Sample records for received considerable study

  1. The Proposed MACRA/MIPS Threshold for Patient-Facing Encounters: What It Means for Radiologists.

    PubMed

    Rosenkrantz, Andrew B; Hirsch, Joshua A; Allen, Bibb; Wang, Wenyi; Hughes, Danny R; Nicola, Gregory N

    2017-03-01

    In implementing the Merit-Based Incentive Payment System (MIPS), CMS will provide special considerations to physicians with infrequent face-to-face patient encounters by reweighting MIPS performance categories to account for the unique circumstances facing these providers. The aim of this study was to determine the impact of varying criteria on the fraction of radiologists who are likely to receive special considerations for performance assessment under MIPS. Data from the 2014 Medicare Physician and Other Supplier file for 28,710 diagnostic radiologists were used to determine the fraction of radiologists meeting various proposed criteria for receiving special considerations. For each definition, the fraction of patient-facing encounters among all billed codes was determined for those radiologists not receiving special considerations. When using the criterion proposed by CMS that physicians will receive special considerations if billing ≤25 evaluation and management services or surgical codes, 72.0% of diagnostic radiologists would receive special considerations, though such encounters would represent only 2.1% of billed codes among remaining diagnostic radiologists without special considerations. If CMS were to apply an alternative criterion of billing ≤100 evaluation and management codes exclusively, 98.8% of diagnostic radiologists would receive special considerations. At this threshold, patient-facing encounters would represent approximately 10% of billed codes among remaining radiologists without special considerations. The current CMS proposed criterion for special considerations would result in a considerable fraction of radiologists being evaluated on the basis of measures that are not reflective of their practice and beyond their direct control. Alternative criteria could help ensure that radiologists are provided a fair opportunity for success in performance review under the MIPS. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  2. Forgotten but not gone: an examination of fit between leader consideration and initiating structure needed and received.

    PubMed

    Lambert, Lisa Schurer; Tepper, Bennett J; Carr, Jon C; Holt, Daniel T; Barelka, Alex J

    2012-09-01

    We examined the effects of fit between leader consideration and initiating structure needed and received on employees' work-related attitudes (i.e., trust in the supervisor, job satisfaction, and affective commitment to the organization). Consistent with predictions that derive from the person-environment fit research tradition, results from Study 1 suggested that deficient amounts of both leadership behaviors were associated with unfavorable attitudinal outcomes. However, while excess levels of consideration were associated with favorable attitudinal outcomes, excess levels of initiating structure were associated with unfavorable attitudes, and for both forms of leadership, higher levels of absolute fit were associated with more favorable outcomes. Results from Study 2 suggested that attitudes generated by the fit between leadership needed and received influence employees' organizational citizenship behavior as reported by their supervisors. The relationship between consideration needed and received and subordinates' organizational citizenship behavior relating to individuals (OCBI) and organizational citizenship behavior relating to the organization itself (OCBO) was partially mediated by employees' trust in the supervisor, while the relationship between initiating structure needed and received and OCBI was fully mediated by trust in the supervisor, and for OCBO was partially mediated.

  3. Ethical Considerations in Filing Personal Bankruptcy: A Hypothetical Case Study

    ERIC Educational Resources Information Center

    Landry, Robert J., III

    2012-01-01

    A great deal of research by legal studies scholars pertains to employment law, international law, and corporate governance, as well as other fields including ethics and international law. The fields typically addressed are very important and rightfully receive considerable attention in the scholarship and textbooks. However, bankruptcy as a…

  4. 41 CFR 102-37.525 - What should a holding agency do if it wants a public airport to receive priority consideration...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What should a holding agency do if it wants a public airport to receive priority consideration for excess personal property it... agency do if it wants a public airport to receive priority consideration for excess personal property it...

  5. Receiver psychology turns 20: is it time for a broader approach?

    PubMed Central

    Miller, Cory T.; Bee, Mark A.

    2013-01-01

    Twenty years ago, a new conceptual paradigm known as ‘receiver psychology’ was introduced to explain the evolution of animal communication systems. This paradigm advanced the idea that psychological processes in the receiver's nervous system influence a signal's detectability, discriminability and memorability, and thereby serve as powerful sources of selection shaping signal design. While advancing our understanding of signal diversity, more recent studies make clear that receiver psychology, as a paradigm, has been structured too narrowly and does not incorporate many of the perceptual and cognitive processes of signal reception that operate between sensory transduction and a receiver's response. Consequently, the past two decades of research on receiver psychology have emphasized considerations of signal evolution but failed to ask key questions about the mechanisms of signal reception and their evolution. The primary aim of this essay is to advocate for a broader receiver psychology paradigm that more explicitly includes a research focus on receivers' psychological landscapes. We review recent experimental studies of hearing and sound communication to illustrate how considerations of several general perceptual and cognitive processes will facilitate future research on animal signalling systems. We also emphasize how a rigorous comparative approach to receiver psychology is critical to explicating the full range of perceptual and cognitive processes involved in receiving and responding to signals. PMID:24013277

  6. A further experimental study of the antisilicotic effect of glutamate.

    PubMed Central

    Morosova, K I; Katsnelson, B A; Rotenberg YuS; Belobragina, G V

    1984-01-01

    Two groups of rats were exposed to quartz dust for six months and in addition one group was given drinking water containing 1.5% sodium glutamate while the second received only water. In the rats receiving glutamate we observed (a) evidence for a considerably reduced cytotoxic effect of the quartz on cells obtained by bronchopulmonary lavage, (b) a reduction in dust retention in the lungs, especially in the tracheobronchial lymph nodes, (c) a considerable reduction in the weight gain in the lungs and in their hydroxyproline and lipid contents, and (d) the inhibition of the formation of silicotic nodules. Polarographic studies of the oxygen consumption of peritoneal macrophages from rats receiving glutamate showed that glutamate prevents the adverse effects of quartz on mitochondrial oxidative processes. PMID:6093851

  7. 49 CFR 389.23 - Consideration of comments received.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 5 2011-10-01 2011-10-01 false Consideration of comments received. 389.23 Section 389.23 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL MOTOR CARRIER... PROCEDURES-FEDERAL MOTOR CARRIER SAFETY REGULATIONS Procedures for Adoption of Rules § 389.23 Consideration...

  8. 49 CFR 389.23 - Consideration of comments received.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 5 2010-10-01 2010-10-01 false Consideration of comments received. 389.23 Section 389.23 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL MOTOR CARRIER... PROCEDURES-FEDERAL MOTOR CARRIER SAFETY REGULATIONS Procedures for Adoption of Rules § 389.23 Consideration...

  9. Decision Making for Chinese Students to Receive Their Higher Education in the U.S.

    ERIC Educational Resources Information Center

    Chao, Chiangnan

    2016-01-01

    This study examines Chinese students' decision making considerations for coming to the U.S. for their higher education. Due to the large number of Chinese students in the U.S, it is an interesting topic for educators and researchers to explore the decision making considerations Chinese students choose for studying abroad. International student…

  10. Effects of saltcedar invasion and biological control on small mammals

    USDA-ARS?s Scientific Manuscript database

    Effects of invasive saltcedars (Tamarix spp.) on bird populations and communities have received considerable interest, but impacts on other vertebrate taxa have received less attention. Moreover, only one published study examined effects on vertebrates of biological control efforts directed at saltc...

  11. Impact of adalimumab on work participation in rheumatoid arthritis: comparison of an open-label extension study and a registry-based control group.

    PubMed

    Halpern, M T; Cifaldi, M A; Kvien, T K

    2009-06-01

    Rheumatoid arthritis (RA) causes considerable disability and often results in loss of work capacity and productivity. This study evaluated the impact of adalimumab, a tumour necrosis factor antagonist with demonstrated efficacy in RA, on long-term employment. Data from an open-label extension study (DE033) of 486 RA patients receiving adalimumab monotherapy who previously did not respond to at least one disease-modifying antirheumatic drug (DMARD) and had baseline work status information were compared with data from 747 RA patients receiving DMARD treatment in a Norway-based longitudinal registry. Primary outcomes included the time patients continued working at least part time and the likelihood of stopping work. Secondary outcomes included American College of Rheumatology (ACR) and European League Against Rheumatism (EULAR) responses and disease remission. Outcomes were compared 6, 12 and 24 months after enrolment. During a 24-month period, the 158 patients who received adalimumab and were working at baseline worked 7.32 months longer (95% CI 4.8 to 9.1) than did the 180 patients treated with DMARDs, controlling for differences in baseline characteristics. Regardless of baseline work status, patients receiving adalimumab worked 2.0 months longer (95% CI 1.3 to 2.6) and were significantly less likely to stop working than those receiving DMARDs (HR 0.36 (95% CI -0.30 to 0.42) for all patients and 0.36 (95% CI 0.15 to 0.85) for patients working at baseline, respectively). The patients who received adalimumab were also considerably more likely to achieve ACR responses and disease remission than DMARD-treated patients. Patients who achieved EULAR good response and remission were less likely to stop working, but this relationship was only seen in patients receiving DMARDs. Patients with RA who received adalimumab experienced considerably longer periods of work and continuous employment, and greater rates of clinical responses, than patients receiving DMARDs. The mechanism by which adalimumab decreases likelihood of stopping work seems to be different from that of DMARD treatment and independent of clinical responses.

  12. Institutional Educational Technology Policy and Strategy Documents: An Inequality Gaze

    ERIC Educational Resources Information Center

    Czerniewicz, Laura; Rother, Kyle

    2018-01-01

    Issues of inequality in higher education have received considerable attention in recent decades, but the intersection of inequality and educational technology at an institutional level has received little attention. This study aims to provide a perspective on institutional educational technology policy informed by current understandings of…

  13. The development of an advanced generic solar dynamic heat receiver thermal model

    NASA Technical Reports Server (NTRS)

    Wu, Y. C.; Roschke, E. J.; Kohout, L.

    1988-01-01

    An advanced generic solar dynamic heat receiver thermal model under development which can analyze both orbital transient and orbital average conditions is discussed. This model can be used to study advanced receiver concepts, evaluate receiver concepts under development, analyze receiver thermal characteristics under various operational conditions, and evaluate solar dynamic system thermal performances in various orbit conditions. The model and the basic considerations that led to its creation are described, and results based on a set of baseline orbit, configuration, and operational conditions are presented to demonstrate the working of the receiver model.

  14. Mimetic Theory and Scapegoating in the Age of Cyberbullying: The Case of Phoebe Prince

    ERIC Educational Resources Information Center

    Norman, James O'Higgins; Connolly, Justin

    2011-01-01

    Whilst traditional forms of bullying have and continue to receive considerable attention in the literature, research on technology-enabled bullying remains in an embryonic stage and considerable deficits exist in our understanding of the nature, extent, dynamics and consequents of this new form of bullying. Of the limited studies that exist on…

  15. Configuration study for a 30 GHz monolithic receive array: Technical assessment

    NASA Technical Reports Server (NTRS)

    Nester, W. H.; Cleaveland, B.; Edward, B.; Gotkis, S.; Hesserbacker, G.; Loh, J.; Mitchell, B.

    1984-01-01

    The current status of monolithic microwave integrated circuits (MMICs) in phased array feeds is discussed from the point of view of cost performance, reliability, and design considerations. Transitions to MMICs, compatible antenna radiating elements and reliability considerations are addressed. Hybrid antennas, feed array antenna technology, and offset reflectors versus phased arrays are examined.

  16. Quasi-experimental designs in practice-based research settings: design and implementation considerations.

    PubMed

    Handley, Margaret A; Schillinger, Dean; Shiboski, Stephen

    2011-01-01

    Although randomized controlled trials are often a gold standard for determining intervention effects, in the area of practice-based research (PBR), there are many situations in which individual randomization is not possible. Alternative approaches to evaluating interventions have received increased attention, particularly those that can retain elements of randomization such that they can be considered "controlled" trials. Methodological design elements and practical implementation considerations for two quasi-experimental design approaches that have considerable promise in PBR settings--the stepped-wedge design, and a variant of this design, a wait-list cross-over design, are presented along with a case study from a recent PBR intervention for patients with diabetes. PBR-relevant design features include: creation of a cohort over time that collects control data but allows all participants (clusters or patients) to receive the intervention; staggered introduction of clusters; multiple data collection points; and one-way cross-over into the intervention arm. Practical considerations include: randomization versus stratification, training run in phases; and extended time period for overall study completion. Several design features of practice based research studies can be adapted to local circumstances yet retain elements to improve methodological rigor. Studies that utilize these methods, such as the stepped-wedge design and the wait-list cross-over design, can increase the evidence base for controlled studies conducted within the complex environment of PBR.

  17. 47 CFR 22.936 - Dismissal of applications in cellular renewal proceedings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.936 Dismissal of applications... its principals has received or will receive any money or other consideration in excess of legitimate... principals has paid or will pay money or other consideration in excess of the legitimate and prudent expenses...

  18. 47 CFR 22.936 - Dismissal of applications in cellular renewal proceedings.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.936 Dismissal of applications... its principals has received or will receive any money or other consideration in excess of legitimate... principals has paid or will pay money or other consideration in excess of the legitimate and prudent expenses...

  19. 47 CFR 22.936 - Dismissal of applications in cellular renewal proceedings.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.936 Dismissal of applications... its principals has received or will receive any money or other consideration in excess of legitimate... principals has paid or will pay money or other consideration in excess of the legitimate and prudent expenses...

  20. 47 CFR 22.936 - Dismissal of applications in cellular renewal proceedings.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.936 Dismissal of applications... its principals has received or will receive any money or other consideration in excess of legitimate... principals has paid or will pay money or other consideration in excess of the legitimate and prudent expenses...

  1. 47 CFR 22.936 - Dismissal of applications in cellular renewal proceedings.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.936 Dismissal of applications... its principals has received or will receive any money or other consideration in excess of legitimate... principals has paid or will pay money or other consideration in excess of the legitimate and prudent expenses...

  2. Thinking Together: Modeling Clinical Decision-Support as a Sociotechnical System

    PubMed Central

    Hussain, Mustafa I.; Reynolds, Tera L.; Mousavi, Fatemeh E.; Chen, Yunan; Zheng, Kai

    2017-01-01

    Computerized clinical decision-support systems are members of larger sociotechnical systems, composed of human and automated actors, who send, receive, and manipulate artifacts. Sociotechnical consideration is rare in the literature. This makes it difficult to comparatively evaluate the success of CDS implementations, and it may also indicate that sociotechnical context receives inadequate consideration in practice. To facilitate sociotechnical consideration, we developed the Thinking Together model, a flexible diagrammatical means of representing CDS systems as sociotechnical systems. To develop this model, we examined the literature with the lens of Distributed Cognition (DCog) theory. We then present two case studies of vastly different CDSSs, one almost fully automated and the other with minimal automation, to illustrate the flexibility of the Thinking Together model. We show that this model, informed by DCog and the CDS literature, are capable of supporting both research, by enabling comparative evaluation, and practice, by facilitating explicit sociotechnical planning and communication. PMID:29854164

  3. Design considerations for a LORAN-C timing receiver in a hostile signal to noise environment

    NASA Technical Reports Server (NTRS)

    Porter, J. W.; Bowell, J. R.; Price, G. E.

    1981-01-01

    The environment in which a LORAN-C Timing Receiver may function effectively depends to a large extent on the techniques utilized to insure that interfering signals within the pass band of the unit are neutralized. The baseline performance manually operated timing receivers is discussed and the basic design considerations and necessary parameters for an automatic unit utilizing today's technology are established. Actual performance data is presented comparing the results obtained from a present generation timing receiver against a new generation microprocessor controlled automatic acquisition receiver. The achievements possible in a wide range of signal to noise situations are demonstrated.

  4. Terahertz Heterodyne Receiver with an Electron-Heating Mixer and a Heterodyne Based on the Quantum-Cascade Laser

    NASA Astrophysics Data System (ADS)

    Seliverstov, S. V.; Anfertyev, V. A.; Tretyakov, I. V.; Ozheredov, I. A.; Solyankin, P. M.; Revin, L. S.; Vaks, V. L.; Rusova, A. A.; Goltsman, G. N.; Shkurinov, A. P.

    2017-12-01

    We study characteristics of the laboratory prototype of a terahertz heterodyne receiver with an electron-heating mixer and a heterodyne based on the quantum-cascade laser. The results obtained demonstrate the possibility to use this receiver as a basis for creation of a high-sensitivity terahertz spectrometer, which can be used in many basic and practical applications. A significant advantage of this receiver will be the possibility of placing the mixer and heterodyne in the same cryostat, which will reduce the device dimensions considerably. The obtained experimental results are analyzed, and methods of optimizing the parameters of the receiver are proposed.

  5. Characteristics of psychiatric patients for whom financial considerations affect optimal treatment provision.

    PubMed

    West, Joyce C; Pingitore, David; Zarin, Deborah A

    2002-12-01

    This study assessed characteristics of psychiatric patients for whom financial considerations affected the provision of "optimal" treatment. Psychiatrists reported that for 33.8 percent of 1,228 patients from a national sample, financial considerations such as managed care limitations, the patient's personal finances, and limitations inherent in the public care system adversely affected the provision of optimal treatment. Patients were more likely to have their treatment adversely affected by financial considerations if they were more severely ill, had more than one behavioral health disorder or a psychosocial problem, or were receiving treatment under managed care arrangements. Patients for whom financial considerations affect the provision of optimal treatment represent a population for whom access to treatment may be particularly important.

  6. Perceptions of Non-Native EFL Teachers' on L1 Use in L2 Classrooms: Implications for Language Program Development

    ERIC Educational Resources Information Center

    Debreli, Emre

    2016-01-01

    The study of L1 (first language) use in L2 (second language) classrooms has long received attention in the literature. Despite the considerable amount of research that has been conducted on the phenomenon, the focus has often been on the advantages and disadvantages. Considerably, less research has been conducted regarding the non-native L2…

  7. Optimization of MLS receivers for multipath environments

    NASA Technical Reports Server (NTRS)

    Mcalpine, G. A.; Highfill, J. H., III

    1976-01-01

    The design of a microwave landing system (MLS) aircraft receiver, capable of optimal performance in multipath environments found in air terminal areas, is reported. Special attention was given to the angle tracking problem of the receiver and includes tracking system design considerations, study and application of locally optimum estimation involving multipath adaptive reception and then envelope processing, and microcomputer system design. Results show processing is competitive in this application with i-f signal processing performance-wise and is much more simple and cheaper. A summary of the signal model is given.

  8. Ethical Decision-Making in Academic Administration: A Qualitative Study of College Deans' Ethical Frameworks

    ERIC Educational Resources Information Center

    Catacutan, Maria Rosario G.; de Guzman, Allan B.

    2015-01-01

    Ethical decision-making in school administration has received considerable attention in educational leadership literature. However, most research has focused on principals working in secondary school settings while studies that explore ethical reasoning processes of academic deans have been significantly few. This qualitative study aims to…

  9. Political Simulations Using Excel

    ERIC Educational Resources Information Center

    Jackson, Steven F.

    2013-01-01

    Simulations have received considerable attention as a tool to promote problem-solving skills, intense involvement, and high-order thinking among students. Whether semester-long exercises or a single-class session, simulations are often used in areas of conflict studies, diplomatic studies, trade disputes, electoral processes, and policy and legal…

  10. Children, health and gender: recognition in nursing research?

    PubMed

    Taylor, Julie; Green, Lorraine

    2008-12-01

    This paper examines the hitherto mostly unrecognised relationship between gender, health and children; its significance for nursing practice and how it has been considered in nursing research. Holistic nursing practice with children requires adequate assessment and consideration of all potential influences on children's lives. Socioeconomic disparities have received widespread attention and gender inequalities in adult health have been studied in some depth. The links between gender, health and children, however, have received little consideration. The paper first considers this context in depth; it then applies the context to research in practice. Systematic review. A systematic literature search was undertaken on four mainstream nursing research journals over 38 months up to February 2007. A total of 567 articles met the key word searches. Duplicates, opinion pieces and articles not focusing on children were removed. The remaining 23 nursing studies relevant to child health were examined for their gender sensitivity. Full consideration of gender issues was found largely to be absent in nursing research on children. Eight studies gave specific consideration to gender relevance, where boys and girls may have responded differently to care. Only six studies specifically addressed gender sensitivity. Allowing children a voice, however, was a strength in these studies, with 18 reflecting children's views directly. Major gaps still exist in research and theorisation relating to children, health and gender. These need to be acknowledged and investigated, particularly in relation to how they might impact on nursing care. Nursing practice and research needs to account for all potential health issues, of which gender may often be important.

  11. A Nomographic Methodology for Use in Performance Trade-Off Studies of Parabolic Dish Solar Power Modules

    NASA Technical Reports Server (NTRS)

    Selcuk, M. K.; Fujita, T.

    1984-01-01

    A simple graphical method was developed to undertake technical design trade-off studies for individual parabolic dish models comprising a two-axis tracking parabolic dish with a cavity receiver and power conversion assembly at the focal point. The results of these technical studies are then used in performing the techno-economic analyses required for determining appropriate subsystem sizing. Selected graphs that characterize the performance of subsystems within the module were arranged in the form of a nomogram that would enable an investigator to carry out several design trade-off studies. Key performance parameters encompassed in the nomogram include receiver losses, intercept factor, engine rating, and engine efficiency. Design and operation parameters such as concentrator size, receiver type (open or windowed aperture), receiver aperture size, operating temperature of the receiver and engine, engine partial load characteristics, concentrator slope error, and the type of reflector surface, are also included in the graphical solution. Cost considerations are not included.

  12. Channel One and CNN Newsroom: A Comparative Study of Seven Districts.

    ERIC Educational Resources Information Center

    Nasstrom, Roy; Gierok, Anne

    Many American schools use the televised news programs Channel One and CNN Newsroom. Channel One has received considerable scrutiny, some of it highly unfavorable, while attention to CNN Newsroom has been less extensive and mostly benign. This study compares the two programs within seven school districts in Wisconsin. The study addresses three…

  13. Oral Discourse and Reading Comprehension Abilities of African American School-Age Children

    ERIC Educational Resources Information Center

    Koonce, Nicole M.

    2012-01-01

    The reading underachievement of African American (AA) school-age children has received considerable attention in educational circles. Unfortunately, there are relatively few studies designed to uncover the source or sources of these reading achievement differences, especially in children beyond early elementary grades. Some studies suggest that…

  14. 76 FR 30213 - Privacy Act of 1974: Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-24

    ... review comments or if changes are made based on comments received. To be assured of consideration... manpower studies; may also be used to respond to general requests for statistical information (without... maintained or for related personnel management functions or manpower studies; may also be used to respond to...

  15. Thermo-mechanical and optical optimization of the molten salt receiver for a given heliostat field

    NASA Astrophysics Data System (ADS)

    Augsburger, Germain; Das, Apurba K.; Boschek, Erik; Clark, Michael M.

    2016-05-01

    The tower type molten salt solar thermal power plant has proven to be advantageous over other utility scale solar power plant configurations due to its scalability and provision of storage, thereby improving the dispatchability. The configuration consists of a molten salt central receiver (MSCR) located atop an optimally located tower within a heliostat field with thousands of mirrors. The MSCR receives the concentrated energy from the heliostat field which heats a molten salt heat transfer fluid for thermal storage and utilization in producing steam as and when required for power generation. The MSCR heat transfer surface consists of banks of tangent tubes arranged in panels. The combined cost of the heliostat field and the receiver is 40%-50% of the total plant cost, which calls for optimization to maximize their utilization. Several previous studies have looked into the optimum solar power plant size based on various site conditions. However, the combined optimization of the receiver and the heliostat field has not been reported before. This study looks into the optimum configuration of the receiver for a given heliostat field. An in-house tool has been developed to select and rank a few receiver surface configurations (typically <50) from a list of hundreds of thousands of possible options. The operating limits which the heliostat field needs to obey are defined for the ranked surface configurations based on several different design considerations (e.g. mechanical integrity, corrosion limits). The thermal output of the receiver configurations for a given heliostat field is maximized. A combined rank indicating the optimum configurations in descending order of preference is presented based on the performance and various other practical considerations (e.g. total surface area, cost of material, ability of aiming strategies to distribute the flux). The methodology thus provided can be used as a guideline to arrive at an optimum receiver configuration for a given heliostat field.

  16. Environmental Argumentation as Sociocultural Activity

    ERIC Educational Resources Information Center

    Oliveira, Alandeom W.; Akerson, Valarie L.; Oldfield, Martha

    2012-01-01

    While environmental argumentation has recently received much attention from science educators, little consideration has been given to how personal identities and social relationships can either support or constrain student argumentation. This study attends to this issue by examining environmental argumentation as a sociocultural activity (how…

  17. Application of Data Assimilation with the Root Zone Water Quality Model for Soil Moisture Profile Estimation

    USDA-ARS?s Scientific Manuscript database

    Estimation of soil moisture has received considerable attention in the areas of hydrology, agriculture, meteorology and environmental studies because of its role in the partitioning water and energy at the land surface. In this study, the Ensemble Kalman Filter (EnKF), a popular data assimilation te...

  18. Calibration of the Root Zone Water Quality Model and Application of Data Assimilation Techniques to Estimate Profile Soil Moisture

    USDA-ARS?s Scientific Manuscript database

    Estimation of soil moisture has received considerable attention in the areas of hydrology, agriculture, meteorology and environmental studies because of its role in the partitioning water and energy at the land surface. In this study, the USDA, Agricultural Research Service, Root Zone Water Quality ...

  19. A Ubiquitous English Vocabulary Learning System: Evidence of Active/Passive Attitudes vs. Usefulness/Ease-of-Use

    ERIC Educational Resources Information Center

    Huang, Yueh-Min; Huang, Yong-Ming; Huang, Shu-Hsien; Lin, Yen-Ting

    2012-01-01

    English vocabulary learning and ubiquitous learning have separately received considerable attention in recent years. However, research on English vocabulary learning in ubiquitous learning contexts has been less studied. In this study, we develop a ubiquitous English vocabulary learning (UEVL) system to assist students in experiencing a systematic…

  20. The Effect of Faculty Mentoring on Career Success and Career Satisfaction

    ERIC Educational Resources Information Center

    Anafarta, Ayse; Apaydin, Çigdem

    2016-01-01

    Mentoring has received considerable attention from scholars, and in the relevant literature, a number of studies give reference to the mentoring programs developed at universities and to the mentoring relations in higher education. Yet, most of these studies either only have a theoretical basis or deal with the mentoring relationships between…

  1. Application of the Environmental Sensation Learning Vehicle Simulation Platform in Virtual Reality

    ERIC Educational Resources Information Center

    Hsu, Kuei-Shu; Jiang, Jinn-Feng; Wei, Hung-Yuan; Lee, Tsung-Han

    2016-01-01

    The use of simulation technologies in learning has received considerable attention in recent years, but few studies to date have focused on vehicle driving simulation systems. In this study, a vehicle driving simulation system was developed to support novice drivers in practicing their skills. Specifically, the vehicle driving simulation system…

  2. Types and Timing of Oral Corrective Feedback in EFL Classrooms: Voices from Students

    ERIC Educational Resources Information Center

    Ölmezer-Öztürk, Elçin; Öztürk, Gökhan

    2016-01-01

    Oral corrective feedback in language classrooms has received considerable attention for the last few decades. However, most of the studies focus on teachers' practices, and how learners perceive these practices still needs investigation. Based on this, the current study examined the perceptions and preferences of EFL learners regarding the types…

  3. Pregnancy outcome using general anesthesia versus spinal anesthesia for in vitro fertilization.

    PubMed

    Azmude, Azra; Agha'amou, Shahrzad; Yousefshahi, Fardin; Berjis, Katayoun; Mirmohammad'khani, Majid; Sadaat'ahmadi, Farahnaz; Ghods, Kamran; Dabbagh, Ali

    2013-09-01

    There is a considerable rate of fertility failure and this causes a great burden of untoward effects for patients. Usually a considerable number of these patients undergo anesthesia for their treatment. This study was designed to compare the effects of general and spinal anesthesia on these patients. In a randomized clinical trial, after taking informed written consent from the patients, 200 patients entered the study; 100 in each. During a 2 year period, women aged 20 to 40 years entered the study (one group receiving spinal anesthesia and the other, receiving general anesthesia). Ovum retrieval protocols were the same. Nonparametric and parametric analyses were used for data analysis. P value less than 0.05 was considered significant. There was no difference between the two groups regarding demographic variables. 15 of 100 patients (15%) in the general anesthesia group and 27 of 100 patients (27%) in the spinal anesthesia group had successful pregnancy after IVF; so, spinal anesthesia increased significantly the chance of IVF success (P value < 0.001; Chi Square). The results of this study demonstrated that spinal anesthesia increased the chance of fertilization success.

  4. Quality control/quality assurance testing for joint density and segregation of asphalt mixtures.

    DOT National Transportation Integrated Search

    2013-04-01

    Longitudinal joint quality control/assurance is essential to the successful performance of asphalt pavements and it has received considerable amount of attention in recent years. The purpose of the study is to evaluate the level of compaction at the ...

  5. The 40 and 50 GHz propagation experiments at the Rutherford Appleton Laboratory, UK, using the ITALSAT beacons

    NASA Technical Reports Server (NTRS)

    Woodroffe, J. M.; Davies, P. G.; Ladd, D. N.; Norbury, John R.

    1994-01-01

    This paper describes the current experimental program and future plans for the reception of transmissions from the 18.7, 39.6, and 49.5 GHz beacons from the ITALSAT satellite by the Radio Communications Research Unit at Rutherford Appleton Laboratory, UK. The Radio Communications Research Unit, which has had considerable experience in developing experimental millimetric equipment for propagation studies, has initiated the development of a single-channel receiver and a triple-channel receiver to measure propagation effects at 49.5 GHz and 39.6 GHz respectively. The initial location of the receivers will be at Chilbolton, Hampshire, UK.

  6. 7 CFR 4284.950 - Award process.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Agreement § 4284.950 Award process. (a) Selection of applications for funding and for potential funding. The Agency will select and rank applications for funding based on the score an application has received in... received in the same fiscal year. Higher scoring applications will receive first consideration for funding...

  7. 7 CFR 4284.950 - Award process.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Agreement § 4284.950 Award process. (a) Selection of applications for funding and for potential funding. The Agency will select and rank applications for funding based on the score an application has received in... received in the same fiscal year. Higher scoring applications will receive first consideration for funding...

  8. 7 CFR 4284.950 - Award process.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Agreement § 4284.950 Award process. (a) Selection of applications for funding and for potential funding. The Agency will select and rank applications for funding based on the score an application has received in... received in the same fiscal year. Higher scoring applications will receive first consideration for funding...

  9. What Do We Know about Cognitive and Motivational Effects of Small Group Tutorials in Problem-Based Learning?

    ERIC Educational Resources Information Center

    Dolmans, Diana H. J. M.; Schmidt, Henk G.

    2006-01-01

    Students collaborating in small groups is a characteristic of problem-based learning (PBL) that is receiving increased consideration in the literature. In this paper findings from studies in this area are synthesized and discussed. A distinction is made between studies focusing on cognitive effects of group learning and studies focusing on…

  10. Sense of Place and Health in Hamilton, Ontario: A Case Study

    ERIC Educational Resources Information Center

    Williams, Allison; Kitchen, Peter

    2012-01-01

    The concept of sense of place has received considerable attention by social scientists in recent years. Research has indicated that a person's sense of place is influenced by a number of factors including the built environment, socio-economic status (SES), well-being and health. Relatively few studies have examined sense of place at the…

  11. The Acquisition of English Restrictive Relative Clauses by Arab Adult EFL Learners

    ERIC Educational Resources Information Center

    Alroudhan, Hayat Eid

    2016-01-01

    This study investigates the challenges faced by Arab adult learners of English as a foreign language (EFL) in acquiring English restrictive relative clauses (RRCs), as well as the factors that affect the process of acquisition. This issue has received considerable attention in second language (L2) research. The present study discusses the…

  12. Learning Robotics in a Science Museum Theatre Play: Investigation of Learning Outcomes, Contexts and Experiences

    ERIC Educational Resources Information Center

    Peleg, Ran; Baram-Tsabari, Ayelet

    2017-01-01

    Theatre is often introduced into science museums to enhance visitor experience. While learning in museums exhibitions received considerable research attention, learning from museum theatre has not. The goal of this exploratory study was to investigate the potential educational role of a science museum theatre play. The study aimed to investigate…

  13. Complex Problem Solving in Educational Contexts--Something beyond "g": Concept, Assessment, Measurement Invariance, and Construct Validity

    ERIC Educational Resources Information Center

    Greiff, Samuel; Wustenberg, Sascha; Molnar, Gyongyver; Fischer, Andreas; Funke, Joachim; Csapo, Beno

    2013-01-01

    Innovative assessments of cross-curricular competencies such as complex problem solving (CPS) have currently received considerable attention in large-scale educational studies. This study investigated the nature of CPS by applying a state-of-the-art approach to assess CPS in high school. We analyzed whether two processes derived from cognitive…

  14. Using the UTAUT Model to Examine the Acceptance Behavior of Synchronous Collaboration to Support Peer Translation

    ERIC Educational Resources Information Center

    Liu, Yi Chun; Huang, Yong-Ming

    2015-01-01

    The teaching of translation has received considerable attention in recent years. Research on translation in collaborative learning contexts, however, has been less studied. In this study, we use a tool of synchronous collaboration to assist students in experiencing a peer translation process. Afterward, the unified theory of acceptance and use of…

  15. Coaching in Special Education: Toward a Model of Differentiated Professional Development for Elementary School Paraeducators

    ERIC Educational Resources Information Center

    Kirk-Martinez, Jacqueline Faith

    2011-01-01

    Although there is a considerable amount of research studies about effective professional development, a literature review revealed that educators are not receiving effective professional development in order to improve instruction. What is paramount in the studies of professional development is that the traditional one-shot model does not meet the…

  16. Gift Giving and Receiving in Child-Centered Play Therapy: An Ethical Response

    ERIC Educational Resources Information Center

    Blanco, Pedro J.; Sheely-Moore, Angela I.

    2012-01-01

    Child-centered play therapists are often confronted with the challenge of receiving gifts from clients. This article highlights recommended strategies when faced with gift receiving, exemplified by actual ethical dilemmas encountered by child-centered play therapists. Ethical and therapeutic considerations of therapist gift giving to child clients…

  17. Effects of vertically ribbed surface roughness on the forced convective heat losses in central receiver systems

    NASA Astrophysics Data System (ADS)

    Uhlig, Ralf; Frantz, Cathy; Fritsch, Andreas

    2016-05-01

    External receiver configurations are directly exposed to ambient wind. Therefore, a precise determination of the convective losses is a key factor in the prediction and evaluation of the efficiency of the solar absorbers. Based on several studies, the forced convective losses of external receivers are modeled using correlations for a roughened cylinder in a cross-flow of air. However at high wind velocities, the thermal efficiency measured during the Solar Two experiment was considerably lower than the efficiency predicted by these correlations. A detailed review of the available literature on the convective losses of external receivers has been made. Three CFD models of different level of detail have been developed to analyze the influence of the actual shape of the receiver and tower configuration, of the receiver shape and of the absorber panels on the forced convective heat transfer coefficients. The heat transfer coefficients deduced from the correlations have been compared to the results of the CFD simulations. In a final step the influence of both modeling approaches on the thermal efficiency of an external tubular receiver has been studied in a thermal FE model of the Solar Two receiver.

  18. 26 CFR 1.6038A-2 - Requirement of return.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., formulas, inventions, models, patents, processes, trademarks, and other similar intangible property rights; (v) Consideration paid and received for technical, managerial, engineering, construction, scientific... of all property (including monetary consideration), rights, or obligations transferred from the...

  19. Oxygen production processes on the Moon: An overview

    NASA Technical Reports Server (NTRS)

    Taylor, Lawrence A.; Carrier, W. David, III

    1991-01-01

    The production of oxygen on the Moon utilizing indigenous material is paramount to a successful lunar colonization. Several processes were put forth to accomplish this. The lunar liquid oxygen (LLOX) generation schemes which have received the most study to date are those involving: (1) the reduction of ilmenite (FeTiO3) by H2, C, CO, CH4, CO-Cl2 plasma; (2) magma electrolysis, both unadulterated and fluoride-fluxed, and (3) several others, including carbo-chlorination, HF acid leaching, fluorine extraction, magma oxidation, and vapor pyrolysis. The H2 reduction of ilmenite and magma electrolysis processes have received the most study to date. At this stage of development, they both appear feasible schemes with various pros and cons. However, all processes should be addressed at least at the onset of the considerations. It is ultimatley the energy requirements of the entire process, including the acquisition of feedstock, which will determine the mode of oxygen productions. There is an obvious need for considerably more experimentation and study. Some of these requisite studies are in progress, and several of the most studied and feasible processes for winning oxygen from lunar materials are reviewed.

  20. Kids See Human Too: Adapting an Individual Differences Measure of Anthropomorphism for a Child Sample

    ERIC Educational Resources Information Center

    Severson, Rachel L.; Lemm, Kristi M.

    2016-01-01

    The study of anthropomorphism in adults has received considerable interest with the development of the Individual Differences in Anthropomorphism Questionnaire (IDAQ; Waytz, Cacioppo, & Epley, 2010). Anthropomorphism in children--its development, correlates, and consequences--is also of significant interest, yet a comparable measure does not…

  1. Sleep after Learning Aids Memory Recall

    ERIC Educational Resources Information Center

    Born, Jan; Gais, Steffen; Lucas, Brian

    2006-01-01

    In recent years, the effect of sleep on memory consolidation has received considerable attention. In humans, these studies concentrated mainly on procedural types of memory, which are considered to be hippocampus-independent. Here, we show that sleep also has a persisting effect on hippocampus-dependent declarative memory. In two experiments, we…

  2. The State of Multiculturalism and Diversity in Undergraduate Psychology Training

    ERIC Educational Resources Information Center

    Fuentes, Milton A.; Shannon, Casey R.

    2016-01-01

    Over the past few decades, diversity and multiculturalism have received considerable attention in the field of psychology. While there have been notable efforts to ensure these important areas are addressed in undergraduate psychology training, little is known about this undertaking. The present study examined how diversity and multiculturalism…

  3. The Effects of Source Water Quality on Drinking Water Treatment Costs: A Review and Synthesis of Empirical Literature - Ecological Economics

    EPA Science Inventory

    Watershed protection, and associated in situ water quality improvements, has received considerable attention as a means of mitigating health risks and avoiding expenditures at drinking water treatment plants (DWTPs). This study reviews the extant cost function literature linking ...

  4. Positive Aspects of International Student Transitions: A Qualitative Inquiry

    ERIC Educational Resources Information Center

    Moores, Lisa; Popadiuk, Natalee

    2011-01-01

    Despite the considerable growth of the international student population, positive aspects of their experience have received little attention. The current study combines a Critical Incident Technique methodology and a positive psychology lens to explore the cross-cultural transition of seven international students, focusing on facilitative factors,…

  5. Fate and Transport of Zinc Oxide Nanoparticles in Porous Media in the Presence of Naturally Occurring Organic Ligands

    EPA Science Inventory

    The potential toxicity of nanoscale particles has received considerable attention, but there is little knowledge in the literature relating to the fate and transport of engineered nanoparticles in the environment. In this present study, column experiments were performed to asses...

  6. THE RELATIONSHIP BETWEEN BOTH REAL-TIME AND TIME-INTEGRATED COARSE AND FINE PARTICULATE MATTER AT AN URBAN SITE IN LOS ANGELES

    EPA Science Inventory

    Population exposure to ambient particulate matter (PM) has received considerable attention due to the association between ambient particulate concentrations and mortality. Current toxicological studies and controlled human and animal exposures suggest that all size fractions of...

  7. Estimation and Model Selection for Finite Mixtures of Latent Interaction Models

    ERIC Educational Resources Information Center

    Hsu, Jui-Chen

    2011-01-01

    Latent interaction models and mixture models have received considerable attention in social science research recently, but little is known about how to handle if unobserved population heterogeneity exists in the endogenous latent variables of the nonlinear structural equation models. The current study estimates a mixture of latent interaction…

  8. University Academics' Experiences of Learning through Mentoring

    ERIC Educational Resources Information Center

    Ambler, Trudy; Harvey, Marina; Cahir, Jayde

    2016-01-01

    The use of mentoring for staff development is well established within schools and the business sector, yet it has received limited consideration in the higher education literature as an approach to supporting learning for academics. In this study located at one metropolitan university in Australia, an online questionnaire and one-on-one…

  9. The First Three Years: Experiences of Early Career Teachers

    ERIC Educational Resources Information Center

    Fenwick, Ashley

    2011-01-01

    This study considers two discourses of current relevance to national and international educators--early professional learning (EPL) and curriculum change. Induction arrangements for early career teachers (ECTs), EPL and informal learning have received considerable attention in the past few years. Changes to induction inevitably have knock-on…

  10. PULMONARY INJURY AND INFLAMMATION FROM REPEATED EXPOSURE TO SOLUBLE COMPONENTS AND SOLID PARTICULATE MATTER (PM)

    EPA Science Inventory

    Pulmonary injury from acute exposures to PM and the role of soluble versus insoluble PM have received considerable attention; however, their long-term impacts are less well understood. This study compared pulmonary injury and inflammatory responses from repeated exposure to solub...

  11. High School Students' Attributions of Success in English Language Learning

    ERIC Educational Resources Information Center

    Bouchaib, Benzehaf; Ahmadou, Bouylmani; Abdelkader, Sabil

    2018-01-01

    Research into students' attributional causes for success in language acquisition is currently receiving considerable attention. Situated within Weiner's attribution theory (1992), the present study aims to research factors contributing to success in foreign language learning with specific focus on the role of perceived causal attributions. The…

  12. Hydrology, geomorphology, and vegetation of Coastal Plain rivers in the southeastern United States

    Treesearch

    Cliff R. Hupp

    2000-01-01

    Rivers of the Coastal Plain of the southeastern United States are characteristically low-gradient meandering systems that develop broad floodplains subjected to frequent and prolonged flooding. These floodplains support a relatively unique forested wetland (Bottomland Hardwoods), which have received considerable ecological study, but distinctly less hydrogeomorphic...

  13. Behavioural Indicators of Ineffective Managerial Coaching: A Cross-National Study

    ERIC Educational Resources Information Center

    Ellinger, Andrea D.; Hamlin, Robert G.; Beattie, Rona S.

