Sample records for simple safe underutilized

  1. SUSTAINABILITY OF THE FILTRÓN FOR MICROBIAL DISINFECTION

    EPA Science Inventory

    A significant portion, ~20%, of the world's population lives without access to safe water. Point of use (POU) devices for disinfection have been under-utilized as a tool to provide access to safe water. One such effective POU for producing potable water is the Filtr&oacut...

  2. Using the GLIMMIX Procedure in SAS 9.3 to Fit a Standard Dichotomous Rasch and Hierarchical 1-PL IRT Model

    ERIC Educational Resources Information Center

    Black, Ryan A.; Butler, Stephen F.

    2012-01-01

    Although Rasch models have been shown to be a sound methodological approach to develop and validate measures of psychological constructs for more than 50 years, they remain underutilized in psychology and other social sciences. Until recently, one reason for this underutilization was the lack of syntactically simple procedures to fit Rasch and…

  3. Healthcare Provider Attitudes of Safety of Intrauterine Devices in the Postpartum Period.

    PubMed

    Rauh-Benoit, Lisa A; Tepper, Naomi K; Zapata, Lauren B; Whiteman, Maura K; Curtis, Kathryn M; Mandel, Michele G; Marchbanks, Polly A; Jamieson, Denise J

    2017-07-01

    Immediate postpartum intrauterine devices (IUDs) have been underutilized in the United States despite their known safety. Understanding how providers' attitudes contribute to underutilization is important in improving access. Our objective was to examine healthcare providers' perceptions of the safety of immediate postpartum IUDs before publication of United States contraceptive guidelines. We analyzed survey data collected from December 2009 to March 2010 from 635 office-based physicians and 1368 Title X clinic providers (overall response rate of 64.8%). Providers were asked how safe they thought copper and levonorgestrel (LNG) IUDs were in postpartum women (very safe, safe, unsafe, very unsafe, and unsure). Multivariable logistic regression was used to calculate adjusted odds ratios (aORs) and 95% confidence intervals (95% CIs) for characteristics associated with considering immediate and delayed postpartum IUDs to be safe. Less than 40% of respondents considered immediate or delayed IUD insertion to be safe. Providers with <1 day of family planning training had decreased odds of considering immediate postpartum IUD insertion to be safe compared with unsafe/unsure (aOR 0.18, 95% CI 0.04-0.84 for copper IUD and aOR 0.17, 95% CI 0.04-0.81 for LNG-IUD). Providers without training in postpartum or interval copper IUD insertion had decreased odds of considering immediate postpartum copper IUD insertion (aOR 0.40, 95% CI 0.16-0.79) and delayed postpartum insertion for both IUD types to be safe (aOR 0.34, 95% CI 0.18-0.66 for copper IUD and aOR 0.41, 95% CI 0.21-0.77 for LNG-IUD). Before United States contraceptive guidelines, a majority of providers perceived immediate postpartum IUDs to be unsafe.

  4. Distance Running and the Elementary-Age Child

    ERIC Educational Resources Information Center

    Jenny, Seth; Armstrong, Tess

    2013-01-01

    Distance running is often underutilized in elementary physical education due to three common misconceptions about using this activity with young children: (1) it is not enjoyable, (2) it is not safe, and (3) children will get mentally "burned out." Through reviewing the literature and offering guidelines, practical tips, instant…

  5. A Simple Microsoft Excel Method to Predict Antibiotic Outbreaks and Underutilization.

    PubMed

    Miglis, Cristina; Rhodes, Nathaniel J; Avedissian, Sean N; Zembower, Teresa R; Postelnick, Michael; Wunderink, Richard G; Sutton, Sarah H; Scheetz, Marc H

    2017-07-01

    Benchmarking strategies are needed to promote the appropriate use of antibiotics. We have adapted a simple regressive method in Microsoft Excel that is easily implementable and creates predictive indices. This method trends consumption over time and can identify periods of over- and underuse at the hospital level. Infect Control Hosp Epidemiol 2017;38:860-862.

  6. Barring intervention? Lesbian and gay bars as an underutilized venue for tobacco interventions.

    PubMed

    Leibel, Katherine; Lee, Joseph G L; Goldstein, Adam O; Ranney, Leah M

    2011-07-01

    Lesbian, gay, bisexual, and transgender (LGBT) communities are at high risk for tobacco use. While LGBT communities have historically considered bars to be safe places to socialize and congregate, these spaces are often tobacco-friendly environments and may have potential as sites for much needed intervention. Only a few public health interventions have attempted to work through bars and clubs to decrease tobacco use in the LGBT populations. Evidence from HIV prevention suggests some potential interventions in bars, and the tobacco industry has worked extensively (and successfully) to utilize bars in marketing efforts. Lesbian and gay bars are underutilized in tobacco control, suggesting missed avenues for chronic disease prevention programs. Researchers and communities should continue to recognize the importance of clean indoor air laws covering bars and develop additional strategies for reaching LGBT populations with disparities.

  7. Development of wheat-Aegilops speltoides recombinants and simple PCR-based markers for stem rust resistance genes on the 2S#1 chromosome

    USDA-ARS?s Scientific Manuscript database

    Wild relatives of wheat are important but underutilized resources for new rust resistance genes because linked negative traits often hinder deployment of these genes in commercial wheats. Here we report reduced alien chromatin recombinants derived from E.R. Sears wheat-Aegilops speltoides translocat...

  8. Development of wheat-Aegilops speltoides recombinants and simple PCR-based markers for stem rust resistance genes on the 2S#1 chromosome

    USDA-ARS?s Scientific Manuscript database

    Wild relatives of wheat are important but underutilized resources for new rust resistance genes because linked negative traits often hinder deployment of these genes in commercial wheats. Here we report reduced alien chromatin recombinants derived from E.R. Sears' wheat-Aegilops speltoides transloca...

  9. Comparison of injection drug users accessing syringes from pharmacies, syringe exchange programs, and other syringe sources to inform targeted HIV prevention and intervention strategies

    PubMed Central

    Rudolph, Abby E.; Crawford, Natalie D.; Ompad, Danielle C.; Benjamin, Ebele O.; Stern, Rachel J.; Fuller, Crystal M.

    2011-01-01

    Objective In New York, syringe exchange programs (SEPs) and pharmacies provide syringe access for IDUs but may be unable to meet the needs of all IDUs. This analysis aims to describe IDUs who access syringes through different outlets to help inform the prevention needs of IDUs who under-utilize safe syringe sources in a city where syringe availability is high relative to other U.S. cities. Design Cross-sectional study Setting New York City (2005–2007) Participants 285 IDUs recruited using street-intercept sampling Intervention(s) Not Applicable Main outcome measure(s) IDUs using SEPs, pharmacies, or other outlets as a primary syringe source were compared by sociodemographic characteristics, injection practices and medical service utilization. Results Chi-square tests and polytomous logistic regression were used to compare IDUs with different self-reported primary syringe sources used 6 months prior to study entry. Compared with IDUs using other syringe sources, those using primarily SEPs were less likely to be Black (AOR:0.26 95%CI:0.11–0.57), more likely to inject daily (AOR:3.32; 95%CI:1.58–6.98), and more likely to inject with a new syringe (AOR:2.68; 95%CI:1.30–5.54). Compared with IDUs using other syringe sources, those using primarily pharmacies were less likely to be Black (AOR:0.39; 95%CI0.17–0.90). Conclusion These data suggest that pharmacies and SEPs may be reaching different populations of IDUs and highlight a sub-population of highly marginalized IDUs (Black and infrequent injectors) who are under-utilizing safe syringe sources in New York City. Targeted interventions are needed to reduce racial disparities and increase utilization of safe syringe outlets. PMID:20199954

  10. Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey

    PubMed Central

    Auta, Asa; Khanal, Vishnu; Bamidele, Olasunkanmi David; Akuoko, Cynthia Pomaa; Adefemi, Kazeem; Tapshak, Samson Joseph; Zhao, Yun

    2018-01-01

    Introduction Antenatal care (ANC) is a major public health intervention aimed at ensuring safe pregnancy outcomes. In Nigeria, the recommended minimum of four times ANC attendance is underutilized. This study investigates the prevalence and factors associated with underutilization of ANC services with a focus on the differences between rural and urban residences in Nigeria. Methods We analyzed the 2013 Nigeria Demographic and Health Survey dataset with adjustment for the sampling weight and the cluster design of the survey. The prevalence of underutilization of ANC was assessed using frequency tabulation while associated factors were examined using Chi-Square test and multivariable logistic regression analysis. Results The prevalence of underutilization of ANC was 46.5% in Nigeria, 61.1% in rural residence and 22.4% in urban residence. The North-West region had the highest prevalence of ANC underuse in Nigeria at 69.3%, 76.6% and 44.8% for the overall, rural and urban residences respectively. Factors associated with greater odds of ANC underuse in rural residence were maternal non-working status, birth interval < 24 months, single birth type, not listening to radio at all, lack of companionship to health facility and not getting money for health services. In urban residence, mothers professing Islam, those who did not read newspaper at all, and those who lacked health insurance, had greater odds of ANC underuse. In both rural and urban residence, maternal and husband’s education level, region of residence, wealth index, maternal age, frequency of watching television, distance to- and permission to visit health facility were significantly associated with ANC underuse. Conclusions Rural-urban differences exist in the use of ANC services, and to varying degrees, factors associated with underuse of ANC in Nigeria. Interventions aimed at addressing factors identified in this study may help to improve the utilization of ANC services both in rural and urban Nigeria. Such interventions need to focus more on reducing socioeconomic, geographic and regional disparities in access to ANC in Nigeria. PMID:29782511

  11. Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey.

    PubMed

    Adewuyi, Emmanuel Olorunleke; Auta, Asa; Khanal, Vishnu; Bamidele, Olasunkanmi David; Akuoko, Cynthia Pomaa; Adefemi, Kazeem; Tapshak, Samson Joseph; Zhao, Yun

    2018-01-01

    Antenatal care (ANC) is a major public health intervention aimed at ensuring safe pregnancy outcomes. In Nigeria, the recommended minimum of four times ANC attendance is underutilized. This study investigates the prevalence and factors associated with underutilization of ANC services with a focus on the differences between rural and urban residences in Nigeria. We analyzed the 2013 Nigeria Demographic and Health Survey dataset with adjustment for the sampling weight and the cluster design of the survey. The prevalence of underutilization of ANC was assessed using frequency tabulation while associated factors were examined using Chi-Square test and multivariable logistic regression analysis. The prevalence of underutilization of ANC was 46.5% in Nigeria, 61.1% in rural residence and 22.4% in urban residence. The North-West region had the highest prevalence of ANC underuse in Nigeria at 69.3%, 76.6% and 44.8% for the overall, rural and urban residences respectively. Factors associated with greater odds of ANC underuse in rural residence were maternal non-working status, birth interval < 24 months, single birth type, not listening to radio at all, lack of companionship to health facility and not getting money for health services. In urban residence, mothers professing Islam, those who did not read newspaper at all, and those who lacked health insurance, had greater odds of ANC underuse. In both rural and urban residence, maternal and husband's education level, region of residence, wealth index, maternal age, frequency of watching television, distance to- and permission to visit health facility were significantly associated with ANC underuse. Rural-urban differences exist in the use of ANC services, and to varying degrees, factors associated with underuse of ANC in Nigeria. Interventions aimed at addressing factors identified in this study may help to improve the utilization of ANC services both in rural and urban Nigeria. Such interventions need to focus more on reducing socioeconomic, geographic and regional disparities in access to ANC in Nigeria.

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

    PubMed

    Brandmeir, Nicholas; Sather, Michael

    2018-02-20

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

  13. Reliable clinical serum analysis with reusable electrochemical sensor: Toward point-of-care measurement of the antipsychotic medication clozapine.

    PubMed

    Kang, Mijeong; Kim, Eunkyoung; Winkler, Thomas E; Banis, George; Liu, Yi; Kitchen, Christopher A; Kelly, Deanna L; Ghodssi, Reza; Payne, Gregory F

    2017-09-15

    Clozapine is one of the most promising medications for managing schizophrenia but it is under-utilized because of the challenges of maintaining serum levels in a safe therapeutic range (1-3μM). Timely measurement of serum clozapine levels has been identified as a barrier to the broader use of clozapine, which is however challenging due to the complexity of serum samples. We demonstrate a robust and reusable electrochemical sensor with graphene-chitosan composite for rapidly measuring serum levels of clozapine. Our electrochemical measurements in clinical serum from clozapine-treated and clozapine-untreated schizophrenia groups are well correlated to centralized laboratory analysis for the readily detected uric acid and for the clozapine which is present at 100-fold lower concentration. The benefits of our electrochemical measurement approach for serum clozapine monitoring are: (i) rapid measurement (≈20min) without serum pretreatment; (ii) appropriate selectivity and sensitivity (limit of detection 0.7μM); (iii) reusability of an electrode over several weeks; and (iv) rapid reliability testing to detect common error-causing problems. This simple and rapid electrochemical approach for serum clozapine measurements should provide clinicians with the timely point-of-care information required to adjust dosages and personalize the management of schizophrenia. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Some path-following techniques for solution of nonlinear equations and comparison with parametric differentiation

    NASA Technical Reports Server (NTRS)

    Barger, R. L.; Walters, R. W.

    1986-01-01

    Some path-following techniques are described and compared with other methods. Use of multipurpose techniques that can be used at more than one stage of the path-following computation results in a system that is relatively simple to understand, program, and use. Comparison of path-following methods with the method of parametric differentiation reveals definite advantages for the path-following methods. The fact that parametric differentiation has found a broader range of applications indicates that path-following methods have been underutilized.

  15. Underutilization of Social Insurance among the Poor: Evidence from the Philippines

    PubMed Central

    Quimbo, Stella; Florentino, Jhiedon; Peabody, John W.; Shimkhada, Riti; Panelo, Carlo; Solon, Orville

    2008-01-01

    Background Many developing countries promote social health insurance as a means to eliminate unmet health needs. However, this strategy may be ineffective if there are barriers to fully utilizing insurance. Methods We analyzed the utilization of social health insurance in 30 hospital districts in the central regions of the Philippines between 2003 and 2007. Data for the study came from the Quality Improvement Demonstration Study (QIDS) and included detailed patient information from exit interviews of children under 5 years of age conducted in seven waves among public hospital districts located in the four central regions of the Philippines. These data were used to estimate and identify predictors of underutilization of insurance benefits - defined as the likelihood of not filing claims despite having legitimate insurance coverage - using logistic regression. Results Multivariate analyses using QIDS data from 2004 to 2007 reveal that underutilization averaged about 15% throughout the study period. Underutilization, however, declined over time. Among insured hospitalized children, increasing length of stay in the hospital and mother's education, were associated with less underutilization. Being in a QIDS intervention site was also associated with less underutilization and partially accounts for the downward trend in underutilization over time. Discussion The surprisingly high level of insurance underutilization by insured patients in the QIDS sites undermines the potentially positive impact of social health insurance on the health of the marginalized. In the Philippines, where the largest burden of health care spending falls on households, underutilization suggests ineffective distribution of public funds, failing to reach a significant proportion of households which are by and large poor. Interventions that improve benefit awareness may combat the problem of underutilization and should be the focus of further research in this area. PMID:18852881

  16. Underutilization of social insurance among the poor: evidence from the Philippines.

    PubMed

    Quimbo, Stella; Florentino, Jhiedon; Peabody, John W; Shimkhada, Riti; Panelo, Carlo; Solon, Orville

    2008-01-01

    Many developing countries promote social health insurance as a means to eliminate unmet health needs. However, this strategy may be ineffective if there are barriers to fully utilizing insurance. We analyzed the utilization of social health insurance in 30 hospital districts in the central regions of the Philippines between 2003 and 2007. Data for the study came from the Quality Improvement Demonstration Study (QIDS) and included detailed patient information from exit interviews of children under 5 years of age conducted in seven waves among public hospital districts located in the four central regions of the Philippines. These data were used to estimate and identify predictors of underutilization of insurance benefits--defined as the likelihood of not filing claims despite having legitimate insurance coverage--using logistic regression. Multivariate analyses using QIDS data from 2004 to 2007 reveal that underutilization averaged about 15% throughout the study period. Underutilization, however, declined over time. Among insured hospitalized children, increasing length of stay in the hospital and mother's education, were associated with less underutilization. Being in a QIDS intervention site was also associated with less underutilization and partially accounts for the downward trend in underutilization over time. The surprisingly high level of insurance underutilization by insured patients in the QIDS sites undermines the potentially positive impact of social health insurance on the health of the marginalized. In the Philippines, where the largest burden of health care spending falls on households, underutilization suggests ineffective distribution of public funds, failing to reach a significant proportion of households which are by and large poor. Interventions that improve benefit awareness may combat the problem of underutilization and should be the focus of further research in this area.

  17. Innovative methods of energy transfer.

    PubMed

    McBee, L E

    1996-09-01

    Energy is utilized in many forms for processing egg products and other foods. Energy in the form of heat has commonly been used to kill microorganisms and pasteurize eggs. Transfer of energy by convection and conduction is limited by the properties of the egg product. Energy transfer by radiation is being used to advantage in the development of innovative methods to kill or inactivate microorganisms. A review of the electromagnetic spectrum reveals underutilized forms of energy with unique properties. Specific frequencies and method of application are selected for their ability to focus energy toward the destruction of microorganisms and the production of safe food products for the public.

  18. SINEs of progress: Mobile element applications to molecular ecology.

    PubMed

    Ray, David A

    2007-01-01

    Mobile elements represent a unique and under-utilized set of tools for molecular ecologists. They are essentially homoplasy-free characters with the ability to be genotyped in a simple and efficient manner. Interpretation of the data generated using mobile elements can be simple compared to other genetic markers. They exist in a wide variety of taxa and are useful over a wide selection of temporal ranges within those taxa. Furthermore, their mode of evolution instills them with another advantage over other types of multilocus genotype data: the ability to determine loci applicable to a range of time spans in the history of a taxon. In this review, I discuss the application of mobile element markers, especially short interspersed elements (SINEs), to phylogenetic and population data, with an emphasis on potential applications to molecular ecology.

  19. "You're Really Gonna Kick Us All Out?" Sustaining Safe Spaces for Community-Based HIV Prevention and Control among Black Men Who Have Sex with Men.

    PubMed

    Garcia, Jonathan; Parker, Caroline; Parker, Richard G; Wilson, Patrick A; Philbin, Morgan M; Hirsch, Jennifer S

    2015-01-01

    Black men who have sex with men (BMSM) experience among the highest rates of HIV infection in the United States. We conducted a community-based ethnography in New York City to identify the structural and environmental factors that influence BMSMs vulnerability to HIV and their engagement with HIV prevention services. Methods included participant observation at community-based organizations (CBOs) in New York City, in-depth interviews with 31 BMSM, and 17 key informant interviews. Our conceptual framework shows how creating and sustaining safe spaces could be a critical environmental approach to reduce vulnerability to HIV among BMSM. Participant observation, in-depth and key informant interviews revealed that fear and mistrust characterized men's relation to social and public institutions, such as churches, schools, and the police. This fear and mistrust created HIV vulnerability among the BMSM in our sample by challenging engagement with services. Our findings suggest that to be successful, HIV prevention efforts must address these structural and environmental vulnerabilities. Among the CBOs that we studied, "safe spaces" emerged as an important tool for addressing these environmental vulnerabilities. CBOs used safe spaces to provide social support, to address stigma, to prepare men for the workforce, and to foster a sense of community among BMSM. In addition, safe spaces were used for HIV and STI testing and treatment campaigns. Our ethnographic findings suggest that safe spaces represent a promising but so far under-utilized part of HIV prevention infrastructure. Safe spaces seem integral to high impact comprehensive HIV prevention efforts, and may be considered more appropriately as part of HIV capacity-building rather than being nested within program-specific funding structures.

  20. Long-Chain Omega-3 Oils–An Update on Sustainable Sources

    PubMed Central

    Nichols, Peter D.; Petrie, James; Singh, Surinder

    2010-01-01

    Seafood is currently the best and generally a safe source of long-chain (LC, (≥C20) omega-3 oils amongst the common food groups. LC omega-3 oils are also obtained in lower amounts per serve from red meat, egg and selected other foods. As global population increases the opportunities to increase seafood harvest are limited, therefore new alternate sources are required. Emerging sources include microalgae and under-utilized resources such as Southern Ocean krill. Prospects for new land plant sources of these unique and health-benefiting oils are also particularly promising, offering hope for alternate and sustainable supplies of these key oils, with resulting health, social, economic and environmental benefits. PMID:22254042

  1. Long-chain omega-3 oils-an update on sustainable sources.

    PubMed

    Nichols, Peter D; Petrie, James; Singh, Surinder

    2010-06-01

    Seafood is currently the best and generally a safe source of long-chain (LC, (≥C(20)) omega-3 oils amongst the common food groups. LC omega-3 oils are also obtained in lower amounts per serve from red meat, egg and selected other foods. As global population increases the opportunities to increase seafood harvest are limited, therefore new alternate sources are required. Emerging sources include microalgae and under-utilized resources such as Southern Ocean krill. Prospects for new land plant sources of these unique and health-benefiting oils are also particularly promising, offering hope for alternate and sustainable supplies of these key oils, with resulting health, social, economic and environmental benefits.

  2. Beyond landraces: developing improved germplasm resources for underutilized species - a case for Bambara groundnut.

    PubMed

    Aliyu, Siise; Massawe, Festo; Mayes, Sean

    2014-10-01

    The potential for underutilized crops (also known as minor, neglected or orphan crops) to improve food and nutrition security has been gaining prominence within the research community in recent years. This is due to their significance for diversified agricultural systems which is a necessary component of future agriculture to address food and nutritional security concerns posed by changing climate and a growing world population. Developing workable value chain systems for underutilized crop species, coupled with comparative trait studies with major crops, potentially allows us to identify suitable agricultural modalities for such species. Bambara groundnut (Vigna subterranea L. Verdc.), an underutilized leguminous species, is of interest for its reported high levels of drought tolerance in particular, which contributes to environmental resilience in semi-arid environments. Here, we present a synopsis of suitable strategies for the genetic improvement of Bambara groundnut as a guide to other underutilized crop species. Underutilized crops have often been adapted over thousands of years in particular regions by farmers and largely still exist as landraces with little or no genetic knowledge of key phenotypic traits. Breeding in these species is fundamentally different to breeding in major crops, where significant pedigree structures and history allow highly directed improvement. In this regard, deploying new integrated germplasm development approaches for variety development and genetic analysis, such as multi-parent advance generation inter-crosses (MAGIC), within breeding programmes of underutilized species will be important to be able to fully utilize such crops.

  3. Ultrasound-Guided Renal Access for Percutaneous Nephrolithotomy: A Description of Three Novel Ultrasound-Guided Needle Techniques

    PubMed Central

    Chu, Carissa; Masic, Selma; Usawachintachit, Manint; Hu, Weiguo; Yang, Wenzeng; Stoller, Marshall; Li, Jianxing

    2016-01-01

    Abstract Ultrasound-guided renal access for percutaneous nephrolithotomy (PCNL) is a safe, effective, and low-cost procedure commonly performed worldwide, but a technique underutilized by urologists in the United States. The purpose of this article is to familiarize the practicing urologist with methods for ultrasound guidance for percutaneous renal access. We discuss two alternative techniques for gaining renal access for PCNL under ultrasound guidance. We also describe a novel technique of using the puncture needle to reposition residual stone fragments to avoid additional tract dilation. With appropriate training, ultrasound-guided renal access for PCNL can lead to reduced radiation exposure, accurate renal access, and excellent stone-free success rates and clinical outcomes. PMID:26414304

  4. Production of bio-oil from underutilized forest biomass using an auger reactor

    Treesearch

    H. Ravindran; S. Thangalzhy-Gopakumar; S. Adhikari; O. Fasina; M. Tu; B. Via; E. Carter; S. Taylor

    2015-01-01

    Conversion of underutilized forest biomass to bio-oil could be a niche market for energy production. In this work, bio-oil was produced from underutilized forest biomass at selected temperatures between 425–500°C using an auger reactor. Physical properties of bio-oil, such as pH, density, heating value, ash, and water, were analyzed and compared with an ASTM standard...

  5. Simple Automatic File Exchange (SAFE) to Support Low-Cost Spacecraft Operation via the Internet

    NASA Technical Reports Server (NTRS)

    Baker, Paul; Repaci, Max; Sames, David

    1998-01-01

    Various issues associated with Simple Automatic File Exchange (SAFE) are presented in viewgraph form. Specific topics include: 1) Packet telemetry, Internet IP networks and cost reduction; 2) Basic functions and technical features of SAFE; 3) Project goals, including low-cost satellite transmission to data centers to be distributed via an Internet; 4) Operations with a replicated file protocol; 5) File exchange operation; 6) Ground stations as gateways; 7) Lessons learned from demonstrations and tests with SAFE; and 8) Feedback and future initiatives.

  6. Orienting patients to greater opioid safety: models of community pharmacy-based naloxone.

    PubMed

    Green, Traci C; Dauria, Emily F; Bratberg, Jeffrey; Davis, Corey S; Walley, Alexander Y

    2015-08-06

    The leading cause of adult injury death in the U.S.A. is drug overdose, the majority of which involves prescription opioid medications. Outside of the U.S.A., deaths by drug overdose are also on the rise, and overdose is a leading cause of death for drug users. Reducing overdose risk while maintaining access to prescription opioids when medically indicated requires careful consideration of how opioids are prescribed and dispensed, how patients use them, how they interact with other medications, and how they are safely stored. Pharmacists, highly trained professionals expert at detecting and managing medication errors and drug-drug interactions, safe dispensing, and patient counseling, are an under-utilized asset in addressing overdose in the U.S. and globally. Pharmacies provide a high-yield setting where patient and caregiver customers can access naloxone-an opioid antagonist that reverses opioid overdose-and overdose prevention counseling. This case study briefly describes and provides two US state-specific examples of innovative policy models of pharmacy-based naloxone, implemented to reduce overdose events and improve opioid safety: Collaborative Pharmacy Practice Agreements and Pharmacy Standing Orders.

  7. The role of underutilized fruits in nutritional and economic security of tribals: a review.

    PubMed

    Nandal, Urvashi; Bhardwaj, Raju Lal

    2014-01-01

    The tribal people of Rajasthan are severely malnourished along with multiple nutrient-deficiency disorders due to ignorance about importance of fruits and vegetables in their diets. The tribal areas are full of biodiversity having natural vegetation which is not harnessed fully. Due to which a wide gap is formed between health and optimal use of natural sources of nutrients, i.e., underutilized crops. The crops, which are neither grown commercially on large scale nor traded widely, may be termed as underutilized horticultural crops. These crops are cultivated, traded, and consumed locally. These crops have many advantages like easier to grow and hardy in nature, producing a crop even under adverse soil and climatic conditions. So, exploitation of underutilized horticultural crops can become a solution to the social problem of health and nutrition insecurity, poverty, and unemployment. The consumption of underutilized fruit crops can provide nutrition to the poor and needy tribals by meeting the nutrient requirements of vulnerable groups. As underutilized fruits, nuts, and vegetables are a rich of source of carbohydrates, fats, proteins, energy, vitamins-A, B1, B2, B3, B6, B9, B12, C, folic acid, and minerals-Ca, P, Fe, and dietary fiber. Thus, they have the nutritional capacity to prevent and cure various diseases like kwashiorkor, marasmus, night blindness, anemia, diabetes, cancer, hypertension, and hidden hunger. It is also established fact that seasonal, locally available, and cheap fruits and vegetables can also keep the population healthy and nutritionally secure rather than costly off-season ones. Also, the underutilized crops have the potential to give economic security to tribals by giving employment and by fetching good returns from their sale in raw form as well as value-added products.

  8. The anaerobic threshold: over-valued or under-utilized? A novel concept to enhance lipid optimization!

    PubMed

    Connolly, Declan A J

    2012-09-01

    The purpose of this article is to assess the value of the anaerobic threshold for use in clinical populations with the intent to improve exercise adaptations and outcomes. The anaerobic threshold is generally poorly understood, improperly used, and poorly measured. It is rarely used in clinical settings and often reserved for athletic performance testing. Increased exercise participation within both clinical and other less healthy populations has increased our attention to optimizing exercise outcomes. Of particular interest is the optimization of lipid metabolism during exercise in order to improve numerous conditions such as blood lipid profile, insulin sensitivity and secretion, and weight loss. Numerous authors report on the benefits of appropriate exercise intensity in optimizing outcomes even though regulation of intensity has proved difficult for many. Despite limited use, selected exercise physiology markers have considerable merit in exercise-intensity regulation. The anaerobic threshold, and other markers such as heart rate, may well provide a simple and valuable mechanism for regulating exercising intensity. The use of the anaerobic threshold and accurate target heart rate to regulate exercise intensity is a valuable approach that is under-utilized across populations. The measurement of the anaerobic threshold can be simplified to allow clients to use nonlaboratory measures, for example heart rate, in order to self-regulate exercise intensity and improve outcomes.

  9. Cockpit Resource Management (CRM) training in the 349th military airlift wing

    NASA Technical Reports Server (NTRS)

    Halliday, John T.; Biegalski, Conrad S.; Inzana, Anthony

    1987-01-01

    CRM training can be done on a limited budget. It seems that everyone has a special name for their CRM program. A new program was created and entitled, Aircrew Resource Management (ARM) to emphasize the use of the full resources on our aircraft. That is meant to specifically include the loadmasters. The name also emphasizes the concept that all crewmembers are responsible for safe completion of the trip. The loadmasters have been the brightest students to date. They are a classic under-utilized resource. Together, their crew position has been credited with more ARM saves than the engineers and pilots. The seminar-based program is run by two seminar facilitators that is reinforced by Line Oriented Flight Training sessions run by the active-duty counterparts.

  10. Treatment of cervical radiculopathy: A review of the evolution and economics.

    PubMed

    Ament, Jared D; Karnati, Tejas; Kulubya, Edwin; Kim, Kee D; Johnson, J Patrick

    2018-01-01

    The surgical treatment of cervical radiculopathy has centered around anterior cervical discectomy and fusion (ACDF). Alternatively, the posterior cervical laminoforaminotomy/microdiscectomy (PCF/PCM), which results in comparable outcomes and is more cost-effective, has been underutilized. Here, we compared the direct/indirect costs, reoperation rates, and outcome for ACDF and PCF vs. PCM using PubMed, Medline, and Embase databases. There were no significant differences between the re-operative rates of PCF/PCM (2% to 9.8%) versus ACDF (2% to 8%). Direct costs of ACDF were also significantly higher; the 1-year cost-utility analysis demonstrated that ACDF had $131,951/QALY while PCM had $79,856/QALY. PCF/PCM for radiculopathy are safe and more cost-effective vs. ACDF, and have similar clinical outcomes.

  11. The Small Aircraft Transportation System Project: An Update

    NASA Technical Reports Server (NTRS)

    Kemmerly, Guy T.

    2006-01-01

    To all peoples in all parts of the world throughout history, the ability to move about easily is a fundamental element of freedom. The American people have charged NASA to increase their freedom and that of their children knowing that their quality of life will improve as our nation s transportation systems improve. In pursuit of this safe, reliable, and affordable personalized air transportation option, in 2000 NASA established the Small Aircraft Transportation System (SATS) Project. As the name suggests personalized air transportation would be built on smaller aircraft than those used by the airlines. Of course, smaller aircraft can operate from smaller airports and 96% of the American population is within thirty miles of a high-quality, underutilized community airport as are the vast majority of their customers, family members, and favorite vacation destinations.

  12. A ‘Simple Anterior Fish Excluder’ (SAFE) for Mitigating Penaeid-Trawl Bycatch

    PubMed Central

    McHugh, Matthew J.; Broadhurst, Matt K.; Sterling, David J.; Millar, Russell B.

    2015-01-01

    Various plastic strips and sheets (termed ‘simple anterior fish excluders’−SAFEs) were positioned across the openings of penaeid trawls in attempts at reducing the unwanted bycatches of small teleosts. Initially, three SAFEs (a single wire without, and with small and large plastic panels) were compared against a control (no SAFE) on paired beam trawls. All SAFEs maintained targeted Metapenaeus macleayi catches, while the largest plastic SAFE significantly reduced total bycatch by 51% and the numbers of Pomatomus saltatrix, Mugil cephalus and Herklotsichthys castelnaui by up to 58%. A redesigned SAFE (‘continuous plastic’) was subsequently tested (against a control) on paired otter trawls, significantly reducing total bycatch by 28% and P. saltatrix and H. castelnaui by up to 42%. The continuous-plastic SAFE also significantly reduced M. macleayi catches by ~7%, but this was explained by ~5% less wing-end spread, and could be simply negated through otter-board refinement. Further work is required to refine the tested SAFEs, and to quantify species-specific escape mechanisms. Nevertheless, the SAFE concept might represent an effective approach for improving penaeid-trawl selectivity. PMID:25837892

  13. Biomedical HIV Prevention Including Pre-exposure Prophylaxis and Opiate Agonist Therapy for Women Who Inject Drugs: State of Research and Future Directions.

    PubMed

    Page, Kimberly; Tsui, Judith; Maher, Lisa; Choopanya, Kachit; Vanichseni, Suphak; Mock, Philip A; Celum, Connie; Martin, Michael

    2015-06-01

    Women who inject drugs (WWID) are at higher risk of HIV compared with their male counterparts as a result of multiple factors, including biological, behavioral, and sociostructural factors, yet comparatively little effort has been invested in testing and delivering prevention methods that directly target this group. In this article, we discuss the need for expanded prevention interventions for WWID, focusing on 2 safe, effective, and approved, yet underutilized biomedical prevention methods: opiate agonist therapy (OAT) and oral pre-exposure prophylaxis (PrEP). Although both interventions are well researched, they have not been well examined in the context of gender. We discuss the drivers of women injectors' higher HIV risk, review the effectiveness of OAT and PrEP interventions among women, and explain why these new HIV prevention tools should be prioritized for WWID. There is substantial potential for impact of OAT and PrEP programs for WWID in the context of broader gender-responsive HIV prevention initiatives. Although awaiting efficacy data on other biomedical approaches in the HIV prevention research "pipeline," we propose that the scale-up and implementation of these proven, safe, and effective interventions are needed now.

  14. Hydroxyurea therapy for sickle cell anemia

    PubMed Central

    McGann, Patrick T; Ware, Russell E

    2017-01-01

    Introduction Sickle cell anemia (SCA) is a severe, inherited hemoglobin disorder affecting 100,000 persons in the US and millions worldwide. Hydroxyurea, a once daily oral medication, has emerged as the primary disease-modifying therapy for SCA. The accumulated body of evidence over 30 years demonstrates that hydroxyurea is a safe and effective therapy for SCA, but hydroxyurea remains underutilized for a variety of reasons. Areas covered In this review, we summarize the available evidence regarding the pharmacology, clinical, and laboratory benefits, and safety of hydroxy-urea therapy for the treatment of SCA. The purpose of this review is to provide the reader a comprehensive understanding of hydroxyurea and to reinforce the fact that hydroxyurea is a safe and effective medication for the treatment of SCA. Expert opinion In our opinion, hydroxyurea therapy should be considered standard-of-care for SCA, representing an essential component of patient management. Early initiation and broader use of hydroxyurea will alter the natural history of SCA, so affected children can live longer and healthier lives. In addition, hydroxyurea use should be extended to low-resource settings such as sub-Saharan Africa, where the burden of SCA and the need for hydroxyurea is arguably the greatest. PMID:26366626

  15. Hydroxyurea therapy for sickle cell anemia.

    PubMed

    McGann, Patrick T; Ware, Russell E

    2015-01-01

    Sickle cell anemia (SCA) is a severe, inherited hemoglobin disorder affecting 100,000 persons in the US and millions worldwide. Hydroxyurea, a once daily oral medication, has emerged as the primary disease-modifying therapy for SCA. The accumulated body of evidence over 30 years demonstrates that hydroxyurea is a safe and effective therapy for SCA, but hydroxyurea remains underutilized for a variety of reasons. In this review, we summarize the available evidence regarding the pharmacology, clinical, and laboratory benefits, and safety of hydroxyurea therapy for the treatment of SCA. The purpose of this review is to provide the reader a comprehensive understanding of hydroxyurea and to reinforce the fact that hydroxyurea is a safe and effective medication for the treatment of SCA. In our opinion, hydroxyurea therapy should be considered standard-of-care for SCA, representing an essential component of patient management. Early initiation and broader use of hydroxyurea will alter the natural history of SCA, so affected children can live longer and healthier lives. In addition, hydroxyurea use should be extended to low-resource settings such as sub-Saharan Africa, where the burden of SCA and the need for hydroxyurea is arguably the greatest.

  16. Metastasis: recent discoveries and novel perioperative treatment strategies with particular interest in the hemostatic compound desmopressin.

    PubMed

    Alonso, D F; Ripoll, G V; Garona, J; Iannucci, N B; Gomez, D E

    2011-11-01

    Metastatic disease is responsible for most of cancer lethality. A main obstacle for therapy of advanced cancers is that the outcome of metastasis depends on a complex interplay between malignant and host cells. The perioperative period represents an underutilized window of opportunity for cancer treatment where tumor-host interactions can be modulated, reducing the risk of local recurrences and distant metastases. Blood-saving agents are attractive compounds to be administered during tumor surgery. Desmopressin (DDAVP) is a safe and convenient hemostatic peptide with proved antimetastastic properties in experimental models and veterinary clinical trials. The compound seems to induce a dual angiostatic and antimetastatic effect, breaking the cooperative function of cancer cells and endothelial cells during residual tumor progression. DDAVP is therefore an interesting lead compound to develop novel synthetic peptide analogs with enhanced antitumor properties.

  17. Purple nutsedge (Cyperus rotundus) tuber production and viability is reduced by imazapic

    USDA-ARS?s Scientific Manuscript database

    Weeds exploit underutilized space, causing economic losses in cropping systems. Weed management tactics alter that underutilized space until the crop can mature and efficiently use that space. One tactic is to reduce the weed populations that persist quiescent in the soil, including minimizing pro...

  18. Recommended Practices and Parent Perspectives regarding AT Use in Early Intervention

    ERIC Educational Resources Information Center

    Wilcox, M. Jeanne; Dugan, Lauren M.; Campbell, Philippa H.; Guimond, Amy

    2006-01-01

    It frequently is suggested that parents underutilize assistive technology (AT) for their young children with disabilities despite wide spread recommended practices for providing optimal AT interventions (i.e., devices and services). However, neither parent perspectives of AT underutilization or families' experiences with AT have been reported in…

  19. Fostering Cultural Diversity: Problems of Access and Ethnic Boundary Maintenance

    Treesearch

    Maria T. Allison

    1992-01-01

    This presentation explores theoretical reasons for the underutilization of services, discusses types and problems of access which may be both inadvertent and institutionalized, and discusses policy implications of this work. Data suggest that individuals from distinct ethnic populations, particularly Hispanic, African-American, and Native American, tend to underutilize...

  20. UNDERUTILIZATION OF WOMEN WORKERS.

    ERIC Educational Resources Information Center

    Women's Bureau (DOL), Washington, DC.

    INFORMATION ABOUT THE STATUS OF WORKING WOMEN AND THEIR UNDERUTILIZATION IN THE NATIONAL WORK FORCE IS PRESENTED IN SUMMARY AND GRAPH FORM. ALTHOUGH PROGRESS HAS BEEN MADE IN ASSURING WOMEN EQUALITY OF PAY AND NONDISCRIMINATION IN EMPLOYMENT, MUCH NEEDS TO BE DONE TO IMPROVE THE UTILIZATION OF THEIR ABILITIES. MOST WOMEN WORK TO SUPPORT THEMSELVES…

  1. Underutilization of Women Workers.

    ERIC Educational Resources Information Center

    Women's Bureau (DOL), Washington, DC.

    Information about the status of working women and their underutilization in the national work force is presented in summary and graph form. Although progress has been made in assuring women equality of pay and nondiscrimination in employment, much work needs to be done to improve the utilization of their abilities. The barriers are still high…

  2. Affordable Launch Services using the Sport Orbit Transfer System

    NASA Astrophysics Data System (ADS)

    Goldstein, D. J.

    2002-01-01

    Despite many advances in small satellite technology, a low-cost, reliable method is needed to place spacecraft in their de- sired orbits. AeroAstro has developed the Small Payload ORbit Transfer (SPORTTM) system to provide a flexible low-cost orbit transfer capability, enabling small payloads to use low-cost secondary launch opportunities and still reach their desired final orbits. This capability allows small payloads to effectively use a wider variety of launch opportunities, including nu- merous under-utilized GTO slots. Its use, in conjunction with growing opportunities for secondary launches, enable in- creased access to space using proven technologies and highly reliable launch vehicles such as the Ariane family and the Starsem launcher. SPORT uses a suite of innovative technologies that are packaged in a simple, reliable, modular system. The command, control and data handling of SPORT is provided by the AeroAstro BitsyTM core electronics module. The Bitsy module also provides power regulation for the batteries and optional solar arrays. The primary orbital maneuvering capability is provided by a nitrous oxide monopropellant propulsion system. This system exploits the unique features of nitrous oxide, which in- clude self-pressurization, good performance, and safe handling, to provide a light-weight, low-cost and reliable propulsion capability. When transferring from a higher energy orbit to a lower energy orbit (i.e. GTO to LEO), SPORT uses aerobraking technol- ogy. After using the propulsion system to lower the orbit perigee, the aerobrake gradually slows SPORT via atmospheric drag. After the orbit apogee is reduced to the target level, an apogee burn raises the perigee and ends the aerobraking. At the conclusion of the orbit transfer maneuver, either the aerobrake or SPORT can be shed, as desired by the payload. SPORT uses a simple design for high reliability and a modular architecture for maximum mission flexibility. This paper will discuss the launch system and its application to small satellite launch without increasing risk. It will also discuss relevant issues such as aerobraking operations and radiation issues, as well as existing partnerships and patents for the system.

  3. Hydrothermal treatment followed by enzymatic hydrolysis and hydrothermal carbonization as means to valorise agro- and forest-based biomass residues.

    PubMed

    Wikberg, Hanne; Grönqvist, Stina; Niemi, Piritta; Mikkelson, Atte; Siika-Aho, Matti; Kanerva, Heimo; Käsper, Andres; Tamminen, Tarja

    2017-07-01

    The suitability of several abundant but underutilized agro and forest based biomass residues for hydrothermal treatment followed by enzymatic hydrolysis as well as for hydrothermal carbonization was studied. The selected approaches represent simple biotechnical and thermochemical treatment routes suitable for wet biomass. Based on the results, the hydrothermal pre-treatment followed by enzymatic hydrolysis seemed to be most suitable for processing of carbohydrate rich corn leaves, corn stover, wheat straw and willow. High content of thermally stable components (i.e. lignin) and low content of ash in the biomass were advantageous for hydrothermal carbonization of grape pomace, coffee cake, Scots pine bark and willow. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Network Models: An Underutilized Tool in Wildlife Epidemiology?

    PubMed Central

    Craft, Meggan E.; Caillaud, Damien

    2011-01-01

    Although the approach of contact network epidemiology has been increasing in popularity for studying transmission of infectious diseases in human populations, it has generally been an underutilized approach for investigating disease outbreaks in wildlife populations. In this paper we explore the differences between the type of data that can be collected on human and wildlife populations, provide an update on recent advances that have been made in wildlife epidemiology by using a network approach, and discuss why networks might have been underutilized and why networks could and should be used more in the future. We conclude with ideas for future directions and a call for field biologists and network modelers to engage in more cross-disciplinary collaboration. PMID:21527981

  5. Toxicological parameters of albino rats fed with extruded snacks from Aerial yam (Dioscoria bulbifera) and African breadfruit seed (Treculia africana).

    PubMed

    Olatoye, Kazeem K; Arueya, Gibson L

    2018-01-01

    In this study, safety of novel food from aerial yam and Treculia africana , underutilized food materials with high-nutritive value and health benefits were investigated. Animal experiment involving the use of thirty (30) male albino rats was conducted for 28 days.Thereafter, rats in all groups were sacrificed and blood samples collected for biochemical analysis and hematological assay. Some vital organs were harvested and used for histological analysis. Biochemical and hematological parameters were not significantly p  ≤ .05 different among the treatment and controls. However there was an increase in monocytes, which is a reflection of immune boosting potential of the novel snack. No significant pathological changes were observed in liver and kidney of rats fed with this snack. Rats showed no signs of toxicity within the study period. These findings suggest that product may be safe and useful as an Immune adjuvant.

  6. Prevalence of and antecedents to dementia-related missing incidents in the community.

    PubMed

    Bowen, Mary Elizabeth; McKenzie, Barbara; Steis, Melinda; Rowe, Meredeth

    2011-01-01

    The primary aim of this study is to examine the prevalence of and antecedents to missing incidents among community-dwelling persons with dementia. This prospective study used mailed surveys and telephone interviews. The prevalence of having any incident was 0.46/year; the overall prevalence for missing incidents in this study was 0.65/year. Missing incidents had few antecedents and occurred largely when persons with dementia were performing everyday activities that they normally completed without incident. Given that a missing incident is relatively common among persons with dementia, health care professionals should assist caregivers with a missing incident plan early in the disease process. Also, as missing persons are found by persons other than the caregiver and caregivers underutilize identification devices, health care professionals may recommend the use of identification devices to facilitate a safe return. Copyright © 2011 S. Karger AG, Basel.

