analysis on individuals with a primary-care physician as their usual source of care. The analyses were weighted to represent the civilian noninstitutionalized population of the continental United States. Data Collection/Extraction Methods Principal component factor analysis was used to explore the structure of the primary-care indicators and examine their construct validity. Income inequality for the state in which the community is located was measured by the Gini coefficient, calculated using income distribution data from the 1996 current population survey. Stratified analyses compared proportion of individuals reporting bad health and feeling depressed with those with good and bad primary-care experiences for each of the four income-inequality strata. A set of logistic regressions were performed to examine the relation between primary-care experience, income inequality, and self-rated health. Principal Findings Good primary-care experience, in particular enhanced accessibility and continuity, was associated with better self-reported health both generally and mentally. Good primary-care experience was able to reduce the adverse association of income inequality with general health although not with mental health, and was especially beneficial in areas with highest income inequality. Socioeconomic status attenuated, but did not eliminate, the effect of primary-care experience on health. In conclusion, good primary-care experience is associated not only with improved self-rated overall and mental health but also with reductions in disparities between more- and less-disadvantaged communities in ratings of overall health. PMID:12132594

  12. Review and analysis of the Mental Health Nurse Incentive Program.

    PubMed

    Happell, Brenda; Platania-Phung, Chris

    2017-09-04

    Objective The aim of the present study was to review and synthesise research on the Mental Health Nurse Incentive Program (MHNIP) to ascertain the benefits and limitations of this initiative for people with mental illness, general practitioners, mental health nurses and the wider community. Methods An electronic and manual search was made of the research literature for MHNIP in May 2017. Features of studies, including cohorts and findings, were tabulated and cross-study patterns in program processes and outcomes were closely compared. Results Seventeen reports of primary research data have been released. Triangulation of data from different cohorts, regions and design show that the program has been successful on the primary objectives of increased access to primary mental health care, and has received positive feedback from all major stakeholders. Although the program has been broadly beneficial to consumer health, there are inequities in access for people with mental illness. Conclusions The MHNIP greatly benefits the health of people with mental illness. Larger and more representative sampling of consumers is needed, as well as intensive case studies to provide a more comprehensive and effective understanding of the benefits and limitations of the program as it evolves with the establishment of primary health networks. What is known about the topic? The MHNIP is designed to increase access to mental health care in primary care settings such as general practice clinics. Studies have reported favourable views about the program. However, research is limited and further investigation is required to demonstrate the strengths and limitations of the program. What does this paper add? All studies reviewed reported that the MHNIP had positive implications for people with severe and persistent mental illness. Qualitative research has been most prevalent for mental health nurse views and research on Health of the Nation Outcome Scale scores for recipients of the program. There is more research on system dimensions than on person-centred care. Mental health consumers, carers and families have been neglected in the establishment, engagement and evaluation of the MHNIP. What are the implications for practitioners? A more systematic, national-level research program into the MHNIP is required that is centred more on the experiences of people with mental illness.

  13. Analysis of IRAS data for orbital debris

    NASA Technical Reports Server (NTRS)

    Anz-Meador, P. D.; Oro, D. M.; Kessler, D. J.; Pitts, D. E.

    1986-01-01

    The Infrared Astronomical Satellite (IRAS) was launched in 1983 for the purpose of surveying the sky in a broad area of the infrared portion of the spectrum. While the primary objects of interest of IRAS were stars and nebulae, other types of space-related objects could also be observed. These include comets, asteroids, and earth orbiting objects. Theoretical analysis indicates that IRAS could observe objects with a diameter of 1-mm at a range of 100-km and objects with a diameter of 1-cm at a range of 1000-km, while current ground-based observations of particles in low earth orbit are limited to objects larger than 1-cm. Thus, these data offer a unique opportunity to ascertain the number density of particles below the present observable limit. At NASA/JSC a preliminary analysis of an IRAS data set has been performed to detect and describe this population, and the results of this study are presented.

  14. [The effectiveness of endonasal electrophoresis of neuroprotective agents used in the rehabilitative treatment of the patients presenting with primary open angle glaucoma].

