Sample records for site topics include

  1. Meeting Reference Responsibilities through Library Web Sites.

    ERIC Educational Resources Information Center

    Adams, Michael

    2001-01-01

    Discusses library Web sites and explains some of the benefits when libraries make their sites into reference portals, linking them to other useful Web sites. Topics include print versus Web information sources; limitations of search engines; what Web sites to include, including criteria for inclusions; and organizing the sites. (LRW)

  2. Be Water Wise.

    ERIC Educational Resources Information Center

    Birch, Sandra K.; Pettus, Alvin M.

    Various topics on water and water conservation are discussed, each general topic followed by a student activity. Topics include: (1) importance of water; (2) water in the environment; (3) getting water to and from homes (making water usable; treating wastewater; on-site systems, including water wells and septic tanks); (4) relationship between…

  3. Treatment of photoaged skin with topical tretinoin increases epidermal-dermal anchoring fibrils

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

    Woodley, D.T.; Briggaman, R.A.; Zelickson, A.S.

    Topical 0.1% tretinoin or vehicle control was applied daily to the forearm skin of six caucasian adults for 4 months. Two-millimeter punch biopsy specimens were obtained from treatment sites at the beginning and end of the study period for electron microscopy. Anchoring fibrils within the epidermal-dermal junction of skin treatment sites were quantitated by blinded, standardized, computer-assisted morphometry. After 4 months of continual daily treatment, skin sites that received topical tretinoin showed double the anchoring fibril density compared with vehicle control sites. The possible mechanism by which topical tretinoin increases anchoring fibrils in skin include the drug's property of inhibitingmore » collagenase, a dermal enzyme that degrades anchoring fibril collagen. The authors speculate that increased numbers of collagenous anchoring fibrils within the papillary dermis of human skin is one of the connective-tissue correlates of the clinical improvement observed in photoaged skin after treatment with topical tretinoin.« less

  4. Cooperative research in space geodesy and crustal dynamics

    NASA Technical Reports Server (NTRS)

    1994-01-01

    This research grant, which covered the period of July 1991 to August 1994, was concerned with a variety of topics within the geodesy and crustal dynamics fields. The specific topics of this grant included satellite tracking and gravity field determinations and crustal dynamics (this concentrated of space geodetic site stability for VLBI sites). Summaries of the specific research projects are included along with a list of publications and presentations supported by this research grant.

  5. On-Site Pedagogical Content Knowledge Development

    NASA Astrophysics Data System (ADS)

    Chan, Kennedy Kam Ho; Yung, Benny Hin Wai

    2015-05-01

    Experiences and reflection have long been regarded as a foundation for pedagogical content knowledge (PCK) development. However, little is known about how experienced teachers develop their PCK via reflection-in-action during their moment-to-moment classroom instruction. Drawing upon data sources including classroom observations, semi-structured interviews and stimulated recall interviews based on lesson videos, this study examined instances when four experienced teachers were found to invent new instructional strategies/representations on the spot during the lesson (referred to as on-site PCK development) in their first attempts at teaching a new topic. The study documented the moment-to-moment experiences of the teachers, including their reconstructed thought processes associated with these instances of on-site PCK development. An explanatory model of a three-step process comprising a stimulus, an integration process and a response was advanced to account for the on-site PCK development observed among the teachers. Three categories of stimulus that triggered on-site PCK development were identified. Factors influencing the integration process and, hence, the resulting response, included teachers' subject matter knowledge of the new topic, their general pedagogical knowledge and their knowledge of student learning difficulties/prior knowledge related to the new topic. Implications for teacher professional development in terms of how to enhance teachers' on-site PCK development are discussed.

  6. Relevant Telecomputing Activities.

    ERIC Educational Resources Information Center

    Ross, Patricia

    1995-01-01

    Discusses the use of telecomputing in classrooms. Topics include telecomputing goals; use of the Internet; language arts and music FTP (file transfer protocol) sites; social studies FTP sites; science Telnet sites; social studies Telnet sites; skill building and learning processes; and instructional design. (LRW)

  7. Hot Topics on the Web: Strategies for Research.

    ERIC Educational Resources Information Center

    Diaz, Karen R.; O'Hanlon, Nancy

    2001-01-01

    Presents strategies for researching topics on the Web that are controversial or current in nature. Discusses topic selection and overviews, including the use of online encyclopedias; search engines; finding laws and pending legislation; advocacy groups; proprietary databases; Web site evaluation; and the continuing usefulness of print materials.…

  8. Topic I: Induced changes in hydrology at low-level radioactive waste repository sites: A section in Safe disposal of radionuclides in low-level radioactive-waste repository sites; Low-level radioactive-waste disposal workshop, U.S. Geological Survey, July 11-16, 1987, Big Bear Lake, Calif., Proceedings (Circular 1036)

    USGS Publications Warehouse

    Prudic, David E.; Dennehy, Kevin F.; Bedinger, Marion S.; Stevens, Peter R.

    1990-01-01

    Engineering practices, including the excavation of trenches, placement of waste, nature of waste forms, backfilling procedures and materials, and trench-cover construction and materials at low-level radioactive-waste repository sites greatly affect the geohydrology of the sites. Engineering practices are dominant factors in eventual stability and isolation of the waste. The papers presented relating to Topic I were discussions of the hydrogeologic setting at existing low-level radioactive-waste repository sites and changes in the hydrology induced by site operations. Papers summarizing detailed studies presented at this workshop include those at sites near Sheffield, Ill.; Oak Ridge National Laboratory, Tenn.; West Valley, N.Y.; Maxey Flats, Ky.; Barnwell, S.C.; and Beatty, Nev. 

  9. Minimal Data and Site Specific Approaches

    EPA Science Inventory

    As part of a workshop, Tools for Assessing Stream Dissolved Minerals, approaches and EPA tools are described for site specific development of water quality criteria based on observations from Arkansas streams using minimal data. Discussion topics will include site-specific appro...

  10. 77 FR 64997 - Medicare Program; Meeting of the Medicare Evidence Development and Coverage Advisory Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-24

    ... focus on issues specific to the list of topics that we have proposed to the Committee. The list of research topics to be discussed at the meeting will be available on the following Web site prior to the... neurodegenerative disease. Background information about this topic, including panel materials, is available at http...

  11. New Virtual Field Trips. Revised Edition.

    ERIC Educational Resources Information Center

    Cooper, Gail; Cooper, Garry

    This book is an annotated guidebook, arranged by subject matter, of World Wide Web sites for K-12 students. The following chapters are included: (1) Virtual Time Machine (i.e., sites that cover topics in world history); (2) Tour the World (i.e., sites that include information about countries); (3) Outer Space; (4) The Great Outdoors; (5) Aquatic…

  12. Build a WWW Homepage for Your School!

    ERIC Educational Resources Information Center

    Chrobak, Kimberly

    1995-01-01

    Discusses the use of World Wide Web (WWW) Homepage for school information. Topics include school sites; installation of a WWW browser; file tags; sites for beginner's guides to the language (HTML); two Usenet discussion groups; and a sample lesson plan including objective, procedure, and evaluation. (AEF)

  13. 75 FR 58414 - Medicare Program; Meeting of the Medicare Evidence Development and Coverage Advisory Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-24

    ... focus on issues specific to the list of topics that we have proposed to the Committee. The list of research topics to be discussed at the meeting will be available on the following Web site prior to the... topic, including panel materials, is available at http://www.cms.hhs.gov/center/coverage.asp . We...

  14. Comparison of topical mupirocin and gentamicin in the prevention of peritoneal dialysis-related infections: A systematic review and meta-analysis.

    PubMed

    Tsai, Chia-Chi; Yang, Po-Sheng; Liu, Chien-Liang; Wu, Chih-Jen; Hsu, Yi-Chiung; Cheng, Shih-Ping

    2018-01-01

    Topical antibiotics have been shown to reduce exit-site infection and peritonitis. The aim of this study was to compare infection rates between mupirocin and gentamicin. Multiple comprehensive databases were searched systematically to include relevant randomized controlled trials and observational studies. Pooled risk ratios (RRs) and 95% confidence intervals were calculated for the incidences of exit-site infection and peritonitis. Seven studies (mupirocin group n = 458, gentamicin group n = 448) were analyzed for exit-site infection. The risk of gram-positive exit-site infection was similar between the groups. Gram-negative exit-site infection rate was higher in the mupirocin group (RR = 2.125, P = 0.037). Six studies were assessed the peritonitis risk. There was no difference in the gram-positive and -negative peritonitis rate. Topical use of gentamicin is associated with fewer exit-site infections caused by gram-negative organisms. Gentamicin has comparable efficacy to mupirocin for peritonitis and gram-positive exit-site infection. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Graduate and Inservice Education. [SITE 2002 Section].

    ERIC Educational Resources Information Center

    Crawford, Caroline M., Ed.

    This document contains the papers on graduate and inservice education from the SITE (Society for Information Technology & Teacher Education) 2002 conference. Topics covered include: Geographic Information Systems in teacher education; re-certification and accreditation; construction of a Web site by graduate teacher education students; Web-based…

  16. Using the Web To Explore the Great Depression.

    ERIC Educational Resources Information Center

    Chamberlin, Paul

    2001-01-01

    Presents an annotated list of Web sites that focus on the Great Depression. Includes the American Experience, American Memory, the National Archives and Records Administration, and the New Deal Network Web sites. Offers additional sites covering topics such as the Jersey homesteads and labor history. (CMK)

  17. Contracts and Management Services FY 1996 Site Support Program Plan: WBS 6.10.14. Revision 1

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

    Knoll, J.M. Jr.

    1995-09-01

    This is the Contracts and Management Services site support program plan for the US DOE Hanford site. The topics addressed in the program plan include a mission statement, program objectives, planning assumptions, program constraints, work breakdown structure, milestone list, milestone description sheets, and activity detail including cost accounting narrative summary, approved funding budget, and activity detailed description.

  18. Meeting the Needs of Travel Clientele: Tried and True Strategies That Work.

    ERIC Educational Resources Information Center

    Blessing, Kathy; Whitney, Cherine

    This paper describes sources for meeting the information needs of travel clientele. Topics addressed include: (1) U.S. government Web sites; (2) collection development tools, including review journals, online bookstores, travel Web sites, and sources of point-by-point comparisons of guide books; (3) prominent guidebook series and publisher Web…

  19. Research. [SITE 2002 Section].

    ERIC Educational Resources Information Center

    Curtis, Reagan, Ed.

    This document contains papers on instructional technology research from the SITE (Society for Information Technology & Teacher Education) 2002 conference. Topics covered include: professors share their thoughts and feelings with their students; faculty reflections on teaching online; integrating technology into preservice teacher education;…

  20. Environmental Information Sources on the Net.

    ERIC Educational Resources Information Center

    Raeder, Aggi

    1997-01-01

    Discusses environmental information needs of business professionals and provides an annotated list of Web sites serving as information sources. Highlights include "meta sites", government, health, law, engineering, education, organizations, and environmental news, as well as selected environmental "hot topics." (AEF)

  1. Research. [SITE 2001 Section].

    ERIC Educational Resources Information Center

    McAlister, Kim, Ed.; Curtis, Reagan, Ed.

    This document contains the papers on research from the SITE (Society for Information Technology & Teacher Education) 2001 conference. Topics covered include: concerns of administrators and teachers in the diffusion of information technology; preservice elementary mathematics teachers' computer self efficacy, attitudes, and perceptions;…

  2. The Trouble with Color.

    ERIC Educational Resources Information Center

    Merchant, David

    1999-01-01

    Discusses problems with color quality in Web sites. Topics include differences in monitor settings, including contrast; amount of video RAM; user preference settings; browser-safe colors; cross-platform readability; and gamma values. (LRW)

  3. Topic Time Series Analysis of Microblogs

    DTIC Science & Technology

    2014-10-01

    network, may be closer to a media distribution site, where the media is user produced [14]. Analysis of the text content includes both general models as...is generated by Instagram . Topic 80, Distance: 143.2101 Top words: 1. rawr 2. ˆ0ˆ 3. kill 4. jurassic 5. dinosaur Analysis: This topic is quite...data, lack of reliable event information, hidden temporal trends, and the vastly diverse nature of content . In the present work, we examine spatio

  4. Papers presented to the Conference on Luna 24. [lunar soil studies

    NASA Technical Reports Server (NTRS)

    1977-01-01

    Topics covered include: the regional geology, geochemistry, and geophysics of Mare Crisium and the Luna 24 landing site; the petrology, mineral chemistry, and cooling histories of lithic fragments, the chemistry, isotopic studies, and geochronology of Luna 24 samples; and regolith studies of soil samples. Subject and topical indexes are provided.

  5. The Web as a Delivery Medium To Enhance Instruction.

    ERIC Educational Resources Information Center

    Gillani, Bijan

    1998-01-01

    Discusses how to design and develop an effective Web site to enhance instruction based on a graduate course at California State University at Hayward. Topics include the analysis phase, content organization, site architecture, interface design, testing, and the evaluation process. (LRW)

  6. PT3 Papers. [SITE 2001 Section].

    ERIC Educational Resources Information Center

    Pierson, Melissa, Ed.; Thompson, Mary, Ed.; Adams, Angelle, Ed.; Beyer, Evelyn, Ed.; Cheriyan, Saru, Ed.; Starke, Leslie, Ed.

    This document contains the papers on the PT3 (Preparing Tomorrow's Teachers to use Technology) program from the SITE (Society for Information Technology & Teacher Education) 2001 conference. Topics covered include: modeling instruction with modern information and communications technology; transforming computer coursework for preservice teachers;…

  7. Faculty Development. [SITE 2002 Section].

    ERIC Educational Resources Information Center

    Gillan, Bob, Ed.; McFerrin, Karen, Ed.

    This document contains the papers on faculty development from the SITE (Society for Information Technology & Teacher Education) 2002 conference. Topics covered include: integration for ESL (English as a Second Language) success; changing roles of college faculty; inducing reflection on educational practice; a joint instructional technology and…

  8. Histology on the World Wide Web: A Digest of Resources for Students and Teachers.

    ERIC Educational Resources Information Center

    Cotter, John R.

    1997-01-01

    Provides a list of 37 World Wide Web sites that are devoted to instruction in histology and include electronic manuals, syllabi, atlases, image galleries, and quizzes. Reviews the topics, content, and highlights of these Web sites. (DDR)

  9. Faculty Development. [SITE 2001 Section].

    ERIC Educational Resources Information Center

    Gillan, Bob, Ed.; McFerrin, Karen, Ed.

    This document contains the papers on faculty development from the SITE (Society for Information Technology & Teacher Education) 2001 conference. Topics covered include: a system of faculty development; a faculty development program for medical educators; developing a faculty of education technology integration plan; supporting the development…

  10. Graduate & Inservice. [SITE 2001 Section].

    ERIC Educational Resources Information Center

    Crawford, Caroline M., Ed.

    This document contains the papers on graduate and inservice teacher education from the SITE (Society for Information Technology & Teacher Education) 2001 conference. Topics covered include: media literacy across the curriculum; contextual learning about information technology (IT); IT in teacher education; reform in a graduate school…

  11. Preservice Teacher Education. [SITE 2001 Section].

    ERIC Educational Resources Information Center

    Burkett, Ruth S., Ed.; Macy, Michelle, Ed.; White, James A., Ed.; Feyten, Carine M., Ed.

    This document contains the papers on preservice teacher education from the SITE (Society for Information Technology & Teacher Education) 2001 conference. Topics covered include: preparing tomorrow's teachers; insights for pre-service teachers about computer use; geographic information systems in teacher education; digital cameras in education;…

  12. Building Student-Centered Web Sites in the K12 Classroom.

    ERIC Educational Resources Information Center

    Hall, Alison; Basile, Brigitte

    This paper examines the process of constructing a student-centered World Wide Web site and provides recommendations for improving this process. In the project, preservice teachers instructed the fifth grade students about how to design and develop a Web site on weather. The topics of the sessions included Internet ethics, using the Web,…

  13. Corporate [and] Distance Education. [SITE 2002 Sections].

    ERIC Educational Resources Information Center

    Fuller, Frank, Ed.; McBride, Ron, Ed.

    This document contains one paper on corporate issues, discussing ThinkQuest for Tomorrow's Teachers, and more than 100 papers on distance education from the SITE (Society for Information Technology & Teacher Education) 2002 conference. Topics covered include: improved communication through online discussion; assessing the readiness of distance…

  14. Instructional Design. [SITE 2001 Section].

    ERIC Educational Resources Information Center

    Boger, Stephanie, Ed.

    This document contains the papers on instructional design from the SITE (Society for Information Technology & Teacher Education) 2001 conference. Topics covered include: an adaptive e-framework for teacher training; assessing the integration of technology into the curriculum; promoting instructional planning; learning and using World Wide Web page…

  15. PT3. [SITE 2002 Section].

    ERIC Educational Resources Information Center

    Thompson, Mary, Ed.; Price, Jerry, Ed.

    This document contains 142 papers on PT3 (Preparing Tomorrow's Teachers to use Technology) from the SITE (Society for Information Technology & Teacher Education) 2002 conference. Topics covered include: a technology in urban education summit; student professional development; meeting NCATE (National Council of Teachers of English) standards;…

  16. Proceedings of the 18th biennial southern silvicultural research conference

    Treesearch

    Callie Schweitzer; W.K. Clatterbuck; Christopher Oswalt

    2016-01-01

    At the 18th Biennial Southern Silvicultural Research Conference held in Knoxville, TN, a range of topics germane to the ecology and management of southern forests was addressed in 101 oral and 61 poster presentations. Papers are grouped into 14 topic sections and include soil and site relationships, forest threats, conservation, nutrition, fire, biometrics, biomass,...

  17. Distance Education. [SITE 2001 Section].

    ERIC Educational Resources Information Center

    Fuller, Frank, Ed.; McBride, Ron, Ed.

    This document contains the papers on distance education from the SITE (Society for Information Technology & Teacher Education) 2001 conference. Topics covered include: the distance education degree program for the Master of Mathematics with a teaching option at Texas A&M University; the evolution of online learning; Internet-based distance…

  18. Tell Me a Story.

    ERIC Educational Resources Information Center

    Rockman, Connie

    2001-01-01

    Discusses the benefits of storytelling by teachers or librarians to elementary and middle school students. Topics include listening; sharing versus performing; finding stories, other than folk tales; guidelines for telling stories; and resources, including print sources and Web sites. (LRW)

  19. Urban Watershed Forestry Manual Part 3: Urban Tree Planting Guide

    Treesearch

    Karen Cappiella; Tom Schueler; Tiffany Wright; Jennifer Tomlinson

    2006-01-01

    This is the third in a three-manual series on using trees to protect and restore urban watersheds. A brief description of each part follows. Part 3. Urban Tree Planting Guide provides detailed guidance on urban tree planting that is applicable at both the development site and the watershed scales. Topics covered include site assessment, planting design, site...

  20. Increasing public understanding of transgenic crops through the World Wide Web.

    PubMed

    Byrne, Patrick F; Namuth, Deana M; Harrington, Judy; Ward, Sarah M; Lee, Donald J; Hain, Patricia

    2002-07-01

    Transgenic crops among the most controversial "science and society" issues of recent years. Because of the complex techniques involved in creating these crops and the polarized debate over their risks and beliefs, a critical need has arisen for accessible and balanced information on this technology. World Wide Web sites offer several advantages for disseminating information on a fast-changing technical topic, including their global accessibility; and their ability to update information frequently, incorporate multimedia formats, and link to networks of other sites. An alliance between two complementary web sites at Colorado State University and the University of Nebraska-Lincoln takes advantage of the web environment to help fill the need for public information on crop genetic engineering. This article describes the objectives and features of each site. Viewership data and other feedback have shown these web sites to be effective means of reaching public audiences on a complex scientific topic.