  7. 76 FR 81521 - Vendor Outreach Workshop for Historically Underutilized Business (HUB) Zone Small Businesses

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-28

    ... Underutilized Business (HUB) Zone Small Businesses AGENCY: Office of the Secretary, Interior. ACTION: Notice. SUMMARY: The Office of Small and Disadvantaged Business Utilization of the Department of the Interior are hosting a Vendor Outreach Workshop for HUB Zone small businesses that are interested in doing business...

  8. Diversifying Science, Technology, Engineering, and Mathematics (STEM): An Inquiry into Successful Approaches in Chemistry

    ERIC Educational Resources Information Center

    Wilson, Zakiya S.; McGuire, Saundra Y.; Limbach, Patrick A.; Doyle, Michael P.; Marzilli, Luigi G.; Warner, Isiah M.

    2014-01-01

    For many years, the U.S. has underutilized its human resources, as evidenced by the pervasive underrepresentation of several racial and ethnic groups within academia in general and the science, technology, engineering, and mathematics (STEM) disciplines, in particular. To address this underutilization, academic departments within U.S. universities…

  9. The Impact of Underutilization of Education on Productivity: A Case Study of the U.S. Bell Companies.

    ERIC Educational Resources Information Center

    Tsang, Mun Chiu

    1987-01-01

    Examines the impact of underutilizing workers' educational skills (or "overeducation") on a firm's productivity. Using both production and individual employee data, the study estimated a production function for 22 U.S. Bell companies during 1981-1982. Overeducation was negatively and significantly related to firm output. Discusses…

  10. The Role of Public and Self-Stigma in Predicting Attitudes toward Group Counseling

    ERIC Educational Resources Information Center

    Vogel, David L.; Shechtman, Zipora; Wade, Nathaniel G.

    2010-01-01

    Public and self-stigmas have been implicated as factors in the underutilization of individual counseling. However, group counseling is also underutilized, and yet scholars know very little about the role of different types of stigma on attitudes toward seeking group counseling. Therefore, the current study examined the relationships between public…

  11. Forest Products Laboratory research program on small-diameter material.

    Treesearch

    2000-01-01

    Forests in the United States contain a significant amount of small-diameter and underutilized material. These overstocked stands not only increase the risk of insect, disease, fire, and drought damage, but also are costly to remove. Finding economical and marketable uses for small-diameter and underutilized material would alleviate these problems while improving...

  12. Factors associated with underutilization of antenatal care services in Indonesia: results of Indonesia Demographic and Health Survey 2002/2003 and 2007

    PubMed Central

    2010-01-01

    Background Antenatal care aims to prevent maternal and perinatal mortality and morbidity. In Indonesia, at least four antenatal visits are recommended during pregnancy. However, this service has been underutilized. This study aimed to examine factors associated with underutilization of antenatal care services in Indonesia. Methods We used data from Indonesia Demographic and Health Survey (IDHS) 2002/2003 and 2007. Information of 26,591 singleton live-born infants of the mothers' most recent birth within five years preceding each survey was examined. Twenty-three potential risk factors were identified and categorized into four main groups, external environment, predisposing, enabling, and need factors. Logistic regression models were used to examine the association between all potential risk factors and underutilization of antenatal services. The Population Attributable Risk (PAR) was calculated for selected significant factors associated with the outcome. Results Factors strongly associated with underutilization of antenatal care services were infants from rural areas and from outer Java-Bali region, infants from low household wealth index and with low maternal education level, and high birth rank infants with short birth interval of less than two years. Other associated factors identified included mothers reporting distance to health facilities as a major problem, mothers less exposed to mass media, and mothers reporting no obstetric complications during pregnancy. The PAR showed that 55% of the total risks for underutilization of antenatal care services were attributable to the combined low household wealth index and low maternal education level. Conclusions Strategies to increase the accessibility and availability of health care services are important particularly for communities in rural areas. Financial support that enables mothers from poor households to use health services will be beneficial. Health promotion programs targeting mothers with low education are vital to increase their awareness about the importance of antenatal services. PMID:20712866

  13. Biomedical HIV prevention including pre-exposure prophylaxis and opiate agonist therapy for women who inject drugs: State of research and future directions

    PubMed Central

    Page, Kimberly; Tsui, Judith; Maher, Lisa; Choopanya, Kachit; Vanichseni, Suphak; Mock, Philip A.; Celum, Connie; Martin, Michael

    2015-01-01

    Women who inject drugs are at higher risk of HIV compared to their male counterparts as a result of multiple factors including biological, behavioral and socio-structural, yet comparatively little effort has been invested in testing and delivering prevention methods that directly target this group. In this paper, we discuss the need for expanded prevention interventions for women who inject drugs, focusing on two safe, effective, and approved, yet underutilized biomedical prevention methods: opiate agonist therapy (OAT) and oral pre-exposure prophylaxis (PrEP). While both interventions are well researched they have not been well examined in the context of gender. We discuss the drivers of women injectors’ higher HIV risk, review the effectiveness of OAT and PrEP interventions among women, and explain why these new HIV prevention tools should be prioritized for women who inject drugs. There is substantial potential for impact of OAT and PrEP programs for women who inject drugs in the context of broader gender-responsive HIV prevention initiatives. While awaiting efficacy data on other biomedical approaches in the HIV prevention research ‘pipeline’, we propose that the scale up and implementation of these proven, safe, and effective interventions are needed now. PMID:25978484

  14. Examining the Influence of Personality Traits on Intranet Portal Adoption by Faculty in Higher Education

    ERIC Educational Resources Information Center

    Shambare, Narcissus

    2013-01-01

    The problem examined in the proposed study was the underutilization of the intranet portals (IP) by faculty in institutions of higher education (IHE). Despite the time and investment allocated to the IP, the technology remains underutilized to improve productivity, efficiency, and justify its investment yet there is lack of understanding of why…

  15. Case studies on sugar production from underutilized woody biomass using sulfite chemistry

    Treesearch

    J.Y. Zhu; M. Subhosh Chandra; Roland Gleisner; William Gilles; Johnway Gao; Gevan Marrs; Dwight Anderson; John Sessions

    2015-01-01

    We examined two case studies to demonstrate the advantages of sulfite chemistry for pretreating underutilized woody biomass to produce sugars through enzymatic saccharification. In the first case study, we evaluated knot rejects from a magnesium-basedsulfite mill for direct enzymatic sugar production.We found that the sulfite mill rejects are an excellent feedstock for...

  16. Analysis of antithrombotic therapy after cardioembolic stroke due to atrial fibrillation or flutter.

    PubMed

    Peterson, Evan J; Reaves, Anne B; Smith, Jennifer L; Oliphant, Carrie S

    2013-02-01

    Guidelines recommend that all patients with atrial fibrillation and a history of ischemic stroke should receive an anticoagulant. Prior analyses show that warfarin is underutilized in most populations. To examine the use of antithrombotic and anticoagulant therapy in patients with atrial fibrillation or flutter during the index hospitalization for acute, ischemic stroke. Retrospective electronic medical record review of 200 patients treated at a tertiary care hospital with a primary ICD-9 code for ischemic stroke and a secondary ICD-9 code for atrial fibrillation or flutter. Exclusion criteria were active bleeding, pregnancy, age less than 18, pre-existing warfarin allergy, or dabigatran use. Fifty-two percent of patients received at least one dose of warfarin during the index hospitalization. There was no relationship between CHADS2 score and likelihood of receiving warfarin (P > .05). There was no significant difference in adverse event rate in patients receiving warfarin compared to those receiving aspirin (3.8% vs 9.1%; P = .14), but the rate of hemorrhagic transformation was lower in patients receiving warfarin (1% vs 7%; P = .03). The composite of hemorrhagic stroke or hemorrhagic transformation was significantly lower in patients receiving bridging therapy (0% vs 11%; P = .03). Sixteen patients were readmitted for stroke within 3 months of discharge. Ten were readmitted for ischemic stroke, 3 for hemorrhagic stroke or hemorrhagic transformation, and 3 for systemic bleeding. Ten patients (62.5%) were receiving warfarin at readmission, but only one of these patients had a therapeutic INR. Warfarin was underutilized as secondary stroke prophylaxis in these high-risk patients. Bridging therapy appeared to be safe and was not associated with an increase in adverse events.

  17. Amending the Structure of Renewable Carbon from Biorefinery Waste-Streams for Energy Storage Applications.

    PubMed

    Ho, Hoi Chun; Goswami, Monojoy; Chen, Jihua; Keum, Jong K; Naskar, Amit K

    2018-05-29

    Biorefineries produce impure sugar waste streams that are being underutilized. By converting this waste to a profitable by-product, biorefineries could be safeguarded against low oil prices. We demonstrate controlled production of useful carbon materials from the waste concentrate via hydrothermal synthesis and carbonization. We devise a pathway to producing tunable, porous spherical carbon materials by modeling the gross structure formation and developing an understanding of the pore formation mechanism utilizing simple reaction principles. Compared to a simple hydrothermal synthesis from sugar concentrate, emulsion-based synthesis results in hollow spheres with abundant microporosity. In contrast, conventional hydrothermal synthesis produces solid beads with micro and mesoporosity. All the carbonaceous materials show promise in energy storage application. Using our reaction pathway, perfect hollow activated carbon spheres can be produced from waste sugar in liquid effluence of biomass steam pretreatment units. The renewable carbon product demonstrated a desirable surface area of 872 m 2 /g and capacitance of up to 109 F/g when made into an electric double layer supercapacitor. The capacitor exhibited nearly ideal capacitive behavior with 90.5% capacitance retention after 5000 cycles.

  18. 2017 Update of the field evaluation of new and underutilized fig cultivars for fresh and dried markets

    USDA-ARS?s Scientific Manuscript database

    There are new and underutilized fig cultivars in the national collection of figs at the National Clonal Germplasm Repository, Davis, CA. This study is a replicated field trial of 12 cultivars that may potentially impact the fresh market and/or dry market fig industry. On April 16, 2015, the fig tree...

  19. Simple geometric algorithms to aid in clearance management for robotic mechanisms

    NASA Technical Reports Server (NTRS)

    Copeland, E. L.; Ray, L. D.; Peticolas, J. D.

    1981-01-01

    Global geometric shapes such as lines, planes, circles, spheres, cylinders, and the associated computational algorithms which provide relatively inexpensive estimates of minimum spatial clearance for safe operations were selected. The Space Shuttle, remote manipulator system, and the Power Extension Package are used as an example. Robotic mechanisms operate in quarters limited by external structures and the problem of clearance is often of considerable interest. Safe clearance management is simple and suited to real time calculation, whereas contact prediction requires more precision, sophistication, and computational overhead.

  20. A Simple Experimental Demonstration of Microbial Growth and Interaction.

    ERIC Educational Resources Information Center

    Wainwright, Milton

    1988-01-01

    Described is a simple, safe, and inexpensive experiment which allows secondary school pupils to observe how fungi and bacteria grow and interact with each other. Included are discussions of materials, methods, observations, and a historical comment. (Author/CW)

  1. An Introduction to Kristof's Theorem for Solving Least-Square Optimization Problems Without Calculus.

    PubMed

    Waller, Niels

    2018-01-01

    Kristof's Theorem (Kristof, 1970 ) describes a matrix trace inequality that can be used to solve a wide-class of least-square optimization problems without calculus. Considering its generality, it is surprising that Kristof's Theorem is rarely used in statistics and psychometric applications. The underutilization of this method likely stems, in part, from the mathematical complexity of Kristof's ( 1964 , 1970 ) writings. In this article, I describe the underlying logic of Kristof's Theorem in simple terms by reviewing four key mathematical ideas that are used in the theorem's proof. I then show how Kristof's Theorem can be used to provide novel derivations to two cognate models from statistics and psychometrics. This tutorial includes a glossary of technical terms and an online supplement with R (R Core Team, 2017 ) code to perform the calculations described in the text.

  2. Polyphenolic Contents and Antioxidant Activities of Underutilized Grape (Vitis vinifera L.) Pomace Extracts.

    PubMed

    Kabir, Faisal; Sultana, Mosammad Shahin; Kurnianta, Heri

    2015-09-01

    Grape pomace is an abundant source of underutilized winery by-products. Polyphenols were extracted from grape pomace using cellulase and gluco-amylase enzymes. 2,2-diphenyl-1-picrylhydrazyl (DPPH) and Folin-Ciocalteu's assays were used to measure antioxidant activity and total polyphenolic contents. Both cellulase, and gluco-amylase digested grape pomace showed efficient radical scavenging activity. In addition, the total polyphenolic contents of cellulase digested grape pomace showed lower concentrations were effective compared to higher concentrations, whereas gluco-amylase enzyme did not show remarkable variations. The DPPH radical scavenging activity and total polyphenolic contents were significantly higher in the cellulase digested grape pomace compared to the gluco-amylase digested and the not digested grape pomace. It is notable that enzymatic digestions were efficient for extracting polyphenols from grape pomace. The underutilized grape pomace polyphenols can be further used for food safety as a natural antioxidant.

  3. Polyphenolic Contents and Antioxidant Activities of Underutilized Grape (Vitis vinifera L.) Pomace Extracts

    PubMed Central

    Kabir, Faisal; Sultana, Mosammad Shahin; Kurnianta, Heri

    2015-01-01

    Grape pomace is an abundant source of underutilized winery by-products. Polyphenols were extracted from grape pomace using cellulase and gluco-amylase enzymes. 2,2-diphenyl-1-picrylhydrazyl (DPPH) and Folin-Ciocalteu’s assays were used to measure antioxidant activity and total polyphenolic contents. Both cellulase, and gluco-amylase digested grape pomace showed efficient radical scavenging activity. In addition, the total polyphenolic contents of cellulase digested grape pomace showed lower concentrations were effective compared to higher concentrations, whereas gluco-amylase enzyme did not show remarkable variations. The DPPH radical scavenging activity and total polyphenolic contents were significantly higher in the cellulase digested grape pomace compared to the gluco-amylase digested and the not digested grape pomace. It is notable that enzymatic digestions were efficient for extracting polyphenols from grape pomace. The underutilized grape pomace polyphenols can be further used for food safety as a natural antioxidant. PMID:26451359

  4. Sterile syringe access and disposal among injection drug users newly enrolled in methadone maintenance treatment: a cross-sectional survey

    PubMed Central

    McNeely, Jennifer; Arnsten, Julia H; Gourevitch, Marc N

    2006-01-01

    Background We sought to assess injection practices, means of acquiring and disposing of syringes, and utilization and knowledge of harm reduction resources among injection drug users (IDUs) entering methadone maintenance treatment (MMT). Methods Interviews with 100 consecutive patients, including 35 IDUs, entering a MMT program in the Bronx, NY. Results Utilization of unsafe syringe sources was reported by 69% of IDUs in our sample. Most (80%) IDUs reused syringes, and syringe sharing was also common. Fewer than half knew that non-prescription pharmacy purchase of syringes was possible. The most common means of disposing of injecting equipment were the trash (63%) and syringe exchange programs (49%). Conclusions These findings indicate that drug users entering treatment under-utilize sanctioned venues to obtain sterile syringes or safely dispose of used injection equipment. Programs providing services to drug users should adopt a proactive stance to address the safety and health issues faced by injectors. PMID:16503997

  5. Migration Experiences of Foreign Educated Nurses: A Systematic Review of the Literature.

    PubMed

    Moyce, Sally; Lash, Rebecca; de Leon Siantz, Mary Lou

    2016-03-01

    Global nurse migration has a recognized impact on host and source countries, but the lived experience of foreign educated nurses is an important aspect of the success of this migration. A systematic review of the literature was conducted to understand the lived migration and acculturation experiences of foreign educated nurses. A systematic review of the literature, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was conducted. Primary research articles or secondary analyses were selected based on keyword and citation-based searches (n = 44). Nurses' experiences included migration and licensing barriers, difficulty with communication, racism and discrimination, skill underutilization, acculturation, and the role of the family. Barriers encountered in host countries may impede acculturation and successful nursing practice, resulting in circular migration and poor patient safety outcomes. Social support systems and cultural orientation programs can mitigate the impacts of social isolation and racism. Addressing common barriers can help minimize deskilling and allow safe and effective transitions to host countries. © The Author(s) 2015.

  6. Low-manpower checkpoints: can they provide effective DUI enforcement in small communities?

    PubMed

    Lacey, John H; Ferguson, Susan A; Kelley-Baker, Tara; Rider, Raamses P

    2006-09-01

    Sobriety checkpoints can be effective in reducing alcohol-impaired driving. Checkpoints are underutilized, however, partially because police believe a large number of officers are required. This study evaluated the feasibility and impact of conducting small-scale checkpoints in rural communities. Law enforcement agencies in two counties agreed to conduct weekly checkpoints for one year. Two nonadjacent counties did not undertake additional checkpoints. Evaluation included public-awareness surveys and roadside surveys (including blood alcohol concentration [BAC] measurements) of weekend nighttime drivers. Relative to drivers in the comparison counties, the proportion of drivers in the experimental counties with BACs >0.05% was 70% lower. Drivers surveyed at driver's license offices in the experimental counties after program implementation were more likely to report seeing or passing through a checkpoint and were more aware of publicity on driving under the influence (DUI) enforcement. Small rural communities can safely and effectively conduct low-staff sobriety checkpoints on a weekly basis. Such programs can be expected to result in large reductions in drivers operating at higher BACs.

  7. The Food-Safe Schools Action Guide

    ERIC Educational Resources Information Center

    Centers for Disease Control and Prevention, 2007

    2007-01-01

    "The Food-Safe School Needs Assessment and Planning Guide" is a tool that can help schools assess their food safety policies, procedures, and programs and develop plans for improvement. This tool includes a simple, straightforward questionnaire, score card, and planning guide that give administrators, school staff, families, and students a chance…

  8. 77 FR 60617 - Child Health Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... parents, schools, and community leaders to address childhood obesity. A safe environment in which our... the quality health care and clean environment that will nurture their future success. My... children can attend schools that are safe, where we address bullying and end the myth that it is a simple...

  9. 75 FR 56477 - Technical Amendments for Marine Spark-Ignition Engines and Vessels

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-16

    ... spillage, incorporating safe recommended practices will result in a net benefit to the environment and lead... portable fuel tanks to these new requirements, manufacturers working together on systems integration.... We have engaged the industry to identify a simple, safe, and emissions neutral solution to this...

  10. Amending the Structure of Renewable Carbon from Biorefinery Waste-Streams for Energy Storage Applications

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

    Ho, Hoi Chun; Goswami, Monojoy; Chen, Jihua

    Biorefineries produce impure sugar waste streams that are being underutilized. By converting this waste to a profitable by-product, biorefineries could be safeguarded against low oil prices. We demonstrate controlled production of useful carbon materials from the waste concentrate via hydrothermal synthesis and carbonization. We devise a pathway to producing tunable, porous spherical carbon materials by modeling the gross structure formation and developing an understanding of the pore formation mechanism utilizing simple reaction principles. Compared to a simple hydrothermal synthesis from sugar concentrate, emulsion-based synthesis results in hollow spheres with abundant microporosity. In contrast, conventional hydrothermal synthesis produces solid beads withmore » micro and mesoporosity. All the carbonaceous materials show promise in energy storage application. Using our reaction pathway, perfect hollow activated carbon spheres can be produced from waste sugar in liquid effluence of biomass steam pretreatment units. As a result, the renewable carbon product demonstrated a desirable surface area of 872 m 2/g and capacitance of up to 109 F/g when made into an electric double layer supercapacitor. The capacitor exhibited nearly ideal capacitive behavior with 90.5% capacitance retention after 5000 cycles.« less

  11. Amending the Structure of Renewable Carbon from Biorefinery Waste-Streams for Energy Storage Applications

    DOE PAGES

    Ho, Hoi Chun; Goswami, Monojoy; Chen, Jihua; ...

    2018-05-29

    Biorefineries produce impure sugar waste streams that are being underutilized. By converting this waste to a profitable by-product, biorefineries could be safeguarded against low oil prices. We demonstrate controlled production of useful carbon materials from the waste concentrate via hydrothermal synthesis and carbonization. We devise a pathway to producing tunable, porous spherical carbon materials by modeling the gross structure formation and developing an understanding of the pore formation mechanism utilizing simple reaction principles. Compared to a simple hydrothermal synthesis from sugar concentrate, emulsion-based synthesis results in hollow spheres with abundant microporosity. In contrast, conventional hydrothermal synthesis produces solid beads withmore » micro and mesoporosity. All the carbonaceous materials show promise in energy storage application. Using our reaction pathway, perfect hollow activated carbon spheres can be produced from waste sugar in liquid effluence of biomass steam pretreatment units. As a result, the renewable carbon product demonstrated a desirable surface area of 872 m 2/g and capacitance of up to 109 F/g when made into an electric double layer supercapacitor. The capacitor exhibited nearly ideal capacitive behavior with 90.5% capacitance retention after 5000 cycles.« less

  12. Genetic diversity in Carthamus tinctorius (Asteraceae; safflower), an underutilized oilseed crop.

    PubMed

    Pearl, Stephanie A; Burke, John M

    2014-10-01

    • Underutilized crops are potentially valuable resources for meeting increasing food demands. Safflower, an oilseed crop, is an example of one such underutilized crop that thrives in moisture-limited areas. Characterization of the genetic diversity maintained within the gene pools of underutilized crops such as safflower is an important step in their further development.• A total of 190 safflower individuals, including 134 USDA accessions, 48 breeding lines from two private North American safflower breeding companies, and eight wild safflower individuals, were genotyped using 133 single nucleotide polymorphism (SNP) markers. We then used the resulting data to assess the amount and distribution of genetic diversity within and among these collections of safflower.• Although just a modest reduction in gene diversity was observed in the commercial breeding lines (relative to the other safflower groupings), safflower domestication was accompanied by a significant decrease in allelic richness. Further, our results suggest that most safflower breeding lines originated from a single pool of diversity within the Old World safflower germplasm.• Taken together, our results suggest that both the safflower germplasm collection and related, wild species harbor previously undocumented genetic diversity that could help fuel future improvement efforts. Paired with analyses of functional diversity, the molecular resources described herein will be thus be useful in the continued development of safflower as an oilseed crop. © 2014 Botanical Society of America, Inc.

  13. Inexpensive and Safe DNA Gel Electrophoresis Using Household Materials

    ERIC Educational Resources Information Center

    Ens, S.; Olson, A. B.; Dudley, C.; Ross, N. D., III; Siddiqi, A. A.; Umoh, K. M.; Schneegurt, M. A.

    2012-01-01

    Gel electrophoresis is the single most important molecular biology technique and it is central to life sciences research, but it is often too expensive for the secondary science classroom or homeschoolers. A simple safe low-cost procedure is described here that uses household materials to construct and run DNA gel electrophoresis. Plastic…

  14. New frontiers for health information systems using Epi Info in developing countries: structured application framework for Epi Info (SAFE).

    PubMed

    Ma, J; Otten, M; Kamadjeu, R; Mir, R; Rosencrans, L; McLaughlin, S; Yoon, S

    2008-04-01

    For more than two decades, Epi Info software has been used to meet the data management, analysis, and mapping needs of public health professionals in more than 181 countries and 13 languages. Until now, most Epi Info systems have been relatively simple, mainly because of a lack of detailed and structured guidance for developing complex systems. We created the structured application framework for Epi Info (SAFE), which is a set of guidelines that allows developers to create both simple and complex information systems using accepted good programming practices. This has resulted in application code blocks that are re-useable and easy to maintain, modify, and enhance. The flexibility of SAFE allows various aggregate and case-based application modules to be rapidly created, combined, and updated to create health information systems or sub-systems enabling continuous, incremental enhancement as national and local capacity increases. SAFE and Epi Info are both cost-free and have low system requirements--characteristics that render this framework and software beneficial for developing countries.

  15. Of bugs and birds: Markov Chain Monte Carlo for hierarchical modeling in wildlife research

    USGS Publications Warehouse

    Link, W.A.; Cam, E.; Nichols, J.D.; Cooch, E.G.

    2002-01-01

    Markov chain Monte Carlo (MCMC) is a statistical innovation that allows researchers to fit far more complex models to data than is feasible using conventional methods. Despite its widespread use in a variety of scientific fields, MCMC appears to be underutilized in wildlife applications. This may be due to a misconception that MCMC requires the adoption of a subjective Bayesian analysis, or perhaps simply to its lack of familiarity among wildlife researchers. We introduce the basic ideas of MCMC and software BUGS (Bayesian inference using Gibbs sampling), stressing that a simple and satisfactory intuition for MCMC does not require extraordinary mathematical sophistication. We illustrate the use of MCMC with an analysis of the association between latent factors governing individual heterogeneity in breeding and survival rates of kittiwakes (Rissa tridactyla). We conclude with a discussion of the importance of individual heterogeneity for understanding population dynamics and designing management plans.

  16. Methods for Monte Carlo simulations of biomacromolecules

    PubMed Central

    Vitalis, Andreas; Pappu, Rohit V.

    2010-01-01

    The state-of-the-art for Monte Carlo (MC) simulations of biomacromolecules is reviewed. Available methodologies for sampling conformational equilibria and associations of biomacromolecules in the canonical ensemble, given a continuum description of the solvent environment, are reviewed. Detailed sections are provided dealing with the choice of degrees of freedom, the efficiencies of MC algorithms and algorithmic peculiarities, as well as the optimization of simple movesets. The issue of introducing correlations into elementary MC moves, and the applicability of such methods to simulations of biomacromolecules is discussed. A brief discussion of multicanonical methods and an overview of recent simulation work highlighting the potential of MC methods are also provided. It is argued that MC simulations, while underutilized biomacromolecular simulation community, hold promise for simulations of complex systems and phenomena that span multiple length scales, especially when used in conjunction with implicit solvation models or other coarse graining strategies. PMID:20428473

  17. Balloon logging with the inverted skyline

    NASA Technical Reports Server (NTRS)

    Mosher, C. F.

    1975-01-01

    There is a gap in aerial logging techniques that has to be filled. The need for a simple, safe, sizeable system has to be developed before aerial logging will become effective and accepted in the logging industry. This paper presents such a system designed on simple principles with realistic cost and ecological benefits.

  18. Factors associated with inadequate receipt of components and use of antenatal care services in Nigeria: a population-based study.

    PubMed

    Agho, Kingsley E; Ezeh, Osita K; Ogbo, Felix A; Enoma, Anthony I; Raynes-Greenow, Camille

    2018-05-01

    Antenatal care (ANC) is an essential intervention to improve maternal and child health. In Nigeria, no population-based studies have investigated predictors of poor receipt of components and uptake of ANC at the national level to inform targeted maternal health initiatives. This study aimed to examine factors associated with inadequate receipt of components and use of ANC in Nigeria. The study used information on 20 405 singleton live-born infants of the mothers from the 2013 Nigeria Demographic and Health Survey. Multivariable logistic regression analyses that adjusted for cluster and survey weights were used to determine potential factors associated with inadequate receipt of components and use of ANC. The prevalence of underutilization and inadequate components of ANC were 47.5% (95% CI: 45.2 to 49.9) and 92.6% (95% CI: 91.8 to 93.2), respectively. Common risk factors for underutilization and inadequate components of ANC in Nigeria included residence in rural areas, no maternal education, maternal unemployment, long distance to health facilities and less maternal exposure to the media. Other risk factors for underutilization of ANC were home births and low household wealth. The study suggests that underutilization and inadequate receipt of the components of ANC were associated with amenable factors in Nigeria. Subsidized maternal services and well-guided health educational messages or financial support from the government will help to improve uptake of ANC services.

  19. Electroconvulsive Therapy Intervention for Parkinson's Disease.

    PubMed

    Narang, Puneet; Glowacki, Anna; Lippmann, Steven

    2015-01-01

    Electroconvulsive therapy is an established means to improve function in a variety of psychiatric and neurologic conditions, particularly for patients who remain treatment-refractory. Parkinson's disease is a neurodegenerative disorder that sometimes does not respond well to conventional pharmacotherapies. Reports have indicated that electroconvulsive therapy may be an effective and safe treatment for those patients with Parkinson's disease who are not optimally responding to first-line treatments. Despite these reports, however, electroconvulsive therapy is not often used by clinicians in patients with treatment-resistant Parkinson's disease, perhaps due to stigma, lack of knowledge regarding its safety and efficacy, and/or inability to predict the duration of therapeutic benefit. Our objective was to determine if the available literature on ECT supports it as a safe and effective treatment option in patients with treatment-refractory Parkinson's disease. Motoric improvement induced by electroconvulsive therapy has been documented for decades in persons with Parkinson's disease. Efficacy and safety are reported following electroconvulsive therapy in people with Parkinson's disease who have sub-optimal response to medicines or experience the "on/off" phenomenon to L-dopa. Electroconvulsive therapy is an effective option for acute and maintenance treatment of Parkinson's disease in select patients. Inability to predict how long the beneficial effects of ECT therapy will last in patients with Parkinson's disease may be a reason why this treatment is underutilized by clinicians. More research is warranted to clarify parameters for application and duration of therapeutic benefit in individuals with difficult-to-treat Parkinson's disease.

  20. Birth kits for safe motherhood in Bangladesh.

    PubMed

    Nessa, S; Arco, E S; Kabir, I A

    1992-01-01

    Tetanus infection remains the leading cause of high neonatal mortality in Bangladesh. Birth kits which instruct and assist in a clean, safe birth are seen as a key measure in reducing the high incidence of neonatal deaths. A multisectoral programme has developed a simple kit and tested its potential for distribution to pregnant women. Initial results are positive and development is continuing.

  1. Development of a Brochure for Increasing Awareness of Inherited Breast Cancer in Black Women

    PubMed Central

    Quinn, Gwendolyn P.; Gjyshi, Anxhela; Pal, Tuya

    2011-01-01

    Low levels of awareness about hereditary breast cancer and ovarian cancer and underutilization of genetic services combined with the high incidence of early onset breast cancer in the black community underscore the urgent need to provide information about hereditary breast and ovarian cancer to black women. The primary goal of the present study was to develop a culturally targeted brochure designed to increase awareness about inherited breast cancer among black women using the principles of Learner Verification. Three focus groups were conducted with black women, including those with or without a history of breast cancer (n = 46), to evaluate the brochure. Data were analyzed through hand coding using a simple classification system placing participants' responses in the predetermined Learner Verification categories. On the basis of the feedback obtained, the brochure has been modified to improve cultural-targeting, relevance, and clarity and has been made available for dissemination. Our study illustrates the importance of obtaining feedback from the target audience when developing a culturally targeted informational brochure for black women. Further, the complexity of our subject matter (i.e., inherited breast and ovarian cancer) underscores the importance of using inviting visuals and personal vignettes, while maintaining a simple and clear message. PMID:21275654

  2. The effect of nanoparticle enhanced sizing on the structural health monitoring sensitivity and mechanical properties of carbon fiber composites

    NASA Astrophysics Data System (ADS)

    Bowland, Christopher C.; Nguyen, Ngoc A.; Naskar, Amit K.

    2018-03-01

    With current carbon composites being introduced into new commercial market sectors, there is an opportunity to develop multifunctional composites, which are poised to be the next generation of composites that will see future commercial applications. This multifunctional attribute can be achieved via integrated nanomaterials, which are currently under-utilized in real-world applications despite significant research efforts focused on their synthesis. This research utilizes a simple, scalable approach to integrate various nanomaterials into carbon fiber composites by embedding the nanomaterials in the epoxy fiber sizing. Illustrated in this work is the effect of silicon carbide nanoparticle concentrations and dimensions on the structural health monitoring sensitivity of unidirectional carbon fiber composites. Additionally, the nanoparticles contribute to the overall damping property of the composites thus enabling tunable damping through simple variations in nanoparticle concentration and size. Not only does this nanoparticle sizing offer enhanced sensitivity and tunable damping, but it also maintains the mechanical integrity and performance of the composites, which demonstrates a truly multifunctional composite. Therefore, this research establishes an efficient route for combining nanomaterials research with real-world multifunctional composite applications using a technique that is easily scalable to the commercial level and is compatible with a wide range of fibers and nanomaterials.

  3. The levonorgestrel-releasing intrauterine system: Safety, efficacy, and patient acceptability

    PubMed Central

    Beatty, Megan N; Blumenthal, Paul D

    2009-01-01

    The levonorgestrel-releasing intrauterine system (LNG-IUS) is a safe, effective and acceptable form of contraception used by over 150 million women worldwide. It also has a variety of noncontraceptive benefits including treatment for menorrhagia, endometriosis, and endometrial hyperplasia. The LNG-IUS has also been used in combination with estrogen for hormone replacement therapy and as an alternative to hysterectomy. Overall, the system is very well tolerated and patient satisfaction is quite high when proper education regarding possible side effects is provided. However, despite all of the obvious benefits of the LNG-IUS, utilization rates remain quite low in the developed countries, especially in the United States. This is thought to be largely secondary to the persistent negative impressions from the Dalkon Shield intrauterine experience in the 1970s. This history continues to negatively influence the opinions of both patients and health care providers with regards to intrauterine devices. Providers should resolve to educate themselves and their patients on the current indications and uses for this device, as it, and intrauterine contraception in general, remains a largely underutilized approach to a variety of women’s health issues. PMID:19707273

  4. Science Fun: Hands-On Science with Dr. Zed.

    ERIC Educational Resources Information Center

    Penrose, Gordon

    This book presents 65 simple, safe, and intriguing hands-on science activities. In doing these simple experiments, children can make a variety of discoveries that will surprise them. It includes many activities from discovering how people see color and what makes people's hair stand on end, to creating a tornado in a jar or a propeller-driven boat…

  5. Simple Protocol for Secondary School Hands-On Activity: Electrophoresis of Pre-Stained Nucleic Acids on Agar-Agar Borate Gels

    ERIC Educational Resources Information Center

    Britos, Leticia; Goyenola, Guillermo; Orono, Silvia Umpierrez

    2004-01-01

    An extremely simple, inexpensive, and safe method is presented, which emulates nucleic acids isolation and electrophoretic analysis as performed in a research environment, in the context of a secondary school hands-on activity. The protocol is amenable to an interdisciplinary approach, taking into consideration the electrical and chemical…

  6. 75 FR 33515 - Federal Motor Vehicle Safety Standards; Electric-Powered Vehicles; Electrolyte Spillage and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-14

    ..., and made a simple comparison. Based on the IEC report, the human body can withstand up to four times....\\3\\ The flow of this amount of AC through the human body may result in perception of the current and... considered to be safe) corresponds to 8 mA of DC (that is also considered to be safe for the human body).\\4...

  7. Doing the math: A simple approach to topical timolol dosing for infantile hemangiomas.

    PubMed

    Dalla Costa, Renata; Prindaville, Brea; Wiss, Karen

    2018-03-01

    Topical timolol maleate has recently gained popularity as a treatment for superficial infantile hemangiomas, but calculating a safe dose of timolol can be time consuming, which may limit the medication's use in fast-paced clinical environments. This report offers a simplified calculation of the maximum daily safe dosage as 1 drop of medication per kilogram of body weight. © 2018 Wiley Periodicals, Inc.

  8. Electroconvulsive Therapy Intervention for Parkinson’s Disease

    PubMed Central

    Glowacki, Anna; Lippmann, Steven

    2015-01-01

    Background: Electroconvulsive therapy is an established means to improve function in a variety of psychiatric and neurologic conditions, particularly for patients who remain treatment-refractory. Parkinson’s disease is a neurodegenerative disorder that sometimes does not respond well to conventional pharmacotherapies. Reports have indicated that electroconvulsive therapy may be an effective and safe treatment for those patients with Parkinson’s disease who are not optimally responding to first-line treatments. Despite these reports, however, electroconvulsive therapy is not often used by clinicians in patients with treatment-resistant Parkinson’s disease, perhaps due to stigma, lack of knowledge regarding its safety and efficacy, and/or inability to predict the duration of therapeutic benefit. Objective: Our objective was to determine if the available literature on ECT supports it as a safe and effective treatment option in patients with treatment-refractory Parkinson’s disease. Conclusion: Motoric improvement induced by electroconvulsive therapy has been documented for decades in persons with Parkinson’s disease. Efficacy and safety are reported following electroconvulsive therapy in people with Parkinson’s disease who have sub-optimal response to medicines or experience the “on/off” phenomenon to L-dopa. Electroconvulsive therapy is an effective option for acute and maintenance treatment of Parkinson’s disease in select patients. Inability to predict how long the beneficial effects of ECT therapy will last in patients with Parkinson’s disease may be a reason why this treatment is underutilized by clinicians. More research is warranted to clarify parameters for application and duration of therapeutic benefit in individuals with difficult-to-treat Parkinson’s disease. PMID:26634178

  9. Pelvic Floor Muscle Training: Underutilization in the USA.

    PubMed

    Lamin, Eliza; Parrillo, Lisa M; Newman, Diane K; Smith, Ariana L

    2016-02-01

    Pelvic floor disorders are highly prevalent in women of all ages and can greatly impair quality of life. Pelvic floor muscle training (PFMT) is a viable treatment option for several pelvic floor conditions including urinary incontinence and pelvic organ prolapse. PFMT is a program of therapy initiated by an experienced clinician (e.g., women's health or urology nurse practitioner (NP), physical therapist (PT)) that involves exercises for women with stress urinary incontinence (UI) and exercises combined with behavioral or conservative treatments (lifestyle changes, bladder training with urge suppression) for women with urgency or mixed UI. These exercise programs are more comprehensive than simple Kegel exercises. Despite evidence-based research indicating the efficacy and cost-effectiveness for treatment of urinary incontinence, PFMT is not commonly used as a first-line treatment in clinical practice in the USA (Abrams et al., 2012). This article will review PFMT for the treatment of UI and pelvic organ prolapse (POP) and theorize how this conservative therapy can be utilized more effectively in the USA.

  10. AncestrySNPminer: A bioinformatics tool to retrieve and develop ancestry informative SNP panels

    PubMed Central

    Amirisetty, Sushil; Khurana Hershey, Gurjit K.; Baye, Tesfaye M.

    2012-01-01

    A wealth of genomic information is available in public and private databases. However, this information is underutilized for uncovering population specific and functionally relevant markers underlying complex human traits. Given the huge amount of SNP data available from the annotation of human genetic variation, data mining is a faster and cost effective approach for investigating the number of SNPs that are informative for ancestry. In this study, we present AncestrySNPminer, the first web-based bioinformatics tool specifically designed to retrieve Ancestry Informative Markers (AIMs) from genomic data sets and link these informative markers to genes and ontological annotation classes. The tool includes an automated and simple “scripting at the click of a button” functionality that enables researchers to perform various population genomics statistical analyses methods with user friendly querying and filtering of data sets across various populations through a single web interface. AncestrySNPminer can be freely accessed at https://research.cchmc.org/mershalab/AncestrySNPminer/login.php. PMID:22584067

  11. 3D-Lab: a collaborative web-based platform for molecular modeling.

    PubMed

    Grebner, Christoph; Norrby, Magnus; Enström, Jonatan; Nilsson, Ingemar; Hogner, Anders; Henriksson, Jonas; Westin, Johan; Faramarzi, Farzad; Werner, Philip; Boström, Jonas

    2016-09-01

    The use of 3D information has shown impact in numerous applications in drug design. However, it is often under-utilized and traditionally limited to specialists. We want to change that, and present an approach making 3D information and molecular modeling accessible and easy-to-use 'for the people'. A user-friendly and collaborative web-based platform (3D-Lab) for 3D modeling, including a blazingly fast virtual screening capability, was developed. 3D-Lab provides an interface to automatic molecular modeling, like conformer generation, ligand alignments, molecular dockings and simple quantum chemistry protocols. 3D-Lab is designed to be modular, and to facilitate sharing of 3D-information to promote interactions between drug designers. Recent enhancements to our open-source virtual reality tool Molecular Rift are described. The integrated drug-design platform allows drug designers to instantaneously access 3D information and readily apply advanced and automated 3D molecular modeling tasks, with the aim to improve decision-making in drug design projects.

  12. Perceptual training yields rapid improvements in visually impaired youth.

    PubMed

    Nyquist, Jeffrey B; Lappin, Joseph S; Zhang, Ruyuan; Tadin, Duje

    2016-11-30

    Visual function demands coordinated responses to information over a wide field of view, involving both central and peripheral vision. Visually impaired individuals often seem to underutilize peripheral vision, even in absence of obvious peripheral deficits. Motivated by perceptual training studies with typically sighted adults, we examined the effectiveness of perceptual training in improving peripheral perception of visually impaired youth. Here, we evaluated the effectiveness of three training regimens: (1) an action video game, (2) a psychophysical task that combined attentional tracking with a spatially and temporally unpredictable motion discrimination task, and (3) a control video game. Training with both the action video game and modified attentional tracking yielded improvements in visual performance. Training effects were generally larger in the far periphery and appear to be stable 12 months after training. These results indicate that peripheral perception might be under-utilized by visually impaired youth and that this underutilization can be improved with only ~8 hours of perceptual training. Moreover, the similarity of improvements following attentional tracking and action video-game training suggest that well-documented effects of action video-game training might be due to the sustained deployment of attention to multiple dynamic targets while concurrently requiring rapid attending and perception of unpredictable events.

  13. Airport surveys at travel destinations--underutilized opportunities in travel medicine research?

    PubMed

    Bauer, Irmgard L

    2015-01-01

    Research in destination airports, especially in resource-poor areas, allows unique immediate access to travelers at the conclusion of their trip. Response rates are high and the recall gap small. Trip-related health matters can be elicited relatively easily. An insight into travelers' decision-making processes on location would fill large gaps in our knowledge regarding travel health advice provision; yet, this approach is still much underutilized. Using PubMed, ScienceDirect, Google Scholar, and ProQuest, a review of the literature on airport surveys was conducted to determine where they were used, their response rates and purpose, and location-relevant methodological information. The lack of methodological guidelines in the reviewed literature resulted in recommendations for planning and conducting an airport survey at a destination airport. Millions of travelers in airports around the world represent an underutilized sample of potential study participants for topics that cannot be studied adequately in other settings. Benefiting from close cooperation between travel health professionals and airport authorities, researchers can expect not only large-scale convenience samples for surveys, but also opportunities to explore exciting and creative research topics to broaden our understanding of travel medicine and health. © 2014 International Society of Travel Medicine.

  14. Laparoscopic repair of perforated peptic ulcer: patch versus simple closure.

    PubMed

    Abd Ellatif, M E; Salama, A F; Elezaby, A F; El-Kaffas, H F; Hassan, A; Magdy, A; Abdallah, E; El-Morsy, G

    2013-01-01

    Laparoscopic correction of perforated peptic ulcer (PPU) has become an accepted way of management. Patch omentoplasty stayed for decades the main method of repair. The goal of the present study was to evaluate whether laparoscopic simple repair of PPU is as safe as patch omentoplasty. Since June 2005, 179 consecutive patients of PPU were treated by laparoscopic repair at our centers. We conducted a retrospective chart review in December 2012. Group I (patch group) included patients who were treated with standard patch omentoplasty. Group II (non-patch group) included patients who received simple repair without patch. From June 2007 to Dec. 2012, 179 consecutive patients of PPU who were treated by laparoscopic repair at our centers were enrolled in this multi-center retrospective study. 108 patients belong to patch group. While 71 patients were treated with laparoscopic simple repair. Operative time was significantly shorter in group II (non patch) (p = 0.01). No patient was converted to laparotomy. There was no difference in age, gender, ASA score, surgical risk (Boey's) score, and incidence of co-morbidities. Both groups were comparable in terms of hospital stay, time to resume oral intake, postoperative complications and surgical outcomes. Laparoscopic simple repair of PPU is a safe procedure compared with the traditional patch omentoplasty in presence of certain selection criteria. Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

  15. Simple & Safe Genomic DNA Isolation.

    ERIC Educational Resources Information Center

    Moss, Robert; Solomon, Sondra

    1991-01-01

    A procedure for purifying DNA using either bacteria or rat liver is presented. Directions for doing a qualitative DNA assay using diphenylamine and a quantitative DNA assay using spectroscopy are included. (KR)

  16. Radon Adsorbed in Activated Charcoal--A Simple and Safe Radiation Source for Teaching Practical Radioactivity in Schools and Colleges

    ERIC Educational Resources Information Center

    Al-Azmi, Darwish; Mustapha, Amidu O.; Karunakara, N.