    2008-01-01

    Purpose: The concept of managers assuming developmental roles such as coaches and learning facilitators has received considerable attention in recent years. Yet, despite the growing body of expert opinion that suggests that coaching is an essential core activity of everyday management and leadership, the literature base remains largely…

  14. The Role of Socioeconomic Status and Health Care Access in Breast Cancer Screening Compliance Among Hispanics.

    PubMed

    Jadav, Smruti; Rajan, Suja S; Abughosh, Susan; Sansgiry, Sujit S

    2015-01-01

    Considerable disparities in breast cancer screening exist between Hispanic and non-Hispanic white (NHW) women. Identifying and quantifying the factors contributing to these racial-ethnic disparities can help shape interventions and policies aimed at reducing these disparities. This study, for the first time, identified and quantified individual-level sociodemographic and health-related factors that contribute to racial-ethnic disparities in breast cancer screening using the nonlinear Blinder-Oaxaca decomposition method. Analysis of the retrospective pooled cross-sectional Medical Expenditure Panel Survey data from 2000 to 2010 was conducted. Women aged 40 years and older were included in the study. Logistic regressions were used to estimate racial-ethnic disparities in breast cancer screening. Nonlinear Blinder-Oaxaca decomposition method was used to identify and quantify the contribution of each individual-level factor toward racial-ethnic disparities. Based on the unadjusted analyses, Hispanic women had lower odds of receiving mammogram screening (MS) (odds ratio [OR]: 0.74; 95% confidence interval [CI]: 0.69-0.80) and breast cancer screening (OR: 0.75; 95% CI: 0.70-0.81) as compared with NHW women. However, the relationship reversed in adjusted analyses, such that Hispanic women had higher odds of receiving MS (OR: 1.27; 95% CI: 1.16-1.40) and breast cancer screening (OR: 1.28; 95% CI: 1.17-1.40) as compared with NHW women. The Blinder-Oaxaca decomposition estimated that improving insurance status, access to care, education, and income will considerably increase screening rates among Hispanic women. The study projects that improving health care access and health education will considerably increase breast cancer screening compliance among Hispanic women. Policies like the Affordable Care Act, and patient navigation and health education interventions, might considerably reduce screening disparities in the Hispanic population.

  15. Awareness-Raising in the TEFL Phonology Classroom: Student Voices and Sociocultural and Psychological Considerations

    ERIC Educational Resources Information Center

    Zhang, Lawrence Jun

    2004-01-01

    This paper reports on two phases of a study of a group of advanced TEFL (teachers-of-English-as-a-foreign-language) students. To raise their awareness of the importance of discourse intonation while they were receiving teacher training, this study focuses on examining their sociocultural and psychological inclinations in the choice of phonological…

  16. A Case Study of the Diversity Culture of an American University Athletic Department: Perceptions of Senior Level Administrators

    ERIC Educational Resources Information Center

    Singer, John N.; Cunningham, George B.

    2012-01-01

    The topic of diversity has received considerable attention from scholars who study sport within the context of higher education in the USA. But despite this interest in the topic, an in-depth focus on how college and university athletic departments effectively manage diversity is missing from the literature. Therefore, we conducted an intrinsic…

  17. Students Who Self-Harm: A Case Study of Prevalence, Awareness and Response in an English University

    ERIC Educational Resources Information Center

    Best, Ron

    2009-01-01

    Deliberate self-harm (DSH) is a perplexing and distressing phenomenon that has received considerable publicity in recent years. It takes many forms, some of which are culturally acceptable while others are considered to be anti-social and/or mental health problems. It affects a significant proportion of the population, with previous studies in the…

  18. Exploring the Factors That Affect the Intention to Use Collaborative Technologies: The Differing Perspectives of Sequential/Global Learners

    ERIC Educational Resources Information Center

    Huang, Yong-Ming

    2015-01-01

    The use of collaborative technologies in learning has received considerable attention in recent years, but few studies to date have examined the factors that affect sequential and global learners' intention to use such technologies. Previous studies have shown that the learners of different learning styles have different needs for educational…

  19. Aspen lumber for building purposes

    Treesearch

    Louis W. Rees

    1947-01-01

    Recent shortages of lumber for building purposes make it desirable to seek out all possible supplies of additional lumber. Aspen, according to a study made in northern Minnesota during 1944, may be a source of lumber largely untapped. The results of that study are the main basis of this paper. In the past, aspen has received little consideration as a source of lumber,...

  20. Integrated source and channel encoded digital communication system design study

    NASA Technical Reports Server (NTRS)

    Huth, G. K.; Trumpis, B. D.; Udalov, S.

    1975-01-01

    Various aspects of space shuttle communication systems were studied. The following major areas were investigated: burst error correction for shuttle command channels; performance optimization and design considerations for Costas receivers with and without bandpass limiting; experimental techniques for measuring low level spectral components of microwave signals; and potential modulation and coding techniques for the Ku-band return link. Results are presented.

  1. Pregnancy Outcome Using General Anesthesia Versus Spinal Anesthesia for In Vitro Fertilization

    PubMed Central

    Azmude, Azra; Agha'amou, Shahrzad; Yousefshahi, Fardin; Berjis, Katayoun; Mirmohammad'khani, Majid; Sadaat'ahmadi, Farahnaz; Ghods, Kamran; Dabbagh, Ali

    2013-01-01

    Background There is a considerable rate of fertility failure and this causes a great burden of untoward effects for patients. Usually a considerable number of these patients undergo anesthesia for their treatment. Objectives This study was designed to compare the effects of general and spinal anesthesia on these patients. Patients and Methods In a randomized clinical trial, after taking informed written consent from the patients, 200 patients entered the study; 100 in each. During a 2 year period, women aged 20 to 40 years entered the study (one group receiving spinal anesthesia and the other, receiving general anesthesia). Ovum retrieval protocols were the same. Nonparametric and parametric analyses were used for data analysis. P value less than 0.05 was considered significant. Results There was no difference between the two groups regarding demographic variables. 15 of 100 patients (15%) in the general anesthesia group and 27 of 100 patients (27%) in the spinal anesthesia group had successful pregnancy after IVF; so, spinal anesthesia increased significantly the chance of IVF success (P value < 0.001; Chi Square). Conclusions The results of this study demonstrated that spinal anesthesia increased the chance of fertilization success. PMID:24282775

  2. Surgical Management of the Pediatric Cochlear Implant Patient.

    ERIC Educational Resources Information Center

    Cohen, Seth M.; Haynes, David S.

    2003-01-01

    This article discusses the surgical management of children receiving cochlear implants. It identifies preoperative considerations to select patients likely to benefit, contraindications, some new surgical techniques, complications, special considerations (otitis media, meningitis, head growth, inner ear malformations, and cochlear obstruction).…

  3. Structural Analysis of Factors That Influence Professional Learning Communities in Korean Elementary Schools

    ERIC Educational Resources Information Center

    Song, Kyoung-Oh; Choi, Jinyoung

    2017-01-01

    Professional Learning Communities (PLCs) are an important strategy for innovation in schools, and they are receiving considerable attention from scholars and educators alike. The present study aimed to examine the effect of PLCs on schools' effectiveness and to investigate the social, organizational, and structural factors that can promote these…

  4. Parents' Experiences with Services and Treatment for Their Children Diagnosed with Cerebral Palsy

    ERIC Educational Resources Information Center

    Knis-Matthews, Laurie; Falzarano, Mary; Baum, Deborah; Manganiello, Jennifer; Patel, Sargam; Winters, Laura

    2011-01-01

    While there is a considerable body of knowledge investigating the efficacy of constraint-induced movement therapy (CIMT), there is a need for information focusing on parents' experiences when their children receive these services. This qualitative research study initially explored the experiences of four parents with children who are diagnosed…

  5. An Examination of the Mechanisms of Action in Cognitive Behavioral Therapy for Bulimia Nervosa

    ERIC Educational Resources Information Center

    Spangler, Diane L.; Baldwin, Scott A.; Agras, W. Stewart

    2004-01-01

    Cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) has received considerable empirical support for its efficacy. However, few investigators have examined the mechanisms proposed to account for the reduction of BN symptoms during CBT. The current study examined the associations between therapist interventions, client mechanisms, and…

  6. Measuring Teachers' Knowledge about Early Language and Literacy: Practical Implications and Considerations

    ERIC Educational Resources Information Center

    Hindman, Annemarie H.; Wasik, Barbara A.

    2011-01-01

    This study examined 1 tool for evaluating Head Start teachers' knowledge about early language and literacy. Results indicated that teachers varied in their knowledge. Teachers with more knowledge had more education, as did teachers who received language and literacy professional development. Teachers with greater knowledge also demonstrated higher…

  7. The Factors and Impacts of Large-Scale Digital Content Accreditations

    ERIC Educational Resources Information Center

    Kuo, Tony C. T.; Chen, Hong-Ren; Hwang, Wu-Yuin; Chen, Nian-Shing

    2015-01-01

    E-learning is an important and widespread contemporary trend in education. Because its success depends on the quality of digital materials, the mechanism by which such materials are accredited has received considerable attention and has influenced the design and implementation of digital courseware. For this reason, this study examined the…

  8. Breaking Ground: A Study of Gestalt Therapy Theory and Holland's Theory of Vocational Choice.

    ERIC Educational Resources Information Center

    Hartung, Paul J.

    In both Gestalt therapy and Holland's theory of vocational choice, person-environment interaction receives considerable emphasis. Gestalt therapy theory suggests that people make contact (that is, meet needs) through a characteristic style of interacting with the environment. Holland identifies six personality types in his theory and asserts that…

  9. Issues of Cause and Control in Patient Accounts of Type 2 Diabetes

    ERIC Educational Resources Information Center

    Parry, O.; Peel, E.; Douglas, M.; Lawton, J.

    2006-01-01

    Patients experience considerable difficulties in making and sustaining health-related lifestyle changes. Many Type 2 diabetes patients struggle to follow disease risk-management advice even when they receive extensive information and support. Drawing on a qualitative study of patients with Type 2 diabetes, the paper uses discourse analysis to…

  10. Children's Use of Phonological Information in Ambiguity Resolution: A View from Mandarin Chinese

    ERIC Educational Resources Information Center

    Zhou, Peng; Su, Yi; Crain, Stephen; Gao, Liqun; Zhan, Likan

    2012-01-01

    How do children develop the mapping between prosody and other levels of linguistic knowledge? This question has received considerable attention in child language research. In the present study two experiments were conducted to investigate four- to five-year-old Mandarin-speaking children's sensitivity to prosody in ambiguity resolution. Experiment…

  11. Deriving Multidimensional Poverty Indicators: Methodological Issues and an Empirical Analysis for Italy

    ERIC Educational Resources Information Center

    Coromaldi, Manuela; Zoli, Mariangela

    2012-01-01

    Theoretical and empirical studies have recently adopted a multidimensional concept of poverty. There is considerable debate about the most appropriate degree of multidimensionality to retain in the analysis. In this work we add to the received literature in two ways. First, we derive indicators of multiple deprivation by applying a particular…

  12. Tracking and Inferring Spatial Rotation by Children and Great Apes

    ERIC Educational Resources Information Center

    Okamoto-Barth; Sanae; Call, Josep

    2008-01-01

    Finding hidden objects in space is a fundamental ability that has received considerable research attention from both a developmental and a comparative perspective. Tracking the rotational displacements of containers and hidden objects is a particularly challenging task. This study investigated the ability of 3-, 5-, 7-, and 9-year-old children and…

  13. Self-Esteem of American and Chinese Children: A Cross-Cultural Comparison.

    ERIC Educational Resources Information Center

    Chiu, Lian-Hwang

    The construct of self-esteem has received considerable attention in recent years. Self-esteem is defined as a personal judgment of worthiness that is expressed in attitudes that individuals hold for themselves. This study compared self-esteem of American and Chinese children. Subjects included 446 American elementary school students from the…

  14. EFL Students' Attitudes toward Learning English Language: The Case Study of Kashan University Students

    ERIC Educational Resources Information Center

    Eshghinejad, Shahrzad

    2016-01-01

    Attitude is considered as an essential factor influencing language performance and received considerable attention from both first and second language researchers. Al-Mamun, Rahman, Rahman, and Hossaim argue that attitude is the feeling people have about their own language. Thus, attitude to language is a construct that explains linguistic…

  15. An Approach To the Study of Patient Suicide During Psychotherapy.

    ERIC Educational Resources Information Center

    Selkin, James

    The 1977 Denver coroner's report found that 45% of all suicide victims received psychotherapy at some time, and 21% were in treatment at the time of death. The literature on suicide places all responsibility upon the therapist. Four major sources of variance deserving consideration, however, are patient variables, therapist variables, treatment…

  16. Awakening Young Children to Foreign Languages: Openness to Diversity Highlighted

    ERIC Educational Resources Information Center

    Ben Maad, Mohamed Ridha

    2016-01-01

    The study of how foreign languages affect the personality-building process has received considerable attention in early childhood research. A number of related projects implemented across Europe have been conducted to establish how such influence may contribute to active citizenship education. However, no echoes of this research line have reached…

  17. Adolescents' Commitment to Continuing Psychotropic Medication: A Preliminary Investigation of Considerations, Contradictions, and Correlates

    ERIC Educational Resources Information Center

    Moses, Tally

    2011-01-01

    This mixed-method study examines (1) the extent to which fifty adolescents receiving wraparound treatment and prescribed psychotropic medication for various psychiatric disorders report that they would continue taking medication if the decision was entirely their own (termed "medication commitment"); (2) their general subjective experiences with…

  18. Lab Technicians and High School Student Interns--Who Is Scaffolding Whom?: On Forms of Emergent Expertise

    ERIC Educational Resources Information Center

    Hsu, Pei-Ling; Roth, Wolff-Michael

    2009-01-01

    Apprenticeship and the associated support mechanism of scaffolding have received considerable interest by educational researchers as ways of inducting students into science. Most studies treat scaffolding as a one-way process, where the expert supports the development of the novice. However, if social processes generally and conversations…

  19. Story and Illustration Reconstituted: Children's Literature in Canadian Reading Programs

    ERIC Educational Resources Information Center

    Smith, Martha L.; Phillips, Linda M.; Leithead, Marion R.; Norris, Stephen P.

    2004-01-01

    This study addresses the differences between literature in children's trade books and the literature in commercial elementary language arts reading programs used in Canada. Although the nature of the literature included in language arts programs has received considerable scrutiny in the United States, there is no parallel body of research in the…

  20. 46 CFR 283.1 - Purpose.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... working capital. However, this policy also takes into consideration the operators' need to attract new... POLICY FOR OPERATORS RECEIVING OPERATING-DIFFERENTIAL SUBSIDY § 283.1 Purpose. (a) The rules of this part... marine. The policy contained herein takes into consideration the operators' contractual obligations to...

  1. Observational Analysis of Two Contrasting Monsoon Years

    NASA Astrophysics Data System (ADS)

    Karri, S.; Ahmad, R.; Sujata, P.; Jose, S.; Sreenivas, G.; Maurya, D. K.

    2014-11-01

    The Indian summer monsoon rainfall contributes about 75 % of the total annual rainfall and exhibits considerable interannual variations. The agricultural economy of the country depends mainly on the monsoon rainfall. The long-range forecast of the monsoon rainfall is, therefore of significant importance in agricultural planning and other economic activities of the country. There are various parameters which influence the amount of rainfall received during the monsoon. Some of the important parameters considered by the Indian Meteorological Department (IMD) for the study of monsoon are Outgoing Longwave Radiation (OLR), moisture content of the atmosphere, zonal wind speed, low level vorticity, pressure gradient etc. Compared to the Long Period Average (LPA) value of rain fall, the country as a whole received higher amount of rainfall in June, 2013 (34 % more than LPA). The same month showed considerable decrease next year as the amount of rainfall received was around 43 % less compared to LPA. This drastic difference of monsoon prompted to study the behaviour of some of the monsoon relevant parameters. In this study we have considered five atmospheric parameters as the indicators of monsoon behaviour namely vertical relative humidity, OLR, aerosol optical depth (AOD), wind at 850 hPa and mean sea level pressure (MSLP). In the initial analysis of weekly OLR difference for year 2013 and 2014 shows positive values in the month of May over north-western parts of India (region of heat low). This should result in a weaker monsoon in 2014. This is substantiated by the rainfall data received for various stations over India. Inference made based on the analysis of RH profiles coupled with AOD values is in agreement with the rainfall over the corresponding stations.

  2. Design considerations for remotely piloted, high-altitude airplanes powered by microwave energy

    NASA Technical Reports Server (NTRS)

    Morris, C. E. K., Jr.

    1984-01-01

    Several types of systems have been considered in a design study of unmanned, microwave-powered, long-endurance, high-altitude airplanes. The study includes vehicles that use power from a continuously transmitted beam and other aircraft that receive intermittent power during cycles of boost-glide flight. Simple design algorithms are presented. Examples of sizing and performance analyses are used to suggest design-procedure guidelines.

  3. A flexible framework for process-based hydraulic and water quality modeling of stormwater green infrastructure performance

    EPA Science Inventory

    Background Models that allow for design considerations of green infrastructure (GI) practices to control stormwater runoff and associated contaminants have received considerable attention in recent years. While popular, generally, the GI models are relatively simplistic. However,...

  4. Interfacial contributions in lignocellulosic firber-reinforced polyurethane composites

    Treesearch

    Timothy G. Rials; Michael P. Wolcott; John M. Nassar

    2001-01-01

    Whereas lignocellulosic fibers have received considerable attention as a reinforcing agent in thermoplastic composites, their applicability to reactive polymer systems remains of considerable interest. The hydroxyl-rich nature of natural lignocellulosic fibers suggests that they are particularly useful in thermsetting systems such as polyurethanes. To further this...

  5. 23 CFR 650.709 - Special considerations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... candidates in States that have not previously been allocated discretionary bridge funds. In addition, consideration will be given to candidates that receive additional funds or contributions from local, State... share of the project. These funds or contributions may be used to reduce the total project cost for use...

  6. River Rampage: Navigating Your Off-Site Adventure.

    ERIC Educational Resources Information Center

    Wheat, Ann; Munoz-Weingarten, Sandy

    1996-01-01

    The City of Phoenix offers a five-day river-based camping experience to at-risk and disabled teens. Describes how professional river outfitters are contracted to run the trips, staffing considerations, liability and safety considerations, and camper orientation. Evaluation showed that participants received lasting measurable benefits, including…

  7. Teachers' Perspective towards Their Involvement in Selection and Organization of Learning Experiences and Implementation of Secondary School Curriculum in Kenya

    ERIC Educational Resources Information Center

    Kobiah, Lydia Kanake

    2016-01-01

    Teacher empowerment has been the subject of considerable educational research in recent years, but the capacity of teachers in curriculum development especially in selection and organization of learning experiences has received limited empirical attention. The purpose of this study was to establish teachers' perspective towards their involvement…

  8. The Transaction between Teachers' Comments and Students' Revisions: Catalysts and Obstacles.

    ERIC Educational Resources Information Center

    Onore, Cynthia S.

    One area of the writing process that has received considerable attention is revision. A case study was conducted to generate a picture of the effects of revision on texts, the writers' intentions and perceptions, and readers' assessments of the written products. Three students--Dan, Alex, and Miranda--enrolled in a required expository writing…

  9. The influence of red-backed salamanders (Plethodon cinereus) on nutrient cycling in Appalachian hardwood forests

    Treesearch

    Eric B. Sucre; Jessica A. Homyack; Thomas R. Fox; Carola A. Haas

    2010-01-01

    The use of amphibians as biological indicators of ecosystem health has received considerable attention because of the increasing importance placed upon maintaining biodiversity in forested ecosystems. In this study, we imposed three different eastern red-backed salamander (Plethodon cinereus) treatments: 1) low (n = 4; added 0 salamanders to each...

  10. Performance of air traffic control specialists (ATCS'S) on a laboratory radar monitoring task : an exploratory study of complacency and a comparison of ATCS and non-ATCS performance.

    DOT National Transportation Integrated Search

    1982-04-01

    The role of the air traffic control specialist (ATCS) is proposed highly automated air traffic systems of the future is currently receiving considerable attention. At the present time, a prevalent conception of the controller's role in such systems i...

  11. The "Representative Bureaucracy" in Education: Educator Workforce Diversity, Policy Outputs, and Outcomes for Disadvantaged Students

    ERIC Educational Resources Information Center

    Grissom, Jason A.; Kern, Emily C.; Rodriguez, Luis A.

    2015-01-01

    Bureaucratic representation--the idea that a governmental organization is better situated to serve its clients when its employee composition reflects that of its client population--has received considerable scholarly attention in the study of public institutions in the fields of political science and public administration. In a wide variety of…

  12. THE RELATIONSHIP BETWEEN REAL-TIME AND TIME-INTEGRATED COARSE (2.5-10MM), INTERMEDIATE (1-2.5MM), AND FINE (<2.5MM) PARTICULATE MATTER IN THE LOS ANGELES BASIN

    EPA Science Inventory

    Population exposure to ambient particulate matter (PM) has received considerable attention due to the association between ambient particulate concentrations and mortality. Current toxicological and epidemiological studies and controlled human and animal exposures suggest that a...

  13. The Impact of Process Instructions on Judges' Use of Examinee Performance Data in Angoff Standard Setting Exercises

    ERIC Educational Resources Information Center

    Mee, Janet; Clauser, Brian E.; Margolis, Melissa J.

    2013-01-01

    Despite being widely used and frequently studied, the Angoff standard setting procedure has received little attention with respect to an integral part of the process: how judges incorporate examinee performance data in the decision-making process. Without performance data, subject matter experts have considerable difficulty accurately making the…

  14. Radiation effects on moisture variation in ponderosa pine litter

    Treesearch

    Clive M. Countryman

    1977-01-01

    This exploratory study indicated that considerable variation in the moisture content of litter can occur within short horizontal distances. The variations ere found to be caused primarily by differences in the amount of solar radiation received by the litter and in the degree of cooling by radiation at night. Because actual fuel moisture lags behind equilibrium...

  15. Children Working beyond Their Localities: Lao Children Working in Thailand

    ERIC Educational Resources Information Center

    Huijsmans, Roy

    2008-01-01

    Globally, migration statistics indicate rising numbers of people who have for various reasons left their local community. Of these, a considerable proportion is below the age of 18 and often engaged in some kind of work. Yet, the phenomenon of children working beyond their localities receives little special attention in migration studies or child…

  16. Food for Thought: Children's Diets in the 1990s. Policy Brief.

    ERIC Educational Resources Information Center

    Gleason, Philip; Suitor, Carol

    Since the late 1980s, identifying nutritional problems in children's and adults' diets and developing initiatives to help Americans improve what they eat have received considerable attention. This policy brief summarizes 2 studies of children's nutrition with the objectives of describing the diets of school-age children as of the mid-1990s,…

  17. The Prevalence and Incidence of Mental Ill-Health in Adults with Down Syndrome

    ERIC Educational Resources Information Center

    Mantry, D.; Cooper, S. -A.; Smiley, E.; Morrison, J.; Allan, L.; Williamson, A.; Finlayson, J.; Jackson, A.

    2008-01-01

    Background: While there is considerable literature on adults with Down syndrome who have dementia, there is little published on the epidemiology of other types of mental ill-health in this population. Method: Longitudinal cohort study of adults with Down syndrome who received detailed psychiatric assessment (n = 186 at the first time point; n =…

  18. The Rhetoric of Bonds, Alliances, and Identities: Interrogating Social Networks in Early Modern English Drama

    ERIC Educational Resources Information Center

    Cady, Christina J.

    2010-01-01

    The household and family have received considerable interest in studies of early modern English drama, but less attention has been paid to how writers represent intimate affective bonds on the stage. Emotion is intangible; yet many writers convincingly convey the intensity of emotional bonds through rhetoric. Rhetoric is a mainstay in…

  19. Does the Disorder Matter? Investigating a Moderating Effect on Coached Noncredible Overreporting Using the MMPI-2 and PAI

    ERIC Educational Resources Information Center

    Veltri, Carlo O. C.; Williams, John E.

    2013-01-01

    The use of psychological tests to help identify the noncredible overreporting of psychiatric disorders is a long-standing practice that has received considerable attention from researchers. The purpose of this study was to experimentally determine whether feigning specific psychiatric disorders moderated the influence of coaching on the detection…

  20. Sex Differences in the Experience of Unwanted Sexual Attention and Behaviors during Childhood

    ERIC Educational Resources Information Center

    Whealin, Julia M.; Zinzow, Heidi M.; Salstrom, Seoka A.; Jackson, Joan L.

    2007-01-01

    Girls receive considerable amounts of unwanted sexual attention (UWSA) and behaviors (UWSB). Less is known about boys' unwanted sexual experiences. The primary goal of this study was to obtain a descriptive profile of the types and perpetrators of childhood UWSA/B. Secondary goals were to examine sex differences in emotional reactions to UWSA/B…

  1. 78 FR 58886 - FD&C Blue No. 1; Exemption From the Requirement of a Tolerance

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... infants and children. Specific information on the studies received and the nature of the adverse effects... consideration to exposure of infants and children to the pesticide chemical residue in establishing a tolerance and to ``ensure that there is a reasonable certainty that no harm will result to infants and children...

  2. Smoking cessation: the value of a comprehensive carved-in benefit.

    PubMed

    Johnston, Stephen S; Mark, Tami L; Dirani, Riad

    2008-01-01

    This qualitative narrative review examines the potential returns from providing smoking cessation treatments (SCTs) through an insurance plan's standard benefit package versus through an optional supplementary wellness ('rider') program. Research indicates most employers offer SCTs as part of a rider available for purchase. Studies demonstrate that the higher the cost of SCTs, the lower the SCT participation rates; when employees receive SCTs, smoking cessation rates increase, effecting lower employee healthcare costs and improved productivity. Employers may receive a considerable return on the investment of offering SCTs as part of comprehensive insurance benefit for their employees as opposed to a rider.

  3. 78 FR 16765 - Community Reinvestment Act; Interagency Questions and Answers Regarding Community Reinvestment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-18

    ... lending test rating, and the other addresses the quantitative consideration given to a certain type of... activities would receive when examiners considered them, not the quantitative consideration that those... quantitative) in the institution's CRA evaluation. As a result, such financial institutions may have been...

  4. Interfacial contributions in lignocellulosic fiber-reinforced polyurethane composites

    Treesearch

    Timothy G. Rials; Michael P. Wolcott; John M. Nassar

    2001-01-01

    Whereas lignocellulosic fibers have received considerable attention as a rein- forcing agent in thermoplastic composites, their applicability to reactive polymer systems remains of considerable interest. The hydroxyl-rich nature of natural lignocellulosic fibers suggests that they are particularly useful in thermosetting systems such as polyurethanes. To further this...

  5. 76 FR 23335 - Wilderness Stewardship Plan/Environmental Impact Statement, Sequoia and Kings Canyon National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-26

    ... planning and environmental impact analysis process required to inform consideration of alternative... 5, 1996. Based on an analysis of the numerous scoping comments received, and with consideration of a... proper food storage; party size; camping and campsites; human waste management; stock use; meadow...

  6. 26 CFR 1.848-0 - Outline of regulations under section 848.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... certain reinsurance agreements. (b) Gross amount of premiums and other consideration. (1) General rule. (2... the payment of premiums. (iii) Retired lives reserves. (4) Deferred and uncollected premiums. (c... excluded from the gross amount of premiums and other consideration. (1) In general. (2) Amounts received or...

  7. Acoustic transmitter and receiver performance in freshwater and estuarine environments

    EPA Science Inventory

    We report on the performance of passive acoustic receivers intended to detect the passage of 281 acoustically tagged migratory salmonids in two Oregon coastal watersheds. We found that ambient acoustic noise can vary considerably with location, and that “sync” pulses thought to ...

  8. 78 FR 43875 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-22

    ... that the Commission received the following electric corporate filings: Docket Numbers: EC13-129-000... Expedited Consideration and Confidential Treatment. Filed Date: 7/12/13. Accession Number: 20130712-5183... Commission received the following electric rate filings: Docket Numbers: ER13-1970-000. Applicants: PJM...

  9. 78 FR 16847 - Combined Notice of Filings #2

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-19

    ... that the Commission received the following electric corporate filings: Docket Numbers: EC13-79-000... Expedited Consideration and Confidential Treatment. Filed Date: 3/11/13. Accession Number: 20130311-5080.... ET 4/1/13. Take notice that the Commission received the following electric rate filings: Docket...

  10. Acoustic-optic spectrometer. 1: Noise contributions and system consideration

    NASA Technical Reports Server (NTRS)

    Chin, G.

    1984-01-01

    An acousto-optic spectrometer (AOS) used as an IF spectrometer to a heterodyne receiver is modeled as a total power multi-channel integrating receiver. Systematic noise contributions common to all total power, time integrating receivers, as well as noise terms unique to the use of optical elements and photo-detectors in an AOS are identified and discussed. In addition, degradation of signal-to-noise ratio of an unbalanced Dicke receiver compared to a balanced Dicke receiver is found to be due to gain calibration processing and is not an instrumental effect.

  11. Essential considerations in developing attention control groups in behavioral research.

    PubMed

    Aycock, Dawn M; Hayat, Matthew J; Helvig, Ashley; Dunbar, Sandra B; Clark, Patricia C

    2018-06-01

    Attention control groups strengthen randomized controlled trials of behavioral interventions, but researchers need to give careful consideration to the attention control activities. A comparative effectiveness research framework provides an ideal opportunity for an attention control group as a supplement to standard care, so participants potentially receive benefit regardless of group assignment. The anticipated benefit of the control condition must be independent of the study outcome. Resources needed for attention control activities need to be carefully considered and ethical considerations carefully weighed. In this paper we address nine considerations for the design and implementation of attention control groups: (1) ensure attention control activities are not associated with the outcome; (2) avoid contamination of the intervention or control group; (3) design comparable control and intervention activities; (4) ensure researcher training to adequately administer both treatment arms; (5) design control activities to be interesting and acceptable to participants; (6) evaluate attention control activities; (7) consider additional resources needed to implement attention control activities; (8) quantifying the effects of attention control and intervention groups; and (9) ethical considerations with attention control groups. Examples from the literature and ongoing research are presented. Careful planning for the attention control group is as important as for the intervention group. Researchers can use the considerations presented here to assist in planning for the best attention control group for their study. © 2018 Wiley Periodicals, Inc.

  12. Randomized controlled trial of mailed Nicotine Replacement Therapy to Canadian smokers: study protocol.

    PubMed

    Cunningham, John A; Leatherdale, Scott T; Selby, Peter L; Tyndale, Rachel F; Zawertailo, Laurie; Kushnir, Vladyslav

    2011-09-28

    Considerable public health efforts are ongoing Canada-wide to reduce the prevalence of smoking in the general population. From 1985 to 2005, smoking rates among adults decreased from 35% to 19%, however, since that time, the prevalence has plateaued at around 18-19%. To continue to reduce the number of smokers at the population level, one option has been to translate interventions that have demonstrated clinical efficacy into population level initiatives. Nicotine Replacement Therapy (NRT) has a considerable clinical research base demonstrating its efficacy and safety and thus public health initiatives in Canada and other countries are distributing NRT widely through the mail. However, one important question remains unanswered--do smoking cessation programs that involve mailed distribution of free NRT work? To answer this question, a randomized controlled trial is required. A single blinded, panel survey design with random assignment to an experimental and a control condition will be used in this study. A two-stage recruitment process will be employed, in the context of a general population survey with two follow-ups (8 weeks and 6 months). Random digit dialing of Canadian home telephone numbers will identify households with adult smokers (aged 18+ years) who are willing to take part in a smoking study that involves three interviews, with saliva collection for 3-HC/cotinine ratio measurement at baseline and saliva cotinine verification at 8-week and 6-month follow-ups (N = 3,000). Eligible subjects interested in free NRT will be determined at baseline (N = 1,000) and subsequently randomized into experimental and control conditions to receive versus not receive nicotine patches. The primary hypothesis is that subjects who receive nicotine patches will display significantly higher quit rates (as assessed by 30 day point prevalence of abstinence from tobacco) at 6-month follow-up as compared to subjects who do not receive nicotine patches at baseline. The findings from the proposed trial are timely and highly relevant as mailed distribution of NRT require considerable resources and there are limited public health dollars available to combat this substantial health concern. In addition, findings from this randomized controlled trial will inform the development of models to engage smokers to quit, incorporating proactive recruitment and the offer of evidence based treatment. ClinicalTrials.gov: NCT01429129.

  13. Special Education Considerations in Student Discipline Procedures.

    ERIC Educational Resources Information Center

    Michigan State Dept. of Education, Lansing. Office of Special Education and Early Intervention Services.

    This policy statement from the Michigan Department of Education interprets federal provisions and the laws of the state as they may pertain to children receiving special education services. It describes disciplinary procedures for students already receiving special education services, students not yet eligible for special education, students…

  14. 75 FR 18194 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-09

    ..., 2010. Take notice that the Commission received the following electric corporate filings: Docket Numbers... Generating Co. Pursuant to Section 203 of the Federal Power Act and Request for Expedited Consideration and.... Eastern Time on Thursday, April 22, 2010. Take notice that the Commission received the following electric...

  15. 75 FR 25223 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ..., 2010. Take notice that the Commission received the following electric corporate filings: Docket Numbers... Jurisdictional Facilities, Request for Confidential Treatment, and Request for Expedited Consideration of AG... Commission received the following electric rate filings: Docket Numbers: ER01-1099-014; ER02-1406-015; ER99...

  16. Electrically induced energy transmission used for implantable medical devices deep inside the body: Measurement of received voltage in consideration of biological effect.

    PubMed

    Shiba, Kenji

    2015-08-01

    We proposed an electrically induced energy transmission method for implantable medical devices deep inside the body. This method makes it possible to transmit energy deep inside the body using only a couple of titanium electrodes attached to the surface of the implantable medical device. In this study, electromagnetic simulations in which the area and distance of the receiving electrodes were changed were conducted. Then, experimental measurements of the received voltage were conducted in which electric energy was transmitted from the surface of the human phantom to an implantable device inside it (transmitting distance: 12 cm). As a result of the electromagnetic simulation, the area and distance of the receiving electrodes were roughly proportional to the received voltage, respectively. As a result of the experimental measurement, a received voltage of 2460 mV could be obtained with a load resistance of 100 Ω. We confirmed that our energy transmission method could be a powerful method for transmitting energy to a deeply implanted medical device.

  17. Enhancing the Effectiveness of Special Education Programming for Children with Attention Deficit Hyperactivity Disorder Using a Daily Report Card

    ERIC Educational Resources Information Center

    Fabiano, Gregory A.; Vujnovic, Rebecca K.; Pelham, William E.; Waschbusch, Daniel A.; Massetti, Greta M.; Pariseau, Meaghan E.; Naylor, Justin; Yu, Jihnhee; Robins, Melissa; Carnefix, Tarah; Greiner, Andrew R.; Volker, Martin

    2010-01-01

    Children with attention deficit hyperactivity disorder (ADHD) make up a considerable proportion of students who receive special education services in schools. The present study aimed to enhance the outcomes of students with ADHD in special education settings by using a daily report card (DRC). Thirty-three children with ADHD in special education…

  18. Testing the effectiveness of certainty scales, cheap talk, and dissonance-minimization in reducing hypothetical bias in contingent valuation studies

    Treesearch

    Mark Morrison; Thomas C. Brown

    2009-01-01

    Stated preference methods such as contingent valuation and choice modeling are subject to various biases that may lead to differences between actual and hypothetical willingness to pay. Cheap talk, follow-up certainty scales, and dissonance minimization are three techniques for reducing this hypothetical bias. Cheap talk and certainty scales have received considerable...

  19. Making Inferences: Comprehension of Physical Causality, Intentionality, and Emotions in Discourse by High-Functioning Older Children, Adolescents, and Adults with Autism

    ERIC Educational Resources Information Center

    Bodner, Kimberly E.; Engelhardt, Christopher R.; Minshew, Nancy J.; Williams, Diane L.

    2015-01-01

    Studies investigating inferential reasoning in autism spectrum disorder (ASD) have focused on the ability to make socially-related inferences or inferences more generally. Important variables for intervention planning such as whether inferences depend on physical experiences or the nature of social information have received less consideration. A…

  20. RTI in a Middle School: Findings and Practical Implications of a Tier 2 Reading Comprehension Study

    ERIC Educational Resources Information Center

    Faggella-Luby, Michael; Wardwell, Michelle

    2011-01-01

    Response to intervention (RTI) has received considerable attention from both researchers and practitioners as a schoolwide model for service delivery. However, research is limited on RTI applications in middle and high schools. The purpose of this article is to describe the outcomes of an experimental examination of a secondary (Tier 2) literacy…

  1. The Impact of Cyberbullying on the Self-Esteem and Academic Functioning of Arab American Middle and High School Students

    ERIC Educational Resources Information Center

    Yousef, Wael Shaher Mohammed; Bellamy, Al

    2015-01-01

    Introduction: Cyberbullying has received a considerable amount of attention within the academic and public literature. However, very little if any cyberbullying research has been conducted among Arab American students. This current study explored the impact of cyberbullying among middle and high school Arab American students on their self-esteem…

  2. Sport Education: A Panacea for Hegemonic Masculinity in Physical Education or More of the Same?

    ERIC Educational Resources Information Center

    Parker, Mitchum B.; Curtner-Smith, Mathew D.

    2012-01-01

    Sport education has received considerable support from teachers, teacher educators and the sport pedagogy literature as a cure for much that ails physical education. The purpose of the study described in this paper was to determine the extent to which teachers employing the sport education model rejected and combatted or supported and reinforced…

  3. Long-Term Outcomes of Services for Two Persons with Significant Disabilities with Differing Educational Experiences: A Qualitative Consideration of the Impact of Educational Experiences

    ERIC Educational Resources Information Center

    Ryndak, Diane Lea; Ward, Terri; Alper, Sandra; Montgomery, Jennifer Wilson; Storch, Jill F.

    2010-01-01

    Though research exists related to effective services in inclusive general education settings for students with significant disabilities, there are no longitudinal investigations of adult outcomes for persons with significant disabilities who received services in inclusive general education settings. This study uses qualitative methods to describe…

  4. Corrective Feedback, Learner Uptake, and Feedback Perception in a Chinese as a Foreign Language Classroom

    ERIC Educational Resources Information Center

    Fu, Tingfeng; Nassaji, Hossein

    2016-01-01

    The role of corrective feedback in second language classrooms has received considerable research attention in the past few decades. However, most of this research has been conducted in English-teaching settings, either ESL or EFL. This study examined teacher feedback, learner uptake as well as learner and teacher perception of feedback in an adult…

  5. Correlates of Quality of Life in New Migrants to Hong Kong from Mainland China

    ERIC Educational Resources Information Center

    Wong, Winky K. F.; Chou, Kee-Lee; Chow, Nelson W. S.

    2012-01-01

    The concept of Quality of life (QOL) has received considerable attention from different disciplines. The aim of this study was to identify what are the correlates of QOL among Chinese new immigrants in Hong Kong. Data were collected through a cross-sectional survey among 449 Hong Kong new immigrants from Mainland China. Bivariate and multiple…

  6. Reading to Children and Listening to Children Read: Mother-Child Interactions as a Function of Principal Reader

    ERIC Educational Resources Information Center

    Martin-Chang, Sandra; Gould, Odette N.

    2012-01-01

    Research Findings: Although storybook reading has received considerable research attention, listening to children read has been the source of much less inquiry. In this study, 40 mother-child dyads were videotaped during adult-to-child and child-to-adult reading. Relations between book-related themes (e.g., types of talk), maternal evaluative…

  7. What Goes through an Examiner's Mind? Using Verbal Protocols to Gain Insights into the GCSE Marking Process

    ERIC Educational Resources Information Center

    Suto, W. M. Irenka; Greatorex, Jackie

    2008-01-01

    The process of examination marking is complex, requiring examiners to engage in a variety of cognitive operations. While consideration has been given to marking practices in a few specific contexts, those of General Certificate of Secondary Education (GCSE) examiners have yet to receive serious attention. This study's aims, therefore, were: first,…

  8. A Primer on Value-Added Models: Towards a Better Understanding of the Quantitative Analysis of Student Achievement

    ERIC Educational Resources Information Center

    Nakamura, Yugo

    2013-01-01

    Value-added models (VAMs) have received considerable attention as a tool to transform our public education system. However, as VAMs are studied by researchers from a broad range of academic disciplines who remain divided over the best methods in analyzing the models and stakeholders without the extensive statistical background have been excluded…

  9. Emotional and Behavioural Difficulties among Middle School Students in Oman: An Examination of Prevalence Rate and Gender Differences

    ERIC Educational Resources Information Center

    Emam, Mahmoud Mohamed; Kazem, Ali Mahdi; Al-Zubaidy, Abdulqawi Salim

    2016-01-01

    Children with emotional and behavioural difficulties (EBDs) began to receive considerable attention in several countries in the Middle East and North Africa region including Oman. In the Omani context, there is lack of valid assessment instruments which can be used to obtain information on EBDs in schools. The current study used the Arabic…

  10. Voices from the Field: Developing Employability Skills for Archaeological Students Using a Project Based Learning Approach

    ERIC Educational Resources Information Center

    Wood, Gaynor

    2016-01-01

    Graduate employment statistics are receiving considerable attention in UK universities. This paper looks at how a wide range of employability attributes can be developed with students, through the innovative use of the Project Based Learning (PjBL) approach. The case study discussed here involves a group of archaeology students from the University…

  11. What Are the Unique and Interacting Contributions of School and Family Factors to Early Adolescents' Empathic Concern and Perspective Taking?

    ERIC Educational Resources Information Center

    Batanova, Milena D.; Loukas, Alexandra

    2012-01-01

    Empathy in children has received considerable attention in the literature, but limited research has investigated the contributions of various socializing factors on both affective (e.g., empathic concern) and cognitive (e.g., perspective taking) components of empathy in early adolescents. Guided by socialization theories, this study examined the…

  12. It's Not Just the Pedagogy: Challenges in Scaling Mobile Learning Applications into Institution-Wide Learning Technologies

    ERIC Educational Resources Information Center

    Bird, Peter; Stubbs, Mark

    2015-01-01

    Whilst m-learning pedagogy has received considerable attention (e.g. Sharples et. al. 2007, Kukulska-Hulme, 2012), the process of adopting this potentially disruptive innovation within universities has been neglected. Based on a PhD thesis (Bird, 2014), this paper presents some of the findings from a longitudinal study which examined the adoption…

  13. 20 CFR 404.502a - Notice of right to waiver consideration.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Notice of right to waiver consideration. 404.502a Section 404.502a Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND... and the individual is receiving another type of payment from SSA (language about cross-program...

  14. Accommodating Faculty Members Who Have Disabilities. Report

    ERIC Educational Resources Information Center

    American Association of University Professors, 2012

    2012-01-01

    In recent years the rights and responsibilities of students who have disabilities have received considerable attention. Professors routinely accommodate students with a front-row seat in class or extended time on an examination. Faculty members who have disabilities have received far less attention. This report from a subcommittee of Committee A…

  15. 20 CFR 632.4 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...) Payments received under the Trade Act of 1974; (11) Black Lung payments received under the Benefits Reform...: (1) Transfers or leases of such property for less than fair market value or for reduced consideration... American grantee share of its fair market value is not returned to the Federal Government or Native...

  16. 20 CFR 632.4 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) Payments received under the Trade Act of 1974; (11) Black Lung payments received under the Benefits Reform...: (1) Transfers or leases of such property for less than fair market value or for reduced consideration... American grantee share of its fair market value is not returned to the Federal Government or Native...

  17. 7 CFR 17.6 - Discounts, fees, commissions and payments.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... the supplier; (ii) Give the supplier a competitive advantage in relation to other potential suppliers... anything given in return for any consideration, services, or benefits received or to be received. (a... acted as a selling agent to obtain a contract even though the payment may be for services performed that...