  1. Building Online Communities. Take Your Site beyond Content: Construct a Society on the Web.

    ERIC Educational Resources Information Center

    Glaser, Mark

    1997-01-01

    Discusses the establishment of online, or virtual, communities on the World Wide Web. Topics include corporate sites; community planning; virtual reality; games; America Online projects; MUDs (multiuser dungeons) and MOOs (multiuser object oriented); and a list of contacts for online community resources. (LRW)

  2. Oak Ridge Reservation Annual Site environmental report summary for 1994

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

    NONE

    1995-09-01

    This document presents a summary of the information collected for the Oak Ridge Reservation 1994 site environmental report. Topics discussed include: Oak Ridge Reservation mission; ecology; environmental laws; community participation; environmental restoration; waste management; radiation effects; chemical effects; risk to public; environmental monitoring; and radionuclide migration.

  3. Internet Connections.

    ERIC Educational Resources Information Center

    Lindroth, Linda K.

    1996-01-01

    Annotates 16 World Wide Web (WWW) sites dealing with math and science education matters covered in feature articles for this journal issue. Topics include math fairs, classroom restructuring, and hands-on science. (JW)

  4. Internet Connections.

    ERIC Educational Resources Information Center

    Lindroth, Linda K.

    1996-01-01

    Lists Internet sites related to articles in this issue. Topics include a first-grade unit on voting, student-created theme binders, techniques for student motivation, and involving parents in the middle school. (KDFB)

  5. Facebook as a Learning Tool? A Case Study on the Appropriation of Social Network Sites from Mobile Phones in Developing Countries

    ERIC Educational Resources Information Center

    Pimmer, Christoph; Linxen, Sebastian; Grohbiel, Urs

    2012-01-01

    This exploratory research investigates how students and professionals use social network sites (SNSs) in the setting of developing and emerging countries. Data collection included focus groups consisting of medical students and faculty as well as the analysis of a Facebook site centred on medical and clinical topics. The findings show how users,…

  6. Proceedings of the tenth annual DOE low-level waste management conference: Session 2: Site performance assessment

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

    Not Available

    1988-12-01

    This document contains twelve papers on various aspects of low-level radioactive waste management. Topics of this volume include: performance assessment methodology; remedial action alternatives; site selection and site characterization procedures; intruder scenarios; sensitivity analysis procedures; mathematical models for mixed waste environmental transport; and risk assessment methodology. Individual papers were processed separately for the database. (TEM)

  7. Get Involved in Planetary Discoveries through New Worlds, New Discoveries

    NASA Astrophysics Data System (ADS)

    Shupla, Christine; Shipp, S. S.; Halligan, E.; Dalton, H.; Boonstra, D.; Buxner, S.; SMD Planetary Forum, NASA

    2013-01-01

    "New Worlds, New Discoveries" is a synthesis of NASA’s 50-year exploration history which provides an integrated picture of our new understanding of our solar system. As NASA spacecraft head to and arrive at key locations in our solar system, "New Worlds, New Discoveries" provides an integrated picture of our new understanding of the solar system to educators and the general public! The site combines the amazing discoveries of past NASA planetary missions with the most recent findings of ongoing missions, and connects them to the related planetary science topics. "New Worlds, New Discoveries," which includes the "Year of the Solar System" and the ongoing celebration of the "50 Years of Exploration," includes 20 topics that share thematic solar system educational resources and activities, tied to the national science standards. This online site and ongoing event offers numerous opportunities for the science community - including researchers and education and public outreach professionals - to raise awareness, build excitement, and make connections with educators, students, and the public about planetary science. Visitors to the site will find valuable hands-on science activities, resources and educational materials, as well as the latest news, to engage audiences in planetary science topics and their related mission discoveries. The topics are tied to the big questions of planetary science: how did the Sun’s family of planets and bodies originate and how have they evolved? How did life begin and evolve on Earth, and has it evolved elsewhere in our solar system? Scientists and educators are encouraged to get involved either directly or by sharing "New Worlds, New Discoveries" and its resources with educators, by conducting presentations and events, sharing their resources and events to add to the site, and adding their own public events to the site’s event calendar! Visit to find quality resources and ideas. Connect with educators, students and the public to share the exciting planetary science discoveries as they’re uncovered during this unprecedented period of solar system exploration!

  8. Management of an affiliated Physics Residency Program using a commercial software tool.

    PubMed

    Zacarias, Albert S; Mills, Michael D

    2010-06-01

    A review of commercially available allied health educational management software tools was performed to evaluate their capacity to manage program data associated with a CAMPEP-accredited Therapy Physics Residency Program. Features of these software tools include: a) didactic course reporting and organization, b) competency reporting by topic, category and didactic course, c) student time management and accounting, and d) student patient case reporting by topic, category and course. The software package includes features for recording school administrative information; setting up lists of courses, faculty, clinical sites, categories, competencies, and time logs; and the inclusion of standardized external documents. There are provisions for developing evaluation and survey instruments. The mentors and program may be evaluated by residents, and residents may be evaluated by faculty members using this feature. Competency documentation includes the time spent on the problem or with the patient, time spent with the mentor, date of the competency, and approval by the mentor and program director. Course documentation includes course and lecture title, lecturer, topic information, date of lecture and approval by the Program Director. These software tools have the facility to include multiple clinical sites, with local subadministrators having the ability to approve competencies and attendance at clinical conferences. In total, these software tools have the capability of managing all components of a CAMPEP-accredited residency program. The application database lends the software to the support of multiple affiliated clinical sites within a single residency program. Such tools are a critical and necessary component if the medical physics profession is to meet the projected needs for qualified medical physicists in future years.

  9. Environment: General; Grammar & Usage; Money Management; Music History; Web Page Creation & Design.

    ERIC Educational Resources Information Center

    Web Feet, 2001

    2001-01-01

    Describes Web site resources for elementary and secondary education in the topics of: environment, grammar, money management, music history, and Web page creation and design. Each entry includes an illustration of a sample page on the site and an indication of the grade levels for which it is appropriate. (AEF)

  10. FilterGate, or Knowing What We're Walling In or Walling Out.

    ERIC Educational Resources Information Center

    Wolinsky, Art

    2001-01-01

    Discusses problems with Internet filtering when it results in erroneously blocked Web sites. Topics include the Children's Online Protection Act (CIPA); blocking all sites on an Internet Service Provider (ISP) through Round Robin DNS; blocking by URL or by IP number; and questioning the need for filters. (LRW)

  11. Workshop on Geology of the Apollo 17 Landing Site

    NASA Technical Reports Server (NTRS)

    Ryder, G. (Editor); Schmitt, H. H. (Editor); Spudis, P. D. (Editor)

    1992-01-01

    The topics covered include the following: petrology, lithology, lunar rocks, lunar soil, geochemistry, lunar geology, lunar resources, oxygen production, ilmenite, volcanism, highlands, lunar maria, massifs, impact melts, breccias, lunar crust, Taurus-Littrow, minerals, site selection, regolith, glasses, geomorphology, basalts, tectonics, planetary evolution, anorthosite, titanium oxides, chemical composition, and the Sudbury-Serenitatis analogy.

  12. Curriculum Counselor.

    ERIC Educational Resources Information Center

    Doty, Robert

    1995-01-01

    Features Internet sites that are sources for lesson plans, materials, group discussion topics, activities, test questions, computer software, and videos for K-12 education. Resources highlighted include CNN Newsroom, KidLink, and AskERIC. (AEF)

  13. Nonlibrary Partnerships: Acceptable Use (and Behavior) in the Web-based Depository.

    ERIC Educational Resources Information Center

    Brinkerhoff, Kathie

    2000-01-01

    Discusses problems facing federal depository libraries regarding patron behavior when using Web sites. Topics include acceptable use policies; existing laws and enforcement offices; protecting library property; pornography, including child pornography; sexual harassment; and other forms of staff harassment. (LRW)

  14. The Yucatan miniature swine as an in vivo model for screening skin depigmentation.

    PubMed

    Nair, X; Tramposch, K M

    1991-12-01

    The usefulness of the Yucatan miniature pig as a screen for skin dipigmenting activity by topical application was evaluated with standard compounds. This is a naturally occurring breed of swine with light brown to dark brown skin that is relatively hairless. The skin morphology, including the pattern of pigment distribution, in this breed of swine closely resembles the human skin. Test compounds examined in this study included the three standard compounds with known clinical depigmenting activity, hydroquinone (HQ), 4-hydroxyanisole (4HA) and tert-butyl catechol (TBC), each at a 5% concentration. Test materials in 25 microliters of propylene glycol/ethanol (50:50) were applied topically twice daily, 7 days a week for 90 days to test sites on each side of the dorsal mid-line. Test sites were graded weekly for variation in pigmentation and local irritation. After 90 days of test material application, skin biopsies of the test sites were taken for histological evaluation. Topical application of HQ, 4HA and TBC promoted marked skin depigmentation which was substantiated by reductions of pigment and melanocytes observed on microscopic examination. While both HQ and TBC produced marked local irritation, 4HA was only mildly irritating. These results suggest that the Yucatan pig, could be a potentially useful model for screening compounds with skin depigmenting activity.

  15. The 1997 JANNAF Propellant Development and Characterization Subcommittee and Safety and Environmental Protection Subcommittee Joint Meeting

    NASA Technical Reports Server (NTRS)

    Cocchiaro, James E. (Editor); Filliben, Jeff D. (Editor); Watson, Anne H. (Editor)

    1997-01-01

    In the Propellant Development and Characterization Subcommittee (PDCS) meeting, topics included: the analysis, characterization, and processing of propellants and propellant ingredients; chemical reactivity; liquid propellants; test methods; rheology; surveillance and aging; and process engineering. In the Safety and Environmental Protection Subcommittee (S&EPS) meeting, topics covered included: hydrazine propellant vapor detection methods; toxicity of propellants and propellants; explosives safety; atmospheric modeling and risk assessment of toxic releases; reclamation, disposal, and demilitarization methods; and remediation of explosives or propellant contaminated sites.

  16. 1987 Oak Ridge model conference: Proceedings: Volume 2, Environmental protection

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

    Not Available

    1987-01-01

    See the abstract for Volume I for general information on the conference. Topics discussed in Volume II include data management techiques for environmental protection efforts, the use of models in environmental auditing, in emergency plans, chemical accident emergency response, risk assessment, monitoring of waste sites, air and water monitoring of waste sites, and in training programs. (TEM)

  17. 30 CFR 291.108 - How do I pay the processing fee?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... electronically through Pay.Gov. The Pay.Gov Web site may be accessed through links on the MMS Offshore Web site at: http://www.mms.gov/offshore/homepage (on drop-down topic list) or directly through Pay.Gov at: https://www.pay.gov/paygov/. (b) You must include with the payment: (1) Your taxpayer identification...

  18. 30 CFR 291.108 - How do I pay the processing fee?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... electronically through Pay.Gov. The Pay.Gov Web site may be accessed through links on the BSEE Offshore Web site at: http://www.bsee.gov/offshore/homepage (on drop-down topic list) or directly through Pay.Gov at: https://www.pay.gov/paygov/. (b) You must include with the payment: (1) Your taxpayer identification...

  19. 30 CFR 291.108 - How do I pay the processing fee?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... electronically through Pay.Gov. The Pay.Gov Web site may be accessed through links on the BSEE Offshore Web site at: http://www.bsee.gov/offshore/homepage (on drop-down topic list) or directly through Pay.Gov at: https://www.pay.gov/paygov/. (b) You must include with the payment: (1) Your taxpayer identification...

  20. 30 CFR 291.108 - How do I pay the processing fee?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... electronically through Pay.Gov. The Pay.Gov Web site may be accessed through links on the BSEE Offshore Web site at: http://www.bsee.gov/offshore/homepage (on drop-down topic list) or directly through Pay.Gov at: https://www.pay.gov/paygov/. (b) You must include with the payment: (1) Your taxpayer identification...

  1. Building Earth's Largest Library: Driving into the Future.

    ERIC Educational Resources Information Center

    Coffman, Steve

    1999-01-01

    Examines the Amazon.com online bookstore as a blueprint for designing the world's largest library. Topics include selection; accessibility and convenience; quality of Web sites and search tools; personalized service; library collection development, including interlibrary loan; library catalogs and catalog records; a circulation system; costs;…

  2. Establishment and operation of the National Accident Sampling System (NASS) team within the cities of Ft. Lauderdale/Hollywood, Florida

    NASA Astrophysics Data System (ADS)

    Beddow, B.; Roberts, C.; Rankin, J.; Bloch, A.; Peizer, J.

    1981-01-01

    The National Accident Sampling System (NASS) is described. The study area discussed is one of the original ten sites selected for NASS implementation. In addition to collecting data from the field, the original ten sites address questions of feasibility of the plan, projected results of the data collection effort, and specific operational topics, e.g., team size, sampling requirements, training approaches, quality control procedures, and field techniques. Activities and results of the first three years of the project, for both major tasks (establishment and operation) are addressed. Topics include: study area documentation; team description, function and activities; problems and solutions; and recommendations.

  3. Treating pain on skin graft donor sites: Review and clinical recommendations.

    PubMed

    Sinha, Sarthak; Schreiner, Amanda J; Biernaskie, Jeff; Nickerson, Duncan; Gabriel, Vincent A

    2017-11-01

    Split-thickness skin grafting is the most common reconstructive procedure in managing burn injuries. Harvesting split-thickness skin creates a new partial thickness wound referred to as the donor site. Pain at the donor site is reported to be one of the most distressing symptoms during the early postoperative period. Here, we (a) identify strategies for managing donor site pain, (b) assess the quality of individual studies, and (c) formulate evidence-based recommendations based on the amount and consistency of evidence. Our analysis revealed five distinct approaches to minimize donor site pain. These include: continuous subcutaneous local anesthetic infusion (three studies), subcutaneous anesthetic injection (five studies), topical agents (six studies), nonpharmacological interventions (three studies), and wound dressings (18 studies). Available randomized control trials typically evaluated pain on standardized scales (i.e. Visual Analog Scale, Numerical Rating Scale), and compared the experimental group with standard care. Recommended treatments include: (a) subcutaneous anesthetic injection of adrenaline-lidocaine; (b) ice application; (c) topical agents, such as lidocaine and bupivacaine; and (d) hydrocolloid- and polyurethane-based wound dressings accompanied with fibrin sealant. Methodologically sound randomized control trials examining the efficacy of modified tumescent solution, ropivacaine, plasma therapy, noncontact ultrasound, and morphine gels are lacking and should be a priority for future research.

  4. Expert systems in civil engineering

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

    Kostem, C.N.; Maher, M.L.

    1986-01-01

    This book presents the papers given at a symposium on expert systems in civil engineering. Topics considered at the symposium included problem solving using expert system techniques, construction schedule analysis, decision making and risk analysis, seismic risk analysis systems, an expert system for inactive hazardous waste site characterization, an expert system for site selection, knowledge engineering, and knowledge-based expert systems in seismic analysis.

  5. 40 CFR 60.1130 - How do I make my siting analysis available to the public?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... separation plan. Include the normal business hours of each library. (5) An agenda of the topics that will be...) Distribute your siting analysis and revised materials separation plan to the main public libraries in the... public meeting. (2) The time of the public meeting. (3) The location of the public meeting. (4) The...

  6. On the Topical Structure of Medical Charts

    PubMed Central

    Archbold, Armar A.; Evans, David A.

    1989-01-01

    In a study of 55 H&P sections of hospital charts, we tested the hypothesis that topic-sub-topic sequencing is sufficiently regular to provide ‘missing’ information in the construction of explicit propositions from elliptical text. ‘Propositions’ were taken to be frames with the slots topic, sub-topic, method, site, attribute, value, and qualifier. Topic was identifiable in 96% of all cases; attribute-value pairs were uniquely recoverable from topics in 69% of all cases; site was co-determined by topic, method, and attribute. Our results suggest that uncertainties in the automated processing of H&P statements can be overcome by appealing to knowledge about the topical structure of medical charts.

  7. Recombinant human basic fibroblast growth factor (bFGF) stimulates periodontal regeneration in class II furcation defects created in beagle dogs.

    PubMed

    Murakami, S; Takayama, S; Kitamura, M; Shimabukuro, Y; Yanagi, K; Ikezawa, K; Saho, T; Nozaki, T; Okada, H

    2003-02-01

    Several growth factors (or cytokines) have been recently investigated for their use as potential therapeutics for periodontal tissue regeneration. The objective of this study was to evaluate periodontal tissue regeneration, including new bone and cementum formation, following topical application of recombinant basic fibroblast growth factor (bFGF, FGF-2) to furcation class II defects. Twelve furcation class II bone defects were surgically created in six beagle dogs, then recombinant bFGF (30 micro g/site) + gelatinous carrier was topically applied to the bony defects. Six weeks after application, periodontal regeneration was analyzed. In all sites where bFGF was applied, periodontal ligament formation with new cementum deposits and new bone formation was observed histomorphometrically, in amounts greater than in the control sites. Basic FGF-applied sites exhibited significant regeneration as represented by the new bone formation rate (NBR) (83.6 +/- 14.3%), new trabecular bone formation rate (NTBR) (44.1 +/- 9.5%), and new cementum formation rate (NCR) (97.0 +/- 7.5%). In contrast, in the carrier-only sites, the NBR, NTBR, and NCR were 35.4 +/- 8.9%, 16.6 +/- 6.2%, and 37.2 +/- 15.1%, respectively. Moreover, no instances of epithelial down growth, ankylosis, or root resorption were observed in the bFGF-applied sites examined. The present results indicate that topical application of bFGF can enhance considerable periodontal regeneration in artificially created furcation class II bone defects of beagle dogs.

  8. Patients' rights on the World Wide Web.

    PubMed

    Taylor, M K

    2001-01-01

    Managed care reform, commonly referred to as "patients' rights" legislation, has become a hot topic. Many groups, including consumers, health care professionals, employers, managed care organizations, political parties, and government agencies, have strong opinions about measures that should be taken and what the outcomes of these measures might be. Those investigating this multidisciplinary topic will want to examine health care administration, ethics, health services research, and political science sources. Web resources covered in this article include: clearinghouses; government agencies; federal legislative and legal sites; and home pages of professional and trade associations, policy research institutes, and consumer advocacy organizations.

  9. Pharmacokinetic Profile, Safety, and Tolerability of Crisaborole Topical Ointment, 2% in Adolescents with Atopic Dermatitis: An Open-Label Phase 2a Study.