    2012-01-01

    Simple procedures for teaching practical radioactivity are presented in a way that attracts students' attention and does not make them apprehensive about their safety. The radiation source is derived from the natural environment. It is based on the radioactivity of radon, a ubiquitous inert gas, and the adsorptive property of activated charcoal.…

  17. From Interaction to Co-Association —A Fisher r-To-z Transformation-Based Simple Statistic for Real World Genome-Wide Association Study

    PubMed Central

    Yuan, Zhongshang; Liu, Hong; Zhang, Xiaoshuai; Li, Fangyu; Zhao, Jinghua; Zhang, Furen; Xue, Fuzhong

    2013-01-01

    Currently, the genetic variants identified by genome wide association study (GWAS) generally only account for a small proportion of the total heritability for complex disease. One crucial reason is the underutilization of gene-gene joint effects commonly encountered in GWAS, which includes their main effects and co-association. However, gene-gene co-association is often customarily put into the framework of gene-gene interaction vaguely. From the causal graph perspective, we elucidate in detail the concept and rationality of gene-gene co-association as well as its relationship with traditional gene-gene interaction, and propose two Fisher r-to-z transformation-based simple statistics to detect it. Three series of simulations further highlight that gene-gene co-association refers to the extent to which the joint effects of two genes differs from the main effects, not only due to the traditional interaction under the nearly independent condition but the correlation between two genes. The proposed statistics are more powerful than logistic regression under various situations, cannot be affected by linkage disequilibrium and can have acceptable false positive rate as long as strictly following the reasonable GWAS data analysis roadmap. Furthermore, an application to gene pathway analysis associated with leprosy confirms in practice that our proposed gene-gene co-association concepts as well as the correspondingly proposed statistics are strongly in line with reality. PMID:23923021

  18. Pool Safety: A Few Simple Rules.

    ERIC Educational Resources Information Center

    PTA Today, 1993

    1993-01-01

    Presents suggestions by the National Swimming Pool Safety Committee on how to keep children safe while swimming. Ideas include maintaining strict adult supervision, pool and spa barriers, and knowledge of cardiopulmonary resuscitation. (SM)

  19. JJ Stent Removal under Ultrasound Guidance in Women: It is Simple and Safe.

    PubMed

    Amer, Bernard; Gupta, Sandeep; Kanwar, Vijayendra S; Lodh, Bijit; Khumukcham, Somarendra; Akoijam, Kaku Singh

    2014-12-01

    With the increase in number of patients treated for urological problems with endoscopic procedures, the number of patients with JJ stent is also increasing. The amount of workload thus incurred multiplies, even to the point that, sometimes we waste more time in the operating room removing JJ stents than the actual endourological procedures. Here in our institute, we have devised a very simple and effective way of removing JJ stents in women and also determined the efficacy, safety and cost of JJ stent removal under ultrasound guidance in women in comparison to cystoscopic removal. Two hundred women attending the Department of Urology from July 2012 to July 2013 at RIMS hospital were randomly divided into two arms. One hundred women had their JJ stent removed with cystoscope and another 100 women had their JJ stent removed under ultrasound guidance using simple surgical tools available at the hospital. The primary comparative points were waiting time for operating room appointment date, cost of the procedure, time taken for the procedure, discomfort or pain felt by the patient and urethral injuries. In all the parameters, stent removal under ultrasound guidance was significantly better except for urethral injuries where both the procedures had similar outcomes. We concluded that JJ stent removal under ultrasound guidance in women was simple, effective and safe.

  20. Neonatal Infections

    MedlinePlus

    ... infections such as listeriosis and toxoplasmosis practicing safe sex to avoid sexually transmitted diseases (STDs) Some steps are routine parts of pregnancy and delivery. Many doctors recommend that an expectant mother have a simple swab test late in pregnancy ...

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

    Li, Lingda; Hayes, Ari; Song, Shuaiwen

    Modern GPUs employ cache to improve memory system efficiency. However, large amount of cache space is underutilized due to irregular memory accesses and poor spatial locality which exhibited commonly in GPU applications. Our experiments show that using smaller cache lines could improve cache space utilization, but it also frequently suffers from significant performance loss by introducing large amount of extra cache requests. In this work, we propose a novel cache design named tag-split cache (TSC) that enables fine-grained cache storage to address the problem of cache space underutilization while keeping memory request number unchanged. TSC divides tag into two partsmore » to reduce storage overhead, and it supports multiple cache line replacement in one cycle.« less

  2. Acute migraine: Current treatment and emerging therapies

    PubMed Central

    Kalra, Arun A; Elliott, Debra

    2007-01-01

    Migraine is a common disabling primary headache disorder. Despite the need for a perfect treatment of this debilitating condition, the ideal “cure” eludes us. In 1992, the first triptan was released in the US for use in acute migraine. Triptans are more specific for the serotonin receptor 5-hydroxy triptamine (5-HT) 1 than previously prescribed drugs, such as ergotamines, with fewer side effects. This was an important first step in specific acute migraine therapy. Today however, triptans continue to be underutilized. There remains a concern, among practitioners and patients, about possible cardiovascular safety issues, despite the lack of strong evidence of serious adverse events. In fact, triptans now have a safe track record over more than a decade of use. Other perceived downfalls to use, include cost and variable efficacy. The more we learn about the clinical features and pathophysiology of migraine, the closer we are to finding a satisfactory monotherapy. Until then, recognizing that mixed mechanisms underlie migraine symptoms, rational polytherapy can be useful. Research on the roles of serotonin, calcitonin gene related peptide, glutamine and N-methyl-D-aspartate in the trigeminovascular system holds promise for those searching for the perfect migraine headache cure. PMID:18488069

  3. Role of ultrasonography in the differential diagnosis of thyrotoxicosis: a noninvasive, cost-effective, and widely available but underutilized diagnostic tool.

    PubMed

    Alzahrani, Ali S; Ceresini, Graziano; Aldasouqi, Saleh A

    2012-01-01

    To explore the use of ultrasonography as a diagnostic alternative to the traditional "gold standard" imaging study of nuclear scintigraphy in the evaluation of thyrotoxicosis. We review the relevant literature and share our own experience to highlight the promising role of ultrasonography in thyrotoxicosis. In addition, we present a diagnostic algorithm suggesting liberal use of ultrasonography in the evaluation of thyrotoxicosis. Ultrasonography has proved effective not only in the differentiation of Graves disease from other types and causes of thyrotoxicosis but also in the detection of subtle thyroid nodules. The latter role is emphasized in light of the recent observation of an increased risk of occurrence of papillary thyroid carcinoma in patients with Graves disease. Ultrasonography is a cost-effective, noninvasive, portable, and safe imaging modality in the evaluation of thyrotoxicosis, both for physiologic assessment and for detection of nonpalpable thyroid cancers that may elude identification on physical examination and nuclear imaging studies. Although thyroid scintigraphy remains a standard radiologic study, thyroid ultrasonography can be a practical alternative in many cases and the primary imaging modality in some situations such as during pregnancy and lactation and for evaluation and management of amiodarone-induced thyrotoxicosis.

  4. Early initiation of beta blockade in heart failure: issues and evidence.

    PubMed

    Williams, Randall E

    2005-09-01

    Despite clinical trials demonstrating that inhibitors of the renin-angiotensin and sympathetic nervous systems can reduce the mortality and morbidity risk associated with heart failure, these drugs have remained underutilized in general clinical practice. In particular, many patients with heart failure due to left ventricular systolic dysfunction fail to receive beta blockers, although this class of drugs, as well as other antihypertensive agents such as angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, are recommended as part of routine heart failure therapy by national expert consensus guidelines. In-hospital initiation of beta-blocker therapy may improve long-term utilization by physicians and compliance by patients through obviating many of the misperceived dangers associated with beta blockade. The following review of the clinical trial data from the Randomized Evaluation of Strategies for Left Ventricular Dysfunction (RESOLVD) trial, the Metoprolol Controlled-Release Randomized Intervention Trial in Heart Failure (MERIT-HF), the Cardiac Insufficiency Bisoprolol Study II (CIBIS-II), the Carvedilol Prospective Randomized Cumulative Survival (COPERNICUS) trial, and the Initiation Management Predischarge Process for Assessment of Carvedilol Therapy for Heart Failure (IMPACT-HF) trial on the efficacy, safety, and tolerability of beta blockers indicates that early initiation can be safely achieved and can improve patient outcomes.

  5. Effective teaching and feedback strategies in the or and beyond.

    PubMed

    Champagne, Bradley J

    2013-12-01

    Maintaining a standard of excellence for graduating surgical residents requires a comprehensive and consistent approach to surgical education. The omnipresent and increasing barriers to education must also be recognized and addressed. The implementation of effective teaching strategies is largely dependent on the resources available at each institution and the vision of education. Unfortunately, allocating time for surgeons to teach both inside and outside the operating room has become a foreign concept to administration. Furthermore, the reduction in case numbers performed by trainees now demands "quality over quantity" to ensure success. Quality teaching moments will only be realized when emphasis is placed on preparation, useful instruction during the procedure, and postoperative feedback. Ideal preparation entails a detailed discussion between the trainee and surgeon about the specific learning goals for the case. During the procedure, the faculty surgeon must strive to maximize the experience through effective communication while performing an efficient and safe operation. Numerous validated objective assessment tools exist for postprocedure evaluation but are grossly underutilized. Surgical education must thoughtfully be approached with the same fervor and detail as patient care. As faculty, it is our responsibility to train the next generation of surgeons and therefore "every case must count."

  6. Effective Teaching and Feedback Strategies in the OR and Beyond

    PubMed Central

    Champagne, Bradley J.

    2013-01-01

    Maintaining a standard of excellence for graduating surgical residents requires a comprehensive and consistent approach to surgical education. The omnipresent and increasing barriers to education must also be recognized and addressed. The implementation of effective teaching strategies is largely dependent on the resources available at each institution and the vision of education. Unfortunately, allocating time for surgeons to teach both inside and outside the operating room has become a foreign concept to administration. Furthermore, the reduction in case numbers performed by trainees now demands “quality over quantity” to ensure success. Quality teaching moments will only be realized when emphasis is placed on preparation, useful instruction during the procedure, and postoperative feedback. Ideal preparation entails a detailed discussion between the trainee and surgeon about the specific learning goals for the case. During the procedure, the faculty surgeon must strive to maximize the experience through effective communication while performing an efficient and safe operation. Numerous validated objective assessment tools exist for postprocedure evaluation but are grossly underutilized. Surgical education must thoughtfully be approached with the same fervor and detail as patient care. As faculty, it is our responsibility to train the next generation of surgeons and therefore “every case must count.” PMID:24436685

  7. Acute migraine: Current treatment and emerging therapies.

    PubMed

    Kalra, Arun A; Elliott, Debra

    2007-06-01

    Migraine is a common disabling primary headache disorder. Despite the need for a perfect treatment of this debilitating condition, the ideal "cure" eludes us. In 1992, the first triptan was released in the US for use in acute migraine. Triptans are more specific for the serotonin receptor 5-hydroxy triptamine (5-HT) 1 than previously prescribed drugs, such as ergotamines, with fewer side effects. This was an important first step in specific acute migraine therapy. Today however, triptans continue to be underutilized. There remains a concern, among practitioners and patients, about possible cardiovascular safety issues, despite the lack of strong evidence of serious adverse events. In fact, triptans now have a safe track record over more than a decade of use. Other perceived downfalls to use, include cost and variable efficacy. The more we learn about the clinical features and pathophysiology of migraine, the closer we are to finding a satisfactory monotherapy. Until then, recognizing that mixed mechanisms underlie migraine symptoms, rational polytherapy can be useful. Research on the roles of serotonin, calcitonin gene related peptide, glutamine and N-methyl-D-aspartate in the trigeminovascular system holds promise for those searching for the perfect migraine headache cure.

  8. Runway Independent Aircraft Extremely Short Takeoff and Landing Regional Airliner: The Model 110

    NASA Technical Reports Server (NTRS)

    Hall, David W.

    2003-01-01

    Airports throughout the United States are plagued with growing congestion. With the increase in air traffic predicted in the next few years, congestion will worsen. The accepted solution of building larger airplanes to carry more travelers is no longer a viable option, as airports are unable to accommodate larger aircraft without expensive infrastructure changes. Past NASA research has pointed to the need for a new approach, which can economically and safely utilize smaller airports. To study this option further, NASA requested the California Polytechnic State University at San Luis Obispo (Cal Poly/SLO) to design a baseline aircraft to be used for system studies. The requirements put forth by NASA are summarized. The design team was requested to create a demonstrator vehicle, which could be built without requiring enabling technology development. To this end, NASA requested that the tested and proven high-lift system of the Boeing C-17 Globemaster III be combined with the fuselage of the BAe-146. NASA also requested that Cal Poly determine the availability and usability of underutilized airports starting with California, then expanding if time and funds permitted to the U.S.

  9. Estimation of phytochemicals and antioxidant activity of underutilized fruits of Andaman Islands (India).

    PubMed

    Singh, D R; Singh, Shrawan; Salim, K M; Srivastava, R C

    2012-06-01

    The present study aimed to determine the antioxidant activity and phytochemical contents in 10 underutilized fruits of Andaman Islands (India) namely Malpighia glabra L., Mangifera andamanica L., Morinda citrifolia L., Syzygium aqueum (Burm.f) Alst., Annona squamosa L., Averrhoa carambola L., Averrhoa bilimbi L., Dillenia indica L., Annona muricata L. and Ficus racemosa L. The antioxidant activity varied from 74.27% to 98.77%, and the methanol extract of M. glabra showed the highest antioxidant activity (98.77%; inhibitory concentration, IC(50) = 262.46 μg/ml). Methanol was found to be a better solvent than acetone and aqueous for estimating the antioxidant activity. M. glabra was found to be rich in phytochemicals viz. polyphenol (355.74 mg/100 g), anthocyanin (91.31 mg/100 g), carotenoids (109.16 mg/100 g), tannin (24.39 mg/100 g) and ascorbic acid (394.23 mg/100 g). Carbohydrate content was estimated to be highest in M. glabra (548 mg/100 g). Phenols, tannins, anthocyanins and carotenoids contents showed positive correlation (r² = 0.846, r² = 0.864, r² = 0.915 and r² = 0.806, respectively) with antioxidant activity. The information generated in present study will be useful for bioprospecting of underutilized fruits of Andaman Islands.

  10. Low health literacy and healthcare utilization among immigrants and non-immigrants in Switzerland.

    PubMed

    Mantwill, Sarah; Schulz, Peter J

    2017-11-01

    This study aimed at investigating the association between functional health literacy and knowledge on when to seek medical help for potentially harmless (overutilization) or serious (underutilization) situations among immigrants and non-immigrants in Switzerland. Data was collected among three immigrant groups and the native population (N=1146) in the German- and Italian-speaking part of Switzerland. Health literacy was assessed with the Short Test of Functional Health Literacy (S-TOFHLA) and three Brief Health Literacy Screeners. Over- and underutilization of healthcare services was assessed with items asking participants about when to seek medical help for minor, respectively major, physical symptoms. Immigrants were more likely to seek medical help when unwarranted (overutilization). Health literacy, when assessed with the S-TOFHLA, was significantly associated with over- and underutilization. Yet, once controlled for covariates, the association between health literacy and overutilization was negative. Immigration background and micro-cultural differences emerged as important predictors of utilization. Results suggest that functional health literacy is directly related to healthcare utilization. The effects might be amplified by (micro-)cultural differences. Healthcare providers should be aware of differences in health literacy and utilization patterns among different population groups. Communication between patients and providers should be literacy and culturally sensitive. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. De novo sequencing and comparative analysis of leaf transcriptomes of diverse condensed tannin-containing lines of underutilized Psophocarpus tetragonolobus (L.) DC

    PubMed Central

    Singh, Vinayak; Goel, Ridhi; Pande, Veena; Asif, Mehar Hasan; Mohanty, Chandra Sekhar

    2017-01-01

    Condensed tannin (CT) or proanthocyanidin (PA) is a unique group of phenolic metabolite with high molecular weight with specific structure. It is reported that, the presence of high-CT in the legumes adversely affect the nutrients in the plant and impairs the digestibility upon consumption by animals. Winged bean (Psophocarpus tetragonolobus (L.) DC.) is one of the promising underutilized legume with high protein and oil-content. One of the reasons for its underutilization is due to the presence of CT. Transcriptome sequencing of leaves of two diverse CT-containing lines of P. tetragonolobus was carried out on Illumina Nextseq 500 sequencer to identify the underlying genes and contigs responsible for CT-biosynthesis. RNA-Seq data generated 102586 and 88433 contigs for high (HCTW) and low CT (LCTW) lines of P. tetragonolobus, respectively. Based on the similarity searches against gene ontology (GO) and Kyoto encyclopedia of genes and genomes (KEGG) database revealed 5210 contigs involved in 229 different pathways. A total of 1235 contigs were detected to differentially express between HCTW and LCTW lines. This study along with its findings will be helpful in providing information for functional and comparative genomic analysis of condensed tannin biosynthesis in this plant in specific and legumes in general. PMID:28322296

  12. Perceptual training yields rapid improvements in visually impaired youth

    PubMed Central

    Nyquist, Jeffrey B.; Lappin, Joseph S.; Zhang, Ruyuan; Tadin, Duje

    2016-01-01

    Visual function demands coordinated responses to information over a wide field of view, involving both central and peripheral vision. Visually impaired individuals often seem to underutilize peripheral vision, even in absence of obvious peripheral deficits. Motivated by perceptual training studies with typically sighted adults, we examined the effectiveness of perceptual training in improving peripheral perception of visually impaired youth. Here, we evaluated the effectiveness of three training regimens: (1) an action video game, (2) a psychophysical task that combined attentional tracking with a spatially and temporally unpredictable motion discrimination task, and (3) a control video game. Training with both the action video game and modified attentional tracking yielded improvements in visual performance. Training effects were generally larger in the far periphery and appear to be stable 12 months after training. These results indicate that peripheral perception might be under-utilized by visually impaired youth and that this underutilization can be improved with only ~8 hours of perceptual training. Moreover, the similarity of improvements following attentional tracking and action video-game training suggest that well-documented effects of action video-game training might be due to the sustained deployment of attention to multiple dynamic targets while concurrently requiring rapid attending and perception of unpredictable events. PMID:27901026

  13. Diversity of the Neglected and Underutilized Crop Species of Importance in Benin

    PubMed Central

    Dansi, A.; Vodouhè, R.; Azokpota, P.; Yedomonhan, H.; Assogba, P.; Adjatin, A.; Loko, Y. L.; Dossou-Aminon, I.; Akpagana, K.

    2012-01-01

    Many of the plant species that are cultivated for food across the world are neglected and underutilized. To assess their diversity in Benin and identify the priority species and establish their research needs, a survey was conducted in 50 villages distributed throughout the country. The study revealed 41 neglected and underutilized crop species (NUCS) among which 19 were identified as of priority base on 10 criteria among which included their extent and degree of consumption. Reasons for neglect vary with the producers and the agricultural technicians. Market surveys revealed that NUCS are important source of household incomes and substantially contribute to poverty reduction. Review of the literature available revealed that most of the species are rich in nutrients and have some proven medicinal values and the promotion of their use would help in combating malnutrition and improving the health status of the local populations. The knowledge gaps and research needs are immense on most of the species identified as no concrete scientific data is nationally available. In terms of research, almost all has to be done starting from basic ethnobotanical investigation. The results will help the scientists and students willing to conduct research on NUCS in Benin to better orient their research programs. PMID:22593712

  14. Fuel gas from biodigestion

    NASA Technical Reports Server (NTRS)

    Mcdonald, R. C.; Wolverton, B. C.

    1979-01-01

    Biodigestion apparatus produces fuel gas (primarily methane) for domestic consumption, by anaerobic bacterial digestion of organic matter such as aquatic vegetation. System includes 3,786-1 cylindrical container, mechanical agitator, and simple safe gas collector for short term storage.

  15. The Mechanisms of Coagulation.

    ERIC Educational Resources Information Center

    Kurtz, Richard; Jesty, Jolyon

    1994-01-01

    Several topics such as heart disease, strokes, biochemical reactions, blood components, and genetics can be related to blood clotting. Introduces a simple, safe and inexpensive hands-on demonstration using bovine (cattle) blood plasma of normal and abnormal coagulation. (ZWH)

  16. Thunder and Lightning: A Lecture-Demonstration for All Ages.

    ERIC Educational Resources Information Center

    Baker, Colin

    1999-01-01

    Describes a series of simple but spectacular chemistry demonstrations designed to capture children's imaginations. The demonstrations take the minimum amount of time to prepare, are relatively safe to dispose of, and reliable. (Author/WRM)

  17. Under-utilization of antenatal care services in Timor-Leste: results from Demographic and Health Survey 2009-2010.

    PubMed

    Khanal, Vishnu; Brites da Cruz, Jonia Lourenca Nunes; Mishra, Shiva Raj; Karkee, Rajendra; Lee, Andy H

    2015-09-08

    Timor-Leste is a young country in the Asia-Pacific region with a high maternal mortality rate of 557 per 100,000 live births. As most maternal deaths can be prevented by providing quality antenatal care (ANC) and skilled assistance during childbirth, understanding the barriers to the utilization of ANC services can enhance program implementation. This study aimed to investigate the prevalence and factors associated with the under-utilization of ANC services in Timor-Leste. Timor-Leste Demographic and Health Survey (TDHS) 2009-2010 was a nationally representative multi-stage cross-sectional study involving 11,463 households and 9,828 childbirths. Information on last born child was recorded for 5,895 mother-child pairs. Factors influencing under-utilization of ANC were assessed using hierarchical logistic regression analysis. Only 3311 (55.2, 95% confidence interval (CI) 53.1 to 57.3%) made the recommended four ANC visits, while 2584 (44.8; 95% CI 42.7 to 46.9%) of them reported attending three or less ANC services. Significant factors positively associated with the under-utilization of ANC were low wealth status (odds ratio (OR) 2.09; 95% CI 1.68 to 2.60), no maternal education (OR 1.54; 95% CI 1.30 to 1.82) or primary maternal education (OR 1.21; 95% CI 1.04 to 1.41), no paternal education (OR 1.34; 95% CI 1.13 to 1.60), and having a big problem in permission to visit health facility (OR 1.65; 95% CI 1.39 to 1.96). Despite the apparently good progress made in re-establishing the healthcare infrastructure, 45 % of mothers remained in need of a focused intervention to increase their use of ANC services. Further prenatal care program should pay attention to women with low wealth status and those and their partners who are uneducated. Moreover, women should be encouraged to make decision on their own health.

  18. Music through the skin—simple demonstration of human electrical conductivity

    NASA Astrophysics Data System (ADS)

    Vollmer, M.; Möllmann, K. P.

    2016-05-01

    The conduction of electricity is an important topic for any basic physics course. Issues of safety often results in teacher demonstration experiments in front of the class or in extremely simple though—for students—not really fascinating (not to say boring) hands on activities for everybody using 1.5 V batteries, cables and light bulbs etc. Here we briefly review some basic facts about conduction of electricity through the human body and report a simple, safe, and awe inspiring electrical conduction experiment which can be performed with little preparation by a teacher involving the whole class of say 20 students.

  19. Simple, benign, aqueous-based amination of polycarbonate surfaces

    DOE PAGES

    VanDelinder, Virginia; Wheeler, David R.; Small, Leo J.; ...

    2015-03-18

    Here we report a simple, safe, environmentally-friendly aqueous method that uses diamines to functionalize a polycarbonate surface with amino groups. We demonstrate the ability of this facile method to serve as a foundation upon which other functionalities may be attached, including anti-fouling coatings and oriented membrane proteins. The use of water as the solvent for the functionalization ensures that solvent induced swelling does not affect the optical or mechanical properties of the polycarbonate.

  20. Closure of colostomy.

    PubMed Central

    Beck, P H; Conklin, H B

    1975-01-01

    We analyzed the records of 77 cases of loop colostomy closure in Vietnam War Casualties. All records were complete from the date of injury to discharge following colostomy closure. Simple of the loop colostomy was performed in 44 patients and resection of the stoma and reanastomosis of bowel segments was performed in 33 patients. Average operating time for simple closure of the loop was 70 minutes compared to 115 minutes for resection and anastomosis. Nasogastric suction was used less frequently and for a shorter time with simple loop closure. The total postoperative complication rate was 9% with simple loop closure as compared to 24% for resection and anastomosis. Simple closure of the loop described in this report is technically easier and as safe as resection of the stoma and reanastomosis. Images Fig. 1. PMID:1094967

  1. Old and New Techniques as a Safe Hybrid Approach for Carotid Tandem Lesions.

    PubMed

    Barillà, David; Massara, Mafalda; Alberti, Antonino; Volpe, Alberto; Cutrupi, Andrea; Versace, Paolo; Volpe, Pietro

    2016-04-01

    Carotid revascularization is performed to prevent stroke. Carotid tandem lesions represent a challenge for treatment, and a hybrid approach may result effective. A high-risk 65-year-old woman presented with a "tandem lesion" of left common and internal carotid artery. She was deemed unfit for "simple" standard carotid endarterectomy (CEA). A "single-step" safe hybrid procedure was scheduled for the patient. A "Cormier" carotid vein graft bypass with a retrograde stenting was performed under local anesthesia. The "safe hybrid procedure" for tandem lesions of the common and internal carotid artery is effective and suitable in high-risk patients in a high-volume centers. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Exercise in pregnancy.

    PubMed

    Lewis, Emma

    2014-08-01

    Exercise is an inconsistently managed area in the health of expectant mothers. It is an area where family doctors have an opportunity to be well informed and willing to give advice. To provide simple advice on safe exercise practice in pregnancy. Exercise in pregnancy has multiple benefits for the mother, including reduced risk of mental health problems, diabetes and hypertension, and faster recovery after delivery. There are no proven risks to the fetus if practiced safely. Understanding the physiological changes of pregnancy and the possible complications of high-intensity or contact sport is important but in general, moderate levels of exercise 3-4 times per week is safe for both mother and baby in low-risk pregnancies.

  3. Separation of Chloroplast Pigments Using Reverse Phase Chromatography.

    ERIC Educational Resources Information Center

    Reese, R. Neil

    1997-01-01

    Presents a protocol that uses reverse phase chromatography for the separation of chloroplast pigments. Provides a simple and relatively safe procedure for use in teaching laboratories. Discusses pigment extraction, chromatography, results, and advantages of the process. (JRH)

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

    Dasari, Venkateswara Rao

    The need for sustainable and secure nuclear energy is summarized. Driven by economics and public-private partnerships, the technology is evolving. Cost control and regulatory simplification are needed for a nuclear renaissance. Small modular reactors--simple, scalable, and inherently safe--may be the future.

  5. How critical cost analysis can save money in today’s NHS: a review of carpal tunnel surgery in a district general hospital

    PubMed Central

    Williamson, Mark; Sehjal, Ranjit; Jones, Mark; James, Chris; Smith, Andrew

    2018-01-01

    With today’s National Health Service (NHS) facing huge financial pressures the healthcare profession cannot afford to carry on spending at the current rate. Individual clinicians should be encouraged to critically appraise their own practices to bring about a more efficient and cost-effective service. The purpose of this project was to analyse the way that carpal tunnel surgery was being performed within our institution and bring about safe changes to practice that reduce expenditure. By critiquing our practices and applying simple changes based around sound evidence an annual saving of over £15 500 to the department was made. The changes instigated are simple, sustainable and safe to implement while providing improved patient satisfaction. They are also easily transferrable across institutions and to other minor hand surgical procedures to afford even greater ongoing savings to the NHS. PMID:29946571

  6. How critical cost analysis can save money in today's NHS: a review of carpal tunnel surgery in a district general hospital.

    PubMed

    Williamson, Mark; Sehjal, Ranjit; Jones, Mark; James, Chris; Smith, Andrew

    2018-01-01

    With today's National Health Service (NHS) facing huge financial pressures the healthcare profession cannot afford to carry on spending at the current rate. Individual clinicians should be encouraged to critically appraise their own practices to bring about a more efficient and cost-effective service. The purpose of this project was to analyse the way that carpal tunnel surgery was being performed within our institution and bring about safe changes to practice that reduce expenditure. By critiquing our practices and applying simple changes based around sound evidence an annual saving of over £15 500 to the department was made. The changes instigated are simple, sustainable and safe to implement while providing improved patient satisfaction. They are also easily transferrable across institutions and to other minor hand surgical procedures to afford even greater ongoing savings to the NHS.

  7. Is there a color line in death? An examination of end-of-life care in the African American community.

    PubMed

    Hazin, Ribhi; Giles, Cheryl A

    2011-07-01

    Although the goals of end-of-life care and hospice are to mitigate suffering and improve quality of life for patients with terminal illnesses, they remain underutilized by a significant number of African Americans. While sociocultural issues play a role in the underutilization of these resources among African Americans, other confounding factors affect the ability of African Americans to adequately access quality care at the end of life. Here, the authors examine the various barriers preventing increased use of hospice care and palliative therapy among African Americans. A particular focus of this examination will revolve around suggestions for increasing the use of end-of-life care among African Americans in the future.

  8. Safehold Attitude Determination Approach for GPM

    NASA Technical Reports Server (NTRS)

    Fitzpatrick, Henry; DeWeese, Keith

    2012-01-01

    Spacecraft sating designs generally have minimal goals with loose pointing requirements. Safe pointing orientations for three-axis stabilized spacecraft are usually chosen to put the spacecraft into a thermally safe and power-positive orientation. In addition, safe mode designs are required to be simple and reliable. This simplicity lends itself to the usage of analog sun sensors, because digital sun sensors will add unwanted complexity to the safe hold mode. The Global Precipitation Measurement (GPM) Mission Core Observatory will launch into lower earth orbit (LEO) at an inclination of 65 degrees. The GPM instrument suite consists of an active radar system and a passive microwave imager to provide the next-generation global observations of rain and snow. The complexity and precision of these instruments along with the operational constraints of the mission result in tight pointing requirements during all phases of the mission. To ensure the instruments are not damaged during spacecraft safing, thermal constraints dictate that the solar pointing orientation must be maintained to better than 6.5 degrees. This requirement is outside the capabilities of a typical analog sun sensor suite, primarily due to the effects of Earth's albedo. To ensure mission success, a new analog sensor, along with the appropriate algorithms, is needed. This paper discusses the design issues involving albedo effects on spacecraft pointing and the development of a simple, low-cost analog sensor and algorithm that will address the needs of the GPM mission. In addition, the algorithms are designed to be easily integrated into the existing attitude determination software by using common interfaces. The sensor design is based on a heritage, commercial off-the-shelf analog sun sensors with a limited field-of-view to reduce the effects of Earth's albedo. High fidelity simulation results are presented that demonstrate the efficacy of the design.

  9. Brownfields and Sustainability

    EPA Pesticide Factsheets

    This brochure discusses Brownfields' sustainable revitalization and how it returns abandoned or underutilized properties to productive use, cleans up the environment, creates jobs, and strengthens the social fabric of communities.

  10. Spring-action Apparatus for Fixation of Eyeball (SAFE): a novel, cost-effective yet simple device for ophthalmic wet-lab training.

    PubMed

    Ramakrishnan, Seema; Baskaran, Prabu; Fazal, Romana; Sulaiman, Syed Mohammad; Krishnan, Tiruvengada; Venkatesh, Rengaraj

    2016-10-01

    Achieving a formed and firm eyeball which is stably fixed in a holding device is a major challenge of surgical wet-lab training. Our innovation, the 'Spring-action Apparatus for Fixation of Eyeball (SAFE)' is a robust, simple and economical device to solve this problem. It consists of a hollow iron cylinder to which a spring-action syringe is attached. The spring-action syringe generates vacuum and enables reliable fixation of a human or animal cadaveric eye on the iron cylinder. The rise in intraocular pressure due to vacuum fixation can be varied as per need or nature of surgery being practised. A mask-fixed version of this device is also designed to train surgeons for appropriate hand positioning. An experienced surgeon performed various surgeries including manual small incision cataract surgery (MSICS), phacoemulsification, laser in situ keratomileusis (LASIK), femtosecond LASIK docking, Descemet's stripping endothelial keratoplasty, deep anterior lamellar keratoplasty, penetrating keratoplasty and trabeculectomy on this device, while a trainee surgeon practised MSICS and wound suturing. Skill-appropriate comfort level was much higher with SAFE than with conventional globe holders for both surgeons. Due to its stability, pressure adjustability, portability, cost-efficiency and simplicity, we recommend SAFE as the basic equipment for every wet lab. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  11. Heat Pipe Reactor Dynamic Response Tests: SAFE-100 Reactor Core Prototype

    NASA Technical Reports Server (NTRS)

    Bragg-Sitton, Shannon M.

    2005-01-01

    The SAFE-I00a test article at the NASA Marshall Space Flight Center was used to simulate a variety of potential reactor transients; the SAFEl00a is a resistively heated, stainless-steel heat-pipe (HP)-reactor core segment, coupled to a gas-flow heat exchanger (HX). For these transients the core power was controlled by a point kinetics model with reactivity feedback based on core average temperature; the neutron generation time and the temperature feedback coefficient are provided as model inputs. This type of non-nuclear test is expected to provide reasonable approximation of reactor transient behavior because reactivity feedback is very simple in a compact fast reactor (simple, negative, and relatively monotonic temperature feedback, caused mostly by thermal expansion) and calculations show there are no significant reactivity effects associated with fluid in the HP (the worth of the entire inventory of Na in the core is .

  12. Help-Seeking Intentions among Asian American and White American Students in Psychological Distress: Application of the Health Belief Model

    PubMed Central

    Kim, Jin E.; Zane, Nolan

    2015-01-01

    Objective Underutilization of needed mental health services continues to be the major mental health disparity affecting Asian Americans (Sue, Cheng, Saad, & Chu, 2012). The goal of the study was to apply a social psychological theoretical framework—the Health Belief Model (Rosenstock, 1966)—to understand potential reasons why Asian Americans underutilize mental health services relative to White Americans. Method Using a cross-sectional online questionnaire, this study examined how perceived severity of symptoms, perceived susceptibility to mental health problems, perceived benefits of treatment, and perceived barriers to treatment influenced intentions to seek help among a sample of 395 Asian American and 261 White American students experiencing elevated levels of psychological distress. Results Analyses using structural equation modeling indicated that Asian Americans in distress had relatively lower intentions to seek help compared to White Americans. Perceived benefits partially accounted for differences in help-seeking intentions. Although Asian Americans perceived greater barriers to help-seeking than White Americans, it did not significantly explain racial/ethnic differences in help-seeking intentions. Perceived severity and barriers were related to help-seeking intentions in both groups. Conclusions Outreach efforts that particularly emphasize the benefits of seeking mental health services may be a particularly promising approach to address underutilization. These findings have implications in help-seeking promotion and outreach. PMID:26098454

  13. Help-seeking intentions among Asian American and White American students in psychological distress: Application of the health belief model.

    PubMed

    Kim, Jin E; Zane, Nolan

    2016-07-01

    Underutilization of needed mental health services continues to be the major mental health disparity affecting Asian Americans (Sue, Cheng, Saad, & Chu, 2012). The goal of this study was to apply a social psychological theoretical framework-the health belief model (Rosenstock, 1966)-to understand potential reasons why Asian Americans underutilize mental health services relative to White Americans. Using a cross-sectional online questionnaire, this study examined how perceived severity of symptoms, perceived susceptibility to mental health problems, perceived benefits of treatment, and perceived barriers to treatment influenced intentions to seek help among a sample of 395 Asian American and 261 White American students experiencing elevated levels of psychological distress. Analyses using structural equation modeling indicated that Asian Americans in distress had relatively lower intentions to seek help compared with White Americans. Perceived benefits partially accounted for differences in help-seeking intentions. Although Asian Americans perceived greater barriers to help seeking than did White Americans, this did not significantly explain racial/ethnic differences in help-seeking intentions. Perceived severity and barriers were related to help-seeking intentions in both groups. Outreach efforts that particularly emphasize the benefits of seeking mental health services may be a particularly promising approach to address underutilization. The findings have implications in help-seeking promotion and outreach. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  14. Conversion of Agricultural Streams and Food-Processing By-Products to Value-Added Compounds Using Filamentous Fungi.

    PubMed

    Chan, Lauryn G; Cohen, Joshua L; de Moura Bell, Juliana Maria Leite Nobrega

    2018-03-25

    The design of new food products and increased agricultural activities have produced a diversity of waste streams or by-products that contain a high load of organic matter. The underutilization of these streams presents a serious threat to the environment and to the financial viability of the agricultural sector and the food industry. Oleaginous microorganisms, such as yeast and microalgae, have been used to convert the organic matter present in many agricultural waste streams into an oil-rich biomass. Filamentous fungi are promising oleaginous microorganisms because of their high lipid accumulation potential and simple biomass recovery, the latter being related to their pellet-like growth morphology in submerged cultivation. This review highlights the use of oleaginous filamentous fungi to convert food by-products into value-added components, including the effect of cultivation conditions on biomass yield and composition. Special attention is given to downstream processing for the commercial production of fungal oil. Also discussed are innovative techniques to optimize the biomass oil yield and to minimize the challenges associated with biomass harvesting and oil extraction at industrial scale.

  15. Low-cost Volumetric Ultrasound by Augmentation of 2D Systems: Design and Prototype.

    PubMed

    Herickhoff, Carl D; Morgan, Matthew R; Broder, Joshua S; Dahl, Jeremy J

    2018-01-01

    Conventional two-dimensional (2D) ultrasound imaging is a powerful diagnostic tool in the hands of an experienced user, yet 2D ultrasound remains clinically underutilized and inherently incomplete, with output being very operator dependent. Volumetric ultrasound systems can more fully capture a three-dimensional (3D) region of interest, but current 3D systems require specialized transducers, are prohibitively expensive for many clinical departments, and do not register image orientation with respect to the patient; these systems are designed to provide improved workflow rather than operator independence. This work investigates whether it is possible to add volumetric 3D imaging capability to existing 2D ultrasound systems at minimal cost, providing a practical means of reducing operator dependence in ultrasound. In this paper, we present a low-cost method to make 2D ultrasound systems capable of quality volumetric image acquisition: we present the general system design and image acquisition method, including the use of a probe-mounted orientation sensor, a simple probe fixture prototype, and an offline volume reconstruction technique. We demonstrate initial results of the method, implemented using a Verasonics Vantage research scanner.

  16. Seizure drawings: insight into the self-image of children with epilepsy.

    PubMed

    Stafstrom, Carl E; Havlena, Janice

    2003-02-01

    Epilepsy is a chronic disorder that is associated with numerous psychological challenges, especially in children. Drawings have been underutilized as a method to obtain insight into psychological issues in children with epilepsy. We asked 105 children with epilepsy, ages 5 to 18 years, to draw a picture of what it is like to have a seizure. Across ages and epilepsy syndromes, the drawings showed evidence of impaired self-concept, low self-esteem, and a sense of helplessness and vulnerability. Overall, the drawings of human figures were less developed than expected for chronological age. In some drawings, indicators of underlying depression were found. When considered by epilepsy syndrome or seizure type, some specific artistic features were noted. Children with simple partial (motor) seizures drew distorted body parts, especially limbs. Those with complex partial seizures depicted sensory symptoms and mental status changes such as confusion. Children with generalized tonic-clonic seizures showed shaking extremities. Drawings by children with absence seizures illustrated mainly staring. In conclusion, drawings are a powerful method to examine the self-concept of children with epilepsy and gain insight into their feelings about themselves and their world.

  17. Usability Considerations in Developing a Graphic Interface for Intra Office Communications

    NASA Astrophysics Data System (ADS)

    Yammiyavar, Pradeep; Jain, Piyush

    This paper outlines the basis of incorporating functional features in a new GUI based software under development for addressing comprehensive communication and interaction needs within an office environment. Bench marking of features in existing communication software products such as Microsoft Outlook, IBM Lotusnotes, Office Communicator, Mozilla Thunderbird etc. was done by asking a set of questions related to the usage of these existing softwares. Usability issues were identified through a user survey involving 30 subjects of varied profiles (domain, designation, age etc.) in a corporate office. It is posited that existing software products that have been developed for a universal market may be highly underutilized or have redundant features especially for use as an intra office (within the same office) communication medium. Simultaneously they may not cater to some very contextual requirements of intra office communications. Based on the findings of the survey of feature preferences & usability of existing products, a simple 'person to person' communicating medium for intra office situations was visualized with a new interactive GUI. Usability issues that need to be considered for a new intra-office product have been brought out.

  18. 45 CFR 12a.3 - Collecting the information.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... described as unutilized, underutilized, excess, or surplus, in surveys conducted by the agencies under... descriptive information on properties sufficient to make a reasonable determination, under the criteria...

  19. 45 CFR 12a.3 - Collecting the information.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... described as unutilized, underutilized, excess, or surplus, in surveys conducted by the agencies under... descriptive information on properties sufficient to make a reasonable determination, under the criteria...

  20. 45 CFR 12a.3 - Collecting the information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... described as unutilized, underutilized, excess, or surplus, in surveys conducted by the agencies under... descriptive information on properties sufficient to make a reasonable determination, under the criteria...

  1. 45 CFR 12a.3 - Collecting the information.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... described as unutilized, underutilized, excess, or surplus, in surveys conducted by the agencies under... descriptive information on properties sufficient to make a reasonable determination, under the criteria...

  2. 45 CFR 12a.3 - Collecting the information.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... described as unutilized, underutilized, excess, or surplus, in surveys conducted by the agencies under... descriptive information on properties sufficient to make a reasonable determination, under the criteria...

  3. [Evaluation of the efficacy of diode laser endocyclophotocoagulation combined with cataract surgery in glaucoma].

    PubMed

    Ezzouhairi, S M

    2015-11-01

    Surgical techniques, which reduce the secretion of aqueous humor are underutilized in the surgical management of glaucoma; the diode laser coupled to an endoscope, endocyclophotocoagulation (ECP), is an emerging technology in the treatment of glaucoma. Indeed, thanks to its direct, focal and controllable approach to diode laser treatment of the ciliary processes, ECP renders this a safer technique compared to transscleral diode laser. We present preliminary results and an evaluation of the efficacy of ECP combined with cataract surgery performed at the Al Bassar clinic in Mohammedia, Morocco. We conducted a retrospective study on a series of 82 patients who underwent combined surgery: diode laser endocyclophotocoagulation and cataract for treatment of glaucoma during the period from December 2012 to July 2013. For this study, we recorded: age and gender of the patients, number and power of diode laser spots, pre- and postoperative intraocular pressure (IOP), and the number of anti-glaucoma treatments prescribed pre- and postoperatively (3 months minimum). Technically, a 20-gauge endo-ocular probe is inserted through the corneal incision used for phacoemulsification. The probe is equipped with a light source, a camera and a pulsed 810 nm laser beam; it is connected to an Endo-optiks type generator, which allows for direct visualization of the ciliary processes and their precise treatment. The surgical procedure is both simple and quick. Postoperative follow-up is unchanged from the management of cataract extraction by phacoemulsification. The average age in our series was 69.5 years (range 33-81 years), mean follow-up was 5.7 months. The reduction in intraocular pressure was 28.5%. In 40% of patients, a significant reduction in medications was noted, and in 20%, a total suspension of anti-glaucoma medications. No serious complications were noted in our series. This technique can perfectly fit into the medical, natural and/or surgical armamentarium medical, physical, surgical to halt progression of glaucomatous disease. The IOP lowering obtained by this combined surgery is significantly greater than that obtained after phacoemulsification alone in open-angle glaucoma. It can accommodate many situations for which conventional surgery has limitations. In addition, this technique has the advantage of preserving the bulbar conjunctiva for any subsequent glaucoma surgeries. Our preliminary results are very satisfactory. This combined technique is simple, safe and effective. This allows broadening of its indications to include moderate glaucoma, stabilized or not, in addition to refractory glaucoma. Also, from an economic point of view, the gain for the patient is significant. Of course, longer-term follow-up is required to confirm these results. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  4. A simple technique for laparoscopic gastrostomy.

    PubMed

    Murphy, C; Rosemurgy, A S; Albrink, M H; Carey, L C

    1992-05-01

    While endoscopically placed gastrostomy tubes are routinely simple, they are not always feasible. Endoscopic technique also does not uniformly secure the tube to the abdominal wall, which presents possible complications, including leakage, accidental early tube removal, intraperitoneal catheter migration and necrosis of the stomach or abdominal wall because of excessive traction. Presented herein is a technique that is rapid, simple and eliminates some of these potential complications. The technique is easily combined with other operative procedures, such as tracheostomy, is done under direct vision, can be performed quickly with intravenous sedation and local anesthetic and is a safe method of tube placement for enteral feeding or gastric decompression.

  5. The Oxygen Flask Method

    ERIC Educational Resources Information Center

    Boulton, L. H.

    1973-01-01

    Discusses application of Schoniger's method of quantitative organic elemental analysis in teaching of qualitative analysis of the halogens, nitrogen, sulphur, and phosphorus. Indicates that the oxygen flask method is safe and suitable for both high school and college courses because of simple apparatus requirements. (CC)

  6. Spectrophotometric Properties of Hemoglobin: Classroom Applications.

    ERIC Educational Resources Information Center

    Frary, Roger

    1997-01-01

    Discusses simple and safe techniques that can be used in the educational laboratory to study hemoglobin. Discusses the spectral properties of hemoglobin, spectral-absorbence curves of oxyhemoglobin and carboxyhemoglobin, tracking the conversion of oxyhemoglobin to methemoglobin, and changing from the oxyhemoglobin to deoxyhemoglobin conformation.…

  7. Do parents who smoke underutilize health care services for their children? A cross sectional study within the longitudinal PIAMA study.