    PubMed

    Nazarova, G A; Konchugova, T V; Iurova, O V; Sichinava, N V; Turova, E A; Rassulova, M A; Morozova, N E

    2013-01-01

    The objective of the present study was to estimate the effectiveness of the peptide drug cortexin used to treat primary open angle glaucoma. It was shown that endonasal electrophoresis of cortexin resulted in more pronounced positive changes in the dynamics of clinical, functional, perimetric, and electrophysiological characteristics compared with intramuscular administration of the same drug to the patients of the control group. This difference was apparent both immediately after the termination of the treatment and during the long-term follow-up.

  15. An objective and cross-sectional examination of sun-safe behaviours in New South Wales primary schools.

    PubMed

    Dudley, Dean A; Cotton, Wayne G; Winslade, Matthew J; Wright, Bradley J; Jackson, Kirsten S; Brown, Alexandra M; Rock, Vanessa

    2017-01-05

    Previous evaluations have supported the link between sun protection policies and improved sun protection behaviours. However these evaluations have relied on self-reported data. A cross-sectional design as part of an ongoing 18-month cluster-controlled trial in primary schools (n = 20) was used. Researchers conducted direct observations to record students' hat use and teachers' use of sun protective measures during recess and lunch. Researchers also recorded the volume of sunscreen consumed in each school. Only 60% of primary school children wear a sun-safe hat during their breaks when observed using objective measures. Weak correlations were observed between the wearing of a sun-safe hat and a school's socio-economic status (r = 0.26). All other independent variables measured had only very weak correlations (r < 0.19) with sun-safe hat wearing behaviour of students. Sunscreen consumption by school students during the school day is negligible. A large percentage of NSW primary schools in this study wear sun-safe hats during the school day but this is well below what has been reported in previous national surveys. Given the finite resources of schools and the correlation, though small, with SES status for these behaviours, it behoves researchers to investigate low-cost solutions to these problems. Further qualitative data will also be needed to inform the enablers and barriers for sun-safe behaviour interventions to be adopted in NSW primary schools.

  16. Antibiotic prophylaxis in orthognathic surgery: A complex systematic review

    PubMed Central

    Hultin, Margareta; Klinge, Anna; Klinge, Björn; Tranæus, Sofia; Lund, Bodil

    2018-01-01

    Objective In orthognathic surgery, antibiotics are prescribed to reduce the risk of postoperative infection. However, there is lack of consensus over the appropriate drug, the dose and duration of administration. The aim of this complex systematic review was to assess the effect of antibiotics on postoperative infections in orthognathic surgery. Methods Both systematic reviews and primary studies were assessed. Medline (OVID), The Cochrane Library (Wiley) and EMBASE (embase.com), PubMed (non-indexed articles) and Health Technology Assessment (HTA) publications were searched. The primary studies were assessed using GRADE and the systematic reviews by AMSTAR. Results Screening of abstracts yielded 6 systematic reviews and 36 primary studies warranting full text scrutiny. In total,14 primary studies were assessed for risk of bias. Assessment of the included systematic reviews identified two studies with a moderate risk of bias, due to inclusion in the meta-analyses of primary studies with a high risk of bias. Quality assessment of the primary studies disclosed one with a moderate risk of bias and one with a low risk. The former compared a single dose of antibiotic with 24 hour prophylaxis using the same antibiotic; the latter compared oral and intravenous administration of antibiotics. Given the limited number of acceptable studies, no statistical analysis was undertaken, as it was unlikely to contribute any relevant information. Conclusion With respect to antibiotic prophylaxis in orthognathic surgery, most of the studies to date have been poorly conducted and reported. Thus scientific uncertainty remains as to the preferred antibiotic and the optimal duration of administration. PMID:29385159

  17. Efficacy and safety of almorexant in adult chronic insomnia: a randomized placebo-controlled trial with an active reference.