    PubMed

    Tom, Wynnis L; Van Syoc, Merrie; Chanda, Sanjay; Zane, Lee T

    2016-01-01

    Phosphodiesterase-4 (PDE4) is an emerging target in treating inflammatory skin diseases. Crisaborole topical ointment, 2% is a novel, boron-based, topical PDE4 inhibitor under investigation for treatment of mild to moderate atopic dermatitis (AD). Adolescent patients aged 12 to 17 years with treatable AD lesions involving ≥ 10% to ≤ 35% body surface area (BSA) were enrolled into a phase 2a, open-label study comprising pharmacokinetic (PK), safety, tolerability, and efficacy assessments. Crisaborole topical ointment, 2% was applied twice daily to affected areas for 28 days, with dosage based on baseline treatable BSA. PK blood samples were collected on days 1, 2, 4, 6, 8, and 9. Safety assessments included adverse events (AEs), laboratory parameters, and vital signs. Efficacy assessments included the Investigator's Static Global Assessment (ISGA) score and severity of AD signs and symptoms. Twenty-three patients were enrolled; 22 completed the study (1 patient discontinued due to an AE [application site dermatitis]). PK analysis demonstrated limited exposure to crisaborole topical ointment, 2% after 8 days of dosing. Ten patients reported a total of 19 AEs, most commonly application site pain and nasopharyngitis (3 patients each). There were no clinically meaningful changes in laboratory or vital sign parameters. Efficacy was demonstrated by reductions in mean ISGA and AD sign and symptom severity scores. At day 29, eight patients (35%) had achieved an ISGA score ≤ 1 with ≥ 2-grade improvement. Mean treatable BSA declined from 17.6% to 8.2%. These results provide preliminary evidence for the limited systemic exposure, safety, and effectiveness of crisaborole topical ointment, 2% in adolescents with mild to moderate AD. © 2016 Wiley Periodicals, Inc.

  10. ODOT research news : summer quarter 2003.

    DOT National Transportation Integrated Search

    2003-01-01

    The newsletter includes: : 1) Calibrating WIM Sites for LTPP; : 2) What Happens to Vehicles that Fail Emissions Testing? Pursuing a Worthy Research Topic; : 3) Making it Through the Winter: Testing of Durable Pavement Markings in a Snow Zone; and, : ...

  11. INITIATIVES AND TREATMENT OF MERCURY IN ABANDONED MINES

    EPA Science Inventory

    This presentation discusses EPA's research activities and mitigation activities for mercury contaminated mine sites at the International meeting on mercury and artisanal gold mining in Lima, Peru. The topics discussed included the toxicological and enviornmental tasks associated ...

  12. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.

    PubMed

    Zahiri, Hamid R; Stromberg, Jeffrey; Skupsky, Hadas; Knepp, Erin K; Folstein, Matthew; Silverman, Ronald; Singh, Devinder

    2011-03-01

    This study sought to identify and provide preventative recommendations for potentially devastating safety violations in the operating room. A Medline database search from 1950 to current using the terms patient safety and operating room was conducted. All topics identified were reviewed. Three patient safety violations with potential for immediate and devastating outcomes were selected for discussion using evidence-based literature. The search identified 2851 articles, 807 of which were directly related to patient safety in the operating room. Topics addressed by these 807 included infectious complications (26%), fires (11%), communication/teamwork (6%), retained foreign objects (3%), safety checklists (1%), and wrong-site surgery (1%). Fires, gossypiboma, and wrong-site surgery were selected for discussion. Although fire, gossypiboma, and wrong-site surgery should be "never events" in the operating room, they continue to persist as 3 common patient safety violations. This study provides the epidemiology, common etiologies, and evidence-based preventative recommendations for each.

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

    Benda, Gary; Hayes, David; Gorham, Ron

    The NDA participated in a panel session 31B on Wednesday afternoon starting at 3:15. The NDA is a non-departmental public body, set up in April 2005 under the Energy Act 2004 to take strategic responsibility for the UK's nuclear legacy. Details of their organization and history are located on their web site at www.nda.gov.uk. Also copies of their Power Point presentations made at WM'06 are available on their web site. Their core objective is to ensure that the 20 civil public sector nuclear sites under our ownership are decommissioned and cleaned up safely, securely, cost effectively and in ways thatmore » protect the environment for this and future generations. They lead the development of a unified and coherent decommissioning strategy, working in partnership with regulators and site licensees to achieve best value, optimum impact on local communities, and the highest environmental standards. The NDA's main task is the decommissioning and clean up of civil nuclear sites. If the Government decides it is necessary, however, the Energy Act 2004 allows the NDA to take responsibility for sites currently operated by, or on behalf of, the Ministry of Defence (MoD). Resources will then be transferred from the MoD to meet the costs of clean up. The NDA made a number of presentations to allow conference delegates the opportunity to understand some of the major aspects of their work and to interact with NDA staff. These included the following topics and gave opportunity for audience discussion: - A brief presentation to update on progress by the NDA; - Outline of low level waste management and the prioritisation process; - Discussion of the competition schedule related to low level waste management and the Drigg site. The following presentations and handout were delivered in various sessions of the conference as noted below and are available on their web page including the WM'06 Plenary Session presentation by Sir Anthony Cleaver, Chairman of the NDA. During Session 31B, the following Power Point presentations were made. NDA Overview by David Hayes, Director of Special Projects National M and O Contractor Work Prioritisation Process by Mark Wareing, including topics on: - Need for prioritisation; - Development of the process; - Using the process as a measure of progress. Competition by Ron Gorham, Head of Procurement, including topics on: - The current model; - What NDA are actually competing; - The acquisition process; - NDA aspirations for competition; - NDA aspirations from the market. Low Level Waste Contracting in the UK by Adrian Simper, Expenditure and Programme Strategy Manager, including topics on: - Low Level Waste: NDA responsibilities, Definitions, Arisings; - Proposed NDA Procurement for LLW Management: Scope, Contracting approach, Timetable. The NDA responded to questions from the audience and also announced that the NDA will be holding a special Industry Day for potential contractors interested in the first NDA competition - the Low Level Waste Repository near Drigg in Cumbria. The event is scheduled on the 25-26 April 2006 with more details on their web site at www.nda.gov.uk. (authors)« less

  14. Does Infection Site Matter? A Systematic Review of Infection Site Mortality in Sepsis.

    PubMed

    Motzkus, Christine A; Luckmann, Roger

    2017-09-01

    Sepsis treatment protocols emphasize source control with empiric antibiotics and fluid resuscitation. Previous reviews have examined the impact of infection site and specific pathogens on mortality from sepsis; however, no recent review has addressed the infection site. This review focuses on the impact of infection site on hospital mortality among patients with sepsis. The PubMed database was searched for articles from 2001 to 2014. Studies were eligible if they included (1) one or more statistical models with hospital mortality as the outcome and considered infection site for inclusion in the model and (2) adult patients with sepsis, severe sepsis, or septic shock. Data abstracted included stage of sepsis, infection site, and raw and adjusted effect estimates. Nineteen studies were included. Infection sites most studied included respiratory (n = 19), abdominal (n = 19), genitourinary (n = 18), and skin and soft tissue infections (n = 11). Several studies found a statistically significant lower mortality risk for genitourinary infections on hospital mortality when compared to respiratory infections. Based on studies included in this review, the impact of infection site in patients with sepsis on hospital mortality could not be reliably estimated. Misclassification among infections and disease states remains a serious possibility in studies on this topic.

  15. Kennedy Space Center Launch and Landing Support

    NASA Technical Reports Server (NTRS)

    Wahlberg, Jennifer

    2010-01-01

    The presentations describes Kennedy Space Center (KSC) payload processing, facilities and capabilities, and research development and life science experience. Topics include launch site processing, payload processing, key launch site processing roles, leveraging KSC experience, Space Station Processing Facility and capabilities, Baseline Data Collection Facility, Space Life Sciences Laboratory and capabilities, research payload development, International Space Station research flight hardware, KSC flight payload history, and KSC life science expertise.

  16. International Symposium on Electromagnetic Compatibility, Wakefield, MA, August 20-22, 1985, Record

    NASA Astrophysics Data System (ADS)

    Various papers on electromagnetic compatibility are presented. The general topics addressed include: EMI transient/impulsive disturbances, electromagnetic shielding, antennas and propagation, measurement technology, anechoic chamber/open site measurements, communications systems, electrostatic discahrge, cables/transmission lines. Also considered are: elecromagnetic environments, antennas, electromagnetic pulse, nonlinear effect, computer/data transmission systems, EMI standards and requirements, enclosures/TEM cells, systems EMC, and test site measurements.

  17. The Amerasians.

    ERIC Educational Resources Information Center

    Ranard, Donald A.; Gilzow, Douglas F.

    1989-01-01

    Articles in this newsletter issue examine the experiences, strengths, and problems that Amerasian refugees from Vietnam have had while living in the United States. Topics of discussion include discrimination, educational difficulties, resettlement experiences, and cultural difficulties. The concept of cluster site resettlement, a possible solution…

  18. Comparing Strategic Knowledge Gaps for Human Mars Settlement vs. Exploration

    NASA Astrophysics Data System (ADS)

    Mackenzie, B. A.

    2012-06-01

    We list knowledge needed to establish a permanent Mars base, compared that for round-trip human exploration missions. Topics include: site selection, reliable access to water, long term effects of contaminations, and in-situ materials production.

  19. OSI Conformance Testing for Bibliographic Applications.

    ERIC Educational Resources Information Center

    Arbez, Gilbert; Swain, Leigh

    1990-01-01

    Describes the development of Open Systems Interconnection (OSI) conformance testing sites, conformance testing tools, and conformance testing services. Discusses related topics such as interoperability testing, arbitration testing, and international harmonization of conformance testing. A glossary is included. (24 references) (SD)

  20. Librarian Recruitment Process at Home in the Wired Nation.

    ERIC Educational Resources Information Center

    Nesbeitt, Sarah

    2003-01-01

    Discusses the trend toward online recruitment for librarians and describes a survey of library employees who had posted jobs online. Topics include reasons for online job postings; where positions were advertised, including types of Web sites and print media; electronic communication and emailed resumes; and the future of online recruitment. (LRW)

  1. Fluvial processes in Ma'adim Vallis and the potential of Gusev crater as a high priority site

    NASA Technical Reports Server (NTRS)

    Cabrol, Nathalie; Landheim, Ragnild; Greeley, Ronald; Farmer, Jack

    1994-01-01

    According to exobiology site selection criteria for Mars, the search for potential extinct/extant water dependent life should focus on sites were water flowed and ponded. The Ma'adim Vallis/Gusev crater system is of high priority for exobiology research, because it appears to have involved long term flooding, different periods and rates of sedimentation, and probable episodic ponding. The topics covered include the following: evidence of nonuniform fluvial processes and early overflooding of the plateau and ponding.

  2. Systemic and Topical Use of Tranexamic Acid in Spinal Surgery: A Systematic Review

    PubMed Central

    Winter, Sebastian F.; Santaguida, Carlo; Wong, Jean; Fehlings, Michael G.

    2015-01-01

    Study Design Combination of narrative and systematic literature reviews. Objectives Massive perioperative blood loss in complex spinal surgery often requires blood transfusions and can negatively affect patient outcome. Systemic use of the antifibrinolytic agent tranexamic acid (TXA) has become widely used in the management of surgical bleeding. We review the clinical evidence for the use of intravenous TXA as a hemostatic agent in spinal surgery and discuss the emerging role for its complementary use as a topical agent to reduce perioperative blood loss from the surgical site. Through a systematic review of published and ongoing investigations on topical TXA for spinal surgery, we wish to make spine practitioners aware of this option and to suggest opportunities for further investigation in the field. Methods A narrative review of systemic TXA in spinal surgery and topical TXA in surgery was conducted. Furthermore, a systematic search (using PRISMA guidelines) of PubMed (MEDLINE), EMBASE, and Cochrane CENTRAL databases as well as World Health Organization International Clinical Trials Registry Platform, ClinicalTrials.gov (National Institutes of Health), and International Standard Randomized Controlled Trial Number registries was conducted to identify both published literature and ongoing clinical trials on topical TXA in spinal surgery. Results Of 1,631 preliminary search results, 2 published studies were included in the systematic review. Out of 285 ongoing clinical trials matching the search criteria, a total of 4 relevant studies were included and reviewed. Conclusion Intravenous TXA is established as an efficacious hemostatic agent in spinal surgery. Use of topical TXA in surgery suggests similar hemostatic efficacy and potentially improved safety as compared with intravenous TXA. For spinal surgery, the literature on topical TXA is sparse but promising, warranting further clinical investigation and consideration as a clinical option in cases with significant anticipated surgical site blood loss. PMID:27099820

  3. Designing a New Urban Internet.

    ERIC Educational Resources Information Center

    Burke, Lauren

    2002-01-01

    Discusses Web site design and information architecture in light of principles of New Urbanism that are being applied in urban planning situations. Topics include networked electronic environment design; user-centered network design; multidisciplinary approaches; knowledge access and collaboration; and the Global Information Infrastructure…

  4. An Integrated Approach to Student Services.

    ERIC Educational Resources Information Center

    Kelly, Rob

    2001-01-01

    Describes the comprehensive, coordinated approach to student support services at the University of Wisconsin Learning Innovations, an electronic learning consultation utility that develops online programs for distance learning. Topics include the Learner Relationship Management System, advising opportunities, help desk, administrative Web site,…

  5. Accessing Electronic Journals.

    ERIC Educational Resources Information Center

    McKay, Sharon Cline

    1999-01-01

    Discusses issues librarians need to consider when providing access to electronic journals. Topics include gateways; index and abstract services; validation and pay-per-view; title selection; integration with OPACs (online public access catalogs)or Web sites; paper availability; ownership versus access; usage restrictions; and services offered…

  6. Characterization of instrumented sites for the onsite fuel-cell field-test project. Volume 4. Topical report, 1983-1985

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

    Racine, W.C.; Campillo, C.J.

    During the site-selection phase of the Onsite Fuel-Cell Field Test, nearly one hundred sites throughout the U.S. were each instrumented with a standard data-acquisition system (DAS) to collect hourly electrical and thermal data for one year. Seventy of those sites are included in the report. Each site's electrical and thermal systems were instrumented including ambient temperature, electrical demands, building gas usage, and other parameters necessary to calculate building thermal loads. Multifamily residential, commercial, and light industrial sites were instrumented. Approximately twenty market sectors were represented including restaurants, hospitals, hotels, apartments, health clubs, nursing homes, and food-processing plants. The primary usemore » of the data was to determine site compatibility for the installation of 40-kW fuel-cell power plants. However, the collected energy data and site-specific information summarized in this comprehensive report may also be useful for other applications such as market characterization and simulation of new or improved energy-utilization equipment in actual sites. This volume covers metal-plating facilities, nurseries, nursing homes, office buildings and other industrial applications.« less

  7. Oak Ridge Reservation annual site environmental report for 1995

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

    Koncinski, W.S.

    1996-09-01

    This report presents the details of the environmental monitoring and management program for the Oak Ridge Reservation. Topics discussed include: site background, climate, and operations; environmental compliance strategies; effluent monitoring; environmental management program including environmental restoration, decontamination and decommissioning, technology development, and public involvement; effluent monitoring of airborne discharges, liquid discharges, toxicity control and monitoring, biological monitoring and abatement; environmental surveillance which encompasses meteorological monitoring, ambient air monitoring, surface water monitoring, soils monitoring, sediment monitoring, and contamination of food stuffs monitoring; radiation doses; chemical exposures; ground water monitoring; and quality assurance.

  8. Your Voice, Your Vote: A Lesson with Website Resources

    ERIC Educational Resources Information Center

    Mathys, Lori; Bennett, Linda

    2006-01-01

    This article describes several websites that can be used to encourage students to vote. These include "The Democracy Project: Inside the Voting Booth" sponsored by PBS. This site addresses three elementary topics: how one vote has made a difference in U.S. history, how the right to vote has gradually been expanded to include minorities (African…

  9. Web life: Planet SciCast

    NASA Astrophysics Data System (ADS)

    2009-08-01

    So what is the site about? Planet SciCast is an online repository for short films about science - a bit like a science-specific, moderated version of YouTube. As of July 2009, the site hosts over 150 films on topics ranging from CERN's Large Hadron Collider to fun things to do with treacle. New content appears on the site every few weeks, and some films include links to information about related experiments, demos and activities. The site also runs an annual competition aimed at getting more people involved in making science films, with prizes in categories like "best original score" and "best presenter".

  10. Imagining the Digital Library in a Commercialized Internet.

    ERIC Educational Resources Information Center

    Heckart, Ronald J.

    1999-01-01

    Discusses digital library planning in light of Internet commerce and technological innovation in marketing and customer relations that are transforming user expectations about Web sites that offer products and services. Topics include user self-sufficiency; personalized service; artificial intelligence; collaborative filtering; and electronic…

  11. Franchising Technology Education: Issues and Implications.

    ERIC Educational Resources Information Center

    Daniel, Dan; Newcomer, Cynthia

    1993-01-01

    Describes educational technology franchises that sell services to students, either through schools or directly through retail centers, to educate them about and with technology. Topics addressed include the emphasis on personalized instruction; cooperative learning; curriculum; cost effectiveness; site-based management in public education; and…

  12. Web of Deceit.

    ERIC Educational Resources Information Center

    Minkel, Walter

    2002-01-01

    Discusses the increase in online plagiarism and what school librarians can do to help. Topics include the need for school district policies on plagiarism; teaching students what plagiarism is; pertinent Web sites; teaching students proper research skills; motivation for cheating; and requiring traditional sources of information for student…

  13. Isotopic ages and characteristics of ancient (pre-Serenitatis) crustal rocks at Apollo 17

    NASA Technical Reports Server (NTRS)

    Premo, W. R.; Tatsumoto, M.

    1992-01-01

    The topics covered include the following: (1) problems with the isotopic systematics in lunar samples; (2) ancient crustal ages at the Apollo 17 site; and (3) isotopic characteristics of ancient Apollo 17 rocks - implications for their petrogenesis.

  14. Supporting Faculty Learning About Teaching: The On the Cutting Edge Website

    NASA Astrophysics Data System (ADS)

    Fox, S.; Iverson, E. A.; Manduca, C. A.; Kirk, K. B.; McDaris, J. R.; Ormand, C. J.; Bruckner, M. Z.

    2011-12-01

    The On the Cutting Edge website captures information about teaching geoscience from workshop participants and leaders. Designed to both support workshop participants in making use of ideas developed at the workshop and to allow a broader audience to access these ideas, the site includes more than 4900 pages of content in 39 topical collections with more than 1400 community-contributed teaching activities. The site is well used: in 2010, 850,000 visitors made more than one million visits to the site viewing more than 2.1 million pages. To obtain a more detailed understanding of site use within our target population, we interviewed a sample of 30 geoscience faculty. Five primary uses were described repeatedly and in depth: finding ideas for teaching, understanding what colleagues are doing in specific teaching situations, learning about methods, tools, or topic in education or geoscience, finding visualizations, and networking or career planning. Interviewees could describe particular instances where they made use of teaching materials and could cite reasons why they believed this improved student learning. To understand how these uses are manifest in the weblogs, a sample of 73 sessions that lasted at least 10 minutes, and viewed 10 or more pages were selected from March 2009 logs. Sessions were selected to sample heavy use of one or more topical collections, and to sample the diversity of log characteristics. The sessions were described qualitatively and the resulting descriptions categorized. Four recognizable use patterns emerged: activity browsing in some cases combined with study of a pedagogic method, browsing visualizations and associated topical content, digging deep within a particular topical collection, and cross-site browsing. These patterns seem consistent with the uses reported in the interviews. An analysis of characteristics of all sessions in 2008 viewing 10 or more pages indicate that the major uses described in the interview study by 30 faculty are in fact widespread among the 16,000 users seeing 10 or more pages. The most widespread identifiable use is finding teaching activities or finding out what colleagues are doing in a particular teaching situation (20-40% of use). Roughly 30% of use appears to be related to seeking visualizations for class. Another 20% of use includes learning about pedagogic methods, though that may not be the users' intention when they enter the site. As in the interview study, use associated with finding career information is significant though less common (10% of use). The relative distribution of page views across modules is well aligned with the reported uses, and offers further confirmation that these uses are widely represented in the deep sessions.