    PubMed

    Jacobs-van der Bruggen, Monique A M; Wijga, Alet H; Brunekreef, Bert; de Jongste, Johan C; Baan, Caroline A; Kerkhof, Marjan; Smit, Henriette A

    2007-06-12

    A higher prevalence of respiratory symptoms and an associated increase in health care utilization among children with parents who smoke is to be expected. From previous studies however, it appears that parents who smoke may underutilize health services for their children, especially with respect to respiratory care. This study explores the validity and generalizability of the previous assumption. Data were obtained from a Dutch birth-cohort study; the Prevention and Incidence of Asthma and Mite Allergy (PIAMA) project. Information regarding parental smoking, the child's respiratory symptoms and health care use and potential confounders were obtained by postal questionnaires. Multivariate logistic models were used to relate parental smoking to the child's respiratory symptoms and health care use. The study comprised 3,564, 4-year old children. In the crude analysis, respiratory symptoms were more frequent among children with a parent who smoked, while health care utilization for respiratory symptoms was not significantly different between children with or without a parent who smoked. In the multivariate analyses, maternal smoking had a larger impact on the child's respiratory symptoms and health care use as compared to paternal smoking. Maternal smoking was positively associated with mild respiratory symptoms of the child, adjusted odds ratio [AOR] 1.50 (1.19-1.91), but not with severe respiratory symptoms AOR 1.03 (0.75-1.40). Among children with mild respiratory symptoms, children with a mother who smoked were less likely to be taken to the general practitioner (GP) for respiratory symptoms, than children with mothers who did not smoke, AOR 0.58 (0.33-1.01). This finding was less pronounced among children with severe respiratory symptoms AOR 0.86 (0.49-1.52). Neither GP visits for non-respiratory symptoms nor specialized care for respiratory disease were significantly associated with parental smoking. Mothers who smoke appear to underutilize health care for their children with mild respiratory symptoms. Health care workers should be informed about this phenomenon. Inquiring after the respiratory health of the children during regular visits to healthy baby clinics may help to track potential underutilization of care.

  8. Fostering sustainable feedstock production for advanced biofuels on underutilised land in Europe

    NASA Astrophysics Data System (ADS)

    Mergner, Rita; Janssen, Rainer; Rutz, Dominik; Knoche, Dirk; Köhler, Raul; Colangeli, Marco; Gyuris, Peter

    2017-04-01

    Background In context of growing competition between land uses, bioenergy development is often seen as one of possible contributors to such competition. However, the potential of underutilized land (contaminated, abandoned, marginal, fallow land etc.) which is not used or cannot be used for productive activities is not exhausted and offers an attractive alternative for sustainable production of different biomass feedstocks in Europe. Depending on biomass feedstocks, different remediation activities can be carried out in addition. Bioenergy crops have the potential to be grown profitably on underutilized land and can therefore offer an attractive source of income on the local level contributing to achieving the targets of the Renewable Energy Directive (EC/2009). The FORBIO project The FORBIO project demonstrates the viability of using underutilised land in EU Member States for sustainable bioenergy feedstock production that does not affect the supply of food, feed and land currently used for recreational or conservation purposes. Project activities will serve to build up and strengthen local bioenergy value chains that are competitive and that meet the highest sustainability standards, thus contributing to the market uptake of sustainable bioenergy in the EU. Presented results The FORBIO project will develop a methodology to assess the sustainable bioenergy production potential on available underutilized lands in Europe at local, site-specific level. Based on this methodology, the project will produce multiple feasibility studies in three selected case study locations: Germany (lignite mining and sewage irrigation fields in the metropolis region of Berlin and Brandenburg), Italy (contaminated land from industrial activities in Sulcis, Portoscuso) and Ukraine (underutilised marginal agricultural land in the North of Kiev). The focus of the presentation will be on the agronomic and techno-economic feasibility studies in Germany, Italy and Ukraine. Agronomic feasibility studies consider agronomic performances in different climatic zones, soil conditions, land morphology, availability of irrigation infrastructures and limitations due to anthropic soil contamination. The outcomes of the techno-economic feasibility studies for the biomasses selected as potentially feasible for underutilized lands in the selected case study locations will be presented.

  9. How to measure technology assessment: an introduction.

    PubMed

    Hasman, Arie

    2014-01-01

    This contribution introduces the Technology Acceptance model. Since information systems are still underutilized, application of models of user acceptance can provide important clues about what can be done to increase system usage.

  10. Update on emergency contraception.

    PubMed

    Fok, Wing Kay; Blumenthal, Paul D

    2016-12-01

    Emergency contraception provides a critical and time-sensitive opportunity for women to prevent undesired pregnancy after intercourse. Both access and available options for emergency contraception have changed over the last several years. Emergency contraceptive pills can be less effective in obese women. The maximum achieved serum concentration of levonorgestrel (LNG) is lower in obese women than women of normal BMI, and doubling the dose of LNG (3 mg) increases its concentration maximum, approximating the level in normal BMI women receiving one dose of LNG. Repeated use of both LNG and ulipristal acetate (UPA) is well tolerated. Hormonal contraception can be immediately started following LNG use, but should be delayed for 5 days after UPA use to avoid dampening the efficacy of UPA. The copper intrauterine device (IUD) is the only IUD approved for emergency contraception (and the most effective method of emergency contraception), but use of LNG IUD as emergency contraception is currently being investigated. Accurate knowledge about emergency contraception remains low both for patients and healthcare providers. Emergency contraception is an important yet underutilized tool available to women to prevent pregnancy. Current options including copper IUD and emergency contraceptive pills are safe and well tolerated. Significant gaps in knowledge of emergency contraception on both the provider and user level exist, as do barriers to expedient access of emergency contraception.

  11. Safety, efficacy, and patient acceptability of lidocaine hydrochloride ophthalmic gel as a topical ocular anesthetic for use in ophthalmic procedures

    PubMed Central

    Page, Michael A; Fraunfelder, Frederick W

    2009-01-01

    Purpose: To review the current literature on safety, efficacy, and measures of surgeon and patient satisfaction with lidocaine hydrochloride gel as a tool for ocular anesthesia. Methods: Pubmed search using keywords “lidocaine gel,” “ophthalmic,” and “surgery” and compiling cross-references. Twenty-six total references were reviewed, including 15 prospective randomized controlled trials (RCTs, total N = 933, average N = 62), 6 nonrandomized prospective studies (total N = 234, average N = 39), 2 animal studies, 1 microbiologic study, and 2 letters to the editor. Results: The RCTs and nonrandomized prospective studies evaluated a number of measures including timing of onset of anesthesia, duration of anesthesia, intraoperative and postoperative pain, need for additional anesthetic applications, intracameral lidocaine levels, and adverse effects. Control groups received topical drops, subconjunctival anesthetic, retrobulbar anesthetic, or sham gel. Lidocaine gel was shown to be at least as effective for pain control as alternative therapies in all studies, with longer duration of action than topical drops. Patient and surgeon satisfaction were high, and adverse effects were rare and comparable to those for anesthetic drop formulations. Surgical settings included cataract, pterygium, trabeculectomy, strabismus, intravitreal injection, vitrectomy, and penetrating keratoplasty. Conclusions: Lidocaine gel is a safe, effective, and potentially underutilized tool for ophthalmic surgery. PMID:19898665

  12. Reasons for Intrauterine Device Use, Discontinuation and Non-Use in Malawi: A Qualitative Study of Women and their Partners.

    PubMed

    Bryant, Amy G; Hamela, Gloria; Gotter, Ann; Stuart, Gretchen S; Kamanga, Gift

    2015-12-01

    The copper intrauterine device (IUD) is a safe, long-acting, and effective method of contraception that is under-utilized in many countries, including Malawi. A unique cohort of women who had enrolled in a trial of postpartum IUD use one year earlier gave insights into reasons for using, discontinuing, or not using the IUD. We conducted in-depth interviews with 18 women one year after they participated in a pilot study of a randomized controlled trial of postpartum IUD insertion, and 10 of their male partners. Women and their partners expressed a strong desire for family planning, and perceived numerous benefits of the IUD. However, fear of the IUD was common among successful users and non-users alike. This fear arose from rumours from friends and neighbors who were non-users. How women and their partners responded to this fear affected IUD adoption and continuation. Key themes included (1) Trust in information received from health care providers versus rumours from community members; (2) Partner involvement in IUD decision-making; and (3) Experience with side effects from short-term hormonal contraceptive methods. Broad community education about the IUD's benefits and safety, and proactive counseling to address couples' specific fears, may be needed to increase uptake of the method.

  13. Effective utilization of clinical laboratories.

    PubMed

    Murphy, J; Henry, J B

    1978-11-01

    Effective utilization of clinical laboratories requires that underutilization, overutilization, and malutilization be appreciated and eliminated or reduced. Optimal patient care service, although subjective to a major extent, is reflected in terms of outcome and cost. Increased per diem charges, reduced hospital stay, and increased laboratory workload over the past decade all require each laboratory to examine its internal operations to achieve economy and efficiency as well as maximal effectiveness. Increased research and development, an active managerial role on the part of pathologists, internal self-assessment, and an aggressive response to sophisticated scientific and clinical laboratory data base requirements are not only desirable but essential. The importance of undergraduate and graduate medical education in laboratory medicine to insure understanding as well as effective utilization is stressed. The costs and limitations as well as the accuracy, precision, sensitivity, specificity, and pitfalls of measurements and examinations must also be fully appreciated. Medical malpractice and defensive medicine and the use of critical values, emergency and routine services, and an active clinical role by the pathologist are of the utmost value in assuring effective utilization of the laboratory. A model for the optimal use of the laboratory including economy and efficiency has been achieved in the blood bank in regard to optimal hemotherapy for elective surgery, assuring superior patient care in a cost effective and safe manner.

  14. Elevations in serum creatinine with RAAS blockade: why isn't it a sign of kidney injury?

    PubMed

    Ryan, Michael J; Tuttle, Katherine R

    2008-09-01

    The aim of this article is to review the pertinent physiology and pathophysiology of the renin-angiotensin-aldosterone system (RAAS), summarize the proven beneficial cardiovascular and renal effects of RAAS blockade, examine clinical situations in which RAAS blockade may induce reductions in glomerular filtration rate, and explore why increases in serum creatinine in the setting of angiotensin-converting enzyme inhibitor (ACEi) or angiotensin receptor blocker (ARB) therapy do not necessarily signify the presence of clinically relevant kidney failure. RAAS inhibition appears to reduce the likelihood of atrial fibrillation. RAAS inhibition leads to improved insulin sensitivity and glycemic control, but does not appear to prevent diabetes. The beneficial effects of ACEi/ARB therapy extend to those with significant renal disease. Combination ACEi/ARB is safe, and reduces proteinuria more than either agent alone in patients with macroalbuminuric nephropathy. Acute deteriorations in renal function that result from RAAS inhibition are usually reversible. RAAS blockade exerts potent hemodynamic, antihypertensive, and antiinflammatory effects, and slows progression of kidney disease beyond that due to lowering of blood pressure. The benefit extends to those with advanced disease. In spite of established benefit, ACEi and ARB therapy remains underutilized, in part due to concerns about acute deteriorations in renal function that result from interruption of the RAAS.

  15. Can Applied Naturoptics Fund Associates Degrees in Applied Optics Graduates, in the Americas and Elsewhere, into BS/MS/PhD Physics/Applied Physics Programs?

    NASA Astrophysics Data System (ADS)

    Ferreira, Nadja; Andrade, Jennifer; Mc Leod, Roger D.

    2007-04-01

    Youthful females and other disadvantaged minority members sometimes develop visual handicaps when educational and/or other stressors are present. Special methods already available, effective, and underutilized, can be marshaled towards correcting current technologic and academic systems demand-supply mismatches in the sciences. More efficient harvesting of intellectually advantaged youthful students may represent more-highly-productive global scientific output. RDM has found that it is possible to motivate, stimulate, teach, and foster increased science interest by interacting with students at the earliest possible academic moments. The same applied optics of burning paper with a magnifying glass, and prismatic dispersing of light, allows understanding how vision operates, and can be damaged. Providing information to all students that they safely can self-repair damaged vision could only increase their interest in physics and special work-study programs. ``Indians'' are the most poorly represented group at all levels of education and its support services. MOLLOCKET/MULLAH indicates extra-human/higher-power interactions. Why? Obvious survival value suggests possible information-transmission attempts like those accessed by ``Indians.'' To cite this abstract, use the following reference: http://meetings.aps.org/link/BAPS.2007.NES07.C2.2

  16. Hemostasis in tubeless PNL: point of technique.

    PubMed

    Aron, Monish; Goel, Rajiv; Kesarwani, Pawan K; Gupta, Narmada P

    2004-01-01

    Tubeless PNL (percutaneous nephrolithotomy), in a highly selected group of patients, is a modification aimed at reducing the morbidity of PNL. We present a simple technique of achieving tract hemostasis as an adjunct to the safe performance of a tubeless PNL. Charts of 40 consecutive patients who underwent tubeless PNL at our center were reviewed. In the latter 20 consecutive patients, diathermy coagulation of the intrarenal bleeders and tract was done and these patients were compared with the earlier 20 patients in whom fulguration was not done. Drop in hemoglobin, postoperative analgesic requirement, operating time, length of hospitalization and postoperative complications were compared. No statistical difference was found between the operative times and drop in hemoglobin for both the groups. The length of hospitalization and postoperative analgesic requirement were significantly less in the fulguration group. No significant complications were noted in either of the two groups. Fulguration of visible intrarenal and tract bleeders is a simple, safe and effective hemostatic adjunct in patients undergoing tubeless PNL. copyright 2004 S. Karger AG, Basel

  17. Minimum Control Requirements for Advanced Life Support Systems

    NASA Technical Reports Server (NTRS)

    Boulange, Richard; Jones, Harry; Jones, Harry

    2002-01-01

    Advanced control technologies are not necessary for the safe, reliable and continuous operation of Advanced Life Support (ALS) systems. ALS systems can and are adequately controlled by simple, reliable, low-level methodologies and algorithms. The automation provided by advanced control technologies is claimed to decrease system mass and necessary crew time by reducing buffer size and minimizing crew involvement. In truth, these approaches increase control system complexity without clearly demonstrating an increase in reliability across the ALS system. Unless these systems are as reliable as the hardware they control, there is no savings to be had. A baseline ALS system is presented with the minimal control system required for its continuous safe reliable operation. This baseline control system uses simple algorithms and scheduling methodologies and relies on human intervention only in the event of failure of the redundant backup equipment. This ALS system architecture is designed for reliable operation, with minimal components and minimal control system complexity. The fundamental design precept followed is "If it isn't there, it can't fail".

  18. 45 CFR 12a.4 - Suitability determination.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... underutilized will be reviewed for suitability no earlier than six months prior to the expected date when the... following: (1) The suitability determination for a particular piece of property, and the reasons for that...

  19. What Can Union Do with Its Towering, 16-Sided Victorian Masterpiece?

    ERIC Educational Resources Information Center

    Biemiller, Lawrence

    1987-01-01

    Union College's Victorian-style Nott Memorial has mysterious and intriguing architectural features, a checkered history, and serious problems of neglect and underutilization. The college must resolve its future soon. (MSE)

  20. Older Worker Employment Services.

    ERIC Educational Resources Information Center

    Doctors, Samuel I.; And Others

    1980-01-01

    The records of a public employment agency for senior citizens are analyzed. Client characteristics reveal that older people want to work and retain jobs in which they are placed. The underutilization of older workers is discussed. (SK)

  1. The underutilization of street markets as a source of food security indicators in famine early warning systems: a case study of Ethiopia.

    PubMed

    Companion, Michèle

    2008-09-01

    Famine Early Warning Systems (EWS) are reliant on data aggregated from multiple sources. Consequently, they are often insensitive to localized changes in food security status, leading to delayed response or interventions. While price and infrastructural data are often gathered, this case study suggests that local street markets and vendor knowledge are underutilized. Few efforts have been made to monitor systematically the street markets as an indicator of local stressors. Findings from Ethiopia show that knowledge generated by expanding food security indicators in this sector can be used in combination with EWS to facilitate earlier intervention in, or to monitor more effectively, on-going humanitarian crises. Indicators developed from this study are accurate, cost effective, and sensitive to local climatic and food stressors.

  2. A Conceptual Design of a Short Takeoff and Landing Regional Jet Airliner

    NASA Technical Reports Server (NTRS)

    Hahn, Andrew S.

    2010-01-01

    Most jet airliner conceptual designs adhere to conventional takeoff and landing performance. Given this predominance, takeoff and landing performance has not been critical, since it has not been an active constraint in the design. Given that the demand for air travel is projected to increase dramatically, there is interest in operational concepts, such as Metroplex operations that seek to unload the major hub airports by using underutilized surrounding regional airports, as well as using underutilized runways at the major hub airports. Both of these operations require shorter takeoff and landing performance than is currently available for airliners of approximately 100-passenger capacity. This study examines the issues of modeling performance in this now critical flight regime as well as the impact of progressively reducing takeoff and landing field length requirements on the aircraft s characteristics.

  3. Political economy of hope as a cultural facet of biomedicalization: A qualitative examination of constraints to hospice utilization among U.S. end-stage cancer patients.

    PubMed

    Mrig, Emily Hammad; Spencer, Karen Lutfey

    2018-03-01

    A growing body of social science literature is devoted to describing processes of biomedicalization. The issue of biomedicalization is especially relevant for individuals suffering from end-stage cancer and hoping that aggressive end-of-life interventions, which are riddled with uncertainty around quantity or quality of life, will produce a 'cure'. To examine hospice underutilization among end-stage cancer patients, we apply the anthropological concept 'political economy of hope,' which describes how personal and collective 'hope' is associated with the political and economic structures that produce biomedicalization processes. Previous studies have examined hospice underutilization among end-stage cancer patients and have identified barriers stemming from patient and physician characteristics or health insurance reimbursement policies. Yet, these studies do not provide an organized synthesis of how barriers articulate, how they are part of the longitudinal decision-making process, or describe the sociocultural context surrounding hospice care enrollment decisions. This paper focuses on US-specific mechanisms and is based on qualitative, in-depth, interviews with physicians at an academic hospital (N = 24). We find that hospice underutilization results from a web of interconnected constraints surrounding end-stage cancer patients. Our research reveals how hospice care contradicts the political and economic structures associated with end-stage cancer care and illustrates how end-stage cancer patients are transformed into a form of biovalue, a fundamental commodity sustaining the political economy of hope. Copyright © 2018 Elsevier Ltd. All rights reserved.

  4. Characteristics associated with genetic counseling referral and BRCA1/2 testing among women in a large integrated health system.

    PubMed

    Bellcross, Cecelia A; Peipins, Lucy A; McCarty, Frances A; Rodriguez, Juan L; Hawkins, Nikki A; Hensley Alford, Sharon; Leadbetter, Steven

    2015-01-01

    Evidence shows underutilization of cancer genetics services. To explore the reasons behind this underutilization, this study evaluated characteristics of women who were referred for genetic counseling and/or had undergone BRCA1/2 testing. An ovarian cancer risk perception study stratified 16,720 eligible women from the Henry Ford Health System into average-, elevated-, and high-risk groups based on family history. We randomly selected 3,307 subjects and interviewed 2,524 of them (76.3% response rate). Among the average-, elevated-, and high-risk groups, 2.3, 10.1, and 20.2%, respectively, reported genetic counseling referrals, and 0.8, 3.3, and 9.5%, respectively, reported having undergone BRCA testing. Personal breast cancer history, high risk, and perceived ovarian cancer risk were associated with both referral and testing. Discussion of family history with a doctor predicted counseling referral, whereas belief that family history influenced risk was the strongest BRCA testing predictor. Women perceiving their cancer risk as much higher than other women their age were twice as likely (95% confidence interval: 2.0-9.6) to report genetic counseling referral. In a health system with ready access to cancer genetic counseling and BRCA testing, women who were at high risk underutilized these services. There were strong associations between perceived ovarian cancer risk and genetic counseling referral, and between a belief that family history influenced risk and BRCA testing.

  5. Origin and diversity of an underutilized fruit tree crop, cempedak (Artocarpus integer, Moraceae).

    PubMed

    Wang, Maria M H; Gardner, Elliot M; Chung, Richard C K; Chew, Ming Yee; Milan, Abd Rahman; Pereira, Joan T; Zerega, Nyree J C

    2018-06-06

    Underutilized crops and their wild relatives are important resources for crop improvement and food security. Cempedak [Artocarpus integer (Thunb). Merr.] is a significant crop in Malaysia but underutilized elsewhere. Here we performed molecular characterization of cempedak and its putative wild relative bangkong (Artocarpus integer (Thunb). Merr. var. silvestris Corner) to address questions regarding the origin and diversity of cempedak. Using data from 12 microsatellite loci, we assessed the genetic diversity and genetic/geographic structure for 353 cempedak and 175 bangkong accessions from Malaysia and neighboring countries and employed clonal analysis to characterize cempedak cultivars. We conducted haplotype network analyses on the trnH-psbA region in a subset of these samples. We also analyzed key vegetative characters that reportedly differentiate cempedak and bangkong. We show that cempedak and bangkong are sister taxa and distinct genetically and morphologically, but the directionality of domestication origin is unclear. Genetic diversity was generally higher in bangkong than in cempedak. We found a distinct genetic cluster for cempedak from Borneo as compared to cempedak from Peninsular Malaysia. Finally, cempedak cultivars with the same names did not always share the same genetic fingerprint. Cempedak origins are complex, with likely admixture and hybridization with bangkong, warranting further investigation. We provide a baseline of genetic diversity of cempedak and bangkong in Malaysia and found that germplasm collections in Malaysia represent diverse coverage of the four cempedak genetic clusters detected. © 2018 Botanical Society of America.

  6. Transfascial vaginal tape (TFT): a simple, safe and cost-effective procedure for stress urinary incontinence. A preliminary study.

    PubMed

    Foglia, Giovanni; Mistrangelo, Emanuela; Lijoi, Davide; Alessandri, Franco; Ragni, Nicola

    2007-07-01

    To analyse prospectively the effectiveness of a new simple, minimally invasive, and cost-effective technique for the treatment of female urinary stress incontinence: the transfascial vaginal tape (TFT). In a prospective study, we enrolled 45 women undergoing TFT with or without hysterectomy and/or another pelvic reconstructive procedure between 1st December 2003 and 31st December. TFT consists of a tension-free urethrosuspension using a sling located at the mid-urethral level and placed laterally in the endopelvic fascia previously perforated. Follow-up evaluations were established at 3 and 6 months and at 1 year after the operation. During each follow-up, women underwent cough stress test and they answered to the "Incontinence quality of life questionnaire" (I-QOL), to the Patient Global Impression of Severity (PGI-S) and of Improvement (PGI-I) questions. Thirty-nine patients (88.9%) had a follow-up examination 1 year after surgery. Of these, 30 (76.9%) were defined cured, 6 (15.4%) improved and 3 (7.7%) failed. TFT procedure can be considered a simple, safe and cost-effective procedure for the treatment of stress urinary incontinence and can be an alternative to tension-free vaginal tape or transobturator route for sub-urethral tape procedures.

  7. Anode materials for electrochemical waste destruction

    NASA Technical Reports Server (NTRS)

    Molton, Peter M.; Clarke, Clayton

    1990-01-01

    Electrochemical Oxidation (ECO) offers promise as a low-temperature, atmospheric pressure method for safe destruction of hazardous organic chemical wastes in water. Anode materials tend to suffer corrosion in the intensely oxidizing environment of the ECO cell. There is a need for cheaper, more resistant materials. In this experiment, a system is described for testing anode materials, with examples of several common anodes such as stainless steel, graphite, and platinized titanium. The ECO system is simple and safe to operate and the experiment can easily be expanded in scope to study the effects of different solutions, temperatures, and organic materials.

  8. Solar Photovoltaic DC Systems: Basics and Safety: Preprint

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

    McNutt, Peter F; Sekulic, William R; Dreifuerst, Gary

    Solar Photovoltaic (PV) systems are common and growing with 42.4 GW installed capacity in U.S. (almost 15 GW added in 2016). This paper will help electrical workers, and emergency responders understand the basic operating principles and hazards of PV DC arrays. We briefly discuss the following aspects of solar photovoltaic (PV) DC systems: the effects of solar radiation and temperature on output power; PV module testing standards; common system configurations; a simple PV array sizing example; NEC guidelines and other safety features; DC array commissioning, periodic maintenance and testing; arc-flash hazard potential; how electrical workers and emergency responders can andmore » do work safely around PV arrays; do moonlight and artificial lighting pose a real danger; typical safe operating procedures; and other potential DC-system hazards to be aware of. We also present some statistics on PV DC array electrical incidents and injuries. Safe PV array operation is possible with a good understanding of PV DC arrays basics and having good safe operating procedures in place.« less

  9. Chemistry Notes.

    ERIC Educational Resources Information Center

    School Science Review, 1984

    1984-01-01

    Describes: (1) a microcomputer demonstration of autocatalysis; (2) a safe alternative to ethanol and methanol; (3) a simple condenser for test-tube reactions; (4) a new procedure for studying the magnetic properties of transition metal compounds; (5) plasticization of the polymer PVC; and (6) some thoughts on polybasic acids and their salts. (JN)

  10. A Simple Vertical Slab Gel Electrophoresis Apparatus.

    ERIC Educational Resources Information Center

    Carter, J. B.; And Others

    1983-01-01

    Describes an inexpensive, easily constructed, and safe vertical slab gel kit used routinely for sodium dodecyl sulphate-polyacrylamide gel electrophoresis research and student experiments. Five kits are run from a single transformer. Because toxic solutions are used, students are given plastic gloves and closely supervised during laboratory…

  11. The Future of Aircraft Paint Removal Methods

    DTIC Science & Technology

    1989-09-01

    barium, cadmium, chromium, lead, mercury , selenium, and silver. We must develop small efficient blast furnaces to burn the media thus reducing the...permit the safe collection, consolidation, and detoxication of stripping waste. This may be as simple as a series of filters to clean the air from

  12. 77 FR 74492 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-14

    ... 20405, (202) 501-0084; HHS: Ms. Theresa M. Rita, Chief, Real Property Branch, Department of Health and... Maxwell AFB Maxwell AL Landholding Agency: Air Force Property Number: 18201240021 Status: Underutilized...

  13. The influence of the hospital financial officer.

    PubMed

    Moore, R W

    1991-01-01

    The power and influence of financial officers in large, independent hospitals was examined through their involvement in decisions. Chief financial officers (CFOs) find their role as members of the management team relatively ambiguous and probably underutilized.

  14. Reversing urban sprawl : a reclaimability index approach for reviving downtown brownfields.

    DOT National Transportation Integrated Search

    2011-03-01

    A key step to promoting urban revitalization is the reclamation of abandoned or underutilized contaminated sites, also known as brownfields. : Effective brownfield redevelopment approaches require environmental, socio-economic and urban planning dime...

  15. Intercity Bus Feeder Project Program Analysis

    DOT National Transportation Integrated Search

    1990-09-01

    Following the passage of the Bus Regualtory Reform Act of 1982 (BRRA), intercity : carriers used their increased regulatory flexibility to discontinue many : underutilized rural and small city services. This was understandable, in light : of the comp...

  16. Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey.

    PubMed

    Benson, Janie; Gebreselassie, Hailemichael; Mañibo, Maribel Amor; Raisanen, Keris; Johnston, Heidi Bart; Mhango, Chisale; Levandowski, Brooke A

    2015-12-17

    Health systems could obtain substantial cost savings by providing safe abortion care rather than providing expensive treatment for complications of unsafely performed abortions. This study estimates current health system costs of treating unsafe abortion complications and compares these findings with newly-projected costs for providing safe abortion in Malawi. We conducted in-depth surveys of medications, supplies, and time spent by clinical personnel dedicated to postabortion care (PAC) for three treatment categories (simple, severe non-surgical, and severe surgical complications) and three uterine evacuation (UE) procedure types (manual vacuum aspiration (MVA), dilation and curettage (D&C) and misoprostol-alone) at 15 purposively-selected public health facilities. Per-case treatment costs were calculated and applied to national, annual PAC caseload data. The median cost per D&C case ($63) was 29% higher than MVA treatment ($49). Costs to treat severe non-surgical complications ($63) were almost five times higher than those of a simple PAC case ($13). Severe surgical complications were especially costly to treat at $128. PAC treatment in public facilities cost an estimated $314,000 annually. Transition to safe, legal abortion would yield an estimated cost reduction of 20%-30%. The method of UE and severity of complications have a large impact on overall costs. With a liberalized abortion law and implementation of induced abortion services with WHO-recommended UE methods, current PAC costs to the health system could markedly decrease.

  17. A Salicylate Sympathetic Ink from Consumer Chemicals

    ERIC Educational Resources Information Center

    Journal of Chemical Education, 2005

    2005-01-01

    A new sympathetic ink that produces a violet color upon development was developed to develop chemical demonstrations using consumer chemicals. The demonstration was to have a simple, relatively safe reagent system that could be used to make a brightly colored, highly visible "magic sign" for use in science outreach programs.

  18. Waterless Condensers for the Teaching Laboratory: An Adaptation of Traditional Glassware

    ERIC Educational Resources Information Center

    Baum, Erich W.; Esteb, John J.; Wilson, Anne M.

    2014-01-01

    A simple adaptation of traditional "chemistry kit" condensers for the organic chemistry teaching laboratory is described. These waterless condensers have been employed safely with most solvents. They can be easily fabricated, stored, and used in the same manner as water-cooled condensers. These condensers were utilized in several…

  19. 25 Low-Cost Biology Investigations.

    ERIC Educational Resources Information Center

    Beller, Joel

    This book is a compilation of biology labs that are safe, simple, dependable, economical, and diverse. Some of the 25 investigations contained within this book involve organisms that are free for the taking and returned to the environment unharmed following the investigations. Students gain experience in making observations, forming hypotheses,…

  20. Chemistry for DUMMIES: how to popularize and introduce chemistry to the general public.

    PubMed

    Montangero, Marc

    2012-01-01

    To mark the occasion of the International Year of Chemistry, each week in 2011 I posted a two-minute film demonstrating and explaining a simple and safe experiment to be carried out at home using everyday household products on the site www.chimie.ch/nuls.

  1. User authentication based on the NFC host-card-emulation technology

    NASA Astrophysics Data System (ADS)

    Kološ, Jan; Kotyrba, Martin

    2017-11-01

    This paper deals with implementation of algorithms for data exchange between mobile devices supporting NFC HCE (Host-Card-Emulation) and a contactless NFC reader communicating in a read/write mode. This solution provides multiplatform architecture for data exchange between devices with a focus on safe and simple user authentication.

  2. Teamwork and communication.

    PubMed

    Pfrimmer, Dale

    2009-07-01

    Effective teamwork and communication is critical to the delivery of safe and reliable patient care. Communication breakdowns account for the overwhelming majority of sentinel events. Effective teamwork and communication can help prevent mistakes and decrease patient risk. The implementation of simple tools and behaviors can greatly enhance patient safety and improve perceptions of teamwork.

  3. Washing Off Polyurethane Foam Insulation

    NASA Technical Reports Server (NTRS)

    Burley, Richard K.; Fogel, Irving

    1990-01-01

    Jet of hot water removes material quickly and safely. Simple, environmentally sound technique found to remove polyurethane foam insulation from metal parts. Developed for (but not limited to) use during rebuilding of fuel system of Space Shuttle main engine, during which insulation must be removed for penetrant inspection of metal parts.

  4. Prepare Healthy Foods with Toddlers

    ERIC Educational Resources Information Center

    Izumi-Taylor, Satomi; Rike, Cheryl

    2011-01-01

    Toddlers--from about 16 to 36 months--can learn a variety of skills as they prepare food and follow recipes in developmentally appropriate ways. Early childhood teachers are encouraged to support young children's healthy eating habits by offering simple food preparation experiences. When toddlers--and preschoolers--safely prepare healthy snacks,…

  5. Microwave applicators for BPH thermotherapy

    NASA Astrophysics Data System (ADS)

    Vrba, Jan; Hlavac, R.; Herza, Jan; Chovanec, Roman; Cvek, Jakub; Oppl, L.

    2004-04-01

    Paper deals with new results in the field of intracavitary microwave applicators used for Benign Prostatic Hyperplasia (BPH) treatment. We demonstrate here that it is necessary to use more sophisticated applicators than a simple monopole radiating structure. One of the good possibilities for safe and efficient treatments we propose here is a helix structure.

  6. 41 CFR 102-75.1175 - Who issues the suitability determination?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... underutilized will be reviewed for suitability no earlier than six months prior to the expected date when the... following: (1) The suitability determination for a particular piece of property, and the reasons for that...

  7. 78 FR 2445 - Notice of Intent To Renew the Advisory Committee on Apprenticeship (ACA) Charter

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ... and partners for its ongoing operational effectiveness. Apart from the ACA, there is no single..., veterans, women, minorities and other under-utilized and disadvantaged populations; and (5) efforts to...

  8. 14 CFR 1274.103 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... Subcontracting dollar threshold. The dollar amount of the cooperative agreement subject to the small business subcontracting policies (includes small business, veteran-owned small business, service-disabled veteran-owned small business, historically underutilized small business, small disadvantaged business, women-owned...

  9. Thinking Outside of Outpatient: Underutilized Settings for Psychotherapy Education.

    PubMed

    Blumenshine, Philip; Lenet, Alison E; Havel, Lauren K; Arbuckle, Melissa R; Cabaniss, Deborah L

    2017-02-01

    Although psychiatry residents are expected to achieve competency in conducting psychotherapy during their training, it is unclear how psychotherapy teaching is integrated across diverse clinical settings. Between January and March 2015, 177 psychiatry residency training directors were sent a survey asking about psychotherapy training practices in their programs, as well as perceived barriers to psychotherapy teaching. Eighty-two training directors (44%) completed the survey. While 95% indicated that psychotherapy was a formal learning objective for outpatient clinic rotations, fifty percent or fewer noted psychotherapy was a learning objective in other settings. Most program directors would like to see psychotherapy training included (particularly supportive psychotherapy and cognitive behavioral therapy) on inpatient (82%) and consultation-liaison settings (57%). The most common barriers identified to teaching psychotherapy in these settings were time and perceived inadequate staff training and interest. Non-outpatient rotations appear to be an underutilized setting for psychotherapy teaching.

  10. Space use as an indicator of enclosure appropriateness in African wild dogs (Lycaon pictus).

    PubMed

    Hunter, Sally C; Gusset, Markus; Miller, Lance J; Somers, Michael J

    2014-01-01

    A clear understanding of space use is required to more fully understand biological requirements of nonhuman animals in zoos, aid the design of exhibits, and maximize the animals' welfare. This study used electivity indexes to assess space use of two packs of African wild dogs (Lycaon pictus) and the appropriateness of two naturalistic, outdoor enclosures at the San Diego Zoo and Bronx Zoo. The results identified enclosure features that were both underutilized and overutilized. They suggest that replacing underutilized areas with features similar to areas that were overutilized may provide more preferred opportunities for the animals. Assessing space use of animals in human care may serve as an indicator of enclosure appropriateness and could have welfare implications. By looking at the possible reasons for area preferences, animal managers can get an idea of where improvements could be made. Designing future exhibits accordingly thus can provide possible welfare benefits for the animals concerned.

  11. Are Diuretics Underutilized in Dialysis Patients?

    PubMed

    Trinh, Emilie; Bargman, Joanne M

    2016-09-01

    While oral diuretics are commonly used in patients with chronic kidney disease for the management of volume and blood pressure, they are often discontinued upon initiation of dialysis. We suggest that diuretics are considerably underutilized in peritoneal dialysis and haemodialysis patients despite numerous potential benefits and few side effects. Moreover, when diuretics are used, optimal doses are not always prescribed. In peritoneal dialysis, the use of diuretics can improve volume status and minimize the need for higher glucose-containing solutions. In patients on haemodialysis, diuretics can help lessen interdialytic weight gain, resulting in decreased ultrafiltration rates and fewer episodes of intradialytic hypotension. This paper will review the mechanism of action of diuretics in patients with renal insufficiency, quantify the risk of side effects and elaborate on the potential advantages of diuretic use in peritoneal dialysis and hemodialysis patients with residual kidney function. © 2016 Wiley Periodicals, Inc.

  12. Catalyzing Social Support for Breast Cancer Patients

    PubMed Central

    Skeels, Meredith M.; Unruh, Kenton T.; Powell, Christopher; Pratt, Wanda

    2010-01-01

    Social support is a critical, yet underutilized resource when undergoing cancer care. Underutilization occurs in two conditions: (a) when patients fail to seek out information, material assistance, and emotional support from family and friends or (b) when family and friends fail to meet the individualized needs and preferences of patients. Social networks are most effective when kept up to date on the patient’s status, yet updating everyone takes effort that patients cannot always put in. To improve this situation, we describe the results of our participatory design activities with breast cancer patients. During this process, we uncovered the information a social network needs to stay informed as well as a host of barriers to social support that technology could help break down. Our resulting prototype, built using Facebook Connect, includes explicit features to reduce these barriers and thus, promote the healthy outcomes associated with strong social support. PMID:21654894

  13. Decision-making interventions to stop the global atrial fibrillation-related stroke tsunami.

    PubMed

    Cerasuolo, Joshua O; Montero-Odasso, Manuel; Ibañez, Agustin; Doocy, Shannon; Lip, Gregory Yh; Sposato, Luciano A

    2017-04-01

    Atrial fibrillation affects 33.5 million people worldwide and its prevalence is expected to double by 2050 because of the aging population. Atrial fibrillation confers a 5-fold higher risk of ischemic stroke compared to sinus rhythm. We present our view of the role of shared medical decision-making to combat global underutilization of oral anticoagulation for stroke prevention in atrial fibrillation patients. Oral anticoagulation underuse is widespread as it is present within atrial fibrillation patients of all risk strata and in countries across all income levels. Reasons for oral anticoagulation underuse include but are probably not limited to poor risk stratification, over-interpretation of contraindications, and discordance between physician prescription preferences and actual administration. By comparing a catastrophic event to the consequences of atrial fibrillation related strokes, it may help physicians and patients understand the negative outcomes associated with oral anticoagulation under-utilization and the magnitude to which oral anticoagulations neutralize atrial fibrillation burden.

  14. Seabuckthorn: an underutilized resource for the nutritional security and livelihood improvement of rural communities in Uttarakhand Himalaya.

    PubMed

    Dhyani, Deepak; Maikhuri, Rakesh Kumar; Dhyani, Shalini

    2011-01-01

    Seabuckthorn (Hippophae salicifolia) is one of the potential underutilized plant species having huge multipurpose benefits including economic and ecological. Comparative study of fruit morphology, architecture, and juice yield productivity revealed that fruit berries of Seabuckthorn in Mana valley was found superior and can provide higher economic return than the berries of other plant species. Moreover, awareness programmes related to nutritional worth and development and demonstration of value added product resulted in economy generation for local inhabitants. Several countries are commercially and ecologically harnessing the potential of Seabuckthorn for livelihood enhancement and environmental conservation. Correspondingly, in Indian Himalayan region, Seabuckthorn plant can also offer benefits of nutrition, food, medicine, cosmetic, etc., to the rural people for their socioeconomic development. Findings presented here have important connotations in light of upcoming organic food and nutraceutical industries in the country. The current study will also help in developing value chain of Seabuckthorn in Uttarakhand.

  15. A Qualitative Study of Underutilization of the AIDS Drug Assistance Program

    PubMed Central

    Olson, Kristin M.; Godwin, Noah C.; Wilkins, Sara Anne; Mugavero, Michael J.; Moneyham, Linda D.; Slater, Larry Z.; Raper, James L.

    2014-01-01

    In our previous work, we demonstrated underutilization of the AIDS Drug Assistance Program (ADAP) at an HIV clinic in Alabama. In order to understand barriers and facilitators to utilization of ADAP, we conducted focus groups of ADAP enrollees. Focus groups were stratified by sex, race, and historical medication possession ratio as a measure of program utilization. We grouped factors according to the social-ecological model. We found that multiple levels of influence, including patient and clinic-related factors, influenced utilization of antiretroviral medications. Patients introduced issues that illustrated high-priority needs for ADAP policy and implementation, suggesting that in order to improve ADAP utilization, the following issues must be addressed: patient transportation, ADAP medication refill schedules and procedures, mailing of medications, and the ADAP recertification process. These findings can inform a strategy of approaches to improve ADAP utilization, which may have widespread implications for ADAP programs across the United States. PMID:24503498

  16. Measuring the Capacity Utilization of Public District Hospitals in Tunisia: Using Dual Data Envelopment Analysis Approach

    PubMed Central

    Arfa, Chokri; Leleu, Hervé; Goaïed, Mohamed; van Mosseveld, Cornelis

    2017-01-01

    Background: Public district hospitals (PDHs) in Tunisia are not operating at full plant capacity and underutilize their operating budget. Methods: Individual PDHs capacity utilization (CU) is measured for 2000 and 2010 using dual data envelopment analysis (DEA) approach with shadow prices input and output restrictions. The CU is estimated for 101 of 105 PDH in 2000 and 94 of 105 PDH in 2010. Results: In average, unused capacity is estimated at 18% in 2010 vs. 13% in 2000. Of PDHs 26% underutilize their operating budget in 2010 vs. 21% in 2000. Conclusion: Inadequate supply, health quality and the lack of operating budget should be tackled to reduce unmet user’s needs and the bypassing of the PDHs and, thus to increase their CU. Social health insurance should be turned into a direct purchaser of curative and preventive care for the PDHs. PMID:28005538

  17. METHOD OF CONDUCTING A PERSON BETWEEN A SAFE REGION AND A DANGEROUS REGION

    DOEpatents

    Moulthrop, H.A.

    1957-11-12

    This invention relates to a method for conducting a person between a safe region and a dangerous or con taminated region so that he may work in the dangerous region without risk to himself or the hinderance of an attached tube, and without danger of contaminating the safe region. A safely suit in which a person is to work is connected by a thermoplastic tube, turned partially inside out, to a hole in the wall separating the dangerous region. The tube is sealed by pressure and separated into two parts at the seal, whereupon the person in the suit may move around freely in the dangerous area. When the person desires to exit the dangerous region, the parts of the tube are resealed, removing a portion of the tube at the seal, and the person leaves the hole whcre he entered, seals the tube to close the hole, and cuts his suit free from the tube. Bands of masking tape inside and outside of the tube at predetermined points simplify the pressure sealing of the tube at the desired points. This patent provides a simple, safe and economical method of freely working in a dangerous region.

  18. Utilizations and Perceptions of Emergency Medical Services by Patients with ST-Segments Elevation Acute Myocardial Infarction in Abu Dhabi: A Multicenter Study

    PubMed Central

    Callachan, Edward Lance; Alsheikh-Ali, Alawi A.; Nair, Satish Chandrasekhar; Bruijns, Stevan; Wallis, Lee A.

    2016-01-01

    Background: Data on the use of emergency medical services (EMS) by patients with cardiac conditions in the Gulf region are scarce, and prior studies have suggested underutilization. Patient perception and knowledge of EMS care is critical to proper utilization of such services. Objectives: To estimate utilization, knowledge, and perceptions of EMS among patients with ST-elevation myocardial infarction (STEMI) in the Emirate of Abu Dhabi. Methods: We conducted a multicenter prospective study of consecutive patients admitted with STEMI in four government-operated hospitals in Abu Dhabi. Semi-structured interviews were conducted with patients to assess the rationale for choosing their prehospital mode of transport and their knowledge of EMS services. Results: Of 587 patients with STEMI (age 51 ± 11 years, male 95%), only 15% presented through EMS, and the remainder came via private transport. Over half of the participants (55%) stated that they did not know the telephone number for EMS. The most common reasons stated for not using EMS were that private transport was quicker (40%) or easier (11%). A small percentage of participants (7%) did not use EMS because they did not think their symptoms were cardiac-related or warranted an EMS call. Stated reasons for not using EMS did not significantly differ by age, gender, or primary language of the patients. Conclusions: EMS care for STEMI is grossly underutilized in Abu Dhabi. Patient knowledge and perceptions may contribute to underutilization, and public education efforts are needed to raise their perception and knowledge of EMS. PMID:27512532

  19. Accounting for misclassification error in retrospective smoking data.

    PubMed

    Kenkel, Donald S; Lillard, Dean R; Mathios, Alan D

    2004-10-01

    Recent waves of major longitudinal surveys in the US and other countries include retrospective questions about the timing of smoking initiation and cessation, creating a potentially important but under-utilized source of information on smoking behavior over the life course. In this paper, we explore the extent of, consequences of, and possible solutions to misclassification errors in models of smoking participation that use data generated from retrospective reports. In our empirical work, we exploit the fact that the National Longitudinal Survey of Youth 1979 provides both contemporaneous and retrospective information about smoking status in certain years. We compare the results from four sets of models of smoking participation. The first set of results are from baseline probit models of smoking participation from contemporaneously reported information. The second set of results are from models that are identical except that the dependent variable is based on retrospective information. The last two sets of results are from models that take a parametric approach to account for a simple form of misclassification error. Our preliminary results suggest that accounting for misclassification error is important. However, the adjusted maximum likelihood estimation approach to account for misclassification does not always perform as expected. Copyright 2004 John Wiley & Sons, Ltd.

  20. A buoyant tornado-probe concept incorporating an inverted lifting device. [and balloon combination

    NASA Technical Reports Server (NTRS)

    Grant, F. C.