    PubMed

    Black, Jed; Pillar, Giora; Hedner, Jan; Polo, Olli; Berkani, Ouali; Mangialaio, Sara; Hmissi, Abdel; Zammit, Gary; Hajak, Goran

    2017-08-01

    The orally active dual OX 1 R and OX 2 R antagonist, almorexant, targets the orexin system for the treatment of primary insomnia. This clinical trial assessed the effect of almorexant on sleep maintenance and other sleep endpoints, and its safety and tolerability in adults. Prospective, randomized, double-blind, placebo-controlled, active referenced trial in male and female adults aged 18-64 years with chronic, primary insomnia. Patients were randomized 1:1:1:1 to receive placebo, almorexant 100 mg, almorexant 200 mg, or zolpidem 10 mg (active reference) for 16 days. Primary efficacy assessments were objective (polysomnography-measured) and subjective (patient-recorded) wake time after sleep onset (WASO). Further sleep variables were also evaluated. From 709 randomized patients, 707 (mean age 45.4 years; 61.7% female) received treatment and 663 (93.8%) completed the study. A significant decrease versus placebo in median objective WASO was observed with almorexant 200 mg at the start and end of randomized treatment (-26.8 min and -19.5 min, respectively; both p < 0.0001); subjective WASO also decreased over the two-week treatment period (p = 0.0006). Objective and subjective total sleep time (TST) were increased with almorexant 200 mg (p < 0.0001). Almorexant 200 mg significantly reduced objective and subjective latency to persistent sleep and latency to sleep onset at initiation of therapy, and provided longer duration of sleep stages with no suppression of slow-wave sleep. No impaired next-day performance, rebound insomnia, or withdrawal effects were observed. Adverse events were similar with almorexant and placebo. Almorexant reduced time to sleep onset and maintained sleep without residual effects on next-day performance or safety concerns. This study provides further support for the role of the endogenous orexin system in insomnia disorder. CLINICALTRIALS. NCT00608985. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. A Double-Blind, Placebo-Controlled Study of Risperidone for the Treatment of Adolescents and Young Adults with Anorexia Nervosa: A Pilot Study

    ERIC Educational Resources Information Center

    Hagman, Jennifer; Gralla, Jane; Sigel, Eric; Ellert, Swan; Dodge, Mindy; Gardner, Rick; O'Lonergan, Teri; Frank, Guido; Wamboldt, Marianne Z.

    2011-01-01

    Objective: The purpose of this double-blind, placebo-controlled exploratory pilot study was to evaluate the safety and efficacy of risperidone for the treatment of anorexia nervosa. Method: Forty female subjects 12 to 21 years of age (mean, 16 years) with primary anorexia nervosa in an eating disorders program were randomized to receive…

  19. Drilled Shaft Foundations for Noise Barrier Walls and Slope Stabilization

    DOT National Transportation Integrated Search

    2002-12-01

    This research project is focused on two primary objectives. The first objective relates to the development of a methodology for using the SPT (Standard Penetration Test) results to design the laterally loaded drilled shafts. The second objective aims...

  20. A cortical pathway to olfactory naming: evidence from primary progressive aphasia

    PubMed Central

    Rogalski, Emily; Harrison, Theresa; Mesulam, M.-Marsel; Gottfried, Jay A.

    2013-01-01

    It is notoriously difficult to name odours. Without the benefit of non-olfactory information, even common household smells elude our ability to name them. The neuroscientific basis for this olfactory language ‘deficit’ is poorly understood, and even basic models to explain how odour inputs gain access to transmodal representations required for naming have not been put forward. This study used patients with primary progressive aphasia, a clinical dementia syndrome characterized by primary deficits in language, to investigate the interactions between olfactory inputs and lexical access by assessing behavioural performance of olfactory knowledge and its relationship to brain atrophy. We specifically hypothesized that the temporal pole would play a key role in linking odour object representations to transmodal networks, given its anatomical proximity to olfactory and visual object processing areas. Behaviourally, patients with primary progressive aphasia with non-semantic subtypes were severely impaired on an odour naming task, in comparison with an age-matched control group. However, with the availability of picture cues or word cues, odour matching performance approached control levels, demonstrating an inability to retrieve but not to recognize the name and nature of the odorant. The magnitude of cortical thinning in the temporal pole was found to correlate with reductions in odour familiarity and odour matching to visual cues, whereas the inferior frontal gyrus correlated with both odour naming and matching. Volumetric changes in the mediodorsal thalamus correlated with the proportion of categorical mismatch errors, indicating a possible role of this region in error-signal monitoring to optimize recognition of associations linked to the odour. A complementary analysis of patients with the semantic subtype of primary progressive aphasia, which is associated with marked temporopolar atrophy, revealed much more pronounced impairments of odour naming and matching. In identifying the critical role of the temporal pole and inferior frontal gyrus in transmodal linking and verbalization of olfactory objects, our findings provide a new neurobiological foundation for understanding why even common odours are hard to name. PMID:23471695