  15. Real-time analysis application for identifying bursty local areas related to emergency topics.

    PubMed

    Sakai, Tatsuhiro; Tamura, Keiichi

    2015-01-01

    Since social media started getting more attention from users on the Internet, social media has been one of the most important information source in the world. Especially, with the increasing popularity of social media, data posted on social media sites are rapidly becoming collective intelligence, which is a term used to refer to new media that is displacing traditional media. In this paper, we focus on geotagged tweets on the Twitter site. These geotagged tweets are referred to as georeferenced documents because they include not only a short text message, but also the documents' posting time and location. Many researchers have been tackling the development of new data mining techniques for georeferenced documents to identify and analyze emergency topics, such as natural disasters, weather, diseases, and other incidents. In particular, the utilization of geotagged tweets to identify and analyze natural disasters has received much attention from administrative agencies recently because some case studies have achieved compelling results. In this paper, we propose a novel real-time analysis application for identifying bursty local areas related to emergency topics. The aim of our new application is to provide new platforms that can identify and analyze the localities of emergency topics. The proposed application is composed of three core computational intelligence techniques: the Naive Bayes classifier technique, the spatiotemporal clustering technique, and the burst detection technique. Moreover, we have implemented two types of application interface: a Web application interface and an android application interface. To evaluate the proposed application, we have implemented a real-time weather observation system embedded the proposed application. we used actual crawling geotagged tweets posted on the Twitter site. The weather observation system successfully detected bursty local areas related to observed emergency weather topics.

  16. SEER Informational Guidebook Training Aids.

    ERIC Educational Resources Information Center

    Baylis, Paula

    This book includes topics on the surveillance, epidemiology, and end results reporting of human cancer. An anatomy section describes various systems of the human body, emphasizing those sites with high incidence of cancer. A general reference section describes weights and measures, pathology and histology, diagnostic techniques, and medical…

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

    Dunn, Darrell; Poinssot, Christophe; Begg, Bruce

    Management of nuclear waste remains an important international topic that includes reprocessing of commercial nuclear fuel, waste-form design and development, storage and disposal packaging, the process of repository site selection, system design, and performance assessment. Requirements to manage and dispose of materials from the production of nuclear weapons, and the renewed interest in nuclear power, in particular through the Generation IV Forum and the Advanced Fuel Cycle Initiative, can be expected to increase the need for scientific advances in waste management. A broad range of scientific and engineering disciplines is necessary to provide safe and effective solutions and address complexmore » issues. This volume offers an interdisciplinary perspective on materials-related issues associated with nuclear waste management programs. Invited and contributed papers cover a wide range of topics including studies on: spent fuel; performance assessment and models; waste forms for low- and intermediate-level waste; ceramic and glass waste forms for plutonium and high-level waste; radionuclides; containers and engineered barriers; disposal environments and site characteristics; and partitioning and transmutation.« less

  18. Processing plutonium-contaminated soil on Johnston Atoll

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

    Moroney, K.; Moroney, J. III; Turney, J.

    1994-07-01

    This article describes a cleanup project to process plutonium- and americium-contaminated soil on Johnston Atoll for volume reduction. Thermo Analytical`s (TMA`s) segmented gate system (SGS) for this remedial operation has been in successful on-site operation since 1992. Topics covered include the basis for development, a description of the Johnston Atoll; the significance of results; the benefits of the technology; applicability to other radiologically contaminated sites. 7 figs., 1 tab.

  19. RCRA, Superfund and EPCRA hotline training module. Introduction to: Applicable or relevant and appropriate requirements (updated February 1998)

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

    NONE

    1998-06-01

    Topics addressed include the following: Regulatory Summary (Role and Definition of Applicable or Relevant and Appropriate Requirements); Types of ARARs; Extent of ARARs: On-Site vs. Off-Site Management; Remedial vs. Removal Actions; To-Be-Considered Guidelines and Other Controls; ARAR Identification (ARAR Identification Process); Federal ARARs: RCRA, CAA, CWA, SDWA, TSCA; State and Local ARARs and ARAR Waivers; and Module Summary.

  20. Geotechnical support and topical studies for nuclear waste geologic repositories

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

    Not Available

    1989-01-01

    The present report lists the technical reviews and comments made during the fiscal year 1988 and summarizes the technical progress of the topical studies. In the area of technical assistance, there were numerous activities detailed in the next section. These included 24 geotechnical support activities, including reviews of 6 Study Plans (SP) and participation in 6 SP Review Workshops, review of one whole document Site Characterization Plan (SCP) and participation in the Assembled Document SCP Review Workshops by 6 LBL reviewers; the hosting of a DOE program review, the rewriting of the project statement of work, 2 trips to technicalmore » and planning meetings; preparation of proposed work statements for two new topics for DOE, and 5 instances of technical assistance to DOE. These activities are described in a Table in the following section entitled Geoscience Technical Support for Nuclear Waste Geologic Repositories.''« less

  1. Proceedings of Small Power Systems Solar Electric Workshop. Volume 2: Invited papers

    NASA Technical Reports Server (NTRS)

    Ferber, R. (Editor)

    1978-01-01

    The focus of this work shop was to present the committment to the development of solar thermal power plants for a variety of applications including utility applications. Workshop activities included panel discussions, formal presentations, small group interactive discussions, question and answer periods, and informal gatherings. Discussion on topics include: (1) solar power technology options; (2) solar thermal power programs currently underway at the DOE, JPL, Electric Power Research Institute (EPRI), and Solar Energy Research Institute (SERI); (3) power options competing with solar; (4) institutional issues; (5) environmental and siting issues; (6) financial issues; (7) energy storage; (8) site requirements for experimental solar installations, and (9) utility planning.

  2. APOD Data Release of Social Network Footprint for 2015

    NASA Astrophysics Data System (ADS)

    Nemiroff, Robert J.; Russell, David; Allen, Alice; Connelly, Paul; Lowe, Stuart R.; Petz, Sydney; Haring, Ralf; Bonnell, Jerry T.; APOD Team

    2017-01-01

    APOD data for 2015 are being made freely available for download and analysis. The data includes page view statistics for the main NASA APOD website at https://apod.nasa.gov, as well as for APOD's social media sites on Facebook, Instagram, Google Plus, and Twitter. General APOD-specific demographic information for each site is included. Popularity statistics that have been archived including Page Views, Likes, Shares, Hearts, and Retweets. The downloadable Excel-type spreadsheet also includes the APOD title and (unlinked) explanation. This data is released not to highlight APOD's popularity but to encourage analyses, with potential examples involving which astronomy topics trend the best and whether popularity is social group dependent.

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

    Warpinski, N.R.; Branagan, P.T.; Sattler, A.R.

    This paper is a case study of the stimulation and testing of tight, lenticular sands in the paludal interval of the Mesaverde group in the Piceance basin at DOE's Multiwell Experiment (MWX) site in Colorado. Topics discussed include geologic data, stress test results, well testing, laboratory core studies, stimulation and stimulation analyses, and postfracture operations.

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

    Wood, D.E.

    This report presents discussions given at a conference on environmental remediation, September 8--11, Pasco, Washington. Topics include: public confidence; education; in-situ remediation; Hanford tank operations; risk assessments; field experiences; standards; site characterization and monitoring; technology discussions; regulatory issues; compliance; and the UMTRA project. Individual projects are processed separately for the data bases.

  5. A Multidisciplinary First-Year Seminar about Tuberculosis.

    ERIC Educational Resources Information Center

    Fluck, Richard A.

    2001-01-01

    Describes a writing intensive seminar for college freshman. Includes goals, reading assignments, writing assignments, and group projects. Provides web-based resources on tuberculosis along with an evaluation sheet for web site reviews. Concludes that students exhibited great interest in the topic and course feedback was positive. (DLH)

  6. Cancer--Living with Cancer: MedlinePlus Health Topic

    MedlinePlus

    ... MedlinePlus GO GO About MedlinePlus Site Map FAQs Customer Support Health Topics Drugs & Supplements Videos & Tools Español ... our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to RSS Follow ...

  7. Modeling of earthquake ground motion in the frequency domain

    NASA Astrophysics Data System (ADS)

    Thrainsson, Hjortur

    In recent years, the utilization of time histories of earthquake ground motion has grown considerably in the design and analysis of civil structures. It is very unlikely, however, that recordings of earthquake ground motion will be available for all sites and conditions of interest. Hence, there is a need for efficient methods for the simulation and spatial interpolation of earthquake ground motion. In addition to providing estimates of the ground motion at a site using data from adjacent recording stations, spatially interpolated ground motions can also be used in design and analysis of long-span structures, such as bridges and pipelines, where differential movement is important. The objective of this research is to develop a methodology for rapid generation of horizontal earthquake ground motion at any site for a given region, based on readily available source, path and site characteristics, or (sparse) recordings. The research includes two main topics: (i) the simulation of earthquake ground motion at a given site, and (ii) the spatial interpolation of earthquake ground motion. In topic (i), models are developed to simulate acceleration time histories using the inverse discrete Fourier transform. The Fourier phase differences, defined as the difference in phase angle between adjacent frequency components, are simulated conditional on the Fourier amplitude. Uniformly processed recordings from recent California earthquakes are used to validate the simulation models, as well as to develop prediction formulas for the model parameters. The models developed in this research provide rapid simulation of earthquake ground motion over a wide range of magnitudes and distances, but they are not intended to replace more robust geophysical models. In topic (ii), a model is developed in which Fourier amplitudes and Fourier phase angles are interpolated separately. A simple dispersion relationship is included in the phase angle interpolation. The accuracy of the interpolation model is assessed using data from the SMART-1 array in Taiwan. The interpolation model provides an effective method to estimate ground motion at a site using recordings from stations located up to several kilometers away. Reliable estimates of differential ground motion are restricted to relatively limited ranges of frequencies and inter-station spacings.

  8. Topical amitriptyline and ketamine for the treatment of neuropathic pain.

    PubMed

    Mercadante, Sebastiano

    2015-01-01

    A neuropathy is a disturbance of function or pathological change in nerves. In some cases, peripheral neuropathic pain may occur due to a lesion or disease of the peripheral somatosensory nervous system. Efficacy of different agents for peripheral neuropathic pain conditions is less than optimal. The administration of topical analgesics might be an option, due to the potential of reduced adverse effects and increased patient compliance. There is major interest in compounding topical analgesics for peripheral neuropathic pain, but several challenges remain for this approach. Topical analgesics have the potential to be a valuable additional approach for the management of peripheral neuropathic pain. Topical amitriptyline-ketamine combination (AK) is a promising agent for peripheral neuropathic pain conditions. Some studies have shown its efficacy in neuropathic pain conditions. However, this data was not uniformely obtained and its role remains still controversial. Efficacy may depend on many factors, including the choice of the vehicle, the concentration, the pain site, and specific diseases. More studies are necessary to support the use of AK in clinical practice.

  9. Annual Editions: Early Childhood Education 06/07

    ERIC Educational Resources Information Center

    Paciorek, Karen Menke, Ed.

    2006-01-01

    This 27th edition of "Annual Editions: Early Childhood Education" provides convenient, inexpensive access to current articles selected from the best of the public press. Organizational features include: an annotated listing of selected World Wide Web sites; an annotated table of contents; a topic guide; a general introduction; brief overviews for…

  10. Online Ethics: What's a Teacher to Do?

    ERIC Educational Resources Information Center

    Carpenter, Cal

    1996-01-01

    Considers ethics issues involved with using online resources like the Internet in elementary and secondary education and suggests that educators initiate and model a standardized role of ethical behavior for Internet users. Topics include hackers; privacy, piracy, and security; screening electronic sites; ethics education; and an ethics model.…

  11. Old Battlefields and Their Lessons: The Case of Antietam.

    ERIC Educational Resources Information Center

    Votaw, John F.

    1996-01-01

    Provides an interesting introduction to the military units, tactics, and campaign strategy used in the Civil War battle at Antietam (Maryland). Recommends a walking tour of the site and offers suggestions for discussion questions and related topics. Includes selected quotes from letters and memoirs of participants. (MJP)

  12. Information Policy -- Distance Education: Provider and Victim Libraries.

    ERIC Educational Resources Information Center

    Heron, Peter; Dugan, Robert E.

    1997-01-01

    This discussion of information policy focuses on library services for distance education. Topics include the logistics and management of providing library services off-site and/or responding to student requests; and meeting the needs of distance education students for information and library instruction, both students from the member institution…

  13. CNN Newsroom Classroom Guides. August 1998.

    ERIC Educational Resources Information Center

    Cable News Network, Atlanta, GA.

    These Classroom Guides, designed to accompany the daily CNN (Cable News Network) Newsroom broadcasts for the month of August, provide program rundowns, suggestions for class activities and discussion, links to pertinent World Wide Web sites, and lists of related news terms. Topics include: meetings over weapons inspections in Iraq could either…

  14. Useful Internet Information for Oklahoma Literacy Providers.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Libraries, Oklahoma City.

    This publication introduces some Internet sites relevant to adult education and literacy. It begins with some definitions for the Internet. Next, it lists two guides to using the Internet. A listing of listservs includes name, brief description of literacy-related topics covered, and directions for subscribing. The listservs are as follows:…

  15. School Building Construction and Inspection Resource Manual. Revision 1.

    ERIC Educational Resources Information Center

    Utah State Office of Education, Salt Lake City.

    This manual contains current legal requirements and information on school building construction and inspection in the state of Utah. Major topics include facilities long-range planning; the role and responsibilities of the School District Building Official; school site issues such as size and location, impact, and acquisition and development; as…

  16. AcqWeb: Book-Buying in the Age of the Internet.

    ERIC Educational Resources Information Center

    Leiserson, Anna Belle; Cook, Eleanor; Brading, Peter; Marshall, David L.

    1997-01-01

    Describes AcqWeb, a Web site that has pertinent information for library acquisitions. Topics include the partnership with ACQNET, the electronic news group for acquisitions; AcqWeb's structure; editorial policy; the International Directory of E-mail Addresses of Publishers, Vendors and Related Professional Associations; and future possibilities.…

  17. CNN Newsroom Classroom Guides. February 1999.

    ERIC Educational Resources Information Center

    Turner Educational Services, Inc., Newtown, PA.

    These classroom guides, designed to accompany the daily CNN (Cable News Network) Newsroom broadcasts for the month of February, provide program rundowns, suggestions for class activities and discussion, links to related World Wide Web sites, and lists of related news terms. Topics include: Monica Lewinsky scheduled to be deposed for the Senate,…

  18. Safety Factors in Educational Facilities. An Annotated Reference List.

    ERIC Educational Resources Information Center

    Wakefield, Howard E.

    Abstracts and descriptor terms are presented for 26 selected references with safety orientation. Included in addition to several general planning handbooks are topics related to--(1) stairways, (2) air structures, (3) site planning, (4) lighting, (5) bidding practice, (6) physically handicapped, (7) laboratory design, (8) mobile classrooms, (9)…

  19. Building bridges across electronic health record systems through inferred phenotypic topics.

    PubMed

    Chen, You; Ghosh, Joydeep; Bejan, Cosmin Adrian; Gunter, Carl A; Gupta, Siddharth; Kho, Abel; Liebovitz, David; Sun, Jimeng; Denny, Joshua; Malin, Bradley

    2015-06-01

    Data in electronic health records (EHRs) is being increasingly leveraged for secondary uses, ranging from biomedical association studies to comparative effectiveness. To perform studies at scale and transfer knowledge from one institution to another in a meaningful way, we need to harmonize the phenotypes in such systems. Traditionally, this has been accomplished through expert specification of phenotypes via standardized terminologies, such as billing codes. However, this approach may be biased by the experience and expectations of the experts, as well as the vocabulary used to describe such patients. The goal of this work is to develop a data-driven strategy to (1) infer phenotypic topics within patient populations and (2) assess the degree to which such topics facilitate a mapping across populations in disparate healthcare systems. We adapt a generative topic modeling strategy, based on latent Dirichlet allocation, to infer phenotypic topics. We utilize a variance analysis to assess the projection of a patient population from one healthcare system onto the topics learned from another system. The consistency of learned phenotypic topics was evaluated using (1) the similarity of topics, (2) the stability of a patient population across topics, and (3) the transferability of a topic across sites. We evaluated our approaches using four months of inpatient data from two geographically distinct healthcare systems: (1) Northwestern Memorial Hospital (NMH) and (2) Vanderbilt University Medical Center (VUMC). The method learned 25 phenotypic topics from each healthcare system. The average cosine similarity between matched topics across the two sites was 0.39, a remarkably high value given the very high dimensionality of the feature space. The average stability of VUMC and NMH patients across the topics of two sites was 0.988 and 0.812, respectively, as measured by the Pearson correlation coefficient. Also the VUMC and NMH topics have smaller variance of characterizing patient population of two sites than standard clinical terminologies (e.g., ICD9), suggesting they may be more reliably transferred across hospital systems. Phenotypic topics learned from EHR data can be more stable and transferable than billing codes for characterizing the general status of a patient population. This suggests that EHR-based research may be able to leverage such phenotypic topics as variables when pooling patient populations in predictive models. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Seventh BES (Basic Energy Sciences) catalysis and surface chemistry research conference

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

    Not Available

    1990-03-01

    Research programs on catalysis and surface chemistry are presented. A total of fifty-seven topics are included. Areas of research include heterogeneous catalysis; catalysis in hydrogenation, desulfurization, gasification, and redox reactions; studies of surface properties and surface active sites; catalyst supports; chemical activation, deactivation; selectivity, chemical preparation; molecular structure studies; sorption and dissociation. Individual projects are processed separately for the data bases. (CBS)

  1. Topical Prophylaxis for HIV Prevention in Women: Becoming a Reality

    PubMed Central

    Verma, Natasha A.; Lee, Anna C.; Herold, Betsy C.

    2011-01-01

    Strategies to protect against sexual transmission of HIV include the development of products formulated for topical application, which limit the toxicities associated with systemic oral pre-exposure prophylaxis. Following several clinical trial failures, attention is now focused on antiretroviral (ARV) agents. Highly potent ARV topical formulations provide a female-controlled, targeted, and feasible option for HIV prevention. A recently completed tenofovir gel trial was the first to demonstrate significant protection against HIV acquisition. Topical ARVs have the advantage of delivering high concentration of drug at the site of transmission of HIV, with low systemic absorption. Sustained-release formulations, such as intravaginal rings, will likely improve adherence and can be designed to provide controlled and continuous delivery of ARV combinations. Further studies to test alternative dosing strategies and pharmacokinetic/pharmacodynamic relationships in the genital tract will provide valuable information as the field strives to improve upon the promising tenofovir gel trial results. PMID:21424725

  2. Multiple superficial basal cell carcinomata--topical imiquimod versus curette and cryotherapy.

    PubMed

    Dixon, Anthony J

    2005-01-01

    Superficial basal cell carcinoma can be successfully managed by means other than surgical excision. Nonexcisional approaches include topical imiquimod, and curette and cryotherapy (C&C). This article discusses the management of an insulin dependent diabetic man aged 52 years presenting with 17 torso basal cell carcinomas (BCCs); mostly superficial BCCs (SBCCs). Half were treated with topical imiquimod. The remaining lesions were treated with curette and cryotherapy. All lesions resolved with proven histologic clearance. The patient considered C&C caused him less discomfort and disruption. He developed a late secondary infection in some sites treated with imiquimod. At 12 months there was no evidence of recurrence though new nodular BCCs and SBCCs had developed elsewhere on his upper torso. He has elected to have future SBCCs managed with C&C. While excisional surgery remains the benchmark management for nonmelanoma skin cancer, topical imiquimod and C&C are important options for treating SBCCs.