    1973-01-01

    Addition of an inverted lifting device to a simple balloon probe is shown to make possible low-altitude entry to tornado cores with easier launch conditions than for the simple balloon probe. Balloon-lifter combinations are particularly suitable for penetration of tornadoes with average to strong circulation, but tornadoes of less than average circulation which are inaccessible to simple balloon probes become accessible. The increased launch radius which is needed for access to tornadoes over a wide range of circulation results in entry times of about 3 minutes. For a simple balloon probe the uninflated balloon must be first dropped on, or near, the track of the tornado from a safe distance. The increase in typical launch radius from about 0.75 kilometer to slightly over 1.0 kilometer with a balloon-lifter combination suggests that a direct air launch may be feasible.

  1. The bus transit system : ITS underutilized potential

    DOT National Transportation Integrated Search

    1994-05-01

    The bus system represents the most widely used transit mode. Upgraded bus services, primarily those which have partially or fully separated rights-of-way, represent a very cost-effective method to improve the balance between automobile and transit. M...

  2. THE USE OF SPATIAL ANALYTICAL TECHNIQUES TO IDENTIFY POTENTIAL BROWNFIELDS SITES

    EPA Science Inventory

    Brownfields are abandoned, idled, or underutilized properties where expansion or redevelopment is complicated by real or perceived environmental contamination. Most Brownfields sites are located in urban, commercial, and industrial areas. Under the Brownfields Program, the United...

  3. USE OF FOCUS GROUPS FOR THE ENVIRONMENTAL HEALTH RESEARCHER

    EPA Science Inventory

    Qualitative research techniques are often under-utilized by the environmental health researcher. Focus groups, one such qualitative method, can provide rich data sets for study planning and implementation, risk perception, program and policy research, and exploration into future...

  4. Underutilized grasses

    USDA-ARS?s Scientific Manuscript database

    Perennial warm-season grasses have been recognized for having several properties, such as high rates of net photosynthesis, energy and labor savings, and reduced soil and nutrient losses that make them better suited for biofuel production than many annual crops. Prairie cordgrass (Spartina pectinat...

  5. Managing a Safe and Successful Multi-User Spaceport

    NASA Technical Reports Server (NTRS)

    Dacko, Taylor; Ketterer, Kirk; Meade, Phillip

    2016-01-01

    Encouraged by the creation of the Office of Commercial Space Transportation within the U.S. Federal Aviation Administration (FAA) in 1984 and the Commercial Space Act of 1998, the National Aeronautics and Space Administration (NASA) now relies on an extensive network of support from commercial companies and organizations. At NASA's Kennedy Space Center (KSC), this collaboration opens competitive opportunities for launch providers, including repurposing underutilized Shuttle Program resources, constructing new facilities, and utilizing center services and laboratories. The resulting multi-user spaceport fosters diverse activity, though it engenders risk from hazards associated with various spaceflight processing activities. The KSC Safety & Mission Assurance (S&MA) Directorate, in coordination with the center's Spaceport Integration and Center Planning & Development organizations, has developed a novel approach to protect NASA's workforce, critical assets, and the public from hazardous, space-related activity associated with KSC's multi-user spaceport. For NASA KSC S&MA, the transformation to a multi-user spaceport required implementing methods to foster safe and successful commercial activity while resolving challenges involving: Retirement of the Space Shuttle program; Co-location of multiple NASA programs; Relationships between the NASA programs; Complex relationships between NASA programs and commercial partner operations in exclusive-use facilities; Complex relationships between NASA programs and commercial partner operations in shared-use facilities. NASA KSC S&MA challenges were met with long-term planning and solutions involving cooperation with the Spaceport Integration and Services Directorate. This directorate is responsible for managing active commercial partnerships with customer advocacy and services management, providing a dedicated and consistent level of support to a wide array of commercial operations. This paper explores these solutions, their relevance to the current commercial space industry, and the challenges that continue to drive improvement with a focus on areas of safety management and risk assessment that have been crucial in KSC's evolution into a multi-user spaceport. These solutions may be useful to government entities and private companies looking to partner with the commercial space industry.

  6. Acarbose: safe and effective for lowering postprandial hyperglycaemia and improving cardiovascular outcomes

    PubMed Central

    DiNicolantonio, James J; Bhutani, Jaikrit; O'Keefe, James H

    2015-01-01

    α-Glucosidase inhibitors (AGIs) are a class of oral glucose-lowering drugs used exclusively for treatment or prevention of type 2 diabetes mellitus. AGIs act by altering the intestinal absorption of carbohydrates through inhibition of their conversion into simple sugars (monosaccharides) and thus decrease the bioavailability of carbohydrates in the body, significantly lowering blood glucose levels. The three AGIs used in clinical practice are acarbose, voglibose and miglitol. This review will focus on the cardiovascular properties of acarbose. The current available data suggest that AGIs (particularly acarbose) may be safe and effective for the treatment of prediabetes and diabetes. PMID:26512331

  7. Efficacy and security of ivermectin given orally to rats naturally infected with Syphacia spp., Giardia spp. and Hymenolepis nana.

    PubMed

    Foletto, V R S; Vanz, F; Gazarini, L; Stern, C A J; Tonussi, C R

    2015-07-01

    The results of this study show that the oral administration of ivermectin (48 mg/L) repeatedly for 72 h used in accordance with the present protocol is a safe and highly effective treatment for Giardia spp. and Hymenolepis nana in laboratory rat colonies. The drug can be easily and safely administered using drinking water. This simple regimen should control pinworm infection (Syphacia muris), a problem that can be endemic in laboratory colonies. Experiments using healthy animals are likely to generate more consistent results, thereby requiring a reduced number of animals per group. © The Author(s) 2014.

  8. Synthesis and Characterization of Silver Nanoparticles for an Undergraduate Laboratory

    ERIC Educational Resources Information Center

    Orbaek, Alvin W.; McHale, Mary M.; Barron, Andrew R.

    2015-01-01

    The aim of this simple, quick, and safe laboratory exercise is to provide undergraduate students an introduction to nanotechnology using nanoparticle (NP) synthesis. Students are provided two procedures that allow for the synthesis of different yet controlled sizes of silver NPs. After preparing the NPs, the students perform UV-visible…

  9. Measuring Boltzmann's Constant with Carbon Dioxide

    ERIC Educational Resources Information Center

    Ivanov, Dragia; Nikolov, Stefan

    2013-01-01

    In this paper we present two experiments to measure Boltzmann's constant--one of the fundamental constants of modern-day physics, which lies at the base of statistical mechanics and thermodynamics. The experiments use very basic theory, simple equipment and cheap and safe materials yet provide very precise results. They are very easy and…

  10. Pesticide Safety for Farmworkers = Uso Seguro de Pesticidas para los Trabajadores del Campo.

    ERIC Educational Resources Information Center

    Poli, Bonnie; Fluker, Sam S.

    A booklet for farmworkers and employers uses illustrations and simple text in English and Spanish to inform about the dangers, precautions, and use of pesticides. Topics covered include methods of pesticide absorption; signs/symptoms of pesticide poisoning; first aid; residues; appropriate work clothes; safe and unsafe pesticide practices; how to…

  11. An Educational Model for Disruption of Bacteria for Protein Studies.

    ERIC Educational Resources Information Center

    Bhaduri, Saumya; Demchick, Paul H.

    1984-01-01

    A simple, rapid, and safe method has been developed for disrupting bacterial cells for protein studies. The method involved stepwise treatment of cells with acetone and with sodium dodecyl sulfate solution to allow extraction of cellular proteins for analysis by polyacrylamide gel electrophoresis. Applications for instructional purposes are noted.…

  12. Chemical Demonstrations: A Sourcebook for Teachers. Volume 2.

    ERIC Educational Resources Information Center

    Summerlin, Lee R.; And Others

    This book contains 112 classroom demonstrations intended to be used with any introductory chemistry program. These demonstrations were selected in an effort to provide simple, safe, effective and enjoyable experiences for the class. In addition, they are intended to be used to introduce many of the major concepts in chemistry. The demonstrations…

  13. Method and apparatus for recovering unstable cores

    DOEpatents

    McGuire, Patrick L.; Barraclough, Bruce L.

    1983-01-01

    A method and apparatus suitable for stabilizing hydrocarbon cores are given. Such stabilized cores have not previously been obtainable for laboratory study, and such study is believed to be required before the hydrate reserves can become a utilizable resource. The apparatus can be built using commercially available parts and is very simple and safe to operate.

  14. Hard Water and Soft Soap: Dependence of Soap Performance on Water Hardness

    ERIC Educational Resources Information Center

    Osorio, Viktoria K. L.; de Oliveira, Wanda; El Seoud, Omar A.; Cotton, Wyatt; Easdon, Jerry

    2005-01-01

    The demonstration of the performance of soap in different aqueous solutions, which is due to water hardness and soap formulation, is described. The demonstrations use safe, inexpensive reagents and simple glassware and equipment, introduce important everyday topics, stimulates the students to consider the wider consequences of water hardness and…

  15. Intravesical markers for delineation of target volume during external focal irradiation of bladder carcinomas.

    PubMed

    Hulshof, Maarten C C M; van Andel, George; Bel, Arjen; Gangel, Pieter; van de Kamer, Jeroen B

    2007-07-01

    A clip forceps was developed which can insert markers at the border of a bladder tumour through a rigid cystoscope. This technique proved to be simple and safe and is of help for delineation of the target volume during CT simulation for focal boost irradiation of bladder cancer.

  16. A gastroplasty for short esophagus and reflux esophagitis: experimental and clinical studies.

    PubMed Central

    Demos, N J; Smith, N; Williams, D

    1975-01-01

    A safe, simple, effective gastroplasty for short esophagus with reflux esophagitis is described. It has been evaluated in dogs for up to three years with flexible fiberesophagoscopy, esophagrams and intraluminal pressure studies. Successful clinical experience has been encouraging. Images Fig. 2. Fig. 3. Fig. 5. Fig. 6. Fig. 7. PMID:1089392

  17. Design Lab. USMES "How To" Series.

    ERIC Educational Resources Information Center

    Donahoe, Charles; And Others

    The major emphasis in all Unified Sciences and Mathematics for Elementary Schools (USMES) units is on open-ended, long-range investigations of real problems. Since children often design and build things in USMES, 26 "Design Lab" cards provide information on the safe use and simple maintenance of tools. Each card has a large photograph of…

  18. Chemical Demonstrations: A Sourcebook for Teachers. Volume 1.

    ERIC Educational Resources Information Center

    Summerlin, Lee R.; Ealy, James L., Jr.

    This book contains 108 classroom demonstrations intended to be used with any introductory chemistry program. These demonstrations were selected in an effort to provide simple, safe, effective and enjoyable experiences for the class. In addition, they are intended to be used to introduce many of the major concepts in chemistry. The demonstrations…

  19. Ultrasound-guided drainages and sclerotherapy.

    PubMed

    Lohela, P

    2002-02-01

    Ultrasonically guided fluid collection and abscess drainage have become routine procedures in various parts of the body. In most cases ultrasound is the only imaging and guidance modality needed; however, it is of the utmost importance to remember that CT and fluoroscopy with contrast often give invaluable information when the true extent of the process has to be determined and when assessing the safest route for the catheter in anatomically complicated areas. The importance of irrigation of the abscess cavity with fluids and the ready use of urokinase should be emphasized. Ethanol sclerotherapy is a simple and safe procedure to treat symptomatic hepatic or renal cysts. Parathyroid adenomas and cysts, as well as thyroid cysts, can also be treated with ethanol sclerotherapy in selected cases. Purified mineral talc has been used in pleurodesis and hydrocele sclerotherapy, whereas doxycycline or ethanol is used for postoperative lymphoceles. Both abscess drainages and sclerotherapy procedures are minimally invasive, simple, safe, inexpensive and reasonably efficacious treatment in many clinical instances and may be at least an alternative to surgical treatment, often offering significant advantages over surgery.

  20. A simple technique of laparoscopic port closure allowing wound extension.

    PubMed

    Christey, G R; Poole, G

    2002-04-01

    Reliable and safe access to the abdominal cavity and efficient removal of the resected gallbladder are essential to laparoscopic cholecystectomy. The unpredictable size of the cholecystectomy specimen can sometimes lead to frustration at the time of removal. A simple technique has been developed that allows for tissue extraction and easy fascial closure regardless of the size of the specimen. This is achieved by using a four bite "U-shaped" purse string at the time of Hasson insertion, with cephalad advancement of the proximal two bites. This allows for variable wound extension and secure closure, without the need for additional sutures.

  1. Near-Infrared Laser Adjuvant for Influenza Vaccine

    PubMed Central

    Kashiwagi, Satoshi; Yuan, Jianping; Forbes, Benjamin; Hibert, Mathew L.; Lee, Eugene L. Q.; Whicher, Laura; Goudie, Calum; Yang, Yuan; Chen, Tao; Edelblute, Beth; Collette, Brian; Edington, Laurel; Trussler, James; Nezivar, Jean; Leblanc, Pierre; Bronson, Roderick; Tsukada, Kosuke; Suematsu, Makoto; Dover, Jeffrey; Brauns, Timothy; Gelfand, Jeffrey; Poznansky, Mark C.

    2013-01-01

    Safe and effective immunologic adjuvants are often essential for vaccines. However, the choice of adjuvant for licensed vaccines is limited, especially for those that are administered intradermally. We show that non-tissue damaging, near-infrared (NIR) laser light given in short exposures to small areas of skin, without the use of additional chemical or biological agents, significantly increases immune responses to intradermal influenza vaccination without augmenting IgE. The NIR laser-adjuvanted vaccine confers increased protection in a murine influenza lethal challenge model as compared to unadjuvanted vaccine. We show that NIR laser treatment induces the expression of specific chemokines in the skin resulting in recruitment and activation of dendritic cells and is safe to use in both mice and humans. The NIR laser adjuvant technology provides a novel, safe, low-cost, simple-to-use, potentially broadly applicable and clinically feasible approach to enhancing vaccine efficacy as an alternative to chemical and biological adjuvants. PMID:24349390

  2. Introducing annuals in grazed pastures

    USDA-ARS?s Scientific Manuscript database

    Annual cover crops provide ecosystem benefits to perennial-based pasture systems by introducing quality forage at opportune times of the year, creating a more diverse farm habitat, and providing opportunities to renovate overused or underutilized areas of the farm. This workshop will cover opportun...

  3. APPLICATION OF STABLE ISOTOPE TECHNIQUES TO AIR POLLUTION RESEARCH

    EPA Science Inventory

    Stable isotope techniques provide a robust, yet under-utilized tool for examining pollutant effects on plant growth and ecosystem function. Here, we survey a range of mixing model, physiological and system level applications for documenting pollutant effects. Mixing model examp...

  4. Helping Veterans with Disabilities Transition to Employment

    ERIC Educational Resources Information Center

    Ruh, Debra; Spicer, Paul; Vaughan, Kathleen

    2009-01-01

    Veterans with disabilities constitute a vast, capable, deserving, and under-utilized workforce, and many successful hiring campaigns have targeted the employment of veterans. Colleges offering comprehensive, individualized transitional services have proven successful in supporting veterans with disabilities reentering the civilian workforce. With…

  5. Char from sugarcane bagasse

    USDA-ARS?s Scientific Manuscript database

    Unused sugarcane bagasse represents an underutilized resource in sugarcane growing regions of the world. This is a renewable resource that can be used in a thermochemical process to create chars, which could be incorporated back into agricultural activities. The practice is likely to improve soil ...

  6. Hydrothermal carbonization of food waste for nutrient recovery and resuse

    USDA-ARS?s Scientific Manuscript database

    Food waste represents a rather large and currently underutilized source of potentially available and reusable nutrients. Laboratory-scale experiments evaluating the hydrothermal carbonization of food wastes collected from restaurants were conducted to understand how changes in feedstock composition ...

  7. Synthesis of sustainable lubricant enhancer from wet hydrolyzed solids

    USDA-ARS?s Scientific Manuscript database

    Lignocellulosic ethanol biorefineries offer a sustainable way to produce alternative transportation fuel and provide fiber and biomaterial. However, the lignin fraction remains underutilized in the absence of the development of high value products. Despite its resilience to decomposition, thermochem...

  8. 77 FR 69483 - Federal Acquisition Regulation; Information Collection; Summary Subcontract Report

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-19

    ... be posted without change to http://www.regulations.gov , including any personal and/or business... appropriate technological collection techniques or other forms of information technology. DATES: Submit... small business, small disadvantaged business, historically underutilized business zone (HUBZone) small...

  9. Risk Assessment and Hierarchical Risk Management of Enterprises in Chemical Industrial Parks Based on Catastrophe Theory

    PubMed Central

    Chen, Yu; Song, Guobao; Yang, Fenglin; Zhang, Shushen; Zhang, Yun; Liu, Zhenyu

    2012-01-01

    According to risk systems theory and the characteristics of the chemical industry, an index system was established for risk assessment of enterprises in chemical industrial parks (CIPs) based on the inherent risk of the source, effectiveness of the prevention and control mechanism, and vulnerability of the receptor. A comprehensive risk assessment method based on catastrophe theory was then proposed and used to analyze the risk levels of ten major chemical enterprises in the Songmu Island CIP, China. According to the principle of equal distribution function, the chemical enterprise risk level was divided into the following five levels: 1.0 (very safe), 0.8 (safe), 0.6 (generally recognized as safe, GRAS), 0.4 (unsafe), 0.2 (very unsafe). The results revealed five enterprises (50%) with an unsafe risk level, and another five enterprises (50%) at the generally recognized as safe risk level. This method solves the multi-objective evaluation and decision-making problem. Additionally, this method involves simple calculations and provides an effective technique for risk assessment and hierarchical risk management of enterprises in CIPs. PMID:23208298

  10. National General Aviation Roadmap for a Small Aircraft Transportation System (SATS)

    NASA Technical Reports Server (NTRS)

    Holmes, Bruce J.

    2000-01-01

    The National Aeronautics and Space Administration (NASA), Federal Aviation Administration, as well as state, industry, and academia partners have joined forces to pursue the NASA National General Aviation Roadmap leading to a Small Aircraft Transportation System (SATS). This long-term strategic undertaking has a goal to bring next-generation technologies and improve air access to small communities. The envisioned outcome is to improve travel between remote communities and transportation centers in urban areas by utilizing a new generation of single-pilot light planes for personal and business transportation between the nation's 5,400 public use general aviation airports. Current NASA investments in aircraft technologies are enabling industry to bring affordable, safe, and easy-to-use features to the marketplace, including "Highway in the Sky" glass cockpit operating capabilities, affordable crash worthy composite airframes, more efficient IFR flight training, and revolutionary engines. To facilitate this initiative, a comprehensive upgrade of public infrastructure must be planned, coordinated, and implemented within the framework of the national air transportation system. State partnerships are proposed to coordinate research support in key public infrastructure areas. Ultimately, SATS may permit more than tripling aviation system throughput capacity by tapping the under-utilized general aviation facilities to achieve the national goal of doorstep-to-destination travel at four times the speed of highways for the nation's suburban, rural, and remote communities.

  11. Optimization of β-cyclodextrin-based flavonol extraction from apple pomace using response surface methodology.

    PubMed

    Parmar, Indu; Sharma, Sowmya; Rupasinghe, H P Vasantha

    2015-04-01

    The present study investigated five cyclodextrins (CDs) for the extraction of flavonols from apple pomace powder and optimized β-CD based extraction of total flavonols using response surface methodology. A 2(3) central composite design with β-CD concentration (0-5 g 100 mL(-1)), extraction temperature (20-72 °C), extraction time (6-48 h) and second-order quadratic model for the total flavonol yield (mg 100 g(-1) DM) was selected to generate the response surface curves. The optimal conditions obtained were: β-CD concentration, 2.8 g 100 mL(-1); extraction temperature, 45 °C and extraction time, 25.6 h that predicted the extraction of 166.6 mg total flavonols 100 g(-1) DM. The predicted amount was comparable to the experimental amount of 151.5 mg total flavonols 100 g(-1) DM obtained from optimal β-CD based parameters, thereby giving a low absolute error and adequacy of fitted model. In addition, the results from optimized extraction conditions showed values similar to those obtained through previously established solvent based sonication assisted flavonol extraction procedure. To the best of our knowledge, this is the first study to optimize aqueous β-CD based flavonol extraction which presents an environmentally safe method for value-addition to under-utilized bio resources.

  12. From "retailers" to health care providers: Transforming the role of community pharmacists in chronic disease management.

    PubMed

    Mossialos, Elias; Courtin, Emilie; Naci, Huseyin; Benrimoj, Shalom; Bouvy, Marcel; Farris, Karen; Noyce, Peter; Sketris, Ingrid

    2015-05-01

    Community pharmacists are the third largest healthcare professional group in the world after physicians and nurses. Despite their considerable training, community pharmacists are the only health professionals who are not primarily rewarded for delivering health care and hence are under-utilized as public health professionals. An emerging consensus among academics, professional organizations, and policymakers is that community pharmacists, who work outside of hospital settings, should adopt an expanded role in order to contribute to the safe, effective, and efficient use of drugs-particularly when caring for people with multiple chronic conditions. Community pharmacists could help to improve health by reducing drug-related adverse events and promoting better medication adherence, which in turn may help in reducing unnecessary provider visits, hospitalizations, and readmissions while strengthening integrated primary care delivery across the health system. This paper reviews recent strategies to expand the role of community pharmacists in Australia, Canada, England, the Netherlands, Scotland, and the United States. The developments achieved or under way in these countries carry lessons for policymakers world-wide, where progress thus far in expanding the role of community pharmacists has been more limited. Future policies should focus on effectively integrating community pharmacists into primary care; developing a shared vision for different levels of pharmacist services; and devising new incentive mechanisms for improving quality and outcomes. Copyright © 2015. Published by Elsevier Ireland Ltd.

  13. Cryopreservation of in vitro shoot apices of Oxalis tuberosa Mol.

    PubMed

    Gonzalez-Benito, M E; Mendoza-Condori, V H; Molina-Garcia, A D

    2007-01-01

    Oca (Oxalis tuberosa Mol.) is an under-utilized tuber crop from the Andean region. Cryopreservation would allow the safe and long-term preservation of the genetic resources of this crop. A protocol for the cryopreservation of in vitro grown shoots has been developed using the vitrification solution PVS2. Two genotypes were studied (G1 and G27). Nodal segments were cultured on MS medium and incubated at 10 degree C with 16 h photoperiod and 10 mol per square meter per second irradiance, for two weeks. Apices were then excised and cultured on MS+0.15 M sucrose for 3 days at 5 degree C in darkness. Subsequently, apices were immersed in a loading solution (liquid MS medium+2 M glycerol+0.4 M sucrose), and then treated with the vitrification solution PVS2 for 0 to 40 minutes. Cryovials were then immersed in liquid nitrogen. Four weeks after rewarming and culture on recovery medium, genotype G1 showed approximately 60 percent recovery (normal growth) with 20 min PVS2 treatment. Genotype G27 showed lower recovery (30 percent). Differential scanning calorimetry yielded a Tg midpoint for PSV2 solution of ca. -120 degree C. Calorimetric studies on apices at different stages of the cryopreservation protocol showed a change in calorimetric parameters consistent with a decrease in the amount of frozen water as the protocol advanced.

  14. Simple Improvisation to Enhance Utility of Fluorescein Sodium in Resection of Intracranial Lesions at Routine Neurosurgical Centers.

    PubMed

    Gollapudi, Prakash Rao; Mohammed, Imran; Pittala, Sandeep R; Kotha, Arjun Reddy; Reddycherla, Naga Raju; Ginjupally, Dhanunjaya Rao

    2018-04-01

    Fluorescein sodium is one of the fluorophores that is used in the resection of intracranial lesions. It is commonly used along with a customized microscope, which is expensive and not available universally. In this study, we describe a simple, inexpensive method for better visualization of intracranial and spinal cord lesions with fluorescein. After a test dose, 20 mg/kg of fluorescein sodium was administered intravenously at the time of intubation. A blue light source was used before resection for precise localization of the intracranial lesions after durotomy. Most of the resection was done under the white light, while the blue light was used intermittently to delineate the pathologic tissue from the normal tissue and to ensure safe maximal resection. The intensity of fluorescein staining under white light and blue light was noted. The study comprised 40 cases of gliomas, meningiomas, abscesses, spinal cord tumors, and cerebellopontine angle lesions. Thirty-five lesions showed good fluorescence under the blue light, which helped us achieve better resection of the pathologic lesions. Fluorescein sodium is a safe dye; it can be used to aid in precise localization and safe maximal resection of the pathologic tissue with the help of a blue light source at any center with challenged resources. The blue light enhances the fluorescence and visualization of the pathologic tissue, and this technique can be adopted by any surgeon without much difficulty even with a basic neurosurgical setup. Copyright © 2018 Elsevier Inc. All rights reserved.

  15. Broomrape (Orobanche cumana Wallr.) resistance breeding utilizing wild Helianthus species

    USDA-ARS?s Scientific Manuscript database

    Wild Helianthus species possess valuable resistance genes for sunflower broomrape (Orobanche cumana Wallr.), especially the 39 largely under-utilized perennial species. Resistance to race F has been transferred into cultivated background via bridging of interspecific amphiploids. More recently, a si...

  16. Very High Resolution Panoramic Photography to Improve Conventional Rangeland Monitoring 1994

    USDA-ARS?s Scientific Manuscript database

    Rangeland monitoring often includes repeat photographs as a basis for documentation and although photographic equipment and electronics have been evolving rapidly, basic rangeland photo monitoring methods have changed little over time. Ground based digital photography is underutilized, especially s...

  17. Deafness and Rubella: A Challenge and a Charge to Rehabilitation.

    ERIC Educational Resources Information Center

    Mills, Craig

    1980-01-01

    Summarizing salient information from the preceding papers (EC 132 316-326), the author cites nine major issues and recommendations, including the fact that considerable underutilized legislation should be brought to bear on the needs of children and adults with rubella. (Author)

  18. The genome of black raspberry (Rubus occidentalis)

    USDA-ARS?s Scientific Manuscript database

    The US Pacific Northwest is the primary production region of black raspberry, and this high-value specialty crop has been underutilized for several decades. Black raspberries contain high levels of anthocyanins and other bioactive compounds, which has sparked a renewed interest in breeding programs ...

  19. 14 CFR 152.403 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... East, Southeast Asia, the Indian subcontinent, or the Pacific Islands, including, but not limited to China, Japan, Korea, the Philippine Islands, and Samoa; or (4) American Indian or Alaskan Native: A... part; Underutilization means having fewer minorities or women in a particular job group than would...

  20. 14 CFR 152.403 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... East, Southeast Asia, the Indian subcontinent, or the Pacific Islands, including, but not limited to China, Japan, Korea, the Philippine Islands, and Samoa; or (4) American Indian or Alaskan Native: A... part; Underutilization means having fewer minorities or women in a particular job group than would...

  1. Bootstrapped Deattenuated Correlation: Nonnormal Distributions

    ERIC Educational Resources Information Center

    Padilla, Miguel A.; Veprinsky, Anna

    2014-01-01

    Correlation attenuation due to measurement error and a corresponding correction, the deattenuated correlation, have been known for over a century. Nevertheless, the deattenuated correlation remains underutilized. A few studies in recent years have investigated factors affecting the deattenuated correlation, and a couple of them provide alternative…

  2. Timber harvesting trends in the Lake States, 1983-1987.

    Treesearch

    W. Brad Smith; James E. Blyth

    1989-01-01

    Growing-stock removals for products have increased by 12% in the Lake States since 1983. Regional gains are led by red pine, aspen, and other hardwoods. New mills and technology promise to further improve markets for underutilized species throughout the region.

  3. Large Scale Survey Data in Career Development Research

    ERIC Educational Resources Information Center

    Diemer, Matthew A.

    2008-01-01

    Large scale survey datasets have been underutilized but offer numerous advantages for career development scholars, as they contain numerous career development constructs with large and diverse samples that are followed longitudinally. Constructs such as work salience, vocational expectations, educational expectations, work satisfaction, and…

  4. Writing about Careers.

    ERIC Educational Resources Information Center

    Zehring, John William

    1979-01-01

    There is no end to the voluminous need for information and resources. Career counselors and employers alike, an underutilized source, will find that free-lance writing is a way to extend their help to others, is a fulfilling avocation, and is a source of extra income. (Author)

  5. Frugal Biotech Applications of Low-Temperature Plasma.

    PubMed

    Machala, Zdenko; Graves, David B

    2018-06-01

    Gas discharge low-temperature air plasma can be utilized for a variety of applications, including biomedical, at low cost. We term these applications 'frugal plasma' - an example of frugal innovation. We demonstrate how simple, robust, low-cost frugal plasma devices can be used to safely disinfect instruments, surfaces, and water. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. A Simple, Safe Method for Preparation of Biodiesel

    ERIC Educational Resources Information Center

    Behnia, Mahin S.; Emerson, David W.; Steinberg, Spencer M.; Alwis, Rasika M.; Duenas, Josue A.; Serafino, Jessica O.

    2011-01-01

    An experiment suitable for organic chemistry students is described. Biodiesel, a "green" fuel, consists of methyl or ethyl esters of long-chain fatty acids called FAMES (fatty acid methyl esters) or FAEES (fatty acid ethyl esters). A quick way to make FAMES is a base-catalyzed transesterification of oils or fats derived from plants or from animal…

  7. Demonstrating Earth Connections and Fuses Working Together

    ERIC Educational Resources Information Center

    Harrison, Mark

    2017-01-01

    Earth wires and fuses work together in UK mains circuits to keep users safe from electric shocks and are taught in many school contexts. The subject can be quite abstract and difficult for pupils to grasp, and a simple but visually clear and direct demonstration is described which would be easy for most physics departments to build and which can…

  8. Biology Labs That Work: The Best of How-To-Do-Its.

    ERIC Educational Resources Information Center

    Moore, Randy, Ed.

    This book is a compilation of articles from the The American Biology Teacher journal that present biology labs that are safe, simple, dependable, economic, and diverse. Each activity can be used alone or as a starting point for helping students design follow-up experiments for in-depth study on a particular topic. Students must make keen…

  9. Fire Safe Together. Kindergarten. Fire Safety for Texans: Fire and Burn Prevention Curriculum Guide.

    ERIC Educational Resources Information Center

    Texas State Commission on Fire Protection, Austin.

    This booklet comprises the kindergarten component of a series of curriculum guides on fire and burn prevention. Designed to meet the age-specific needs of kindergarten students, its objectives include developing basic awareness of fire and burn dangers, developing simple actions to reduce injury, and encouraging parent involvement. Texas essential…

  10. A modified surgical technique for reconstruction of an acute acromioclavicular joint dislocation

    PubMed Central

    Marchie, Anthony; Kumar, Arun; Catre, Melanio

    2009-01-01

    We report a modified surgical technique for reconstruction of coracoclavicular and acromioclavicular ligaments after acute dislocation of acromioclavicular joint using suture anchors. We have repaired 3 consecutive type III acromioclavicular dislocations with good results. This technique is simple and safe and allows anatomical reconstruction of the ligaments in acute dislocations. PMID:20671868

  11. Projectile Activity for the Laboratory: A Safe and Inexpensive Approach to Several Concepts

    ERIC Educational Resources Information Center

    Farkas, N.; Ramsier, R. D.

    2006-01-01

    We present a simple laboratory activity for introductory-level physics students which involves rolling balls down pipes and analysing their subsequent flight trajectories. Using balls of equal size but different mass allows students to confront their misconceptions of a mass dependence of the exit speed of the balls from the pipes. The concepts of…

  12. Efficacy of an opposite position aspiration on resolution of pneumothorax following CT-guided lung biopsy

    PubMed Central

    Zeng, L-C; Du, Y; Yang, H-F; Xie, M-G; Liao, H-Q; Zhang, Y-D; Li, L; Wang, Q; Hu, L

    2015-01-01

    Objective: To evaluate the efficacy of aspiration in an opposite position to deal with pneumothorax after CT-guided lung biopsy. Methods: A retrospective study was developed involving 210 patients with pneumothorax who had undergone CT-guided percutaneous core biopsies from January 2012 to March 2014 for various pulmonary lesions. Asymptomatic patients with minimal pneumothorax were treated conservatively. Simple manual aspiration was performed for symptomatic patients with minimal pneumothorax and for all patients with moderate to large pneumothorax. An opposite position aspiration was performed when simple manual aspiration failed. The efficacy of simple manual aspiration and the opposite position aspiration was observed. Results: Among 210 patients with pneumothorax, 128 (61.0%) asymptomatic patients with minimal pneumothorax were treated conservatively. The remaining 82 were treated with attempted simple manual aspiration. Out of these 82 patients, simple manual aspiration was successful in 58 (70.7%, 58/82) cases. The complete and partial regression rates were 17.2% (10/58) and 82.8% (48/58), respectively. In the other 24 patients (29.3%, 24/82), simple aspiration technique was ineffective. An opposite position (from prone to supine or vice versa) was applied, and a new biopsy puncture site was chosen for reaspiration. This procedure was successful in 22 patients but not in 2 patients who had to have a chest tube insertion. The complete and partial regression rates were 25.0% (6/24) and 66.7% (16/24), respectively. Applying the new method, the total effective rate of aspiration improved significantly from 70.7% (58/82) to 97.6% (80/82). Conclusion: The opposite position aspiration can be safe, effective and minimally invasive treatment for CT-guided lung biopsy-induced pneumothorax thus reducing the use of chest tube significantly. Advances in knowledge: (1) Opposite position aspiration can elevate the success rate of aspiration significantly (from 70.7% to 97.6% in our study); (2) this procedure is a safe, effective and minimally invasive treatment for pneumothorax caused by biopsy; and (3) opposite position aspiration is a useful technique to reduce the use of chest tube, which has clinical significance. PMID:25966292

  13. Setting the Clock for Fail-Safe Early Embryogenesis.

    PubMed

    Fickentscher, Rolf; Struntz, Philipp; Weiss, Matthias

    2016-10-28

    The embryogenesis of the small nematode Caenorhabditis elegans is a remarkably robust self-organization phenomenon. Cell migration trajectories in the early embryo, for example, are well explained by mechanical cues that push cells into positions where they experience the least repulsive forces. Yet, how this mechanically guided progress in development is properly timed has remained elusive so far. Here, we show that cell volumes and division times are strongly anticorrelated during the early embryogenesis of C. elegans with significant differences between somatic cells and precursors of the germline. Our experimental findings are explained by a simple model that in conjunction with mechanical guidance can account for the fail-safe early embryogenesis of C. elegans.

  14. Dissipation and residues of emamectin benzoate study in paddy under field conditions.

    PubMed

    Li, Minghui; Chen, Weitao; Li, Mengyi; Han, Lijun

    2011-12-01

    The objective of this experiment was not only to provide a simple residue analytical method to evaluate the safe application rate of Emamectin Benzoate for paddy crops but also to give a suitable recommended dosage in paddy crops. Paddy samples were detected using HPLC-MS/MS. The half-lives of emamectin benzoate in paddy plants, water and soil were 2.04-8.66 days, 2.89-4.95 days and 3.65-5.78 days with a dissipation rate of 90% over 7 days after application, respectively. Low residues and short half-life suggested that Emamectin Benzoate could be safely used in paddy crops with the suitable dosage and application.

  15. Mayo Clinic experience with modified Vecchietti procedure for vaginal agenesis: it is easy, safe, and effective.

    PubMed

    Nahas, Samar; Yi, Johnny; Magrina, Javier

    2013-01-01

    To evaluate the surgical outcome and the anatomic and sexual function in 10 women with Rokitansky syndrome who underwent the laparoscopic Vecchietti procedure at our center. Retrospective analysis. Data were analyzed on the basis of short-term and long-term surgical outcome and sexual function. All patients underwent clinical follow-up at 1, 2, and 6 months after surgery. In all 10 patients, the procedure produced anatomic and functional success. The laparoscopic Vecchietti technique is safe, simple, and effective for treatment of vaginal agenesis. Results are comparable to those of all European studies, and the procedure should gain more popularity in North America. Copyright © 2013 AAGL. All rights reserved.

  16. The challenge of crafting policy for do-it-yourself brain stimulation

    PubMed Central

    Fitz, Nicholas S; Reiner, Peter B

    2015-01-01

    Transcranial direct current stimulation (tDCS), a simple means of brain stimulation, possesses a trifecta of appealing features: it is relatively safe, relatively inexpensive and relatively effective. It is also relatively easy to obtain a device and the do-it-yourself (DIY) community has become galvanised by reports that tDCS can be used as an all-purpose cognitive enhancer. We provide practical recommendations designed to guide balanced discourse, propagate norms of safe use and stimulate dialogue between the DIY community and regulatory authorities. We call on all stakeholders—regulators, scientists and the DIY community—to share in crafting policy proposals that ensure public safety while supporting DIY innovation. PMID:23733050

  17. Can Youthful Students be Encouraged to Self-repair Damaged Vision Using Elementary Mathematics and Physics Principles?

    NASA Astrophysics Data System (ADS)

    Ferreira, Nadja; McLeod, Roger

    2006-03-01

    Safe and easy self-repair of damaged vision in youth, detected from squinted eyes, motivated by simple applied math and physics, and over-stretched elastics. Parental permission and participation, with math skills of numerical cancellation, bring physics understanding to students. They recognize pupil diameter changes with light intensity. Ideas of focal surfaces and wavelength dependence can be achieved by burning paper with a magnifying glass, and dispersing light with a prism. Safeness of eye and head movements required are like those of the mother in applying makeup, or of a father in shaving. Easily defined, performed and monitored visual tasks can complete the repair(s).

  18. Range imaging pulsed laser sensor with two-dimensional scanning of transmitted beam and scanless receiver using high-aspect avalanche photodiode array for eye-safe wavelength

    NASA Astrophysics Data System (ADS)

    Tsuji, Hidenobu; Imaki, Masaharu; Kotake, Nobuki; Hirai, Akihito; Nakaji, Masaharu; Kameyama, Shumpei

    2017-03-01

    We demonstrate a range imaging pulsed laser sensor with two-dimensional scanning of a transmitted beam and a scanless receiver using a high-aspect avalanche photodiode (APD) array for the eye-safe wavelength. The system achieves a high frame rate and long-range imaging with a relatively simple sensor configuration. We developed a high-aspect APD array for the wavelength of 1.5 μm, a receiver integrated circuit, and a range and intensity detector. By combining these devices, we realized 160×120 pixels range imaging with a frame rate of 8 Hz at a distance of about 50 m.

  19. Vial OrganicTM-Organic Chemistry Labs for High School and Junior College

    NASA Astrophysics Data System (ADS)

    Russo, Thomas J.; Meszaros, Mark

    1999-01-01

    Vial Organic is the most economical, safe, and time-effective method of performing organic chemistry experiments. Activities are carried out in low-cost, sealed vials. Vial Organic is extremely safe because only micro quantities of reactants are used, reactants are contained in tightly sealed vials, and only water baths are used for temperature control. Vial Organic laboratory activities are easily performed within one 50-minute class period. When heat is required, a simple hot-water bath is prepared from a beaker of water and an inexpensive immersion heater. The low cost, ease of use, and relatively short time requirement will allow organic chemistry to be experienced by more students with less confusion and intimidation.

  20. Work-Role Stress and Attitudes toward Co-Workers.

    ERIC Educational Resources Information Center

    Beehr, Terry A.

    1981-01-01

    Research in interviews with 651 employees of five work organizations indicated that role stresses (role ambiguity, role overload and skill underutilization) were related to employee outcomes including: overall job dissatisfaction, life dissatisfaction, low self-esteem, depressed mood, and fatigue. Concluded that people experiencing job stress…

  1. Preparing Alumni for Student Recruitment.

    ERIC Educational Resources Information Center

    Mount, Brian

    As recruitment budgets continue to tighten and with fewer colleges reporting application increases for their freshmen classes, enrollment managers must continue to explore all potential sources of recruitment talent. Alumni are often an underutilized or sometimes poorly utilized resource in recruitment efforts. Younger alumni, for example, may…

  2. Is rangeland health relevant to Mongolia?

    USDA-ARS?s Scientific Manuscript database

    Approximately 800,000 of Mongolia’s 2.5 million people depend directly on livestock production and rangelands for their livelihood. Overgrazing is widespread in the western provinces and near the capital city of Ulaanbaatar, while forage is often underutilized in eastern parts of the country. The ra...

  3. Glucagon Kits: Are Your Patients Prepared for a Hypoglycemic Emergency

    DTIC Science & Technology

    2016-06-03

    of about $120,000,000. 1 The American Diabetes Association (ADA) recommends people with diabetes have an immediate source of glucose to treat mild or...severe diabetic hypoglycemia with glucagon: An underutilized therapeutic approach. Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy. 20

  4. 42 CFR 441.464 - State assurances.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Self-Directed Personal Assistance Services Program § 441.464 State assurances. A State must assure that... problems that might be associated with budget underutilization. (2) These safeguards may include the... that budget problems are identified on a timely basis so that corrective action may be taken, if...

  5. Expanding Opportunities for Students with Intellectual Disability

    ERIC Educational Resources Information Center

    Giangreco, Michael F.

    2017-01-01

    Research and experience tell us a great deal about how to successfully educate students with intellectual disability, but unfortunately this knowledge remains underutilized and inconsistently applied, writes researcher Michael F. Giangreco. Students with intellectual disability who have virtually identical profiles but live in different locales…

  6. Trigonometric Integration without Trigonometric Functions

    ERIC Educational Resources Information Center

    Quinlan, James; Kolibal, Joseph

    2016-01-01

    Teaching techniques of integration can be tedious and often uninspired. We present an obvious but underutilized approach for finding antiderivatives of various trigonometric functions using the complex exponential representation of the sine and cosine. The purpose goes beyond providing students an alternative approach to trigonometric integrals.…

  7. How Nonclinical Are Community Samples?

    ERIC Educational Resources Information Center

    Thurston, Idia B.; Curley, Jessica; Fields, Sherecce; Kamboukos, Dimitra; Rojas, Ariz; Phares, Vicky

    2008-01-01

    Mental health services are underutilized in our society by both adults and children. This finding presents a potential problem for researchers conducting community-based research. Previous studies have demonstrated that community-based researchers frequently do not screen participants for the presence of psychopathology nor do they ascertain…

  8. Electroconvulsive Therapy and Suicide.

    ERIC Educational Resources Information Center

    Tanney, Bryan L.

    1986-01-01

    When the effectiveness and mortality-morbidity of electroconvulsive therapy (ECT) are compared with those of drug therapies, it appears that ECT is an effective and preferred treatment strategy. It remains underutilized as a modality of suicide prevention. Addresses controversies that presently limit the use of this treatment. (Author/ABB)

  9. Progress in the Utilization of High-Fidelity Simulation in Basic Science Education

    ERIC Educational Resources Information Center

    Helyer, Richard; Dickens, Peter

    2016-01-01

    High-fidelity patient simulators are mainly used to teach clinical skills and remain underutilized in teaching basic sciences. This article summarizes our current views on the use of simulation in basic science education and identifies pitfalls and opportunities for progress.

  10. Rural Women and Education.

    ERIC Educational Resources Information Center

    Fratoe, Frank A.

    Because some rural women underutilize their increased schooling while others are disadvantaged by low educational attainment and underdeveloped skills, and in order to help determine policy alternatives to meet rural women's educational needs, the educational attainments and labor force participation of rural white and minority women were studied.…

  11. Apprenticeship in Washington: Effective, Underutilized. Studies in Industry and Employment.

    ERIC Educational Resources Information Center

    Kamimura, Gary

    Washington's apprenticeship program was compared to other programs providing preparation for employment. The following were among the items considered in the comparative analysis: gains in job-specific skill competencies; relationship of training to postprogram employment; participant satisfaction; employer satisfaction; employment opportunities;…

  12. Fatty Acid Composition and Lipid Profile of Diospyros mespiliformis, Albizia lebbeck, and Caesalpinia pulcherrima Seed Oils from Nigeria.

    PubMed

    Adewuyi, Adewale; Oderinde, Rotimi Ayodele

    2014-01-01

    The screening of lesser-known underutilized seeds as source of food has been a way of finding solution to food insecurity in developing nations. In this regard, oil as a class of food was extracted from the seeds of Diospyros mespiliformis  (4.72 ± 0.2%), Albizia lebbeck  (6.40 ± 0.60%), and Caesalpinia pulcherrima  (7.2 ± 0.30%). The oils were finally analyzed for their fatty acid composition, lipid classes, fatty acid distribution in the lipid fractions, and molecular speciation of the triacylglycerols, glycolipids, and phospholipids. The fatty acid composition of the oils varied with C18:2 fatty acid being the most dominant in the oils. Neutral lipids were the most abundant lipid class found in the oils while molecular species of the triacylglycerol with equivalent carbon chain number C40 was majorly present in the oils of Diospyros mespiliformis and Caesalpinia pulcherrima. The present study presents lesser-known underutilized seeds as possible sources of food.