  1. DSM-IV hypochondriasis in primary care.

    PubMed

    Escobar, J I; Gara, M; Waitzkin, H; Silver, R C; Holman, A; Compton, W

    1998-05-01

    The object of this study was to assess the prevalence and correlates of the DSM-IV diagnosis of hypochondriasis in a primary care setting. A large sample (N = 1456) of primary care users was given a structured interview to make diagnoses of mood, anxiety, and somatoform disorders and estimate levels of disability. The prevalence of hypochondriasis (DSM-IV) was about 3%. Patients with this disorder had higher levels of medically unexplained symptoms (abridged somatization) and were more impaired in their physical functioning than patients without the disorder. Of the various psychopathologies examined, major depressive syndromes were the most frequent among patients with hypochondriasis. Interestingly, unlike somatization disorder, hypochondriasis was not related to any demographic factor. Hypochondriasis is a relatively rare condition in primary care that is largely separable from somatization disorder but seems closely intertwined with the more severe depressive syndromes.

  2. Assessment of primary health care: health professionals' perspective.

    PubMed

    Silva, Simone Albino da; Nogueira, Denismar Alves; Paraizo, Camila Maria da Silva; Fracolli, Lislaine Aparecida

    2014-08-01

    Objective To assess primary health care attributes of access to a first contact, comprehensiveness, coordination, continuity, family guidance and community orientation. Method An evaluative, quantitative and cross-sectional study with 35 professional teams in the Family Health Program of the Alfenas region, Minas Gerais, Brazil. Data collection was done with the Primary Care Assessment Tool - Brazil, professional version. Results Results revealed a low percentage of medical experts among the participants who evaluated the attributes with high scores, with the exception of access to a first contact. Data analysis revealed needs for improvement: hours of service; forms of communication between clients and healthcare services and between clients and professionals; the mechanism of counter-referral. Conclusion It was concluded that there is a mismatch between the provision of services and the needs of the population, which compromises the quality of primary health care.

  3. One-step partial or complete caries removal and bonding with antibacterial or traditional self-etch adhesives: study protocol for a randomized controlled trial.

    PubMed

    Villat, Cyril; Attal, Jean-Pierre; Brulat, Nathalie; Decup, Franck; Doméjean, Sophie; Dursun, Elisabeth; Fron-Chabouis, Hélène; Jacquot, Bruno; Muller Bolla, Michèle; Plasse-Pradelle, Nelly; Roche, Laurent; Maucort-Boulch, Delphine; Nony, Patrice; Gritsch, Kerstin; Millet, Pierre; Gueyffier, François; Grosgogeat, Brigitte

    2016-08-15

    Current concepts in conservative dentistry advocate minimally invasive dentistry and pulp vitality preservation. Moreover, complete removal of carious dentin in deep carious lesions often leads to pulp exposure and root canal treatment, despite the absence of irreversible pulp inflammation. For years, partial caries removal has been performed on primary teeth, but little evidence supports its effectiveness for permanent teeth. Furthermore, the recent development of new antibacterial adhesive systems could be interesting in the treatment of such lesions. The objectives of this study are to compare the effectiveness of partial versus complete carious dentin removal in deep lesions (primary objective) and the use of an antibacterial versus a traditional two-step self-etch adhesive system (main secondary objective). The DEep CAries Treatment (DECAT) study protocol is a multicenter, randomized, controlled superiority trial comparing partial versus complete caries removal followed by adhesive restoration. The minimum sample size required is 464 patients. Two successive randomizations will be performed (allocation ratio 1:1): the first for the type of excavation (partial versus complete) and the second (if no root canal treatment is required) for the type of adhesive (antibacterial versus traditional). For the two objectives, the outcome is the success of the treatment after 1 year, measured according to a composite outcome of five FDI criteria: material fracture and retention, marginal adaptation, radiographic examination (including apical pathologies), postoperative sensitivity and tooth vitality, and carious lesion recurrence. The study will investigate the interest of a conservative approach for the management of deep carious lesions in terms of dentin excavation and bioactive adhesive systems. The results may help practitioners achieve the most efficient restorative procedure to maintain pulp vitality and increase the restoration longevity. ClinicalTrials.gov Identifier NCT02286388 . Registered in November 2014.