  3. A novel lidocaine hydrochloride ophthalmic gel for topical ocular anesthesia

    PubMed Central

    Shah, HR; Reichel, E; Busbee, BG

    2010-01-01

    Topical anesthetics play an important role in the practice of ophthalmology, both for procedures in the office and in the operating room. The need for safe, long-acting topical ocular anesthetic agents is ongoing, and has been highlighted by the increase of intravitreal administration of pharmacologic agents. Current practices for ocular anesthesia include subconjunctival injection of 2% aqueous lidocaine, topical 2% lidocaine drops and topical 0.5% tetracaine. Tetracaine is not yet FDA approved, and is associated with corneal epithelial toxicity and delayed epithelial healing after multiple administrations. Lidocaine jelly (2%) preparations have been reported to be beneficial in several systemic procedures, including those of the upper airway, dental, urogenital, and gastrointestinal. It has been theorized, and recent studies support the idea, that gel formulations of lidocaine may enhance anesthetic effect, and therefore be superior to anesthetic solutions for topical cataract surgery. The viscous nature of gel formulations is thought to lengthen contact time, resulting in better anesthesia at lower drug concentrations. Furthermore, several studies suggest that lidocaine is bactericidal and bacteriostatic, and may have a supplementary role in preventing and treating surgical site infections. Akten™, lidocaine 3.5% gel (Akorn, Buffalo Grove, IIlinois) was FDA approved for all ophthalmic procedures in October 2008. This gel is a preservative-free, lidocaine-based anesthetic gel consisting of 35 mg/mL of lidocaine hydrochloride. We describe the properties, including chemical structure, indications, evidence of support, use, adverse effects, and precautions, which we believe enable Akten to provide superior anesthesia, while minimizing side effects. PMID:22915870

  4. Meta-analysis of randomized and quasi-randomized clinical trials of topical antibiotics after primary closure for the prevention of surgical-site infection.

    PubMed

    Heal, C F; Banks, J L; Lepper, P; Kontopantelis, E; van Driel, M L

    2017-08-01

    Surgical-site infections (SSIs) increase patient morbidity and costs. The aim was to identify and synthesize all RCTs evaluating the effect of topical antibiotics on SSI in wounds healing by primary intention. The search included Ovid MEDLINE, Ovid Embase, the Cochrane Wounds Specialized Register, Central Register of Controlled Trials and EBSCO CINAHL from inception to May 2016. There was no restriction of language, date or setting. Two authors independently selected studies, extracted data and assessed risk of bias. When sufficient numbers of comparable trials were available, data were pooled in meta-analysis. Fourteen RCTs with 6466 participants met the inclusion criteria. Pooling of eight trials (5427 participants) showed that topical antibiotics probably reduced the risk of SSI compared with no topical antibiotic (risk ratio (RR) 0·61, 95 per cent c.i. 0·42 to 0·87; moderate-quality evidence), equating to 20 fewer SSIs per 1000 patients treated. Pooling of three trials (3012 participants) for risk of allergic contact dermatitis found no clear difference between antibiotics and no antibiotic (RR 3·94, 0·46 to 34·00; very low-quality evidence). Pooling of five trials (1299 participants) indicated that topical antibiotics probably reduce the risk of SSI compared with topical antiseptics (RR 0·49, 0·30 to 0·80; moderate-quality evidence); 43 fewer SSIs per 1000 patients treated. Pooling of two trials (541 participants) showed no clear difference in the risk of allergic contact dermatitis with antibiotics or antiseptic agents (RR 0·97, 0·52 to 1·82; very low-quality evidence). Topical antibiotics probably prevent SSI compared with no topical antibiotic or antiseptic. No conclusion can be drawn regarding whether they cause allergic contact dermatitis. © 2017 BJS Society Ltd Published by John Wiley & Sons Ltd.

  5. Vegetation: ecoclimatic and soil factors. Final environmental research report

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

    Not Available

    1979-01-01

    Vegetation studies were begun on the LOFRECO site during the spring of 1978 and continued through the summer of 1979. The principal components of the two year intensive study include collection and analysis of data in the areas of vegetation, ecoclimate, and soils. This report contains the results of the two-year study, presenting data collected from the three main study topics and interpretive analyses of intra-topical correlations. First year (1978) data, including one-time soil studies, have been previously presented in a series of reports (Olgeirson and Martin 1978, Olgeirson 1979a, 1979b, 1979c). Data collected during the second year of studymore » are presented in this report along with first year information (Appendices A through D and Map Pockets). The body of the report combines and correlates data from the permanent sampling sites for both of the years studied. Vegetation, soils, and ecoclimate data are considered separately in these discussions. Correlations and interrelationships between the three main topics are discussed in later sections. Conclusions of the studies are given as a summation of the separate and interrelated findings and as a basis for recommended monitoring programs. An attempt has been made to increase readability by restricting the large amount of data to inclusion into textual areas of the report only as summarized figures and tables. Supporting data have all been placed in the appendices.« less

  6. Terbinafine: novel formulations that potentiate antifungal activities.

    PubMed

    Ma, Y; Chen, X; Guan, S

    2015-03-01

    Terbinafine, an orally and topically active antifungal agent, has been available for the treatment of dermatophytic infections and onychomycosis for more than a decade. In addition, oral administration has been shown to be associated with drug-drug interactions, hepatotoxicity, low concentration at the infected sites, gastrointestinal and systemic side effects and other adverse effects. Since topical drug delivery can provide higher patient compliance, allow immediate access to the infected site and reduce unwanted systemic drug exposure, an improved topical drug delivery approach with high permeability, sustained release and prolonged retainment could overcome the limitations and side effects caused by oral administration. Conventional topical formulations cannot keep the drug in the targeted sites for a long duration of time and hence a novel drug delivery that can avoid the side effects while still providing sustained efficacy in treatment should be developed. This brief review of novel formulations based on polymers and nanostructure carriers provides insight into the efficacy and topical delivery of terbinafine. Copyright 2015 Prous Science, S.A.U. or its licensors. All rights reserved.

  7. Recommended Priorities for NASA's Gamma Ray Astronomy Program 1999-2013

    NASA Technical Reports Server (NTRS)

    Carol, Ladd

    1999-01-01

    The Gamma-Ray Astronomy Program Working Group (GRAPWG) recommends priorities for the NASA Gamma-Ray Astronomy Program. The highest priority science topic is nuclear astrophysics and sites of gamma ray line emission. Other high priority topics are gamma ray bursts, hard x-ray emission from accreting black holes and neutron stars, the Advanced Compton Telescope (ACT), the High-resolution Spectroscopic Imager (HSI), and the Energetic X-ray Imaging Survey Telescope (EXIST). The recommendations include special consideration for technology development, TeV astronomy, the ultra-long duration balloon (ULDB) program, the International Space Station, optical telescope support, and data analysis and theory.

  8. Association of Small Computer Users in Education: Proceedings of the ASCUE Summer Conference (31st, North Myrtle Beach, South Carolina, June 7-11, 1998).

    ERIC Educational Resources Information Center

    Smith, Peter, Ed.

    Topics addressed by the papers including in this proceedings include: multimedia in the classroom; World Wide Web site development; the evolution of academic library services; a Web-based literature course; development of a real-time intelligent network environment; serving grades over the Internet; e-mail over a Web browser; using technology to…

  9. Computers in Libraries Annual Conference (17th, Washington, DC, March 13-15, 2002): Collected Presentations.

    ERIC Educational Resources Information Center

    Nixon, Carol, Comp.

    This book contains presentations from the 17th annual Computers in Libraries Conference. Topics covered include: chatting with a librarian; verbots for library Web sites; collaborative IT (Information Technology) planning at Montgomery County Public Library (Maryland); designing a local government taxonomy; Weblogs; new roles for librarians in…

  10. Desert Biology [Sahuarita High School Career Curriculum Project.

    ERIC Educational Resources Information Center

    Christensen, Larry

    This course entitled "Desert Biology" is one of a series of instructional guides prepared by teachers for the Sahuarita High School (Arizona) Career Curriculum Project. It consists of seven units of study, and eight behavioral objectives relating to these units are stated. The topics covered include the selection of a study site, a climatic…

  11. NECC '98: National Educational Computing Conference Proceedings (19th, San Diego, CA, June 22-24, 1998).

    ERIC Educational Resources Information Center

    National Educational Computing Conference.

    Topics of NECC '98 (National Educational Computing Conference) papers presented at this conference on technology in education include: digital portfolios; technology-integrated multidisciplinary curriculum design; a virtual Web site; a computer literacy course; Internet projects for various subjects; staff development; music videos; interaction of…

  12. Teaching Self-Disclosure through an Activity Exploring Disclosure Research and Online Dating Sites

    ERIC Educational Resources Information Center

    Baker, Nicole Marie; Hastings, Sally O.

    2013-01-01

    Most interpersonal communication course textbooks include a section or chapter on the topic of self-disclosure. Students are normally introduced to elements of self-disclosure, such as a definition, functions, or reasons for self-disclosure, risks of self-disclosure, and the role of self-disclosure in relationships. Historically, research on…

  13. Guidebook for Field Trips in Virginia.

    ERIC Educational Resources Information Center

    Exline, Joseph D., Ed.

    Presented is geological information and site descriptions for teachers to use in planning and conducting earth science field trips in Virginia. Among the topics included are: (1) Geology, Soils and Land Use in Central Virginia; (2) Using Coastal Plain Stratigraphy Near Fredericksburg, Virginia as a Teaching Tool; and (3) The Culpepper Basin of the…

  14. Graph Structure in Three National Academic Webs: Power Laws with Anomalies.

    ERIC Educational Resources Information Center

    Thelwall, Mike; Wilkinson, David

    2003-01-01

    Explains how the Web can be modeled as a mathematical graph and analyzes the graph structures of three national university publicly indexable Web sites from Australia, New Zealand, and the United Kingdom. Topics include commercial search engines and academic Web link research; method-analysis environment and data sets; and power laws. (LRW)

  15. WebNet 96 Conference Proceedings (San Francisco, California, October 15-19, 1996).

    ERIC Educational Resources Information Center

    Maurer, Hermann, Ed.

    This proceedings contains 80 full papers, 12 posters/demonstrations, 108 short papers, one panel, and one tutorial, all focusing on World Wide Web applications. Topics include: designing hypertext navigation tools; Web site design; distance education via the Web; instructional design; the world-wide market and censorship on the Web; customer…

  16. Surfing for Social Studies Software: A Practical Guide to Locating and Selecting Resources on the Internet.

    ERIC Educational Resources Information Center

    Foster, Stuart J.; Hoge, John

    1997-01-01

    Reviews a list of seven Web sites that provide extensive information on software available from educational agencies or companies specializing in media products. Recommends 15 social studies software programs covering a variety of topics including the Mayan civilization, Abraham Lincoln, and the Vietnam War. (MJP)

  17. Tracking changes in search behaviour at a health web site.

    PubMed

    Eklund, Ann-Marie

    2012-01-01

    Nowadays, the internet is used as a means to provide the public with official information on many different topics, including health related matters and care providers. In this work we have studied a search log from the official Swedish health web site 1177.se for patterns of search behaviour over time. To improve the analysis, we mapped the queries to UMLS semantic types and MeSH categories. Our analysis shows that, as expected, diseases and health care activities are the ones of most interest, but also a clear increased interest in geographical locations in the setting of health care providers. We also note a change over time in which kinds of diseases are of interest. Finally, we conclude that this type of analysis may be useful in studies of what health related topics matter to the public, but also for design and follow-up of public information campaigns.

  18. Digging into the Public's Astronomy Interests

    NASA Astrophysics Data System (ADS)

    Miller, Scott; Simpson, R.; Gay, P.

    2009-05-01

    The astronomy community is good at sharing what we feel is most important or most interesting to the public via press releases, and we can get a sense of what the media wants from what they select to publish. Understanding exactly what the public most enjoys, however, was until recently mostly a matter of guesswork. Social networking sites, however, provide a place for people to publicly indicate what they like. For instance, the site http://www.digg.com allows people to submit links to interesting content on any subject and people can add "Diggs" to that linked in page. As articles gain more and more Diggs, they rise through the ranks, with the overall highest ranked sites appearing on the Digg homepage, and the highest ranked in a variety of topics, including both "Science" and the sub-topic "Space." In this poster we look at 1 month of data from Digg and study what astronomy subjects the public selects to Digg, what items have the most staying power, and compare what is Dugg to what is released via press releases during the same period.

  19. Access to Space Interactive Design Web Site

    NASA Technical Reports Server (NTRS)

    Leon, John; Cutlip, William; Hametz, Mark

    2000-01-01

    The Access To Space (ATS) Group at NASA's Goddard Space Flight Center (GSFC) supports the science and technology community at GSFC by facilitating frequent and affordable opportunities for access to space. Through partnerships established with access mode suppliers, the ATS Group has developed an interactive Mission Design web site. The ATS web site provides both the information and the tools necessary to assist mission planners in selecting and planning their ride to space. This includes the evaluation of single payloads vs. ride-sharing opportunities to reduce the cost of access to space. Features of this site include the following: (1) Mission Database. Our mission database contains a listing of missions ranging from proposed missions to manifested. Missions can be entered by our user community through data input tools. Data is then accessed by users through various search engines: orbit parameters, ride-share opportunities, spacecraft parameters, other mission notes, launch vehicle, and contact information. (2) Launch Vehicle Toolboxes. The launch vehicle toolboxes provide the user a full range of information on vehicle classes and individual configurations. Topics include: general information, environments, performance, payload interface, available volume, and launch sites.

  20. A study on the application of topic models to motif finding algorithms.

    PubMed

    Basha Gutierrez, Josep; Nakai, Kenta

    2016-12-22

    Topic models are statistical algorithms which try to discover the structure of a set of documents according to the abstract topics contained in them. Here we try to apply this approach to the discovery of the structure of the transcription factor binding sites (TFBS) contained in a set of biological sequences, which is a fundamental problem in molecular biology research for the understanding of transcriptional regulation. Here we present two methods that make use of topic models for motif finding. First, we developed an algorithm in which first a set of biological sequences are treated as text documents, and the k-mers contained in them as words, to then build a correlated topic model (CTM) and iteratively reduce its perplexity. We also used the perplexity measurement of CTMs to improve our previous algorithm based on a genetic algorithm and several statistical coefficients. The algorithms were tested with 56 data sets from four different species and compared to 14 other methods by the use of several coefficients both at nucleotide and site level. The results of our first approach showed a performance comparable to the other methods studied, especially at site level and in sensitivity scores, in which it scored better than any of the 14 existing tools. In the case of our previous algorithm, the new approach with the addition of the perplexity measurement clearly outperformed all of the other methods in sensitivity, both at nucleotide and site level, and in overall performance at site level. The statistics obtained show that the performance of a motif finding method based on the use of a CTM is satisfying enough to conclude that the application of topic models is a valid method for developing motif finding algorithms. Moreover, the addition of topic models to a previously developed method dramatically increased its performance, suggesting that this combined algorithm can be a useful tool to successfully predict motifs in different kinds of sets of DNA sequences.

  1. Five-Segment Reusable Solid Rocket Booster Upgrade

    NASA Technical Reports Server (NTRS)

    Sauvageau, Don

    1999-01-01

    The Five Segment Reusable Solid Rocket Booster (RSRB) feasibility status is presented in viewgraph form. The Five Segment Booster (FSB) objective is to provide a low cost, low risk approach to increase reliability and safety of the Shuttle system. Topics include: booster upgrade requirements; design summary; reliability issues; booster trajectories; launch site assessment; and enhanced abort modes.

  2. User News. Volume 17, Number 1 -- Spring 1996

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

    NONE

    This is a newsletter for users of the DOE-2, PowerDOE, SPARK, and BLAST building energy simulation programs. The topics for the Spring 1996 issue include the SPARK simulation environment, DOE-2 validation, listing of free fenestration software from LBNL, Web sites for building energy efficiency, the heat balance method of calculating building heating and cooling loads.

  3. Lunar and Planetary Science XXXI

    NASA Technical Reports Server (NTRS)

    2000-01-01

    This CD-ROM presents papers presented to the Thirty-first Lunar and Planetary Science Conference, March 13-17, 2000, Houston, Texas. Eighty-one conference sessions, and over one thousand extended abstracts are included. Abstracts cover topics such as Martian surface properties and geology, meteoritic composition, Martian landing sites and roving vehicles, planned Mars Sample Return Missions, and general astrobiology.

  4. Concept analysis: wrong-site surgery.

    PubMed

    Watson, Donna S

    2015-06-01

    A concept analysis was conducted on the concept of wrong-site surgery (WSS) using the principle-based method by Penrod and Hupcey. It included analysis of WSS within the context of epistemological, pragmatic, linguistic, and logical principles. The analysis found that WSS is an important concept that is universally accepted, but the definition could be improved with inclusion of comprehensive labeling for types of WSS that may occur, such as wrong patient, wrong site, wrong level/part, wrong procedure, and wrong side. Wrong-site surgery falls into the domains of both nursing and medicine, and there is limited research on the topic specific to nursing interventions, perceptions, and contributions to prevent WSS. Copyright © 2015 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  5. Methyl - aminolevulinic acid photodynamic therapy and topical tretinoin in a patient with vulvar extramammary Paget's disease.

    PubMed

    Magnano, Michela; Loi, Camilla; Bardazzi, Federico; Burtica, Elena Cleopatra; Patrizi, Annalisa

    2013-01-01

    Extramammary Paget's disease is a rare neoplasm of apocrine gland-bearing areas of the skin. The most common site of presentation is the vulva. Surgery is the most frequently reported therapy so far; however, it is invasive and it is complicated by a high rate of recurrence. For this reason, several less-invasive treatments have been recently proposed, including photodynamic therapy. We describe in this article the case of an 84-year-old patient with a noninvasive vulvar extramammary Paget's disease successfully treated with methyl-aminolevulinic acid photodynamic therapy associated with topical tretinoin. © 2013 Wiley Periodicals, Inc.