  13. Fatty Acid Composition and Lipid Profile of Diospyros mespiliformis, Albizia lebbeck, and Caesalpinia pulcherrima Seed Oils from Nigeria

    PubMed Central

    Oderinde, Rotimi Ayodele

    2014-01-01

    The screening of lesser-known underutilized seeds as source of food has been a way of finding solution to food insecurity in developing nations. In this regard, oil as a class of food was extracted from the seeds of Diospyros mespiliformis  (4.72 ± 0.2%), Albizia lebbeck  (6.40 ± 0.60%), and Caesalpinia pulcherrima  (7.2 ± 0.30%). The oils were finally analyzed for their fatty acid composition, lipid classes, fatty acid distribution in the lipid fractions, and molecular speciation of the triacylglycerols, glycolipids, and phospholipids. The fatty acid composition of the oils varied with C18:2 fatty acid being the most dominant in the oils. Neutral lipids were the most abundant lipid class found in the oils while molecular species of the triacylglycerol with equivalent carbon chain number C40 was majorly present in the oils of Diospyros mespiliformis and Caesalpinia pulcherrima. The present study presents lesser-known underutilized seeds as possible sources of food. PMID:26904625

  14. The Role of Therapist Training in the Implementation of Psychosocial Treatments: A Review and Critique with Recommendations

    PubMed Central

    Herschell, Amy D.; Kolko, David J.; Baumann, Barbara L.; Davis, Abigail C.

    2010-01-01

    Evidence-based treatments (EBT) are underutilized in community settings, where consumers are often seen for treatment. Underutilization of EBTs may be related to a lack of empirically informed and supported training strategies. The goals of this review are to understand the state of the literature for training therapists in psychotherapy skills and to offer recommendations to improve research in this area. Results of this review of 55 studies evaluating six training methods indicate that multi-component trainings have been studied most often and have most consistently demonstrated positive training outcomes relative to other training methods. Studies evaluating utility of reading, self-directed trainings, and workshops have documented that these methods do not routinely produce positive outcomes. Workshop follow-ups help to sustain outcomes. Little is known about the impact of train-the-trainer methods. Methodological flaws and factors that may influence training outcome and future directions are also reviewed. PMID:20304542

  15. Anti-nutritional constituents of six underutilized legumes grown in Nigeria.

    PubMed

    Oboh, H A; Muzquiz, M; Burbano, C; Cuadrado, C; Pedrosa, M M; Ayet, G; Osagie, A U

    1998-10-09

    Six underutilized legume seeds grown in Nigeria namely, red and white lima beans, brown and cream pigeon pea, African yam bean and jackbean were analysed for different anti-nutritional factors Sojasapogenol B was identified as the predominant sapogenol in lima beans and jackbeans by capillary gas chromatography. The content of total inositol phosphates and individual inositol phosphates (IP6, IP5, IP4 and IP3) were analysed by ion-pair HPLC, being in the range of other legumes. Trace quantities of lupanine were identified as the alkaloid in jackbean. alpha-Galactosides were present in all the legume seeds, stachyose being the predominant galactoside in lima beans, African yam bean and jackbean, and verbascose in pigeon pea. The haemagglutinating activity was estimated as a measure of the lectin content of the samples. African yam bean was found to have the highest heamagglutinating activity. Tannins were found to be in low quantities. The presence of these anti-nutrients in relation to the nutritional value of the legume is discussed.

  16. Current practice in assessment and treatment of bronchial asthma in young males in Italy.

    PubMed

    Ferrante, E; Pantaleo, C; Quatela, M; Fuso, L; Basso, S; Pistelli, R

    2000-10-01

    The aim of the study was to evaluate, in a sample of young asthmatics in Italy, the current practice in assessment and treatment of asthma after the publication of guidelines. Young soldiers who declared bronchial asthma at the beginning of the compulsory military service were evaluated. One-hundred and thirty-eight subjects with confirmed asthma were selected. Sixty-seven subjects (48.5%) had had at last one spirometry, and only one subject had underwent peak flow monitoring at home; most of the subjects (96.8%) had had prick tests. More of the 50% of the subjects with bronchial obstruction or with severe bronchial hyperresponsiveness, with clinical moderate or severe asthma, had used only bronchodilators or no therapy at all in the preceding year. In this sample of young asthmatics, the lung function tests were still underutilized for the diagnosis and follow-up of bronchial asthma; moreover, the inhaled anti-inflammatory drugs were still underutilized.

  17. 1H NMR and PCA-based analysis revealed variety dependent changes in phenolic contents of apple fruit after drying.

    PubMed

    Francini, Alessandra; Romeo, Stefania; Cifelli, Mario; Gori, Daniele; Domenici, Valentina; Sebastiani, Luca

    2017-04-15

    Dry and fresh apples have been studied monitoring their polyphenolic profiles through 1 H NMR, antioxidant capacity and total polyphenol content. Six ancient and underutilized apple varieties (Mantovana, Mora, Nesta, Cipolla, Ruggina, Sassola) and a commercial one (Golden Delicious) were dried with an air-drying system at 45°C for 19h. Although some of their polyphenol constituents were lost during drying, the antioxidant capacity of some apple varieties remained higher compared to Golden Delicious. This result is very important for ancient and underutilized varieties that are not consumed on large scale as fresh product since they have low attractiveness, due to their ugly appearance. Combining quantitative NMR spectroscopy with principal component analysis we have identified and quantified several polyphenols (such as catechin, epicathechin, and chlorogenic acid) that are important to establish the nutraceutical value of the different investigated apple varieties. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Bacterial biodegradation and bioconversion of industrial lignocellulosic streams.

    PubMed

    Mathews, Stephanie L; Pawlak, Joel; Grunden, Amy M

    2015-04-01

    Lignocellulose is a term for plant materials that are composed of matrices of cellulose, hemicellulose, and lignin. Lignocellulose is a renewable feedstock for many industries. Lignocellulosic materials are used for the production of paper, fuels, and chemicals. Typically, industry focuses on transforming the polysaccharides present in lignocellulose into products resulting in the incomplete use of this resource. The materials that are not completely used make up the underutilized streams of materials that contain cellulose, hemicellulose, and lignin. These underutilized streams have potential for conversion into valuable products. Treatment of these lignocellulosic streams with bacteria, which specifically degrade lignocellulose through the action of enzymes, offers a low-energy and low-cost method for biodegradation and bioconversion. This review describes lignocellulosic streams and summarizes different aspects of biological treatments including the bacteria isolated from lignocellulose-containing environments and enzymes which may be used for bioconversion. The chemicals produced during bioconversion can be used for a variety of products including adhesives, plastics, resins, food additives, and petrochemical replacements.

  19. Unified User Interface to Support Effective and Intuitive Data Discovery, Dissemination, and Analysis at NASA GES DISC

    NASA Technical Reports Server (NTRS)

    Petrenko, M.; Hegde, M.; Bryant, K.; Johnson, J. E.; Ritrivi, A.; Shen, S.; Volmer, B.; Pham, L. B.

    2015-01-01

    Goddard Earth Sciences Data and Information Services Center (GES DISC) has been providing access to scientific data sets since 1990s. Beginning as one of the first Earth Observing System Data and Information System (EOSDIS) archive centers, GES DISC has evolved to offer a wide range of science-enabling services. With a growing understanding of needs and goals of its science users, GES DISC continues to improve and expand on its broad set of data discovery and access tools, sub-setting services, and visualization tools. Nonetheless, the multitude of the available tools, a partial overlap of functionality, and independent and uncoupled interfaces employed by these tools often leave the end users confused as of what tools or services are the most appropriate for a task at hand. As a result, some the services remain underutilized or largely unknown to the users, significantly reducing the availability of the data and leading to a great loss of scientific productivity. In order to improve the accessibility of GES DISC tools and services, we have designed and implemented UUI, the Unified User Interface. UUI seeks to provide a simple, unified, and intuitive one-stop shop experience for the key services available at GES DISC, including sub-setting (Simple Subset Wizard), granule file search (Mirador), plotting (Giovanni), and other services. In this poster, we will discuss the main lessons, obstacles, and insights encountered while designing the UUI experience. We will also present the architecture and technology behind UUI, including NodeJS, Angular, and Mongo DB, as well as speculate on the future of the tool at GES DISC as well as in a broader context of the Space Science Informatics.

  20. Addition of a novel, protective family history category allows better profiling of cardiovascular risk and atherosclerotic burden in the general population. The Asklepios Study.

    PubMed

    Van daele, Caroline M; De Meyer, Tim; De Buyzere, Marc L; Gillebert, Thierry C; Denil, Simon L I J; Bekaert, Sofie; Chirinos, Julio A; Segers, Patrick; De Backer, Guy G; De Bacquer, Dirk; Rietzschel, Ernst R

    2013-01-01

    Whereas the importance of family history (FH) is widely recognized in cardiovascular risk assessment, its full potential could be underutilized, when applied with its current simple guidelines-based definition (cFH): presence of premature cardiovascular disease (CVD) in a first-degree relative. We tested the added value of a new, extended family history definition (eFH), also taking into account later onset of disease, second-degree relatives and number of affected relatives, on profiling cardiovascular risk and atherosclerotic burden in the general population. Longitudinal population study. Random, representative population sample from Erpe-Mere and Nieuwerkerken (Belgium, primary care). 2524 male/female volunteers, aged 35-55 years, free from overt CVD. Subjects were extensively phenotyped including presence of atherosclerosis (ultrasound) and a newly developed FH questionnaire (4 generations). Compared to cFH, eFH was superior in predicting an adverse risk profile (glycemic state, elevated blood pressure, lipid abnormalities, presence of metabolic syndrome components) and presence of atherosclerosis (all age & sex-adjusted p<0.05). Unlike cFH, eFH remained a significant predictor of subclinical atherosclerosis after adjusting for confounders. Most relations with eFH were not graded but showed clear informational breakpoints, with absence of CVD (including late onset) in any first-degree relative being a negative predictor of atherosclerosis, and a particularly interesting phenotype for further study. A novel, extended FH definition is superior to the conventional definition in profiling cardiovascular risk and atherosclerotic burden in the general population. There remain clear opportunities to refine and increase the performance and informational content of this simple, readily-available inexpensive tool.

  1. Measuring the depth of the caudal epidural space to prevent dural sac puncture during caudal block in children.

    PubMed

    Lee, Hyun Jeong; Min, Ji Young; Kim, Hyun Il; Byon, Hyo-Jin

    2017-05-01

    Caudal blocks are performed through the sacral hiatus in order to provide pain control in children undergoing lower abdominal surgery. During the block, it is important to avoid advancing the needle beyond the sacrococcygeal ligament too much to prevent unintended dural puncture. This study used demographic data to establish simple guidelines for predicting a safe needle depth in the caudal epidural space in children. A total of 141 children under 12 years old who had undergone lumbar-sacral magnetic resonance imaging were included. The T2 sagittal image that provided the best view of the sacrococcygeal membrane and the dural sac was chosen. We used Picture Achieving and Communication System (Centricity ® PACS, GE Healthcare Co.) to measure the distance between the sacrococcygeal ligament and the dural sac, the length of the sacrococcygeal ligament, and the maximum depth of the caudal space. There were strong correlations between age, weight, height, and BSA, and the distance between the sacrococcygeal ligament and dural sac, as well as the length of the sacrococcygeal ligament. Based on these findings, a simple formula to calculate the distance between the sacrococcygeal ligament and dural sac was developed: 25 × BSA (mm). This simple formula can accurately calculate the safe depth of the caudal epidural space to prevent unintended dural puncture during caudal block in children. However, further clinical studies based on this formula are needed to substantiate its utility. © 2017 John Wiley & Sons Ltd.

  2. Evaluating Web Usability

    ERIC Educational Resources Information Center

    Snider, Jean; Martin, Florence

    2012-01-01

    Web usability focuses on design elements and processes that make web pages easy to use. A website for college students was evaluated for underutilization. One-on-one testing, focus groups, web analytics, peer university review and marketing focus group and demographic data were utilized to conduct usability evaluation. The results indicated that…

  3. PHYLOGEOGRAPHIC PATTERNS IN LARGE RIVER ECOSYSTEMS: GENETIC STRUCTURE OF SMALLMOUTH BUFFALO (ICTIOBUS BUBALUS) IN THE OHIO RIVER

    EPA Science Inventory

    Genetic studies on populations of large river fishes provide a potentially useful but underutilized research and assessment tool. Population genetic research on freshwater systems has provided meaningful insight into stock structure, hybridization issues, and gene flow/migration...

  4. 77 FR 14411 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-09

    ... Energy, Office of Engineering & Construction Management, MA-50, 1000 Independence Ave. SW., Washington... Landholding Agency: Air Force Property Number: 18201210016 Status: Underutilized Directions: 1076 Jack's...: 1077 Jack's Valley Rd. Comments: 512 sq. ft.; current use: vacant; bldg. has no heat Kitchen Center...

  5. Human Resources Planning for Office Automation.

    ERIC Educational Resources Information Center

    Munoz, Judith T.

    1985-01-01

    Examination of the transition to automated offices revealed that the prospect can be anxiety-producing for potential users, most users did not receive adequate training, lack of training may cause equipment underutilization, administrators are often not prepared to manage the change, and most experienced job satisfaction after automation. (MSE)

  6. Applying Psychology in Outer Space: Unfulfilled Promises Revisited.

    ERIC Educational Resources Information Center

    Helmreich, Robert L.

    1983-01-01

    Argues that research in personality and social psychology has an important role in the nation's spage program. Holds that psychologists' indifference and the structure of the National Aeronautics and Space Administration have led to underutilization of psychological data in space exploration. Presents suggestions for increasing psychology's role…

  7. Fuels from pyrolysis of waste plastic

    USDA-ARS?s Scientific Manuscript database

    A large quantity of carbon containing materials, such as waste plastic, used tires, food waste, and biomass end up in landfills. These materials represent a rich energy source that is currently untapped or underutilized. Municipal solid waste is comprised of 12% waste plastic, but only a small fract...

  8. Space Planning: A Basis for Cost Containment.

    ERIC Educational Resources Information Center

    Snyder, Fred A.; And Others

    Decreasing budgets and enrollments, the reluctance of state legislatures to provide funds for higher education facilities, and the rising costs of energy necessitate the development of space ownership management. Three patterns of space planning problems have developed at different colleges: (1) costly, underutilized facilities due to optimistic…

  9. Family Caregiver Identity: A Literature Review

    ERIC Educational Resources Information Center

    Eifert, Elise K.; Adams, Rebecca; Dudley, William; Perko, Michael

    2015-01-01

    Background: Despite the multitude of available resources, family caregivers of those with chronic disease continually underutilize support services to cope with the demands of caregiving. Several studies have linked self-identification as a caregiver to the increased likelihood of support service use. Purpose: The present study reviewed the…

  10. 78 FR 39004 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-28

    ... following addresses: AIR FORCE: Mr. Robert Moore, Air Force Real Property Agency, 2261 Hughes Avenue, Suite... 304 Cheyenne Mountain AFS Colorado Springs CO 80914 Landholding Agency: Air Force Property Number... Agency: Air Force Property Number: 18201320042 Status: Underutilized Directions: 1478, 1479, 1480,1482...

  11. A Marketing Plan for Scientists: Building Effective Products and Connecting with Stakeholders in Meaningful Ways

    EPA Science Inventory

    A disconnect often occurs between the creation of scientific research outputs and their use by intended stakeholders. Even with the diligent efforts of scientists to create products of value, many scientific outputs are underutilized by intended stakeholders. Marketing methods ca...

  12. Homework in Physical Education: Benefits and Implementation

    ERIC Educational Resources Information Center

    Novak, Benjamin Edward; Lynott, Francis John, III.

    2015-01-01

    This article identifies homework as an underutilized strategy in physical education. It reviews the benefits associated with the use of homework in the physical education setting, and provides guidelines for the effective implementation of this strategy. The guidelines include practical application examples and define structured active homework…

  13. 24 CFR 581.10 - Action on approved applications.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Action on approved applications... HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES USE OF FEDERAL REAL PROPERTY TO ASSIST THE HOMELESS § 581.10 Action on approved applications. (a) Unutilized and underutilized properties. (1) When HHS...

  14. Methods for Handling Missing Secondary Respondent Data

    ERIC Educational Resources Information Center

    Young, Rebekah; Johnson, David

    2013-01-01

    Secondary respondent data are underutilized because researchers avoid using these data in the presence of substantial missing data. The authors reviewed, evaluated, and tested solutions to this problem. Five strategies of dealing with missing partner data were reviewed: (a) complete case analysis, (b) inverse probability weighting, (c) correction…

  15. Department-Head Leadership for School Improvement

    ERIC Educational Resources Information Center

    Leithwood, Kenneth

    2016-01-01

    This review of research was prompted by the widespread belief that at least in a significant number of secondary schools, department heads are an underutilized, if not untapped, source of instructional leadership, the type of leadership critical to secondary-school improvement initiatives. Forty-two methodologically diverse empirical studies were…

  16. Solar thermal drum drying performance of prune and tomato pomaces

    USDA-ARS?s Scientific Manuscript database

    Fruit and vegetable pomaces are co-products of the food processing industry; they are underutilized in part because their high water activity (aw) renders them unstable. Drum drying is one method that can dry/stabilize pomaces, but current drum drying methods utilize conventional, high-environmental...

  17. Parental and Teacher Perspectives on Assistive Technology

    ERIC Educational Resources Information Center

    Peterson, Darrell Howard

    2017-01-01

    The Individuals with Disabilities in Education Act (IDEA) of 1997 demands that assistive technology be considered for all students with disabilities, yet it is vastly underutilized amongst people with mental retardation (Arc, 1993; Wehmeyer, 1995), learning disabilities (Jeffs, Behrmann, & Bannan-Ritland, 2006; Lewis, 1998; Raskind, Higgins,…

  18. Enriching Planning through Industry Analysis

    ERIC Educational Resources Information Center

    Martinez, Mario; Wolverton, Mimi

    2009-01-01

    Strategic planning is an important tool, but the sole dependence on it across departments and campuses has resulted in the underutilization of equally important methods of analysis. The evolution of higher and postsecondary education necessitates a systemic industry analysis, as the combination of new providers and delivery mechanisms and changing…

  19. Geothermal Exploration and Resource Assessment | Geothermal Technologies |

    Science.gov Websites

    , drilling, and resource assessments and the widespread adoption of under-utilized low-temperature resources -temperature geothermal resource technologies. Drilling The drilling of wells to find and develop geothermal low-temperature, sedimentary, co-produced, and enhanced geothermal system resources. We also work to

  20. Counselor Competence, Performance Assessment, and Program Evaluation: Using Psychometric Instruments

    ERIC Educational Resources Information Center

    Tate, Kevin A.; Bloom, Margaret L.; Tassara, Marcel H.; Caperton, William

    2014-01-01

    Psychometric instruments have been underutilized by counselor educators in performance assessment and program evaluation efforts. As such, we conducted a review of the literature that revealed 41 instruments fit for such efforts. We described and critiqued these instruments along four dimensions--"Target Domain," "Format,"…

  1. Visual Research Methods: Image, Society, and Representation

    ERIC Educational Resources Information Center

    Stanczak, Gregory C., Ed.

    2007-01-01

    Visual research is reemerging across the social sciences as a significant, underutilized resource producing unique lines of inquiry and sparking innovative pedagogies. Stanczak's edited volume crisscrosses disciplines in ways that highlights the multiple manifestations of this newer interdisciplinary trend. As such, this volume will be useful as…

  2. Log sort yard economics, planning, and feasibility

    Treesearch

    John Rusty Dramm; Robert Govett; Ted Bilek; Gerry L. Jackson

    2004-01-01

    This publication discusses basic marketing and economic concepts, planning approach, and feasibility methodology for assessing log sort yard operations. Special attention is given to sorting small diameter and underutilized logs from forest restoration, fuels reduction, and thinning operations. A planned programming approach of objectively determining the feasibility...

  3. Combining phosphate and bacteria removal on chemically active filter membranes allows prolonged storage of drinking water.

    PubMed

    Rotzetter, A C C; Kellenberger, C R; Schumacher, C M; Mora, C; Grass, R N; Loepfe, M; Luechinger, N A; Stark, W J

    2013-11-13

    A chemically active filtration membrane with incorporated lanthanum oxide nanoparticles enables the removal of bacteria and phosphate at the same time and thus provides a simple device for preparation of drinking water and subsequent safe storage without using any kind of disinfectants. © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  4. Adult Patent Ductus Arteriosus: Treatment with a Stent-Graft

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

    Munoz, J.J., E-mail: jjmrc@telefonica.net; Urbaneja, A.; Gonzalez, N.

    We present the case of a 63-year-old woman with a short patent ductus arteriosus and aneurysmal pulmonary arteries who was treated by placement of a stent-graft. The technique proved simple and safe. Further research is required to improve the design of stent-grafts and their release system for use of this technique in adult patients with this disorder.

  5. Shifting from Ziegler-Natta to Philips-type catalyst? A simple and safe access to reduced titanium systems for ethylene polymerization.

    PubMed

    Popoff, Nicolas; Espinas, Jeff; Gouré, Eric; Boyron, Olivier; Le Roux, Erwan; Basset, Jean-Marie; Gauvin, Régis M; De Mallmann, Aimery; Taoufik, Mostafa

    2011-12-01

    Silica-supported titanium(IV) chloride is readily reduced by Mashima and co-workers' reagent (1-methyl-3,6-bis(trimethylsilyl)-1,4-cyclohexadiene) to afford materials active in ethylene polymerisation without need of aluminum alkyl cocatalyst. Copyright © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  6. Image color reduction method for color-defective observers using a color palette composed of 20 particular colors

    NASA Astrophysics Data System (ADS)

    Sakamoto, Takashi

    2015-01-01

    This study describes a color enhancement method that uses a color palette especially designed for protan and deutan defects, commonly known as red-green color blindness. The proposed color reduction method is based on a simple color mapping. Complicated computation and image processing are not required by using the proposed method, and the method can replace protan and deutan confusion (p/d-confusion) colors with protan and deutan safe (p/d-safe) colors. Color palettes for protan and deutan defects proposed by previous studies are composed of few p/d-safe colors. Thus, the colors contained in these palettes are insufficient for replacing colors in photographs. Recently, Ito et al. proposed a p/dsafe color palette composed of 20 particular colors. The author demonstrated that their p/d-safe color palette could be applied to image color reduction in photographs as a means to replace p/d-confusion colors. This study describes the results of the proposed color reduction in photographs that include typical p/d-confusion colors, which can be replaced. After the reduction process is completed, color-defective observers can distinguish these confusion colors.

  7. Transient Approximation of SAFE-100 Heat Pipe Operation

    NASA Technical Reports Server (NTRS)

    Bragg-Sitton, Shannon M.; Reid, Robert S.

    2005-01-01

    Engineers at Los Alamos National Laboratory (LANL) have designed several heat pipe cooled reactor concepts, ranging in power from 15 kWt to 800 kWt, for both surface power systems and nuclear electric propulsion systems. The Safe, Affordable Fission Engine (SAFE) is now being developed in a collaborative effort between LANL and NASA Marshall Space Flight Center (NASA/MSFC). NASA is responsible for fabrication and testing of non-nuclear, electrically heated modules in the Early Flight Fission Test Facility (EFF-TF) at MSFC. In-core heat pipes must be properly thawed as the reactor power starts. Computational models have been developed to assess the expected operation of a specific heat pipe design during start-up, steady state operation, and shutdown. While computationally intensive codes provide complete, detailed analyses of heat pipe thaw, a relatively simple. concise routine can also be applied to approximate the response of a heat pipe to changes in the evaporator heat transfer rate during start-up and power transients (e.g., modification of reactor power level) with reasonably accurate results. This paper describes a simplified model of heat pipe start-up that extends previous work and compares the results to experimental measurements for a SAFE-100 type heat pipe design.

  8. Design of automatic startup and shutdown logic for a Brayton-cycle 2- to 15-kilowatt engine

    NASA Technical Reports Server (NTRS)

    Vrancik, J. E.; Bainbridge, R. C.

    1975-01-01

    The NASA Lewis Research Center is conducting a closed-Brayton-cycle power conversion system technology program in which a complete power system (engine) has been designed and demonstrated. This report discusses the design of automatic startup and shutdown logic circuits as a modification to the control system presently used in this demonstration engine. This modification was primarily intended to make starting the engine as simple and safe as possible and to allow the engine to be run unattended. In the modified configuration the engine is started by turning the control console power on and pushing the start button after preheating the gas loop. No other operator action is required to effect a complete startup. Shutdown, if one is required, is also effected by a simple stop button. The automatic startup and shutdown of the engine have been successfully and purposefully demonstrated more than 50 times at the Lewis Research Center during 10,000 hours of unattended operation. The net effect of this modification is an engine that can be safely started and stopped by relatively untrained personnel. The approach lends itself directly to remote unattended operation.

  9. Anatase TiO2 ultrathin nanobelts derived from room-temperature-synthesized titanates for fast and safe lithium storage

    PubMed Central

    Wen, Wei; Wu, Jin-ming; Jiang, Yin-zhu; Yu, Sheng-lan; Bai, Jun-qiang; Cao, Min-hua; Cui, Jie

    2015-01-01

    Lithium-ion batteries (LIBs) are promising energy storage devices for portable electronics, electric vehicles, and power-grid applications. It is highly desirable yet challenging to develop a simple and scalable method for constructions of sustainable materials for fast and safe LIBs. Herein, we exploit a novel and scalable route to synthesize ultrathin nanobelts of anatase TiO2, which is resource abundant and is eligible for safe anodes in LIBs. The achieved ultrathin nanobelts demonstrate outstanding performances for lithium storage because of the unique nanoarchitecture and appropriate composition. Unlike conventional alkali-hydrothermal approaches to hydrogen titanates, the present room temperature alkaline-free wet chemistry strategy guarantees the ultrathin thickness for the resultant titanate nanobelts. The anatase TiO2 ultrathin nanobelts were achieved simply by a subsequent calcination in air. The synthesis route is convenient for metal decoration and also for fabricating thin films of one/three dimensional arrays on various substrates at low temperatures, in absence of any seed layers. PMID:26133276

  10. Human factors in anaesthesia: lessons from aviation.

    PubMed

    Toff, N J

    2010-07-01

    Aviation safety has evolved over more than a century and has achieved remarkable results. Applying some of the lessons learned may help make healthcare safer. From the perspective of an anaesthetic background and some thousands of hours of airline flying, I offer a personal perspective, try to give a sense of the place of human factors in airline operations and some of the current problems, and make some suggestions as to what the NHS and anaesthesia might learn from this. Although many of the ingredients for safe operation are frequently already present in our hospitals, and some individual clinical areas and departments achieve high levels of reliability and safety, I will emphasize my firm belief that we cannot expect improvements in human factors training and awareness to be fully effective in the healthcare setting without the parallel development of a simple and strong safety system across organizations. In the process, we may find that the safe hospital turns out somewhat differently to the safe airline.

  11. Self-Assembled Peptide-Lanthanide Nanoclusters for Safe Tumor Therapy: Overcoming and Utilizing Biological Barriers to Peptide Drug Delivery.

    PubMed

    Yan, Jin; He, Wangxiao; Yan, Siqi; Niu, Fan; Liu, Tianya; Ma, Bohan; Shao, Yongping; Yan, Yuwei; Yang, Guang; Lu, Wuyuan; Du, Yaping; Lei, Bo; Ma, Peter X

    2018-02-27

    Developing a sophisticated nanomedicine platform to deliver therapeutics effectively and safely into tumor/cancer cells remains challenging in the field of nanomedicine. In particular, reliable peptide drug delivery systems capable of overcoming biological barriers are still lacking. Here, we developed a simple, rapid, and robust strategy to manufacture nanoclusters of ∼90 nm in diameter that are self-assembled from lanthanide-doped nanoparticles (5 nm), two anticancer peptides with different targets (BIM and PMI), and one cyclic peptide iNGR targeted to cancer cells. The peptide-lanthanide nanoclusters (LDC-PMI-BIM-iNGR) enhanced the resistance of peptide drugs to proteolysis, disassembled in response to reductive conditions that are present in the tumor microenvironment and inhibited cancer cell growth in vitro and in vivo. Notably, LDC-PMI-BIM-iNGR exhibited extremely low systemic toxicity and side effects in vivo. Thus, the peptide-lanthanide nanocluster may serve as an ideal multifunctional platform for safe, targeted, and efficient peptide drug delivery in cancer therapy.

  12. Tour Guide Robots: An Integrated Research and Design Platform to Prepare Engineering and Technology Students

    ERIC Educational Resources Information Center

    Yelamarthi, Kumar

    2016-01-01

    Many interesting research and design questions occur at the intersections of traditional disciplines, yet most coursework and research programs for undergraduate engineering students are focused on one discipline. This leads to underutilization of the potential in better preparing students through multidisciplinary projects. Identifying this…

  13. Deja Vu and Moving the Conversation: Reactions to an Underutilized Partnership

    ERIC Educational Resources Information Center

    Galassi, John P.; Akos, Patrick

    2004-01-01

    Romano and Kachgal argue for greater collaboration between counseling psychology and school counseling. Although their proposal has considerable merit, a variety of barriers to collaboration - including professional jealousies and turf, the lack of knowledge and interest of most counseling psychologists in schools, and the availability of benefits…

  14. Using "Game of Thrones" to Teach International Relations

    ERIC Educational Resources Information Center

    Young, Laura D.; Carranza Ko, Ñusta; Perrin, Michael

    2018-01-01

    Despite the known benefits of long-term, game-based simulations they remain underutilized in Political Science classrooms. Simulations used are typically designed to reinforce a concept and are short-lived, lasting one or two class sessions; rarely are entire courses designed around a single simulation. Creating real-world conditions in which…

  15. Effects of Juniperus species and stage of maturity on nutritional, in vitro digestibility, and plant secondary compound characteristics

    USDA-ARS?s Scientific Manuscript database

    Rising feed costs and recurring feed shortages necessitate the investigation into alternative and underutilized feed resources. Nutritional characteristics of Juniperus species are either unknown or limited to leaves and ground material from small stems. Thus, the objective was to quantify nutrition...

  16. 76 FR 10610 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ..., 220A, 220I, 140, 203, 220, 273 Reasons: Extensive deterioration New Mexico Bldg. 1016 Kirtland AFB...: Underutilized Reasons: Secured Area Bldgs. 436, 437 Kirtland AFB Bernalillo NM 87117 Landholding Agency: Air... flammable or explosive material Bldgs. 20612, 29071, 37505 Kirtland AFB Bernalillo NM 87117 Landholding...

  17. Student-Athletes' Perceptions of Mental Illness and Attitudes toward Help-Seeking

    ERIC Educational Resources Information Center

    Barnard, Jordan D.

    2016-01-01

    Given that there is evidence that college student-athletes may be at risk for psychological disturbances (Pinkerton, Hintz, & Barrow, 1989), and possibly underutilizing college mental health services (Watson & Kissinger, 2007), the purpose of this study was to examine attitudes toward mental illness and help seeking among college…

  18. Adding Personality to Gifted Identification: Relationships among Traditional and Personality-Based Constructs

    ERIC Educational Resources Information Center

    Carman, Carol A.

    2011-01-01

    One of the underutilized tools in gifted identification is personality-based measures. A multiple confirmatory factor analysis was utilized to examine the relationships between traditional identification methods and personality-based measures. The pattern of correlations indicated this model could be measuring two constructs, one related to…

  19. Understanding Crisis Information Needs in Context: The Case of Intimate Partner Violence Survivors

    ERIC Educational Resources Information Center

    Westbrook, Lynn

    2008-01-01

    The pervasive, personal crisis of intimate partner violence (IPV) demands community information resources in workforce, health care, mental health, public housing, criminal justice, and social service arenas. Although generally underutilized, public libraries have a pivotal role to play as the only public institution specifically structured to…

  20. Bamboo: An Underutilized Resource with Extensive Application Possibilities.

    USDA-ARS?s Scientific Manuscript database

    Bamboo is classified into Subtribe Bambusoideae of the Poaceae family which is comprised of over 1600 species of bamboo. Most species originated in Asia and Central and South America, although there are several species native to the United States. Often overlooked in the United States, bamboo is g...

  1. Interviewing Practicing Administrators: An Underutilized Field Based Instructional Strategy.

    ERIC Educational Resources Information Center

    Joachim, Pat; Klotz, Jack

    Reform of educational administrator preparation programs has received substantial attention from scholars over the past 15 years. Their works stress the importance of a strong knowledge base, problem-centered learning, and a renewed emphasis on affective development. A trend away from managerial, authoritarian leadership styles and toward…

  2. A Rasch Analysis of the Junior Metacognitive Awareness Inventory with Singapore Students

    ERIC Educational Resources Information Center

    Ning, Hoi Kwan

    2018-01-01

    The psychometric properties of the 2 versions of the Junior Metacognitive Awareness Inventory were examined with Singapore student samples. Other than 2 misfitting items and an underutilized response scale, Rasch analysis demonstrated that the instruments have good measurement precision, and no differential item functioning was detected across…

  3. The Effect of Bilingualism on Self-Perceived Multicultural Counseling Competence

    ERIC Educational Resources Information Center

    Ivers, Nathaniel N.; Villalba, José A.

    2015-01-01

    Ethnic and linguistic minorities continue to underutilize and prematurely terminate counseling services at higher rates than their ethnic majority counterparts. To improve the provision of counseling services to culturally diverse clients, new avenues supported by theory and research need to be uncovered. One factor that has received little…

  4. Resistance to toxic plants: The right animal in the right pasture at the right time

    USDA-ARS?s Scientific Manuscript database

    Neurotoxic poisonous plants negatively impact livestock on many western rangelands, which results in annual economic losses of millions of dollars from animal deaths, increased management and treatment costs, and if animals are deferred from grazing, the underutilization of otherwise highly nutritio...

  5. Network-Centric Data Mining for Medical Applications

    ERIC Educational Resources Information Center

    Davis, Darcy A.

    2012-01-01

    Faced with unsustainable costs and enormous amounts of under-utilized data, health care needs more efficient practices, research, and tools to harness the benefits of data. These methods create a feedback loop where computational tools guide and facilitate research, leading to improved biological knowledge and clinical standards, which will in…

  6. Drawing on Student Knowledge of Neuroanatomy and Neurophysiology

    ERIC Educational Resources Information Center

    Slominski, Tara N.; Momsen, Jennifer L.; Montplaisir, Lisa M.

    2017-01-01

    Drawings are an underutilized assessment format in Human Anatomy and Physiology (HA&P), despite their potential to reveal student content understanding and alternative conceptions. This study used student-generated drawings to explore student knowledge in a HA&P course. The drawing tasks in this study focused on chemical synapses between…

  7. Beyond Computer Planning: Managing Educational Computer Innovations.

    ERIC Educational Resources Information Center

    Washington, Wenifort

    The vast underutilization of technology in educational environments suggests the need for more research to develop models to successfully adopt and diffuse computer systems in schools. Of 980 surveys mailed to various Ohio public schools, 529 were completed and returned to help determine current attitudes and perceptions of teachers and…

  8. An Accessible Two-Dimensional Solution Nuclear Magnetic Resonance Experiment on Human Ubiquitin

    ERIC Educational Resources Information Center

    Rovnyak, David; Thompson, Laura E.

    2005-01-01

    Solution-state nuclear magnetic resonance (NMR) is an invaluable tool in structural and molecular biology research, but may be underutilized in undergraduate laboratories because instrumentation for performing structural studies of macromolecules in aqueous solutions is not yet widely available for use in undergraduate laboratories. We have…

  9. Nanofibrillated cellulose from appalachian hardwoods logging residues as template for antimicrobial copper

    Treesearch

    Masoumeh Hassanzadeh; Ronald Sabo; Alan Rudie; Richard Reiner; Roland Gleisner; Gloria S. Oporto

    2017-01-01

    TEMPO nanofibrillated cellulose (TNFC) fromtwo underutilized Appalachian hardwoods, Northern red oak (Quercus rubra) and yellow poplar (Liriodendron tulipifera), was prepared to determine its feasibility to be used as template for antimicrobial metallic copper particles. In addition, a comparison of the TNFC from the two...

  10. 77 FR 47861 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-10

    ... Notice to identify Federal buildings and other real property that HUD has reviewed for suitability for... landholding agencies regarding unutilized and underutilized buildings and real property controlled by such... landholding agencies at the following addresses: COE: Mr. Scott Whiteford, Army Corps of Engineers, Real...

  11. Are the Elderly Overhoused? Definitions of Space Utilization and Policy Implications.

    ERIC Educational Resources Information Center

    Lane, Terry Saunders; Feins, Judith D.

    1985-01-01

    Examined whether elderly-headed households live in dwellings too large for their needs. Demonstrates that most elderly households do not underutilize housing space. When homes of the elderly are on the market, new occupants include a wide range of household types, not just younger, larger families. (NRB)

  12. Advisory Board Engagement: Assisting Undergraduates with Resume Development

    ERIC Educational Resources Information Center

    Hunt, Irma; Taylor, Ronald; Oberman, William

    2017-01-01

    Resumes of students with limited work experience are by nature underdeveloped and frequently poorly designed. Although many tools and resources are available, students often underutilize them. Faculty at a northeastern university sought to address this problem by engaging members of its college of business advisory board to provide students with…

  13. Regression Commonality Analysis: A Technique for Quantitative Theory Building

    ERIC Educational Resources Information Center

    Nimon, Kim; Reio, Thomas G., Jr.

    2011-01-01

    When it comes to multiple linear regression analysis (MLR), it is common for social and behavioral science researchers to rely predominately on beta weights when evaluating how predictors contribute to a regression model. Presenting an underutilized statistical technique, this article describes how organizational researchers can use commonality…

  14. 24 CFR 581.10 - Action on approved applications.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 3 2011-04-01 2010-04-01 true Action on approved applications. 581... URBAN DEVELOPMENT COMMUNITY FACILITIES USE OF FEDERAL REAL PROPERTY TO ASSIST THE HOMELESS § 581.10 Action on approved applications. (a) Unutilized and underutilized properties. (1) When HHS approves an...

  15. Halosulfuron reduced purple netsedge (Cyperus rotundus) tuber production and viability

    USDA-ARS?s Scientific Manuscript database

    Weeds persist and cause economic losses in agricultural systems because they exploit an underutilized portion of that system. Reducing the impact of weeds on agroecosystems begins with minimizing the number of propagules (e.g, seeds and tubers) that are produced and returned to the soil. Purple nu...

  16. Halosulfuron reduced purple nutsedge (Cyperus rotundus) tuber production and viability

    USDA-ARS?s Scientific Manuscript database

    Weeds persist and cause economic losses in agricultural systems because they exploit an underutilized portion of that system. Reducing the impact of weeds on agroecosystems begins with minimizing the number of propagules (e.g, seeds and tubers) that are produced and returned to the soil. Purple nu...

  17. Targeting Obesity through Health Promotion Programs for School Staff

    ERIC Educational Resources Information Center

    Herbert, Patrick C.; Lohrmann, David K.; Hall, Cougar

    2017-01-01

    Health promotion programs for school staff are an overlooked and under-utilized resource that can lead to reductions in overweight and obesity among teachers and other staff members if implemented properly. In addition to increasing the overall staff wellness, boosting morale, increasing productivity, improving academic achievement, providing…

  18. Service Accessibility for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth

    ERIC Educational Resources Information Center

    Acevedo-Polakovich, Ignacio David; Bell, Bailey; Gamache, Peter; Christian, Allison S.

    2013-01-01

    Although Lesbian, Gay, Bisexual, Transgender, Queer and/or Questioning (LGBTQ) youth experience alarming rates of behavioral and social problems, service use among these youth is disproportionately low. It is likely that decreased service accessibility plays a causal role in service underutilization among LGBTQ youth. To expand the existing…

  19. Utilization of Technology; Consumer Perspective.

    ERIC Educational Resources Information Center

    Pfrommer, Margaret C.

    A consumer viewpoint on the use of technology by disabled persons is presented. Reasons for not solving the problem of technological underutilization are proposed. Goals for evaluating the appropriateness of a technology should not be rigidly defined; persons who do this actually set limitations in the guise of being "realistic." At present there…

  20. Reconstructing the historic demography of an endangered seabird

    Treesearch

    Steven R. Beissinger; Zachariah M. Peery

    2007-01-01

    Reducing extinction risk for threatened species requires determining which demographic parameters are depressed and causing population declines. Museum collections may constitute a unique, underutilized resource for measuring demographic changes over long time periods using age-ratio analysis. We reconstruct the historic demography of a U.S. federally endangered...

  1. Technology Underutilized: Principal's Role in Creating a Culture of High-Level Uses

    ERIC Educational Resources Information Center

    Foley, Darlene

    2017-01-01

    Teachers need to maximize technology to support student learning by drawing upon varying pedagogical orientations; however, teacher-centered, highly structured approaches that foster low-level thinking is more prevalent. Although highly structured approaches help develop students' foundational skills and content knowledge, student-centered,…

  2. Information Technology (IT) Identity: A Conceptualization, Proposed Measures, and Research Agenda

    ERIC Educational Resources Information Center

    Carter, Michelle Suzanne

    2012-01-01

    With increasing embeddedness of information technologies (IT) in organizational processes, and services, individuals' long-term IT use has become instrumental to business success. At the same time, IS research has illustrated that under-utilization by end-users often prevents organizations from realizing expected benefits from their…

  3. Effects of juniperus species and stage of maturity on nutritional, in vitro digestibility, and plant secondary compound characteristics

    USDA-ARS?s Scientific Manuscript database

    Rising feed costs and recurring feed shortages necessitate the investigation into alternative and underutilized feed resources. Nutritional characteristics of species are either unknown or limited to leaves and ground material from small stems. Therefore, the objective was to quantify nutritional ch...

  4. Empowering Our Children to Succeed

    ERIC Educational Resources Information Center

    Quigley, Richard

    2014-01-01

    Children must be empowered to find their unique path to personal pride and respect. The concept of empowering youth is widely touted but often misunderstood and underutilized. Young people cannot fully develop their strengths and independence without being empowered to take charge of their lives. The polar opposite of coercion, empowerment is…

  5. Interpretive and Critical Phenomenological Crime Studies: A Model Design

    ERIC Educational Resources Information Center

    Miner-Romanoff, Karen

    2012-01-01

    The critical and interpretive phenomenological approach is underutilized in the study of crime. This commentary describes this approach, guided by the question, "Why are interpretive phenomenological methods appropriate for qualitative research in criminology?" Therefore, the purpose of this paper is to describe a model of the interpretive…

  6. Describing Comprehension: Teachers' Observations of Students' Reading Comprehension

    ERIC Educational Resources Information Center

    Vander Does, Susan Lubow

    2012-01-01

    Teachers' observations of student performance in reading are abundant and insightful but often remain internal and unarticulated. As a result, such observations are an underutilized and undervalued source of data. Given the gaps in knowledge about students' reading comprehension that exist in formal assessments, the frequent calls for teachers'…

  7. The potential of climate change adjustment in crops: A synthesis

    USDA-ARS?s Scientific Manuscript database

    This chapter covers a study on various field crops like cereals, legumes, oil seeds, vegetables, cash crops, underutilized crops, and energy crops and their genetic adjustment to changing climates. More than 30 major field crops have been covered in different chapters of this book, which highlight h...

  8. Applying Rational Emotive Behavior Therapy to Multicultural Classrooms

    ERIC Educational Resources Information Center

    Gregas, Amanda J.

    2006-01-01

    The principles of psychology are an effective, yet underutilized resource within American schools. Teachers can take advantage of established interventions from the field of psychology and apply them to their classrooms in a realistic, straightforward manner, while still remaining in the role of the educator. A large part of cognitive-behavioral…

  9. Cottonseed meal with high level of (+)-Gossypol as diet for broilers

    USDA-ARS?s Scientific Manuscript database

    Cottonseed is composed of ~22.5% of a high quality protein. This represents 3.5 MMT of protein that could be available for human consumption. Cottonseed protein currently is underutilized because of the presence of a toxic compound called gossypol. Gossypol is biosynthesized by the free radical co...

  10. Rheological and Functional Properties of Catfish Skin Protein Hydrolysates

    USDA-ARS?s Scientific Manuscript database

    Catfish skin is an abundant and underutilized resource that can be used as a unique protein source to make fish skin hydrolysates. The objectives of this study were to: isolating soluble and insoluble proteins from hydrolyzed catfish skin and study the chemical and functional properties of the prote...

  11. Writing Code to Assess Geometric Reasoning

    ERIC Educational Resources Information Center

    Bolognese, Chris A.

    2016-01-01

    Eliciting student thinking is paramount to effective mathematics teaching and learning. Although one can use many strategies and techniques to promote student thinking, technology is one resource that is often underutilized. Whether it is the informed use of calculators or an interactive website, technology can be leveraged to promote mathematical…

  12. An Exploration of Hybrid Spaces for Place-Based Geomorphology with Latino Bilingual Children

    ERIC Educational Resources Information Center

    Martínez-Álvarez, Patricia; Bannan, Brenda

    2014-01-01

    Latino bilingual children hold rich understandings, which are underexplored and underutilized in the geoscience classroom. Oftentimes, young Latinos possess unique cultural land experiences shaping their place identities. We consider science as language and culture, and propose place-based geoscience hybrid space explorations that are culturally…

  13. Introducing Computer-Based Concept Mapping to Older Adults

    ERIC Educational Resources Information Center

    Calvo, Iñaki; Elorriaga, Jon A.; Arruarte, Ana; Larrañaga, Mikel; Gutiérrez, Julián

    2017-01-01

    The dramatic eruption of information and communication technology has had a remarkable effect on modern life, including the capacity to help older adults improve their quality of life and remain independent longer. However, while technology use is generally widespread, there is an observable underutilization by older people. There is sound…

  14. Molecular diversity and association mapping of fiber quality traits in exotic G. hirsutum L. germplasm

    USDA-ARS?s Scientific Manuscript database

    The narrow genetic base of cultivated cotton germplasm is hindering the cotton production worldwide. Although potential genetic diversity exists in Gossypium genus, it is largely 'underutilized' due to photoperiodism and the lack of innovative tools to overcome such challenges. The application of ...