  4. Investigation of Primary Class Teachers' Conflict Approaches by Gender

    ERIC Educational Resources Information Center

    Habaci, Ibrahim

    2015-01-01

    The objective of this study is to identify the relationships between disagreements and conflicts that surface with respect to gender in educational institutions and the reasons behind them; to expose the relationship between personal variables and conflict management strategies; to determine how individuals adopt a particular attitude in regard to…

  5. Occupational Stress and Teaching Approaches among Chinese Academics

    ERIC Educational Resources Information Center

    Zhang, Li-fang

    2009-01-01

    The primary objective of this study was to examine the predictive power of occupational stress for teaching approaches. Participants were 246 faculty members from a large university in Guangzhou in the People's Republic of China, who completed the Approaches to Teaching Inventory, four scales from the Occupational Stress Inventory-Revised…

  6. Evaluation of temporary traffic signals in conjunction with pilot car operations at two-way long temporary work zones.

    DOT National Transportation Integrated Search

    2016-05-01

    The primary objective of this study was to evaluate the use of Portable Traffic Signal (PTS) systems at long, rural : two-lane work zones and to compare three different conditions for controlling one-lane traffic in conjunction with pilot car : opera...

  7. USE OF GEOSPATIAL DATA TO PREDICT DOWNSTREAM IMPACTS OF COAL MINING IN AN APPALACHIAN WATERSHED

    EPA Science Inventory

    Mountaintop removal and valley filling is a method of mining coal that results in burial of Appalachian headwater streams. Leaching of fill material often results in elevated ion concentrations below fills. A primary objective of this study was to quantify downstream extent of mi...

  8. Antimicrobial resistant Salmonella enterica and Escherichia coli recovered from dairy operations

    USDA-ARS?s Scientific Manuscript database

    Antimicrobial resistance has become a major public health concern and animal agriculture is often implicated as a source of resistant bacteria. The primary objective of this study was to determine prevalence of antimicrobial resistance in Salmonella and E. coli from healthy animals on dairy farms i...

  9. Expanding Children's Food Experiences: The Impact of a School-Based Kitchen Garden Program

    ERIC Educational Resources Information Center

    Gibbs, Lisa; Staiger, Petra K.; Johnson, Britt; Block, Karen; Macfarlane, Susie; Gold, Lisa; Kulas, Jenny; Townsend, Mardie; Long, Caroline; Ukoumunne, Obioha

    2013-01-01

    Objective: Evaluate achievement of the "Stephanie Alexander Kitchen Garden Program" in increasing child appreciation of diverse, healthy foods. Design: Comparative 2-year study. Setting: Six program and 6 comparison primary schools in rural and metropolitan Victoria, Australia, matched for socioeconomic status and size. Participants: A…

  10. White Faculty Transforming Whiteness in the Classroom through Pedagogical Practice

    ERIC Educational Resources Information Center

    Charbeneau, Jessica

    2015-01-01

    The primary objective of this qualitative study is to present a conceptual framework of pedagogical practices reported by white faculty that serve to challenge the hegemony of whiteness in the university classroom. These transformative teaching practices surfaced through a review of racialized pedagogies discussed in the literature and in…

  11. New Trends in Mathematics Teaching, Volume III.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    Each of the ten chapters in this volume is intended to present an objective analysis of the trends of some important subtopic in mathematics education and each includes a bibliography for fuller study. The chapters cover primary school mathematics, algebra, geometry, probability and statistics, analysis, logic, applications of mathematics, methods…

  12. Contemporary Primary Science Curricula in the United Kingdom

    ERIC Educational Resources Information Center

    Henry, John A.