  18. Thiamine in septic shock patients with alcohol use disorders: An observational pilot study.

    PubMed

    Holmberg, Mathias Johan; Moskowitz, Ari; Patel, Parth Vijay; Grossestreuer, Anne Victoria; Uber, Amy; Stankovic, Nikola; Andersen, Lars Wiuff; Donnino, Michael William

    2018-02-01

    Alcohol-use disorders (AUDs) have been associated with increased sepsis-related mortality. As patients with AUDs are often thiamine deficient, we investigated practice patterns relating to thiamine administration in patients with AUDs presenting with septic shock and explored the association between receipt of thiamine and mortality. We performed a retrospective cohort study of patients presenting with septic shock between 2008 and 2014 at a single tertiary care center. We identified patients with an AUD diagnosis, orders for microbial cultures and use of antibiotics, vasopressor dependency, and lactate levels≥4mmol/L. We excluded those who received thiamine later than 48h of sepsis onset. We included 53 patients. Thirty-four (64%) patients received thiamine. Five patients (15%) received their first thiamine dose in the emergency department. The median time to thiamine administration was 9 (quartiles: 4, 18) hours. The first thiamine dose was most often given parenterally (68%) and for 100mg (88%). In those receiving thiamine, 15/34 (44%) died, compared to 15/19 (79%) of those not receiving thiamine, p=0.02. A considerable proportion of patients with AUDs admitted for septic shock do not receive thiamine. Thiamine administration in this patient population was associated with decreased mortality. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Supporting Asian patients with metastatic breast cancer during ixabepilone therapy.

    PubMed

    Bourdeanu, Laura; Wong, Siu-Fun

    2010-05-01

    Ixabepilone is currently FDA-approved in metastatic breast cancer, and most patients in the registrational trials were Caucasian. Studies in Asian populations receiving other cytotoxic agents have revealed differential pharmacokinetics and clinical outcomes. As such, clinicians should understand the possible contributions of Asian ethnicity and culture to the clinical profile of ixabepilone. Studies in Asian patients receiving other chemotherapeutics reported altered toxicity profiles for myelosuppression, neurotoxicity and gastrointestinal symptoms. Encouragingly, the limited clinical data in Asian patients receiving ixabepilone suggest that efficacy and toxicity in these women resemble those reported in the ixabepilone registrational trials. The reader will better understand how Asian genetics and culture may influence treatment outcomes and patient attitudes toward therapy and interaction with caregivers. Management of ixabepilone-related adverse events is also discussed with an emphasis on special considerations for Asian patients. Awareness of possible altered drug response in Asian patients will aid clinicians in monitoring for toxicity, recognizing the need for dose modification and educating patients. Sensitivity to cultural aspects that are unique to Asians may improve adherence, reporting of adverse events and trust among Asian patients receiving ixabepilone.

  20. Satellite sound broadcasting system study: Mobile considerations

    NASA Technical Reports Server (NTRS)

    Golshan, Nasser

    1990-01-01

    Discussed here is the mobile reception part of a study to investigate a satellite sound broadcast system in the UHF or L bands. Existing propagation and reception measurements are used with proper interpretation to evaluate the signaling, coding, and diversity alternatives suitable for the system. Signal attenuation in streets shadowed by buildings appear to be around 29 db, considerably higher than the 10 db adopted by CCIR. With the marriage of proper technologies, an LMSS class satellite can provide substantial direct satellite audio broadcast capability in UHF or L bands for high quality mobile and portable indoor reception by low cost radio receivers. This scheme requires terrestrial repeaters for satisfactory mobile reception in urban areas. A specialized bandwidth efficient spread spectrum signalling technique is particularly suitable for the terrestrial repeaters.

  1. 29 CFR 1650.205 - Consideration of evidence submitted as a result of notification of intent.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... notification of intent. 1650.205 Section 1650.205 Labor Regulations Relating to Labor (Continued) EQUAL...) Consideration of evidence. If, as a result of the notification of intent, EEOC receives notice that the debtor... time period, collection will be stayed until EEOC: (1) Considers the evidence presented by the debtor...

  2. 29 CFR 1650.205 - Consideration of evidence submitted as a result of notification of intent.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... notification of intent. 1650.205 Section 1650.205 Labor Regulations Relating to Labor (Continued) EQUAL...) Consideration of evidence. If, as a result of the notification of intent, EEOC receives notice that the debtor... time period, collection will be stayed until EEOC: (1) Considers the evidence presented by the debtor...

  3. 29 CFR 1650.205 - Consideration of evidence submitted as a result of notification of intent.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... notification of intent. 1650.205 Section 1650.205 Labor Regulations Relating to Labor (Continued) EQUAL...) Consideration of evidence. If, as a result of the notification of intent, EEOC receives notice that the debtor... time period, collection will be stayed until EEOC: (1) Considers the evidence presented by the debtor...

  4. 29 CFR 1650.205 - Consideration of evidence submitted as a result of notification of intent.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... notification of intent. 1650.205 Section 1650.205 Labor Regulations Relating to Labor (Continued) EQUAL...) Consideration of evidence. If, as a result of the notification of intent, EEOC receives notice that the debtor... time period, collection will be stayed until EEOC: (1) Considers the evidence presented by the debtor...

  5. 29 CFR 1650.205 - Consideration of evidence submitted as a result of notification of intent.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... notification of intent. 1650.205 Section 1650.205 Labor Regulations Relating to Labor (Continued) EQUAL...) Consideration of evidence. If, as a result of the notification of intent, EEOC receives notice that the debtor... time period, collection will be stayed until EEOC: (1) Considers the evidence presented by the debtor...

  6. Do Schools Begin Too Early?

    ERIC Educational Resources Information Center

    Edwards, Finley

    2012-01-01

    School start times vary considerably, both across the nation and within individual communities, with some schools beginning earlier than 7:30 a.m. and others after 9:00 a.m. Proponents of later start times, who have received considerable media attention in recent years, argue that many students who have to wake up early for school do not get…

  7. Multicenter study of crystalloid boluses and transfusion in pediatric trauma-When to go to blood?

    PubMed

    Polites, Stephanie F; Nygaard, Rachel M; Reddy, Pooja N; Zielinski, Martin D; Richardson, Chad J; Elsbernd, Terri A; Petrun, Branden M; Weinberg, Sean L; Murphy, Sherrie; Potter, Donald D; Klinkner, Denise B; Moir, Christopher R

    2018-07-01

    The 9th edition of Advanced Trauma Life Support recommends up to three crystalloid boluses in pediatric trauma patients with consideration of transfusion after the second bolus; however, this approach is debated. We aimed to determine if requirement of more than one fluid bolus predicts the need for transfusion. The 2010 to 2016 highest tier activation patients younger than 15 years from two ACS Level I pediatric trauma centers were identified from prospectively maintained trauma databases. Those with a shock index (heart rate/systolic blood pressure) greater than 0.9 were included. Crystalloid boluses (20 ± 10 mL/kg) and transfusions administered prehospital and within 12 hours of hospital arrival were determined. Univariate and multivariable analyses were conducted to determine association between crystalloid volume and transfusion. Among 208 patients, the mean age was 5 ± 4 years (60% male), 91% sustained blunt injuries, and median (interquartile range) Injury Severity Score was 11 (6,25). Twenty-nine percent received one bolus, 17% received two, and 10% received at least three. Transfusion of any blood product occurred in 50 (24%) patients; mean (range) red blood cells was 23 (0-89) mL/kg, plasma 8 (0-69), and platelets 1 (0-18). The likelihood of transfusion increased logarithmically from 11% to 43% for those requiring 2 or more boluses (Fig. 1). This relationship persisted on multivariable analysis that adjusted for institution, age, and shock index with good discrimination (Area under the Receiver Operating Characteristic, 0.84). Shock index was also strongly associated with transfusion. Almost half of pediatric trauma patients with elevated shock index require transfusion following two crystalloid boluses and the odds of requiring a transfusion plateau at this point in resuscitation. This supports consideration of blood with the second bolus in conjunction with shock index though prospective studies are needed to confirm this and its impact on outcomes. Therapeutic study, level IV.

  8. Illegal Immigrants in Texas: Impact on Social Services and Related Considerations.

    ERIC Educational Resources Information Center

    Weintraub, Sidney

    1984-01-01

    The State of Texas receives more from taxes paid by undocumented persons than it costs the state to provide them with public services, such as education, health care, corrections, and welfare. However, six Texas cities together expended more to provide services to undocumented aliens than they received in taxes. (RDN)

  9. Making Charter School Facilities More Affordable: State-driven Policy Approaches. Innovations in Education

    ERIC Educational Resources Information Center

    US Department of Education, 2008

    2008-01-01

    Securing appropriate facilities can be a significant challenge for those intending to open a charter school. Although, like all public schools, charter schools receive per-pupil dollars from the state, they generally receive considerably less. Additionally, because traditional public schools rely on their district to provide their school…

  10. Comorbid Psychopathology with Autism Spectrum Disorder in Children: An Overview

    ERIC Educational Resources Information Center

    Matson, Johnny L.; Nebel-Schwalm, Marie S.

    2007-01-01

    Comorbidity, the co-occurrence of two or more disorders in the same person, has been a topic receiving considerable attention in the child psychopathology literature overall. Despite many publications in the ADHD, depression and other child literatures, autism spectrum disorder has not received such scrutiny. The purpose of this review will be to…

  11. Multipath study for a low altitude satellite utilizing a data relay satellite system

    NASA Technical Reports Server (NTRS)

    Eggert, D.

    1970-01-01

    Technical considerations associated with a low altitude satellite operating in conjuction with a data relay satellite system are reported. Emphasis was placed on the quantitative characterization of multipath phenomenon and determination of power received via both the direct and earth reflection paths. Attempts were made to develop a means for estimating the magnitude and nature of the reflected power.

  12. Financial Aid and Minority Participation in Graduate Education: A Research Agenda for Today. A Research Report of the Minority Graduate Education (MGE) Project.

    ERIC Educational Resources Information Center

    Nettles, Michael

    A proposed agenda to study why minority participation in graduate education is so limited and so often unsuccessful is presented. Considerations to bear in mind include: what kind of financial returns minority students receive as a result of completing graduate school; the limited financial support available for graduate education; the lack of…

  13. Planning Considerations for a Mars Sample Receiving Facility: Summary and Interpretation of Three Design Studies

    NASA Astrophysics Data System (ADS)

    Beaty, David W.; Allen, Carlton C.; Bass, Deborah S.; Buxbaum, Karen L.; Campbell, James K.; Lindstrom, David J.; Miller, Sylvia L.; Papanastassiou, Dimitri A.

    2009-10-01

    It has been widely understood for many years that an essential component of a Mars Sample Return mission is a Sample Receiving Facility (SRF). The purpose of such a facility would be to take delivery of the flight hardware that lands on Earth, open the spacecraft and extract the sample container and samples, and conduct an agreed-upon test protocol, while ensuring strict containment and contamination control of the samples while in the SRF. Any samples that are found to be non-hazardous (or are rendered non-hazardous by sterilization) would then be transferred to long-term curation. Although the general concept of an SRF is relatively straightforward, there has been considerable discussion about implementation planning. The Mars Exploration Program carried out an analysis of the attributes of an SRF to establish its scope, including minimum size and functionality, budgetary requirements (capital cost, operating costs, cost profile), and development schedule. The approach was to arrange for three independent design studies, each led by an architectural design firm, and compare the results. While there were many design elements in common identified by each study team, there were significant differences in the way human operators were to interact with the systems. In aggregate, the design studies provided insight into the attributes of a future SRF and the complex factors to consider for future programmatic planning.

  14. Planning considerations for a Mars Sample Receiving Facility: summary and interpretation of three design studies.

    PubMed

    Beaty, David W; Allen, Carlton C; Bass, Deborah S; Buxbaum, Karen L; Campbell, James K; Lindstrom, David J; Miller, Sylvia L; Papanastassiou, Dimitri A

    2009-10-01

    It has been widely understood for many years that an essential component of a Mars Sample Return mission is a Sample Receiving Facility (SRF). The purpose of such a facility would be to take delivery of the flight hardware that lands on Earth, open the spacecraft and extract the sample container and samples, and conduct an agreed-upon test protocol, while ensuring strict containment and contamination control of the samples while in the SRF. Any samples that are found to be non-hazardous (or are rendered non-hazardous by sterilization) would then be transferred to long-term curation. Although the general concept of an SRF is relatively straightforward, there has been considerable discussion about implementation planning. The Mars Exploration Program carried out an analysis of the attributes of an SRF to establish its scope, including minimum size and functionality, budgetary requirements (capital cost, operating costs, cost profile), and development schedule. The approach was to arrange for three independent design studies, each led by an architectural design firm, and compare the results. While there were many design elements in common identified by each study team, there were significant differences in the way human operators were to interact with the systems. In aggregate, the design studies provided insight into the attributes of a future SRF and the complex factors to consider for future programmatic planning.

  15. Technology for return of planetary samples

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The problem of returning a Mars sample to Earth was considered. The model ecosystem concept was advanced as the most reliable, sensitive method for assessing the biohazard from the Mars sample before it is permitted on Earth. Two approaches to ecosystem development were studied. In the first approach, the Mars sample would be introduced into the ecosystem and exposed to conditions which are as similar to the Martian environment as the constitutent terrestrial organisms can tolerate. In the second approach, the Mars sample would be tested to determine its effects on important terrestrial cellular functions. In addition, efforts were directed toward establishing design considerations for a Mars Planetary Receiving Laboratory. The problems encountered with the Lunar Receiving Laboratory were evaluated in this context. A questionnaire was developed to obtain information regarding important experiments to be conducted in the Planetary Receiving Laboratory.

  16. PARENTS’ UNDERSTANDING OF INFORMATION REGARDING THEIR CHILD’S POSTOPERATIVE PAIN MANAGEMENT

    PubMed Central

    Tait, Alan R.; Voepel-Lewis, Terri; Snyder, Robin M.; Malviya, Shobha

    2009-01-01

    Objectives Unlike information provided for research, information disclosed to patients for treatment or procedures is largely unregulated and, as such, there is likely considerable variability in the type and amount of disclosure. This study was designed to examine the nature of information provided to parents regarding options for postoperative pain control and their understanding thereof. Methods 187 parents of children scheduled to undergo a surgical procedure requiring inpatient postoperative pain control completed questionnaires that elicited information regarding their perceptions and understanding of, and satisfaction with, information regarding postoperative pain management. Results Results showed that there was considerable variability in the content and amount of information provided to parents based on the method of postoperative pain control provided. Parents whose child received Patient Controlled Analgesia (PCA) were given significantly (P< 0.025) more information on the risks and benefits compared to those receiving Nurse Controlled or intravenous-prn (NCA or IV) analgesia. Approximately one third of parents had no understanding of the risks associated with postoperative pain management. Parents who received pain information preoperatively and who were given information regarding the risks and benefits had improved understanding compared to parents who received no or minimal information (P< 0.001). Furthermore, information that was deemed unclear or insufficient resulted in decreased parental understanding. Discussion These results demonstrate the variability in the type and amount of information provided to parents regarding their child’s postoperative pain control and reinforce the importance of clear and full disclosure of pain information, particularly with respect to the risks and benefits. PMID:18716495

  17. Guide to the evaluation of human exposure to noise from large wind turbines

    NASA Technical Reports Server (NTRS)

    Stephens, D. G.; Shepherd, K. P.; Hubbard, H. H.; Grosveld, F.

    1982-01-01

    Guidance for evaluating human exposure to wind turbine noise is provided and includes consideration of the source characteristics, the propagation to the receiver location, and the exposure of the receiver to the noise. The criteria for evaluation of human exposure are based on comparisons of the noise at the receiver location with the human perception thresholds for wind turbine noise and noise-induced building vibrations in the presence of background noise.

  18. Comparison of three underwater antennas for use in radiotelemetry

    USGS Publications Warehouse

    Beeman, J.W.; Grant, C.; Haner, P.V.

    2004-01-01

    The radiation patterns of three versions of underwater radiotelemetry antennas were measured to compare the relative reception ranges in the horizontal and vertical planes, which are important considerations when designing detection systems. The received signal strengths of an antenna made by stripping shielding from a section of coaxial cable (stripped coax) and by two versions of a dipole antenna were measured at several orientations relative to a dipole transmit antenna under controlled field conditions. The received signal strengths were greater when the transmit and receive antennas were parallel to each other than when they were perpendicular, indicating that a parallel orientation provides optimal detection range. The horizontal plane radiation pattern of the flexible, stripped coax antenna was similar to that of a rigid dipole antenna, but movement of underwater stripped coax antennas in field applications could affect the orientation of transmit and receive antennas in some applications, resulting in decreased range and variation in received signal strengths. Compared with a standard dipole, a dipole antenna armored by housing within a polyvinyl chloride fitting had a smaller radiation pattern in the horizontal plane but a larger radiation pattern in the vertical plane. Each of these types of underwater antenna can be useful, but detection ranges can be maximized by choosing an appropriate antenna after consideration of the location, relation between transmit and receive antenna orientations, radiation patterns, and overall antenna resiliency.

  19. Social Capital and Youth Transitions: Do Young People's Networks Improve Their Participation in Education and Training? Occasional Paper

    ERIC Educational Resources Information Center

    Semo, Ronnie; Karmel, Tom

    2011-01-01

    In recent times social capital has received considerable attention because it is seen as having the potential to address many of the problems facing modern society, including the poor educational outcomes of considerable numbers of young people. This paper uses data from the Longitudinal Surveys of Australian Youth (LSAY) to explore the…

  20. Mental Health Services, Free Appropriate Public Education, and Students with Disabilities: Legal Considerations in Identifying, Evaluating, and Providing Services

    ERIC Educational Resources Information Center

    Yell, Mitchell; Smith, Carl; Katsiyannis, Antonis; Losinski, Mickey

    2018-01-01

    In the past few years, the provision of mental health services in public schools has received considerable attention. When students with disabilities are eligible for special education and related services under the Individuals With Disabilities Education Act (IDEA), mental health services are required if such services are needed to provide…

  1. Caregiver informational support in different patient care settings at end of life.

    PubMed

    Lavalley, Susan A

    2018-01-01

    Caregivers of the terminally ill face many complicated tasks including providing direct patient care, communicating with clinicians, and managing the logistical demands of daily activities. They require instructive information at all points in the illness process and across several settings where patients receive end-of-life care. This study examines how the setting where a patient receives end-of-life care affects caregivers' informational support needs by thematically analyzing data from caregiver interviews and clinical observations. Caregivers providing care for patients at home received informational support related to meeting patients' mobility, medication, and nutritional needs. Caregivers who provided care remotely received informational support to navigate transitions between patient care settings or long-term care arrangements, including financial considerations and insurance logistics. The findings document that interventions designed to enhance information for caregivers should account for caregiving context and that health care providers should proactively and repeatedly assess caregiver information needs related to end-of-life patient care.

  2. Radio Astronomy Software Defined Receiver Project

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

    Vacaliuc, Bogdan; Leech, Marcus; Oxley, Paul

    The paper describes a Radio Astronomy Software Defined Receiver (RASDR) that is currently under development. RASDR is targeted for use by amateurs and small institutions where cost is a primary consideration. The receiver will operate from HF thru 2.8 GHz. Front-end components such as preamps, block down-converters and pre-select bandpass filters are outside the scope of this development and will be provided by the user. The receiver includes RF amplifiers and attenuators, synthesized LOs, quadrature down converters, dual 8 bit ADCs and a Signal Processor that provides firmware processing of the digital bit stream. RASDR will interface to a usermore » s PC via a USB or higher speed Ethernet LAN connection. The PC will run software that provides processing of the bit stream, a graphical user interface, as well as data analysis and storage. Software should support MAC OS, Windows and Linux platforms and will focus on such radio astronomy applications as total power measurements, pulsar detection, and spectral line studies.« less

  3. A comparative Thermal Analysis of conventional parabolic receiver tube and Cavity model tube in a Solar Parabolic Concentrator

    NASA Astrophysics Data System (ADS)

    Arumugam, S.; Ramakrishna, P.; Sangavi, S.

    2018-02-01

    Improvements in heating technology with solar energy is gaining focus, especially solar parabolic collectors. Solar heating in conventional parabolic collectors is done with the help of radiation concentration on receiver tubes. Conventional receiver tubes are open to atmosphere and loose heat by ambient air currents. In order to reduce the convection losses and also to improve the aperture area, we designed a tube with cavity. This study is a comparative performance behaviour of conventional tube and cavity model tube. The performance formulae were derived for the cavity model based on conventional model. Reduction in overall heat loss coefficient was observed for cavity model, though collector heat removal factor and collector efficiency were nearly same for both models. Improvement in efficiency was also observed in the cavity model’s performance. The approach towards the design of a cavity model tube as the receiver tube in solar parabolic collectors gave improved results and proved as a good consideration.

  4. Venography

    MedlinePlus

    ... impaired kidney (renal) function should be given special consideration before receiving iodine-based contrast materials by vein or artery. Such patients are at risk for developing contrast-induced nephropathy, ...

  5. 76 FR 10899 - Proposed HHS Recommendation for Fluoride Concentration in Drinking Water for Prevention of Dental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-28

    ... Drinking Water for Prevention of Dental Caries; Extension of Comment Period AGENCY: Office of the Secretary... dental caries while limiting the risk of dental fluorosis. The proposed recommendation was published in... caries has been extended to April 15, 2011. To receive consideration comments must be received no later...

  6. Inbreeding among pen-reared quail

    USGS Publications Warehouse

    Nestler, R.B.; Nelson, A.L.

    1945-01-01

    The effect of inbreeding in wildlife species has received attention from several sources. Recently the 'inbreeding theory' as a possible explanation of cycles in game populations was given careful consideration by a group of wildlife experts and geneticists. Scott's symposium (1944) consisting of comments received from eight authorities revealed unanimity in a decision that inbreeding is not the causative factor.

  7. Am I Just Not Good Enough? The Creation, Development and Questioning of a High Performance Coaching Identity

    ERIC Educational Resources Information Center

    Purdy, L. G.; Potrac, P.

    2016-01-01

    While the career experiences and trajectories of various sports workers have received increased scholarly attention, those of professional coaches have, in comparison, received scant consideration. This paper focuses on the career experiences of Maeve (a pseudonym), a high performance coach, and the critical incidents related to the creation,…

  8. Patterns of the utilization of prenatal diagnosis services among pregnant women, their satisfaction and its associated factors in Viet Nam.

    PubMed

    Doan, Duong Thi Thuy; Nguyen, Huong Thi Thu; Bui, Ha Thi Thu

    2017-02-01

    This study aimed at understanding the patterns of the utilization of prenatal diagnostic (PND) services among pregnant women, their satisfaction and its associated factors at three regional prenatal diagnostic centres in Viet Nam. A cross-sectional design was used, with a consecutive sampling method to recruit pregnant women who used PND services at the three biggest regional PND services centres in Viet Nam between January and June, 2014. A total of 298 participants, about 100 participants per centre were interviewed and included in data analysis. Descriptive analyses and logistic regression methods were applied to identify association between satisfaction of women and their socio-economic characteristics. 80% of pregnant women received counselling on PND services, whilst 90% received ultrasonography services; 65.4% were satisfied with the PND services they used. Pregnant women, who were in a lower income group and received counselling but did not receive ultrasonography, were more likely to have higher satisfaction levels of PND services. A process to ensure that every pregnant woman receives sufficient PND counselling before and after receiving PND testing must be given careful and thorough consideration.

  9. Considerations for Future IGS Receivers

    NASA Astrophysics Data System (ADS)

    Humphreys, T. E.; Young, L. E.; Pany, T.

    2008-12-01

    Future International GNSS Service (IGS) receivers are considered against the backdrop of GNSS signal modernization and the IGS's goal of further improving the accuracy of its products. The purpose of this paper is to provide the IGS ---and any other group that uses geodetic-quality GNSS receivers---with a guide to making decisions about GNSS receivers. Modernized GNSS signals are analyzed with a view toward IGS applications. A schedule for minimum IGS receiver requirements is proposed. Features of idealized conceptual receivers are discussed. The prospects for standard commercial receivers and for software-defined GNSS receivers are examined. Recommendations are given for how the IGS should proceed in order to maximally benefit from the transformation in GNSS that will occur over the next decade. There are two reasons why it makes sense for the IGS to study GNSS receivers that will be integrated into its network in the coming years. First, the new GNSS signals that will come on line over the next decade will render current IGS receivers obsolete, so it is prudent to examine receiver options going forward. Second, the push to improve the accuracy of IGS products beyond current limits demands greater accuracy in the models used to describe receiver measurements. As a result, the IGS must demand from vendors more transparency into receiver firmware or adoption of user-specified algorithms. This paper considers future IGS receivers from four different points of view. Section 2 looks at modernized GNSS signals and their benefits for the IGS. Section 3 surveys the range of expected receiver capability. Section 4 considers current and future commercial geodetic-quality receivers. Section 5 considers software GNSS receivers as an alternative to less reconfigurable traditional receivers. Section 6 lays out the authors' recommendations to the IGS.

  10. Publicly financed healthcare and income inequality in Canada.

    PubMed

    Corscadden, Lisa; Allin, Sara; Wolfson, Michael; Grignon, Michel

    2014-01-01

    Income inequality is currently the focus of considerable public and policy attention. Public services such as healthcare and education play a role in reducing income inequality in the population. This study looks at how healthcare affects the distribution of income across five income groups. Specifically, it estimates the tax contributions and the value of benefits received from physician services, drugs and hospital services over a person's lifetime. We found that benefits received from publicly funded healthcare in Canada reduce the income gap between the highest- and lowest-income groups by 16%. This analysis provides a starting point for future research to explore the distributional effects of different options for financing healthcare. Copyright © 2014 Longwoods Publishing.

  11. Maximum performance of solar heat engines: Discussion of thermodynamic availability and other second law considerations and their implications

    NASA Astrophysics Data System (ADS)

    Boehm, R. F.

    1985-09-01

    A review of thermodynamic principles is given in an effort to see if these concepts may indicate possibilities for improvements in solar central receiver power plants. Aspects related to rate limitations in cycles, thermodynamic availability of solar radiation, and sink temperature considerations are noted. It appears that considerably higher instantaneous plant efficiencies are possible by raising the maximum temperature and lowering the minimum temperature of the cycles. Of course, many practical engineering problems will have to be solved to realize the promised benefits.

  12. Investigating the Social Engagement of Children with Autism in Mainstream Schools for the Purpose of Identifying Learning Targets

    ERIC Educational Resources Information Center

    Conn, Carmel

    2014-01-01

    The social needs of children with autism are complex, and their inclusion in mainstream schools necessitates a consideration of the nature of a child's participation in peer culture and how it is received by others. The case study reported here sought to investigate the social engagement of a child with autism and his peers using naturalistic…

  13. Patterns of methadone maintenance treatment provision in Ontario: Policy success or pendulum excess?

    PubMed

    Kurdyak, Paul; Jacob, Binu; Zaheer, Juveria; Fischer, Benedikt

    2018-02-01

    To describe recent trends and patterns in methadone maintenance treatment (MMT) practice regionally and over time in the province of Ontario. Population-based descriptive study using health administrative data between September 1, 2011, and December 31, 2014. Ontario. All active MMT-prescribing physicians and patients receiving MMT in the study period. Characteristics of MMT-prescribing physicians, including age, sex, specialty type, practice region, and practice volume; characteristics of patients receiving MMT, including age, sex, neighbourhood income, and region of residence. Between September 1, 2011, and December 31, 2014, the number of MMT-prescribing physicians and patients who received MMT increased by 26% and 42%, respectively. In 2014, there was a total of 312 MMT-prescribing physicians and 49 703 patients receiving MMT. In 2014 and on a per capita basis, patients receiving MMT were more prevalent in rural regions; and within rural regions, there were disproportionately large numbers of young female MMT patients residing in low-income neighbourhoods. The number of physicians prescribing MMT and patients receiving MMT has increased substantially between 2011 and 2014, with the largest per capita distribution occurring in rural regions and involving young adults. While availability of and access to MMT has improved considerably from before 2000 to levels of high use, these developments are likely influenced by recent trends in the proliferation of prescription opioid misuse across general populations. Copyright© the College of Family Physicians of Canada.

  14. Shifting the Paradigm of Trauma Medicine to Positively Influence Critical Mortality Rates Following a Mass Casualty Event

    DTIC Science & Technology

    2009-06-01

    rather than a hospital. It may mean expanding the scope of practice for certain professional types. For instance, nurses may provide services usually...pharmaceutical supplies” and “ nursing care” were distilled to a tactical to-do list and not given the full consideration that would be required to develop a...meeting the criteria to receive critical care will receive palliative care. The report defined inclusions and exclusion criteria to receive critical

  15. Care Received by Elderly US Stroke Survivors may be Underestimated

    PubMed Central

    Skolarus, Lesli E.; Freedman, Vicki A.; Feng, Chunyang; Wing, Jeffrey J.; Burke, James F.

    2016-01-01

    Background and Purpose Previous studies exploring stroke-related caregiving focused solely on informal caregiving and a relatively limited set of activities. We sought to determine whether, and at what cost, stroke survivors receive more care than matched controls using an expanded definition of caregiving and inclusion of paid caregivers. Methods Data were drawn from the National Health and Aging Trends Study (NHATS), a nationally representative survey of Medicare beneficiaries. NHATS personnel conducted in-person interviews with respondents or proxies to determine the weekly hours of care received. We compared hours of assistance received between self-reported stroke survivors (N=892) and demographic- and comorbidity-matched non-stroke controls (N=892). The annual cost of stroke caregiving was estimated using reported paid caregiving data and estimates of unpaid caregiving costs. Results Of community dwelling elderly stroke survivors, 51.4% received help from a caregiver. Stroke survivors received an average of 10 hours of additional care per week compared to demographic- and comorbidity-matched controls (22.3 hours vs. 11.8 hours, p<0.01). We estimate that the average annual cost for caregiving for an elderly stroke survivor is approximately $11,300, or about $40 billion annually, for all elderly stroke survivors, of which $5,000 per person, or $18.2 billion annually, is specific to stroke. Conclusions Although stroke survivors are known to require considerable caregiving resources, our findings suggest that prior assessments may underestimate hours of care received and hence costs. PMID:27387990

  16. The dynamic interplay of mourning and forgiveness in the early development of the self and psychic structure.

    PubMed

    Rankin, Eric D

    2014-04-01

    Mourning has received considerable attention in the psychoanalytic literature. Beginning with Freud's 1917 investigation, the central role of mourning in psychical development via identification has been articulated and subsequently elaborated upon by various authors (e.g., Klein, 1940; Schafer, 2005). Forgiveness, on the other hand, has until recently received considerably less attention, perhaps because of the strong religious and moral connotations often associated with it (Lansky, 2009a). Contemporary writers exploring the psychoanalytic implications of mourning and forgiveness, however, have suggested the importance of both in normal psychical development. The purpose of this paper is to propose an integrated model of mourning and forgiveness and explore its potential role in nascent infant development.

  17. Performance testing of lidar receivers

    NASA Technical Reports Server (NTRS)

    Shams, M. Y.

    1986-01-01

    In addition to the considerations about the different types of noise sources, dynamic range, and linearity of a lidar receiver, one requires information about the pulse shape retaining capabilities of the receiver. For this purpose, relatively precise information about the height resolution as well as the recovery time of the receiver, due both to large transients and to fast changes in the received signal, is required. As more and more analog receivers using fast analog to digital converters and transient recorders will be used in the future lidar systems, methods to test these devices are essential. The method proposed for this purpose is shown. Tests were carried out using LCW-10, LT-20, and FTVR-2 as optical parts of the optical pulse generator circuits. A commercial optical receiver, LNOR, and a transient recorder, VK 220-4, were parts of the receiver system.

  18. Dish concentrators for solar thermal energy: Status and technology development

    NASA Technical Reports Server (NTRS)

    Jaffe, L. D.

    1982-01-01

    Point-focusing concentrators under consideration for solar thermal energy use are reviewed. These concentrators differ in such characteristics as optical configuration, optical materials, structure for support of the optical elements and of the receiver, mount, foundation, drive, controls and enclosure. Concentrator performance and cost are considered. Technology development is outlined, including wind loads and aerodynamics; precipitation, sand, and seismic considerations; and maintenance and cleaning.

  19. Shipyard Standards Program Development Guide

    DTIC Science & Technology

    1992-10-01

    Given the opportunity, designers will use designs that have worked for them in the past . Unfortunately, not all designers have the same experience base...standards formally approved by shipyard management? The subject of labor productivity standards has received considerable attention during the past decade. A...research into this consideration during the past decade. References [23], [24], [25], [26], and [27] have reported beneficial results obtained by getting the

  20. Enterprise Considerations for Ports and Protocols

    DTIC Science & Technology

    2016-10-21

    selected communications. These protocols are restricted to specific ports or addresses in the receiving web service. HTTPS is familiarly restricted...in use by the web services and applications that are connected to the network are required for interoperability and security. Policies specify the...network or reside at the end-points (i.e., web services or clients). ____________________________ Manuscript received June 1, 2016; revised July

  1. (abstract) The Evolving Spaceborne Radar Data Support to Earth Science and Operations at the Alaska SAR Facility

    NASA Technical Reports Server (NTRS)

    Carsey, Frank D.

    1996-01-01

    The Alaska SAR Facility (ASF) has been receiving, processing, archiving, and distributing data for Earth scientists and operations since it began receiving data in 1991. Four radar satellites are now being handled. Recent developments have served to increase the level of services of ASF to the Earth science community considerably. These developments are discussed.

  2. Design of radar receivers

    NASA Astrophysics Data System (ADS)

    Sokolov, M. A.

    This handbook treats the design and analysis of of pulsed radar receivers, with emphasis on elements (especially IC elements) that implement optimal and suboptimal algorithms. The design methodology is developed from the viewpoint of statistical communications theory. Particular consideration is given to the synthesis of single-channel and multichannel detectors, the design of analog and digital signal-processing devices, and the analysis of IF amplifiers.

  3. Considerations for Using Personal Wi-Fi Enabled Devices as "Clickers" in a Large University Class

    ERIC Educational Resources Information Center

    Katz, Larry; Hallam, Megan C.; Duvall, Michael M.; Polsky, Zoe

    2017-01-01

    Interactive student response systems, commonly referred to as clickers, have increased in popularity in higher education classrooms as a means to improve engagement and enhance learning. Clicker systems come with handheld devices as well as a radio frequency receiver. A Wi-Fi connection to the receiver is possible, enabling students to use their…

  4. Violations of the International Code of Marketing of Breast-milk Substitutes: Indonesia context.

    PubMed

    Hidayana, Irma; Februhartanty, Judhiastuty; Parady, Vida A

    2017-01-01

    To measure compliance with the International Code of Marketing of Breast-milk Substitutes ('the Code') in Indonesia. The study was a cross-sectional survey using the Interagency Group on Breastfeeding Monitoring protocol. Public and private health facilities in six provinces on Java island in Indonesia. A total of 874 women (382 pregnant women and 492 breast-feeding mothers of infants below 6 months) and seventy-seven health workers were recruited from eighteen participating health facilities. The study also analysed a total of forty-four labels of breast-milk substitute products, twenty-seven television commercials for growing-up milk (for children >12 months) of nine brands and thirty-four print advertisements of fourteen brands. The study found that 20 % of the women had received advice and information on the use of breast-milk substitutes and 72 % had seen promotional materials for breast-milk substitutes. About 15 % reported receiving free samples and 16 % received gifts. Nearly a quarter of the health workers confirmed receiving visits from representatives of breast-milk substitute companies. Two health workers reported having received gifts from the companies. The most common labelling violations found were statements or visuals that discouraged breast-feeding and the absence of mention about the consideration of local climate in the expiration date. Violations of the Code by health workers, breast-milk substitute companies and their representatives were found in all provinces studied. A regular monitoring system should be in place to ensure improved compliance with and enforcement of the Code.

  5. Mental health service use types among Asian Americans with a psychiatric disorder: considerations of culture and need.

    PubMed

    Nguyen, Duy; Bornheimer, Lindsay A

    2014-10-01

    Despite levels of need that are comparable with other groups, relatively few Asian Americans receive mental health care. While studies have described the tendency for Asian Americans to delay care until mental health symptoms are severe, relatively little research has examined how the severity of symptoms impact mental health service use. This study uses publicly available data from the National Latino and Asian American Study (NLAAS) and focuses solely on Asian American respondents with a psychiatric disorder (n = 230). Unexpectedly, few Asian Americans with a psychiatric disorder received care in a medical setting. The perception of mental health needs increased the likelihood of using mental health specialist care. Social and systemic barriers together hinder mental health service use. Implications for addressing Asian American mental health service use within a changing health care environment are discussed.

  6. An exploration of medical emergency team intervention at the end of life for people with advanced cancer.

    PubMed

    Brown, Christine; Drosdowsky, Allison; Krishnasamy, Meinir

    2017-12-01

    Recent advances in cancer therapies offer survival benefit when cure is no longer possible. The contribution of the Medical Emergency Teams (METs) in the context of advancing disease has received little empirical consideration. This study set out to explore MET intervention at the end of life for people with advanced cancer in an Australian comprehensive cancer centre, and its impact on quality of death. A retrospective medical chart review was undertaken to explore MET response for people with advanced (incurable) cancer nearing end of life. Occurrence of MET interventions at the end of life and a quality of death score were recorded for two randomly selected cohorts of patients, those who experienced a MET response within their last week of life (n = 50) and those who did not (n = 50). The cohort who did not receive MET intervention had a significantly higher (better) quality of death score when compared with patients who did receive a MET intervention (p = 0.01). Within the cohort who received a MET intervention, a subgroup (n = 19) where the MET influenced end-of-life decision-making had a significantly higher quality of death score (p = 0.02) than patients in the MET cohort (n = 31) where the MET did not influence end-of-life care. The contribution of the MET to end-of-life care for patients with cancer has not previously been reported. Further research is now needed to prospectively examine MET involvement at the end of life with consideration to quality of patient care and death, family experience, and support requirements of MET members. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Automatic activation of alcohol cues by child maltreatment related words: a replication attempt in a different treatment setting.

    PubMed

    Potthast, Nadine; Neuner, Frank; Catani, Claudia

    2017-01-03

    A growing body of research attempts to clarify the underlying mechanisms of the association between emotional maltreatment and alcohol dependence (AD). In a preceding study, we found considerable support for a specific priming effect in subjects with AD and emotional abuse experiences receiving alcohol rehabilitation treatment. We concluded that maltreatment related cues can automatically activate an associative memory network comprising cues eliciting craving as well as alcohol-related responses. Generalizability of the results to other treatment settings remains unclear because of considerable differences in German treatment settings as well as insufficiently clarified influences of selection effects. As replication studies in other settings are necessary, the current study aimed to replicate the specific priming effect in a qualified detoxification sample. 22 AD subjects (n = 10 with emotional abuse vs. n = 12 without emotional abuse) participated in a priming experiment. Comparison data from 34 healthy control subjects were derived from the prior study. Contrary to our hypothesis, we did not find a specific priming effect. We could not replicate the result of an automatic network activation by maltreatment related words in a sample of subjects with AD and emotional abuse experiences receiving qualified detoxification treatment. This discrepancy might be attributed to reasons related to treatment settings as well as to methodological limitations. Future work is required to determine the generalizability of the specific priming effect before valid conclusions regarding automatic activation can be drawn.

  8. Fabrication of Organic Thin Film Transistors Using Layer-By-Layer Assembly (Preprint)

    DTIC Science & Technology

    2007-03-01

    thin-film transistors ( TFTs ) have received considerable attention as a low- cost, light-weight, flexible alternative to traditional amorphous silicon...Previous studies have investigated the use of a number of materials for both the active layer and the gate dielectric in various TFT architectures. These...performance. Conjugated small molecules, such as pentacene, or polymers, such as poly(3- hexylthiophene), are commonly used as the active layer in organic TFT

  9. 33 CFR 51.8 - Relevant considerations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...; qualification for reenlistment; capability to adjust to military service; and family or personal problems. (c... received; promotions and demotions; prior military service and type of discharge; records of unauthorized...

  10. Amelioration of sexual fantasies to sexual abuse cues in an adult survivor of childhood sexual abuse: a case study.

    PubMed

    Wilson, Jane E; Wilson, Keith M

    2008-12-01

    Although sexual dysfunction of childhood sexual abuse survivors has received considerable attention, other sexual difficulties experienced by survivors of CSA, such as sexual fantasies to cues of sexual abuse, have received less attention. In this A-B design case study, a young adult female survivor of childhood sexual abuse presented for treatment at a Midwest rape crisis center. After successful treatment of post-traumatic stress disorder, she complained of unwanted sexual fantasies to sexual abuse cues and concomitant guilt and shame. Following baseline data collection, treatment consisted of self-applied aversion therapy to unwanted sexual arousal to sexual abuse cues. Decrease in sexual arousal to these cues was concurrent with the introduction of treatment. A concomitant decrease in guilt and shame occurred while self-ratings of control increased.

  11. Cultural values and secondary prevention of breast cancer in african american women.

    PubMed

    Beckjord, Ellen Burke; Klassen, Ann C

    2008-01-01

    Improving mammography initiation and maintenance among African American women has been suggested as a strategy for reducing breast cancer mortality in this population. We examined cultural values in relation to self-reported breast cancer screening among 572 low-income, urban, African American women. Cultural values examined included time orientation, family authority, employment aspirations, value of past vs modern life, and reliance on medical professionals. Also, implications for continued development of culturally tailored health interventions and opportunities for the consideration of cultural values in health communication are discussed. Bivariate analyses showed that more traditional values were associated with worse screening histories and lower intentions for future screening. In multivariate analyses, two interactions were observed between cultural values and age: for younger women, more traditional values were associated with lower odds of having ever received a mammogram, and for older women, more traditional values were associated with lower odds of intentions to receive a mammogram in the next 2 years. This study adds to the evidence that cultural constructs, such as values, are associated with secondary prevention of breast cancer and supports the consideration of cultural constructs as important in increasing mammography and reducing breast cancer disparities for African American women.

  12. AAFE man-made noise experiment project. Volume 3: Appendices

    NASA Technical Reports Server (NTRS)

    1974-01-01

    Management and operational considerations involved in the project to measure man-made electromagnetic noise at earth orbital altitudes are discussed. The subjects considered are: (1) launch and orbit of the Scout D vehicles, (2) experiment management, (3) receiver scanning considerations, (4) data handling, and (5) threshold measurements. The storage requirements for a high resolution, complete data storage library are defined. Mathematical models of signal detection probability are developed.