  6. Gentamicin induces functional type VII collagen in recessive dystrophic epidermolysis bullosa patients

    PubMed Central

    Woodley, David T.; Cogan, Jon; Hou, Yingping; Lyu, Chao; Marinkovich, M. Peter; Keene, Douglas

    2017-01-01

    BACKGROUND. Recessive dystrophic epidermolysis bullosa (RDEB) is an incurable disease caused by mutations in the gene encoding type VII collagen, the major component of anchoring fibrils (AF). We previously demonstrated that gentamicin produced functional type VII collagen in RDEB cells harboring nonsense mutations. Herein, we determined whether topical or intradermal gentamicin administration induces type VII collagen and AFs in RDEB patients. METHODS. A double-blind, placebo-controlled pilot trial assessed safety and efficacy of topical and intradermal gentamicin in 5 RDEB patients with nonsense mutations. The topical arm tested 0.1% gentamicin ointment or placebo application 3 times daily at 2 open erosion sites for 2 weeks. The intradermal arm tested daily intradermal injection of gentamicin solution (8 mg) or placebo into 2 intact skin sites for 2 days in 4 of 5 patients. Primary outcomes were induction of type VII collagen and AFs at the test sites and safety assessment. A secondary outcome assessed wound closure of topically treated erosions. RESULTS. Both topical and intradermal gentamicin administration induced type VII collagen and AFs at the dermal-epidermal junction of treatment sites. Newly created type VII collagen varied from 20% to 165% of that expressed in normal human skin and persisted for 3 months. Topical gentamicin corrected dermal-epidermal separation, improved wound closure, and reduced blister formation. There were no untoward side effects from gentamicin treatments. Type VII collagen induction did not generate anti–type VII collagen autoantibodies in patients’ blood or skin. CONCLUSION. Topical and intradermal gentamicin suppresses nonsense mutations and induces type VII collagen and AFs in RDEB patients. Gentamicin therapy may provide a readily available treatment for RDEB patients with nonsense mutations. TRIAL REGISTRATION. ClinicalTrials.gov NCT02698735. FUNDING. Epidermolysis Bullosa Research Partnership, Epidermolysis Bullosa Medical Research Foundation, NIH, and VA Merit Award. PMID:28691931

  7. Application of a topical vapocoolant spray decreases pain at the site of initial intradermal anaesthetic injection during ultrasound-guided breast needle biopsy.

    PubMed

    Collado-Mesa, F; Net, J M; Arheart, K; Klevos, G A; Yepes, M M

    2015-09-01

    To assess whether the application of a topical vapocoolant spray immediately prior to initial intradermal anaesthetic injection during ultrasound-guided breast biopsy decreases pain at the site of the initial injection. In this institutional review board-approved, Health Insurance Portability and Accountability Act (HIPAA)-compliant study, 50 women aged 49.1 ± 1.6 years (mean ± standard error) were recruited and provided written informed consent. Participants served as their own controls and were blinded as to whether a topical vapocoolant spray or a placebo was used immediately prior to the initial local anaesthetic injection at two separate biopsy sites. With the exception of the application of vapocoolant or placebo, the entire ultrasound-guided procedure was performed according to a routine protocol. Participants recorded pain at initial injection site on a visual analogue scale. General linear mixed models for repeated measures analysis of variance and a 0.05 significance level were used. Application of topical vapocoolant spray was shown to significantly decrease pain at the site of initial intradermal anaesthetic injection as compared to placebo (p<0.001). Treatment effect was independent of age of the subject, race/ethnicity, operator, type of biopsy device, and histopathology result. No complications from vapocoolant spray use were reported. Application of a topical vapocoolant spray immediately prior to initial intradermal anaesthetic injection during ultrasound-guided breast biopsy significantly decreases pain at the site of the initial injection and could contribute to improve the patient's overall procedural experience. Copyright © 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  8. Topical 5% 5-fluorouracil in the treatment of multifocal basal cell carcinoma of the face: A novel chemotherapeutic approach.

    PubMed

    Naik, Mayuresh P; Mehta, Anuj; Abrol, Sangeeta; Kumar, Sandeep; Gupta, Vishnu S

    2016-12-01

    To determine the safety and efficacy of topical 5-fluorouracil (5-FU) 5% ointment in treatment of non-syndromic multifocal basal cell carcinoma. A 55-year-old male patient, with 8 hours of daily sun exposure, having histologically proven and radiologically non-syndromic, multifocal basal cell carcinoma with involvement of 6 sites on the face, was treated with topical 5-FU 5% ointment twice daily over all sites except the site involving lid margin to prevent corneal toxicity. Left lid lesion underwent wide surgical excision with 5-mm clear margins and reconstruction with nasal septal mucoperichondrium and local skin mobilization. Pharmacologic effects first appeared at 4 weeks and by 8 weeks, the lesions had scabbed and had fallen off with no induration but residual mild perilesional erythema. Patient had post-op histopathological clear margins and recovered uneventfully. No recurrence in 6 months. A topical 5-FU 5% ointment represents a paradigm shift in the treatment of BCC from invasive and disfiguring options (surgery and chemoradiotherapy) to cheap, convenient, effective, non-invasive, non-disfiguring topical chemotherapy. Topical 5% 5-FU is a safe and effective modality of treatment of superficial spreading multifocal basal carcinoma, especially lesions larger than 10 mm, where margins cannot be identified clearly and recurrent lesions.

  9. Infant Gastroesophageal Reflux Information on the World Wide Web.

    PubMed

    Balgowan, Regina; Greer, Leah C; D'Auria, Jennifer P

    2016-01-01

    The purpose of this study was to describe the type and quality of health information about infant gastroesophageal reflux (GER) that a parent may find on the World Wide Web. The data collection tool included evaluation of Web site quality and infant GER-specific content on the 30 sites that met the inclusion criteria. The most commonly found content categories in order of frequency were management strategies, when to call a primary care provider, definition, and clinical features. The most frequently mentioned strategies included feeding changes, infant positioning, and medications. Thirteen of the 30 Web sites included information on both GER and gastroesophageal reflux disease. Mention of the use of medication to lessen infant symptoms was found on 15 of the 30 sites. Only 10 of the 30 sites included information about parent support and coping strategies. Pediatric nurse practitioners (PNPs) should utilize well-child visits to address the normalcy of physiologic infant GER and clarify any misperceptions parents may have about diagnosis and the role of medication from information they may have found on the Internet. It is critical for PNPs to assist in the development of Web sites with accurate content, advise parents on how to identify safe and reliable information, and provide examples of high-quality Web sites about child health topics such as infant GER. Copyright © 2016 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

  10. A web search on environmental topics: what is the role of ranking?

    PubMed

    Covolo, Loredana; Filisetti, Barbara; Mascaretti, Silvia; Limina, Rosa Maria; Gelatti, Umberto

    2013-12-01

    Although the Internet is easy to use, the mechanisms and logic behind a Web search are often unknown. Reliable information can be obtained, but it may not be visible as the Web site is not located in the first positions of search results. The possible risks of adverse health effects arising from environmental hazards are issues of increasing public interest, and therefore the information about these risks, particularly on topics for which there is no scientific evidence, is very crucial. The aim of this study was to investigate whether the presentation of information on some environmental health topics differed among various search engines, assuming that the most reliable information should come from institutional Web sites. Five search engines were used: Google, Yahoo!, Bing, Ask, and AOL. The following topics were searched in combination with the word "health": "nuclear energy," "electromagnetic waves," "air pollution," "waste," and "radon." For each topic three key words were used. The first 30 search results for each query were considered. The ranking variability among the search engines and the type of search results were analyzed for each topic and for each key word. The ranking of institutional Web sites was given particular consideration. Variable results were obtained when surfing the Internet on different environmental health topics. Multivariate logistic regression analysis showed that, when searching for radon and air pollution topics, it is more likely to find institutional Web sites in the first 10 positions compared with nuclear power (odds ratio=3.4, 95% confidence interval 2.1-5.4 and odds ratio=2.9, 95% confidence interval 1.8-4.7, respectively) and also when using Google compared with Bing (odds ratio=3.1, 95% confidence interval 1.9-5.1). The increasing use of online information could play an important role in forming opinions. Web users should become more aware of the importance of finding reliable information, and health institutions should be able to make that information more visible.

  11. LANL robotics site overview

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

    Beugelsdijk, T.J.

    1990-11-01

    This paper reports on robotics applications at the Los Alamos National Laboratory. The topics of the paper include the ROBOCAL project to assay all nuclear materials entering and leaving the process floor at the Los Alamos Plutonium Facility, the isotope detector fabrication project, a plutonium dissolution robotic system, a safeguards waste automated measurement instrument, and DNA filter array construction. This report consists of overheads only.

  12. Spaceflight Decompression Sickness Contingency Plan

    NASA Technical Reports Server (NTRS)

    Dervay, Joseph P.

    2007-01-01

    A viewgraph presentation on the Decompression Sickness (DCS) Contingency Plan for manned spaceflight is shown. The topics include: 1) Approach; 2) DCS Contingency Plan Overview; 3) Extravehicular Activity (EVA) Cuff Classifications; 4) On-orbit Treatment Philosophy; 5) Long Form Malfunction Procedure (MAL); 6) Medical Checklist; 7) Flight Rules; 8) Crew Training; 9) Flight Surgeon / Biomedical Engineer (BME) Training; and 10) DCS Emergency Landing Site.

  13. A Manual for Trainers of Small Scale Beekeeping Development Workers.

    ERIC Educational Resources Information Center

    Gentry, Curtis; And Others

    This manual is intended to serve as a guide for those who are helping future Peace Corps Volunteers to acquire basic beekeeping skills. Included in the guide are lesson outlines and handouts for use in each of the 52 sessions of the course. Representative topics discussed in the individual sessions are family live-in, training site investigation,…

  14. Highlights of 1978 activities

    NASA Technical Reports Server (NTRS)

    1978-01-01

    General highlights of NASA's activities for 1978 are presented. The highlights are categorized into topics such as space science, space transportation systems, space and terrestrial applications, environment, technology utilization, aeronautics, space research and technology, energy programs, and international. A list of the 1978 launches including: (1) launch date; (2) payload designation; (3) launch vehicle; (4) launch site and (5) mission remarks is also presented.

  15. Topically applied metal chelator reduces thermal injury progression in a rat model of brass comb burn.

    PubMed

    Wang, Cheng Z; Ayadi, Amina El; Goswamy, Juhi; Finnerty, Celeste C; Mifflin, Randy; Sousse, Linda; Enkhbaatar, Perenlei; Papaconstantinou, John; Herndon, David N; Ansari, Naseem H

    2015-12-01

    Oxidative stress may be involved in the cellular damage and tissue destruction as burn wounds continues to progress after abatement of the initial insult. Since iron and calcium ions play key roles in oxidative stress, this study tested whether topical application of Livionex formulation (LF) lotion, that contains disodium EDTA as a metal chelator and methyl sulfonyl methane (MSM) as a permeability enhancer, would prevent or reduce burns. We used an established brass comb burn model with some modifications. Topical application of LF lotion was started 5 min post-burn, and repeated every 8 h for 3 consecutive days. Rats were euthanized and skin harvested for histochemistry and immunohistochemistry. Formation of protein adducts of 4-hydroxynonenal (HNE), malonadialdehyde (MDA) and acrolein (ACR) and expression of aldehyde dehydrogenase (ALDH) isozymes, ALDH1 and ALDH2 were assessed. LF lotion-treated burn sites and interspaces showed mild morphological improvement compared to untreated burn sites. Furthermore, the lotion significantly decreased the immunostaining of lipid aldehyde-protein adducts including protein -HNE, -MDA and -ACR adducts, and restored the expression of aldehyde dehydrogenase isozymes in the unburned interspaces. This data, for the first time, demonstrates that a topically applied EDTA-containing lotion protects burns progression with a concomitant decrease in the accumulation of reactive lipid aldehydes and protection of aldehyde dehydrogenase isozymes. Present studies are suggestive of therapeutic intervention of burns by this novel lotion. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

  16. Topically Applied Metal Chelator Reduces Thermal Injury Progression in a Rat Model of Brass Comb Burn

    PubMed Central

    Wang, Cheng Z.; El Ayadi, Amina; Goswamy, Juhi; Finnerty, Celeste C.; Mifflin, Randy; Sousse, Linda; Enkhbaatar, Perenlei; Papaconstantinou, John; Herndon, David N.; Ansari, Naseem H.

    2016-01-01

    Oxidative stress may be involved in the cellular damage and tissue destruction as burn wounds continues to progress after abatement of the initial insult. Since iron and calcium ions play key roles in oxidative stress, this study tested whether topical application of Livionex formulation (LF) lotion, that contains disodium EDTA as a metal chelator and methyl sulfonyl methane (MSM) as a permeability enhancer, would prevent or reduce burn injury. Methods We used an established brass comb burn model with some modifications. Topical application of LF lotion was started 5 minutes post-burn, and repeated every 8 hours for 3 consecutive days. Rats were euthanized and skin harvested for histochemistry and immunohistochemistry. Formation of protein adducts of 4-hydroxynonenal (HNE), malonadialdehyde (MDA) and acrolein (ACR) and expression of aldehyde dehydrogenase (ALDH) isozymes, ALDH1 and ALDH2 were assessed. Results LF lotion-treated burn sites and interspaces showed mild morphological improvement compared to untreated burn sites. Furthermore, the lotion significantly decreased the immunostaining of lipid aldehyde-protein adducts including protein -HNE, -MDA and -ACR adducts, and restored the expression of aldehyde dehydrogenase isozymes in the unburned interspaces. Conclusion This data, for the first time, demonstrates that a topically applied EDTA-containing lotion protects burn injury progression with a concomitant decrease in the accumulation of reactive lipid aldehydes and protection of aldehyde dehydrogenase isozymes. Present studies are suggestive of therapeutic intervention of burn injury by this novel lotion. PMID:26392023

  17. Textpresso site-specific recombinases: A text-mining server for the recombinase literature including Cre mice and conditional alleles.

    PubMed

    Urbanski, William M; Condie, Brian G

    2009-12-01

    Textpresso Site Specific Recombinases (http://ssrc.genetics.uga.edu/) is a text-mining web server for searching a database of more than 9,000 full-text publications. The papers and abstracts in this database represent a wide range of topics related to site-specific recombinase (SSR) research tools. Included in the database are most of the papers that report the characterization or use of mouse strains that express Cre recombinase as well as papers that describe or analyze mouse lines that carry conditional (floxed) alleles or SSR-activated transgenes/knockins. The database also includes reports describing SSR-based cloning methods such as the Gateway or the Creator systems, papers reporting the development or use of SSR-based tools in systems such as Drosophila, bacteria, parasites, stem cells, yeast, plants, zebrafish, and Xenopus as well as publications that describe the biochemistry, genetics, or molecular structure of the SSRs themselves. Textpresso Site Specific Recombinases is the only comprehensive text-mining resource available for the literature describing the biology and technical applications of SSRs. (c) 2009 Wiley-Liss, Inc.

  18. Lunar surface vehicle model competition

    NASA Technical Reports Server (NTRS)

    1990-01-01

    During Fall and Winter quarters, Georgia Tech's School of Mechanical Engineering students designed machines and devices related to Lunar Base construction tasks. These include joint projects with Textile Engineering students. Topics studied included lunar environment simulator via drop tower technology, lunar rated fasteners, lunar habitat shelter, design of a lunar surface trenching machine, lunar support system, lunar worksite illumination (daytime), lunar regolith bagging system, sunlight diffusing tent for lunar worksite, service apparatus for lunar launch vehicles, lunar communication/power cables and teleoperated deployment machine, lunar regolith bag collection and emplacement device, soil stabilization mat for lunar launch/landing site, lunar rated fastening systems for robotic implementation, lunar surface cable/conduit and automated deployment system, lunar regolith bagging system, and lunar rated fasteners and fastening systems. A special topics team of five Spring quarter students designed and constructed a remotely controlled crane implement for the SKITTER model.

  19. Characterizations of Hydrogen Energy Technologies

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

    Energetics Inc

    2003-04-01

    In 1996, Dr. Ed Skolnik of Energetics, Incorporated, began a series of visits to the locations of various projects that were part of the DOE Hydrogen Program. The site visits/evaluations were initiated to help the DOE Program Management, which had limited time and limited travel budgets, to get a detailed snapshot of each project. The evaluations were soon found to have other uses as well: they provided reviewers on the annual Hydrogen Program Peer Review Team with an in-depth look at a project--something that is lacking in a short presentation--and also provided a means for hydrogen stakeholders to learn aboutmore » the R&D that the Hydrogen Program is sponsoring. The visits were conducted under several different contract mechanisms, at project locations specified by DOE Headquarters Program Management, Golden Field Office Contract Managers, or Energetics, Inc., or through discussion by some or all of the above. The methodology for these site-visit-evaluations changed slightly over the years, but was fundamentally as follows: Contact the Principal Investigator (PI) and arrange a time for the visit; Conduct a literature review. This would include a review of the last two or three years of Annual Operating Plan submittals, monthly reports, the paper submitted with the last two or three Annual Peer Review, published reviewers' consensus comments from the past few years, publications in journals, and journal publications on the same or similar topics by other researchers; Send the PI a list of questions/topics about a week ahead of time, which we would discuss during the visit. The types of questions vary depending on the project, but include some detailed technical questions that delve into some fundamental scientific and engineering issues, and also include some economic and goal-oriented topics; Conduct the site-visit itself including--Presentations by the PI and/or his staff. This would be formal in some cases, informal in others, and merely a ''sit around the table'' discussion in others; The format was left to the discretion of the PI; A tour of the facility featuring, whenever possible, a demonstration of the process in operation; Detailed discussions of the questions sent to the PI and other topics; and Writing a report on the visit. This compilation presents the reports for all the site-visits held between February 1996 and July 2001, each written shortly after the visit. While nothing has been changed in the actual content of any of the reports, reformatting for uniformity did occur. In each report, where the questions and their respective answers are discussed, the questions are shown in bold. In several cases, the PI chose to answer these questions in writing. When this occurs, the PI's answers are produced ''verbatim, in quotes, using a different font.'' Discussion of the questions, tour/demonstration, and anything else raised during the visit is presented in normal type. Comments that represent the opinion of Dr. Skolnik, including those added during the writing of the report are shown in italics. The reports compiled here, as stated, covers a period through July 2001. Since then, site-visits to various project locations and the accompanying evaluations have continued. Thus, a second compilation volume should follow in the fall of 2003. Following the compilation of reports, is an afterward that briefly discusses what has happened to some of the projects or project personnel since that particular report was written.« less

  20. Impact of application site on the efficacy of two topically-applied insecticides to Culex quinquefasciatus Say

    USDA-ARS?s Scientific Manuscript database

    Ultra-low volume and low volume insecticide treatments commonly used to control mosquito populations were evaluated for efficacy against Culex quinquefasciatus using a topical bioassay technique. Traditional topical bioassays focus pesticide application to the mesothoracic pleural area. Although, in...

  1. Sources of information on postgraduate medical training programs and medical specialty career resources-2006 update.

    PubMed

    Brazin, Lillian R

    2006-01-01

    This is the final biennial update listing directories, journal articles, Web sites, and general books that aid the librarian, house officer, or medical student in finding information on medical residency and fellowship programs. The World Wide Web provides the most complete and up-to-date source of information about postgraduate training programs and specialties. This update continues to go beyond postgraduate training resources to include selected Web sites and books on curriculum vitae writing, practice management, personal finances, the "Match," certification and licensure examination preparation, lifestyle issues, job hunting, and the DEA license application process. Print resources are included if they provide information not on the Internet, have features that are particularly useful, or cover too many relevant topics in depth to be covered in a journal article or on a Web site. The Internet is a major marketing tool for hospitals seeking to recruit the best and brightest physicians for their training programs. Even the smallest community hospital has a Web site.

  2. Accelerated re-epithelialization of partial-thickness skin wounds by a topical betulin gel: Results of a randomized phase III clinical trials program.