    1976-01-01

    Following a review of the impact of Piaget's theories of cognitive development on science curriculum design, the evolution and development of the Science 5/13 Project, designed to extend the work of Nuffield Junior Science Project, is described. Evaluation studies assessing the aims and objectives of this project are detailed. (BT)

  13. Factors that Contribute to Child Maltreatment Severity: A Multi-Method and Multidimensional Investigation

    ERIC Educational Resources Information Center

    Sprang, G.; Clark, J.J.; Bass, S.

    2005-01-01

    Objectives:: This study used data gathered during evaluations conducted by the Comprehensive Assessment and Training Services (CATS) Project to determine the relative contribution of four primary domains (demographic, adult characteristics, child characteristics, relational characteristics) to variation in the severity of child maltreatment, and…

  14. Predictors of Student Retention in Colleges of Agriculture.

    ERIC Educational Resources Information Center

    Dyer, James E.; Breja, Lisa M.; Wittler, Penny S. Haase

    The primary purpose of this study was to identify those factors that most accurately predict a student's intention to complete a degree in a college of agriculture. Specific research objectives were to identify similarities and differences of college of agriculture freshmen from predominately urban backgrounds, as compared to those in an…

  15. New results form HST on fast, colimated outflows in dying stars - the primary mechanism for shaping planetary nebulae

    NASA Technical Reports Server (NTRS)

    Sahai, R.; Contreras, C.

    2003-01-01

    In this paper, we briefly describe the results from imaging surveys of young PNe and PPNe with HST, and then present new results from detailed kinematic studies of several prominent objects which support our hypothesis for shaping PNe.

  16. 77 FR 73665 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-11

    ... Medical Education at the Clinical Center on Physician Careers in Academia and Clinical Research. Type of... Information Collection: This study will assess the value of the training programs administered by the Office of Clinical Research Training and Medical Education. The primary objective of the survey is to...

  17. Effects of aggregate gradation, aggregate type, and SBS polymer-modified binder on Florida HMAC fracture energy properties : final report, March 2009.

    DOT National Transportation Integrated Search

    2009-03-01

    "The primary objective of this research study was to evaluate the fracture mechanics properties of HMA concrete for Superpave mixtures. An experimental program was performed on asphalt mixtures with various types of materials. The laboratory testing ...

  18. Quality control analysis : part V : review of data generated by statistical specifications on asphaltic concrete : final report.

    DOT National Transportation Integrated Search

    1975-12-01

    The primary objective of this study was to review the data generated by projects governed by statistically oriented system of specifications for the control and acceptance of asphaltic concrete and to recommend any revisions that may be deemed necess...

  19. How Does Literature Affect Empathy in Students?

    ERIC Educational Resources Information Center

    Junker, Christine R.; Jacquemin, Stephen J.

    2017-01-01

    Scholars have suggested that reading literature can foster empathy. However, learning empathy through literature in the classroom is understudied. The primary objective of this study was to assess whether affective and cognitive empathy, as demonstrated in student writing, relates to textual attributes, the style of writing prompt, student writing…

  20. Wood-thermoplastic composites manufactured using beetle-killed spruce from Alaska

    Treesearch

    V. Yadama; Eini Lowell; N. Petersen; D. Nicholls

    2009-01-01

    The primary objectives of the study were to characterize the critical properties of wood flour produced using highly deteriorated beetle-killed spruce for wood-plastic composite (WPC) production and evaluate important mechanical and physical properties of WPC extruded using an industry standard formulation. Chemical composition analysis indicated no significant...

  1. Mathematical modeling of growth Salmonella and spoilage microorganisms in raw oysters

    USDA-ARS?s Scientific Manuscript database

    The main objective of this study was to develop primary and secondary models to describe the growth of Salmonella as well as background microorganisms in fresh shucked oysters. The cocktail of two Salmonella serotypes, S. Typhimurium (CICC22956) and S. Enteritidis (CICC21482), was inoculated to raw...