  13. Length of Storage of Red Blood Cells and Patient Survival After Blood Transfusion: A Binational Cohort Study.

    PubMed

    Halmin, Märit; Rostgaard, Klaus; Lee, Brian K; Wikman, Agneta; Norda, Rut; Nielsen, Kaspar René; Pedersen, Ole B; Holmqvist, Jacob; Hjalgrim, Henrik; Edgren, Gustaf

    2017-02-21

    Possible negative effects, including increased mortality, among persons who receive stored red blood cells (RBCs) have recently garnered considerable attention. Despite many studies, including 4 randomized trials, no consensus exists. To study the association between the length of RBC storage and mortality in a large population-based cohort of patients who received transfusions, allowing detection of small yet clinically significant effects. Binational cohort study. All transfusion recipients in Sweden and Denmark. 854 862 adult patients who received transfusions from 2003 to 2012. Patients were followed from first blood transfusion. Relative and absolute risks for death in 30 days or 1 year in relation to length of RBC storage were assessed by using 3 independent analytic approaches. All analyses were conducted by using Cox proportional hazards regression. Regardless of the analytic approach, no association was found between the length of RBC storage and mortality. The difference in 30-day cumulative mortality between patients receiving blood stored for 30 to 42 days and those receiving blood stored for 10 to 19 days was -0.2% (95% CI, -0.5% to 0.1%). Even among patients who received more than 6 units of RBCs stored for 30 days or longer, the hazard ratio of death was 1.00 (CI, 0.96 to 1.05) compared with those who received no such units. Observational study; risk of confounding by indication. Consistent with previous randomized trials, this study found no association between the length of storage of transfused RBCs and patient mortality. Results were homogeneous, with differences in absolute mortality consistently less than 1% among the most extreme exposure categories. These findings suggest that the current practice of storing RBCs for up to 42 days does not need to be changed. The Swedish Research Council, Swedish Heart-Lung Foundation, Swedish Society for Medical Research, Strategic Research Program in Epidemiology at Karolinska Institutet, and Danish Council for Independent Research.

  14. Spermiogenesis in birds

    PubMed Central

    Aire, Tom A

    2014-01-01

    Current knowledge on avian spermiogenesis, including strengths and weaknesses, has been reviewed. Information on avian spermiogenesis considerably lags behind that in mammals because of the paucity of reports in birds. Spermiogenesis in passerine birds has received even much less attention than in non-passerine birds. Mechanisms underlying morphogenesis of the acrosome and nucleus, and roles of microtubular assemblies are poorly understood. The proximal centriole found in non-passerine birds, but hitherto considered to be absent in passerine birds, has recently been described in spermatids and mature spermatozoa of 2 passeridan species, including the Masked weaver for which new and detailed spermiogenetic information is provided in this review. A great deal more studies on spermiogenesis, and spermatogenesis generally, in various avian species are required to considerably enhance knowledge of this phenomenon, contribute to comparative spermatology, provide a basis for appropriate applied studies, and contribute to understanding of phylogeny in this vast order of vertebrates. PMID:26413401

  15. 47 CFR 73.277 - Permissible transmissions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... undertakes to supply, or receives consideration for supplying, on its main channel a functional music, background music, or other subscription service (including storecasting) for reception in the place or places...

  16. 47 CFR 73.277 - Permissible transmissions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... undertakes to supply, or receives consideration for supplying, on its main channel a functional music, background music, or other subscription service (including storecasting) for reception in the place or places...

  17. 47 CFR 73.277 - Permissible transmissions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... undertakes to supply, or receives consideration for supplying, on its main channel a functional music, background music, or other subscription service (including storecasting) for reception in the place or places...

  18. 47 CFR 73.277 - Permissible transmissions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... undertakes to supply, or receives consideration for supplying, on its main channel a functional music, background music, or other subscription service (including storecasting) for reception in the place or places...

  19. 47 CFR 73.277 - Permissible transmissions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... undertakes to supply, or receives consideration for supplying, on its main channel a functional music, background music, or other subscription service (including storecasting) for reception in the place or places...

  20. Safety Outcomes of Apixaban Compared With Warfarin in Patients With End-Stage Renal Disease.

    PubMed

    Sarratt, Stefanie C; Nesbit, Ross; Moye, Robert

    2017-06-01

    Current guidelines make no specific recommendations on the selection of direct oral anticoagulants for the prevention and treatment of venous thromboembolism in patients with end-stage renal disease (ESRD) receiving hemodialysis. Based on these guidelines, warfarin remains the anticoagulant of choice in these patients. To compare bleeding rates in patients receiving apixaban or warfarin with ESRD undergoing chronic hemodialysis. This was a single-center, retrospective, institutional review board-approved cohort analysis. Patients with ESRD undergoing chronic hemodialysis and receiving anticoagulation therapy with either apixaban or warfarin were included in this study. All data were collected from paper charts and electronic medical records and included documentation of bleeding events and related interventions. The primary outcome of this study was clinically relevant major bleeding events. Secondary outcomes included clinically relevant nonmajor bleeding events and minor bleeding events. A total of 160 patients were included in this study (warfarin group, n = 120; apixaban group, n = 40). There were 7 major bleeding events in the warfarin group compared with zero in the apixaban group ( P = 0.34). There were similar rates of clinically relevant nonmajor bleeding events (12.5% vs 5.8%, P = 0.17) and minor bleeding (2.5% vs 2.5%, P = 0.74) events in patients receiving apixaban and warfarin. There were no observed differences in bleeding rates in patients receiving apixaban compared with those receiving warfarin. Apixaban may be a cautious consideration in hemodialysis patients until there is further insight into the effect of subsequent, multiple doses on drug accumulation and clinical outcomes.

  1. 26 CFR 1.6045-4 - Information reporting on real estate transactions with dates of closing on or after January 1, 1991.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...) for money, indebtedness, property other than money, or services. The term “sale or exchange” shall... total consideration (in money, services and property), received or to be received in connection with the... (h)(2)(ii) of this section), to a foundation. Thus, a transfer of an unaffixed mobile home that is...

  2. 26 CFR 1.6045-4 - Information reporting on real estate transactions with dates of closing on or after January 1, 1991.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...) for money, indebtedness, property other than money, or services. The term “sale or exchange” shall... total consideration (in money, services and property), received or to be received in connection with the... (h)(2)(ii) of this section), to a foundation. Thus, a transfer of an unaffixed mobile home that is...

  3. 26 CFR 1.6045-4 - Information reporting on real estate transactions with dates of closing on or after January 1, 1991.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) for money, indebtedness, property other than money, or services. The term “sale or exchange” shall... total consideration (in money, services and property), received or to be received in connection with the... (h)(2)(ii) of this section), to a foundation. Thus, a transfer of an unaffixed mobile home that is...

  4. 26 CFR 1.6045-4 - Information reporting on real estate transactions with dates of closing on or after January 1, 1991.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) for money, indebtedness, property other than money, or services. The term “sale or exchange” shall... total consideration (in money, services and property), received or to be received in connection with the... (h)(2)(ii) of this section), to a foundation. Thus, a transfer of an unaffixed mobile home that is...

  5. Effect of Medicaid Payment on Rehabilitation Care for Nursing Home Residents

    PubMed Central

    Wodchis, Walter P.; Hirth, Richard A.; Fries, Brant E.

    2007-01-01

    There is considerable interest in examining how Medicaid payment affects nursing home care. This study examines the effect of Medicaid payment methods and reimbursement rates on the delivery of rehabilitation therapy to Medicaid nursing home residents in six States from 1992-1995. In States that changed payment from prospective facility-specific to prospective case-mix adjusted payment methods, Medicaid residents received more rehabilitation therapy after the change. While residents in States using case-mix adjusted payment rates for Medicaid payment were more likely to receive rehabilitation than residents in States using prospective facility-specific Medicaid payment, the differences were general and not specific to Medicaid residents. Retrospective payment for Medicaid resident care was associated with greater use of therapy for Medicaid residents. PMID:17645160

  6. Effect of Medicaid payment on rehabilitation care for nursing home residents.

    PubMed

    Wodchis, Walter P; Hirth, Richard A; Fries, Brant E

    2007-01-01

    There is considerable interest in examining how Medicaid payment affects nursing home care. This study examines the effect of Medicaid payment methods and reimbursement rates on the delivery of rehabilitation therapy to Medicaid nursing home residents in six States from 1992-1995. In States that changed payment from prospective facility-specific to prospective case-mix adjusted payment methods, Medicaid residents received more rehabilitation therapy after the change. While residents in States using case-mix adjusted payment rates for Medicaid payment were more likely to receive rehabilitation than residents in States using prospective facility-specific Medicaid payment, the differences were general and not specific to Medicaid residents. Retrospective payment for Medicaid resident care was associated with greater use of therapy for Medicaid residents.

  7. Optical Communication with Semiconductor Laser Diode. Interim Progress Report. Ph.D. Thesis

    NASA Technical Reports Server (NTRS)

    Davidson, Frederic; Sun, Xiaoli

    1989-01-01

    Theoretical and experimental performance limits of a free-space direct detection optical communication system were studied using a semiconductor laser diode as the optical transmitter and a silicon avalanche photodiode (APD) as the receiver photodetector. Optical systems using these components are under consideration as replacements for microwave satellite communication links. Optical pulse position modulation (PPM) was chosen as the signal format. An experimental system was constructed that used an aluminum gallium arsenide semiconductor laser diode as the transmitter and a silicon avalanche photodiode photodetector. The system used Q=4 PPM signaling at a source data rate of 25 megabits per second. The PPM signal format requires regeneration of PPM slot clock and word clock waveforms in the receiver. A nearly exact computational procedure was developed to compute receiver bit error rate without using the Gaussion approximation. A transition detector slot clock recovery system using a phase lock loop was developed and implemented. A novel word clock recovery system was also developed. It was found that the results of the nearly exact computational procedure agreed well with actual measurements of receiver performance. The receiver sensitivity achieved was the closest to the quantum limit yet reported for an optical communication system of this type.

  8. [Uncertain analgetic efficacy of intraurethral instillation of anesthetic jelly in rigid cystoscopy for men].

    PubMed

    Matsuda, Daisuke; Irie, Akira; Shimura, Satoru; Hirayama, Takahiro; Kurosaka, Shinji; Tsumura, Hideyasu; Maru, Norio; Baba, Shiro

    2005-09-01

    The analgetic efficacy of intraurethral instillation of anesthetic jelly in rigid cystoscopic examination for men is not clearly confirmed. This study evaluated the usefulness of intraurethral instillation of anesthetic jelly by questionnaires regarding the pain and uncomfortable feelings during and after the cystoscopic examination. A total of 62 men were enrolled in the study. Sixteen patients had not received cystoscopy previously (first cases), and 46 had prior experiences of cystoscopy more than twice (repeat cases). These patients were sequentially divided into two groups; one group (jelly-group) received intraurethral instillation of oxybuprocaine hydrochroride jelly (Benoxil jelly) prior to cystoscopic examination, and the other group (no-jelly-group) did not receive the jelly instillation. Pain during the jelly instillation to examination, and uncomfortable feelings at micturition after the examination was evaluated by questionnaires. Instillation of the jelly itself caused considerable pain, which almost similar to that of scope insertion. There was no significant difference in pain score between jelly-group and no-jelly-group during the insertion of the scope to examination. The miction pain after examination was significantly severer in the jelly-group than in the no-jelly-group in repeat cases. In addition, 75% of repeat cases felt better comfortableness when jelly was not instilled, and 96% of repeat cases did not want jelly instillation for their future examination. Intraurethral instillation of anesthetic jelly had no efficacy for reducing the pain during cystoscopy. Instillation of the jelly itself caused considerable pain, and it made pain and uncomfortable feelings after the examination worse. These results suggested that the instillation of anesthetic jelly before rigid cystoscopy in men might not be useful enough for reducing the uncomfortable feeling during the examination.

  9. Significant factors in family difficulties for fathers and mothers who use support services for children with hikikomori.

    PubMed

    Funakoshi, Akiko; Miyamoto, Yuki

    2015-04-01

    Hikikomori is a new psychosociological phenomenon among youth, of almost complete withdrawal from social interaction, and it has received considerable attention in community mental health in Japan. The aims of the present study were to identify the influential factors of family difficulties of parents who use support services for children with hikikomori, and compare them between fathers and mothers. Data were collected from 110 parents (55 couples) of children with hikikomori with regard to family difficulties, quality of life, and depression variables via self-report questionnaires. To assess the influential factors of Family Difficulties for parents with children with hikikomori, hierarchical multiple linear regression analysis was carried out for gender. While 94.5% of mothers received some kind of family support, only 61.9% of fathers received it. For both genders, the number of services that the fathers received was significantly correlated with marital cooperation, and the number of services that the mothers received was significantly correlated with support resource utilization. It is necessary for fathers to receive more support, and it is important for professionals to encourage parents to address their difficulties together. © 2014 The Authors. Psychiatry and Clinical Neurosciences © 2014 Japanese Society of Psychiatry and Neurology.

  10. Methodological considerations on descriptive studies of induced periodontal diseases in rats.

    PubMed

    Galvão, Mariane Ponzio; Chapper, Ana; Rösing, Cassiano Kuchenbecker; Ferreira, Maria Beatriz; de Souza, Maria Antonieta

    2003-01-01

    The aim of this study was to show the technique and the methodological approach used in describing histological characteristics of induced periodontal disease in rats. To reach that inflammatory process, periodontal disease was induced by ligature, with or without sucrose-rich diet. Twenty-four female adult (60 days old) Wistar rats were divided in four groups: Group 1, or control (which received standard diet), Group 2 (which received ligature around the upper second molars and a standard diet), Group 3 (which received a sucrose-rich diet), and Group 4 (which received ligature around the upper second molars and a sucrose-rich diet). The animals were followed for a period of 30 days, after which they were sacrificed. The upper second molars were removed, processed, and the histological characteristics were analyzed by a descriptive dichotomous method. The results were analyzed by the Fisher's exact test (significance level of 95%) and by a residual test, which showed the relation between groups and histological characteristics. The animals which received ligature (Groups 2 and 4) showed histological characteristics related with periodontitis, whilst the animals without ligatures showed no periodontal destruction. This was shown by a distribution of these groups in extremes of a graphic representation. The use of a ligature, as done in this study, was able to promote a chronic inflammatory process in the periodontium of rats, regardless of the adopted diet. The correspondence factorial analysis was capable of showing these characteristics, being one more tool to be used in histological research.

  11. People's feelings and ideas about receiving transplants of different origins--questions of life and death, identity, and nature's border.

    PubMed

    Sanner, M A

    2001-02-01

    The aim of this study was to explore the public's feelings and ideas with regard to receiving transplants of different origins. Sixty-nine individuals with varying sociodemographic background, selected from samples who had responded to a questionnaire on receiving and donating organs, were interviewed in-depth. A wide variety of reactions was displayed. The feelings and ideas about receiving organs were summarized in ten categories: 1) the emergency situation; 2) the functioning of the transplant; 3) the influence of transplants on personality, behaviour, and appearance; 4) the influence of transplants on body image; 5) disgust; 6) cannibalism; 7) trespassing nature's border; 8) tradition; 9) ethical considerations; and 10) the debt of gratitude. Most individuals were willing to accept at least one organ. Animal organs were the least preferred. The hierarchy of organ preferences--with organs from a relative at the top and animal organs at the bottom was explained in terms of rational, magical, and analogy thinking. Finally, the consequences for the encounter between health care personnel and transplantation candidates were briefly discussed.

  12. Sociocognitive predictors of the intention of healthcare workers to receive the influenza vaccine in Belgian, Dutch and German hospital settings.

    PubMed

    Lehmann, B A; Ruiter, R A C; van Dam, D; Wicker, S; Kok, G

    2015-03-01

    Influenza vaccination of healthcare workers (HCWs) is recommended to prevent the transmission of influenza to vulnerable patients. Nevertheless, vaccination coverage rates of HCWs in European countries have been low. To investigate the relative and combined strength of sociocognitive variables, from past research, theory and a qualitative study, in explaining the motivation of HCWs to receive the influenza vaccine. An anonymous, online questionnaire was distributed among HCWs in hospital settings in Belgium, Germany and the Netherlands between February and April 2013. Attitude and past vaccination uptake explained a considerable amount of variance in the intention of HCWs to receive the influenza vaccine. Moreover, low perceived social norms, omission bias, low moral norms, being older, having no patient contact, and being Belgian or Dutch (compared with German) increased the probability of having no intention to receive the influenza vaccine compared with being undecided about vaccination. High intention to receive the influenza vaccine was shown to be more likely than being undecided about vaccination when HCWs had high perceived susceptibility of contracting influenza, low naturalistic views, and lower motivation to receive the vaccine solely for self-protection. Country-specific interventions and a focus on different sociocognitive variables depending on the intention/lack of intention of HCWs to receive the influenza vaccine may be beneficial to promote vaccination uptake. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  13. Numerical modeling of the load effect on PZT-induced guided wave for load compensation of damage detection

    NASA Astrophysics Data System (ADS)

    Sun, Hu; Zhang, Aijia; Wang, Yishou; Qing, Xinlin P.

    2017-04-01

    Guided wave-based structural health monitoring (SHM) has been given considerable attention and widely studied for large-scale aircraft structures. Nevertheless, it is difficult to apply SHM systems on board or online, for which one of the most serious reasons is the environmental influence. Load is one fact that affects not only the host structure, in which guided wave propagates, but also the PZT, by which guided wave is transmitted and received. In this paper, numerical analysis using finite element method is used to study the load effect on guided wave acquired by PZT. The static loads with different grades are considered to analyze its effect on guided wave signals that PZT transmits and receives. Based on the variation trend of guided waves versus load, a load compensation method is developed to eliminate effects of load in the process of damage detection. The probabilistic reconstruction algorithm based on the signal variation of transmitter-receiver path is employed to identify the damage. Numerical tests is conducted to verify the feasibility and effectiveness of the given method.

  14. Transcriptome Analysis of the Scleractinian Coral Stylophora pistillata

    PubMed Central

    Salmon-Divon, Mali; Katzenellenbogen, Mark; Tambutté, Sylvie; Bertucci, Anthony; Hoegh-Guldberg, Ove; Deleury, Emeline; Allemand, Denis; Levy, Oren

    2014-01-01

    The principal architects of coral reefs are the scleractinian corals; these species are divided in two major clades referred to as “robust” and “complex” corals. Although the molecular diversity of the “complex” clade has received considerable attention, with several expressed sequence tag (EST) libraries and a complete genome sequence having been constructed, the “robust” corals have received far less attention, despite the fact that robust corals have been prominent focal points for ecological and physiological studies. Filling this gap affords important opportunities to extend these studies and to improve our understanding of the differences between the two major clades. Here, we present an EST library from Stylophora pistillata (Esper 1797) and systematically analyze the assembled transcripts compared to putative homologs from the complete proteomes of six well-characterized metazoans: Nematostella vectensis, Hydra magnipapillata, Caenorhabditis elegans, Drosophila melanogaster, Strongylocentrotus purpuratus, Ciona intestinalis and Homo sapiens. Furthermore, comparative analyses of the Stylophora pistillata ESTs were performed against several Cnidaria from the Scleractinia, Actiniaria and Hydrozoa, as well as against other stony corals separately. Functional characterization of S. pistillata transcripts into KOG/COG categories and further description of Wnt and bone morphogenetic protein (BMP) signaling pathways showed that the assembled EST library provides sufficient data and coverage. These features of this new library suggest considerable opportunities for extending our understanding of the molecular and physiological behavior of “robust” corals. PMID:24551124

  15. Spread Spectrum Receiver Electromagnetic Interference (EMI) Test Guide

    NASA Technical Reports Server (NTRS)

    Wheeler, M. L.

    1998-01-01

    The objective of this test guide is to document appropriate unit level test methods and techniques for the performance of EMI testing of Direct Sequence (DS) spread spectrum receivers. Consideration of EMI test methods tailored for spread spectrum receivers utilizing frequency spreading, techniques other than direct sequence (such as frequency hopping, frequency chirping, and various hybrid methods) is beyond the scope of this test guide development program and is not addressed as part of this document EMI test requirements for NASA programs are primarily developed based on the requirements contained in MIL-STD-46 1 D (or earlier revisions of MIL-STD-46 1). The corresponding test method guidelines for the MIL-STD-461 D tests are provided in MIL-STD-462D. These test methods are well documented with the exception of the receiver antenna port susceptibility tests (intermodulation, cross modulation, and rejection of undesired signals) which must be tailored to the specific type of receiver that is being tested. Thus, test methods addressed in this guide consist only of antenna port tests designed to evaluate receiver susceptibility characteristics. MIL-STD-462D should be referred for guidance pertaining to test methods for EMI tests other than the antenna port tests. The scope of this test guide includes: (1) a discussion of generic DS receiver performance characteristics; (2) a summary of S-band TDRSS receiver operation; (3) a discussion of DS receiver EMI susceptibility mechanisms and characteristics; (4) a summary of military standard test guidelines; (5) recommended test approach and methods; and (6) general conclusions and recommendations for future studies in the area of spread spectrum receiver testing.

  16. 28 CFR 345.33 - Waiting list hiring exceptions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... reason other than formal education, vocational training, drug abuse or similar formal programs). For... preference, and does not receive consideration for accelerated promotion back to the grade held at time of...

  17. 42 CFR 136.117 - Amendment of regulations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... House of Representatives. (c) Publish the proposed revisions or amendments in the Federal Register as... consideration of all comments received, publish the regulations in the Federal Register in final form not less...

  18. 42 CFR 136.117 - Amendment of regulations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... House of Representatives. (c) Publish the proposed revisions or amendments in the Federal Register as... consideration of all comments received, publish the regulations in the Federal Register in final form not less...

  19. 7 CFR 3560.707 - Program participation and corrective actions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... tenant, who has received unauthorized assistance, may continue to participate in the project if they have the legal and financial capabilities to do so. Approval considerations for such forbearance and...

  20. Low-Radiation Cellular Inductive Powering of Rodent Wireless Brain Interfaces: Methodology and Design Guide.

    PubMed

    Soltani, Nima; Aliroteh, Miaad S; Salam, M Tariqus; Perez Velazquez, Jose Luis; Genov, Roman

    2016-08-01

    This paper presents a general methodology of inductive power delivery in wireless chronic rodent electrophysiology applications. The focus is on such systems design considerations under the following key constraints: maximum power delivery under the allowable specific absorption rate (SAR), low cost and spatial scalability. The methodology includes inductive coil design considerations within a low-frequency ferrite-core-free power transfer link which includes a scalable coil-array power transmitter floor and a single-coil implanted or worn power receiver. A specific design example is presented that includes the concept of low-SAR cellular single-transmitter-coil powering through dynamic tracking of a magnet-less receiver spatial location. The transmitter coil instantaneous supply current is monitored using a small number of low-cost electronic components. A drop in its value indicates the proximity of the receiver due to the reflected impedance of the latter. Only the transmitter coil nearest to the receiver is activated. Operating at the low frequency of 1.5 MHz, the inductive powering floor delivers a maximum of 15.9 W below the IEEE C95 SAR limit, which is over three times greater than that in other recently reported designs. The power transfer efficiency of 39% and 13% at the nominal and maximum distances of 8 cm and 11 cm, respectively, is maintained.

  1. The statistical analysis of received time-series signals from the laser illumination of remote objects through turbulence

    NASA Astrophysics Data System (ADS)

    Chandler, Susan; Lukesh, Gordon

    2006-11-01

    Ground-to-space illumination experiments, such as the Floodbeam I (FBE I, 1993), Floodbeam II (FBE II, 1996) and Active Imaging Testbed (AIT, 1999), fielded by the Imaging Branch of the United States Air Force Research Laboratory at Starfire Optical Range (SOR) on Kirtland AFB, NM, obtained considerable information from these highly successful experiments. While the experiments were primarily aimed at collecting focal/pupil plane data, the authors recognized during data reduction that the received time-series signals from the integrated full receiver focal plane data contains considerable hitherto unexploited information. For more than 10 years the authors have investigated the exploitation of data contained within the time-series signal from ground-to-space experiments. Results have been presented at numerous SPIE and EOS Remote Sensing Meetings. In July 2005, the authors were honored as invited speakers at the XIIth Symposium "Atmosphere and Ocean Optics; Atmospheric Physics" Tomsk, Russia. The authors were invited to return to Tomsk in 2006 however a serious automobile accident precluded attendance. This paper, requested for publication, provides an important summary of recent results.

  2. A videotape intervention for sexual counseling after myocardial infarction.

    PubMed

    Steinke, Elaine E

    2002-01-01

    The purpose of this study was to describe the development and testing of a videotape intervention for sexual counseling after myocardial infarction (MI). A videotape was developed as a research intervention for sexual counseling after MI. The concepts of sexual integrity, quality of life, and stress and coping were key concepts underpinning the intervention. This article describes the development of the videotape and its content, including considerations for planning, testing, and producing a videotape for research. The videotape intervention is currently being used in a study of patients with MI who are pretested while hospitalized and posttested at 1, 3, and 5 months after MI. Subjects in the treatment group receive the videotape to view in the privacy of their home. Control subjects receive the videotape after the 5-month follow-up period. All subjects receive the usual written and verbal instructions while hospitalized. The 5 outcome variables tested in the study with the videotape are quality of life, knowledge, anxiety, sexual satisfaction, and return to sexual activity. The use of a videotape intervention in the home setting provides an additional method of patient education. This approach appears ideal for this sensitive topic.

  3. A qualitative approach of psychosocial adaptation process in patients undergoing long-term hemodialysis.

    PubMed

    Lin, Chun-Chih; Han, Chin-Yen; Pan, I-Ju

    2015-03-01

    Professional hemodialysis (HD) nursing tends to be task-oriented and lack consideration of the client's viewpoint. This study aims to interpret the process of psychosocial adaptation to dealing with HD in people with end-stage renal disease (ESRD). A grounded theory guided this study. Theoretical sampling included 15 people receiving HD at the HD center of a hospital from July to November 2010. Participants received an information sheet in writing, a verbal invitation, and informed consent forms before interviews were conducted. A constant comparative data analysis was analyzed using open, axial and selective coding. The computer software ATLAS.ti assisted data management. Credibility, transferability, dependability, and confirmability ensured the rigor of study process. This study identified "adopting life with hemodialysis", which captures the process of the psychosocial adaptation in people with ESRD as one transformation. Four categories that evolved from "adopting HD life" are (a) slipping into, (b) restricted to a renal world, (c) losing self control, and (d) stuck in an endless process. The findings of this investigation indicate the multidimensional requirements of people receiving maintenance dialysis, with an emphasis on the deficiency in psychosocial and emotional care. The study's findings contribute to clinical practice by increasing the understanding of the experience of chronic HD treatment from the recipient's viewpoint. The better our understanding, the better the care provided will meet the needs of the people receiving HD. Copyright © 2015. Published by Elsevier B.V.

  4. Bending the rules: when deaf writers leave college.

    PubMed

    Biser, Eileen; Rubel, Linda; Toscano, Rose Marie

    2007-01-01

    On-the-job writing of deaf college graduates at all degree levels was investigated. Institutional databases and questionnaires to alumni and employers were the sources for information. Respondents were asked about editing assistance, sources and types of assistance, and perceptions of such assistance by employers and employees. Results of the study confirmed that deaf employees did considerable writing regardless of degree or type of job. Their self-reports indicated grammar as the major weakness. Additionally, employers stated that clarity, organization, and spelling were serious writing problems. The study also showed that deaf employees asked for and received editing assistance and that employers were willing to support the improvement of writing skills. Because error-free texts are expected in the workplace and editing assistance is sought and received, postsecondary institutions should mimic these practices by providing copyediting services and instruction in the ethics and practices of working with editors.

  5. Effects of information on young consumers' willingness to pay for genetically modified food: experimental auction analysis.

    PubMed

    Kajale, Dilip B; Becker, T C

    2014-01-01

    This study examines the effects of information on consumers' willingness to pay (WTP) for genetically modified food (GMF). We used Vickrey second price experimental auction method for elicitation of consumer WTP for GM potato chips and GM soya-chocolate bar. The sample used in this study was university students from Delhi, India. Four information formats (positive, negative, no information, and combined information about GM technology) were used for the examination. The results show that, when students received the combine information they were willing to pay around 17%-20% premium for GMF and when received the negative information they demanded around 22% discount for GMF. While the positive- and the no-information formats alone have no considerable effect on consumers' WTP for GMF. Overall, our findings suggest that while doing marketing of GMF in India, the best strategy is to provide combined information about GM technology.

  6. 15 CFR 200.110 - Priorities and time of completion.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... calibrations and other tests will generally be made in the order in which confirmed requests are received... considerably longer, particularly if their abnormal behavior requires reruns to check reliability. The customer...

  7. 78 FR 15405 - Internal Revenue Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-11

    ... be received on or before May 10, 2013 to be assured of consideration. ADDRESSES: Direct all written... have been properly computed. The form is also used for the basis election of section 1016(c)(1...

  8. Disciplining Bioethics: Towards a Standard of Methodological Rigor in Bioethics Research

    PubMed Central

    Adler, Daniel; Shaul, Randi Zlotnik

    2012-01-01

    Contemporary bioethics research is often described as multi- or interdisciplinary. Disciplines are characterized, in part, by their methods. Thus, when bioethics research draws on a variety of methods, it crosses disciplinary boundaries. Yet each discipline has its own standard of rigor—so when multiple disciplinary perspectives are considered, what constitutes rigor? This question has received inadequate attention, as there is considerable disagreement regarding the disciplinary status of bioethics. This disagreement has presented five challenges to bioethics research. Addressing them requires consideration of the main types of cross-disciplinary research, and consideration of proposals aiming to ensure rigor in bioethics research. PMID:22686634

  9. Comparing the effects of manual therapy versus electrophysical agents in the management of knee osteoarthritis.

    PubMed

    Ali, Syed Shahzad; Ahmed, Syed Imran; Khan, Muhammad; Soomro, Rabail Rani

    2014-07-01

    To evaluate the effectiveness of Manual Therapy in comparison to Electrophysical agents in Knee Osteoarthritis. Total 50 patients with knee osteoarthritis were recruited from OPD of orthopedics civil hospital and Institute Of Physical Medicine & Rehabilitation, Dow University of Health Sciences Karachi. All those patients who fulfilled inclusion criteria were selected on voluntary basis. Selected patients were equally divided and randomly assigned into two groups with age and gender matching. The Manual therapy group received program of Maitland joint mobilization whereas Electrophysical Agent group received a program of TENS and cold pack. Both group received a program of exercise therapy as well. Patients received 3 treatment sessions per week for 4 successive weeks. Clinical assessment was performed using WOMAC index at baseline and on 12th treatment session. Both study groups showed clinically and statistically considerable improvements in WOMAC index. However, Related 2 sample t-test showed better clinical results in Manual Therapy group (p = 0.000) than Electrophysical Agents group (p = 0.008). The mean improvement in total WOMAC index was relatively higher in Manual Therapy group (22.36 ± 13.91) than Electrophysical Agent group (9.72 ± 6.10). This study concluded that manual therapy is clinically more effective in decreasing pain, stiffness and improving physical function in knee osteoarthritis.

  10. A record-based analysis of 803 patients treated for depression in psychiatric care.

    PubMed

    Rytsälä, H J; Melartin, T K; Leskelä, U S; Lestelä-Mielonen, P S; Sokero, T P; Isometsä, E T

    2001-09-01

    New antidepressants emerged and became widely used during the 1990s. The present study investigated quality-of-care problems in the treatment of depression in a current psychiatric setting. We investigated the treatment received for depression by all 803 inpatients or outpatients with a clinical diagnosis of ICD-10 depressive episode or recurrent depressive disorder in 1996 in the Peijas Medical Care District, which provides psychiatric services for citizens of Vantaa, a city in southern Finland. Most patients (84%) in the sample were found to have received antidepressants, generally in adequate, albeit low, doses. Inadequate antidepressant treatment was common only with tricyclic antidepressants. Most patients received a single antidepressant for extended periods; only 22% had 2 or more antidepressant trials. During the treatment period, disability pension was granted to 19% of those not already pensioned, two thirds (67%) of whom had received only 1 antidepressant trial prior to being granted a pension. The present study supports the emerging perception of improved quality of pharmacotherapy in psychiatric settings, with the exception of treatment with tricyclic antidepressants. Problems of quality of care now appear to be related to the suboptimal intensity and monitoring of the treatment provided. which may eventually result in considerable costs to society due to permanent disability.

  11. Design of a 12 channel fm microwave receiver. [for satellite ground stations

    NASA Technical Reports Server (NTRS)

    Risch, C. O.; Rosenbaum, F. J.; Gregory, R. O.

    1974-01-01

    The design, fabrication, and performance of elements of a low cost FM microwave satellite ground station receiver is described. It is capable of accepting 12 contiguous color television equivalent bandwidth channels in the 11.72 to 12.2 GHz band. Each channel is 40 MHz wide and incorporates a 4 MHz guard band. The modulation format is wideband FM and the channels are frequency division multiplexed. Twelve independent CATV compatible baseband outputs are provided. The overall system specifications are first discussed, then consideration is given to the receiver subsystems and the signal branching network.

  12. Efficient many-party controlled teleportation of multiqubit quantum information via entanglement

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

    Yang Chuiping; Department of Chemistry, University of Kansas, and Kansas Center for Advanced Scientific Computing, Lawrence, Kansas 66045; Chu, Shih-I

    2004-08-01

    We present a way to teleport multiqubit quantum information from a sender to a distant receiver via the control of many agents in a network. We show that the original state of each qubit can be restored by the receiver as long as all the agents collaborate. However, even if one agent does not cooperate, the receiver cannot fully recover the original state of each qubit. The method operates essentially through entangling quantum information during teleportation, in such a way that the required auxiliary qubit resources, local operation, and classical communication are considerably reduced for the present purpose.

  13. Comparison of safety and immunogenicity of a Vi polysaccharide typhoid vaccine with a whole-cell killed vaccine in Malaysian Air Force recruits.

    PubMed Central

    Panchanathan, V.; Kumar, S.; Yeap, W.; Devi, S.; Ismail, R.; Sarijan, S.; Sam, S. M.; Jusoh, Z.; Nordin, S.; Leboulleux, D.; Pang, T.

    2001-01-01

    OBJECTIVE: To carry out a comparative study of the safety and immunogenicity of Vi polysaccharide vaccine against whole-cell killed (WCK) typhoid vaccine. METHODS: The study was carried out on young adult recruits (aged 18-25 years) of the Malaysian Air Force. A total of 125 subjects received the Vi polysaccharide vaccine and 114 received the WCK vaccine. FINDINGS: The Vi vaccine was significantly less reactogenic than the WCK vaccine with regard to systemic and local reactions. Following administration of the Vi vaccine, seroconversion rates (defined as the percentage of subjects with a 4-fold rise of baseline antibody level) of 75.5% and 67% were observed at 2 weeks and 6 weeks, respectively, after immunization, compared with 25% and 31.3% among recipients of the WCK vaccine. Of the 110 Vi vaccinees with serological data, 21 (19%) had high, seroprotective, pre-immunization levels of anti-Vi antibodies (> or = 1 microgram/ml). The majority of subjects in this group came from a region in Malaysia which is known to have high typhoid endemicity. Interestingly, these antibody levels were boosted considerably following administration of vaccine at a level that was 5-fold higher than in subjects with low pre-immunization levels. In contrast, the seroconversion rates in those receiving the Vi vaccine were higher in subjects with low pre-immunization levels of anti-Vi antibodies (76-84%), compared to those with protective levels of > or = 1 microgram/ml prior to immunization (48-57%). CONCLUSIONS: The study reaffirms the safety and efficacy of the Vi polysaccharide vaccine and identifies a hitherto unrecognized advantage in its use, i.e. it is a potent immunogen that boosted considerably the protective antibody levels among a significant number of immunologically sensitized individuals living in typhoid-endemic regions. PMID:11584728

  14. Optical-communication systems for deep-space applications

    NASA Technical Reports Server (NTRS)

    Vilnrotter, V. A.; Gagliardi, R. M.

    1980-01-01

    The feasibility of using optical communication systems for data telemetry from deep space vehicles to Earth based receivers is evaluated. Performance analysis shows that practical, photon counting optical systems can transmit data reliably at 30 to 40 dB high rates than existing RF systems, or can be used to extend the communication range by 15 to 20 dB. The advantages of pulse-position modulation (PPM) formats are discussed, and photon counting receiver structures designed for PPM decoding are described. The effects of background interference and weather on receiver performance are evaluated. Some consideration is given to tracking and beam pointing operations, since system performance ultimately depends on the accuracy to which these operations can be carried out. An example of a tracking and pointing system utilizing an optical uplink beacon is presented, and it is shown that microradian beam pointing is within the capabilities of state-of-the-art technology. Recommendations for future theoretical studies and component development programs are presented.

  15. Channel Model Optimization with Reflection Residual Component for Indoor MIMO-VLC System

    NASA Astrophysics Data System (ADS)

    Chen, Yong; Li, Tengfei; Liu, Huanlin; Li, Yichao

    2017-12-01

    A fast channel modeling method is studied to solve the problem of reflection channel gain for multiple input multiple output-visible light communications (MIMO-VLC) in the paper. For reducing the computational complexity when associating with the reflection times, no more than 3 reflections are taken into consideration in VLC. We think that higher order reflection link consists of corresponding many times line of sight link and firstly present reflection residual component to characterize higher reflection (more than 2 reflections). We perform computer simulation results for point-to-point channel impulse response, receiving optical power and receiving signal to noise ratio. Based on theoretical analysis and simulation results, the proposed method can effectively reduce the computational complexity of higher order reflection in channel modeling.

  16. Thermal energy storage flight experiments

    NASA Technical Reports Server (NTRS)

    Namkoong, D.

    1989-01-01

    Consideration is given to the development of an experimental program to study heat transfer, energy storage, fluid movement, and void location under microgravity. Plans for experimental flight packages containing Thermal Energy Storage (TES) material applicable for advanced solar heat receivers are discussed. Candidate materials for TES include fluoride salts, salt eutectics, silicides, and metals. The development of a three-dimensional computer program to describe TES material behavior undergoing melting and freezing under microgravity is also discussed. The TES experiment concept and plans for ground and flight tests are outlined.

  17. Application of Microchip for Biomarker Analysis

    NASA Astrophysics Data System (ADS)

    Kataoka, Masatoshi; Yatsushiro, Shouki; Yamamura, Shouhei; Abe, Hiroko

    Microchip technologies have received considerable attention, due to their competitive advantages, especially in regards to reduced sample and reagent consumption, analysis time, and easy operation. This approach has been successfully used to analyze DNA, amino acids, proteins, and carbohydrates. In the present study, we showed the potential of microchip technologies for the biomarker analysis, blood carbohydrate analysis on microchip electrophoresis, quantitative analysis of protein with antigen-antibody reaction on microchip, and the detection of malaria-infected erythrocyte with a cell microarray chip.

  18. Measuring secondary phases in duplex stainless steels

    NASA Astrophysics Data System (ADS)

    Calliari, I.; Brunelli, K.; Dabalà, M.; Ramous, E.

    2009-01-01

    The use of duplex stainless steels is limited by their susceptibility to the formation of dangerous intermetallic phases resulting in detrimental effects on impact toughness and corrosion resistance. This precipitation and the quantitative determinations of the phases have received considerable attention and different precipitation sequences (σ phase, χ phase, and carbides) have been suggested. This study investigates the phase transformation during continuous cooling and isothermal treatments in commercial duplex stainless steel grades and the effects on alloy properties, and compares the most common techniques of analysis.

  19. Safety Guidelines for Field Data Collection

    DOT National Transportation Integrated Search

    2010-02-01

    Safety concerns are always present when personnel are working near or adjacent to a highway. Safety considerations must include the workers as well as the motoring public. Construction safety has received extensive attention, but this research focuse...

  20. Project : semi-autonomous parking for enhanced safety and efficiency.

    DOT National Transportation Integrated Search

    2016-04-01

    Index coding, a coding formulation traditionally analyzed in the theoretical computer science and : information theory communities, has received considerable attention in recent years due to its value in : wireless communications and networking probl...

  1. Reasons and determinants for not receiving treatment for common mental disorders.

    PubMed

    van Beljouw, Ilse; Verhaak, Peter; Prins, Marijn; Cuijpers, Pim; Penninx, Brenda; Bensing, Jozien

    2010-03-01

    This study focused on patients in the general population whose anxiety or depressive disorder is untreated. It explored reasons for not receiving treatment and compared four groups of patients-three that did not receive treatment for different reasons (no problem perceived, no perceived need for care, and unmet need for care) and one that received treatment-regarding their predisposing, enabling, and need factors. Cross-sectional data were used for 743 primary care patients with current anxiety or depressive disorder from the Netherlands Study of Depression and Anxiety (NESDA). Diagnoses were confirmed with the Composite International Diagnostic Interview. Patients' perception of the presence of a mental problem, perceived need for care, service utilization, and reasons for not receiving treatment were assessed with the Perceived Need for Care Questionnaire. Forty-three percent of the respondents with a six-month anxiety or depression diagnosis did not receive treatment. Twenty-one percent of all respondents with depression or anxiety expressed a need for care but did not receive any. Preferring to manage the problem themselves was the most common reason for respondents to avoid seeking treatment. There were no significant differences in clinical need factors between treated patients and untreated patients with a perceived need for care. Compared with patients in the other two untreated groups, untreated patients with a perceived need for care were more hindered in regard to symptom severity, functional disability, and psychosocial functioning. General practitioners should pay considerable attention to patients whose need for care is unmet. Furthermore, findings support the implementation of patient empowerment in mental health care in order to contribute to easily accessible and patient-centered care.

  2. A single-centre comparison of the clinical outcomes at 6 months of renal transplant recipients administered Adoport® or Prograf® preparations of tacrolimus

    PubMed Central

    Connor, Andrew; Prowse, Andrew; Newell, Paul; Rowe, Peter A.

    2013-01-01

    Background The use of generic formulations of immunosuppressive drugs in place of brand name drugs offers considerable cost savings. Brand name tacrolimus (Prograf®) came off patent in April 2008. However, published evidence supporting therapeutic equivalence of generic formulations of tacrolimus in solid organ transplantation is lacking. The South West Transplant Centre switched from administering Prograf® to a generic formulation (Adoport®) for de novo transplant recipients in November 2010. This study sought to compare the clinical outcomes of renal transplant recipients administered Prograf® with those receiving Adoport®. Methods Data regarding patient characteristics and clinical outcomes were collected retrospectively for all patients undergoing renal transplantation at the South West Transplant Centre between 8 November 2009 and 8 November 2011 to whom tacrolimus was prescribed. Results A total of 48 patients received Prograf® and 51 received Adoport®. At 6 months, no statistically significant differences were identified in the rates of patient survival, graft survival, acute allograft rejection, delayed graft function, calcineurin inhibitor toxicity or cytomegalovirus infection occurring within the two groups. Conclusions This is the first study to compare the clinical outcomes of patients receiving Adoport® with those receiving brand name tacrolimus. We report comparable clinical outcomes at 6 months in patients receiving either Prograf® or Adoport® from the time of renal transplantation. These early outcome data therefore support the use of Adoport® in place of Prograf® as a potential cost-saving measure. PMID:27818747

  3. Using Procedure Codes to Define Radiation Toxicity in Administrative Data: The Devil is in the Details.

    PubMed

    Meyer, Anne-Marie; Kuo, Tzy-Mey; Chang, YunKyung; Carpenter, William R; Chen, Ronald C; Sturmer, Til

    2017-05-01

    Systematic coding systems are used to define clinically meaningful outcomes when leveraging administrative claims data for research. How and when these codes are applied within a research study can have implications for the study validity and their specificity can vary significantly depending on treatment received. Data are from the Surveillance, Epidemiology, and End Results-Medicare linked dataset. We use propensity score methods in a retrospective cohort of prostate cancer patients first examined in a recently published radiation oncology comparative effectiveness study. With the narrowly defined outcome definition, the toxicity event outcome rate ratio was 0.88 per 100 person-years (95% confidence interval, 0.71-1.08). With the broadly defined outcome, the rate ratio was comparable, with 0.89 per 100 person-years (95% confidence interval, 0.76-1.04), although individual event rates were doubled. Some evidence of surveillance bias was suggested by a higher rate of endoscopic procedures the first year of follow-up in patients who received proton therapy compared with those receiving intensity-modulated radiation treatment (11.15 vs. 8.90, respectively). This study demonstrates the risk of introducing bias through subjective application of procedure codes. Careful consideration is required when using procedure codes to define outcomes in administrative data.