  15. Human Resources Underutilized: The Plight of Women on Campus!

    ERIC Educational Resources Information Center

    McGinty, Robert L.

    2010-01-01

    Legal, cultural, and ethical considerations impact decisions of organizations and those of the individuals who aspire to assume their rightful role in them as students enrolled at universities or as aspiring employees in business firms. An ongoing question emerges, however, concerning the barriers and cultural attitudes toward women (and…

  16. Incorporating Primary Literature in Undergraduate Crop Science Courses

    ERIC Educational Resources Information Center

    Scott, Lori K.; Simmons, Steve R.

    2006-01-01

    Primary literature is an underutilized learning resource for undergraduate courses in crop science. Reading assignments from scientific journals were utilized in an undergraduate University of Minnesota crop physiology course at Southwest Minnesota State University from 2002 to 2004. The subjects of the articles corresponded to the lecture topics.…

  17. A Profile of Bereavement Supports in African American Church Congregations.

    ERIC Educational Resources Information Center

    Moore, Penelope J.; Hazell, LaVone V.; Honeyghan, Edna M.

    Bereavement educators, counselors, clergy, and other specialists have observed that African Americans tend to under-utilize end-of-life palliative care services and general bereavement resources. The literature suggests that involving clergy in outreach to the African American community may be a viable strategy for developing bereavement supports.…

  18. 48 CFR 19.1303 - Status as a HUBZone small business concern.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... REGULATION SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Historically Underutilized Business Zone (HUBZone) Program 19.1303 Status as a HUBZone small business concern. (a) Status as a HUBZone small business concern is determined by the Small Business Administration (SBA) in accordance with 13 CFR part 126. (b) If...

  19. 48 CFR 19.1303 - Status as a HUBZone small business concern.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... REGULATION SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Historically Underutilized Business Zone (HUBZone) Program 19.1303 Status as a HUBZone small business concern. (a) Status as a HUBZone small business concern is determined by the Small Business Administration (SBA) in accordance with 13 CFR part 126. (b) If...

  20. 48 CFR 19.1303 - Status as a HUBZone small business concern.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... REGULATION SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Historically Underutilized Business Zone (HUBZone) Program 19.1303 Status as a HUBZone small business concern. (a) Status as a HUBZone small business concern is determined by the Small Business Administration (SBA) in accordance with 13 CFR part 126. (b) If...

  1. 48 CFR 19.1303 - Status as a HUBZone small business concern.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... REGULATION SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Historically Underutilized Business Zone (HUBZone) Program 19.1303 Status as a HUBZone small business concern. (a) Status as a HUBZone small business concern is determined by the Small Business Administration (SBA) in accordance with 13 CFR part 126. (b) If...

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

    Litchfield, J.H.; Inglett, G.E.; Weber, C.W.

    Unconventional protein sources from cereals; citrulis, apodanthera, cucurbita, and hibiscus seeds; nonconventional legume grains; and leaves are explored. Single-celled proteins and expanded uses for fish protein from underutilized species are examined. Economic considerations of the protein sources and the need for future research are assessed. Present dwindling supplies of protein dictate the need for future research.

  3. The Mexican-American in the Health Care System.

    ERIC Educational Resources Information Center

    Stambler, Moses

    Mexican Americans differ from Anglo Americans in their types of health problems, relation to the American health care system, and responses to health care. Mexican Americans tend to underutilize available health resources because of fear of discrimination, perception of health workers as government representatives, and language and cultural…

  4. 48 CFR 19.1303 - Status as a qualified HUBZone small business concern.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Status as a qualified... ACQUISITION REGULATION SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Historically Underutilized Business Zone (HUBZone) Program 19.1303 Status as a qualified HUBZone small business concern. (a) Status as a qualified...

  5. The successful use of simple tube duodenostomy in large duodenal perforations from varied etiologies

    PubMed Central

    Kutlu, Onur C.; Garcia, Steven; Dissanaike, Sharmila

    2012-01-01

    INTRODUCTION Tube decompression of the duodenum is an old but underutilized technique known to decrease morbidity and mortality in patients with difficult to manage duodenal injuries. Broad arrays of techniques have been described in the literature and are reviewed, but most are complex procedures not appropriate for the management of an unstable patient. PRESENTATION OF CASE In this paper we describe the technique of tube duodenostomy and the successful application in three cases of large defects (>3 cm) which two of these cases had failed previous repair attempts. The defects were caused by very different etiologies, including blunt trauma, peptic ulcer disease and erosion from cancer. All were finally managed by application of tube duodenostomy with success. DISCUSSION Patients with “difficult to manage duodenum” usually present with hemodynamic instability with hostile abdomen. Complex procedures in an unstable patient are associated with adverse outcomes. In patients with significant comorbidities and instability the damage control principle of trauma surgery is gaining popularity. Tube duodenostomy technique described in this paper fits in well with that principle. CONCLUSION Application of tube duodenostomy instead of a complex procedure in an unstable patient provides an opportunity to stabilize the patient, converting an impending catastrophe to a future scheduled surgery. PMID:23357008

  6. Looking for a substituent of spinach (Spinacia oleracea) chloroplasts

    NASA Astrophysics Data System (ADS)

    Chang, Ying Ping; Yeoh, Loo Yew; Chee, Swee Yong; Lim, Tuck Meng

    2017-04-01

    Spinach's chloroplasts electron transport features are often adapted to build biofuel cells or biosensors for environment conservation. This approach may raise food security issues. The present study aimed to test on in vitro functional activity of chloroplasts from selected underutilized leaves of: Pandan (Pandanus amaryllifolius), oil palm (Elaeis guineensis) and water lettuce (Pistia stratiotes) in comparison with spinach (Spinacia oleracea). The leaves' electrical conductivity was measured to evaluate the initial cell permeability. We applied Hill's reaction to determine the photoreduction capacity of the chloroplasts. Initial electrical conductivity of leaves ranged from 11.5 to 18.5 µs/cm/g followed the order of water lettuce

  7. Freezing: an underutilized food safety technology?

    PubMed

    Archer, Douglas L

    2004-01-15

    Freezing is an ancient technology for preserving foods. Freezing halts the activities of spoilage microorganisms in and on foods and can preserve some microorganisms for long periods of time. Frozen foods have an excellent overall safety record. The few outbreaks of food-borne illness associated with frozen foods indicate that some, but not all human pathogens are killed by commercial freezing processes. Freezing kills microorganisms by physical and chemical effects and possibly through induced genetic changes. Research is needed to better understand the physical and chemical interactions of various food matrices with the microbial cell during freezing and holding at frozen temperatures. The literature suggests that many pathogenic microorganisms may be sublethally injured by freezing, so research should be done to determine how to prevent injured cells from resuscitating and becoming infectious. Studies on the genetics of microbial stress suggest that the induction of resistance to specific stresses may be counteracted by, for example, simple chemicals. Research is needed to better understand how resistance to the lethal effect of freezing is induced in human pathogens and means by which it can be counteracted in specific foods. Through research, it seems possible that freezing may in the future be used to reliably reduce populations of food-borne pathogens as well as to preserve foods.

  8. Screening and counseling for childhood obesity: results from a national survey.

    PubMed

    Sesselberg, Tracy S; Klein, Jonathan D; O'Connor, Karen G; Johnson, Mark S

    2010-01-01

    To examine family physicians' beliefs and practices about using body mass index (BMI) percentiles to screen for childhood overweight and obesity. Surveys about management of childhood overweight were mailed to 1800 American Academy of Family Physician members in 2006. 729 surveys were returned; 445 were eligible. Most (71%) members were familiar with BMI guidelines; 41% were familiar with American Academy of Family Physician recommendations about overweight. Most (78%) had tools available to calculate BMI; fewer have enough time for overweight screening (55%), and only 45% reported computing BMI percentile at most or every well visit for children older than 2. Having an electronic health record increased BMI screening rates. Family physicians felt prepared to discuss weight, but only 43% believed their counseling was effective and many (55%) lack community or referral services. Most (72%) wanted simple diet and exercise recommendations for patients. Reimbursement for weight-related services is insufficient: 86% say that patients cannot pay for services not covered by insurance. Factor analysis identified clinician self-efficacy, resources, and reimbursement as factors related to calculating BMI percentiles. BMI is underutilized by family physicians. Most believe they should try to prevent overweight and have tools to use BMI, but clinicians have few resources available for treatment, have low self-efficacy, and report inadequate reimbursement.

  9. Methods and approaches in the topology-based analysis of biological pathways

    PubMed Central

    Mitrea, Cristina; Taghavi, Zeinab; Bokanizad, Behzad; Hanoudi, Samer; Tagett, Rebecca; Donato, Michele; Voichiţa, Călin; Drăghici, Sorin

    2013-01-01

    The goal of pathway analysis is to identify the pathways significantly impacted in a given phenotype. Many current methods are based on algorithms that consider pathways as simple gene lists, dramatically under-utilizing the knowledge that such pathways are meant to capture. During the past few years, a plethora of methods claiming to incorporate various aspects of the pathway topology have been proposed. These topology-based methods, sometimes referred to as “third generation,” have the potential to better model the phenomena described by pathways. Although there is now a large variety of approaches used for this purpose, no review is currently available to offer guidance for potential users and developers. This review covers 22 such topology-based pathway analysis methods published in the last decade. We compare these methods based on: type of pathways analyzed (e.g., signaling or metabolic), input (subset of genes, all genes, fold changes, gene p-values, etc.), mathematical models, pathway scoring approaches, output (one or more pathway scores, p-values, etc.) and implementation (web-based, standalone, etc.). We identify and discuss challenges, arising both in methodology and in pathway representation, including inconsistent terminology, different data formats, lack of meaningful benchmarks, and the lack of tissue and condition specificity. PMID:24133454

  10. Solidify, An LLVM pass to compile LLVM IR into Solidity

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

    Kothapalli, Abhiram

    The software currently compiles LLVM IR into Solidity (Ethereum’s dominant programming language) using LLVM’s pass library. Specifically, his compiler allows us to convert an arbitrary DSL into Solidity. We focus specifically on converting Domain Specific Languages into Solidity due to their ease of use, and provable properties. By creating a toolchain to compile lightweight domain-specific languages into Ethereum's dominant language, Solidity, we allow non-specialists to effectively develop safe and useful smart contracts. For example lawyers from a certain firm can have a proprietary DSL that codifies basic laws safely converted to Solidity to be securely executed on the blockchain. Inmore » another example, a simple provenance tracking language can be compiled and securely executed on the blockchain.« less

  11. Septic safe interactions with smart glasses in health care.

    PubMed

    Czuszynski, K; Ruminski, J; Kocejko, T; Wtorek, J

    2015-08-01

    In this paper, septic safe methods of interaction with smart glasses, due to the health care environment applications consideration, are presented. The main focus is on capabilities of an optical, proximity-based gesture sensor and eye-tracker input systems. The design of both interfaces is being adapted to the open smart glasses platform that is being developed under the eGlasses project. Preliminary results obtained from the proximity sensor show that the recognition of different static and dynamic hand gestures is promising. The experiments performed for the eye-tracker module shown the possibility of interaction with simple Graphical User Interface provided by the near-to-eye display. Research leads to the conclusion of attractiveness of collaborative interfaces for interaction with smart glasses.

  12. THE USE OF THE LIGASURE™ DEVICE FOR SCROTAL ABLATION IN MARSUPIALS.

    PubMed

    Cusack, Lara; Cutler, Daniel; Mayer, Joerg

    2017-03-01

    Five sugar gliders ( Petaurus breviceps ), ranging in age from 3 mo to 3.5 yr of age, and one opossum ( Didelphis virginianus ), age 4.5 mo, presented for elective orchiectomy and scrotal ablation. The LigaSure™ device was safely used for orchiectomy and scrotal ablation in both species. Surgical time with the LigaSure was approximately 4 sec. No grooming of the incision site or self-mutilation was seen in the first 72 hr postoperatively. One sugar glider required postoperative wound care approximately 10 days postoperatively following incision-site grooming by a conspecific. The LigaSure provides a rapid, technologically simple and safe surgical technique for scrotal ablation and orchiectomy in the marsupial patient that minimizes surgical, anesthetic, and recovery times.

  13. Single Visit Feeding Appliance for 1-day-old Neonate with Cleft Palate Using Safe Dental Putty-Gauze Hybrid Impression Technique for Maxillary Impression.

    PubMed

    Rathee, Manu

    2015-01-01

    Cleft lip and palate is one of the most common craniofacial anomalies of humans. Intraoral impression making is the first clinical step in the fabrication of feeding appliance for infants with oro-nasal communication. It is difficult to control the flow of the impression material in the cleft area and undercuts in a child patient. This clinical report presents a simple and safe impression technique for maxillary impression making in neonates and infants with cleft palate. A gauze piece was used to confine the impression material during functional movements of sucking while impression making in an awake child to avoid the risk of aspiration or swallowing.

  14. Transrectal ultrasound-guided extraction of impacted prostatic urethral calculi: a simple alternative to endoscopy

    PubMed Central

    Amend, Gregory; Gandhi, Jason; Smith, Noel L.; Weissbart, Steven J.; Schulsinger, David A.; Joshi, Gargi

    2017-01-01

    Urethral stones can become impacted in the posterior urethra, typically presenting with varying degrees of acute urinary retention and lower urinary tract symptoms. These are traditionally treated in the inpatient setting, with external urethrotomy or endoscopic push-back of the calculus into the urinary bladder followed by cystolitholapaxy or cystolithotripsy. However, these methods are invasive, involve general anesthesia, and require radiation. In this report, we describe a simple, minimally invasive, and safe alternative technique to visualize and remove impacted prostatic urethral stones under the real-time guidance of transrectal ultrasonography (TRUS). The urologist can accomplish this procedure in the office, avoiding radiation exposure to the patient and hospital admission. PMID:28725602

  15. A Hair & a Fungus: Showing Kids the Size of a Microbe

    ERIC Educational Resources Information Center

    Richter, Dana L.

    2013-01-01

    A simple method is presented to show kids the size of a microbe--a fungus hypha--compared to a human hair. Common household items are used to make sterile medium on a stove or hotplate, which is dispensed in the cells of a weekly plastic pill box. Mold fungi can be easily and safely grown on the medium from the classroom environment. A microscope…

  16. Synthetic Nanovaccines Against Respiratory Pathogens (SYNARP)

    DTIC Science & Technology

    2010-07-01

    nanoscale delivery systems can provide versatile platforms for development of effective, safe, and cost-efficient vaccines. The materials used in these...polymers was estimated by calculating the degree of polymerization (DP) using the peak area normalized with the protons representing hydrolyzed and...structures can be prototyped very easily and rapidly using a simple mask. In this work, the desired 5x5 array of discrete wells was created using

  17. Command and Control of Teams of Autonomous Units

    DTIC Science & Technology

    2012-06-01

    done by a hybrid genetic algorithm (GA) particle swarm optimization ( PSO ) algorithm called PIDGION-alternate. This training algorithm is an ANN ...human controller will recognize the behaviors as being safe and correct. As the HyperNEAT approach produces Artificial Neural Nets ( ANN ), we can...optimization technique that generates efficient ANN controls from simple environmental feedback. FALCONET has been tested showing that it can produce

  18. Development and Evaluation of a Leaflet for Concerned Family Members and Friends: "It's Safe to Talk about Suicide"

    ERIC Educational Resources Information Center

    Owens, Christabel; Charles, Nigel

    2017-01-01

    Objectives: Significant others can play a key role in suicide prevention, but little attention has been given to the resources they may need in order to do so effectively. Based on previous qualitative research and working in partnership with suicide prevention charities, we developed a simple educational leaflet to help family members and friends…

  19. [Errors and dangers in use of the surgical stapler in lung surgery].

    PubMed

    Junginger, T; Walgenbach, S

    1989-01-01

    The staple closure of the bronchus, like the manual technique, depends on some essential prerequisites: vascular supply, the length and thickness of the bronchial stump, the resection line, the type of stapler and the size of staples used. GIA 55 or 90 instruments allow safe and simple closure of lung parenchyma. Familiarity with the stapling technique is essential for success.

  20. Jenny's ABC's: AIDS, Blood, and Children. A Guide for Adults To Read with Elementary Age Children.

    ERIC Educational Resources Information Center

    Simpson, Christine

    This guide, written in simple language appropriate for young children, uses a direct, conversational style to explain Acquired Immune Deficiency Syndrome (AIDS), how safely and comfortably to be with individuals who have AIDS, and how to avoid contracting the disease. The text is in the voice of an 11-year-old girl whose uncle died of AIDS. It…

  1. The convection stack - a device for ridding pit toilets of bad odor

    Treesearch

    J. Alan Wagar

    1962-01-01

    One of the common problems on outdoor recreation areas is that pit toilets smell bad. Flush plumbing is one answer to the problem. But pit toilets are needed in many places where modern sewage systems are economically or physically impractical. To reduce the smell of the pit toilet, one simple, safe, and inexpensive device that can be used is the convection stack....

  2. Effect of enzymatic treatment of extracted sunflower proteins on solubility, amino acid composition, and surface activity.

    PubMed

    Conde, José Miñones; Escobar, María del Mar Yust; Pedroche Jiménez, Justo J; Rodríguez, Francisco Millán; Rodríguez Patino, Juan M

    2005-10-05

    Industrial proteins from agriculture of either animal or vegetable origin, including their peptide derivatives, are of great importance, from the qualitative and quantitative point of view, in food formulations (emulsions and foams). A fundamental understanding of the physical, chemical, and functional properties of these proteins is essential if the performance of proteins in foods is to be improved and if underutilized proteins, such as plant proteins (and their hydrolysates and peptides derivatives), are to be increasingly used in traditional and new processed food products (safe, high-quality, health foods with good nutritional value). In this contribution we have determined the main physicochemical characteristics (solubility, composition, and analysis of amino acids) of a sunflower protein isolate (SPI) and its hydrolysates with low (5.62%), medium (23.5%), and high (46.3%) degrees of hydrolysis. The hydrolysates were obtained by enzymatic treatment with Alcalase 2.4 L for DH 5.62 and 23.5% and with Alcalase 2.4 L and Flavorzyme 1000 MG sequentially for DH 46.3%. The protein concentration dependence on surface pressure (surface pressure isotherm), a measure of the surface activity of the products (SPI and its hydrolysates), was obtained by tensiometry. We have observed that the degree of hydrolysis has an effect on solubility, composition, and content of the amino acids of the SPI and its hydrolysates. The superficial activity and the adsorption efficiency were also affected by the degree of hydrolysis.

  3. Pilot study: safety and effectiveness of simple ultrasound-guided high-intensity focused ultrasound ablating uterine leiomyoma with a diameter greater than 10 cm.

    PubMed

    Hou, Ruijie; Wang, Liwei; Li, Shaoping; Rong, Fengmin; Wang, Yuanyuan; Qin, Xuena; Wang, Shijin

    2018-02-01

    The study aimed to prospectively investigate whether uterine leiomyoma greater than 10 cm in diameter could be treated with simple ultrasound-guided high-intensity focused ultrasound (USgHIFU) in one-time treatment. A total of 36 patients with 36 symptomatic uterine leiomyoma greater than 10 cm in diameter who underwent simple USgHIFU treatment alone were analysed. Enhanced MRI was performed before and after HIFU treatment, and all patients had follow-up for 6 months after treatment. Symptom severity scores, treatment time, treatment speed, ablation rate, energy effect ratio, uterine leiomyoma regression rate, adverse events, liver and kidney functions, coagulation function and routine blood count were included in the study endpoints. The mean diameter of uterine leiomyoma was 11.2 ± 1.3 cm (10.0-14.3 cm). The median treatment time and treatment speed were 104.0 min (90.0-140.0 min) and 118.8 cm 3  h -1  (86.2-247.1 cm 3  h -1 ), respectively. The ablation rate of uterine leiomyoma was 71.9 ± 20.4% (32.1-100.0%), and the regression rate of uterine leiomyoma was 40.8 ± 7.5% (25.6-59.9%) at 6 months after treatment. The mean symptom severity scores decreased by an average of approximately 8.6 ± 2.3 (5-14) points. There were no significant changes in haemogram and blood chemical indexes of patients, except for the transient elevation of aspartate aminotransferase, total bilirubin and white blood cells after treatment. No serious adverse reactions occurred. According to our preliminary results, simple USgHIFU is a safe and effective single-treatment method of treating uterine leiomyoma greater than 10 cm in diameter and is an almost innocuous alternative therapeutic strategy. Advances in knowledge: The conclusions indicate simple USgHIFU is safe and effective as one-time treatment of uterine leiomyoma greater than 10 cm in diameter, it could be a promising therapeutic strategy.

  4. Activist Scholarship in Action: The Prevention of a Latino School Closure

    ERIC Educational Resources Information Center

    Valencia, Richard R.

    2012-01-01

    Primarily because of underutilized schools (caused by declining enrollments) and the need to address budgetary deficits brought on by dramatic reductions in average daily attendance, many public school districts, in decades past and the present, have been forced to close numerous schools across the nation. The school boards of these economically…

  5. Business Intelligence: The Smart Way to Track Academic Collections

    ERIC Educational Resources Information Center

    Kelly, Debra

    2005-01-01

    University collections are a vital source of knowledge for researchers and often a source of pride for universities. Without an effective way to manage and query them, however, collections often go underutilized. Parts of a collection can remain untapped for years, and the larger it grows, the more difficult management becomes. Unfortunately,…

  6. Patently Obvious: The Place for Patents in Information Literacy in the Sciences

    ERIC Educational Resources Information Center

    MacMillan, Don

    2005-01-01

    Patents are an underutilized source of scientific information, particularly in the life and health sciences. Patents and patent applications usually contain the first disclosure of new technologies and processes and serve to link theory with practice, providing "real world" examples of the application of scientific research. Increasingly,…

  7. Rural Hispanic Counselor and Student Perspectives and Their Roles in Providing Improved Secondary Guidance Counseling

    ERIC Educational Resources Information Center

    Friesenhahn-Soliz, Grace; Bain, Steve; Maxwell, Gerri

    2015-01-01

    School counselors can serve as agents of change in our nation's schools, particularly for marginalized students whose voices are frequently not heard. Historically, the role of the school counselor has been under-utilized and inaccurately defined. Research available on counselor role definition has been primarily quantitative. Research on…

  8. Ryerson University's Internationally Trained Medical Doctors Bridging Program: Preliminary Results from a Pilot Program

    ERIC Educational Resources Information Center

    Bhuiyan, Shafi U.

    2018-01-01

    Although Canada is home to a large number of internationally educated health professionals, their skills and experiences are grossly underutilized in the Canadian healthcare landscape. Barriers to medical practice are pervasive, and as a result, the majority of internationally trained medical doctors (ITMDs) work in "survival" jobs…

  9. Removal of Heavy Metal Contamination from Peanut Skin Extracts by Waste Biomass Adsorbents

    USDA-ARS?s Scientific Manuscript database

    Each year, 3.6 million pounds of peanuts are harvested in the United States. Consequent processing, however, generates large amounts of waste biomass as only the seed portion of the fruit is consumed. The under-utilization of waste biomass is a lost economic opportunity to the industry. In particula...

  10. Mental Health Service Utilization among African American and Caucasian Mothers and Fathers

    ERIC Educational Resources Information Center

    Thurston, Idia B.; Phares, Vicky

    2008-01-01

    Mental health services have been routinely underutilized. This study investigated the influence of parents' gender, race, and psychopathology on perceived barriers and attitudes toward mental health utilization for themselves and for their children. A unique contribution of this study is the examination of father, mother, and child factors…

  11. Design tool for inventory and monitoring

    Treesearch

    Charles T. Scott; Renate Bush

    2009-01-01

    Forest survey planning typically begins by determining the area to be sampled and the attributes to be measured. All too often the data are collected but underutilized because they did not address the critical management questions. The Design Tool for Inventory and Monitoring (DTIM) is being developed by the National Inventory and Monitoring Applications Center in...

  12. Refer2Quit: Impact of Web-Based Skills Training on Tobacco Interventions and Quitline Referrals

    ERIC Educational Resources Information Center

    Carpenter, Kelly M.; Carlini, Beatriz H.; Painter, Ian; Mikko, A. Tasha; Stoner, Susan A.

    2012-01-01

    Introduction: Tobacco quitlines (QLs) provide effective evidence-based tobacco cessation counseling, yet they remain underutilized. Barriers to utilization include the lack of referrals by health care providers who typically have little knowledge about QLs and low self-efficacy for providing tobacco interventions. In order to educate providers…

  13. Cotton: A Massively Underutilized and Often Overlooked Protein and Biomass Resource

    USDA-ARS?s Scientific Manuscript database

    Every year the cotton crop on the planet produces about 11 million metric tons of protein. Unfortunately, the cotton plant has also evolved a chemical defense mechanism, a toxin (gossypol) that resides in tiny but visible pigment glands. Having a phenotypic marker for the toxin is unique and has all...

  14. Barriers to Shared Use of Indoor and Outdoor Facilities at US Elementary Schools

    ERIC Educational Resources Information Center

    Turner, Lindsey; Calvert, Hannah G.; Chaloupka, Frank J.

    2018-01-01

    Background: School policies and practices, such as the sharing of school facilities with the surrounding community, support physical activity among students and community members, but are often underutilized. This study examined variations in shared use practices, and associations with perceived barriers. Methods: Surveys were completed by a…

  15. Teaching Artists as Leaders: What Is Missing in Arts Organizations

    ERIC Educational Resources Information Center

    Saraniero, Patricia

    2004-01-01

    Running an arts organization is not an easy undertaking in the United States. Political dramas, artistic differences, financial struggles and seemingly smaller audiences present great challenges to those who work to maintain professional arts in our communities. As arts organizations search for solutions, there is an underutilized resource in most…

  16. Leading School Improvement: African American Women Principals in Urban Educational Settings

    ERIC Educational Resources Information Center

    Mack, Yejide S.

    2010-01-01

    African American women administrators working in urban educational settings have been found to be effective leaders of school improvement. Underutilized women and people of color are the untapped value that organizations of all types need to enhance creativity, change efforts, teamwork, and financial benefits (Northouse, 2001). During the last…

  17. Acceptability of School-Based Health Centers for Human Papillomavirus Vaccination Visits: A Mixed-Methods Study

    ERIC Educational Resources Information Center

    Hansen, Caitlin E.; Okoloko, Edirin; Ogunbajo, Adedotun; North, Anna; Niccolai, Linda M.

    2017-01-01

    Background: Countries with high human papillomavirus (HPV) vaccination rates have achieved this success largely through school-based vaccination. Using school-based health centers (SBHCs) in the United States, where HPV vaccine remains underutilized, could improve uptake. In this mixed-methods study, we examined acceptability, facilitators, and…

  18. Brownfields to School Sites: How Can the State Facilitate Cleanup To Build Essential Schools?

    ERIC Educational Resources Information Center

    California State Legislature, Sacramento. Select Committee on Environmental Justice.

    This document presents background information and testimony concerning the cleanup of potentially contaminated vacant or underutilized property for use as future school sites in low-income and minority communities. Various proposals are offered that would allow the state, where necessary, to facilitate the cleanup of these "brownfields"…

  19. Students as Photo Activists: Using Cameras in the Classroom for Social Change

    ERIC Educational Resources Information Center

    Sánchez, Lenny

    2015-01-01

    Although widely accessible, photography continues to be underutilized as an educative tool. In this article, I discuss a need for photography to garner greater presence in the classroom, in particular as students link classroom learning to democratic pursuits. To facilitate this process, I propose photo activism as a useful mechanism for…

  20. An update on the use of rice in value-added food products.

    USDA-ARS?s Scientific Manuscript database

    Because of the huge quantity of rice produced annually, milled-rice co-products; such as, rice flour, rice bran, rice wax, and rice hull are plentiful and readily available. These co-products could be valuable sources of food ingredients, but they have been vastly under-utilized. This is a report ...

  1. Evaluation Issues in the Comprehensive Employment and Training Act (CETA) Legislation.

    ERIC Educational Resources Information Center

    Spirer, Janet E.

    Underutilization of evaluation findings relative to the Comprehensive Employment and Training Act (CETA) legislation may not stem primarily from factors usually identified in the literature (e.g., methodological reasons) but may be superseded by a more potent factor such as the prominence of the policy or program on the national agenda. Viewed…

  2. Unique Approach to Creating and Implementing a Social Media Strategic Plan

    ERIC Educational Resources Information Center

    Davis, Jamie; Dishon, Karissa

    2017-01-01

    Social media is a valuable communication, outreach, and marketing tool, yet Extension educators often underutilize social media due to concerns related to lack of guidance and perceived risks. This article showcases a unique approach to creating a social media strategic plan that applies best practices from the field of marketing and addresses…

  3. Mass Media, Education, and a Better Society.

    ERIC Educational Resources Information Center

    Stein, Jay W.

    In an examination of the conflict between the mass media and public education, the author concludes that a pressing need exists for better understanding and cooperation between the two and calls for action which involves them both. The overcommunication of the media and the under-utilization of the media toward constructive ends are examined.…

  4. Underutilization of Mental Health Services among College Students: An Examination of System-Related Barriers

    ERIC Educational Resources Information Center

    Marsh, Carey N.; Wilcoxon, S. Allen

    2015-01-01

    Despite the documented benefits of counseling and mental health services on academic performance and degree attainment, only about 10% of psychologically distressed college students ever seek professional help. This investigation examined mental health care system-related barriers that might distinguish help seekers from nonhelp seekers among…

  5. Small-diameter trees used for chemithermomechanical pulps.

    Treesearch

    Gary C. Myers; R. James Barbour; Said M. Abubakr

    1999-01-01

    During the course of restoring and maintaining forest ecosystem health and function in the western interior of the United States, many small-diameter stems are removed from densely stocked stands. In general, these materials are considered nonusable or underutilized. Information on the properties of these resources is needed to help managers understand when timber...

  6. Increasing Access for Low-Income Students and Making Financial Education a Priority for Higher Education

    ERIC Educational Resources Information Center

    Kezar, Adrianna

    2009-01-01

    While widespread financial illiteracy and reduced opportunities for low-income students to participate in higher education may seem unrelated, both challenges can be addressed through Individual Development Accounts (IDAs), an existing but widely underutilized tool. IDAs have the potential both to increase access and retention of low-income…

  7. An Empirical Examination of Individual and System Characteristics on Enhancing E-Learning Acceptance

    ERIC Educational Resources Information Center

    Lee, Yi-Hsuan; Hsiao, Chan; Purnomo, Sutrisno Hadi

    2014-01-01

    Due to the continued prevalence of e-learning underutilization in Indonesia's higher education context, this study empirically examines individual and system characteristics believed to influence students' acceptance of e-learning systems. The proposed research model is developed to examine the influence of five characteristics of the Technology…

  8. Constraints, Resources, and Interpretative Schema: Explorations of Teachers' Decisions to Utilize, Under-Utilize or Ignore Technology

    ERIC Educational Resources Information Center

    Pereira-Leon, Maura J.

    2010-01-01

    This three-year study examined how participation in a 10-month technology-enhanced professional development program (PDP) influenced K-12 teachers' decisions to utilize or ignore technology into teaching practices. Carspecken's (1996) qualitative research methodology of Critical Ethnography provided the theoretical and methodological framework to…

  9. Educator Teams up to Teach Finance to Young Children

    ERIC Educational Resources Information Center

    O'Neil-Haight, Megan

    2010-01-01

    Based on current research and conventional wisdom, financial education should begin at an early age. With the exception of a few generally underutilized in-school banking programs, Maryland's Lower Eastern Shore, like so many other areas across the nation, has few or no school-based financial literacy programs. A partnership with 23 public,…

  10. Thinking Critically in Space: Toward a Mixed-Methods Geospatial Approach to Education Policy Analysis

    ERIC Educational Resources Information Center

    Yoon, Ee-Seul; Lubienski, Christopher

    2018-01-01

    This paper suggests that synergies can be produced by using geospatial analyses as a bridge between traditional qualitative-quantitative distinctions in education research. While mapping tools have been effective for informing education policy studies, especially in terms of educational access and choice, they have also been underutilized and…

  11. Predictors of Initial Engagement in Child Anxiety Mental Health Specialty Services

    ERIC Educational Resources Information Center

    Zerr, Argero A.; Pina, Armando A.

    2014-01-01

    Background: Child and family mental health services remain largely underutilized despite the relatively high rate of youth suffering from mental, emotional, and behavioral disorders. As such, it is important to address challenges and examine factors related to child mental health service use and engagement, especially when it comes to children in…

  12. Incorporating Concept Mapping in Project-Based Learning: Lessons from Watershed Investigations

    ERIC Educational Resources Information Center

    Rye, James; Landenberger, Rick; Warner, Timothy A.

    2013-01-01

    The concept map tool set forth by Novak and colleagues is underutilized in education. A meta-analysis has encouraged teachers to make extensive use of concept mapping, and researchers have advocated computer-based concept mapping applications that exploit hyperlink technology. Through an NSF sponsored geosciences education grant, middle and…

  13. Confucianism and Accents: Understanding the Plight of the Asian International Student in the U.S.

    ERIC Educational Resources Information Center

    Young, Jennifer T.

    2017-01-01

    Research has shown that international students experience acculturation stress while adjusting to life in the U.S., resolving over time. However, acculturation stress can be exacerbated by several factors, leading to a negative impact on academic performance and general wellness. Asian international students traditionally underutilize counseling…

  14. Mathematical Power: Exploring Critical Pedagogy in Mathematics and Statistics

    ERIC Educational Resources Information Center

    Lesser, Lawrence M.; Blake, Sally

    2007-01-01

    Though traditionally viewed as value-free, mathematics is actually one of the most powerful, yet underutilized, venues for working towards the goals of critical pedagogy--social, political and economic justice for all. This emerging awareness is due to how critical mathematics educators such as Frankenstein, Skovsmose and Gutstein have applied the…

  15. High speed photography and photonics applications: An underutilized technology

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

    Paisley, D.L.

    1996-10-01

    Snapshot: Paisley describes the development of high-speed photography including the role of streak cameras, fiber optics, and lasers. Progress in this field has created a powerful tool for viewing such ultrafast processes as hypersonic events and ballistics. {copyright} {ital 1996 Optical Society of America.} [1047-6938-96-10-9939-04

  16. Developing Real Estate: How to Make the Most of an Underutilized Asset.

    ERIC Educational Resources Information Center

    Hughes, K. Scott; And Others

    1991-01-01

    Colleges and universities with mounting deficits may be tempted to sell surplus land for profit, but this is never a smart long-term choice. Through joint ventures and innovative financing, institutions can transform such holdings into development projects. In the current economy, there may be increased interest in such sites. (MSE)

  17. Training in a Clozapine Clinic for Psychiatry Residents: A Plea and Suggestions for Implementation

    ERIC Educational Resources Information Center

    Freudenreich, Oliver; Henderson, David C.; Sanders, Kathy M.; Goff, Donald C.

    2013-01-01

    Objective: The authors sought to develop a model educational clinic and curriculum for psychiatric residents, to increase knowledge and comfort about clozapine prescribing. This matters because clozapine is an important evidence-based treatment for refractory schizophrenia that remains underutilized in clinical practice. Method: This is a…

  18. Catalysts of Economic Innovation: Building on the Applied Research Capacity of Ontario Colleges. ACAATO Document

    ERIC Educational Resources Information Center

    Association of Colleges of Applied Arts and Technology of Ontario, 2006

    2006-01-01

    Ontario's economic productivity, competitiveness and growth in the 21st century depend on investments in three critical areas: highly qualified people, ideas (research and development), and the adoption and diffusion of new technologies. Compared to many other jurisdictions, Ontario is underutilizing its college system's potential to contribute to…

  19. "Demi-Nationalism" in Higher Education: Women in Canadian and Australian Universities.

    ERIC Educational Resources Information Center

    Tancred-Sheriff, Peta

    1988-01-01

    It is proposed that Canadian universities are "alien" to women because they are dominated by men, have a large proportion of faculty who are not Canadian citizens, and are underutilizing the talents of the female half of the nation's population. Comparisons are made between the Canadian and Australian situations. (MSE)

  20. Mechanism of cadmium ion removal by base treated juniper fiber

    Treesearch

    Soo-Hong Min; J.K. Park; James S. Han; Eun Woo Shin

    2003-01-01

    Pinyon juniper, Juniperus Monosperma, is a small-diameter and underutilized (SDU) lignocellulosic material. Evaluated were efficacy of base-treated juniper fiber (BTJF) sample for cadmium (Cd 2+ ) sorption and the viability of juniper fiber as a sorbent for the removal of Cd 2+ from water. Fourier Transform Infrared Spectroscopy (FTIR) analysis indicated that...

  1. Towards a global barcode library for Lymantria (Lepidoptera: Lymantriinae) tussock moths of biosecurity concern

    Treesearch

    Jeremy R. deWaard; Andrew Mitchell; Melody A. Keena; David Gopurenko; Laura M. Boykin; Karen F. Armstrong; Michael G. Pogue; Joao Lima; Robin Floyd; Robert H. Hanner; Leland M. Humble

    2010-01-01

    This study demonstrates the efficacy of DNA barcodes for diagnosing species of Lymantria and reinforces the view that the approach is an under-utilized resource with substantial potential for biosecurity and surveillance. Biomonitoring agencies currently employing the NB restriction digest system would gather more information by transitioning to the...

  2. Educational Research Environments in the Developing World.

    ERIC Educational Resources Information Center

    Shaeffer, Sheldon, Ed.; Nkinyangi, John A., Ed.

    In much of the developing world, research environments are in many ways the same--burdened by the same weight of colonial dependency, underfinanced, and with products undervalued and underutilized. The primary purpose of this book is to analyze such environments for the sake of assessing whether and how they might be changed to enhance national…

  3. Growth and Resistance: How Deweyan Pragmatism Reconstructs Social Justice Education

    ERIC Educational Resources Information Center

    Nelsen, Peter J.

    2016-01-01

    While "Democracy and Education" is often cited within the scholarship on and teaching of social justice education, it and Dewey's work generally remain underutilized. Peter Nelsen argues in this essay that Deweyan pragmatism offers rich resources for social justice education by exploring how Dewey's three-part conception of growth has…

  4. 45 CFR 12a.10 - Action on approved applications.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... REAL PROPERTY TO ASSIST THE HOMELESS § 12a.10 Action on approved applications. (a) Unutilized and underutilized properties. (1) When HHS approves an application, it will so notify the applicant and forward a... 45 Public Welfare 1 2011-10-01 2011-10-01 false Action on approved applications. 12a.10 Section...

  5. 45 CFR 12a.10 - Action on approved applications.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... REAL PROPERTY TO ASSIST THE HOMELESS § 12a.10 Action on approved applications. (a) Unutilized and underutilized properties. (1) When HHS approves an application, it will so notify the applicant and forward a... 45 Public Welfare 1 2010-10-01 2010-10-01 false Action on approved applications. 12a.10 Section...

  6. 3D engineered fiberboard : a new structural building product

    Treesearch

    John F. Hunt; Jerrold E. Winandy

    2002-01-01

    To help meet the need for sustainable forest management tools, the USDA Forest Products Laboratory is developing an economically viable process to produce three-dimensional structural fibreboard products that can utilize a wide range of lignocellulosic fibres contained in the forest undergrowth and in underutilized timber. This will encourage the public and private...

  7. 3 CFR - Establishing an Interagency Task Force on Federal Contracting Opportunities for Small Businesses

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., including businesses owned by women, minorities, socially and economically disadvantaged individuals, and... Underutilized Business Zones (at least 3 percent) or that are owned by women (at least 5 percent), socially and... contracts—more work can and should be done. I am committed to ensuring that small businesses, including...

  8. Availability, Use and Value of Prior Learning Assessment within Community Colleges

    ERIC Educational Resources Information Center

    Brigham, Cathy; Klein-Collins, Rebecca

    2010-01-01

    The national imperative to improve postsecondary degree completion has led to various innovations within colleges and universities to improve student retention and academic success, particularly of non-traditional learners. One innovation that has been in use since the 1970s, but is often under-promoted and under-utilized within institutions, is…

  9. Educated Mis-Employment in Hong Kong: Earnings Effects of Employment in Unmatched Fields of Work.

    ERIC Educational Resources Information Center

    Chung, Yue-Ping

    1990-01-01

    Presents an empirical study on misemployment (the underutilization of worker's skills acquired through vocational education) in Hong Kong. Analyzes earnings functions of graduates from various educational fields and for workers employed in various fields. Misemployed graduates received lower earnings than their colleagues working in matched work…

  10. A flower in fruit's clothing: Pollination of jackfruit Artocarpus heterophyllus, Moraceae) by a new species of gall midge, Clinodiplosis ultracrepidata sp. nov. (Diptera: Cecidomyiidae)

    USDA-ARS?s Scientific Manuscript database

    Premise of the Research: Jackfruit (Artocarpus heterophyllus, Moraceae) is an emerging but underutilized crop whose pollination is poorly understood. We present a multidimensional investigation of the reproductive biology and chemical ecology of jackfruit and a putative pollinator, Clinodiplosis ult...

  11. Expressive/Exploratory Technical Writing (XTW) in Engineering: Shifting the Technical Writing Curriculum

    ERIC Educational Resources Information Center

    Warnock, Scott; Kahn, Michael

    2007-01-01

    While the importance of "expressive writing," or informal, self-directed writing, has been well established, teachers underutilize it, particularly in technical writing courses. We introduce the term expressive/exploratory technical writing (XTW), which is the use of informal, self-directed writing to problem-solve in technical fields. We describe…

  12. Wood-plastic composites utilizing wood flours derived from fast- growing trees common to the midwest

    USDA-ARS?s Scientific Manuscript database

    There are several non- or under-utilized hardwood trees common to the Midwestern states. Wood flour (WF) derived from fast-growing Midwest trees (Osage orange, Black Locust and Red Mulberry) were evaluated as a source of bio-based fiber reinforcements. Wood plastic composites (WPC) of high density p...

  13. Efficiency and design analysis of a solar thermal powered flat plate dryer (abstract)

    USDA-ARS?s Scientific Manuscript database

    Specialty crop fruit and vegetable pomaces are a common byproduct of the food processing and juicing industries. These pomaces can have high nutritional value, but are currently underutilized or treated as waste. Drum drying is one method that could be adopted to dry and stabilize fruit and vegetabl...

  14. Informing the improvement of forest products durability using small angle neutron scattering

    Treesearch

    Nayomi Plaza Rodriguez; Sai Venkatesh Pingali; Shuo Qian; William T. Heller; Joseph E. Jakes

    2016-01-01

    A better understanding of how wood nanostructure swells with moisture is needed to accelerate the development of forest products with enhanced moisture durability. Despite its suitability to study nanostructures, small angle neutron scattering (SANS) remains an underutilized tool in forest products research. Nanoscale moisture-induced structural changes in intact and...

  15. Library Power in Philadelphia: Final Report from Seven Case Studies.

    ERIC Educational Resources Information Center

    Useem, Elizabeth; Coe, Cati

    Library Power seeks to activate an underutilized resource--a school's library program--in ways that promote schoolwide changes in the curriculum and instruction. This three-year initiative of the DeWitt Wallace-Readers' Digest Fund, located in 19 sites across the country, connects elementary and middle school libraries more directly to classroom…

  16. Increasing Awareness and Talk Time through Free Messaging Apps

    ERIC Educational Resources Information Center

    Pollard, Andrew

    2015-01-01

    For many people, mobile phones are a part of modern life. Although the purpose of this technology revolves around language and communication, its application to language learning still appears to be underutilized. This is changing, as the widespread use of this handheld technology offers numerous opportunities to use functions that are ideal for…

  17. Characteristics of extraction and functionality of protein from tomato pomace produced with different industrial processing methods

    USDA-ARS?s Scientific Manuscript database

    The seeds from tomato pomace, a by-product of tomato processing, contains valuable but underutilized protein with unique functional properties. The objectives of this research were to study the impact of industrial hot and cold break tomato processing on protein extraction from defatted tomato seeds...

  18. Integrating Developmental Theory and Methodology: Using Derivatives to Articulate Change Theories, Models, and Inferences

    ERIC Educational Resources Information Center

    Deboeck, Pascal R.; Nicholson, Jody; Kouros, Chrystyna; Little, Todd D.; Garber, Judy

    2015-01-01

    Matching theories about growth, development, and change to appropriate statistical models can present a challenge, which can result in misuse, misinterpretation, and underutilization of different analytical approaches. We discuss the use of "derivatives": the change of a construct with respect to the change in another construct.…

  19. Complaints against Nursing Homes: Comparing Two Sources of Complaint Information and Predictors of Complaints

    ERIC Educational Resources Information Center

    Troyer, Jennifer L.; Sause, Wendy L.