  2. Neighborhood Perceptions Affect Dietary Behaviors and Diet Quality

    ERIC Educational Resources Information Center

    Keita, Akilah Dulin; Casazza, Krista; Thomas, Olivia; Fernandez, Jose R.

    2011-01-01

    Objective: The primary purpose of this study was to determine if perceived neighborhood disorder affected dietary quality within a multiethnic sample of children. Design: Children were recruited through the use of fliers, wide-distribution mailers, parent magazines, and school presentations from June 2005 to December 2008. Setting:…

  3. Cross-Cultural School-Based Encounters as Global Health Education

    ERIC Educational Resources Information Center

    Bruselius-Jensen, Maria; Renwick, Kerry; Aagaard-Hansen, Jens

    2017-01-01

    Objective: Drawing on the concepts of the cosmopolitan person and democratic health education, this article explores the merits of primary school-based, cross-cultural dialogues for global health education. Design: A qualitative study of the learning outcomes of the Move/Eat/Learn (MEL) project. MEL facilitates cultural meetings, primarily…

  4. Event Structure and Grammatical Patterns: Resultative Constructions

    ERIC Educational Resources Information Center

    Lee, Leslie

    2013-01-01

    This thesis investigates the nature of grammatical patterns through an in-depth study of resultative constructions in Mandarin and Thai. At the heart of the thesis lies the proposal that event structure templates--complex, meaning-based grammatical patterns--must be recognised as primary objects of linguistic analysis. As content-theoretic objects…

  5. Trauma, Binge Eating, and the "Strong Black Woman"

    ERIC Educational Resources Information Center

    Harrington, Ellen F.; Crowther, Janis H.; Shipherd, Jillian C.

    2010-01-01

    Objective: The primary goal of this study was to test a culturally specific model of binge eating in African American female trauma survivors, investigating potential mechanisms through which trauma exposure and distress were related to binge eating symptomatology. Method: Participants were 179 African American female trauma survivors who…

  6. Wildfires, weather, and productivity

    Treesearch

    Michel Louis Bernard; Noureddine Nimour

    2007-01-01

    The object of this paper is to show the intercorrelations existing between statistics of wildfires (occurrences: N; areas burned: A), climatic parameters (precipitation: P; temperature: T) and net primary productivity: NPP. To this purpose, statistics of wildfires have been studied in several regions of the world, focusing on temperature and precipitation. The present...

  7. Rite of Passage: A Visit to a University Library.

    ERIC Educational Resources Information Center

    Tabar, Margaret

    2002-01-01

    Describes a research project in the social studies curriculum at St. Paul Academy and Summit School (Minnesota) during which students visit a university library. Objectives for student research are: to select a topic, design a thesis statement, locate pertinent primary and secondary resources, and write a well-documented, analytical research…

  8. Mitigating Impacts Of Arsenic Contaminated Materials Via Two (2) Stabilization Methods Based On Polymeric And Cement Binders

    EPA Science Inventory

    The primary objective of this study was to evaluate the performance of two selected chemical stabilization and solidification (S/S) techniques to treat three types of arsenic-contaminated wastes 1) chromated copper arsenate (CCA) wood treater waste, 2) La Trinidad Mine tailings, ...

  9. A methodology for determining economic impacts of raised medians : data analysis on additional case studies

    DOT National Transportation Integrated Search

    1999-10-01

    The objective of this four-year research effort is to develop and test a methodology to estimate the economic impacts of median design. This report summarizes the activities performed in the third year of this project. The primary task in the third y...

  10. A study of phycophysiology in controlled environments

    NASA Technical Reports Server (NTRS)

    Krauss, R. W.

    1971-01-01

    The primary objective of this research is to obtain fundamental data concerning the growth and metabolism of the unicellular green algae. These organisms are most likely to provide biological oxygen and a food source for space crews. Biochemical conversions, chemical composition, and cell growth and division are discussed. Chlorella sorokiniana is emphasized.

  11. Naturally occurring soil salinity does not reduce N-transforming enzymes or organisms

    USDA-ARS?s Scientific Manuscript database

    Soil salinity can negatively affect plant production and important biogeochemical cycles which are mainly carried out by soil microbes. The objective of this study was to contribute new information on soil biological N transformations by examining the impact primary salinity reduction has on a) the ...