  4. Barriers to Health Service Utilization Among Iranian Female Sex Workers: A Qualitative Study

    PubMed Central

    Merghati-Khoei, Effat

    2018-01-01

    Objectives In most countries around the world, sex work is an illegal activity. Female sex workers (FSWs) in Iran hide their identities, and they are known to be a hard-to-reach population. Despite free access to HIV testing, fewer than half of FSWs receive HIV testing. The purpose of this study was to characterize the reasons for which FSWs do not seek testing at drop-in centers (DICs) and voluntary counseling and testing (VCT) centers in Iran. Methods A qualitative study was conducted in 2016. The participants were 24 FSWs who received services at VCT centers and DICs for vulnerable females in the north of Iran and 9 males who were the clients of FSWs. In this study, we made use of purposive sampling and carried out a thematic analysis. Results We found 4 major and 6 minor themes. The major themes were: fear of being infected (with HIV), stigma, indifference, and knowledge. Conclusions Despite the significant efforts made by the government of Iran to establish and expand DICs for vulnerable females, the number of FSWs receiving services at these centers has not been very considerable. Consequently, by introducing and implementing training programs for peer groups, it may be possible to take steps toward establishing strategic programs for the control and prevention of HIV/AIDS. PMID:29631351

  5. Audiometric correlates of the Hearing Handicap Inventory for the elderly.

    PubMed

    Weinstein, B E; Ventry, I M

    1983-11-01

    The self-assessment of hearing handicap has received considerable attention in recent years. The Hearing Handicap Inventory for the Elderly (HHIE) is a self-assessment technique designed to quantify the emotional and social effects of self-perceived hearing impairment in the noninstitutionalized elderly. The purpose of the present study was to examine the audiometric correlates of hearing handicap as measured by the HHIE. One hundred elderly subjects received complete audiometric evaluations as well as the HHIE. The results indicated that pure-tone sensitivity in the better ear was most highly correlated with the HHIE (r = .61) and that word recognition accounted for no more than 20% of the variance in HHIE scores. These results are similar to those reported for younger subjects and for other handicap assessment techniques. The results also indicated that there is considerable individual variability in the emotional and social response to hearing impairment, especially in individuals with mild (26-40 dB PTA in better ear) hearing impairment. The variability in response to impairment coupled with the fact that audiometric measures explain less than 50% of the variance in hearing handicap suggest that hearing handicap in the elderly will be measured more appropriately via a self-report format rather than as an inference from audiometric data.

  6. Industry Relationships With Pediatricians: Findings From the Open Payments Sunshine Act.

    PubMed

    Parikh, Kavita; Fleischman, William; Agrawal, Shantanu

    2016-06-01

    Ties between physicians and pharmaceutical/medical device manufactures have received considerable attention. The Open Payments program, part of the Affordable Care Act, requires public reporting of payments to physicians from industry. We sought to describe payments from industry to physicians caring for children by (1) comparing payments to pediatricians to other medical specialties, (2) determining variation in payments among pediatric subspecialties, and (3) identifying the types of payment and the products associated with payments to pediatricians. We conducted a descriptive, cross-sectional analysis of Open Payments data from January 1 to December 31, 2014. The primary outcomes included percent of physicians receiving payments, median total pay per physician, the types of payments received, and the drugs and devices associated with payments. There were 9 638 825 payments to physicians, totaling $1 186 217 157. There were 244 915 payments to general pediatricians and pediatric subspecialists, totaling >$32 million. The median individual payment to general pediatricians was $14.63 (interquartile range 12-20), and median total pay per general pediatrician was $89 (interquartile range 32-186). General pediatricians accounted for 1.7% of total payments, and 0.9% of the sum of payments. Developmental pediatricians had the highest percentage of pediatric physicians receiving payment, and pediatric endocrinologists received the highest median payment. Top marketed medications were for attention-deficient/hyperactivity disorder and vaccinations. More than 40% of pediatricians received payments from industry in 2014, a lower percentage than family physicians or internists. There was considerable variation in physician-industry ties among the pediatric subspecialties. Most payments were associated with medications that treat attention-deficient/hyperactivity disorder and vaccinations. Copyright © 2016 by the American Academy of Pediatrics.

  7. A harmonic analysis approach to joint inversion of P-receiver functions and wave dispersion data in high dense seismic profiles

    NASA Astrophysics Data System (ADS)

    Molina-Aguilera, A.; Mancilla, F. D. L.; Julià, J.; Morales, J.

    2017-12-01

    Joint inversion techniques of P-receiver functions and wave dispersion data implicitly assume an isotropic radial stratified earth. The conventional approach invert stacked radial component receiver functions from different back-azimuths to obtain a laterally homogeneous single-velocity model. However, in the presence of strong lateral heterogeneities as anisotropic layers and/or dipping interfaces, receiver functions are considerably perturbed and both the radial and transverse components exhibit back azimuthal dependences. Harmonic analysis methods exploit these azimuthal periodicities to separate the effects due to the isotropic flat-layered structure from those effects caused by lateral heterogeneities. We implement a harmonic analysis method based on radial and transverse receiver functions components and carry out a synthetic study to illuminate the capabilities of the method in isolating the isotropic flat-layered part of receiver functions and constrain the geometry and strength of lateral heterogeneities. The independent of the baz P receiver function are jointly inverted with phase and group dispersion curves using a linearized inversion procedure. We apply this approach to high dense seismic profiles ( 2 km inter-station distance, see figure) located in the central Betics (western Mediterranean region), a region which has experienced complex geodynamic processes and exhibit strong variations in Moho topography. The technique presented here is robust and can be applied systematically to construct a 3-D model of the crust and uppermost mantle across large networks.

  8. Basics of compounding sterile preparations: nomenclature and considerations.

    PubMed

    Allen, Loyd V

    2014-01-01

    This article focuses on sterile dosage forms and serves as a review for those trained in compounding sterile preparations, as well as to educate those that have not received any formal training on the topics of nomenclature and composition. The use of proper terminology is important for proper/accurate communications among healthcare practitioners. Proper terminology also has potential legal/liability implications. In addition to terminology considerations, it is important to be aware of the different routes of administration of sterile formulations and their different compositions and uses.

  9. 75 FR 69458 - Notice of Draft NIJ Law Enforcement Duty Holster Selection and Application Guide

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-12

    ... and organizations, research, development and scientific communities, and all other stakeholders and... consideration are directed to the following Web site: http://www.justnet.org . DATES: Comments must be received...

  10. 38 CFR 17.803 - Order of consideration.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... first-come-first-serve basis, subject to availability of funds for loans and awards will be made on a first-come-first-serve basis to applicants who meet the criteria for receiving a loan. If no funds are...

  11. 38 CFR 17.803 - Order of consideration.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... first-come-first-serve basis, subject to availability of funds for loans and awards will be made on a first-come-first-serve basis to applicants who meet the criteria for receiving a loan. If no funds are...

  12. 38 CFR 17.803 - Order of consideration.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... first-come-first-serve basis, subject to availability of funds for loans and awards will be made on a first-come-first-serve basis to applicants who meet the criteria for receiving a loan. If no funds are...

  13. 38 CFR 17.803 - Order of consideration.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... first-come-first-serve basis, subject to availability of funds for loans and awards will be made on a first-come-first-serve basis to applicants who meet the criteria for receiving a loan. If no funds are...

  14. 38 CFR 17.803 - Order of consideration.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... first-come-first-serve basis, subject to availability of funds for loans and awards will be made on a first-come-first-serve basis to applicants who meet the criteria for receiving a loan. If no funds are...

  15. 78 FR 25430 - Submission for OMB review; comment request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ....C. Chapter 35). DATES: Consideration will be given to all comments received by May 31, 2013. Title, Associated Form and OMB Number: DoD Active Duty/Reserve Forces Dental Exam; DD Form 2813; OMB Control Number...

  16. Space infrared telescope facility wide field and diffraction limited array camera (IRAC)

    NASA Technical Reports Server (NTRS)

    Fazio, G. G.

    1986-01-01

    IRAC focal plane detector technology was developed and studies of alternate focal plane configurations were supported. While any of the alternate focal planes under consideration would have a major impact on the Infrared Array Camera, it was possible to proceed with detector development and optical analysis research based on the proposed design since, to a large degree, the studies undertaken are generic to any SIRTF imaging instrument. Development of the proposed instrument was also important in a situation in which none of the alternate configurations has received the approval of the Science Working Group.

  17. Persuasion, Influence, and Value: Perspectives from Communication and Social Neuroscience.

    PubMed

    Falk, Emily; Scholz, Christin

    2018-01-04

    Opportunities to persuade and be persuaded are ubiquitous. What determines whether influence spreads and takes hold? This review provides an overview of evidence for the central role of subjective valuation in persuasion and social influence for both propagators and receivers of influence. We first review evidence that decisions to communicate information are determined by the subjective value a communicator expects to gain from sharing. We next review evidence that the effects of social influence and persuasion on receivers, in turn, arise from changes in the receiver's subjective valuation of objects, ideas, and behaviors. We then review evidence that self-related and social considerations are two key inputs to the value calculation in both communicators and receivers. Finally, we highlight biological coupling between communicators and receivers as a mechanism through which perceptions of value can be transmitted.

  18. Optimizing the wireless power transfer over MIMO Channels

    NASA Astrophysics Data System (ADS)

    Wiedmann, Karsten; Weber, Tobias

    2017-09-01

    In this paper, the optimization of the power transfer over wireless channels having multiple-inputs and multiple-outputs (MIMO) is studied. Therefore, the transmitter, the receiver and the MIMO channel are modeled as multiports. The power transfer efficiency is described by a Rayleigh quotient, which is a function of the channel's scattering parameters and the incident waves from both transmitter and receiver side. This way, the power transfer efficiency can be maximized analytically by solving a generalized eigenvalue problem, which is deduced from the Rayleigh quotient. As a result, the maximum power transfer efficiency achievable over a given MIMO channel is obtained. This maximum can be used as a performance bound in order to benchmark wireless power transfer systems. Furthermore, the optimal operating point which achieves this maximum will be obtained. The optimal operating point will be described by the complex amplitudes of the optimal incident and reflected waves of the MIMO channel. This supports the design of the optimal transmitter and receiver multiports. The proposed method applies for arbitrary MIMO channels, taking transmitter-side and/or receiver-side cross-couplings in both near- and farfield scenarios into consideration. Special cases are briefly discussed in this paper in order to illustrate the method.

  19. Methodological considerations when translating “burnout”☆

    PubMed Central

    Squires, Allison; Finlayson, Catherine; Gerchow, Lauren; Cimiotti, Jeannie P.; Matthews, Anne; Schwendimann, Rene; Griffiths, Peter; Busse, Reinhard; Heinen, Maude; Brzostek, Tomasz; Moreno-Casbas, Maria Teresa; Aiken, Linda H.; Sermeus, Walter

    2014-01-01

    No study has systematically examined how researchers address cross-cultural adaptation of burnout. We conducted an integrative review to examine how researchers had adapted the instruments to the different contexts. We reviewed the Content Validity Indexing scores for the Maslach Burnout Inventory-Human Services Survey from the 12-country comparative nursing workforce study, RN4CAST. In the integrative review, multiple issues related to translation were found in existing studies. In the cross-cultural instrument analysis, 7 out of 22 items on the instrument received an extremely low kappa score. Investigators may need to employ more rigorous cross-cultural adaptation methods when attempting to measure burnout. PMID:25343131

  20. Endocrinology of osmoregulation and thermoregulation of Australian desert tetrapods: A historical perspective.

    PubMed

    Cooper, Christine Elizabeth

    2017-04-01

    Many Australian tetrapods inhabit desert environments characterised by low productivity, unpredictable rainfall, high temperatures and high incident solar radiation. Maintaining a homeostatic milieu intérieur by osmoregulation and thermoregulation are two physiological challenges faced by tetrapods in deserts, and the endocrine system plays an important role in regulating these processes. There is a considerable body of work examining the osmoregulatory role of antidiuretic hormones for Australian amphibians, reptiles and mammals, with particular contributions concerning their role and function for wild, free-living animals in arid environments. The osmoregulatory role of the natriuretic peptide system has received some attention, while the role of adrenal corticosteroids has been more thoroughly investigated for reptiles and marsupials. The endocrinology of thermoregulation has not received similar attention. Reptiles are best-studied, with research examining the influence of arginine vasotocin and melatonin on body temperature, the role of prostaglandins in heart rate hysteresis and the effect of melanocyte-stimulating hormone on skin reflectivity. Australian mammals have been under-utilised in studies examining the regulation, development and evolution of endothermy, and there is little information concerning the endocrinology of thermoregulation for desert species. There is a paucity of data concerning the endocrinology of osmoregulation and thermoregulation for Australian desert birds. Studies of Australian desert fauna have made substantial contributions to endocrinology, but there is considerable scope for further research. A co-ordinated approach to examine arid-habitat adaptations of the endocrine system in an environmental and evolutionary context would be of particular value. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. Professional values of Turkish nurses: A descriptive study.

    PubMed

    Cetinkaya-Uslusoy, Esin; Paslı-Gürdogan, Eylem; Aydınlı, Ayse

    2017-06-01

    Professional values improve the quality of nurses' professional lives, reduce emotional exhaustion and depersonalization, increase personal success, and help to make collaborations with the members of the healthcare team more frequent. The purpose of this study was to describe the professional values of Turkish nurses and to explore the relationships between nurses' characteristics. This was a descriptive study of a convenience sample consisting of 269 clinical nurses. A questionnaire was used to identify socio-demographic characteristics, and the Nurses' Professional Values Scale was applied. Ethical considerations: Permission to conduct the study was received from the hospital and the Institutional Review Boards of the Süleyman Demirel University ethic committee. The mean scale score of the participant nurses was 165.41 ± 20.79. The results of this study revealed that human dignity was the most important professional value for nurses, and the importance attached to these values showed statistically significant differences by age, length of service, educational level, marital status, position at work, and receiving relevant in-service training. Nurses' Professional Values Scale scores showed that nurses give above average and attached importance to professional values.

  2. Unraveling the Origin of the Bermuda Rise Using Receiver Functions: Insights from Mantle Discontinuity Structure

    NASA Astrophysics Data System (ADS)

    Burky, A.; Irving, J. C. E.; Simons, F.

    2017-12-01

    The Bermuda Rise is an enigmatic intraplate bathymetric feature which is considered a candidate hotspot in some catalogs, but remains a poor candidate due to the lack of an associated seamount chain and the absence of any present-day volcanism. Tomographic models of the seismic P and S wave velocity structure in the upper mantle and transition zone beneath Bermuda and the surrounding seafloor consistently resolve low velocity structures, but the magnitude, lateral dimensions, and position of these low velocity structures vary considerably between models. Due to these discrepancies, it remains difficult to attribute the observed velocity anomalies to thermal or chemical heterogeneity in this region. In addition to tomographic modeling, previous studies investigated the mantle transition zone structure beneath Bermuda by calculating receiver functions for GSN station BBSR, and suggested thinning of the transition zone as well as depressed discontinuity topography. In this study, we expand upon those studies by including the wealth of newly available data, and by incorporating a suite of three-dimensional velocity models. We calculate radial receiver functions in multiple frequency bands for the highest quality seismograms selected from over 5,000 waveforms recorded at station BBSR between October 2008 and August 2017 using the iterative deconvolution technique. We use various one- and three-dimensional velocity models to depth-convert our receiver functions to find the depths of the mantle transition zone discontinuities responsible for the signals in our receiver functions. The observed discontinuity topography is interpreted in the context of candidate mineralogical phase transitions and mantle temperature. To gain a more comprehensive understanding of our observations, we also calculate synthetic seismograms using AxiSEM, compute radial receiver functions for these synthetic data, and compare the results to the real receiver functions. Lastly, we discuss our results in the context of the geologic and geodynamic history of the Bermuda Rise.

  3. [Therapeutic efficacy of nootropil different doses in attention deficit hyperactivity disorder].

    PubMed

    Zavadenko, N N; Suvorinova, S Iu

    2004-01-01

    Attention Deficit Hyperactivity Disorder (ADHD) is the most common cause of behavioral and learning problems in childhood. Therapeutic efficiency of nootropil (piracetam) in two different doses has been evaluated in the open control study of 80 children with ADHD, 70 boys and 10 girls, aged 6-11 years, being divided into 3 groups. Two groups received nootropil, as a monotherapy, for a month: 1st group (30 patients)--in the dosage of 70 mg/kg daily and 2nd group (30 patients)--40 mg/kg daily orally. The control group of 20 patients did not receive any treatment. All children were examined twice with one month interval. A procedure of assessment included of structured questionnaire to parents, neurological examination with scored evaluation of subtle signs and psychological testing. Nootropil therapy in ADHD children resulted in the improvement of behavioral characteristics, motor coordination as well as continuous, selective and divided attention. A response rate was 60% in patients received 70 mg/kg of nootropil and 43% for nootropil dosage of 40 mg/kg. The results of the study suggest more considerable positive therapeutic effects of nootropil higher dose on behavioral, motor and attention characteristics in children with ADHD.

  4. [Lipid spectrum changes and ECG in patients with paranoid schizophrenia in the course of therapy with atypical antipsychotics].

    PubMed

    Smirnova, L P; Parshukova, D A; Borodyuk, Yu N; Kornetova, E G; Tkacheva, G D; Seregin, A A; Burdovitsina, T G; Semke, A V

    2015-01-01

    To study correlations between parameters of lipid metabolism and ECG in patients with schizophrenia in light of therapy with atypical antipsychotics. We examined 42 patients with paranoid schizophrenia. All patients received atypical neuroleptics - seroquel, zyprexa, and rispolept. A group of controls included 25 healthy people. There was a significant increase (p=0.0002) in body mass (in average by 1.5 kg) in 88% patients. A significant increase in the concentration of serum triglycerides was identified as well. The concentration of VLDL in the patients with schizophrenia was 2 times higher compared to controls. After treatment, VLDL concentration increased even more considerably An increase in atherogenic index (AI) was up to 3.1 in patients with schizophrenia compared to 2.2 in controls. After treatment, Al increased up to 4 that demonstrated the high risk of development of atherosclerosis. A significant increase in QT interval in the ECG and heart rate (p=0.03) was revealed only in patients receiving rispolept. In patients receiving zyprexa and seroquel only heart rate was increased. The antipsychotics studied increase the risk of development of cardiovascular pathology.

  5. Soft tissue and intra-articular injection of bupivacaine, epinephrine, and morphine has a beneficial effect after total knee arthroplasty.

    PubMed

    Lombardi, Adolph V; Berend, Keith R; Mallory, Thomas H; Dodds, Kathleen L; Adams, Joanne B

    2004-11-01

    The purpose of this study was to determine if an intraoperative intraarticular and soft-tissue injection of local anaesthetic, epinephrine, and morphine has a beneficial effect for total knee arthroplasty. A control group of 138 patients (181 knees) received no intraoperative injection. The study group of 171 patients (197 knees) received intraoperative injection of 0.25% bupivacaine with epinephrine and morphine with 2/3 injected into the soft tissues and 1/3 injected into the joint. Patients having bilateral simultaneous procedures received a divided dose. The pain treatment protocol otherwise was identical. Pain, sedation, rescue narcotic usage, narcotic reversal and blood loss were examined. Pain levels during the immediate postoperative period, blood loss, and bleeding indices were reduced with injection. Considerably more control patients required rescue doses of narcotics. Preemptive analgesia with soft tissue and intra-articular injection of long-acting local anesthetic with epinephrine and morphine provides better pain control in the immediate postoperative period, decreases blood loss, and decreases the need for rescue narcotics and reversal agents. This simple, inexpensive method provides an effective adjunct to a multimodal approach in improving the postoperative course of primary total knee arthroplasty.

  6. Unexpected Anemia and Reticulocytopenia in an Adolescent With Sickle Cell Anemia Receiving Chronic Transfusion Therapy.

    PubMed

    Blauel, Emily R; Grossmann, Lily T; Vissa, Madhav; Miller, Scott T

    2015-10-01

    In a patient with sickle cell disease receiving chronic transfusion, exacerbation of anemia with reticulocytopenia must prompt consideration of a delayed hemolytic transfusion reaction with hyperhemolysis, as further transfusion may worsen this condition; definitive diagnosis is sometimes difficult. Anemia evolving during parvovirus B19-induced erythroid hypoplasia (transient aplastic crisis) should be attenuated in chronic transfusion patients due to superior survival of transfused over endogenous red blood cells. A 16-year-old with sickle cell disease receiving chronic transfusion of modified intensity (goal to maintain hemoglobin S<50%) who developed symptomatic anemia with reticulocytopenia was later shown to have had transient aplastic crisis.

  7. Program on application of communications satellites to educational development: Design of a 12 channel FM microwave receiver. [color television from communication satellites

    NASA Technical Reports Server (NTRS)

    Risch, C. O.; Rosenbaum, F. J.; Gregory, R. O.

    1974-01-01

    The design, fabrication, and performance of elements of a low cost FM microwave satellite ground station receiver is described. It is capable of accepting 12 contiguous color television equivalent bandwidth channels in the 11.72 to 12.2 GHz band. Each channel is 40 MHz wide and incorporates a 4 MHz guard band. The modulation format is wideband FM and the channels are frequency division multiplexed. Twelve independent CATV compatible baseband outputs are provided. The overall system specifications are first discussed, then consideration is given to the receiver subsystems and the signal branching network.

  8. Summary and evaluation of responses received on the alcohol safety interlock system

    DOT National Transportation Integrated Search

    1971-05-01

    This report summarizes and evaluates devices and suggestions provided by respondents to the DOT Prospectus entitled "Some Considerations Related to the Development of an Alcohol Safety Interlock System (ASIS)". The responses are categorized into: (1)...

  9. Children: Special Consumers but Not Special Treatment.

    ERIC Educational Resources Information Center

    Doran, Lee Anne; Dolan, Elizabeth M.

    1989-01-01

    Reviews several child-related consumer protection issues subject to industry short-sightedness and regulatory manipulation. Indicates that although it may be unrealistic to believe that child-related consumer protection should receive priority, children do merit special consideration as consumers. (JOW)

  10. Microwave-Assisted Green Synthesis of Silver Nanostructures

    EPA Science Inventory

    This account summarizes a microwave (MW)-assisted synthetic approach for producing silver nanostructures. The rapid and in-core MW heating has received considerable attention as a promising new method for the one-pot synthesis of metallic nanostructures in solutions. Conceptually...

  11. 45 CFR 2522.450 - What types of programs or program models may receive special consideration in the selection process?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... children and youth, including mentoring of disadvantaged youth and children of prisoners; (2) Programs that... support independent living for seniors or individuals with disabilities; (6) Programs that increase...

  12. 78 FR 29122 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-17

    ... information technology. DATES: Consideration will be given to all comments received by July 16, 2013.... SUPPLEMENTARY INFORMATION: Summary of Information Collection Respondents are military contractors requiring... Headquarter Air Force Special Operations Command Special Activities announces a proposed public information...

  13. FHWA statistical program : a customer's guide to using highway statistics

    DOT National Transportation Integrated Search

    1995-08-01

    The appropriate level of spatial and temporal data aggregation for highway vehicle emissions analyses is one of several important analytical questions that has received considerable interest following passage of the Clean Air Act Amendments (CAAA) of...

  14. 16 CFR 437.3 - Severability.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .... Business experience of the business opportunity seller's directors and executive officers. 3. Business experience of the business opportunity seller. 4. Litigation history. 5. Bankruptcy history. 6. Description.... Obligations to purchase. 11. Revenues received by the business opportunity seller in consideration of...

  15. Effect of counseling on sexual function and behavior in postmenopausal women and their spouses: a randomized, controlled trial (RCT) study.

    PubMed

    Tiznobek, Azita; Mirmolaei, Seyedeh Tahereh; Momenimovahed, Zohreh; Kazemnejad, Anooshirvan; Taheri, Safoura

    2017-09-01

    Sexual dysfunction is present the most important problem among menopausal women and thus counseling may have a major role for improving menopausal sexual state in this population. We aimed to assess effects of counseling on sexual function of menopause women and their spouses. An interventional trial study was performed on 120 consecutive Iranian couples (menopause women and their spouses) who were resident in Hamadan, Iran in 2015. The subjects were randomly assigned to receive counseling service ( n = 60) or did not receive this service ( n = 60). Couples were asked to complete a standardized validated questionnaire assessing sexual function and behaviors. The frequency of sexual intercourse was considerably increased following first and second counseling sessions compared with the time before counseling in former group, while sexually state was remained unchanged in those who not received these counseling. Furthermore, dyspareunia in interventional women with counseling was significantly reduced after the first and second counseling, whereas this complaint was not significantly removed in the control group within the study period. Also, unsuccessful intercourse was significantly decreased in men who received counseling sessions, while this parameter was remained unchanged in other men. In addition, talking with the partner about sexually and Satisfaction degree of wife's love was significantly improved in both men and women in interventional groups compared with the control groups. Active and structured counseling effectively improve sexual functions and behaviors in menopausal women and their spouses.

  16. A survey on awareness of genetic counseling for non-invasive prenatal testing: the first year experience in Japan.

    PubMed

    Yotsumoto, Junko; Sekizawa, Akihiko; Suzumori, Nobuhiro; Yamada, Takahiro; Samura, Osamu; Nishiyama, Miyuki; Miura, Kiyonori; Sawai, Hideaki; Murotsuki, Jun; Kitagawa, Michihiro; Kamei, Yoshimasa; Masuzaki, Hideaki; Hirahara, Fumiki; Endo, Toshiaki; Fukushima, Akimune; Namba, Akira; Osada, Hisao; Kasai, Yasuyo; Watanabe, Atsushi; Katagiri, Yukiko; Takeshita, Naoki; Ogawa, Masaki; Okai, Takashi; Izumi, Shunichiro; Hamanoue, Haruka; Inuzuka, Mayuko; Haino, Kazufumi; Hamajima, Naoki; Nishizawa, Haruki; Okamoto, Yoko; Nakamura, Hiroaki; Kanegawa, Takeshi; Yoshimatsu, Jun; Tairaku, Shinya; Naruse, Katsuhiko; Masuyama, Hisashi; Hyodo, Maki; Kaji, Takashi; Maeda, Kazuhisa; Matsubara, Keiichi; Ogawa, Masanobu; Yoshizato, Toshiyuki; Ohba, Takashi; Kawano, Yukie; Sago, Haruhiko

    2016-12-01

    The purpose of this study is to summarize the results from a survey on awareness of genetic counseling for pregnant women who wish to receive non-invasive prenatal testing (NIPT) in Japan. As a component of a clinical study by the Japan NIPT Consortium, genetic counseling was conducted for women who wished to receive NIPT, and a questionnaire concerning both NIPT and genetic counseling was given twice: once after pre-test counseling and again when test results were reported. The responses of 7292 women were analyzed. They expressed high satisfaction with the genetic counseling system of the NIPT Consortium (94%). The number of respondents who indicated that genetic counseling is necessary for NIPT increased over time. Furthermore, they highly valued genetic counseling provided by skilled clinicians, such as clinical geneticists or genetic counselors. The vast majority (90%) responded that there was sufficient opportunity to consider the test ahead of time. Meanwhile, women who received positive test results had a poor opinion and expressed a low-degree satisfaction. We confirmed that the pre-test genetic counseling that we conducted creates an opportunity for pregnant women to sufficiently consider prenatal testing, promotes its understanding and has possibilities to effectively facilitate informed decision making after adequate consideration. A more careful and thorough approach is considered to be necessary for women who received positive test results.

  17. Corticosteroids augment BRAF inhibitor vemurafenib induced lymphopenia and risk of infection.

    PubMed

    Sondermann, Wiebke; Griewank, Klaus G; Schilling, Bastian; Livingstone, Elisabeth; Leyh, Julia C; Rompoti, Natalia; Cosgarea, Ioana; Schimming, Tobias; Schadendorf, Dirk; Zimmer, Lisa; Hillen, Uwe

    2015-01-01

    We have previously demonstrated an impact of the BRAF inhibitor vemurafenib on patient lymphocyte counts. In the current study, the extent to which concomitant use of corticosteroids in BRAF inhibitor treated patients affects lymphocyte counts and predisposes to infection was investigated. A cohort of 102 patients receiving either the selective BRAF inhibitor vemurafenib or dabrafenib was analyzed. The amount of patients receiving either medication with or without systemic corticosteroids (dexamethasone) was determined and lymphocyte counts before and under therapy assessed. Additionally, the number and severity of infections occurring in these groups was analyzed. Vemurafenib treatment led to a considerable decrease in lymphocyte cell counts, with 62.3% of patients having lymphopenia. Dabrafenib treated patients only rarely demonstrated lymphopenia (12.5%). Dexamethasone co-administration further diminished lymphocyte counts. Lymphopenias were observed in 84.6% of patients receiving vemurafenib and dexamethasone. In our cohort, infections were noted in 9 patients, 4 of these were severe and 2 eventually fatal. All 9 cases with infections demonstrated lymphopenia, 8 of these had received dexamethasone and 7 of these a therapy with vemurafenib. Our findings demonstrate a significant lymphopenia in patients treated with the BRAF inhibitor vemurafenib, which is further augmented by dexamethasone and predisposes to infection. If validated in other studies, risk of infection should be considered when applying corticosteroids in combination with BRAF inhibitors, in particular vemurafenib.

  18. Oral ciprofloxacin: a pharmacoeconomic evaluation of its use in the treatment of serious infections.

    PubMed

    Balfour, J A; Faulds, D

    1993-05-01

    The broad spectrum of antibacterial activity and favourable pharmacokinetic profile of ciprofloxacin permit oral treatment of many serious infections which have traditionally necessitated parenteral antibacterial therapy. This has been demonstrated in comparative studies, in which ciprofloxacin was as effective and well tolerated as standard parenteral therapies (usually aminoglycoside/beta-lactam combinations or broad spectrum cephalosporins) in small numbers of patients with infections of the lower respiratory tract, urinary tract, skin and soft tissue, and bones and joints. Oral ciprofloxacin is considerably less expensive than most parenteral therapies, does not necessitate therapeutic drug monitoring and can be administered on an outpatient basis. In addition, administration by the oral route is more comfortable and convenient for the patient. Pharmacoeconomic studies have confirmed that substitution of oral ciprofloxacin for parenteral therapy in the treatment of serious infections can achieve considerable savings in drug acquisition costs, and labour and supplies associated with parenteral drug administration, and may allow early discharge from hospital, resulting in even greater savings. Mean reductions of 43 to 83% were achieved in antibacterial costs in 3 randomised prospective studies, when patients received oral ciprofloxacin instead of various parenteral agents, from the beginning of treatment, or after 3 days' parenteral therapy. It can be concluded that oral ciprofloxacin offers considerable scope for cost avoidance when appropriately substituted for parenteral therapy in the treatment of serious infections.

  19. Important considerations when providing mental health first aid to Iraqi refugees in Australia: a Delphi study.

    PubMed

    Uribe Guajardo, Maria Gabriela; Slewa-Younan, Shameran; Santalucia, Yvonne; Jorm, Anthony Francis

    2016-01-01

    Refugees are one of the most vulnerable groups in Australian society, presenting high levels of exposure to traumatic events and consequently high levels of severe psychological distress. While there is a need for professional help, only a small percentage will receive appropriate care for their mental health concerns. This study aimed to determine cultural considerations required when providing mental health first aid to Iraqi refugees experiencing mental health problems or crises. Using a Delphi method, 16 experts were presented with statements about possible culturally-appropriate first aid actions via questionnaires and were encouraged to suggest additional actions not covered by the questionnaire content. Statements were accepted for inclusion in a guideline if they were endorsed by ≥90 % of panellists as 'Essential' or 'Important'. From a total of 65 statements, 38 were endorsed (17 for cultural awareness, 12 for cross-cultural communication, 7 for stigma associated with mental health problems, and 2 for barriers to seeking professional help). Experts were able to reach consensus about how to provide culturally-appropriate first aid for mental health problems to Iraqi refugees, demonstrating the suitability of this methodology in developing cultural considerations guidelines. This specific refugee study provided potentially valuable cultural knowledge required to better equip members of the Australian public on how to respond to and assist Iraqi refugees experiencing mental health problems or crises.

  20. Reliability of basal plasma vasopressin concentrations in healthy male adults.

    PubMed

    Quintana, Daniel S; Westlye, Lars T; Smerud, Knut T; Mahmoud, Ramy A; Djupesland, Per G; Andreassen, Ole A

    2017-10-01

    The neuropeptides oxytocin (OT) and arginine vasopressin (AVP) play important and interrelated roles in modulating mammalian social behaviour. While the OT system has received considerable research attention for its potential to treat psychiatric symptoms, comparatively little is known about the role of the AVP system in human social behaviour. To better understand the intraindividual stability of basal AVP, the present study assessed the reproducibility of basal plasma AVP concentrations. Basal plasma AVP was assessed at four sampling points separated by 8 days, on average, in 16 healthy adult males. Only one out of six comparisons revealed strong evidence for reproducibility of basal AVP concentrations (visit 2 vs. visit 4: r=0.8, p0.1). The concordance correlation coefficient [0.15, 95% CI (-0.55, 0.73)] also revealed poor overall reproducibility. Poor reliability of basal AVP concentrations suggests future work covarying AVP with trait markers should proceed with careful consideration of intraindividual fluctuations.

  1. Menstrual problems in university students: an electronic mail survey.

    PubMed

    Anastasakis, E; Kingman, C E; Lee, C A; Economides, D L; Kadir, R A

    2008-01-01

    To establish the prevalence of menstrual-related problems among university students. A questionnaire regarding gynecological, bleeding and family history was sent by electronic mail (e-mail) to all female students attending University College London (UCL). A total of 767 students aged 18-39 years replied; 71% had a regular menstrual cycle. One in three (n = 264) had received some treatment for their menstrual periods (such as the combined oral contraceptive pill or simple analgesia). Those with heavy or painful periods were more likely to feel that their menstrual problems had a substantial impact on their academic and social life; however, even among those with light periods, one in every four females felt that their life was considerably affected. A considerable prevalence of menstrual-related problems was demonstrated among this young healthy population. Additionally, the use of e-mail could present potential benefits as a research medium for this kind of study.

  2. Demodulation of messages received with low signal to noise ratio

    NASA Astrophysics Data System (ADS)

    Marguinaud, A.; Quignon, T.; Romann, B.

    The implementation of this all-digital demodulator is derived from maximum likelihood considerations applied to an analytical representation of the received signal. Traditional adapted filters and phase lock loops are replaced by minimum variance estimators and hypothesis tests. These statistical tests become very simple when working on phase signal. These methods, combined with rigorous control data representation allow significant computation savings as compared to conventional realizations. Nominal operation has been verified down to energetic signal over noise of -3 dB upon a QPSK demodulator.

  3. GPS-based system for satellite tracking and geodesy

    NASA Technical Reports Server (NTRS)

    Bertiger, Willy I.; Thornton, Catherine L.

    1989-01-01

    High-performance receivers and data processing systems developed for GPS are reviewed. The GPS Inferred Positioning System (GIPSY) and the Orbiter Analysis and Simulation Software (OASIS) are described. The OASIS software is used to assess GPS system performance using GIPSY for data processing. Consideration is given to parameter estimation for multiday arcs, orbit repeatability, orbit prediction, daily baseline repeatability, agreement with VLBI, and ambiguity resolution. Also, the dual-frequency Rogue receiver, which can track up to eight GPS satellites simultaneously, is discussed.

  4. Proton irradiation and endometriosis

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

    Wood, D.H.; Yochmowitz, M.G.; Salmon, Y.L.

    1983-08-01

    Female rhesus monkeys given single total-body exposures of protons of varying energies developed endometriosis at a frequency significantly higher than that of nonirradiated animals of the same age. The minimum latency period was 7 years after exposure. The doses and energies of the radiation received were within the range that could be received by an aircrew member in near-earth orbit during a random solar flare event, leading to the conclusion that endometriosis should be a consideration in assessing the risk of delayed radiation effects in female crewmembers.

  5. Timeliness and risk factors associated with delay for pneumococcal conjugate 10-valent routine immunization in Brazilian children.

    PubMed

    Sartori, Ana Lucia; Minamisava, Ruth; Afonso, Eliane Terezinha; Policena, Gabriela Moreira; Pessoni, Grécia Carolina; Bierrenbach, Ana Luiza; Andrade, Ana Lucia

    2017-02-15

    Vaccination coverage is the usual metrics to evaluate the immunization programs performance. For the 10-valent pneumococcal conjugate (PCV10) vaccine, measuring the delay of vaccination is also important, particularly as younger children are at increased risk of disease. Routinely collected administrative data was used to assess the timeliness of PCV10 vaccination, and the factors associated with delay to receive the first and second doses, and the completion of the PCV10 3+1 schedule. A population-based retrospective cohort study was conducted with children born in 2012 in Central Brazil. Children who received the PCV10 first dose in public health services were followed-up until 23months of age. Timeliness of receiving each PCV10 dose at any given age was defined as receiving the dose within 28days grace period from the recommended age by the National Immunization Program. Log-binomial regression models were used to examine risk factors for delays of the first dose and the completion PCV10 3+1 schedule. In total, 14,282 children were included in the cohort of study. Delayed vaccination occurred in 9.4%, 23.8%, 36.8% and 39.9% children for the first, second, third and the booster doses, respectively. A total of 1912 children (12.8% of the cohort) were not adequately vaccinated at the 6months of life; 1,071 (7%) received the second dose after 6months of age, 784 (5.4%) did not receive the second dose, and 57 (0.4%) received the first dose after six months of life. A considerable delay was found in PCV10 third and booster doses. Almost 2 thousand children had not received the recommended PCV10 doses at 6months of age. Timeliness of vaccination is an issue in Brazil although high vaccination coverages. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. 21 CFR 516.141 - Qualified expert panels.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... its consideration. Such information should be submitted directly to the Director, OMUMS, when notified... an officer, director, trustee, general partner or employee: (i) Is currently receiving or seeking... potential qualified expert panel member must submit to the Director, OMUMS, the following information...

  7. 24 CFR 146.7 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... OPPORTUNITY NONDISCRIMINATION ON THE BASIS OF AGE IN HUD PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL... student). Federal financial assistance means any grant, entitlement, loan, cooperative agreement, contract...) Transfers or leases of property for less than fair market value or for reduced consideration; and (2...

  8. Designing the School Plant as a Community Center.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Div. of School Buildings and Grounds.

    In the planning of school plants to serve the educational, social, civic, recreational, and cultural needs of the entire community, factors which receive special consideration are location of facilities, heat distribution, zoning, storage space, and special appointments and service features. (RH)

  9. 14 CFR 152.605 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... subpart— Building construction means construction of any building which receives Federal assistance under... total energy requirements of a building, which, within the scope of the proposed construction activity...— (1) Consideration of opportunities for using fuels other than petroleum and natural gas, and (2...

  10. Monolithic optoelectronic integrated broadband optical receiver with graphene photodetectors

    NASA Astrophysics Data System (ADS)

    Cheng, Chuantong; Huang, Beiju; Mao, Xurui; Zhang, Zanyun; Zhang, Zan; Geng, Zhaoxin; Xue, Ping; Chen, Hongda

    2017-07-01

    Optical receivers with potentially high operation bandwidth and low cost have received considerable interest due to rapidly growing data traffic and potential Tb/s optical interconnect requirements. Experimental realization of 65 GHz optical signal detection and 262 GHz intrinsic operation speed reveals the significance role of graphene photodetectors (PDs) in optical interconnect domains. In this work, a novel complementary metal oxide semiconductor post-backend process has been developed for integrating graphene PDs onto silicon integrated circuit chips. A prototype monolithic optoelectronic integrated optical receiver has been successfully demonstrated for the first time. Moreover, this is a firstly reported broadband optical receiver benefiting from natural broadband light absorption features of graphene material. This work is a perfect exhibition of the concept of monolithic optoelectronic integration and will pave way to monolithically integrated graphene optoelectronic devices with silicon ICs for three-dimensional optoelectronic integrated circuit chips.

  11. Perioperative intravenous fluid prescribing: a multi-centre audit.

    PubMed

    Harris, Benjamin; Schopflin, Christian; Khaghani, Clare; Edwards, Mark

    2015-01-01

    Excessive or inadequate intravenous fluid given in the perioperative period can affect outcomes. A number of guidelines exist but these can conflict with the entrenched practice, evidence base and prescriber knowledge. We conducted a multi-centre audit of intraoperative and postoperative intravenous fluid therapy to investigate fluid administration practice and frequency of postoperative electrolyte disturbances. A retrospective audit was done in five hospitals of adult patients undergoing elective major abdominal, gastrointestinal tract or orthopaedic surgery. The type, volume and quantity of fluid and electrolytes administered during surgery and in 3 days postoperatively was calculated, and electrolyte disturbances were studied using clinical records. Data from four hundred thirty-one patients in five hospitals covering 1157 intravenous fluid days were collected. Balanced crystalloid solutions were almost universally used in the operating theatre and were also the most common fluid administered postoperatively, followed by hypotonic dextrose-saline solutions and 0.9 % sodium chloride. For three common uncomplicated elective operations, the volume of fluid administered intraoperatively demonstrated considerable variability. Over half of the patients received no postoperative fluid on day 1, and even more were commenced on free oral fluids immediately postoperatively or on day 1. Postoperative quantities of sodium exceeded the recommended amounts for maintenance in half of the patients who continued to receive intravenous fluids. Potassium administration in those receiving intravenous fluids was almost universally inadequate. Hypokalaemia and hyponatraemia were the common findings. We documented the current clinical practice and confirmed that early free oral fluids and cessation of any intravenous fluids is common postoperatively in keeping with the aims of enhanced recovery after surgery programmes. Excessive sodium and water and inadequate potassium in those given intravenous fluids postoperatively is common and needs to be investigated. The variation in intraoperative fluid volume administration for three common procedures is considerable and in keeping with other international studies. Future trials of fluid therapy should include the intraoperative and postoperative phases.