    2011-01-01

    Purpose of the Study: Two consumer-derived measures of nursing home quality that have been underutilized by researchers are consumer complaints to the state certification agency between inspections and complaints to the Long-Term Care Ombudsman Program. This article describes these complaints, considers facility-level predictors of complaints, and…

  20. The Ohio Postsecondary Enrollment Opportunities (PSEO) Program: Understanding its Under-Utilization

    ERIC Educational Resources Information Center

    Smith, Marc A.; Place, A. William; Biddle, James R.; Raisch, C. Daniel; Johnson, Steven Lee; Wildenhaus, Colleen

    2007-01-01

    The Ohio PSEO Program is a legislated dual enrollment curricular offering. The program provides higher educational courses that are also credited at the high school and funded at state expense for qualifi ed students. Although individual and institutional benefits of the program abound (i.e., accelerated postsecondary completion, decreased…

  1. Mental Health Service Providers: College Student Perceptions of Helper Effectiveness

    ERIC Educational Resources Information Center

    Ackerman, Ashley M.; Wantz, Richard A.; Firmin, Michael W; Poindexter, Dawn C.; Pujara, Amita L.

    2014-01-01

    Undergraduate perceptions of the overall effectiveness of six types of mental health service providers (MHSPs) were obtained with a survey. Although many mental health services are available to consumers in the United States, research has indicated that these services are underutilized. Perceptions have been linked to therapeutic outcomes and may…

  2. Word-Processing "Efficiency"--By Means of Personalized Word-Frequency Lists.

    ERIC Educational Resources Information Center

    Coniam, David

    2001-01-01

    Examines the concept of the efficiency with which text is entered into a word processor--from the perspective of effective use of keyboard shortcuts. Illustrates how the possibility for productiveness offered by shortcuts, available through the use of features such as Autotext, are often under-utilized by many word processor users, academics being…

  3. Women's Social Networking: Steps that Organize Low-Technology Users with Emergency Needs

    ERIC Educational Resources Information Center

    Gary, Jon O.

    2011-01-01

    The purpose of the study was for the researcher to develop and have evaluated the content, organization and ease of use of a computer-training program "Emergency Response Quick Start" book based on Information and Communication Technology environmental designs. This book was most notably based on underutilized women social networking…

  4. Conceptualizing Concurrent Enrollment: Why High-Achieving Students Go For It

    ERIC Educational Resources Information Center

    Dare, Lynn; Nowicki, Elizabeth

    2015-01-01

    Research shows that carefully planned acceleration offers academic benefits with little social or emotional risk to high-ability learners. However, acceleration is underutilized and little is known about students' motivations to accelerate. In this study, 21 high-ability high school students in Grades 11 and 12 took part in a structured…

  5. Developing a Culturally Appropriate Depression Prevention Program: Opportunities and Challenges

    ERIC Educational Resources Information Center

    Cardemil, Esteban V.; Kim, Saeromi; Davidson, Tatiana; Sarmiento, Ingrid A.; Ishikawa, Rachel Zack; Sanchez, Monica; Torres, Sandra

    2010-01-01

    This paper describes the experiences of the first author and his colleagues in the development and implementation of a depression prevention program that specifically targets Latina mothers. Building on the earlier papers that highlight the underutilization of mental health services by Latinos in general, this paper will make the case that the…

  6. An Other Perspective on Personality: Meta-Analytic Integration of Observers' Accuracy and Predictive Validity

    ERIC Educational Resources Information Center

    Connelly, Brian S.; Ones, Deniz S.

    2010-01-01

    The bulk of personality research has been built from self-report measures of personality. However, collecting personality ratings from other-raters, such as family, friends, and even strangers, is a dramatically underutilized method that allows better explanation and prediction of personality's role in many domains of psychology. Drawing…

  7. The Underutilization of Occupational Therapy in Transdisciplinary Early Intervention Services

    ERIC Educational Resources Information Center

    Minard, Carey

    2018-01-01

    Early intervention (EI) services are mandated by Part C of The Individuals with Disabilities Education Act (IDEA, 2004). The EI team, a multidisciplinary team overseen by individual states, is charged with providing family-centered services to support child development in the natural environment. This article examines the use of occupational…

  8. Chicano Workers: Their Utilization and Development. Chicano Studies Center Publications Monograph No. 8.

    ERIC Educational Resources Information Center

    Romero, Fred E.

    Chicano human resources have never been properly utilized in the labor markets of the Southwest. The slow rate of Chicano economic growth can be attributed to underdevelopment of their skills, knowledge and talent and underutilization of their energies and capabilities. This book, a factual presentation of that underdevelopment and…

  9. Use of Specialty Mental Health Services by Asian Americans with Psychiatric Disorders

    ERIC Educational Resources Information Center

    Le Meyer, Oanh; Zane, Nolan; Cho, Young Il; Takeuchi, David T.

    2009-01-01

    Research suggests that Asian Americans underutilize mental health services but an understanding of the multiple factors involved in utilization has not been examined in a nationally representative sample. The current study analyzed data from the National Latino and Asian American Study (NLAAS) and examined 368 individuals with disorders to…

  10. Consumer preferences for kitchen cabinets made from red alder: a comparison to other hardwoods.

    Treesearch

    David L. Nicholls; Geoffrey H. Donovan; Joseph Roos

    2004-01-01

    In Alaska, red alder (Alnus rubra Bong.) is an abundant but commercially underutilized species despite having properties suitable for higher value products, including furniture and cabinetry. However, it laces the name recognition of mote traditional hardwoods. Our research measured the effect of this lack of familiarity on consumer preferences...

  11. Computers and Education: The Wrong Approach Continually Being Executed

    ERIC Educational Resources Information Center

    Walker, Jacob J.

    2005-01-01

    This opinion paper explores the use of computers in the U.S. Public Education System, concluding that technology is underutilized and not fulfilled most of the educational promises attributed to the tool. Drawing upon research and personal experience, the paper explores 8 possible reasons for the problem, including: the computer itself; not enough…

  12. Underutilized chokeberry (Aronia melanocarpa, Aronia arbutifolia, Aronia prunifolia) accessions are rich sources of anthocyanins, flavonoids, hydroxycinnamic acids, and proanthocyanidins.

    PubMed

    Taheri, Rod; Connolly, Bryan A; Brand, Mark H; Bolling, Bradley W

    2013-09-11

    Polyphenols from underutilized black, purple, and red aronia (Aronia melanocarpa, Aronia prunifolia, and Aronia arbutifolia) and 'Viking' (Aronia mitschurinii) berries were characterized. Anthocyanin and nonanthocyanin flavonoids were quantitated by UHPLC-DAD-MS and proanthocyanidins by normal-phase HPLC. On a dry weight basis, anthocyanins were mainly cyanidin-3-galactoside, highest in black aronia (3.4-14.8 mg/g) and lowest in red aronia (0.5-0.8 mg/g) as cyandin-3-galactoside equivalents. Berries from 'Viking' and the red accession UC021 had substantially more proanthocyanidins than the other accessions, with 3.3 and 3.8 mg catechin equiv/g, respectively. Chlorogenic acids and quercetin glycosides were most abundant in purple UC047 berries, at 17.3 and 1.3 mg/g, respectively. In contrast to anthocyanin content, total phenol values were highest in berries from red and purple accessions and attributed to phenolic acid and proanthocyanin content. Thus, red, purple, and black aronia berries are rich sources of polyphenols with various levels of polyphenol classes.

  13. Nutritional and anti-nutritional potential of three accessions of itching bean (Mucuna pruriens (L.) DC var. pruriens): an under-utilized tribal pulse.

    PubMed

    Kala, Balasubiramanian Kamatchi; Mohan, Veerabahu Ramasamy

    2010-08-01

    Three accessions of the under-utilized legume itching bean (Mucuna pruriens var. pruriens) were analysed for proximate composition, mineral profiles, vitamins (niacin and ascorbic acid), fatty acid profiles, amino acid profiles of total seed protein, in vitro protein digestibility and certain anti-nutritional factors. All three accessions of M. pruriens var. pruriens contained higher amounts of crude protein and crude lipid when compared with most of the commonly consumed pulses. The fatty acid profiles revealed that the seed lipids contained a higher concentration of palmitic acid and linoleic acids. Amino acid profiles of M. pruriens var. pruriens revealed that the seed protein contained relatively higher levels of certain essential amino acids compared with the FAO/WHO requirement pattern. The investigated seeds are rich in minerals such as potassium, calcium, magnesium, phosphorus, iron and manganese. Anti nutritional substances such as total free phenolics, tannins, 3,4-dihydroxyphenylalanine, phytic acid, hydrogen cyanide, trypsin inhibitor activity, oligosaccharides and phytohaemagglutinating activity were investigated. The anti-nutritional fatty acid, behenic acid, also was detected in the present study.

  14. The Burn Wound Exudate – an under-utilized resource

    PubMed Central

    Widgerow, Alan D; King, Kassandra; Tussardi, Ilaria Tocco; Banyard, Derek A.; Chiang, Ryan; Awad, Antony; Afzel, Hassan; Bhatnager, Shweta; Melkumyan, Satenik; Wirth, Garrett; Evans, Gregory R.D

    2014-01-01

    Introduction The burn wound exudate represents the burn tissue microenvironment. Extracting information from the exudate relating to cellular components, signaling mediators and protein content can provide much needed data relating to the local tissue damage, depth of the wound and probable systemic complications. This review examines the scientific data extracted from burn wound exudates over the years and proposes new investigations that will provide useful information from this underutilized resource. Method A literature review was conducted using the electronic database PubMed to search for literature pertaining to burn wound or blister fluid analysis. Key words included burn exudate, blister fluid, wound exudate, cytokine burn fluid, subeschar fluid, cytokine burns, serum cytokines. 32 relevant article were examined and 29 selected as relevant to the review. 3 papers were discarded due to questionable methodology or conclusions. The reports were assessed for their affect on management decisions and diagnostics. Furthermore, traditional blood level analysis of these mediators was made to compare the accuracy of blood versus exudate in burn wound management. Extrapolations are made for new possibilities of burn wound exudate analysis. Results Studies pertaining to burn wound exudate, subeschar fluid and blister fluid analyses may have contributed to burn wound management decisions particularly related to escharectomies and early burn wound excision. In addition, information from these studies have the potential to impact on areas such as healing, scarring, burn wound conversion and burn wound depth analysis. Conclusion Burn wound exudate analysis has proven useful in burn wound management decisions. It appears to offer a far more accurate reflection of the burn wound pathophysiology than the traditional blood/serum investigations undertaken in the past. New approaches to diagnostics and treatment efficacy assessment are possible utilizing data from this fluid. Burn wound exudate is a useful, currently under-utilized resource that is likely to take a more prominent role in burn wound management. PMID:24986597

  15. Utilization of evidence-based treatment in elderly patients with chronic heart failure: using Korean Health Insurance claims database

    PubMed Central

    2012-01-01

    Background Chronic heart failure accounts for a great deal of the morbidity and mortality in the aging population. Evidence-based treatments include angiotensin-2 receptor blockers (ARBs), angiotensin-converting enzyme inhibitors (ACE-I), beta-blockers, and aldosterone antagonists. Underutilization of these treatments in heart failure patients were frequently reported, which could lead to increase morbidity and mortality. The aim of this study was to evaluate the utilization of evidence-based treatments and their related factors for elderly patients with chronic heart failure. Methods This is retrospective observational study using the Korean National Health Insurance claims database. We identified prescription of evidence based treatment to elderly patients who had been hospitalized for chronic heart failure between January 1, 2005, and June 30, 2006. Results Among the 28,922 elderly patients with chronic heart failure, beta-blockers were prescribed to 31.5%, and ACE-I or ARBs were prescribed to 54.7% of the total population. Multivariable logistic regression analyses revealed that the prescription from outpatient clinic (prevalent ratio, 4.02, 95% CI 3.31–4.72), specialty of the healthcare providers (prevalent ratio, 1.26, 95% CI, 1.12–1.54), residence in urban (prevalent ratio, 1.37, 95% CI, 1.23–1.52) and admission to tertiary hospital (prevalent ratio, 2.07, 95% CI, 1.85–2.31) were important factors associated with treatment underutilization. Patients not given evidence-based treatment were more likely to experience dementia, reside in rural areas, and have less-specialized healthcare providers and were less likely to have coexisting cardiovascular diseases or concomitant medications than patients in the evidence-based treatment group. Conclusions Healthcare system factors, such as hospital type, healthcare provider factors, such as specialty, and patient factors, such as comorbid cardiovascular disease, systemic disease with concomitant medications, together influence the underutilization of evidence-based pharmacologic treatment for patients with heart failure. PMID:22849621

  16. Simulation Experiment on Landing Site Selection Using a Simple Geometric Approach

    NASA Astrophysics Data System (ADS)

    Zhao, W.; Tong, X.; Xie, H.; Jin, Y.; Liu, S.; Wu, D.; Liu, X.; Guo, L.; Zhou, Q.

    2017-07-01

    Safe landing is an important part of the planetary exploration mission. Even fine scale terrain hazards (such as rocks, small craters, steep slopes, which would not be accurately detected from orbital reconnaissance) could also pose a serious risk on planetary lander or rover and scientific instruments on-board it. In this paper, a simple geometric approach on planetary landing hazard detection and safe landing site selection is proposed. In order to achieve full implementation of this algorithm, two easy-to-compute metrics are presented for extracting the terrain slope and roughness information. Unlike conventional methods which must do the robust plane fitting and elevation interpolation for DEM generation, in this work, hazards is identified through the processing directly on LiDAR point cloud. For safe landing site selection, a Generalized Voronoi Diagram is constructed. Based on the idea of maximum empty circle, the safest landing site can be determined. In this algorithm, hazards are treated as general polygons, without special simplification (e.g. regarding hazards as discrete circles or ellipses). So using the aforementioned method to process hazards is more conforming to the real planetary exploration scenario. For validating the approach mentioned above, a simulated planetary terrain model was constructed using volcanic ash with rocks in indoor environment. A commercial laser scanner mounted on a rail was used to scan the terrain surface at different hanging positions. The results demonstrate that fairly hazard detection capability and reasonable site selection was obtained compared with conventional method, yet less computational time and less memory usage was consumed. Hence, it is a feasible candidate approach for future precision landing selection on planetary surface.

  17. Hyaluronic acid-green tea catechin micellar nanocomplexes: Fail-safe cisplatin nanomedicine for the treatment of ovarian cancer without off-target toxicity.

    PubMed

    Bae, Ki Hyun; Tan, Susi; Yamashita, Atsushi; Ang, Wei Xia; Gao, Shu Jun; Wang, Shu; Chung, Joo Eun; Kurisawa, Motoichi

    2017-12-01

    The green tea catechin, (-)-epigallocatechin-3-O-gallate (EGCG), has gained significant attention as a potent adjuvant to enhance the antitumor efficacy of cisplatin while mitigating its harmful side effects. Herein we report the development of a fail-safe cisplatin nanomedicine constructed with hyaluronic acid-EGCG conjugate for ovarian cancer therapy. A simple mixing of this conjugate and cisplatin induces spontaneous self-assembly of micellar nanocomplexes having a spherical core-shell structure. The surface-exposed hyaluronic acid enables efficient delivery of cisplatin into CD44-overexpressing cancer cells via receptor-mediated endocytosis whereas the internally packed EGCG moieties offer an environment favorable for the encapsulation of cisplatin. In addition, the antioxidant effect of EGCG moieties ensures fail-safe protection against off-target organ toxicity originating from cisplatin-evoked oxidative stress. Pharmacokinetic and biodistribution studies reveal the prolonged blood circulation and preferential tumor accumulation of intravenously administered nanocomplexes. Moreover, the nanocomplexes exhibit superior antitumor efficacy over free cisplatin while displaying no toxicity in both a subcutaneous xenograft model and peritoneal metastatic model of human ovarian cancer. Our findings demonstrate proof of concept for the feasibility of green tea catechin-based micellar nanocomplexes as a safe and effective cisplatin nanomedicine for ovarian cancer treatment. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Evaluation of the sustainability of deep groundwater as an arsenic-safe resource in the Bengal Basin

    USGS Publications Warehouse

    Michael, H.A.; Voss, C.I.

    2008-01-01

    Tens of millions of people in the Bengal Basin region of Bangladesh and India drink groundwater containing unsafe concentrations of arsenic. This high-arsenic groundwater is produced from shallow (150 m where groundwater arsenic concentrations are nearly uniformly low, and many more wells are needed, however, the sustainability of deep, arsenic-safe ground-water has not been previously assessed. Deeper pumping could induce downward migration of dissolved arsenic, permanently destroying the deep resource. Here, it is shown, through quantitative, large-scale hydrogeologic analysis and simulation of the entire basin, that the deeper part of the aquifer system may provide a sustainable source of arsenic-safe water if its utilization is limited to domestic supply. Simulations provide two explanations for this result: deep domestic pumping only slightly perturbs the deep groundwater flow system, and substantial shallow pumping for irrigation forms a hydraulic barrier that protects deeper resources from shallow arsenic sources. Additional analysis indicates that this simple management approach could provide arsenic-safe drinking water to >90% of the arsenic-impacted region over a 1,000-year timescale. This insight may assist water-resources managers in alleviating one of the world's largest groundwater contamination problems. ?? 2008 by The National Academy of Sciences of the USA.

  19. Centrifuge advances using HTS magnetic bearings

    NASA Astrophysics Data System (ADS)

    Werfel, F. N.; Flögel-Delor, U.; Rothfeld, R.; Wippich, D.; Riedel, T.

    2001-05-01

    Passive magnetic bearings are of increasing technical interest. We performed experiments with centrifugal rotors to analyze gyroscopic forces in terms imbalance, rotor elasticity and damping. Centrifuge rotors need to be operated soft and stable without whirling the sediments. In order to evaluate optimal parameters critical and resonance behaviors are investigated. Eccentricities up 2 mm are safely passed by accelerating test wheels. In a simple model we describe the effect of passing critical rotational speeds. Measurements of bearing properties and wheel performance are presented. We have constructed a first prototype centrifuge designed with a HTS double bearing which operates a titanium rotor safely up to 30 000 rpm. A 15 W Stirling cooler serves cryogenics of the YBCO stators. From the experiments design guidelines for centrifugal applications with HTS bearings are given.

  20. Prone positioning in the patient who has acute respiratory distress syndrome: the art and science.

    PubMed

    Vollman, Kathleen M

    2004-09-01

    Acute respiratory distress syndrome (ARDS) remains a significant contributor to the morbidity and mortality of patients in the ICU. A variety of treatments are used to support the lung of the patient who has ARDS and improve gas exchange during the acute injury phase. It seems, however, that the simple, safe, and noninvasive act of prone positioning of the critically ill patient who has ARDS may improve gas exchange while preventing potential complications of high positive end-expiratory pressure, volutrauma, and oxygen toxicity. This article provides the critical care nurse with the physiologic rationale for use of the prone position, indications and contraindications for use, safe strategies for prone positioning, and care techniques and monitoring methods of the patient who is in the prone position.

  1. Abortion: Still Unfinished Agenda in Nepal.

    PubMed

    Shrestha, Dirgha Raj; Regmi, Shibesh Chandra; Dangal, Ganesh

    2018-03-13

    Unsafe abortion is affecting a lot, in health, socio-economic and health care cost of many countries. Despite invention of simple technology and scientifically approved safe abortion methods, women and girls are still using unsafe abortion practices. Since 2002, Nepal has achieved remarkable progress in developing policies, guidelines, task shifting, training human resources and increasing access to services. However, more than half of abortion in Nepal are performed clandestinely by untrained or unapproved providers or induced by pregnant woman herself. Knowledge on legalization and availability of safe abortion service among women is still very poor. Stigma on abortion still persists among community people, service providers, managers, and policy makers. Access to safe abortion, especially in remote and rural areas, is still far behind as compared to their peers from urban areas. The existing law is not revised in the spirit of current Constitution of Nepal and rights-based approach. The existence of abortion stigma and the shifting of the government structure from unitary system to federalism in absence of a complete clarity on how the safe abortion service gets integrated into the local government structure might create challenge to sustain existing developments. There is, therefore, a need for all stakeholders to make a lot of efforts and allocate adequate resources to sustain current achievements and ensure improvements in creating a supportive social environment for women and girls so that they will be able to make informed decisions and access to safe abortion service in any circumstances.

  2. Reducing Structural Weight and Increasing Protection in Simple Structures Subjected to Blast Loads

    DTIC Science & Technology

    2014-08-12

    centric vehicle structures that make the operation of the vehicle both comfortable and safe for the soldiers. Furthermore, a lighter weight vehicle...supporting forces. Therefore, a key design challenge is to develop lightweight occupant-centric vehicle structures that can provide high levels of...protection against explosive threats. In this paper, concepts for using materials, damping and other mechanisms to design structures with unique dynamic

  3. Movies and the Military

    DTIC Science & Technology

    1972-01-01

    by the hundreds. The most popular subjects were his tor ical dramas, comedies , simplistic versions of the classics, and sentimental domestic and...Germans and the making of a world "safe for democracy." All the war films, even the slapstick comedies , presented a simple view of the conflict-the...an exciting and romantic background for a love story or a musical. The value of military preparedness was implied strongly in these films which

  4. Ball driven type MEMS SAD for artillery fuse

    NASA Astrophysics Data System (ADS)

    Seok, Jin Oh; Jeong, Ji-hun; Eom, Junseong; Lee, Seung S.; Lee, Chun Jae; Ryu, Sung Moon; Oh, Jong Soo

    2017-01-01

    The SAD (safety and arming device) is an indispensable fuse component that ensures safe and reliable performance during the use of ammunition. Because the application of electronic devices for smart munitions is increasing, miniaturization of the SAD has become one of the key issues for next-generation artillery fuses. Based on MEMS technology, various types of miniaturized SADs have been proposed and fabricated. However, none of them have been reported to have been used in actual munitions due to their lack of high impact endurance and complicated explosive train arrangements. In this research, a new MEMS SAD using a ball driven mechanism, is successfully demonstrated based on a UV LIGA (lithography, electroplating and molding) process. Unlike other MEMS SADs, both high impact endurance and simple structure were achieved by using a ball driven mechanism. The simple structural design also simplified the fabrication process and increased the processing yield. The ball driven type MEMS SAD performed successfully under the desired safe and arming conditions of a spin test and showed fine agreement with the FEM simulation result, conducted prior to its fabrication. A field test was also performed with a grenade launcher to evaluate the SAD performance in the firing environment. All 30 of the grenade samples equipped with the proposed MEMS SAD operated successfully under the high-G setback condition.

  5. Simple circumcision device: proof of concept for a single-visit, adjustable device to facilitate safe adult male circumcision.

    PubMed

    Hotaling, James M; Leddy, Laura S; Haider, Mahum A; Mossanen, Matthew; Bailey, Michael R; MacConaghy, Brian; Olson, Francis; Krieger, John N

    2014-05-01

    To conduct a proof-of-concept study to determine the potential utility of a novel, adjustable single-visit, disposable device to facilitate rapid adult circumcision. Prospective pilot trial of a novel surgical device. Tertiary care Veterans Administration medical center. Five adult males. Circumcisions performed by junior trainees using an adjustable, single-size surgical-assist device constructed by the University of Washington Applied Physics Laboratory. The attending surgeon and trainees completed standardized forms after each procedure to assess technical problems and ease of use. Follow-up visits were scheduled to evaluate adverse events, postoperative pain, cosmetic outcomes, and participant satisfaction at 3, 8, 30, and 90 days postoperatively. The average operative time was 16.4 minutes. All cases were performed with local anesthesia, and no case required electrocautery or conversion to standard surgery. At the postoperative day 3 visit, all subjects were happy with their results and would recommend the procedure to another patient. One participant had a minor wound separation noted at the 30-day visit that resolved during follow-up. There were no wound infections, hematomas, or other adverse events. This proof-of-study suggests that the Simple Circumcision Device may facilitate delivery of safe adult male circumcision services. Copyright © 2014 American Society for Reproductive Medicine. All rights reserved.

  6. Derivation and validation of a novel risk score for safe discharge after acute lower gastrointestinal bleeding: a modelling study.

    PubMed

    Oakland, Kathryn; Jairath, Vipul; Uberoi, Raman; Guy, Richard; Ayaru, Lakshmana; Mortensen, Neil; Murphy, Mike F; Collins, Gary S

    2017-09-01

    Acute lower gastrointestinal bleeding is a common reason for emergency hospital admission, and identification of patients at low risk of harm, who are therefore suitable for outpatient investigation, is a clinical and research priority. We aimed to develop and externally validate a simple risk score to identify patients with lower gastrointestinal bleeding who could safely avoid hospital admission. We undertook model development with data from the National Comparative Audit of Lower Gastrointestinal Bleeding from 143 hospitals in the UK in 2015. Multivariable logistic regression modelling was used to identify predictors of safe discharge, defined as the absence of rebleeding, blood transfusion, therapeutic intervention, 28 day readmission, or death. The model was converted into a simplified risk scoring system and was externally validated in 288 patients admitted with lower gastrointestinal bleeding (184 safely discharged) from two UK hospitals (Charing Cross Hospital, London, and Hammersmith Hospital, London) that had not contributed data to the development cohort. We calculated C statistics for the new model and did a comparative assessment with six previously developed risk scores. Of 2336 prospectively identified admissions in the development cohort, 1599 (68%) were safely discharged. Age, sex, previous admission for lower gastrointestinal bleeding, rectal examination findings, heart rate, systolic blood pressure, and haemoglobin concentration strongly discriminated safe discharge in the development cohort (C statistic 0·84, 95% CI 0·82-0·86) and in the validation cohort (0·79, 0·73-0·84). Calibration plots showed the new risk score to have good calibration in the validation cohort. The score was better than the Rockall, Blatchford, Strate, BLEED, AIMS65, and NOBLADS scores in predicting safe discharge. A score of 8 or less predicts a 95% probability of safe discharge. We developed and validated a novel clinical prediction model with good discriminative performance to identify patients with lower gastrointestinal bleeding who are suitable for safe outpatient management, which has important economic and resource implications. Bowel Disease Research Foundation and National Health Service Blood and Transplant. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Laser speckle imaging to improve clinical outcomes for patients with trigeminal neuralgia undergoing radiofrequency thermocoagulation.

    PubMed

    Ringkamp, Matthias; Wooten, Matthew; Carson, Benjamin S; Lim, Michael; Hartke, Timothy; Guarnieri, Michael

    2016-02-01

    Percutaneous treatments for trigeminal neuralgia are safe, simple, and effective for achieving good pain control. Procedural risks could be minimized by using noninvasive imaging techniques to improve the placement of the radiofrequency thermocoagulation probe into the trigeminal ganglion. Positioning of a probe is crucial to maximize pain relief and to minimize unwanted side effects, such as denervation in unaffected areas. This investigation examined the use of laser speckle imaging during probe placement in an animal model. This preclinical safety study used nonhuman primates, Macaca nemestrina (pigtail monkeys), to examine whether real-time imaging of blood flow in the face during the positioning of a coagulation probe could monitor the location and guide the positioning of the probe within the trigeminal ganglion. Data from 6 experiments in 3 pigtail monkeys support the hypothesis that laser imaging is safe and improves the accuracy of probe placement. Noninvasive laser speckle imaging can be performed safely in nonhuman primates. Because improved probe placement may reduce morbidity associated with percutaneous rhizotomies, efficacy trials of laser speckle imaging should be conducted in humans.

  8. Airway management through submental derivation: a safe and easily reproduced alternative for patients with complex facial trauma

    PubMed Central

    2018-01-01

    Objectives Airway management in patients with panfacial trauma is complicated. In addition to involving facial lesions, such trauma compromises the airway, and the use of intermaxillary fixation makes it difficult to secure ventilation by usual approaches (nasotracheal or endotracheal intubation). Submental airway derivation is an alternative to tracheostomy and nasotracheal intubation, allowing a permeable airway with minimal complications in complex patients. Materials and Methods This is a descriptive, retrospective study based on a review of medical records of all patients with facial trauma from January 2003 to May 2015. In total, 31 patients with complex factures requiring submental airway derivation were included. No complications such as bleeding, infection, vascular, glandular, or nervous lesions were presented in any of the patients. Results The use of submental airway derivation is a simple, safe, and easy method to ensure airway management. Moreover, it allows an easier reconstruction. Conclusion Based on these results, we concluded that, if the relevant steps are followed, the use of submental intubation in the treatment of patients with complex facial trauma is a safe and effective option. PMID:29535964

  9. Stockpiling and Comprehensive Utilization of Red Mud Research Progress

    PubMed Central

    Liu, Dong-Yan; Wu, Chuan-Sheng

    2012-01-01

    With increasing production of red mud, the environmental problems caused by it are increasingly serious, and thus the integrated treatment of red mud is imminent. This article provides an overview of the composition and the basic characteristics of red mud. The research progress of safe stockpiling and comprehensive utilization of red mud is summarized. The safe stockpiling of red mud can be divided into two aspects: the design and safe operation of the stocking yard. The comprehensive utilization of red mud can be further divided into three aspects: the effective recycling of components, resource utilization and application in the field of environmental protection. This paper points out that the main focus of previous studies on red mud stockpiling is cost reproduction and land tenure. The recovery of resources from red mud has a high value-added, but low level industrialization. The use of red mud as a building material and filler material is the most effective way to reduce the stockpiling of red mud. Red mud used for environmental remediation materials is a new hotspot and worth promoting for its simple processing and low cost.

  10. Validation of QuEChERS based method for determination of fenitrothion residues in tomatoes by gas chromatography-flame photometric detector: Decline pattern and risk assessment.

    PubMed

    Malhat, Farag; Boulangé, Julien; Abdelraheem, Ehab; Abd Allah, Osama; Abd El-Hamid, Rania; Abd El-Salam, Shokr

    2017-08-15

    A simple and rapid gas chromatography with flame photometric detector (GC-FPD) determination method was developed to detect residue levels and investigate the dissipation pattern and safe use of fenitrothion in tomatoes. A modified quick, easy, cheap, effective, rugged, and safe (QuEChERS) using an ethyl acetate-based extraction, followed by a dispersive solid-phase extraction (d-SPE) with primary-secondary amine (PSA) and graphite carbon black (GCB) for clean up, was applied prior to GC-FPD analysis. The method showed satisfactory linearity, recovery and precision. The limits of detection (LOD) and quantification (LOQ) were 0.005 and 0.01mg/kg, respectively. The residue levels of fenitrothion were best described by first order kinetics with a half-life of 2.2days in tomatoes. The potential health risks posed by fenitrothion were not significant, based on supervised residue trial data. The current findings could provide guidance for safe and reasonable use of fenitrothion in tomatoes and prevent health problems to consumers. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Safe and consistent method of spot-welding platinum thermocouple wires and foils for high temperature measurements.

    PubMed

    Orr, G; Roth, M

    2012-08-01

    A low-voltage (mV) electronically triggered spot welding system for fabricating fine thermocouples and thin sheets used in high-temperature characterization of materials' properties is suggested. The system is based on the capacitance discharge method with a timed trigger for obtaining reliable and consistent welds. In contrast to existing techniques based on employing high voltage DC supplies for charging the capacitor or supplies with positive and negative rails, this method uses a simple, standard dual power supply available at most of the physical laboratories or can be acquired at a low cost. In addition, an efficient and simple method of fabricating non-sticking electrodes that do not contaminate the weld area is suggested and implemented.

  12. Dual-sided electrosurgery handpiece for simultaneous tissue cutting and coagulation: first report on a conceptual design validated by an animal experiment.

    PubMed

    Tawfik, Hatem A; Fouad, Yousef A; Hafez, Rashad

    2015-01-01

    To introduce and evaluate the safety of a novel dual-sided electrosurgery handpiece design for simultaneous tissue cutting and coagulation. We designed a prototype double-sided handpiece allowing automatic switching between two electrodes with a simple handpiece flip. The concept of the system as a surgical instrument was assessed by an animal experiment. The skin of 15 Wistar albino white rats could be successfully incised and coagulated using both ends of the handpiece, thereby confirming the prospects and clinical applications of the system. The dual-sided electrosurgery handpiece is a simple and safe alternative to the traditional electrosurgery pencil, allowing the simultaneous use of two electrodes without the hassle of frequent electrode replacement.

  13. Wide dynamic logarithmic InGaAs sensor suitable for eye-safe active imaging

    NASA Astrophysics Data System (ADS)

    Ni, Yang; Bouvier, Christian; Arion, Bogdan; Noguier, Vincent

    2016-05-01

    In this paper, we present a simple method to analyze the injection efficiency of the photodiode interface circuit under fast shuttering conditions for active Imaging applications. This simple model has been inspired from the companion model for reactive elements largely used in CAD. In this paper, we demonstrate that traditional CTIA photodiode interface is not adequate for active imaging where fast and precise shuttering operation is necessary. Afterwards we present a direct amplification based photodiode interface which can provide an accurate and fast shuttering operation on photodiode. These considerations have been used in NIT's newly developed ROIC and corresponding SWIR sensors both in VGA 15um pitch (NSC1201) and also in QVGA 25um pitch (NSC1401).

  14. Lunches Packed by Caregivers for Children in Pre-School Day Care Centers.

    ERIC Educational Resources Information Center

    Spillman, Diana

    1994-01-01

    Visited five preschools in the Cincinnati, Ohio, area on three occasions. At each visit, the content of the lunch provided to the children was studied. Found that all lunches were prepared by caregivers and all children received lunches. The lunches contained adequate protein, milk, bread, and fluid, but there was underutilization of vegetables…

  15. Rural Hispanic Counselor and Student Perspectives and Their Roles in Providing Improved Secondary Guidance Counseling

    ERIC Educational Resources Information Center

    Friesenhahn-Soliz, Grace

    2012-01-01

    School counselors can serve as agents of change in our nation's schools, particularly for marginalized students whose voices are frequently not heard. Historically, the role of the school counselor has been under-utilized and inaccurately defined. Research available on counselor role definition has been primarily quantitative. Research on…

  16. Treatability of underutilized northeastern species with CCA and alternative wood preservatives

    Treesearch

    Stan T. Lebow; Steven A. Halverson; Cherilyn A. Hatfield

    2005-01-01

    Opportunities for use of northeastern species such as balsam fir, eastern spruce, eastern hemlock, and red maple could be improved if these species could be adequately penetrated with preservatives and subsequently shown to be durable in outdoor exposures. In this study, specimens cut from lumber of northeastern species were pressure-treated with either chromated...

  17. Bringing Bertillon Back: The Preservation and Research Application of Bertillon Materials in Museums, Archives, and Historical Societies

    ERIC Educational Resources Information Center

    Gridack, Paige

    2009-01-01

    Bertillon cards are underutilized resources, often regarded as the remnants of an antiquated nineteenth century police identification system. Through the application of computer search techniques, data manipulation, and outreach, not only can institutions provide their patrons access to this unique information, these collections can in turn help…

  18. Twenty-First Century Skills and School Programs: Implementation at a Suburban Elementary School

    ERIC Educational Resources Information Center

    Uduigwome, George Esele

    2012-01-01

    Under-utilization of human potential coupled with the need to maintain alignment with the demands imposed by globalization (e.g. sustainable development, citizenship, self-actualization, ability to respond to the emergence of cutting-edge technologies) have led to calls for policy and practice reorientations in the field of education. In response,…

  19. Small-diameter trees used for chemithermomechanical pulps.

    Treesearch

    Gary C. Myers; R. James Barbour; Said M. AbuBakr

    2003-01-01

    To restore and maintain forest ecosystem health and function in the western interior of the United States, many small-diameter stems need to be removed from densely stocked stands. In general, these materials are underutilized. Information on the properties of these resources is needed to help forest managers understand when timber sales are a viable option to...

  20. Employer's Manual on Affirmative Action in Employment.

    ERIC Educational Resources Information Center

    Kentucky State Commission on Human Rights, Frankfort.

    The express purpose of this manual is for its use by business and industry in Kentucky as an aid to eliminate discrimination. Affirmative action is defined here as a comprehensive effort by an employer designed to: employ women and minority persons where they are under-utilized; include minority persons and women in all facets of the company's…

  1. Taking the Lead in Faculty Development: Teacher Educators Changing the Culture of University Faculty Development through Collaboration

    ERIC Educational Resources Information Center

    Adams, Susan R.; Mix, Elizabeth K.

    2014-01-01

    As pedagogy experts, teacher educators should lead the charge for improved teaching and learning, but are under-utilized pedagogy resources in liberal arts universities. In this paper, the collaborators, one a teacher education assistant professor and the other an associate professor of art history, identify critical friendship group approaches…

  2. Affordable Housing and the Empty Nester Boom.

    ERIC Educational Resources Information Center

    Hare, Patrick H.

    One of the best ways to produce affordable housing is to address the needs of a group that has too much housing. A baby boom generation generates an empty nester boom. An empty nester boom means dramatic underutilization of the housing stock. If a small percentage of homeowners were to install an accessory apartment, they would have a significant…

  3. Using Student Health Data to Understand and Promote Academic Success in Higher Education Settings

    ERIC Educational Resources Information Center

    Larson, Mary; Orr, Megan; Warne, Donald

    2016-01-01

    The Problem: Institutions of higher education are interested in students' academic success as measured by GPA. Health is related to GPA and many institutions collect health data; however, this data is underutilized. This study used several health-related variables to examine relationships between health and GPA. Method: This study utilized a…

  4. Underutilized Resources for Studying the Evolution of Invasive Species During Their Introduction, Establishment, and Lag Phases

    USDA-ARS?s Scientific Manuscript database

    The early phases of biological invasions are poorly understood. In particular, it is not known if and/or how much evolutionary change must take place for an introduced species to transition from established to expanding. In this paper, we highlight three disparate data sources that may provide ins...

  5. Optimizing lodgepole pine submerchantable log thermomechanical pulp

    Treesearch

    Gary C. Myers

    2004-01-01

    To restore and maintain ecosystem health and function in the western interior of the United States, many small-diameter stems need to be removed from densely stocked stands. These stems are considered nonusable or underutilized (good, economical uses need to be developed). As of now, the most logical use for the small-diameter resource is pulp. In this study,...

  6. Evaluating selected demographic factors related to consumer preferences for furniture from commercial and from underutilized species

    Treesearch

    David Nicholls; Matthew Bumgardner

    2007-01-01

    This technical note describes consumer preferences within selected demographic categories in two major Pacific Northwest markets for six domestic wood species. These woods were considered for construction of four furniture pieces. Chi-square tests were performed to determine species preferences based on gender, age, and income. Age and income were statistically...

  7. Evaluating selected demographic factors related to consumer preferences for furniture from commercial and from underutilized species.

    Treesearch

    David Nicholls; Matthew Bumgardner

    2007-01-01

    This technical note describes consumer preferences within selected demographic categories in two major Pacific Northwest markets for six domestic wood species. These woods were considered for construction of four furniture pieces. Chi-square tests were performed to determine species preferences based on gender, age, and income. Age and income were statistically...

  8. The Underutilization of Information and Communication Technology-Assisted Collaborative Project-Based Learning among International Educators: A Delphi Study

    ERIC Educational Resources Information Center

    Kramer, Barry S.; Walker, Andrew E.; Brill, Jennifer M.

    2007-01-01

    This study explores the barriers associated with teachers implementing information and communication technology-assisted collaborative project-based learning (ICTCPrjBL) as a classroom teaching methodology with students. We used a Web-based Delphi method to engage experienced educators in anonymous consensus building consisting of three rounds of…

  9. Roles for agroforestry in hardwood regeneration and natural-stand management

    Treesearch

    H. E. ' Gene' Garrett

    2003-01-01

    A convincing case can be made that current land-use patterns in the Central Hardwood region reflect a significant underutilization of our land-based resources. A land-use strategy is required that would allow landowners who are interested in converting marginal crop lands to forests, or unproductive woodlots to productive woodlots, to make the change without financial...

  10. The Relationship between Postsecondary Foreign Language Teachers' Beliefs in Student-Centeredness and Their Educational Technology Practices

    ERIC Educational Resources Information Center

    Qasem, Ra'ed F.

    2010-01-01

    Though there is evidence that postsecondary foreign language (FL) teachers have not maximized computer technology for language teaching and learning, there is a lack of studies that attempt to uncover reasons for this underutilization. Research in other disciplines within general education suggested that teachers' beliefs in student-centeredness…

  11. Factors Influencing Post-Adoptive Enterprise Resource Planning (ERP) Utilization

    ERIC Educational Resources Information Center

    McGinnis, Thomas C.

    2011-01-01

    Organizations expend a great deal of time, effort and money on the implementation of enterprise resource planning (ERP) systems. They are considered the price of entry for large organizations to do business. Yet the success rate of ERP systems is poor. IS literature suggests that one possible reason for this is the underutilization of these…

  12. A Survey of the Usability of Digital Reference Services on Academic Health Science Library Web Sites

    ERIC Educational Resources Information Center

    Dee, Cheryl; Allen, Maryellen

    2006-01-01

    Reference interactions with patrons in a digital library environment using digital reference services (DRS) has become widespread. However, such services in many libraries appear to be underutilized. A study surveying the ease and convenience of such services for patrons in over 100 academic health science library Web sites suggests that…

  13. The Location of Community Mental Health Centers in Texas: Some Descriptions and Comparisons.

    ERIC Educational Resources Information Center

    Valdez, Ramiro

    Part of a series of studies designed to lead to policy recommendations to improve mental health services to Mexican Americans in Texas, this monograph explores the availability and accessibility of community mental health centers (CMHCs) throughout the state. In hopes of explaining the underutilization of the centers statewide, the locations of…

  14. Use of Focus Group Data to Develop Recommendations for Demographically Segmented Colorectal Cancer Educational Strategies

    ERIC Educational Resources Information Center

    Holt, Cheryl L.; Shipp, Michele; Eloubeidi, Mohamad; Clay, Kimberly S.; Smith-Janas, Mary Ann; Janas, Michael John; Britt, Kristi; Norena, Maria; Fouad, Mona N.

    2009-01-01

    Screening is available and effective in colorectal cancer (CRC) control, but underutilized. The purpose of this study was to use focus group data to develop recommendations for the development of educational interventions to increase CRC screening, using an audience segmentation strategy. Demographic segments were based on urban-rural residence,…

  15. Spiritually Based Intervention to Increase Colorectal Cancer Screening among African Americans: Screening and Theory-Based Outcomes from a Randomized Trial

    ERIC Educational Resources Information Center

    Holt, Cheryl L.; Litaker, Mark S.; Scarinci, Isabel C.; Debnam, Katrina J.; McDavid, Chastity; McNeal, Sandre F.; Eloubeidi, Mohamad A.; Crowther, Martha; Bolland, John; Martin, Michelle Y.

    2013-01-01

    Colorectal cancer screening has clear benefits in terms of mortality reduction; however, it is still underutilized and especially among medically underserved populations, including African Americans, who also suffer a disproportionate colorectal cancer burden. This study consisted of a theory-driven (health belief model) spiritually based…

  16. Help-Seeking in the School Context: Understanding Chinese American Adolescents' Underutilization of School Health Services

    ERIC Educational Resources Information Center

    Anyon, Yolanda; Whitaker, Kelly; Shields, John P.; Franks, Heather

    2013-01-01

    Background: This article examines whether school contextual factors, such as referral practices and peer dynamics, contribute to Chinese American students' underrepresentation in school health programs. Methods: Data from the 2007 Youth Risk Behavior Survey (N?=?1,744) as well as interviews and focus groups (N?=?51) with Chinese American users and…

  17. User Feedback: Alumni on Workplace Presenting and Improving Courses

    ERIC Educational Resources Information Center

    Marcel, Mary

    2017-01-01

    Alumni are an underutilized resource for input on the oral presentation skills employees need at work and what should be taught in oral-presentation-focused business communication courses. Yet they are in a unique position to assess the utility of what they learned and recommend coursework changes. In survey responses, 1,610 business alumni who…

  18. A numerical simulation on the flow of watershed filtration reactors using lignocellulosic materials

    Treesearch

    N. Hur; B. Choi; J.S. Han; E.W. Shin; S. Min; R.M. Rowell

    2003-01-01

    Pinyon juniper, a small-diameter and underutilized (SDU) lignocellulosic material, was harvested in New Mexico, identified as Juniperus monosperma at the USDA Forest Products Laboratory, chipped, fiberized and chemically modified to remove pollutants from wastewater. This juniper species was selected as a raw material through screening test for removal of pollutants...

  19. Improvement of cadmium ion removal by base treatment of juniper fiber

    Treesearch

    S.H. Min; J.S. Han; E.W. Shin; J.K. Park

    2004-01-01

    Juniper is a small-diameter underutilized lignocellulosic material. We evaluated the efficacy of base-treated juniper fiber (BTJF) for cadmium (Cd2+) sorption and the viability of juniper fiber as a sorbent for removing Cd2+ from water. Fourier transform infrared spectroscopy analysis indicated that carboxylate ion is a major functional group responsible for Cd2+...

  20. What is the Conservation Value of a Plant in a Botanic Garden? Using Indicators to Improve Management of Ex Situ Collections

    USDA-ARS?s Scientific Manuscript database

    Living botanic garden plant collections are a fundamental and underutilized worldwide resource for plant conservation. A common goal in managing a botanical living collection is to maintain the greatest biodiversity at the greatest economic and logistic efficiency. However, to date there is no unifi...

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