  12. Organization, Breadth of Categorization and Free-Recall Learning in Children.

    ERIC Educational Resources Information Center

    Strassberg-Rosenberg, Barbara; Shuell, Thomas J.

    The primary objective of this study was to determine the existence of a relationship between free-recall learning and breadth of categorization, an independent measure of conceptual organization. The relationship between breadth of categorization and more conventional measures of organization was also investigated. Two free-recall tasks…

  13. Personality Traits and Occupational Stress among Chinese Academics

    ERIC Educational Resources Information Center

    Zhang, Li-Fang

    2012-01-01

    The primary objective of this study was to examine the predictive power of personality traits for occupational stress among Chinese university academics. Two hundred and forty-six participants responded to the NEO Five-Factor Inventory and the Occupational Stress Inventory-Revised. Results indicated that the strongest predictor for occupational…

  14. Mathematics Academies: Cohort 1 Evaluation Study, 2011-2013

    ERIC Educational Resources Information Center

    Stohr, Amber D.

    2014-01-01

    Commencing in 2011, the Mathematics Academies Initiative is a series of professional development academies (lasting 1 to 2 years, depending on cohort) with the primary objectives of (a) providing educators with a high quality professional development experience that enhances their mathematical content knowledge and pedagogical skills, and (b)…

  15. The design-build contracting methodology for transportation projects : a review of practice and evaluation for Connecticut applications.

    DOT National Transportation Integrated Search

    2010-06-10

    Two primary contracting methods are used by most state transportation agencies to : design and build infrastructure: design-bid-build and design-build. The objective : of this study is to conduct a literature review to identify how ConnDOTs use of...

  16. Physical Activity Based Professional Development for Teachers: The Importance of Whole School Involvement

    ERIC Educational Resources Information Center

    Till, Jude; Ferkins, Lesley; Handcock, Phil

    2011-01-01

    Objective: This study sought to investigate teachers' perceptions of a physical activity-related professional development intervention. Design: Interview-based qualitative approach founded on the interpretive paradigm. Setting: Purposive selection of one high-rated independent, and one low-rated public primary school from Auckland, New Zealand.…

  17. Curriculum-Based Measurement of Oral Reading Fluency (CBM-R): An Objective Orientated Evaluation Study

    ERIC Educational Resources Information Center

    Grima-Farrell, Christine

    2014-01-01

    The knowledge and practices associated with improved outcomes for readers have yielded converging evidence about practices associated with improved reading outcomes for primary students. This considerable intervention knowledge can be beneficial for English teachers working with struggling secondary readers. Fluency is one critical element that…

  18. Influence of riparian seepage zones on nitrate variability in two agricultural headwater streams

    USDA-ARS?s Scientific Manuscript database

    Riparian seepage zones are one of the primary pathways of groundwater transport to headwater streams. While seeps have been recognized for their contributions to streamflow, there is little information on how seeps affect stream water quality. The objective of this study was to examine the influence...

  19. Mars Observer: Phase 0 safety review data package

    NASA Technical Reports Server (NTRS)

    1986-01-01

    The Mars Observer Program has as its primary objectives a study of the geochemistry, atmospheric dynamics, atmosphere/surface interactions, seasonal variations, and magnetic field characteristics of Mars. The Mars Observer Spacecraft, safety critical spacecraft subsystems, ground support equipment, ground operations scenario, requirements matrix, and equipment specifications are described.

  20. Teledynamic Evaluation of Oropharyngeal Swallowing

    ERIC Educational Resources Information Center

    Malandraki, Georgia A.; McCullough, Gary; He, Xuming; McWeeny, Elizabeth; Perlman, Adrienne L.

    2011-01-01

    Purpose: The objective of the present investigation was to test the feasibility and clinical utility of a real-time Internet-based protocol for remote, telefluoroscopic evaluation of oropharyngeal swallowing. Method: In this prospective cohort study, the authors evaluated 32 patients with a primary diagnosis of stroke or head/neck cancer. All…

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