  12. Prevalence, outcome, and women's experiences of external cephalic version in a low-risk population.

    PubMed

    Rijnders, Marlies; Offerhaus, Pien; van Dommelen, Paula; Wiegers, Therese; Buitendijk, Simone

    2010-06-01

    Until recently, external cephalic version to prevent breech presentation at birth was not widely accepted. The objective of our study was to assess the prevalence, outcomes, and women's experiences of external cephalic version to improve the implementation of the procedure in the Netherlands. A prospective cohort study was conducted of 167 women under the care of a midwife with confirmed breech presentation at a gestational age of 33 completed weeks or more. Between June 2007 and January 2008, 167 women with a confirmed breech presentation were offered an external cephalic version. Of this group, 123 women (73.7%, 95% CI: 65.5-80.5) subsequently received the version. These women had about a ninefold increased probability of a cephalic presentation at birth compared with women who did not undergo a version (relative risk [RR]: 8.8, 95% CI: 2.2-34.8). The chance of a vaginal birth after an external cephalic version was almost threefold (RR: 2.7, 95% CI: 1.5-5.0). The success rate was 39 percent, although considerable differences existed associated with region and parity. Ninety-four percent of women with a successful version rated it as a good experience compared with 71 percent of women who had a failed version (p = 0.015). Significant pain during the version was experienced by 34 percent of women, of whom 18 percent also experienced fear during the version, compared with no women who reported little or no pain (p = 0.006). Women who reported significant pain or fear during the version experienced the version more negatively (OR: 6.0, 95% CI: 3.3-12.2 and OR: 2.7, 95% CI: 1.1-6.0, respectively). One in every four women with a breech presentation in independent midwifery care did not receive an external cephalic version. Of the women who received a version one third experienced significant pain during the procedure. Considerable regional variation in success rate existed.

  13. Tramadol prescription patterns in patients followed by general practitioners and orthopedists in Germany in the year 2015.

    PubMed

    Kostev, Karel; Von Vultée, Christian; Usinger, Diethard M; Reese, Jens-Peter

    2018-01-01

    The aim of this study was to analyze tramadol prescription patterns in acute pain patients followed by general practitioners and orthopedists in Germany. This study included patients ≥18 years diagnosed with acute pain who received at least one tramadol prescription each in one of 1,129 general or 179 orthopedic practices in Germany between January and December 2015 (index date). Patients were excluded if they had received a prescription for another analgesic in the year prior to the index date, had a follow-up of less than 15 months after the index date, or were prescribed tramadol for a period of more than three months. The main outcome of this retrospective study was the share of patients receiving tramadol in combination therapy. Combination therapy was defined as the prescription of tramadol in conjunction with at least one other analgesic during the same medical visit. The present study included a total of 8,766 individuals. Overall, 1,492 (22.0%) of tramadol patients seen by general practitioners and 370 (18.7%) of those seen by orthopedists received tramadol in combination with other analgesics. Although this proportion was similar throughout the different subgroups in orthopedic practices, it was considerably higher in patients >80 years and in those with private health insurance coverage in general practices. Approximately one of five tramadol patients was prescribed tramadol in combination therapy. Further research is needed to gain a better understanding of the demographic and clinical factors that have an effect on tramadol prescription patterns in Germany.

  14. Participation of Academic Scientists in Relationships with Industry

    PubMed Central

    Zinner, Darren E.; Bolcic-Jankovic, Dragana; Clarridge, Brian; Blumenthal, David; Campbell, Eric G.

    2013-01-01

    Relationships between academic researchers and industry have received considerable attention in the last 20 years, but current data on the prevalence, magnitude, and trends in such relationships are rare. In a mailed survey of 3080 academic life science researchers conducted in 2007, we found the majority (52.8%) of academic life scientists have some form of relationship with industry. Compared to our previous studies in 1995 and 1985, we found a significant decrease in industry support of university research, which could have major consequences for the academic life science research sector. PMID:19887423

  15. Neurotransmitter release mechanisms studied in Caenorhabditis elegans.

    PubMed

    Barclay, Jeff W; Morgan, Alan; Burgoyne, Robert D

    2012-01-01

    The process of regulated exocytosis has received considerable interest as a key component of synaptic transmission. Fusion of presynaptic vesicles and the subsequent release of their neurotransmitter contents is driven by a series of interactions between evolutionarily conserved proteins. Key insights into the molecular mechanisms of vesicle fusion have come from research using genetic model systems such as the nematode worm Caenorhabditis elegans. We review here the current knowledge regarding regulated exocytosis at the C. elegans synapse and future research directions involving this model organism. Copyright © 2012 Elsevier Ltd. All rights reserved.

  16. Medical benefits in young Norwegians and their parents, and the contribution of family health and socioeconomic status. The HUNT Study, Norway.

    PubMed

    Pape, Kristine; Bjørngaard, Johan Håkon; De Ridder, Karin A A; Westin, Steinar; Holmen, Turid Lingaas; Krokstad, Steinar

    2013-07-01

    Family and intergenerational perspectives might contribute to a better understanding of why young people in many European countries experience work impairment and end up being dependent on public benefits for life sustenance. The aim of this cohort study was to explore the relationship between the receipt of medical benefits in parents and their young adult offspring and the contributions of family health and family socioeconomic status. Baseline information on the health of 7597 adolescents and their parents who participated in the HUNT Study 1995-1997 was linked to national registers to identify long-term receipt of medical benefits for parents (1992-1997) and adolescents as they entered adulthood (1998-2008). We used logistic regression to explore the association between parent and offspring receipt of medical benefits, adjusting for family health and socioeconomic status. Among adolescents, 13% received medical benefits from age 20-29. Adolescents whose parents had received medical benefits (26%) were more likely to receive such benefits themselves from age 20-29 compared with adolescents without benefit-receiving parents (age- and sex-adjusted odds ratio (OR) 2.16, 95 % confidence interval (CI) 1.86-2.49). Adjustment for family health reduced this estimate considerably (to OR 1.66, 95% CI 1.38-1.99), whereas adjustment for family socioeconomic status had less impact. Adolescents whose parents receive medical benefits enter adult working life with an elevated risk of health-related work exclusion. Family health vulnerability appears to be a key to understanding this association, suggesting that more attention to intergenerational continuities of health could be a way to prevent welfare dependence in future generations.

  17. Resources and Costs Associated with the Treatment of Advanced and Metastatic Gastric Cancer in the Mexican Public Sector: A Patient Chart Review.

    PubMed

    Quintana, Miguel; Toriz, José A; Novick, Diego; Jones, Kyla; Botello, Brenda S; Silva, Juan Alejandro

    2018-06-01

    Little evidence is available on the management and cost of treating patients with advanced or metastatic gastric cancer (GC). This study evaluates patient characteristics, treatment patterns, and resource utilization for these patients in Mexico. Data were collected from three centers of investigation (tertiary level). Patients were ≥18 years of age, diagnosed between 1 January 2009 and 1 January 2015, had advanced or metastatic GC, received first-line fluoropyrimidine/platinum, and had ≥3 months follow-up after discontinuing first-line treatment. Data were summarized using descriptive statistics. The study sample totaled 180. Patients' mean age was 57.2 years (±12.4) and 57.0% were male; 151 (83.9%) patients received second-line chemotherapy. A total of 16 and 19 regimens were identified in first- and second-line therapy. Of the sample, 51 (28.3%) received third-line therapy, and <10% received more than three lines of active chemotherapy. Supportive care received in first- and second-line chemotherapy, included pain interventions (12.2 and 7.9%), nutritional support (3.3 and 1.3%), radiotherapy (6.1 and 16.6%), and transfusions (13.3 and 10.6%), respectively. Using Mexican Institute of Social Security (IMSS) tariffs, the average total cost per patient-month in first- and second-line therapy was US$1230 [95% confidence interval (CI) 1034-1425] and US$1192 (95% CI 913-1471), respectively. Administration and acquisition of chemotherapy comprised the majority of costs. This study shows considerable variation in first- and second-line chemotherapy regimens of patients with advanced or metastatic GC. Understanding GC treatment patterns in Mexico will help address unmet needs.

  18. An Empirical Review of the Neural Underpinnings of Receiving and Giving Social Support: Implications for Health

    PubMed Central

    Eisenberger, Naomi I.

    2013-01-01

    Decades of research have demonstrated strong links between social ties and health. Although considerable evidence has shown that social support can attenuate downstream physiological stress responses that are relevant to health, the neurocognitive mechanisms that translate perceptions of social ties into altered physiological responses are still not fully understood. This review integrates research from social and affective neuroscience to illuminate some of the neural mechanisms involved in social support processes, which may further our understanding of the ways in which social support influence health. This review focuses on two types of social support that have been shown to relate to health: receiving and giving social support. As the neural basis of receiving support, this article reviews the hypothesis that receiving support may benefit health through the activation of neural regions that respond to safety and inhibit threat-related neural and physiological responding. This article will then review neuroimaging studies in which subjects were primed with or received support during a negative experience as well as studies in which self-reports of perceived support were correlated with neural responses to a negative experience. As the neural basis of giving support, this article reviews the hypothesis that neural regions involved in maternal caregiving behavior may be critical for the health benefits of support-giving through the inhibition of threat-related neural and physiological responding. Neuroimaging studies in which subjects provided support to others or engaged in other related forms of prosocial behavior will then be reviewed. Implications of these findings for furthering our understanding of the relationships between social support and health are discussed. PMID:23804014

  19. A high temperature hybrid photovoltaic-thermal receiver employing spectral beam splitting for linear solar concentrators

    NASA Astrophysics Data System (ADS)

    Mojiri, Ahmad; Stanley, Cameron; Rosengarten, Gary

    2015-09-01

    Hybrid photovoltaic/thermal (PV-T) solar collectors are capable of delivering heat and electricity concurrently. Implementing such receivers in linear concentrators for high temperature applications need special considerations such as thermal decoupling of the photovoltaic (pv) cells from the thermal receiver. Spectral beam splitting of concentrated light provides an option for achieving this purpose. In this paper we introduce a relatively simple hybrid receiver configuration that spectrally splits the light between a high temperature thermal fluid and silicon pv cells using volumetric light filtering by semi-conductor doped glass and propylene glycol. We analysed the optical performance of this device theoretically using ray tracing and experimentally through the construction and testing of a full scale prototype. The receiver was mounted on a commercial parabolic trough concentrator in an outdoor experiment. The prototype receiver delivered heat and electricity at total thermal efficiency of 44% and electrical efficiency of 3.9% measured relative to the total beam energy incident on the primary mirror.

  20. Dose-specific efficacy of Haemophilus influenzae type b conjugate vaccines: a systematic review and meta-analysis of controlled clinical trials

    PubMed Central

    GRIFFITHS, U. K.; CLARK, A.; GESSNER, B.; MINERS, A.; SANDERSON, C.; SEDYANINGSIH, E. R.; MULHOLLAND, K. E.

    2012-01-01

    SUMMARY Global coverage of infant Haemophilus influenzae type b (Hib) vaccination has increased considerably during the past decade, partly due to GAVI Alliance donations of the vaccine to low-income countries. In settings where large numbers of children receive only one or two vaccine doses rather than the recommended three doses, dose-specific efficacy estimates are needed to predict impact. The objective of this meta-analysis is to determine Hib vaccine efficacy against different clinical outcomes after receiving one, two or three doses of vaccine. Studies were eligible for inclusion if a prospective, controlled design had been used to evaluate commercially available Hib conjugate vaccines. Eight studies were included. Pooled vaccine efficacies against invasive Hib disease after one, two or three doses of vaccine were 59%, 92% and 93%, respectively. The meta-analysis provides robust estimates for use in decision-analytical models designed to predict the impact of Hib vaccine. PMID:22583474

  1. Point spread functions for earthquake source imaging: An interpretation based on seismic interferometry

    USGS Publications Warehouse

    Nakahara, Hisashi; Haney, Matt

    2015-01-01

    Recently, various methods have been proposed and applied for earthquake source imaging, and theoretical relationships among the methods have been studied. In this study, we make a follow-up theoretical study to better understand the meanings of earthquake source imaging. For imaging problems, the point spread function (PSF) is used to describe the degree of blurring and degradation in an obtained image of a target object as a response of an imaging system. In this study, we formulate PSFs for earthquake source imaging. By calculating the PSFs, we find that waveform source inversion methods remove the effect of the PSF and are free from artifacts. However, the other source imaging methods are affected by the PSF and suffer from the effect of blurring and degradation due to the restricted distribution of receivers. Consequently, careful treatment of the effect is necessary when using the source imaging methods other than waveform inversions. Moreover, the PSF for source imaging is found to have a link with seismic interferometry with the help of the source-receiver reciprocity of Green’s functions. In particular, the PSF can be related to Green’s function for cases in which receivers are distributed so as to completely surround the sources. Furthermore, the PSF acts as a low-pass filter. Given these considerations, the PSF is quite useful for understanding the physical meaning of earthquake source imaging.

  2. The self-similar turbulent flow of low-pressure water vapor

    NASA Astrophysics Data System (ADS)

    Konyukhov, V. K.; Stepanov, E. V.; Borisov, S. K.

    2018-05-01

    We studied turbulent flows of water vapor in a pipe connecting two closed vessels of equal volume. The vessel that served as a source of water vapor was filled with adsorbent in the form of corundum ceramic balls. These ceramic balls were used to obtain specific conditions to lower the vapor pressure in the source vessel that had been observed earlier. A second vessel, which served as a receiver, was empty of either air or vapor before each vapor sampling. The rate of the pressure increase in the receiver vessel was measured in a series of six samplings performed with high precision. The pressure reduction rate in the source vessel was found to be three times lower than the pressure growth rate in the receiver vessel. We found that the pressure growth rates in all of the adjacent pairs of samples could be arranged in a combination that appeared to be identical for all pairs, and this revealed the existence of a rather interesting and peculiar self-similarity law for the sampling processes under consideration.

  3. Where Do Patients With Cancer in Iowa Receive Radiation Therapy?

    PubMed Central

    Ward, Marcia M.; Ullrich, Fred; Matthews, Kevin; Rushton, Gerard; Tracy, Roger; Goldstein, Michael A.; Bajorin, Dean F.; Kosty, Michael P.; Bruinooge, Suanna S.; Hanley, Amy; Jacobson, Geraldine M.; Lynch, Charles F.

    2014-01-01

    Purpose: Multiple studies have shown survival benefits in patients with cancer treated with radiation therapy, but access to treatment facilities has been found to limit its use. This study was undertaken to examine access issues in Iowa and determine a methodology for conducting a similar national analysis. Patients and Methods: All Iowa residents who received radiation therapy regardless of where they were diagnosed or treated were identified through the Iowa Cancer Registry (ICR). Radiation oncologists were identified through the Iowa Physician Information System (IPIS). Radiation facilities were identified through IPIS and classified using the Commission on Cancer accreditation standard. Results: Between 2004 and 2010, 113,885 invasive cancers in 106,603 patients, 28.5% of whom received radiation treatment, were entered in ICR. Mean and median travel times were 25.8 and 20.1 minutes, respectively, to the nearest facility but 42.4 and 29.1 minutes, respectively, to the patient's chosen treatment facility. Multivariable analysis predicting travel time showed significant relationships for disease site, age, residence location, and facility category. Residents of small and isolated rural towns traveled nearly 3× longer than urban residents to receive radiation therapy, as did patients using certain categories of facilities. Conclusion: Half of Iowa patients could reach their nearest facility in 20 minutes, but instead, they traveled 30 minutes on average to receive treatment. The findings identified certain groups of patients with cancer who chose more distant facilities. However, other groups of patients with cancer, namely those residing in rural areas, had less choice, and some had to travel considerably farther to radiation facilities than urban patients. PMID:24443730

  4. DESIGN AND EVALUATION OF BENCH-SCALE COMPOST TREATMENT SYSTEM FOR HAZARDOUS WASTE

    EPA Science Inventory

    Soil bound contamination presents a significant set of problems to those attempting to remediate the soil. Bioremediation has received considerable attention, as a potential answer to the obvious remediation needs. Composting technology represents a promising means to use indigen...

  5. SOLUBILIZATION OF DODECANE, TETRACHLOROETHYLENE, AND 1,2-DICHLOROBENZENE IN MICELLAR SOLUTIONS OF ETHOXYLATED NONIONIC SURFACTANTS

    EPA Science Inventory

    Although surfactants have received considerable attention as a potential means for enhancing the recovery of organic compounds from the subsurface, only limited information is available regarding the micellar solubilization of common groundwater contaminants by nonionic surfactan...

  6. Ecology and IPM of Insects at Grain Elevators

    USDA-ARS?s Scientific Manuscript database

    Cost-effectiveness of insect pest management depends upon its integration with other elevator operations. Successful integration may require consideration of insect ecology. Field infestation has not been observed for grain received at elevators. Grain may be infested during harvest by residual inse...

  7. 75 FR 44296 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-28

    ..., guardian, conservator, assignee for the benefit of creditors, receiver, trustee in insolvency or bankruptcy... technology. Consideration will be given to comments and suggestions submitted in writing within 60 days of... Officer, Securities and Exchange Commission, c/o Shirley Martinson, 6432 General Green Way, Alexandria...

  8. Responses of yeast biocontrol agents to environmental stress

    USDA-ARS?s Scientific Manuscript database

    Biological control of postharvest diseases, utilizing wild species and strains of antagonistic yeasts, is a research topic that has received considerable attention in the literature over the past 30 years. In principle, it represents a promising alternative to chemical fungicides for the management...

  9. Western Airborne Contaminants Assessment Project Database

    EPA Science Inventory

    WACAP has received considerable recognition from the media with over 200 local, national and international media outlets. At present count, 10 peer-reviewed papers have been published. In response to the WACAP results, the NPS convened multi-agency workshops with WACAP PIs and l...

  10. 78 FR 23231 - 36(b)(1) Arms Sales Notification

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-18

    ...) Description and Quantity or Quantities of Articles or Services under Consideration for Purchase: 60 Active... equipment items, GEM-V GPS airborne receiver module, and communication security, software development... documents, U.S. Government and contract engineering and logistical personnel services, and other related...

  11. Greater-than-Class C low-level radioactive waste shipping package/container identification and requirements study. National Low-Level Waste Management Program

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

    Tyacke, M.

    1993-08-01

    This report identifies a variety of shipping packages (also referred to as casks) and waste containers currently available or being developed that could be used for greater-than-Class C (GTCC) low-level waste (LLW). Since GTCC LLW varies greatly in size, shape, and activity levels, the casks and waste containers that could be used range in size from small, to accommodate a single sealed radiation source, to very large-capacity casks/canisters used to transport or dry-store highly radioactive spent fuel. In some cases, the waste containers may serve directly as shipping packages, while in other cases, the containers would need to be placedmore » in a transport cask. For the purpose of this report, it is assumed that the generator is responsible for transporting the waste to a Department of Energy (DOE) storage, treatment, or disposal facility. Unless DOE establishes specific acceptance criteria, the receiving facility would need the capability to accept any of the casks and waste containers identified in this report. In identifying potential casks and waste containers, no consideration was given to their adequacy relative to handling, storage, treatment, and disposal. Those considerations must be addressed separately as the capabilities of the receiving facility and the handling requirements and operations are better understood.« less

  12. A pilot program in rural telepsychiatry for deaf and hard of hearing populations.

    PubMed

    Crowe, Teresa; Jani, Suni; Jani, Sushma; Jani, Niranjan; Jani, Raja

    2016-03-01

    Access to mental health care in deaf communities is limited by cultural considerations, availability of translators, and technological considerations. Telepsychiatry can mitigate the deaf community's lack of access to care by allowing for deaf individuals in remote communities access to care with facilities that cater to their needs. Community Behavioral Health, Arundel Lodge, and Gallaudet University worked in conjunction to test three hypotheses: 1.Telepsychiatry will be as effective as traditional face-to-face psychotherapy with deaf adults who have chronic mental illness.2.Patients living in remote locations will report an improvement in accessibility to mental health services.3.Patients who receive telepsychiatry will report a comparable level of satisfaction of services to those receiving traditional services. The patient sample consisted of 24 participants, 13 women, 11 men. Telepsychiatry sessions were scheduled based on each patient's individual treatment plan against a control group who saw their providers face to face. The telepsychiatry and in-person groups were slightly different at baseline. Analysis of the data revealed no significant difference in coping abilities and psychiatric symptoms between those receiving face-to-face psychotherapy and those receiving telepsychiatry. The quality and outcome of care was equal to in-person for the telepsychiatry in deaf patients. Since telepsychiatry does not compromise the quality of care, it is a good means of reaching out to members of the deaf community that cannot readily access mental health resources that meet their needs.

  13. Emotional labor demands and compensating wage differentials.

    PubMed

    Glomb, Theresa M; Kammeyer-Mueller, John D; Rotundo, Maria

    2004-08-01

    The concept of emotional labor demands and their effects on workers has received considerable attention in recent years, with most studies concentrating on stress, burnout, satisfaction, or other affective outcomes. This study extends the literature by examining the relationship between emotional labor demands and wages at the occupational level. Theories describing the expected effects of job demands and working conditions on wages are described. Results suggest that higher levels of emotional labor demands are associated with lower wage rates for jobs low in cognitive demands and with higher wage rates for jobs high in cognitive demands. Implications of these findings are discussed. (c) 2004 APA

  14. Minimizing Dispersion in FDTD Methods with CFL Limit Extension

    NASA Astrophysics Data System (ADS)

    Sun, Chen

    The CFL extension in FDTD methods is receiving considerable attention in order to reduce the computational effort and save the simulation time. One of the major issues in the CFL extension methods is the increased dispersion. We formulate a decomposition of FDTD equations to study the behaviour of the dispersion. A compensation scheme to reduce the dispersion in CFL extension is constructed and proposed. We further study the CFL extension in a FDTD subgridding case, where we improve the accuracy by acting only on the FDTD equations of the fine grid. Numerical results confirm the efficiency of the proposed method for minimising dispersion.

  15. What quality-of-life issues do women with ductal carcinoma in situ (DCIS) consider important when making treatment decisions?

    PubMed

    Mercieca-Bebber, Rebecca; King, Madeleine T; Boxer, Miriam M; Spillane, Andrew; Winters, Zoë E; Butow, Phyllis N; McPherson, Joan; Rutherford, Claudia

    2017-09-01

    To explore quality-of-life (QOL) issues considered important when deciding on treatment for ductal carcinoma in situ (DCIS). Breast Cancer Network of Australia members diagnosed with DCIS in the past 5 years (self-identified) participated in an online survey (Sep-Nov 2015). From a list of 74 QOL issues, participants selected all issues they experienced during DCIS diagnosis, treatment or recovery, then the issues they felt important to making a DCIS treatment decision, and completed the Health Literacy Questionnaire (HLQ). Associations between QOL issues and self-reported treatment received were assessed with χ 2 tests. The primary analysis included 38 participants treated with breast-conserving surgery (n = 15), mastectomy (n = 23), and/or radiotherapy (n = 14). Fatigue-related symptoms (82%) and "fear of progression" (50%) were the most frequently-experienced issues. When deciding on DCIS treatment, the most important consideration was "fear of progression" (50%). A higher proportion of mastectomy (compared to non-mastectomy) patients considered "difficultly looking at yourself naked" (p = 0.03). Radiotherapy (compared to non-radiotherapy) patients were more likely to consider "feeling unwell" important (p = 0.006). Results were similar in a sensitivity analysis involving all 101 respondents (i.e., including 63 respondents who reported receiving chemotherapy, endocrine therapy, and/or Herceptin, suggesting that they may have been treated for invasive breast cancer). Health literacy was high across all nine HLQ scales. Fear of progression is a key consideration in DCIS treatment decision making for women with high health literacy. QOL treatment considerations differed by treatments received. Women diagnosed with DCIS may benefit from evidence about QOL to inform treatment decision making.

  16. An Evaluation of the Impacts of Changing Firearms Legislation on Australian Female Firearm Homicide Victimization Rates.

    PubMed

    McPhedran, Samara

    2018-05-01

    Reducing lethal violence against women requires comprehensive measures addressing individual, social, economic, cultural, and situational factors. Regarding situational factors, access to weapons-and firearm access in particular-has received notable research attention. However, most study comes from the United States of America, and findings may not apply elsewhere. The current study examines whether changing gun laws in Australia affected female firearm homicide victimization. Female firearm homicide victimization may have been affected; however, no significant impacts were found for male firearm homicide victimization. Findings suggest there may be value in preventing legal access to firearms by persons who have a history of intimate partner violence, although considerable further study is required.

  17. Large Aperture "Photon Bucket" Optical Receiver Performance in High Background Environments

    NASA Technical Reports Server (NTRS)

    Vilnrotter, Victor A.; Hoppe, D.

    2011-01-01

    The potential development of large aperture groundbased "photon bucket" optical receivers for deep space communications, with acceptable performance even when pointing close to the sun, is receiving considerable attention. Sunlight scattered by the atmosphere becomes significant at micron wavelengths when pointing to a few degrees from the sun, even with the narrowest bandwidth optical filters. In addition, high quality optical apertures in the 10-30 meter range are costly and difficult to build with accurate surfaces to ensure narrow fields-of-view (FOV). One approach currently under consideration is to polish the aluminum reflector panels of large 34-meter microwave antennas to high reflectance, and accept the relatively large FOV generated by state-of-the-art polished aluminum panels with rms surface accuracies on the order of a few microns, corresponding to several-hundred micro-radian FOV, hence generating centimeter-diameter focused spots at the Cassegrain focus of 34-meter antennas. Assuming pulse-position modulation (PPM) and Poisson-distributed photon-counting detection, a "polished panel" photon-bucket receiver with large FOV will collect hundreds of background photons per PPM slot, along with comparable signal photons due to its large aperture. It is demonstrated that communications performance in terms of PPM symbol-error probability in high-background high-signal environments depends more strongly on signal than on background photons, implying that large increases in background energy can be compensated by a disproportionally small increase in signal energy. This surprising result suggests that large optical apertures with relatively poor surface quality may nevertheless provide acceptable performance for deep-space optical communications, potentially enabling the construction of cost-effective hybrid RF/optical receivers in the future.

  18. Recruiting medical students to rural practice

    PubMed Central

    Jutzi, Leah; Vogt, Kelly; Drever, Erin; Nisker, Jeff

    2009-01-01

    ABSTRACT OBJECTIVE To explore the strategies used by rural recruitment programs and their perceived influence on medical students. DESIGN Two original questionnaires delivered electronically, one to medical students and the other to recruiters in rural Ontario communities. SETTING Ontario, Canada. PARTICIPANTS All 525 medical students enrolled in the Schulich School of Medicine & Dentistry at the University of Western Ontario in London and physician recruiters in 71 rural communities in Ontario were invited to participate in the study. MAIN OUTCOME MEASURES The factors that influence medical students to consider rural practice, strategies used by recruiters, and student perceptions of the ethical appropriateness of both. RESULTS The questionnaire was completed by 42.1% of medical students. Lifestyle considerations were an important influence for 93.1% of students. Themes from the qualitative analysis included the ethical appropriateness of financial considerations, economic forces, perceived disadvantages of rural practice, competition between communities, and lack of altruism. Responses were received from recruiters in 43.7% of communities; of those, 92.9% offered financial incentives to attract prospective physicians. CONCLUSION Financial and lifestyle considerations are important influences on medical students’ choice to practise in rural communities. Most medical students felt incentive programs offered by rural communities were ethically appropriate. PMID:19155375

  19. Recruiting medical students to rural practice: perspectives of medical students and rural recruiters.

    PubMed

    Jutzi, Leah; Vogt, Kelly; Drever, Erin; Nisker, Jeff

    2009-01-01

    To explore the strategies used by rural recruitment programs and their perceived influence on medical students. Two original questionnaires delivered electronically, one to medical students and the other to recruiters in rural Ontario communities. Ontario, Canada. All 525 medical students enrolled in the Schulich School of Medicine & Dentistry at the University of Western Ontario in London and physician recruiters in 71 rural communities in Ontario were invited to participate in the study. The factors that influence medical students to consider rural practice, strategies used by recruiters, and student perceptions of the ethical appropriateness of both. The questionnaire was completed by 42.1% of medical students. Lifestyle considerations were an important influence for 93.1% of students. Themes from the qualitative analysis included the ethical appropriateness of financial considerations, economic forces, perceived disadvantages of rural practice, competition between communities, and lack of altruism. Responses were received from recruiters in 43.7% of communities; of those, 92.9% offered financial incentives to attract prospective physicians. Financial and lifestyle considerations are important influences on medical students' choice to practise in rural communities. Most medical students felt incentive programs offered by rural communities were ethically appropriate.

  20. A Novel Multi-Receiver Signcryption Scheme with Complete Anonymity.

    PubMed

    Pang, Liaojun; Yan, Xuxia; Zhao, Huiyang; Hu, Yufei; Li, Huixian

    2016-01-01

    Anonymity, which is more and more important to multi-receiver schemes, has been taken into consideration by many researchers recently. To protect the receiver anonymity, in 2010, the first multi-receiver scheme based on the Lagrange interpolating polynomial was proposed. To ensure the sender's anonymity, the concept of the ring signature was proposed in 2005, but afterwards, this scheme was proven to has some weakness and at the same time, a completely anonymous multi-receiver signcryption scheme is proposed. In this completely anonymous scheme, the sender anonymity is achieved by improving the ring signature, and the receiver anonymity is achieved by also using the Lagrange interpolating polynomial. Unfortunately, the Lagrange interpolation method was proven a failure to protect the anonymity of receivers, because each authorized receiver could judge whether anyone else is authorized or not. Therefore, the completely anonymous multi-receiver signcryption mentioned above can only protect the sender anonymity. In this paper, we propose a new completely anonymous multi-receiver signcryption scheme with a new polynomial technology used to replace the Lagrange interpolating polynomial, which can mix the identity information of receivers to save it as a ciphertext element and prevent the authorized receivers from verifying others. With the receiver anonymity, the proposed scheme also owns the anonymity of the sender at the same time. Meanwhile, the decryption fairness and public verification are also provided.

  1. Palliative Care Service Use in Four European Countries: A Cross-National Retrospective Study via Representative Networks of General Practitioners

    PubMed Central

    Pivodic, Lara; Pardon, Koen; Van den Block, Lieve; Van Casteren, Viviane; Miccinesi, Guido; Donker, Gé A.; Alonso, Tomás Vega; Alonso, José Lozano; Aprile, Pierangelo Lora; Onwuteaka-Philipsen, Bregje D.; Deliens, Luc

    2013-01-01

    Background Due to a rising number of deaths from cancer and other chronic diseases a growing number of people experience complex symptoms and require palliative care towards the end of life. However, population-based data on the number of people receiving palliative care in Europe are scarce. The objective of this study is to examine, in four European countries, the number of people receiving palliative care in the last three months of life and the factors associated with receiving palliative care. Methods Cross-national retrospective study. Over two years (2009–2010), GPs belonging to representative epidemiological surveillance networks in Belgium, the Netherlands, Italy, and Spain registered weekly all deaths of patients (≥18 years) in their practices and the care they received in the last three months of life using a standardized form. Sudden deaths were excluded. Results We studied 4,466 deaths. GPs perceived to have delivered palliative care to 50% of patients in Belgium, 55% in Italy, 62% in the Netherlands, and 65% in Spain (p<.001). Palliative care specialists attended to 29% of patients in the Netherlands, 39% in Italy, 45% in Spain, and 47% in Belgium (p<.001). Specialist palliative care lasted a median (inter-quartile range) of 15 (23) days in Belgium to 30 (70) days in Italy (p<.001). Cancer patients were more likely than non-cancer patients to receive palliative care in all countries as were younger patients in Italy and Spain with regard to specialist palliative care. Conclusions Although palliative care is established in the countries studied, there are considerable differences in its provision. Two potentially underserved groups emerge non-cancer patients in all countries and older people in Italy and Spain. Future research should examine how differences in palliative care use relate to both patient characteristics and existing national health care policies. PMID:24386381

  2. Bulk properties of solution-synthesized chevron-like graphene nanoribbons.

    PubMed

    Vo, Timothy H; Shekhirev, Mikhail; Lipatov, Alexey; Korlacki, Rafal A; Sinitskii, Alexander

    2014-01-01

    Graphene nanoribbons (GNRs) have received a great deal of attention due to their promise for electronic and optoelectronic applications. Several recent studies have focused on the synthesis of GNRs by the bottom-up approaches that could yield very narrow GNRs with atomically precise edges. One type of GNRs that has received a considerable attention is the chevron-like GNR with a very distinct periodic structure. Surface-assisted and solution-based synthetic approaches for the chevron-like GNRs have been developed, but their electronic properties have not been reported yet. In this work, we synthesized chevron-like GNRs in bulk by a solution-based method, characterized them by a number of spectroscopic techniques and measured their bulk conductivity. We demonstrate that solution-synthesized chevron-like GNRs are electrically conductive in bulk, which makes them a potentially promising material for applications in organic electronics and photovoltaics.

  3. Culture shock and social support: a survey in Greek migrant students.

    PubMed

    Pantelidou, Stella; Craig, Tom K J

    2006-10-01

    Culture shock is a form of psychological distress associated with migration. Social support has been identified as significantly related to the onset, course and outcome of many psychological disorders. The aim of this study was to examine the relationship between culture shock and social support, in terms of size, diversity of the social network and quality of support received, in Greek students, in the UK. A total of 133 students completed 3 self-administered questionnaires: Culture Shock Questionnaire, Social Support Questionnaire and General Health Questionnaire (GHQ-12). Gender and the quality of support received were found to be strongly associated with culture shock. Furthermore, culture shock was significantly positively related to the level of current dysphoria and diminished with time. Social support is an important factor associated with the degree of culture shock and should be taken into consideration in order to protect against or help to overcome this kind of psychological distress experienced by migrants.

  4. Effectiveness of worksite interventions to increase influenza vaccination rates among employees and families.

    PubMed

    Ofstead, Cori L; Sherman, Bruce W; Wetzler, Harry P; Dirlam Langlay, Alexandra M; Mueller, Natalie J; Ward, Jeremy M; Ritter, Daniel R; Poland, Gregory A

    2013-02-01

    To increase influenza vaccination rates among industrial employees and their families through a campaign at a large corporation. This prospective, multisite study used employee surveys and claims data to evaluate an evidence-based worksite vaccination program. Vaccination rates among insured employees and dependents (N = 13,520) increased significantly after the intervention (P < 0.001). More than 90% of vaccinated employees received vaccine at employer-sponsored events. There was a strong association between employee and family vaccination status. Primary reasons for receiving the vaccine were economic (free 84%; convenient 80%; avoid absenteeism 82%), rather than health-related. Knowledge was associated with vaccination, but customized education did not change beliefs. Worksite programs can demonstrably increase vaccination rates among industrial employees and families. Consideration should be given to repositioning vaccination from medical treatment to community initiatives offered with other worksite health promotion programs.

  5. A comparison of efficiencies of microbiological pollution removal in six sewage treatment plants with different treatment systems.

    PubMed

    Kistemann, Thomas; Rind, Esther; Rechenburg, Andrea; Koch, Christoph; Classen, Thomas; Herbst, Susanne; Wienand, Ina; Exner, Martin

    2008-10-01

    Six sewage treatment plants (STP) were investigated over a 12-month period in order to measure the microbiological load of untreated municipal wastewater and to evaluate the removal efficiencies of different treatment systems. The STP investigated can be classified into three categories: bigger plants with tertiary treatment, smaller plants with enhanced secondary treatment, and very small compact facilities. The plants studied had a considerable quantitative impact on the hydrology of the catchment area; consequently, it was anticipated that the microbiological load of the effluent would also be significant. Eighty samples were taken from the influent and effluent of the STP, regardless of weather conditions, and several bacterial and two parasitological parameters were analysed. The average microbiological reduction of each STP was dependent on its capacity and treatment procedures and varied between 1.9 and 3.5log10. Small compact facilities had a significantly lower removal efficiency (2.0+/-1log10) and discharged treated wastewater with a poorer microbiological quality compared to larger plants with tertiary treatment or with enhanced secondary treatment (2.8log10). Final sand filtration and extensive intermediate settling considerably improved the overall microbiological removal efficiency. During the study period, the microbiological water quality of the receiving water course was not significantly impaired by the discharge of any of the investigated plants; however, the compact facilities showed critical treatment deficiencies. In particular, the reduction of Giardia cysts was insufficient (<1.5log10) compared to that of the bigger plants (>3.0log10). In order to quantify the overall impact of microbiological loads on the receiving watercourse in this catchment area, it is also necessary to assess the pollution from combined sewer overflow basins and diffuse pollution. This will be considered in subsequent studies.

  6. Nintendo Wii Fit as an adjunct to physiotherapy following lower limb fractures: preliminary feasibility, safety and sample size considerations.

    PubMed

    McPhail, S M; O'Hara, M; Gane, E; Tonks, P; Bullock-Saxton, J; Kuys, S S

    2016-06-01

    The Nintendo Wii Fit integrates virtual gaming with body movement, and may be suitable as an adjunct to conventional physiotherapy following lower limb fractures. This study examined the feasibility and safety of using the Wii Fit as an adjunct to outpatient physiotherapy following lower limb fractures, and reports sample size considerations for an appropriately powered randomised trial. Ambulatory patients receiving physiotherapy following a lower limb fracture participated in this study (n=18). All participants received usual care (individual physiotherapy). The first nine participants also used the Wii Fit under the supervision of their treating clinician as an adjunct to usual care. Adverse events, fracture malunion or exacerbation of symptoms were recorded. Pain, balance and patient-reported function were assessed at baseline and discharge from physiotherapy. No adverse events were attributed to either the usual care physiotherapy or Wii Fit intervention for any patient. Overall, 15 (83%) participants completed both assessments and interventions as scheduled. For 80% power in a clinical trial, the number of complete datasets required in each group to detect a small, medium or large effect of the Wii Fit at a post-intervention assessment was calculated at 175, 63 and 25, respectively. The Nintendo Wii Fit was safe and feasible as an adjunct to ambulatory physiotherapy in this sample. When considering a likely small effect size and the 17% dropout rate observed in this study, 211 participants would be required in each clinical trial group. A larger effect size or multiple repeated measures design would require fewer participants. Copyright © 2015 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

  7. 75 FR 8428 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... received on or before March 26, 2010 to be assured of consideration. Community Development Financial.... Title: Quarterly Institutional Level Report. Form: CDFI Form 0027. Description: The CDFI Fund is... shorter version of the CDFI Fund's Institutional Level Report (ILR), which awardees currently report...

  8. Transformative Learning through Internationalization of the Curriculum in Higher Education

    ERIC Educational Resources Information Center

    Clifford, Valerie; Montgomery, Catherine

    2015-01-01

    Over the last three decades, universities have, almost universally, adopted the mantra of internationalization. However, the implications of internationalization for transformative learning through curriculum receive little consideration. This article draws on data from a fully online course entitled "Internationalizing the Curriculum for All…

  9. 77 FR 56811 - Manufacturing Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-14

    ... consideration for appointment must be received by the Office of Advisory Committees by close of business on... of responsibility) that are leaders within their local manufacturing communities and industry sectors... Subcommittee. The purpose of this subcommittee will be to examine factors that impact the long-term strategic...

  10. The use of atomic force microscopy to evaluate warm mix asphalt : [executive summary report].

    DOT National Transportation Integrated Search

    2013-01-01

    Warm Mix Asphalt (WMA) has received considerable attention in past few years due to its benefits in reducing energy consumption and pollutant emissions during production and placement of asphalt mixtures, as well as a compaction aid during the constr...

  11. 77 FR 58101 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... information technology. DATES: Consideration will be given to all comments received by November 19, 2012... to SNPMIS Project Officer, DHSS, 7700 Arlington Boulevard, Falls Church, VA 22042-2902 or call 703... activities data including referral, evaluation, eligibility, and service plans. The Computer Security Act of...

  12. 77 FR 17461 - Proposed Reinstatement; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-26

    ... forms of information technology. DATES: Consideration will be given to all comments received by May 25... of DD Form 2345. Affected Public: Individuals or households; businesses or other for profit; not-for... restricted databases and obstructs conference attendance where restricted data will be discussed. Dated...

  13. Life at a Teaching University

    ERIC Educational Resources Information Center

    Marineau, Josiah F.

    2018-01-01

    Many new political science faculty at teaching universities are recent PhD recipients, and are coming to these institutions from research-oriented universities. There are considerable differences between the training for graduate students received at research universities and the expectations for faculty at teaching universities. This essay…

  14. 78 FR 11635 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-19

    ... that the Commission received the following electric corporate filings: Docket Numbers: EC13-71-000... for Expedited Consideration, Waivers and Confidential Treatment. Filed Date: 2/6/13. Accession Number... following electric rate filings: Docket Numbers: ER13-675-001. Applicants: Catalina Solar, LLC. Description...

  15. Contributions of pyrogenic materials on the accumulation of soil organic matter

    USDA-ARS?s Scientific Manuscript database

    Soil amendment of charcoal co-product (HHVdb as high as coal) from thermochemical waste biomass-to-energy conversion (slow/fast pyrolysis and gasification) has received considerable interests for both contaminated and agricultural lands. Biochar amendment not only increases soil organic carbon cont...

  16. BIOTRANSFORMATION OF MIXTURES OF CHLORINATED ALIPHATIC HYDROCARBONS BY AN ACETATE-GROWN METHANOGENIC ENRICHMENT CULTURE. (R825549C053)

    EPA Science Inventory

    Biotransformation of chlorinated aliphatic hydrocarbons under anaerobic conditions has received considerable attention due to the prevalence of these compounds as groundwater contaminants. However, information concerning the impact of mixtures of chlorinated compounds on their...

  17. 38 CFR 36.4392 - Certification requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... against any employee or applicant for employment because of race, color, religion, sex or national origin... are treated during employment without regard to their race, color, religion, sex or national origin... receive consideration for employment without regard to race, color, religion, sex or national origin. (3...

  18. 38 CFR 36.4392 - Certification requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... against any employee or applicant for employment because of race, color, religion, sex or national origin... are treated during employment without regard to their race, color, religion, sex or national origin... receive consideration for employment without regard to race, color, religion, sex or national origin. (3...

  19. 38 CFR 36.4392 - Certification requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... against any employee or applicant for employment because of race, color, religion, sex or national origin... are treated during employment without regard to their race, color, religion, sex or national origin... receive consideration for employment without regard to race, color, religion, sex or national origin. (3...

  20. 38 CFR 36.4392 - Certification requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... against any employee or applicant for employment because of race, color, religion, sex or national origin... are treated during employment without regard to their race, color, religion, sex or national origin... receive consideration for employment without regard to race, color, religion, sex or national origin. (3...

  1. 38 CFR 36.4392 - Certification requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... against any employee or applicant for employment because of race, color, religion, sex or national origin... are treated during employment without regard to their race, color, religion, sex or national origin... receive consideration for employment without regard to race, color, religion, sex or national origin. (3...

  2. Heat shock improves stress tolerance and biocontrol performance of Rhodotorula mucilaginosa

    USDA-ARS?s Scientific Manuscript database

    Biological control of postharvest diseases, utilizing wild species and strains of antagonistic yeasts, is a research topic and eco-friendly management approach that has received considerable attention. A few yeast-based biocontrol products are available in the market. Ecological fitness, stress to...

  3. 78 FR 64287 - Voluntary Intermodal Sealift Agreement Open Season

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ... program. Participants operating vessels in international trade may receive top tier consideration in the... clearance process with DSS. Participants must have a FCL and security clearances at a minimum of SECRET.../intermodal service and resource requirements against industry commitments. JPAG meetings are often SECRET...

  4. A Mathematical Diet Model

    ERIC Educational Resources Information Center

    Toumasis, Charalampos

    2004-01-01

    Emphasis on problem solving and mathematical modeling has gained considerable attention in the last few years. Connecting mathematics to other subjects and to the real world outside the classroom has received increased attention in mathematics programs. This article describes an application of simple differential equations in the field of…

  5. Reconsidering Formative Measurement

    ERIC Educational Resources Information Center

    Howell, Roy D.; Breivik, Einar; Wilcox, James B.