    PubMed

    Barret, Juan P; Podmelle, Fred; Lipový, Břetislav; Rennekampff, Hans-Oliver; Schumann, Hauke; Schwieger-Briel, Agnes; Zahn, Tobias R; Metelmann, Hans-Robert

    2017-09-01

    The clinical significance of timely re-epithelialization is obvious in burn care, since delayed wound closure is enhancing the risk of wound site infection and extensive scarring. Topical treatments that accelerate wound healing are urgently needed to reduce these sequelae. Evidence from preliminary studies suggests that betulin can accelerate the healing of different types of wounds, including second degree burns and split-thickness skin graft wounds. The goal of this combined study program consisting of two randomized phase III clinical trials in parallel is to evaluate whether a topical betulin gel (TBG) is accelerating re-epithelialization of split-thickness skin graft (STSG) donor site wounds compared to standard of care. Two parallel blindly evaluated, randomised, controlled, multicentre phase III clinical trials were performed in adults undergoing STSG surgery (EudraCT nos. 2012-003390-26 and 2012-000777-23). Donor site wounds were split into two equal halves and randomized 1:1 to standard of care (a non-adhesive moist wound dressing) or standard of care plus TBG consisting of 10% birch bark extract and 90% sunflower oil (Episalvan, Birken AG, Niefern-Oeschelbronn, Germany). The primary efficacy assessment was the intra-individual difference in time to wound closure assessed from digital photographs by three blinded experts. A total of 219 patients were included and treated in the two trials. Wounds closed faster with TBG than without it (15.3 vs. 16.5 days; mean intra-individual difference=-1.1 days [95% CI, -1.5 to -0.7]; p<0.0001). This agreed with unblinded direct clinical assessment (difference=-2.1 days [95% CI, -2.7 to -1.5]; p<0.0001). Adverse events possibly related to treatment were mild or moderate and mostly at the application site. TBG accelerates re-epithelialization of partial thickness wounds compared to the current standard of care, providing a well-tolerated contribution to burn care in practice. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  3. A Content Standard for Computational Models; Digital Rights Management (DRM) Architectures; A Digital Object Approach to Interoperable Rights Management: Finely-Grained Policy Enforcement Enabled by a Digital Object Infrastructure; LOCKSS: A Permanent Web Publishing and Access System; Tapestry of Time and Terrain.

    ERIC Educational Resources Information Center

    Hill, Linda L.; Crosier, Scott J.; Smith, Terrence R.; Goodchild, Michael; Iannella, Renato; Erickson, John S.; Reich, Vicky; Rosenthal, David S. H.

    2001-01-01

    Includes five articles. Topics include requirements for a content standard to describe computational models; architectures for digital rights management systems; access control for digital information objects; LOCKSS (Lots of Copies Keep Stuff Safe) that allows libraries to run Web caches for specific journals; and a Web site from the U.S.…

  4. GABAA receptor: Positive and negative allosteric modulators.

    PubMed

    Olsen, Richard W

    2018-01-31

    gamma-Aminobutyric acid (GABA)-mediated inhibitory neurotransmission and the gene products involved were discovered during the mid-twentieth century. Historically, myriad existing nervous system drugs act as positive and negative allosteric modulators of these proteins, making GABA a major component of modern neuropharmacology, and suggesting that many potential drugs will be found that share these targets. Although some of these drugs act on proteins involved in synthesis, degradation, and membrane transport of GABA, the GABA receptors Type A (GABA A R) and Type B (GABA B R) are the targets of the great majority of GABAergic drugs. This discovery is due in no small part to Professor Norman Bowery. Whereas the topic of GABA B R is appropriately emphasized in this special issue, Norman Bowery also made many insights into GABA A R pharmacology, the topic of this article. GABA A R are members of the ligand-gated ion channel receptor superfamily, a chloride channel family of a dozen or more heteropentameric subtypes containing 19 possible different subunits. These subtypes show different brain regional and subcellular localization, age-dependent expression, and potential for plastic changes with experience including drug exposure. Not only are GABA A R the targets of agonist depressants and antagonist convulsants, but most GABA A R drugs act at other (allosteric) binding sites on the GABA A R proteins. Some anxiolytic and sedative drugs, like benzodiazepine and related drugs, act on GABA A R subtype-dependent extracellular domain sites. General anesthetics including alcohols and neurosteroids act at GABA A R subunit-interface trans-membrane sites. Ethanol at high anesthetic doses acts on GABA A R subtype-dependent trans-membrane domain sites. Ethanol at low intoxicating doses acts at GABA A R subtype-dependent extracellular domain sites. Thus GABA A R subtypes possess pharmacologically specific receptor binding sites for a large group of different chemical classes of clinically important neuropharmacological agents. Copyright © 2018 Elsevier Ltd. All rights reserved.

  5. NASA/ESMD Analogue Mission Plans

    NASA Technical Reports Server (NTRS)

    Hoffman, Stephen J.

    2007-01-01

    A viewgraph presentation exploring Earth and its analogues is shown. The topics include: 1) ESMD Goals for the Use of Earth Analogues; 2) Stakeholders Summary; 3) Issues with Current Analogue Situation; 4) Current state of Analogues; 5) External Implementation Plan (Second Step); 6) Recent Progress in Utilizing Analogues; 7) Website Layout Example-Home Page; 8) Website Layout Example-Analogue Site; 9) Website Layout Example-Analogue Mission; 10) Objectives of ARDIG Analog Initiatives; 11) Future Plans; 12) Example: Cold-Trap Sample Return; 13) Example: Site Characterization Matrix; 14) Integrated Analogue Studies-Prerequisites for Human Exploration; and 15) Rating Scale Definitions.

  6. Public health applications of remote sensing of vector borne and parasitic diseases

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Results of an investigation of the potential application of remote sensing to various fields of public health are presented. Specific topics discussed include: detection of snail habitats in connection with the epidemiology of schistosomiasis; the detection of certain Anopheles breeding sites, and location of transient human populations, both in connection with malaria eradication programs; and detection of overwintering population sites for the primary screwworm (Cochliomyia americana). Emphasis was placed on the determination of ground truth data on the biological, chemical, and physical characteristics of ground waters which would or would not support the growth of significant populations of mosquitoes.

  7. Lunar Science Conference, 6th, Houston, Tex., March 17-21, 1975, Proceedings. Volume 3 - Physical studies

    NASA Technical Reports Server (NTRS)

    Merrill, R. B.

    1975-01-01

    Recent investigations of the moon are reported. Topics discussed include the Apollo 17 site, selenography, craters, remote sensing, selenophysics, lunar surface fields and particles, magnetic properties of lunar samples, physical property measurements, surface-correlated properties, micrometeoroids, solar-system regoliths, and cosmic rays. Lunar orbital data maps are presented, and the evolution of lunar features is examined.

  8. Are we there yet? An examination of online tailored health communication.

    PubMed

    Suggs, L Suzanne; McIntyre, Chris

    2009-04-01

    Increasingly, the Internet is playing an important role in consumer health and patient-provider communication. Seventy-three percent of American adults are now online, and 79% have searched for health information on the Internet. This study provides a baseline understanding of the extent to which health consumers are able to find tailored communication online. It describes the current behavioral focus, the channels being used to deliver the tailored content, and the level of tailoring in online-tailored communication. A content analysis of 497 health Web sites found few examples of personalized, targeted, or tailored health sites freely available online. Tailored content was provided in 13 Web sites, although 15 collected individual data. More health risk assessment (HRA) sites included tailored feedback than other topics. The patterns that emerged from the analysis demonstrate that online health users can access a number of Web sites with communication tailored to their needs.

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

    Law, B E

    Research involves analysis and field direction of AmeriFlux operations, and the PI provides scientific leadership of the AmeriFlux network. Activities include the coordination and quality assurance of measurements across AmeriFlux network sites, synthesis of results across the network, organizing and supporting the annual Science Team Meeting, and communicating AmeriFlux results to the scientific community and other users. Objectives of measurement research include (i) coordination of flux and biometric measurement protocols (ii) timely data delivery to the Carbon Dioxide Information and Analysis Center (CDIAC); and (iii) assurance of data quality of flux and ecosystem measurements contributed by AmeriFlux sites. Objectives ofmore » integration and synthesis activities include (i) integration of site data into network-wide synthesis products; and (ii) participation in the analysis, modeling and interpretation of network data products. Communications objectives include (i) organizing an annual meeting of AmeriFlux investigators for reporting annual flux measurements and exchanging scientific information on ecosystem carbon budgets; (ii) developing focused topics for analysis and publication; and (iii) developing data reporting protocols in support of AmeriFlux network goals.« less

  10. The World Wide Web--a new tool for biomedical engineering education.

    PubMed

    Blanchard, S M

    1997-01-01

    An ever-increasing variety of materials (text, images, videos, and sound) are available through the World Wide Web (WWW). While textbooks, which are often outdated by the time they are published, are usually limited to black and white text and images, many supplemental materials can be found on the WWW. The WWW also provides many resources for student projects. In BAE 465: Biomedical Engineering Applications, student teams developed WWW-based term projects on biomedical topics, e.g. biomaterials, MRI, and medical ultrasound. After the projects were completed and edited by the instructor, they were placed on-line for world-wide access if permission for this had been granted by the student authors. Projects from three classes have been used to form the basis for an electronic textbook which is available at http:@www.eos.ncsu.edu/bae/research/blanchard /www/465/textbook/. This electronic textbook also includes instructional objectives and sample tests for specific topic areas. Student projects have been linked to the appropriate topic areas within the electronic textbook. Links to relevant sites have been included within the electronic textbook as well as within the individual projects. Students were required to link to images and other materials they wanted to include in their project in order to avoid copyright issues. The drawback to this approach to copyright protection is that addresses can change making links unavailable. In BAE 465 and in BAE 235: Engineering Biology, the WWW has also been used to distribute instructional objectives, the syllabi and class policies, homework problems, and abbreviated lecture notes. This has made maintaining course-related material easier and has reduced the amount of paper used by both the students and the instructor. Goals for the electronic textbook include the addition of instructional simulation programs that can be run from remote sites. In the future, biomedical engineering may be taught in a virtual classroom with participation by an instructor and students from many different parts of the world.

  11. A Web Search on Environmental Topics: What Is the Role of Ranking?

    PubMed Central

    Filisetti, Barbara; Mascaretti, Silvia; Limina, Rosa Maria; Gelatti, Umberto

    2013-01-01

    Abstract Background: Although the Internet is easy to use, the mechanisms and logic behind a Web search are often unknown. Reliable information can be obtained, but it may not be visible as the Web site is not located in the first positions of search results. The possible risks of adverse health effects arising from environmental hazards are issues of increasing public interest, and therefore the information about these risks, particularly on topics for which there is no scientific evidence, is very crucial. The aim of this study was to investigate whether the presentation of information on some environmental health topics differed among various search engines, assuming that the most reliable information should come from institutional Web sites. Materials and Methods: Five search engines were used: Google, Yahoo!, Bing, Ask, and AOL. The following topics were searched in combination with the word “health”: “nuclear energy,” “electromagnetic waves,” “air pollution,” “waste,” and “radon.” For each topic three key words were used. The first 30 search results for each query were considered. The ranking variability among the search engines and the type of search results were analyzed for each topic and for each key word. The ranking of institutional Web sites was given particular consideration. Results: Variable results were obtained when surfing the Internet on different environmental health topics. Multivariate logistic regression analysis showed that, when searching for radon and air pollution topics, it is more likely to find institutional Web sites in the first 10 positions compared with nuclear power (odds ratio=3.4, 95% confidence interval 2.1–5.4 and odds ratio=2.9, 95% confidence interval 1.8–4.7, respectively) and also when using Google compared with Bing (odds ratio=3.1, 95% confidence interval 1.9–5.1). Conclusions: The increasing use of online information could play an important role in forming opinions. Web users should become more aware of the importance of finding reliable information, and health institutions should be able to make that information more visible. PMID:24083368

  12. 10 CFR 60.18 - Review of site characterization activities. 2

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... developed, and on the progress of waste form and waste package research and development. The semiannual... of site characterization will be established. Other topics related to site characterization shall...

  13. 10 CFR 60.18 - Review of site characterization activities. 2

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... developed, and on the progress of waste form and waste package research and development. The semiannual... of site characterization will be established. Other topics related to site characterization shall...

  14. 10 CFR 60.18 - Review of site characterization activities. 2

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... developed, and on the progress of waste form and waste package research and development. The semiannual... of site characterization will be established. Other topics related to site characterization shall...

  15. 10 CFR 60.18 - Review of site characterization activities. 2

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... developed, and on the progress of waste form and waste package research and development. The semiannual... of site characterization will be established. Other topics related to site characterization shall...

  16. Islam in the Classroom: Teachers and Parents Alike Are Unsure about the Topic, but It's Never Been More Important

    ERIC Educational Resources Information Center

    Barack, Lauren

    2010-01-01

    Between recent threats by a Florida pastor to burn the Quran, the nation's ongoing presence in Afghanistan, and protests at the planned site for Park 51, an Islamic community center and mosque set to be built two blocks from the World Trade Center site, the topic of Islam is a tricky one, especially in K-12 schools, say many educators. For…

  17. Technology and Teacher Education Annual, 1997. Proceedings of the International Conference of the Society for Information Technology and Teacher Education (SITE) (8th, Orlando, Florida, April 1-5, 1997). Volumes I and II.

    ERIC Educational Resources Information Center

    Willis, Jerry, Ed.; Price, Jerry D., Ed.; McNeil, Sara, Ed.; Robin, Bernard, Ed.; Willis, Dee Anna, Ed.

    The 370 conference papers on information technology and teacher education are presented in two volumes. The 183 papers in the first volume include the following topics: use and evaluation of educational software; preservice and inservice training issues; multimedia portfolios; distance education; diversity and international perspectives; the…

  18. Space Shuttle Projects Overview to Columbia Air Forces War College

    NASA Technical Reports Server (NTRS)

    Singer, Jody; McCool, Alex (Technical Monitor)

    2000-01-01

    This paper presents, in viewgraph form, a general overview of space shuttle projects. Some of the topics include: 1) Space Shuttle Projects; 2) Marshall Space Flight Center Space Shuttle Projects Office; 3) Space Shuttle Propulsion systems; 4) Space Shuttle Program Major Sites; 5) NASA Office of Space flight (OSF) Center Roles in Space Shuttle Program; 6) Space Shuttle Hardware Flow; and 7) Shuttle Flights To Date.

  19. Nondestructive Testing and Evaluation of Wood—50 Years of Research: International Nondestructive Testing and Evaluation of Wood Symposium Series

    Treesearch

    Robert J. Ross; Xiping Wang

    2012-01-01

    The International Nondestructive Testing and Evaluation of Wood Symposium Series was initiated by Washington State University and the USDA Forest Products Laboratory (FPL) in 1963 with the convening of a symposium on the topic of nondestructive testing of wood at FPL. Including that meeting, 17 symposia have been held during the last 50 years at various sites around...

  20. LLWnotes - Volume 11, Number 3

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

    NONE

    1996-04-01

    This document is the April 1996 issue of LLWnotes. It contains articles and news items on the following topics: news items related to states and compacts, Low-Level Radioactive Waste (LLW) Forum activities, and court rulings and calendars. State and compact items featured include Texas licensing procedures, renewal of Envirocare`s license, and Ward Valley. Massachusetts Board suspension of some siting tasks and Massachusetts Court rules for US DOE regarding rebates are also reported.

  1. Muscle fatigue: general understanding and treatment

    PubMed Central

    Wan, Jing-jing; Qin, Zhen; Wang, Peng-yuan; Sun, Yang; Liu, Xia

    2017-01-01

    Muscle fatigue is a common complaint in clinical practice. In humans, muscle fatigue can be defined as exercise-induced decrease in the ability to produce force. Here, to provide a general understanding and describe potential therapies for muscle fatigue, we summarize studies on muscle fatigue, including topics such as the sequence of events observed during force production, in vivo fatigue-site evaluation techniques, diagnostic markers and non-specific but effective treatments. PMID:28983090

  2. Competitiveness Improvement Project Informational Workshop

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

    Sinclair, Karin C; Preus, Robert W; Dana, Scott

    This presentation was given at the Competitiveness Improvement Project (CIP) Informational Workshop on December 6, 2017. Topics covered during the workshop include an overview of the CIP, past projects, scoring criteria, technical support opportunities, certification body requirements, standards applicable to distributed wind generators, information on the National Electric Code, certification testing requirements, test site requirements, National Environmental Policy Act, design review, levelized cost of energy, procurement/contracting, project management/deliverables, and outreach materials.

  3. Online resources for news about toxicology and other environmental topics.

    PubMed

    South, J C

    2001-01-12

    Technology has revolutionized researchers' ability to find and retrieve news stories and press releases. Thanks to electronic library systems and telecommunications--notably the Internet--computer users in seconds can sift through millions of articles to locate mainstream articles about toxicology and other environmental topics. But that does not mean it is easy to find what one is looking for. There is a confusing array of databases and services that archive news articles and press releases: (1) some are free; others cost thousands of dollars a year to access, (2) some include hundreds of newspaper and magazine titles; others cover only one publication, (3) some contain archives going back decades; others have just the latest news, (4) some offer only journalistically balanced reports from mainstream news sources; others mix news with opinions and advocacy and include reports from obscure or biased sources. This article explores ways to find news online - particularly news about toxicology, hazardous chemicals, environmental health and the environment in general. The article covers web sites devoted to environmental news; sites and search engines for general-interest news; newspaper archives; commercial information services; press release distribution services and archives; and other resources and strategies for finding articles in the popular press about toxicology and the environment.

  4. A Multi-Site Study of Family Functioning Impairment in Pediatric Obsessive-Compulsive Disorder

    PubMed Central

    Stewart, S. Evelyn; Hu, Yu-Pei; Leung, Aldrich; Chan, Elaine; Hezel, Dianne M.; Lin, Sarah Yao; Belschner, Laura; Walsh, Casey; Geller, Daniel A.; Pauls, David L.

    2017-01-01

    Objective Familial aspects of pediatric obsessive-compulsive disorder (OCD) including accommodation and treatment have received notable and warranted attention. However, individual perspectives of its repercussions on family functioning, including emotional parental burden, have not been closely examined. The present study details this topic utilizing a large, multi-center sample. Method Participants included 354 youth affected with OCD, mothers and fathers ascertained through pediatric OCD programs in Boston, USA (n=180) and Vancouver, Canada (n=174). The validated OCD Family Functioning (OFF) Scale and standard OCD measures were completed. Descriptive, between-site and cross-perspective comparative analyses were followed by regression model testing to predict family impairment. Results Family functioning was negatively impacted from youth, mother, and father perspectives. Impairment was reportedly more extensive at the time of worst OCD severity and was greater from maternal versus paternal viewpoints. Most frequently impacted family tasks and implicated OCD symptoms included morning and bedtime routines and intrusive thoughts. Emotional repercussions included stress and anxiety, followed by frustration/anger in youth and sadness in parents. Nearly half of mothers and a third of fathers reported daily occupational impairment. Compared to youth self-report, parents perceived fewer social and academic impacts on their child. Family accommodation most consistently predicted family impairment, especially from parent perspectives. OCD and compulsion severity, contamination and religious obsessions, and comorbidities also predicted various perspectives of family subdomain impairment. Conclusion This study quantitatively details the pervasive burden that pediatric OCD places on families, as reported from complementary relative perspectives. Further attention to this topic is warranted in clinical and research realms. PMID:28219490

  5. What are hierarchical models and how do we analyze them?

    USGS Publications Warehouse

    Royle, Andy

    2016-01-01

    In this chapter we provide a basic definition of hierarchical models and introduce the two canonical hierarchical models in this book: site occupancy and N-mixture models. The former is a hierarchical extension of logistic regression and the latter is a hierarchical extension of Poisson regression. We introduce basic concepts of probability modeling and statistical inference including likelihood and Bayesian perspectives. We go through the mechanics of maximizing the likelihood and characterizing the posterior distribution by Markov chain Monte Carlo (MCMC) methods. We give a general perspective on topics such as model selection and assessment of model fit, although we demonstrate these topics in practice in later chapters (especially Chapters 5, 6, 7, and 10 Chapter 5 Chapter 6 Chapter 7 Chapter 10)

  6. Protective effects of a topical antioxidant complex containing vitamins C and E and ferulic acid against ultraviolet irradiation-induced photodamage in Chinese women.