    2007-01-01

    The relationship between observable responses and the latent constructs they are purported to measure has received considerable attention recently, with particular focus on what has become known as formative measurement. This alternative to reflective measurement in the area of theory-testing research is examined in the context of the potential…

  6. 15 CFR 971.419 - Environmental protection requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... THE ENVIRONMENTAL DATA SERVICE DEEP SEABED MINING REGULATIONS FOR COMMERCIAL RECOVERY PERMITS Issuance... Administrator of the Environmental Protection Agency, the Secretary of State and the Secretary of the department... consideration to formal comments received from the public, including those from the State agency, and to the...

  7. 78 FR 18563 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-27

    ... information technology. DATES: Consideration will be given to all comments received by May 28, 2013. ADDRESSES...; Comment Request AGENCY: Office of the Under Secretary of Defense for Acquisition, Technology, and... 1995, the Department of the Air Force announces the proposed extension of a public information...

  8. 77 FR 12073 - Proposed Renewal of Information Collection: American Customer Satisfaction Index (ACSI...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-28

    ...: American Customer Satisfaction Index (ACSI) Government Customer Satisfaction Survey AGENCY: National... Interior is soliciting comments concerning the American Customer Satisfaction Index (ACSI) Government Customer Satisfaction Survey. DATES: Consideration will be given to all comments received by April 30, 2012...

  9. 45 CFR 2522.450 - What types of programs or program models may receive special consideration in the selection process?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... any emergency, natural or man-made (this includes programs that help to plan, equip, train, and... communities; (7) Programs that foster opportunities for Americans born in the post-World War II baby boom to...

  10. 45 CFR 2522.450 - What types of programs or program models may receive special consideration in the selection process?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... any emergency, natural or man-made (this includes programs that help to plan, equip, train, and... communities; (7) Programs that foster opportunities for Americans born in the post-World War II baby boom to...

  11. 45 CFR 2522.450 - What types of programs or program models may receive special consideration in the selection process?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... any emergency, natural or man-made (this includes programs that help to plan, equip, train, and... communities; (7) Programs that foster opportunities for Americans born in the post-World War II baby boom to...

  12. 45 CFR 2522.450 - What types of programs or program models may receive special consideration in the selection process?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... any emergency, natural or man-made (this includes programs that help to plan, equip, train, and... communities; (7) Programs that foster opportunities for Americans born in the post-World War II baby boom to...

  13. Childhood Familial Victimization: An Exploration of Gender and Sexual Identity Using the Scale of Negative Family Interactions.

    PubMed

    Martinez, Katherine; McDonald, Courtney

    2017-11-01

    Familial violence poses a serious public health concern and has therefore received a considerable amount of attention from academics and practitioners alike. Research within this field has found that parent-to-parent and parent-to-child violence often occur simultaneously and are especially prevalent within households that suffer from social and environmental stressors. Sibling violence and its relationship to these other forms of familial violence has received considerably less attention, largely related to the widely held belief that sibling violence is natural, especially for boys. Using the Scale of Negative Family Interactions (SNFI), parent-to-child and sibling-to-sibling violence is investigated. Specifically, the relationship between participants' gender and sexual identities and their reports of familial violence are explored to better understand participants' gendered and sexed experiences. Data suggest that gender and sexual minorities may have a unique experience of familial violence, although further research is needed in this area.

  14. Which mothers receive a post partum home visit in Queensland, Australia? A cross-sectional retrospective study.

    PubMed

    Brodribb, Wendy; Miller, Yvette

    2015-06-01

    Although home visiting in the early post partum period appears to have increased, there are limited data defining which women receive a visit and none that include Queensland. We aimed to investigate patterns of post partum home visiting in the public and private sectors in Queensland. Data were collected via a retrospective cross-sectional survey of women birthing in Queensland between 1 February and 31 May 2010 at 4 months post partum (n = 6948). Logistic regression was used to assess associations between receiving a home visit and sociodemographic, clinical and hospital variables. Analyses were stratified by public and private birthing sector because of significant differences between sectors. Public sector women were more likely to receive a visit from a nurse or midwife (from the hospital or child health sector) within 10 days of hospital discharge (67.2%) than private sector women (7.2%). Length of hospital stay was associated with home visiting in both sectors. Some vulnerable subpopulations in both sectors were more likely to be visited, whereas others were not. Home visiting in Queensland varies markedly between the public and private sector and is less common in some vulnerable populations. Further consideration to improving the equity of community post partum care in Queensland is needed.

  15. Survey of Information Sharing Related to the Occupational Considerations of Working Cancer Patients Between Occupational Physicians and Treating Physicians.

    PubMed

    Furuya, Yuko; Takahashi, Miyako; Tateishi, Seiichiro; Tomita, Makiko; Hiraoka, Kou; Shibata, Yoshiyuki; Mori, Koji

    2016-06-07

    Although a vital element in providing career support to workers with medical ailments is coordination between the worker, the treating physician, and the company (the occupational health staff), little is known about factors that promote or impede coordination between these parties. This study aims to demonstrate what kinds of actions by treating physicians promote or impede the occupational considerations made by occupational physicians. A total of 43 occupational physicians who had completed the postgraduate training course (4 years) at the University of Occupational and Environmental Health Japan and were current or former instructors at the Occupational Health Training Center were surveyed using a self-reported questionnaire form. The questionnaire asked about individual attributes (age, years of experience as an occupational physician, etc.) and actions taken by treating physicians that were useful in making occupational considerations in the workplace (good practice cases) or that impeded such considerations (trouble cases). Responses about cases were obtained as freely written descriptions. Case content was analyzed qualitatively according to the KJ method. During the survey period from December 17, 2013 to January 18, 2014, responses were received from 33 occupational physicians (valid response rate, 76.7%; mean age, 37.4±6.1 years). Of these, 60.6% exclusively specialized in occupational medicine. Respondents provided 32 good practice cases and 16 trouble cases. The timing of coordination was the period of rehabilitation in 35 of the 48 cases (72.9%). Actions by the treating physicians that influenced occupational considerations were divided into seven major categories: "providing treatment information," "providing physical information," "appropriateness of rehabilitation or occupational considerations," "consistency of information provided," "issuing documentation," "communication that was cognizant of the occupational physician's presence," and "providing information unknown to the worker." This study clarified the kind of actions by the treating physicians that were relevant to occupational support provided by occupational physicians. Additionally, this study clarified the need for information sharing with occupational physician and treating physician. The good practice cases and trouble cases presented by the respondents were inextricably linked, and actions by the treating physicians that are based on good practices are highly likely to lead to smooth information sharing and occupational considerations.

  16. Social effects of migration in receiving countries.

    PubMed

    Ohndorf, W

    1989-06-01

    This paper examines the impact of post-1945 migration into Western, Middle, and Northern Europe from Southern Europe, Turkey, and Northern Africa, and migration to the traditional immigration countries by Asian and Latin American immigrants, on the social structures of receiving countries. Between 1955 and 1974, 1) traditional migration to the US and Australia became less important for European countries while traditional receiving countries accepted many immigrants from developing countries; and 2) rapid economic revival in Western and Northern Europe caused a considerable labor shortage which was filled by migrant workers especially from Southern Europe, Turkey, and Northern Africa, who stayed only until they reached their economic goals. Since 1974, job vacancies have declined and unemployment has soared. This employment crisis caused some migrants 1) to return to their countries of origin, 2) to bring the rest of their families to the receiving country, or 3) to lengthen their stay considerably. The number of refugees has also significantly increased since the mid-970s, as has the number of illegal migrants. After the mid-1970s, Europe began to experience integration problems. The different aspects of the impact of migration on social structures include 1) improvement of the housing situation for foreigners, 2) teaching migrants the language of the receiving country, 3) solving the unemployment problem of unskilled migrants, 4) improvement of educational and vocational qualifications of 2nd generation migrants, 5) development of programs to help unemployed wives of migrants to learn the language and meet indigenous women, 6) encouraging migrants to maintain their cultural identity and assisting them with reintegration if they return to their original country, 7) coping with the problems of refugees, and 8) solving the problems of illegal migration. Almost all receiving countries now severely restrict further immigration. [Those policies should result in improved development of aid policies towards sending countries. Immigration from other countries to those of the European Economic community should be limited to that for humanitarian reasons.

  17. Trends in US women's use of sexual and reproductive health care services, 1995-2002.

    PubMed

    Frost, Jennifer J

    2008-10-01

    I examined the 1995 and 2002 National Survey of Family Growth for patterns and trends in the use of sexual and reproductive health care services by US women according to type of provider. The percentage of women reporting receipt of contraceptive services rose between 1995 and 2002 (from 36% to 41%), and the level and mix of services received varied considerably according to type of provider. Women visiting publicly funded providers received a broader mix of services than did clients of private providers.

  18. Trends in US Women's Use of Sexual and Reproductive Health Care Services, 1995–2002

    PubMed Central

    2008-01-01

    I examined the 1995 and 2002 National Survey of Family Growth for patterns and trends in the use of sexual and reproductive health care services by US women according to type of provider. The percentage of women reporting receipt of contraceptive services rose between 1995 and 2002 (from 36% to 41%), and the level and mix of services received varied considerably according to type of provider. Women visiting publicly funded providers received a broader mix of services than did clients of private providers. PMID:18703443

  19. Eleven essential steps to purchasing or selling a medical practice.

    PubMed

    Barrett, William

    2014-01-01

    Based on our experience in representing more than 100 doctors and medical specialists in practice sales and acquisitions, we have identified 11 key considerations important to a deal. There are several issues to consider while going through the process of buying or selling a practice including the implementation of a "letter of intent" as a first step rather than drafting a contract, securing a lease, and verifying the property is not in violation of the local zoning requirements. There are also considerations with regard to the patients, which range from how will the accounts receivable at the time of the closing be handled to who is responsible for the handling of continued treatment in an ongoing case after a deal is finalized. This article details these considerations and more.

  20. Some Considerations on the Dynamics of Nanometric Suspensions in Fluid Media

    NASA Astrophysics Data System (ADS)

    Lungu, Mihai; Neculae, Adrian; Bunoiu, Madalin

    2009-05-01

    Nano-sized particles received considerable interest in the last decade. The manipulation of nanoparticles is becoming an important issue as they are more and more produced as a result of material synthesis and combustion emission. The nanometric particles represent a very important threat for human health because they can readily enter the human body through inhalation and their toxicity is relatively high due to the large specific surface area. The separation of the nano-sized particles into distinct bands, spatially separated one of each other had also brought recently considerable attention in many scientific areas; the usages of nanoparticles are very promising for the new technologies. The behavior of a suspension of sub-micronic particles under the action of dielectrophoretic force is numerically investigated and a theoretical model is proposed.

  1. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial.

    PubMed

    Peek, Giles J; Mugford, Miranda; Tiruvoipati, Ravindranath; Wilson, Andrew; Allen, Elizabeth; Thalanany, Mariamma M; Hibbert, Clare L; Truesdale, Ann; Clemens, Felicity; Cooper, Nicola; Firmin, Richard K; Elbourne, Diana

    2009-10-17

    Severe acute respiratory failure in adults causes high mortality despite improvements in ventilation techniques and other treatments (eg, steroids, prone positioning, bronchoscopy, and inhaled nitric oxide). We aimed to delineate the safety, clinical efficacy, and cost-effectiveness of extracorporeal membrane oxygenation (ECMO) compared with conventional ventilation support. In this UK-based multicentre trial, we used an independent central randomisation service to randomly assign 180 adults in a 1:1 ratio to receive continued conventional management or referral to consideration for treatment by ECMO. Eligible patients were aged 18-65 years and had severe (Murray score >3.0 or pH <7.20) but potentially reversible respiratory failure. Exclusion criteria were: high pressure (>30 cm H(2)O of peak inspiratory pressure) or high FiO(2) (>0.8) ventilation for more than 7 days; intracranial bleeding; any other contraindication to limited heparinisation; or any contraindication to continuation of active treatment. The primary outcome was death or severe disability at 6 months after randomisation or before discharge from hospital. Primary analysis was by intention to treat. Only researchers who did the 6-month follow-up were masked to treatment assignment. Data about resource use and economic outcomes (quality-adjusted life-years) were collected. Studies of the key cost generating events were undertaken, and we did analyses of cost-utility at 6 months after randomisation and modelled lifetime cost-utility. This study is registered, number ISRCTN47279827. 766 patients were screened; 180 were enrolled and randomly allocated to consideration for treatment by ECMO (n=90 patients) or to receive conventional management (n=90). 68 (75%) patients actually received ECMO; 63% (57/90) of patients allocated to consideration for treatment by ECMO survived to 6 months without disability compared with 47% (41/87) of those allocated to conventional management (relative risk 0.69; 95% CI 0.05-0.97, p=0.03). Referral to consideration for treatment by ECMO led to a gain of 0.03 quality-adjusted life-years (QALYs) at 6-month follow-up [corrected]. A lifetime model predicted the cost per QALY of ECMO to be pound19 252 (95% CI 7622-59 200) at a discount rate of 3.5%. We recommend transferring of adult patients with severe but potentially reversible respiratory failure, whose Murray score exceeds 3.0 or who have a pH of less than 7.20 on optimum conventional management, to a centre with an ECMO-based management protocol to significantly improve survival without severe disability. This strategy is also likely to be cost effective in settings with similar services to those in the UK. UK NHS Health Technology Assessment, English National Specialist Commissioning Advisory Group, Scottish Department of Health, and Welsh Department of Health.

  2. Treatment Patterns, Survival, and Healthcare Costs of Patients with Malignant Gliomas in a Large US Commercially Insured Population

    PubMed Central

    Ray, Saurabh; Bonafede, Machaon M.; Mohile, Nimish A.

    2014-01-01

    Background Glioblastoma multiforme is the most common malignant primary brain tumor in adults and is associated with poor survival rates. Symptoms often include headaches; nausea and vomiting; and progressive memory, personality, or neurologic deficits. The treatment remains a challenge, and despite the approval of multiple new therapies in the past decade, survival has not improved. Objective To describe treatment patterns, survival, and healthcare costs of patients with incident glioblastoma in a large US population. Methods For this population-based study, adult patients (aged ≥18 years) with incident malignant brain neoplasm who had undergone brain surgery between January 1, 2006, and December 31, 2010, were identified in the Truven Health Analytics MarketScan Research Databases. The patients were stratified into 4 cohorts based on the use of temozolomide and/or external beam radiation therapy within 90 days after brain surgery (ie, the index event). Treatment patterns, survival, and healthcare costs were assessed until patient death, disenrollment, or the end-of-study period. Results A total of 2272 patients met the inclusion criteria; of these, 37% received temozolomide and radiation therapy, 13.8% received radiation alone, 3.9% received temozolomide alone, and 45.3% of patients received neither. The average patient age ranged from 55.3 years to 59.8 years across the study cohorts; between 29.8% and 44% of patients in each cohort were female. The duration of temozolomide use was similar between the temozolomide-only cohort and patients receiving temozolomide with external beam radiation; approximately 76% of patients received temozolomide at least 60 days, dropping to 48.1% and 23% at 180 days and 360 days of follow-up, respectively. The median survival was 456 days, ranging from 331 days in the temozolomide-only cohort to 529 days in the cohort that received neither temozolomide nor external beam radiation. The average total costs in the 6 months postindex were $106,896, from $79,099 for patients who received neither temozolomide nor radiation to $138,767 for those who received both therapies. Conclusion The survival patterns of patients with glioblastoma seen in this real-world study of current treatments in a clinical setting is similar to the survival rate reported in clinical trials. However, further cost-effectiveness and quality-of-life analyses will be critical to better understand the role of temozolomide therapy in this patient population, considering its considerable cost burden and potential negative impact on survival seen in this study. PMID:24991398

  3. Multidisciplinary research in the space sciences

    NASA Technical Reports Server (NTRS)

    Broecker, W. S.; Flynn, G. W.

    1983-01-01

    Research activities were carried out in the following areas during this reporting period: (1) astrophysics; (2) climate and atmospheric modeling; and (3) climate applications of earth observations & geological studies. An ultra-low-noise 115 GHz receiver based upon a superconducting tunnel diode mixer has been designed and constructed. The first laboratory tests have yielded spectacular results: a single-sideband noise temperature of 75 K considerably more sensitive than any other receiver at this frequency. The receiver will replace that currently in use on the Columbia-GISS CO Sky Survey telescope. The 1.2 meter millimeter-wave telescope at Columbia University has been used to complete two large-scale surveys of molecular matter in the part of the inner galaxy which is visible from the Northern hemisphere (the first galactic quadrant); one of the distant galaxy and one of the solar neighborhood. The research conducted during the past year in the climate and atmospheric modeling programs has been focused on the development of appropriate atmospheric and upper ocean models, and preliminary applications of these models. Principal models are a one-dimensional radiative-convective model, a three-dimensional global climate model, and an upper ocean model. During the past year this project has focused on development of 2-channel satellite analysis methods and radiative transfer studies in support of multichannel analysis techniques.

  4. Fractionated changes in prostate cancer radiotherapy using cone-beam computed tomography

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

    Huang, Tzung-Chi, E-mail: tzungchi.huang@mail.cmu.edu.tw; Department of Biomedical Informatics, Asia University, Taichung City, Taiwan; Chou, Kuei-Ting

    2015-10-01

    The high mobility of the bladder and the rectum causes uncertainty in radiation doses prescribed to patients with prostate cancer who undergo radiotherapy (RT) multifraction treatments. The purpose of this study was to estimate the dose received by the bladder, rectum, and prostate from multifraction treatments using daily cone-beam computed tomography (CBCT). Overall, 28 patients with prostate cancer who planned to receive radiation treatments were enrolled in the study. The acquired CBCT before the treatment delivery was registered with the planning CT to map the dose distribution used in the treatment plan for estimating the received dose during clinical treatment.more » For all 28 patients with 112 data sets, the mean percentage differences (± standard deviation) in the volume and radiation dose were 44% (± 41) and 18% (± 17) for the bladder, 20% (± 21) and 2% (± 2) for the prostate, and 36% (± 29) and 22% (± 15) for the rectum, respectively. Substantial differences between the volumes and radiation dose and those specified in treatment plans were observed. Besides the use of image-guided RT to improve patient setup accuracy, further consideration of large changes in bladder and rectum volumes is strongly suggested when using external beam radiation for prostate cancer.« less

  5. [Typologies of Madrid's citizens (Spain) at the end-of-life: cluster analysis].

    PubMed

    Ortiz-Gonçalves, Belén; Perea-Pérez, Bernardo; Labajo González, Elena; Albarrán Juan, Elena; Santiago-Sáez, Andrés

    2018-03-06

    To establish typologies within Madrid's citizens (Spain) with regard to end-of-life by cluster analysis. The SPAD 8 programme was implemented in a sample from a health care centre in the autonomous region of Madrid (Spain). A multiple correspondence analysis technique was used, followed by a cluster analysis to create a dendrogram. A cross-sectional study was made beforehand with the results of the questionnaire. Five clusters stand out. Cluster 1: a group who preferred not to answer numerous questions (5%). Cluster 2: in favour of receiving palliative care and euthanasia (40%). Cluster 3: would oppose assisted suicide and would not ask for spiritual assistance (15%). Cluster 4: would like to receive palliative care and assisted suicide (16%). Cluster 5: would oppose assisted suicide and would ask for spiritual assistance (24%). The following four clusters stood out. Clusters 2 and 4 would like to receive palliative care, euthanasia (2) and assisted suicide (4). Clusters 4 and 5 regularly practiced their faith and their family members did not receive palliative care. Clusters 3 and 5 would be opposed to euthanasia and assisted suicide in particular. Clusters 2, 4 and 5 had not completed an advance directive document (2, 4 and 5). Clusters 2 and 3 seldom practiced their faith. This study could be taken into consideration to improve the quality of end-of-life care choices. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  6. 47 CFR 1.934 - Defective applications and dismissal.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... designated for comparative hearing; or (B) It is an application for which the applicant submitted the winning... has been designated for comparative hearing may submit a written petition requesting that the... submit the winning bid in a competitive bidding process; or (2) That receive comparative consideration in...

  7. 47 CFR 1.934 - Defective applications and dismissal.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... designated for comparative hearing; or (B) It is an application for which the applicant submitted the winning... has been designated for comparative hearing may submit a written petition requesting that the... submit the winning bid in a competitive bidding process; or (2) That receive comparative consideration in...

  8. 78 FR 70067 - Marine Mammals; Receipt of Applications for Permit

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... requests a permit to photograph polar bears (Ursus maritimus) in the vicinity of Kaktovik/Barter Island... species unless Federal authorization is acquired that allows such activities. DATES: We must receive... carry out our conservation responsibilities for affected species, and in consideration of the Marine...

  9. Hot spots and hot moments in riparian zones: potential for improved water quality management

    USDA-ARS?s Scientific Manuscript database

    Despite considerable heterogeneity over space and time, biogeochemical and hydrological processes in riparian zones regulate contaminant movement to receiving waters and often mitigate the impact of upland sources of contaminants on water quality. Recently, these heterogeneous processes have been co...

  10. Validity in Qualitative Research: Application of Safeguards

    ERIC Educational Resources Information Center

    Daytner, Katrina M.

    2006-01-01

    The construct of validity has received considerable attention in qualitative methods literature (Denzin, 1989; Erickson, 1986; Geertz, 1973; Goetz & LeCompte, 1984; Howe & Eisenhart, 1990; Maxwell, 1992; Smith & Glass, 1987). Much of the attention has been focused upon the issue of whether qualitative results and interpretations accurately reflect…

  11. Unbroken Mirror Neurons in Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Fan, Yang-Teng; Decety, Jean; Yang, Chia-Yen; Liu, Ji-Lin; Cheng, Yawei

    2010-01-01

    Background: The "broken mirror" theory of autism, which proposes that a dysfunction of the human mirror neuron system (MNS) is responsible for the core social and cognitive deficits in individuals with autism spectrum disorders (ASD), has received considerable attention despite weak empirical evidence. Methods: In this electroencephalographic…

  12. The Millennial Generation: Howe and Strauss Disputed

    ERIC Educational Resources Information Center

    Alexander Agati, Holly

    2012-01-01

    Researchers have attempted to untangle the complexity of a generation through four primary effects--time interval, cohort, period, and attitude--based on personal and societal attributes. The Millennial generation, born 1982-2000, has received considerable attention through the media, in educational institutions, and in the workplace. The seven…

  13. Sitting in "Motion"

    ERIC Educational Resources Information Center

    Brinks, Kathrin

    2009-01-01

    For children, the urge to move is a basic need. Movement is essential for the development of physical and mental abilities. Quite often, for children with intellectual and physical disabilities who require special supportive seating, other considerations receive priority over movement in seats. The result is an even greater reduction of their…

  14. 78 FR 9036 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-07

    ... technology. DATES: Consideration will be given to all comments received by April 8, 2013. ADDRESSES: You may... the program. Affected Public: Business or other for-profit; Not-for-profit institutions; Federal...; Address of Organization; Date(s) of Event; Location(s) of Event; Estimated Attendance; Number of Vietnam...

  15. 78 FR 10001 - Proposed Collection; Comment Request for Form 706-GS(D)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-12

    ... Form 706-GS(D), Generation-Skipping Transfer Tax Return for Distributions. DATES: Written comments should be received on or before April 15, 2013 to be assured of consideration. ADDRESSES: Direct all... [email protected] . SUPPLEMENTARY INFORMATION: Title: Generation-Skipping Transfer Tax Return for...

  16. 77 FR 71408 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-30

    ... that the Commission received the following electric corporate filings: Docket Numbers: EC13-46-000... Expedited Consideration and Confidential Treatment of Spearville 3, LLC, et al. Filed Date: 11/21/12... Jurisdictional Facilities and Request for Confidential Treatment of Algonquin Power Fund (America) Inc., et al...

  17. 76 FR 73611 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... that the Commission received the following electric corporate filings: Docket Numbers: EC12-35-000... and Confidential Treatment of Arizona Solar One LLC. Filed Date: 11/18/11. Accession Number: 20111118... Section 203 of the Federal Power Act, and for Expedited Consideration, Confidential Treatment and Waivers...

  18. 33 CFR 101.105 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... without containers or labels, and that is received and handled without mark or count. Bunkers means a..., part A. Cargo means any goods, wares, or merchandise carried, or to be carried, for consideration... interested in the vessel, facility, or OCS facility, except dredge spoils. Cargo vessel means a vessel that...

  19. 33 CFR 101.105 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... without containers or labels, and that is received and handled without mark or count. Bunkers means a..., part A. Cargo means any goods, wares, or merchandise carried, or to be carried, for consideration... interested in the vessel, facility, or OCS facility, except dredge spoils. Cargo vessel means a vessel that...

  20. 33 CFR 101.105 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... without containers or labels, and that is received and handled without mark or count. Bunkers means a..., part A. Cargo means any goods, wares, or merchandise carried, or to be carried, for consideration... interested in the vessel, facility, or OCS facility, except dredge spoils. Cargo vessel means a vessel that...

  1. 33 CFR 101.105 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... without containers or labels, and that is received and handled without mark or count. Bunkers means a..., part A. Cargo means any goods, wares, or merchandise carried, or to be carried, for consideration... interested in the vessel, facility, or OCS facility, except dredge spoils. Cargo vessel means a vessel that...

  2. Threat-Related Attentional Bias in Anxious Youth: A Review

    ERIC Educational Resources Information Center

    Puliafico, Anthony C.; Kendall, Philip C.

    2006-01-01

    The research literature suggests that children and adolescents suffering from anxiety disorders experience cognitive distortions that magnify their perceived level of threat in the environment. Of these distortions, an attentional bias toward threat-related information has received the most theoretical and empirical consideration. A large volume…

  3. The Value of Literacy Practices

    ERIC Educational Resources Information Center

    Esposito, Lucio; Kebede, Bereket; Maddox, Bryan

    2015-01-01

    The concepts of literacy events and practices have received considerable attention in educational research and policy. In comparison, the question of value, that is, "which literacy practices do people most value?" has been neglected. With the current trend of cross-cultural adult literacy assessment, it is increasingly important to…

  4. 14 CFR 23 - Certification and Balance Sheet Elements

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... consideration received shall be reported. (2) “Other Paid-In Capital” shall include the difference between the... cross-referenced to the affected account or accounts. Schedule B-7 Airframe and Aircraft Engine... both passengers and cargo in combination. Data pertaining to aircraft engines shall be reported in...

  5. 78 FR 32638 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... information technology. DATES: Consideration will be given to all comments received by July 30, 2013... Reduction Act of 1995, the Department of the Air Force announces a reinstatement of a public information... proposed collection of information is necessary for the proper performance of the functions of the agency...

  6. 49 CFR 520.27 - Legislative actions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Legislative actions. (a) A DEIS on both legislative proposals and reports for which NHTSA either develops the... been received should be available to the Congress and to the public for consideration in connection with the proposed legislation or report on proposed legislation. In cases where the scheduling of...

  7. 49 CFR 520.27 - Legislative actions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Legislative actions. (a) A DEIS on both legislative proposals and reports for which NHTSA either develops the... been received should be available to the Congress and to the public for consideration in connection with the proposed legislation or report on proposed legislation. In cases where the scheduling of...

  8. 49 CFR 520.27 - Legislative actions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Legislative actions. (a) A DEIS on both legislative proposals and reports for which NHTSA either develops the... been received should be available to the Congress and to the public for consideration in connection with the proposed legislation or report on proposed legislation. In cases where the scheduling of...

  9. 49 CFR 520.27 - Legislative actions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Legislative actions. (a) A DEIS on both legislative proposals and reports for which NHTSA either develops the... been received should be available to the Congress and to the public for consideration in connection with the proposed legislation or report on proposed legislation. In cases where the scheduling of...

  10. 48 CFR 50.103-5 - Processing cases.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... before receiving advice that the funds will be available. The request for this advice shall give the... to decide a given case. Facts and evidence, including signed statements of material facts within the... considering requests for amendment without consideration involving another agency shall obtain advice on the...

  11. Benjamin Franklin and Shock-Induced Amnesia

    ERIC Educational Resources Information Center

    Finger, Stanley; Zaromb, Franklin

    2006-01-01

    Shock-induced amnesia received considerable attention after Cerletti popularized electroconvulsive shock therapy in the late 1930s. Yet, often overlooked is the fact that Benjamin Franklin recognized that passing electricity through the head could affect memory for the traumatic event. Franklin described his findings on himself and others in…

  12. Isolating and Examining Sources of Suppression and Multicollinearity in Multiple Linear Regression

    ERIC Educational Resources Information Center

    Beckstead, Jason W.

    2012-01-01

    The presence of suppression (and multicollinearity) in multiple regression analysis complicates interpretation of predictor-criterion relationships. The mathematical conditions that produce suppression in regression analysis have received considerable attention in the methodological literature but until now nothing in the way of an analytic…

  13. 32 CFR 1901.04 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... RIGHTS UNDER THE PRIVACY ACT OF 1974 General § 1901.04 Suggestions and complaints. The Agency welcomes suggestions or complaints with regard to its administration of the Privacy Act. Many requesters will receive... specific purpose and the issues for consideration. The Agency will respond to all substantive...

  14. Pore-scale simulations to determine the applied hydrodynamic torque and colloid immobilization

    USDA-ARS?s Scientific Manuscript database

    The importance of adhesive and diffusion forces on colloid retention is well established, and theory has been developed in the literature to predict these factors. Conversely, the role of hydrodynamic forces and torques on colloid retention has received considerably less attention. Recent research ...

  15. Assistive Technology: What Physical Educators Need to Know

    ERIC Educational Resources Information Center

    Laughlin, Michael K.; Murata, Nathan M.; Gonnelli, Michele; Larranaga, John

    2018-01-01

    Assistive technology supplements and supports the learning of students with disabilities in school and at home. Thanks to federal mandates, students with disabilities receive consideration for assistive technology devices and services--the tools and supports needed to achieve determined learning outcomes. Assistive technology devices and services…

  16. 50 CFR 452.03 - Threshold review and determinations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 9 2011-10-01 2011-10-01 false Threshold review and determinations. 452... PROCESS CONSIDERATION OF APPLICATION BY THE SECRETARY § 452.03 Threshold review and determinations. (a) Threshold determinations. Within 20 days after receiving an exemption application, or a longer time agreed...

  17. 50 CFR 452.03 - Threshold review and determinations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 50 Wildlife and Fisheries 11 2014-10-01 2014-10-01 false Threshold review and determinations. 452... PROCESS CONSIDERATION OF APPLICATION BY THE SECRETARY § 452.03 Threshold review and determinations. (a) Threshold determinations. Within 20 days after receiving an exemption application, or a longer time agreed...

  18. A sustainability review of domestic rubber from the guayule plant

    USDA-ARS?s Scientific Manuscript database

    Guayule (Parthenium argentatum Gray) is an arid-adapted, low-input perennial shrub native to Mexico and southern Texas that has received considerable attention as an alternative source of natural rubber. It has potential to replace the most common types of rubbers, including synthetic rubber derived...

  19. A Novel Location-Centric IoT-Cloud Based On-Street Car Parking Violation Management System in Smart Cities.

    PubMed

    Dinh, Thanh; Kim, Younghan

    2016-06-02

    Nowadays, in big cities, parking management is a critical issue from both the driver's side and the city government's side. From the driver's side, how to find an available parking lot in a city is a considerable concern. As a result, smart parking systems recently have received great interest, both in academia and industry. From the city government's side, how to manage and distribute such a limited public parking resource efficiently to give every visitor a fair chance of finding an on-street parking lot is also a considerable concern. However, existing studies of smart parking management focus only on assisting the driver's side to find available parking spaces. This study aims to raise a new perspective on such smart parking management and to propose a novel location-centric IoT-cloud-based parking violation management system. The system is designed to assist authoritative officers in finding parking violations easily and recommends the least cost path for officers so that officers can achieve their highest productivity in finding parking violations and issuing parking tickets. Experimental results show that the system not only improves the productivity of officers in finding parking violations and issuing tickets, but also helps reduce the traveling cost of officers and to reduce the average violation period of violating cars considerably.

  20. A Novel Location-Centric IoT-Cloud Based On-Street Car Parking Violation Management System in Smart Cities

    PubMed Central

    Dinh, Thanh; Kim, Younghan

    2016-01-01

    Nowadays, in big cities, parking management is a critical issue from both the driver’s side and the city government’s side. From the driver’s side, how to find an available parking lot in a city is a considerable concern. As a result, smart parking systems recently have received great interest, both in academia and industry. From the city government’s side, how to manage and distribute such a limited public parking resource efficiently to give every visitor a fair chance of finding an on-street parking lot is also a considerable concern. However, existing studies of smart parking management focus only on assisting the driver’s side to find available parking spaces. This study aims to raise a new perspective on such smart parking management and to propose a novel location-centric IoT-cloud-based parking violation management system. The system is designed to assist authoritative officers in finding parking violations easily and recommends the least cost path for officers so that officers can achieve their highest productivity in finding parking violations and issuing parking tickets. Experimental results show that the system not only improves the productivity of officers in finding parking violations and issuing tickets, but also helps reduce the traveling cost of officers and to reduce the average violation period of violating cars considerably. PMID:27271620

  1. Cheating and Anti-Cheating in Gossip-Based Protocol: An Experimental Investigation

    NASA Astrophysics Data System (ADS)

    Xiao, Xin; Shi, Yuanchun; Tang, Yun; Zhang, Nan

    During recent years, there has been a rapid growth in deployment of gossip-based protocol in many multicast applications. In a typical gossip-based protocol, each node acts as dual roles of receiver and sender, independently exchanging data with its neighbors to facilitate scalability and resilience. However, most of previous work in this literature seldom considered cheating issue of end users, which is also very important in face of the fact that the mutual cooperation inherently determines overall system performance. In this paper, we investigate the dishonest behaviors in decentralized gossip-based protocol through extensive experimental study. Our original contributions come in two-fold: In the first part of cheating study, we analytically discuss two typical cheating strategies, that is, intentionally increasing subscription requests and untruthfully calculating forwarding probability, and further evaluate their negative impacts. The results indicate that more attention should be paid to defending cheating behaviors in gossip-based protocol. In the second part of anti-cheating study, we propose a receiver-driven measurement mechanism, which evaluates individual forwarding traffic from the perspective of receivers and thus identifies cheating nodes with high incoming/outgoing ratio. Furthermore, we extend our mechanism by introducing reliable factor to further improve its accuracy. The experiments under various conditions show that it performs quite well in case of serious cheating and achieves considerable performance in other cases.

  2. Situation of Diabetes and Related Disease Surveillance in Rural Areas of Jilin Province, Northeast China.

    PubMed

    Wang, Rui; Zhang, Peng; Lv, Xin; Jiang, Lingling; Gao, Chunshi; Song, Yuanyuan; Yu, Yaqin; Li, Bo

    2016-05-27

    Several studies have investigated the prevalence and awareness of diabetes mellitus (DM) in China, but little is known about the situation of DM in the northeastern rural areas. Our present study investigated the prevalence, awareness and associated characteristics of DM in rural areas of Jilin Province, aiming to suggest more efforts for the prevention and control of DM. A multistage stratified random cluster sampling design was used in this cross-sectional study which took place in 2012. Data were collected by face-to-face interviews and physical examinations. Rao-Scott Chi-square test, t test and multivariate logistic regression analysis were used. The estimated prevalence of DM in rural areas of Jilin province was 7.2%. DM was positively associated with age, Body mass index (BMI), hypotension, dyslipidemia and was high in participants with a family history of diabetes and those who exercise frequently, but low for high education level and married participants. 69.0% participants with DM were aware of their diabetes status, 88.2% of whom received treatment and 34.4% of whom had received treatment controlled their DM status. We observed a high prevalence and low awareness status of DM among the rural residents in Jilin Province, but the rate of effective control in those who have received treatment was considerable. The low rate of disease surveillance should draw health authority's attention.

  3. Bureau of Reclamation Hydropower Lease of Power Privilege: Case Studies and Considerations

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

    Curtis, Taylor L.; Levine, Aaron L.; McLaughlin, Kathleen

    This report analyzes the U.S. Bureau of Reclamation's (Reclamation) lease of power privilege (LOPP) regulatory process for a nonfederal entity to use a Reclamation jurisdictional dam or conduit for power generation. Recent federal initiatives encouraging hydropower development at federally-owned facilities coupled with Reclamation's hydroelectric potential has led to an increased interest in powering Reclamation dams and conduits through the LOPP process. During the last five years, 23 of the 36 total LOPP projects (76 MW) have been initiated and are at some phase of the development process. Resource assessments analyzed in this report identify over 360 MW of hydroelectric potentialmore » at Reclamation-owned dams and conduits. This report provides considerations from Reclamation staff involved in the LOPP regulatory process and developers that have received an LOPP and are currently generating hydropower at a Reclamation dam or conduit. The authors also analyze LOPP regulatory processing timelines before and after the implementation of federal initiatives to streamline the LOPP process and provide case studies of hydropower projects that have obtained an LOPP.« less

  4. Linking the concept of scale to studies of biological diversity: evolving approaches and tools.

    USGS Publications Warehouse

    Beever, E.A.; Swihart, R.K.; Bestelmeyer, B. T.

    2006-01-01

    Although the concepts of scale and biological diversity independently have received rapidly increasing attention in the scientific literature since the 1980s, the rate at which the two concepts have been investigated jointly has grown much more slowly. We find that scale considerations have been incorporated explicitly into six broad areas of investigation related to biological diversity: (1) heterogeneity within and among ecosystems, (2) disturbance ecology, (3) conservation and restoration, (4) invasion biology, (5) importance of temporal scale for understanding processes, and (6) species responses to environmental heterogeneity. In addition to placing the papers of this Special Feature within the context of brief summaries of the expanding literature on these six topics, we provide an overview of tools useful for integrating scale considerations into studies of biological diversity. Such tools include hierarchical and structural-equation modelling, kriging, variable-width buffers, k-fold cross-validation, and cascading graph diagrams, among others. Finally, we address some of the major challenges and research frontiers that remain, and conclude with a look to the future.

  5. Differences in predictors of traditional and cyber-bullying: a 2-year longitudinal study in Korean school children.

    PubMed

    Yang, Su-Jin; Stewart, Robert; Kim, Jae-Min; Kim, Sung-Wan; Shin, Il-Seon; Dewey, Michael E; Maskey, Sean; Yoon, Jin-Sang

    2013-05-01

    Traditional bullying has received considerable research but the emerging phenomenon of cyber-bullying much less so. Our study aims to investigate environmental and psychological factors associated with traditional and cyber-bullying. In a school-based 2-year prospective survey, information was collected on 1,344 children aged 10 including bullying behavior/experience, depression, anxiety, coping strategies, self-esteem, and psychopathology. Parents reported demographic data, general health, and attention-deficit hyperactivity disorder (ADHD) symptoms. These were investigated in relation to traditional and cyber-bullying perpetration and victimization at age 12. Male gender and depressive symptoms were associated with all types of bullying behavior and experience. Living with a single parent was associated with perpetration of traditional bullying while higher ADHD symptoms were associated with victimization from this. Lower academic achievement and lower self esteem were associated with cyber-bullying perpetration and victimization, and anxiety symptoms with cyber-bullying perpetration. After adjustment, previous bullying perpetration was associated with victimization from cyber-bullying but not other outcomes. Cyber-bullying has differences in predictors from traditional bullying and intervention programmes need to take these into consideration.

  6. Accessibility of antiretroviral therapy in Ghana: convenience of access.

    PubMed

    Addo-Atuah, Joyce; Gourley, Dick; Gourley, Greta; White-Means, Shelley I; Womeodu, Robin J; Faris, Richard J; Addo, Nii Akwei

    2012-01-01

    The convenience of accessing antiretroviral therapy (ART) is important for initial access to care and subsequent adherence to ART. We conducted a qualitative study of people living with HIV/AIDS (PLWHA) and ART healthcare providers in Ghana in 2005. The objective of this study was to explore the participants' perceived convenience of accessing ART by PLWHA in Ghana. The convenience of accessing ART was evaluated from the reported travel and waiting times to receive care, the availability, or otherwise, of special considerations, with respect to the waiting time to receive care, for those PLWHA who were in active employment in the formal sector, the frequency of clinic visits before and after initiating ART, and whether the PLWHA saw the same or different providers at each clinic visit (continuity of care). This qualitative study used in-depth interviews based on Yin's case-study research design to collect data from 20 PLWHA and 24 ART healthcare providers as study participants. • Reported travel time to receive ART services ranged from 2 to 12 h for 30% of the PLWHA. • Waiting time to receive care was from 4 to 9 h. • While known government workers, such as teachers, were attended to earlier in some of the centres, this was not a consistent practice in all the four ART centres studied. • The PLWHA corroborated the providers' description of the procedure for initiating and monitoring ART in Ghana. • PLWHA did not see the same provider every time, but they were assured that this did not compromise the continuity of their care. Our study suggests that convenience of accessing ART is important to both PLWHA and ART healthcare providers, but the participants alluded to other factors, including open provider-patient communication, which might explain the PLWHA's understanding of the constraints under which they were receiving care. The current nation-wide coverage of the ART programme in Ghana, however, calls for the replication of this study to identify possible perception changes over time that may need attention. Our study findings can inform interventions to promote access to ART, especially in Africa.

  7. High levels of opioid analgesic co-prescription among methadone maintenance treatment clients in British Columbia, Canada: Results from a population-level retrospective cohort study

    PubMed Central

    Nosyk, Bohdan; Fischer, Benedikt; Sun, Huiying; Marsh, David C.; Kerr, Thomas; Rehm, Juergen T.; Anis, Aslam H.

    2014-01-01

    Background and Objectives The nonmedical use of prescription opioids (PO) has increased dramatically in North America. Special consideration for PO prescription is required for individuals in methadone maintenance treatment (MMT). Our objective is to describe the prevalence and correlates of PO use among British Columbia (BC) MMT clients from 1996-2007. Methods This study was based on a linked, population-level medication dispensation database. All individuals receiving 30 days of continuous MMT for opioid dependence were included in the study. Key measurements included the proportion of clients receiving >7 days of a PO other than methadone during MMT from 1996 to 2007. Factors independently associated with PO co-prescription during MMT were assessed using generalized linear mixed effects regression. Results 16,248 individuals with 27,919 MMT episodes at least 30 days in duration were identified for the study period. Among them, 5,552 individuals (34.2%) received a total of 290,543 PO co-prescriptions during MMT. The majority (74.3%) of all PO dispensations >7 days originated from non-MMT physicians. The number of PO prescriptions per person-year nearly doubled between 1996 and 2006, driven by increases in morphine, hydromorphone and oxycodone dispensations. PO co-prescription was positively associated with female gender, older age, higher levels of medical co-morbidity as well as higher MMT dosage, adherence, and retention. Conclusion and Scientific Significance A large proportion of MMT clients in BC received co-occurring PO prescriptions, often from physicians and pharmacies not delivering MMT. Experimental evidence for the treatment of pain in MMT clients is required to guide clinical practice. PMID:24724883

  8. Immunogenicity study to investigate the interchangeability among three different types of polio vaccine: A cohort study in Japan.

    PubMed

    Ohfuji, Satoko; Ito, Kazuya; Ishibashi, Motoki; Shindo, Shizuo; Takasaki, Yoshio; Yokoyama, Takashi; Yokoyama, Takato; Yamashita, Yuji; Shibao, Keigo; Nakano, Takashi; Tsuru, Tomomi; Irie, Shin; Hirota, Yoshio

    2017-06-01

    In Japan, the routine immunization program with oral polio vaccine (OPV) has been suspended since September 2012, when a program with 4 doses of inactivated monovalent polio vaccine (IPV) or quadrivalent vaccine against diphtheria, pertussis, and tetanus with IPV (DTaP-IPV) was introduced. The aim of this study was to examine the interchangeability among these 3 types of polio vaccines.We conducted a prospective cohort study at 5 pediatric clinics in Japan. A total of 153 infants were assigned to 1 of the 4 groups by considering the vaccination history of OPV and trivalent vaccine against DTaP. Eleven infants with a history of OPV received 3 doses of DTaP-IPV; 49 infants with a history of OPV and DTaP received 3 doses of IPV; 50 polio vaccine-naïve infants received 2 doses of IPV followed by 2 doses of DTaP-IPV; and 43 polio vaccine-naive infants received 2 doses of DTaP-IPV followed by IPV. The immunogenicity after polio vaccination was evaluated among these 4 groups.After 2 doses of polio vaccination, more than 80% of the infants exhibited a neutralization antibody titer ≥1:8 for all Sabin strains and wild strains in all groups. After the third dose, the seroprotection proportion (i.e., a neutralization antibody titer ≥1:8) reached about 100%. After the fourth dose, a neutralization antibody titer exceeded the required protective levels (i.e., a neutralization antibody titer ≥1:8) considerably in all groups.Four doses of polio vaccines induced a sufficient level of immunity in Japanese infants, irrespective of vaccine combinations or order.

  9. Design and baseline characteristics of the Food4Me study: a web-based randomised controlled trial of personalised nutrition in seven European countries.

    PubMed

    Celis-Morales, Carlos; Livingstone, Katherine M; Marsaux, Cyril F M; Forster, Hannah; O'Donovan, Clare B; Woolhead, Clara; Macready, Anna L; Fallaize, Rosalind; Navas-Carretero, Santiago; San-Cristobal, Rodrigo; Kolossa, Silvia; Hartwig, Kai; Tsirigoti, Lydia; Lambrinou, Christina P; Moschonis, George; Godlewska, Magdalena; Surwiłło, Agnieszka; Grimaldi, Keith; Bouwman, Jildau; Daly, E J; Akujobi, Victor; O'Riordan, Rick; Hoonhout, Jettie; Claassen, Arjan; Hoeller, Ulrich; Gundersen, Thomas E; Kaland, Siv E; Matthews, John N S; Manios, Yannis; Traczyk, Iwona; Drevon, Christian A; Gibney, Eileen R; Brennan, Lorraine; Walsh, Marianne C; Lovegrove, Julie A; Alfredo Martinez, J; Saris, Wim H M; Daniel, Hannelore; Gibney, Mike; Mathers, John C

    2015-01-01

    Improving lifestyle behaviours has considerable potential for reducing the global burden of non-communicable diseases, promoting better health across the life-course and increasing well-being. However, realising this potential will require the development, testing and implementation of much more effective behaviour change interventions than are used conventionally. Therefore, the aim of this study was to conduct a multi-centre, web-based, proof-of-principle study of personalised nutrition (PN) to determine whether providing more personalised dietary advice leads to greater improvements in eating patterns and health outcomes compared to conventional population-based advice. A total of 5,562 volunteers were screened across seven European countries; the first 1,607 participants who fulfilled the inclusion criteria were recruited into the trial. Participants were randomly assigned to one of the following intervention groups for a 6-month period: Level 0-control group-receiving conventional, non-PN advice; Level 1-receiving PN advice based on dietary intake data alone; Level 2-receiving PN advice based on dietary intake and phenotypic data; and Level 3-receiving PN advice based on dietary intake, phenotypic and genotypic data. A total of 1,607 participants had a mean age of 39.8 years (ranging from 18 to 79 years). Of these participants, 60.9 % were women and 96.7 % were from white-European background. The mean BMI for all randomised participants was 25.5 kg m(-2), and 44.8 % of the participants had a BMI ≥ 25.0 kg m(-2). Food4Me is the first large multi-centre RCT of web-based PN. The main outcomes from the Food4Me study will be submitted for publication during 2015.

  10. Analysis of Services Received Under Medicare by Specialty of Physician

    PubMed Central

    Pine, Penelope L.; Gornick, Marian; Lubitz, James; Newton, Marilyn

    1981-01-01

    This paper examines use of physicians' services by Medicare beneficiaries according to the specialty of the physician providing care. The major objectives of this study were to determine which types of physicians are most frequently used, the average charge per service by specialty, the mix of physicians (by specialty) that patients saw during the year, and the amount Medicare reimburses in relation to total physician income. Data were studied for the total Medicare population and by age, sex, race, and geographic area. Claims data for 1975 and 1977 were used from the Part B Bill Summary System. This system collects information from bills for a 5 percent sample of Medicare enrollees. Major findings from this study indicate: (1) Physicians in general practice and internal medicine provided about the same number of services and each far outranked all other types of physicians in numbers of Medicare beneficiaries with reimbursed services. (2) There were marked differences by census region in the use of certain specialists, particularly pathologists, podiatrists, dermatologists, and the specialty group otology, laryngology, rhinology. (3) Average charges per service varied considerably by specialty. Internists' charges averaged 35 percent higher per service than charges by general practitioners. Charges submitted by the surgical specialties far outranked all others and showed the greatest increase during the period under study. (4) Of the total persons with reimbursed physicians' services in 1977, 85 percent saw a primary care physician during the year, while the remaining 15 percent received services from specialists only. (5) Of the total reimbursements made by Medicare, internists received 20 percent, general practitioners received 14 percent, and general surgeons 12 percent. Medicare's payments were estimated to be 21 percent of total gross income for internists, 20 percent for anesthesiologists, and 18 percent for surgical specialties. PMID:10309476

  11. Differences in major depressive disorder and generalised anxiety disorder symptomatology between prostate cancer patients receiving hormone therapy and those who are not.

    PubMed

    Sharpley, Christopher F; Bitsika, Vicki; Wootten, Addie C; Christie, David R H

    2014-12-01

    The aim of this study is to explore the associations between hormone treatment variables and depression, and the nature of depression in prostate cancer (PCa) patients by comparing the severity and symptom profile of anxiety and depression in men who were currently receiving hormone therapy (HT) versus those who were not. Self-reports of anxiety and depression on standardized scales of GAD and major depressive disorder (MDD) were collected from 156 PCa patients across two recruitment sites in Australia. Patients who were currently receiving HT were compared with patients not receiving HT for their severity and symptom profiles on GAD and MDD. Participants receiving HT had significantly higher GAD and MDD total scores than patients who were not receiving HT. In addition, the symptom profiles of these two HT subgroups were differentiated by significantly higher scores on the key criteria for GAD and MDD plus fatigue and sleeping difficulties but not the remaining symptoms of GAD and MDD. However, there were no significant differences between HT subgroups for the degree of functional impairment experienced by these symptoms. Although these data confirm the association between HT and anxiety/depression, the range of GAD and MDD symptoms influenced is relatively restricted. Moreover, functional ability does not appear to be impaired by HT. These findings clarify the ways in which HT affects PCa patients and suggests that a simple total scale score for anxiety and depression may not be as helpful in designing treatment as consideration of the symptomatic profiles of PCa patients receiving HT. Copyright © 2014 John Wiley & Sons, Ltd.

  12. Targeted training of the decision rule benefits rule-guided behavior in Parkinson's disease.

    PubMed

    Ell, Shawn W

    2013-12-01

    The impact of Parkinson's disease (PD) on rule-guided behavior has received considerable attention in cognitive neuroscience. The majority of research has used PD as a model of dysfunction in frontostriatal networks, but very few attempts have been made to investigate the possibility of adapting common experimental techniques in an effort to identify the conditions that are most likely to facilitate successful performance. The present study investigated a targeted training paradigm designed to facilitate rule learning and application using rule-based categorization as a model task. Participants received targeted training in which there was no selective-attention demand (i.e., stimuli varied along a single, relevant dimension) or nontargeted training in which there was selective-attention demand (i.e., stimuli varied along a relevant dimension as well as an irrelevant dimension). Following training, all participants were tested on a rule-based task with selective-attention demand. During the test phase, PD patients who received targeted training performed similarly to control participants and outperformed patients who did not receive targeted training. As a preliminary test of the generalizability of the benefit of targeted training, a subset of the PD patients were tested on the Wisconsin card sorting task (WCST). PD patients who received targeted training outperformed PD patients who did not receive targeted training on several WCST performance measures. These data further characterize the contribution of frontostriatal circuitry to rule-guided behavior. Importantly, these data also suggest that PD patient impairment, on selective-attention-demanding tasks of rule-guided behavior, is not inevitable and highlight the potential benefit of targeted training.

  13. Comparison of platelet transfusion as fresh whole blood versus apheresis platelets for massively transfused combat trauma patients (CME).

    PubMed

    Perkins, Jeremy G; Cap, Andrew P; Spinella, Philip C; Shorr, Andrew F; Beekley, Alec C; Grathwohl, Kurt W; Rentas, Francisco J; Wade, Charles E; Holcomb, John B

    2011-02-01

    At major combat hospitals, the military is able to provide blood products to include apheresis platelets (aPLT), but also has extensive experience using fresh whole blood (FWB). In massively transfused trauma patients, we compared outcomes of patients receiving FWB to those receiving aPLT. This study was a retrospective review of casualties at the military hospital in Baghdad, Iraq, between January 2004 and December 2006. Patients requiring massive transfusion (≥10 units in 24 hr) were divided into two groups: those receiving FWB (n = 85) or aPLT (n = 284) during their resuscitation. Admission characteristics, resuscitation, and survival were compared between groups. Multivariate regression analyses were performed comparing survival of patients at 24 hours and at 30 days. Secondary outcomes including adverse events and causes of death were analyzed. Unadjusted survival between groups receiving aPLT and FWB was similar at 24 hours (84% vs. 81%, respectively; p = 0.52) and at 30 days (60% versus 57%, respectively; p = 0.72). Multivariate regression failed to identify differences in survival between patients receiving PLT transfusions either as FWB or as aPLT at 24 hours or at 30 days. Survival for massively transfused trauma patients receiving FWB appears to be similar to patients resuscitated with aPLT. Prospective trials will be necessary before consideration of FWB in the routine management of civilian trauma. However, in austere environments where standard blood products are unavailable, FWB is a feasible alternative. © 2010 American Association of Blood Banks.

  14. Advanced receiver autonomous integrity monitoring using triple frequency data with a focus on treatment of biases

    NASA Astrophysics Data System (ADS)

    El-Mowafy, Ahmed

    2017-04-01

    Most current Advanced Receiver Autonomous Integrity Monitoring (ARAIM) methods are designed to use dual-frequency ionosphere-free observations. These methods assume that receiver bias is absorbed in the common receiver clock offset and bound satellite biases by nominal values. However, most multi-constellation Global Navigation Satellite Systems (GNSS) can offer triple frequency data that can be used for civilian applications in the future, which can improve observation redundancy, solution precision and detection of faults. In this contribution, we explore the use of this type of observations from GPS, Galileo and BeiDou in ARAIM. Nevertheless, the use of triple frequency data introduces receiver differential biases that have to be taken into consideration. To demonstrate the significance of these additional biases we first present a method to quantify them at stations of known coordinates and using available products from the International GNSS service (IGS). To deal with the additional receiver biases, we use a between-satellite single difference (BSSD) observation model that eliminates their effect. A pilot test was performed to evaluate ARAIM availability for Localizer Performance with Vertical guidance down to 200 feet (LPV-200) when using the triple-frequency observations. Real data were collected for one month at stations of known coordinates located in regions of different satellite coverage characteristics. The BSSD triple-frequency model was evaluated to give early indication about its feasibility, where the implementation phase still requires further comprehensive studies. The vertical position error was always found to be bounded by the protection level proven initial validity of the proposed integrity model.

  15. FabAV antivenin use after copperhead snakebite: clinically indicated or knee-jerk reaction?

    PubMed

    Gale, Stephen C; Peters, Jo Ann; Allen, LaDonna; Creath, Robert; Dombrovskiy, Viktor Y

    2016-01-01

    Crotalidae Polyvalent Immune Fab (Ovine) (FabAV) antivenin is commonly recommended after pit viper snakebites. Because copperhead envenomations are usually self-limited, some physicians are reluctant to use this costly treatment routinely, while others follow a more liberal approach. We hypothesized that, in practice, only patients with evidence of significant (moderate or severe) copperhead envenomation [those with snakebite severity score (SSS) > 3] receive FabAV and examined a large cohort to determine the relationship between clinical findings and FabAV administration. All data from patients evaluated for copperhead snakebite at a rural tertiary referral center from 5/2002 to 10/2013 were compiled. Demographics, transfer status, antivenin use, and clinical findings were collected; SSS was calculated. The relationships among FabAV use, clinical findings, and SSS were analyzed using t-test, chi-square, and Pearson's coefficient (p < 0.05 was significant). During the study period, 318 patients were treated for copperhead snakebite; 44 (13.8 %) received antivenin. Median dose was four vials (range: 1-10; IQR: 4,6). There were no deaths. Most patients receiving FabAV (63.6 %) were admitted. With regard to demographics and symptoms, only the degree of swelling (moderate vs. none/mild; p < 0.01) and bite location (hand/arm vs. leg: p < 0.0001) were associated with FabAV use. A SSS > 3, indicating moderate or severe envenomation, was only very weakly correlated with antivenin use (r = 0.217; p < 0.0001). The majority of patients with SSS > 3 (65.8 %) did not receive antivenin while most patients who did receive antivenin (70.5 %) had SSS ≤ 3 (indicating mild envenomation). Considerable variation occurs in antivenin administration after copperhead snakebite. Use of FabAV appears poorly correlated with patients' symptoms. This practice may expose patients to the risks of antivenin and increasing costs of medical care without improving outcomes. Guidelines used for treating other pit viper strikes, such as rattlesnake or cottonmouth snakebite may be too liberal for copperhead envenomations. Our data suggests that most patients with mild or moderate envenomation appear to do well independent of FabAV use. We suggest, for patients with copperhead snakebite, that consideration be given to withholding FabAV for those without clinical evidence of severe envenomation until prospective randomized data are available.

  16. Maintenance of Blinding in Clinical Trials and the Implications for Studying Analgesia Using Cannabinoids

    PubMed Central

    Wilsey, Barth; Deutsch, Reena; Marcotte, Thomas D.

    2016-01-01

    Abstract The design of analgesic clinical trials invariably involves a comparison between placebo and active study medication. An assumption is made that treatment effects can be approximated by subtracting the response to placebo from that attained with the use of active study medication. However, the psychoactivity of cannabinoids may unmask their presence and lead to an expectation and/or conditioning of pain relief. For example, study participants biased toward the belief that cannabis is beneficial for their condition might be more inclined to report positive effects if they were to accurately identify the active treatment because of its psychoactivity. This may lead to incorrect assumptions regarding the efficacy of a cannabinoid. Methodologies designed to counteract unmasking need to be implemented in the design phase of a study. During the clinical trial, it is also important to query participants as to which treatment they believe they have received. Blinding can be considered to be preserved when the accuracy of treatment guesses is not considerably different than random guessing, which is estimated to be correct 50% of the time. After a study has been completed, the use of statistical methodologies such as regression and mediation analysis are worthy of consideration to see whether psychoactive effects biased the results. PMID:28861490

  17. On complicity theory.

    PubMed

    Kline, A David

    2006-04-01

    The received account of whistleblowing, developed over the last quarter century, is identified with the work of Norman Bowie and Richard DeGeorge. Michael Davis has detailed three anomalies for the received view: the paradoxes of burden, missing harm and failure. In addition, he has proposed an alternative account of whistleblowing, viz., the Complicity Theory. This paper examines the Complicity Theory. The supposed anomalies rest on misunderstandings of the received view or misreadings of model cases of whistleblowing, for example, the Challenger disaster and the Ford Pinto. Nevertheless, the Complicity Theory is important for as in science the contrast with alternative competing accounts often helps us better understand the received view. Several aspects of the received view are reviewed and strengthened through comparison with Complicity Theory, including why whistleblowing needs moral justification. Complicity Theory is also critiqued. The fundamental failure of Complicity Theory is its failure to explain why government and the public encourage and protect whistleblowers despite the possibility of considerable harm to the relevant company in reputation, lost jobs, and lost shareholder value.

  18. An Intelligent Tutoring System for Antibody Identification

    PubMed Central

    Smith, Philip J.; Miller, Thomas E.; Fraser, Jane M.

    1990-01-01

    Empirical studies of medical technology students indicate that there is considerable need for additional skill development in performing tasks such as antibody identification. While this need is currently met by on-the-job training after employment, computer-based tutoring systems offer an alternative or supplemental problem-based learning environment that could be more cost effective. We have developed a prototype for such a tutoring system as part of a project to develop educational tools for the field of transfusion medicine. This system provides a microworld in which students can explore and solve cases, receiving assistance and tutoring from the computer as needed.

  19. [Ecological memory and its potential applications in ecology: a review].

    PubMed

    Sun, Zhong-yu; Ren, Hai

    2011-03-01

    Ecological memory (EM) is defined as the capability of the past states or experiences of a community to influence the present or future ecological responses of the community. As a relatively new concept, EM has received considerable attention in the study of ecosystem structure and function, such as community succession, ecological restoration, biological invasion, and natural resource management. This review summarized the definition, components, and categories of EM, and discussed the possible mechanisms and affecting factors of EM. Also, the potential applications of EM were proposed, in order to further understand the mechanisms of community succession and to guide ecological restoration.

  20. Utilizing ERTS-A imagery for tectonic analysis through study of Big Horn Mountains Region

    NASA Technical Reports Server (NTRS)

    Hoppin, R. A. (Principal Investigator)

    1973-01-01

    The author has identified the following significant results. NASA-provided color composite (1048-17234) which includes the southeastern portion of the Bighorn Mountains and the western Powder River basin is of excellent quality. The considerable variations in the red hues indicate that vegetational mapping will be enhanced over the black and white. Some additional delineation of rock units can be made, particularly the Chugwater formation. Preliminary look at just received winter scenes indicates that topographic features are enhanced both due to the snow cover and to the lower sun angle.

  1. Estimating the dilemma strength for game systems. Comment on "Universal scaling for the dilemma strength in evolutionary games", by Z. Wang et al.

    NASA Astrophysics Data System (ADS)

    Chen, Xiaojie

    2015-09-01

    The puzzle of cooperation exists widely in the realistic world, including biological, social, and engineering systems. How to solve the cooperation puzzle has received considerable attention in recent years [1]. Evolutionary game theory provides a common mathematical framework to study the problem of cooperation. In principle, these practical biological, social, or engineering systems can be described by complex game models composed of multiple autonomous individuals with mutual interactions. And generally there exists a dilemma for the evolution of cooperation in the game systems.

  2. Treatment considerations for the elderly person with cancer.

    PubMed

    Simpson, Jennifer K; Rosenzweig, Margaret Quinn

    2002-02-01

    In an aging population, the number of patients with cancer continues to rise. Little research has focused on the treatment of cancer in the elderly. Therefore, the treatment for various cancers differs across the healthcare system. A uniform approach in assessing the elderly person with cancer is lacking. This article describes two case studies in the elderly population, focusing on two common cancers: acute myelogenous leukemia and breast cancer. Common side effects of treatment and determinants of treatment options are discussed. It is important that the elderly receive appropriate screening, early detection, treatment, and management of comorbidities.

  3. Next Generation Mesenchymal Stem Cell (MSC)–Based Cartilage Repair Using Scaffold-Free Tissue Engineered Constructs Generated with Synovial Mesenchymal Stem Cells

    PubMed Central

    Shimomura, Kazunori; Ando, Wataru; Moriguchi, Yu; Sugita, Norihiko; Yasui, Yukihiko; Koizumi, Kota; Fujie, Hiromichi; Hart, David A.; Yoshikawa, Hideki

    2015-01-01

    Because of its limited healing capacity, treatments for articular cartilage injuries are still challenging. Since the first report by Brittberg, autologous chondrocyte implantation has been extensively studied. Recently, as an alternative for chondrocyte-based therapy, mesenchymal stem cell–based therapy has received considerable research attention because of the relative ease in handling for tissue harvest, and subsequent cell expansion and differentiation. This review summarizes latest development of stem cell therapies in cartilage repair with special attention to scaffold-free approaches. PMID:27340513

  4. 10 CFR 430.56 - Decision and order.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Exemptions § 430.56 Decision and order. (a) Upon consideration of the application and other relevant information received or obtained, the Secretary shall issue an order granting or denying the application. (b) The order shall include a written statement setting forth the relevant facts and the legal basis of...

  5. Fitting the Reduced RUM with Mplus: A Tutorial

    ERIC Educational Resources Information Center

    Chiu, Chia-Yi; Köhn, Hans-Friedrich; Wu, Huey-Min

    2016-01-01

    The Reduced Reparameterized Unified Model (Reduced RUM) is a diagnostic classification model for educational assessment that has received considerable attention among psychometricians. However, the computational options for researchers and practitioners who wish to use the Reduced RUM in their work, but do not feel comfortable writing their own…

  6. Thinking Allowed: Content and Language Integrated Learning--A Research Agenda

    ERIC Educational Resources Information Center

    Dalton-Puffer, Christiane; Smit, Ute

    2013-01-01

    While Content and Language Integrated Learning (CLIL) has received a considerable amount of research interest lately, its increasing popularity as an approach to teaching content subjects in a foreign language requires concerted investigation that reflects and recognises its fundamentally contextualised nature. In this contribution, we sketch…

  7. Approval Motivation, Group Cohesiveness, and Leadership as Mediators of Perceived Stress.

    ERIC Educational Resources Information Center

    Kovacs, Karl V.; Martin, Harry J.

    Although stress related to work has received increased attention in recent years, the role of personality characteristics in mediating job stress has not been systematically investigated. Nonetheless, the perception of work stress and the significance of various sources of support may vary considerably based on individual characteristics.…

  8. Applications and advances in electronic-nose technologies

    Treesearch

    A. D. Wilson; M. Baietto

    2009-01-01

    Electronic-nose devices have received considerable attention in the field of sensor technology during the past twenty years, largely due to the discovery of numerous applications derived from research in diverse fields of applied sciences. Recent applications of electronic nose technologies have come through advances in sensor design, material improvements, software...

  9. Genes, Environment, and Race: Quantitative Genetic Approaches

    ERIC Educational Resources Information Center

    Whitfield, Keith E.; McClearn, Gerald

    2005-01-01

    Understanding the origins of racial health disparities is currently a central focus of health-oriented funding agencies and the health policy community. In particular, the role of genetics in the origin of racial health disparities is receiving growing attention and has been susceptible to considerable misinterpretation. In this article, the…

  10. 47 CFR 1.934 - Defective applications and dismissal.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... prejudice, unless: (A) It has been designated for comparative hearing; or (B) It is an application for which... of its application after that application has been designated for comparative hearing may submit a... (2) That receive comparative consideration in a hearing but are not granted by order of the presiding...

  11. 47 CFR 1.934 - Defective applications and dismissal.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... prejudice, unless: (A) It has been designated for comparative hearing; or (B) It is an application for which... of its application after that application has been designated for comparative hearing may submit a... (2) That receive comparative consideration in a hearing but are not granted by order of the presiding...

  12. 47 CFR 1.934 - Defective applications and dismissal.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... prejudice, unless: (A) It has been designated for comparative hearing; or (B) It is an application for which... of its application after that application has been designated for comparative hearing may submit a... (2) That receive comparative consideration in a hearing but are not granted by order of the presiding...

  13. Life cycle analysis of biochar [Chapter 3

    Treesearch

    Richard D. Bergman; Hongmei Gu; Deborah S. Page-Dumroese; Nathaniel M. Anderson

    2017-01-01

    All products, including bioproducts, have an impact on the environment by consuming resources and releasing emissions during their production. Biochar, a bioproduct, has received considerable attention because of its potential to sequester carbon in soil while enhancing productivity, thus aiding sustainable supply chain development. In this chapter, the environmental...

  14. Considerations for Sexuality Education and Services for LGB Elders

    ERIC Educational Resources Information Center

    Chaya, Julie; Bernert, Donna J.

    2014-01-01

    Sexuality education and health services for elderly individuals who reside in care settings (e.g., assisted living facilities, nursing homes, retirement communities) have received limited attention in the professional literature. However, the lack of sexual health promotion practices in elder care facilities can be detrimental to older…

  15. Forever: A Unique Approach to Philanthropy

    ERIC Educational Resources Information Center

    Easton, Lois Brown

    2012-01-01

    Eagle Rock School and Professional Development Center is a philanthropic project that has received considerable funding and close attention from an American corporation for nearly 20 years. That marks a sharp departure from the typical three-and-out funding scheme that so many foundations take with their enterprises. It will continue to receive…

  16. 78 FR 65041 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-30

    ... should be received on or before November 29, 2013 to be assured of consideration. ADDRESSES: Send... Financial Institutions (CDFI) Fund OMB Number: 1559-0027. Type of Review: Revision of a currently approved..., its financial health and the timeline in which the CDFI Fund's financial and technical assistance was...

  17. Caring for the Chronically Ill: A Vital Subject for Medical Education.

    ERIC Educational Resources Information Center

    Cohen, Andrew J.

    1998-01-01

    Patients with chronic illness account for three-fourths of United States' health-care expenditures, and considerable growth in these costs is likely as the population ages. However, management of chronic illness has received little attention in either undergraduate or graduate medical education. Competencies required to develop curricula in…

  18. The State of the World Environment, 1987. United Nations Environment Programme.

    ERIC Educational Resources Information Center

    United Nations Environment Programme, Nairobi (Kenya).

    One of the main activities assigned to the Governing Council of the United Nations Environment Programme (UNEP) is to review the world environmental situation to insure that emerging environmental problems of wide international significance receive appropriate and adequate consideration by governments. Accordingly, UNEP has assessed the state of…

  19. Afrikaans Language Maintenance in Australia

    ERIC Educational Resources Information Center

    Hatoss, Aniko; Starks, Donna; van Rensburg, Henriette Janse

    2011-01-01

    Changes in the political climate in the home country have resulted in the emigration of South Africans to English speaking countries such as Britain, Canada, Australia and New Zealand. Despite the scale of movement of the South African population, language maintenance in these diasporic contexts has received little consideration. This paper…

  20. "Happiness Education": A Pedagogical-Political Commitment

    ERIC Educational Resources Information Center

    Guilherme, Alex; Souza de Freitas, Ana Lucia

    2017-01-01

    The topic of "happiness education" has received considerable attention in recent years in educational discourse, not just in academia but also in the public sphere. This movement understands that there is a "widespread incidence of psychological harm caused by damage to the child's sense of self-worth" (Smith (2008) "The…

  1. Reversible and irreversible sorption of agrochemicals in biochar amended soils: synergistic effects of heavy metals

    USDA-ARS?s Scientific Manuscript database

    Soil amendment of biochar products from thermochemical waste-to-energy conversion (slow/fast pyrolysis and gasification) of biomass has received considerable interests for both contaminated and agricultural sites. Recalcitrant nature of biochar manifests in their decade-long effectiveness in soil a...

  2. Promoting Physical Activity in Adapted Physical Education

    ERIC Educational Resources Information Center

    Yun, Joonkoo; Beamer, Jennifer

    2018-01-01

    The importance of physical activity has received considerable attention during the past decade. Physical education has been viewed as a cost-effective way to promote physical activity as a public health initiative. In fact, the Centers for Disease Control and Prevention recommends that a "substantial percentage" of students' overall…

  3. 47 CFR 32.4200 - Long term debt and funded debt.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... applied to securities issued or assumed by the company, means the excess of the book or face amount of the... consideration received at their sale. (4) The face amount of debt reacquired prior to maturity that has not been... 32.4200 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES...

  4. Phonemic Characteristics of Apraxia of Speech Resulting from Subcortical Hemorrhage

    ERIC Educational Resources Information Center

    Peach, Richard K.; Tonkovich, John D.

    2004-01-01

    Reports describing subcortical apraxia of speech (AOS) have received little consideration in the development of recent speech processing models because the speech characteristics of patients with this diagnosis have not been described precisely. We describe a case of AOS with aphasia secondary to basal ganglia hemorrhage. Speech-language symptoms…

  5. 77 FR 16818 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-22

    ... forms of information technology. DATES: Consideration will be given to all comments received by May 21... Number: 0704-TBD. Needs and Uses: The Application of Child Care Services Form, DLA Form 1854, is used to request child care services provided by DLA managed facilities. Enrollee records are provided to the Child...

  6. Charter Schools: Taking a Closer Look

    ERIC Educational Resources Information Center

    Bulkley, Katrina E.

    2011-01-01

    Since the adoption of the first charter school law in Minnesota in 1991, charter schools have received considerable attention from policy makers, parents, educators, and the media. In the United States, at the national level, three consecutive presidents--Bill Clinton, George W. Bush, and Barack Obama--have actively supported charters. Given the…

  7. Adaptive Educational Hypermedia Accommodating Learning Styles: A Content Analysis of Publications from 2000 to 2011

    ERIC Educational Resources Information Center

    Akbulut, Yavuz; Cardak, Cigdem Suzan

    2012-01-01

    Implementing instructional interventions to accommodate learner differences has received considerable attention. Among these individual difference variables, the empirical evidence regarding the pedagogical value of learning styles has been questioned, but the research on the issue continues. Recent developments in Web-based implementations have…

  8. 78 FR 54512 - Proposed Collection; Comment Request for Form 720

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-04

    ... 720, Quarterly Federal Excise Tax Return. DATES: Written comments should be received on or before November 4, 2013 to be assured of consideration. ADDRESSES: Direct all written comments to Yvette Lawrence...: Quarterly Federal Excise Tax Return. OMB Number: 1545-0023. Form Number: 720. Abstract: Form 720 is used to...

  9. 77 FR 23809 - Proposed Collection; Comment Request for Notice 2005-64

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-20

    ... Notice 2005-64, Foreign Tax Credit and Other Guidance under Section 965. DATES: Written comments should be received on or before June 19, 2012 to be assured of consideration. ADDRESSES: Direct all [email protected] . SUPPLEMENTARY INFORMATION: Title: Foreign Tax Credit and Other Guidance under Section...

  10. 76 FR 34294 - Proposed Collection; Comment Request for Form 8827

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-13

    ... 8827, Credit for Prior Year Minimum Tax-Corporations. DATES: Written comments should be received on or before August 12, 2011 to be assured of consideration. ADDRESSES: Direct all written comments to Yvette B....gov . SUPPLEMENTARY INFORMATION: Title: Credit for Prior Year Minimum Tax-Corporations. OMB Number...

  11. Waste in Education: The Potential of Materiality and Practice

    ERIC Educational Resources Information Center

    Jørgensen, Nanna Jordt; Madsen, Katrine Dahl; Laessøe, Jeppe

    2018-01-01

    This article explores how waste materials and waste practices figure in education, pointing to educational potentials of waste which have hitherto received little consideration in environmental and sustainability education practice and research. Building on empirical research on waste education in Danish schools and preschools, we discuss how an…

  12. Mentoring Urban Black Middle School Male Students: Implications for Academic Achievement

    ERIC Educational Resources Information Center

    Gordon, Derrick M.; Iwamoto, Derek K.; Ward, Nadia; Potts, Randolph; Boyd, Elizabeth

    2009-01-01

    Researchers have called for innovative and culturally responsive intervention programs to enhance male, Black middle school students' academic achievement. Mentoring has received considerable attention as a novel remedy. Although anecdotal evidence supports the positive role of mentoring on academic achievement, these results are not consistent.…

  13. 75 FR 22165 - Publication of Open Government Directive

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... Government Plan by May 27, 2010 to ensure prompt consideration by MSPB's Open Government Working Group. Comments received after May 27, 2010 will also be provided to MSPB's Open Government Working Group... specific actions are: (1) Publication of three high- value data sets; (2) designation of a senior agency...

  14. Faculty Reflections on the Institute for Aging and Social Work Experience

    ERIC Educational Resources Information Center

    Bonifas, Robin P.; Mehrotra, Gita R.

    2014-01-01

    Considerable research highlights the value of mentorship to the professional development of early career faculty in academia, yet less research focuses on factors motivating individuals to provide formal guidance to junior colleagues. Given that new social work faculty, in particular, may not receive sufficient mentoring, understanding what…

  15. 76 FR 59448 - Draft Regulatory Guide; Issuance, Availability

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-26

    ... consideration only for comments received on or before this date. Although a time limit is given, comments and... published guides are encouraged at any time. ADDRESSES: Please include Docket ID NRC-2011-0224 in the... document using the following methods: NRC's Public Document Room (PDR): The public may examine and have...

  16. Stabilization of lead and copper by biochar amendments in arms range soils: Influence of biochar characteristics, soil property, and equilibrium conditions

    USDA-ARS?s Scientific Manuscript database

    Soil amendment of char products (biochar) from thermochemical processing (slow/fast pyrolysis and gasification) of biomass for biofuel production has received considerable interests for contaminant sorption, soil fertilization, and carbon sequestration. Of potential sites for biochar application, h...

  17. Factors Affecting Faculty Acceptance and Use of Institutional Repositories in Thailand

    ERIC Educational Resources Information Center

    Ammarukleart, Sujira

    2017-01-01

    Institutional repositories have been introduced as an innovative and alternative technology for scholarly communication and have received considerable attention from scholars across disciplines and around the globe. While some universities in Thailand have developed and implemented institutional repositories for nearly a decade, knowledge of the…

  18. 77 FR 15813 - Preoperational Testing of Instrument and Control Air Systems

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ... seismic requirement, ICAS air-dryer testing to meet dew point design requirements, ICAS accumulator check... ensure consideration only for comments received on or before this date. Although a time limit is given... improvements in all published guides are encouraged at any time. ADDRESSES: You may access information and...

  19. Bursar Accounts, Payroll Deduction, and Debt Collection: A Three-Channel Approach to Lost Item Reimbursement

    ERIC Educational Resources Information Center

    Snowman, Ann MacKay

    2005-01-01

    In 2003, Penn State Libraries implemented payroll deduction and collection agency programs to gain better control of accounts receivable. The author reports on the implementation processes and first year outcomes of the programs. She recommends careful consideration of several questions before implementing such measures.

  20. Multimodal Therapy for Anorexia Nervosa: An Holistic Approach to Treatment.

    ERIC Educational Resources Information Center

    O'Keefe, Edward J.; Castaldo, Christine

    1985-01-01

    Anorexia nervosa has received considerable attention lately because of its increased incidence, potential danger, and resistance to treatment. A review of the literature on anorexia nervosa suggests that, although it is characterized by complex interrelated psychological and physiological processes, it is often conceptualized and treated in…

  1. Providing Services to the Handicapped in Times of Budget Retrenchment.

    ERIC Educational Resources Information Center

    Aptekar, Lewis S.

    In a consideration of limited funds for services to disabled persons, the author distinguishes the "truly handicapped" from "handicapped victims" (characterized as afflicted persons who receive few or no services) and the "mildly handicapped" (including educable retarded, learning disabled, and mildly emotionally disturbed). He proposes a model…

  2. Shadow Education, American Style: Test Preparation, the SAT and College Enrollment

    ERIC Educational Resources Information Center

    Buchmann, Claudia; Condron, Dennis J.; Roscigno, Vincent J.

    2010-01-01

    Cross-national research finds that "shadow education"--educational activities outside of formal schooling--tends to confer advantages on already privileged students. Shadow education in the United States, such as test prep for college entrance exams, has received considerably less attention. Drawing on the National Education Longitudinal…

  3. 14 CFR Section 23 - Certification and Balance Sheet Elements

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... consideration received shall be reported. (2) “Other Paid-In Capital” shall include the difference between the... cross-referenced to the affected account or accounts. Schedule B-7 Airframe and Aircraft Engine... both passengers and cargo in combination. Data pertaining to aircraft engines shall be reported in...

  4. 14 CFR Section 23 - Certification and Balance Sheet Elements

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... consideration received shall be reported. (2) “Other Paid-In Capital” shall include the difference between the... cross-referenced to the affected account or accounts. Schedule B-7 Airframe and Aircraft Engine... both passengers and cargo in combination. Data pertaining to aircraft engines shall be reported in...

  5. Individual-Based Completion Rates for Apprentices. Technical Paper

    ERIC Educational Resources Information Center

    Karmel, Tom

    2011-01-01

    Low completion rates for apprentices and trainees have received considerable attention recently and it has been argued that NCVER seriously understates completion rates. In this paper Tom Karmel uses NCVER data on recommencements to estimate individual-based completion rates. It is estimated that around one-quarter of trade apprentices swap…

  6. Comparative analysis of partnership behaviors in the National Park Service

    Treesearch

    Melissa S. Weddell; Brett A. Wright; Kenneth F. Backman

    2008-01-01

    The partnership phenomenon has received considerable attention as an alternative management strategy for public agencies. The growing use of partnerships has created a need to understand key elements of partnership success and failure, how partnerships address park and recreation management paradoxes, and guidelines for best practices (Mowen & Kerstetter, 2006)....

  7. The Washback of the TOEFL iBT in Vietnam

    ERIC Educational Resources Information Center

    Barnes, Melissa

    2016-01-01

    Washback, or the influence of testing on teaching and learning, has received considerable attention in language testing research over the past twenty years. It is widely argued that testing, particularly high-stakes testing, exerts a powerful influence, whether intended or unintended, positive or negative, on both teachers and learners. This…

  8. Differential host susceptibility to Batrachochytrium dendrobatidis, an emerging amphibian pathogen

    Treesearch

    C.L. Searle; S.S. Gervasi; J. Hua; J.I. Hammond; R.A. Relyea; D.H. Olson; A.R. Blaustein

    2011-01-01

    The amphibian fungal pathogen Batrachochytrium dendrobatidis (Bd) has received considerable attention due to its role in amphibian population declines worldwide. Although many amphibian species appear to be affected by Bd, there is little information on species-specific differences in susceptibility to this pathogen. We used a comparative...

  9. The Development of Sex-Related Differences in Achievement.

    ERIC Educational Resources Information Center

    Petersen, Anne C.

    Although sex differences in research have received considerable attention, few researchers have examined the bias, social context, and process of that research. In analyzing sex differences in academic achievement over the past 10 years, three areas (mathematics, spatial ability, and verbal ability) would appear to establish consistent sex…

  10. Strengthening Career Human Agency

    ERIC Educational Resources Information Center

    Chen, Charles P.

    2006-01-01

    Rooted in A. Bandura's (1982, 2001b) social cognitive theory, the notion of human agency has received considerable attention in vocational and career psychology for the last 2 decades, especially with the recent emergence of social constructivist thinking in the field. This article continues in the same direction. In reviewing the notion of human…

  11. Consequences of Play: A Systematic Review of the Effects of Online Gaming

    ERIC Educational Resources Information Center

    Sublette, Victoria Anne; Mullan, Barbara

    2012-01-01

    Massively Multiplayer Online Games (MMOGs) have received considerable attention in news headlines describing gamers who have died while engaging in excessive play. However, more common physical and psychosocial effects attributed to online video gaming are social isolation, increased aggression, and negative academic and occupational consequences.…

  12. Community Driven Introduction to Social Work Course

    ERIC Educational Resources Information Center

    Riffe, Holly A.; Olson, Carole J.

    2012-01-01

    Introductory courses in undergraduate social work and human services programs have received scant attention in the literature despite having considerable responsibility in their curricula. In addition to providing a foundation for the courses that follow, they introduce students to the diverse settings in which social work and human services…

  13. Athletics Director Leadership: How Forces Affect Leadership and Organizational Change Agendas

    ERIC Educational Resources Information Center

    Christian, Marc E.

    2017-01-01

    Intercollegiate athletics have received considerable attention by scholars in higher education. Despite this wide treatment by scholars, there is little examination of the athletics director. Most of the published research on athletics directors disproportionately focuses on the responsibilities of the athletics director, the pressures of the…

  14. Management PhD Candidates' Job Search: The Initial Interview.

    ERIC Educational Resources Information Center

    Hunt, Steven C.; Sawhney, Rajeev

    2003-01-01

    A survey of 200 doctoral students who interviewed with business schools at the Academy of Management conference received 74 responses. On average, they interviewed with 15.74 schools and did considerable preconference information gathering. Many complained of the physical conditions and lack of interviewer preparation. (Contains 20 references.)…

  15. Calibration of hyperspectral data aviation mode according with accompanying ground-based measurements of standard surfaces of observed scenes

    NASA Astrophysics Data System (ADS)

    Ostrikov, V. N.; Plakhotnikov, O. V.

    2014-12-01

    Using considerable experimental material, we examine whether it is possible to recalculate the initial data of hyperspectral aircraft survey into spectral radiance factors (SRF). The errors of external calibration for various observation conditions and different instruments for data receiving are estimated.

  16. The Effects of Source Water Quality on Drinking Water Treatment Costs: A Review and Synthesis of Empirical Literature - slides

    EPA Science Inventory

    Watershed protection, and associated in situ water quality improvements, has received considerable attention as a means of mitigating health risks and avoiding expenditures at drinking water treatment plants (DWTPs). In this presentation, we review the literature linking raw wate...

  17. 78 FR 16916 - Proposed Collection; Comment Request for Regulation Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-19

    ... allocation and apportionment of deduction for state income. DATES: Written comments should be received on or before May 20, 2013 to be assured of consideration. ADDRESSES: Direct all written comments to Yvette... INFORMATION: Title: Allocation and Apportionment of Deduction for State Income Taxes. OMB Number: 1545-1224...

  18. Drench application of fish-derived protein hydrolysates affects lettuce growth, chlorophyll content, and gas exchange

    USDA-ARS?s Scientific Manuscript database

    The use of biostimulants to enhance crop production has gained considerable momentum because of its contribution to agroecological sustainability. Protein hydrolysates (PHs) are an important group of plant biostimulants that have received increasing attention in recent years due to their positive ef...

  19. The Potential Contribution of Intermediary Organizations for Implementation of School Mental Health

    ERIC Educational Resources Information Center

    Corcoran, Tim; Rowling, Louise; Wise, Marilyn

    2015-01-01

    Questions persist regarding implementation of mental health promotion, prevention, and early intervention initiatives in schools. To date, attention has targeted the "Whats" and "Hows" in design and implementation. Ongoing clarification of "Who" the key proponents are working in this space receives less consideration.…

  20. Experiences of Sexual Harassment: Results from a Representative Survey.

    ERIC Educational Resources Information Center

    Gutek, Barbara A.

    Sexual harassment at work has recently received considerable attention. Working men (N=405) and women (N=827) in Los Angeles County responded to questions about respondent's work, job characteristics, and work climate. Other questions concerned the respondent's experience of socio-sexual behaviors on current and previous jobs, definitions of…

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