    PubMed

    Wu, Yan; Zheng, Xin; Xu, Xue-Gang; Li, Yuan-Hong; Wang, Bin; Gao, Xing-Hua; Chen, Hong-Duo; Yatskayer, Margarita; Oresajo, Christian

    2013-04-01

    The objective of the study was to investigate whether a topical antioxidant complex containing vitamins C and E and ferulic acid can protect solar-simulated ultraviolet irradiation (ssUVR)-induced acute photodamage in human skin. Twelve healthy female Chinese subjects were enrolled in this study. Four unexposed sites on dorsal skin were marked for the experiment. The products containing antioxidant complex and vehicle were applied onto 2 sites, respectively, for 4 consecutive days. On day 4, the antioxidant complex-treated site, the vehicle-treated site, and the untreated site (positive control) received ssUVR (5 times the minimal erythema dose). The fourth site (negative control) received neither ssUVR nor treatment. Digital photographs were taken, and skin color was measured pre- and postirradiation. Skin biopsies were obtained 24 hours after exposure to ssUVR, for hematoxylin and eosin and immunohistochemical staining. A single, 5 times the minimal erythema dose of ssUVR substantially induced large amounts of sunburn cell formation, thymine dimer formation, overexpression of p53 protein, and depletion of CD1a+ Langerhans cells. The antioxidant complex containing vitamins C and E and ferulic acid conferred significant protection against biological events compared with other irradiated sites. A topical antioxidant complex containing vitamins C and E and ferulic acid has potential photoprotective effects against ssUVR-induced acute photodamage in human skin.

  7. Nuclear facility decommissioning and site remedial actions: A selected bibliography, Volume 18. Part 1B: Citations with abstracts, sections 10 through 16

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

    NONE

    1997-09-01

    This bibliography contains 3,638 citations with abstracts of documents relevant to environmental restoration, nuclear facility decontamination and decommissioning (D and D), uranium mill tailings management, and site remedial actions. The bibliography contains scientific, technical, financial, and regulatory information that pertains to DOE environmental restoration programs. The citations are separated by topic into 16 sections, including (1) DOE Environmental Restoration Program; (2) DOE D and D Program; (3) Nuclear Facilities Decommissioning; (4) DOE Formerly Utilized sites Remedial Action Program; (5) NORM-Contaminated Site Restoration; (6) DOE Uranium Mill Tailings Remedial Action Project; (7) Uranium Mill Tailings Management; (8) DOE Site-Wide Remedial Actions;more » (9) DOE Onsite Remedial Action Projects; (10) Contaminated Site Remedial Actions; (11) DOE Underground Storage Tank Remediation; (12) DOE Technology Development, Demonstration, and Evaluation; (13) Soil Remediation; (14) Groundwater Remediation; (15) Environmental Measurements, Analysis, and Decision-Making; and (16) Environmental Management Issues.« less

  8. Topical nonsteroidal anti-inflammatory drugs for the treatment of pain due to soft tissue injury: diclofenac epolamine topical patch

    PubMed Central

    Lionberger, David R; Brennan, Michael J

    2010-01-01

    The objective of this article is to review published clinical data on diclofenac epolamine topical patch 1.3% (DETP) in the treatment of acute soft tissue injuries, such as strains, sprains, and contusions. Review of published literature on topical nonsteroidal anti-inflammatory drugs (NSAIDs), diclofenac, and DETP in patients with acute soft tissue injuries was included. Relevant literature was identified on MEDLINE using the search terms topical NSAIDs, diclofenac, diclofenac epolamine, acute pain, sports injury, soft tissue injury, strain, sprain, and contusion, and from citations in retrieved articles covering the years 1978–2008. Review of published, randomized clinical trials and meta-analyses shows that topical NSAIDs are significantly more effective than placebo in relieving acute pain; the pooled average relative benefit was 1.7 (95% confidence interval, 1.5–1.9). In a limited number of comparisons, topical and oral NSAIDs provided comparable pain relief, but the use of topical agents produced lower plasma drug concentrations and fewer systemic adverse events (AEs). The physical–chemical properties of diclofenac epolamine make it well suited for topical use. In patients with acute soft tissue injuries treated with DETP, clinical data report an analgesic benefit within hours of the first application, and significant pain relief relative to placebo within 3 days. Moreover, DETP displayed tolerability comparable with placebo; the most common AEs were pruritus and other application site reactions. Review of published literature suggests that DETP is generally safe and well tolerated, clinically efficacious, and a rational treatment option for patients experiencing acute pain associated with strains, sprains, and contusions, and other localized painful conditions. PMID:21197326

  9. Topical oxygen as an adjunct to wound healing: a clinical case series.

    PubMed

    Kalliainen, Loree K.; Gordillo, Gayle M.; Schlanger, Richard; Sen, Chandan K.

    2003-01-01

    BACKGROUND: Disrupted vasculature and high energy-demand to support processing and regeneration of wounded tissue are typical characteristics of a wound site. Oxygen delivery is a critical element for the healing of wounds. Clinical experience with adjunctive hyperbaric oxygen therapy in the treatment of chronic wounds have shown that wound hyperoxia increases wound granulation tissue formation and accelerates wound contraction and secondary closure. Nevertheless, the physiologic basis for this modality remains largely unknown. Also, systemic hyperbaric oxygen therapy is associated with risks related to oxygen toxicity. Topical oxygen therapy represents a less explored modality in wound care. The advantages of topical oxygen therapy include low cost, lack of systemic oxygen toxicity, and the ability to receive treatment at home, making the benefits of oxygen therapy available to a much larger population of patients. MATERIALS AND METHODS: Over 9 months, seven surgeons treated 58 wounds in 32 patients with topical oxygen with follow-up ranging from 1 to 8 months. The data presented herein is a retrospective analysis of the results we have achieved using topical oxygen on complex wounds. RESULTS: Thirty-eight wounds in 15 patients healed while on topical oxygen. An additional five wounds in five patients had preoperative oxygen therapy; all wounds initially healed postoperatively. In two patients, wounds recurred post-healing. In ten wounds, topical oxygen had no effect; and two of those patients went on to require limb amputation. There were no complications attributable to topical oxygen. Three patients died during therapy and one died in the first postoperative month from underlying medical problems. Two patients were lost to follow-up. CONCLUSIONS: In this case series, topical oxygen had no detrimental effects on wounds and showed beneficial indications in promoting wound healing.

  10. The Treatment of Scabies.

    PubMed

    Dressler, Corinna; Rosumeck, Stefanie; Sunderkötter, Cord; Werner, Ricardo Niklas; Nast, Alexander

    2016-11-14

    Scabies is a contagious infestation transmitted by skin-to-skin contact and sometimes by contact with contaminated material. The scabies mite burrows into the skin, producing a papular rash and severe itch at typical sites of predilection. We systematically reviewed the literature to compare the efficacy of various anti-scabies agents, including a calculation of relative risks and confidence intervals. A literature search yielded 596 initial hits; after screening in accor-dance with the defined inclusion and exclusion criteria, 16 studies were selected for this review. Among topical treatments for scabies, permethrin was equally effective or more effective than crotamiton or benzyl benzoate. In a comparison of topical versus systemic treatment, topical permethrin and systemic ivermectin did not differ substantially in efficacy (7 comparative studies revealed no difference; one revealed a difference in favor of permethrin). Comparative trials of topical benzyl benzoate versus systemic ivermectin yielded inconsistent findings. Single and double administrations of ivermectin were similarly effective. In trials involving entire populations with a high prevalence of scabies, systemic ivermectin was found to be superior to topical permethrin. There are hardly any differences in efficacy between the available treatments for scabies. Single administrations of permethrin 5%, crotamiton 10%, and systemic ivermectin are all comparably effective. There are differences in the frequeny and ease of application as well as when eradicating scabies in populations with a high prevalence.

  11. Social media use by patients with glaucoma: what can we learn?

    PubMed

    McGregor, Freia; Somner, John E A; Bourne, Rupert R; Munn-Giddings, Carol; Shah, Peter; Cross, Vinette

    2014-01-01

    Much health-related information is available on the internet but its quality is known to be variable. This research aimed to analyse the ophthalmic content of social media platforms which has yet to be formally assessed. Five online social media platforms were selected, the International Glaucoma Association (IGA) forum, Facebook, Twitter, YouTube and Patient Opinion.org.uk. A total of 3785 items were scraped from the sites, collated and analysed using simple thematic analysis by two coders. Fourteen themes were identified. The most commonly discussed topics included treatments, care experiences, promotions and support. Un-moderated sites contain more misleading information. Complementary therapies and treatments with a poor evidence base are presented more positively than established, evidence-based treatments. Online forums give patients a space to air questions, grievances, suggestions and to provide mutual support. The information they contain may be of use to physicians by flagging adverse drug reactions, areas for service improvement or topics about which patients require more information. There is a risk of exposure to misleading content which is heightened in un-moderated sites. Social media platforms may be an adjunct to current care models by providing a supportive and educational online community if these risks are understood. © 2013 The Authors Ophthalmic & Physiological Optics © 2013 The College of Optometrists.

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

    Larsen, A.

    This study examines various energy resources in Utah including oil impregnated rocks (oil shale and oil sand deposits), geothermal, coal, uranium, oil and natural gas in terms of the following dimensions: resurce potential and location; resource technology, development and production status; resource development requirements; potential environmental and socio-economic impacts; and transportation tradeoffs. The advantages of minemouth power plants in comparison to combined cycle or hybrid power plants are also examined. Annotative bibliographies of the energy resources are presented in the appendices. Specific topics summarized in these annotative bibliographies include: economics, environmental impacts, water requirements, production technology, and siting requirements.

  13. Combined VSWIR/TIR Products Overview: Issues and Examples

    NASA Technical Reports Server (NTRS)

    Knox, Robert G.

    2010-01-01

    The presentation provides a summary of VSWIR data collected at 19-day intervals for most areas. TIR data was collected both day and night on a 5-day cycle (more frequently at higher latitudes), the TIR swath is four times as wide as VSWIR, and the 5-day orbit repeat is approximate. Topics include nested swath geometry for reference point design and coverage simulations for sample FLUXNET tower sites. Other points examined include variation in latitude for revisit frequency, overpass times, and TIR overlap geometry and timing between VSWIR data collections.

  14. Virtual Small Business Emergency Operations Center (VSBEOC): Shared Awareness and Decision Making for Small Business

    DTIC Science & Technology

    2011-06-01

    Shared Awareness and Decision Making for Small Business Topic(s) 2. Topic 1: Concepts, Theory , and Policy 1. Topic 5: Collaboration, Shared...emergencies do not have the time or the resources to collaborate on a continual basis with a large number of organizations. 3. A primary Crisis Management...Center (CMC) should be identified in advance. This is the initial site used by the Crisis Management Team and Response Teams for directing and

  15. Topical Botulinum Toxin Type A Liposomal Cream for Primary Axillary Hyperhidrosis: A Double-Blind, Randomized, Split-Site, Vehicle-Controlled Study.

    PubMed

    Lueangarun, Suparuj; Sermsilp, Chairat; Tempark, Therdpong

    2018-04-13

    Despite its effectiveness in treating primary axillary hyperhidrosis (PAH), topical botulinum toxin type A (BTX-A) is highly resistant to transdermal absorption. Topical BTX-A liposomal cream is recommended as a novel, noninvasive modality to enhance skin penetration. To evaluate the efficacy and safety of topical BTX-A liposomal cream in comparison with liposomal vehicle cream alone in the treatment of PAH. A prospective, randomized, double-blinded, split-site study was conducted in 20 subjects, aged 18 to 50 years, all of whom had symmetrical axillary sweating with Hyperhidrosis Disease Severity Scale scores between 2 to 4. All subjects were double-blinded to treatment regimens and randomly given 2 bottles, one containing topical BTX-A liposomal cream and one containing the vehicle cream without BTX-A, to be applied consistently to the same axilla nightly for 7 consecutive days. Clinical improvement and adverse reactions were evaluated at every follow-up visit. Axillary skin treated with topical BTX-A demonstrated superior sweat reduction and patient satisfaction to vehicle cream-treated axillary skin, with clinical and statistical significance, at baseline, weeks 2, 4, 6, and 8 of follow-up, without adverse effects. Topical BTX-A liposomal cream pharmaceutically enhances drug delivery, is painless, cost-effective, and overall an innovative treatment of PAH.

  16. Topical application of recombinant activated factor VII during cesarean delivery for placenta previa.

    PubMed

    Schjoldager, Birgit T B G; Mikkelsen, Emmeli; Lykke, Malene R; Præst, Jørgen; Hvas, Anne-Mette; Heslet, Lars; Secher, Niels J; Salvig, Jannie D; Uldbjerg, Niels

    2017-06-01

    During cesarean delivery in patients with placenta previa, hemorrhaging after removal of the placenta is often challenging. In this condition, the extraordinarily high concentration of tissue factor at the placenta site may constitute a principle of treatment as it activates coagulation very effectively. The presumption, however, is that tissue factor is bound to activated factor VII. We hypothesized that topical application of recombinant activated factor VII at the placenta site reduces bleeding without affecting intravascular coagulation. We included 5 cases with planned cesarean delivery for placenta previa. After removal of the placenta, the surgeon applied a swab soaked in recombinant activated factor VII containing saline (1 mg in 246 mL) to the placenta site for 2 minutes; this treatment was repeated once if the bleeding did not decrease sufficiently. We documented the treatment on video recordings and measured blood loss. Furthermore, we determined hemoglobin concentration, platelet count, international normalized ratio, activated partial thrombin time, fibrinogen (functional), factor VII:clot, and thrombin generation in peripheral blood prior to and 15 minutes after removal of the placenta. We also tested these blood coagulation variables in 5 women with cesarean delivery planned for other reasons. Mann-Whitney test was used for unpaired data. In all 5 cases, the uterotomy was closed under practically dry conditions and the median blood loss was 490 (range 300-800) mL. There were no adverse effects of recombinant activated factor VII and we did not measure factor VII to enter the circulation. Neither did we observe changes in thrombin generation, fibrinogen, activated partial thrombin time, international normalized ratio, and platelet count in the peripheral circulation (all P values >.20). This study indicates that in patients with placenta previa, topical recombinant activated factor VII may diminish bleeding from the placenta site without initiation of systemic coagulation. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

  17. Laparoscopic Surgery

    MedlinePlus

    ... Main ACG Site ACG Patients Home / Digestive Health Topic / Laparoscopic Surgery Laparoscopic Surgery Basics Overview What is laparoscopic surgery? ... with your doctor whether some type of laparoscopic surgery is most suitable for your ... Topics Abdominal Pain Syndrome Belching, Bloating, and Flatulence Common ...

  18. US DOE-EM On-Site Disposal Cell Working Group - Fostering Communication On Performance Assessment Challenges

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

    Seitz, Roger R.; Suttora, Linda C.; Phifer, Mark

    On-site disposal cells are in use and being considered at several U.S. Department of Energy (USDOE) sites as the final disposition for large amounts of waste associated with cleanup of contaminated areas and facilities. These facilities are typically developed with regulatory oversight from States and/or the US Environmental Protection Agency (USEPA) in addition to USDOE. The facilities are developed to meet design standards for disposal of hazardous waste as well as the USDOE performance based standards for disposal of radioactive waste. The involvement of multiple and different regulators for facilities across separate sites has resulted in some differences in expectationsmore » for performance assessments and risk assessments (PA/RA) that are developed for the disposal facilities. The USDOE-EM Office of Site Restoration formed a working group to foster improved communication and sharing of information for personnel associated with these Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) disposal cells and work towards more consistent assumptions, as appropriate, for technical and policy considerations related to performance and risk assessments in support of a Record of Decision and Disposal Authorization Statement. The working group holds teleconferences, as needed, focusing on specific topics of interest. The topics addressed to date include an assessment of the assumptions used for performance assessments and risk assessments (PA/RAs) for on-site disposal cells, requirements and assumptions related to assessment of inadvertent intrusion, DOE Manual 435.1-1 requirements, and approaches for consideration of the long-term performance of liners and covers in the context of PAs. The working group has improved communication among the staff and oversight personnel responsible for onsite disposal cells and has provided a forum to identify and resolve common concerns.« less

  19. A Comprehensive Review of Topical Odor-Controlling Treatment Options for Chronic Wounds

    PubMed Central

    Akhmetova, Alma; Allan, Iain U.; Illsley, Matthew J.; Nurgozhin, Talgat; Mikhalovsky, Sergey

    2016-01-01

    The process of wound healing is often accompanied by bacterial infection or critical colonization, resulting in protracted inflammation, delayed reepithelization, and production of pungent odors. The malodor produced by these wounds may lower health-related quality of life and produce psychological discomfort and social isolation. Current management focuses on reducing bacterial activity within the wound site and absorbing malodorous gases. For example, charcoal-based materials have been incorporated into dressing for direct adsorption of the responsible gases. In addition, multiple topical agents, including silver, iodine, honey, sugar, and essential oils, have been suggested for incorporation into dressings in an attempt to control the underlying bacterial infection. This review describes options for controlling malodor in chronic wounds, the benefits and drawbacks of each topical agent, and their mode of action. We also discuss the use of subjective odor evaluation techniques to assess the efficacy of odor-controlling therapies. The perspectives of employing novel biomaterials and technologies for wound odor management are also presented. PMID:27684356

  20. A Comprehensive Review of Topical Odor-Controlling Treatment Options for Chronic Wounds.

    PubMed

    Akhmetova, Alma; Saliev, Timur; Allan, Iain U; Illsley, Matthew J; Nurgozhin, Talgat; Mikhalovsky, Sergey

    The process of wound healing is often accompanied by bacterial infection or critical colonization, resulting in protracted inflammation, delayed reepithelization, and production of pungent odors. The malodor produced by these wounds may lower health-related quality of life and produce psychological discomfort and social isolation. Current management focuses on reducing bacterial activity within the wound site and absorbing malodorous gases. For example, charcoal-based materials have been incorporated into dressing for direct adsorption of the responsible gases. In addition, multiple topical agents, including silver, iodine, honey, sugar, and essential oils, have been suggested for incorporation into dressings in an attempt to control the underlying bacterial infection. This review describes options for controlling malodor in chronic wounds, the benefits and drawbacks of each topical agent, and their mode of action. We also discuss the use of subjective odor evaluation techniques to assess the efficacy of odor-controlling therapies. The perspectives of employing novel biomaterials and technologies for wound odor management are also presented.

  1. 4-Day evaluation of the irritation potential of topical desoximetasone 0.25% and 0.05% spray on light-exposed skin.

    PubMed

    Patel, Nupur U; Grammenos, Alexandra; Gowda, Asha; Onikoyi, Omobola; Feldman, Steven R

    2018-06-01

    The safety and potential side effects of desoximetasone 0.25% and 0.05% sprays have not previously been studied. The primary objective of this study was to determine the irritation potential of desoximetasone 0.25%, 0.05% and vehicle sprays in response to irradiation. Thirty-four subjects were enrolled in the study, each with three study treatments (desoximetasone 0.25%, 0.05% topical sprays and vehicle) were applied to two sites each on the back of every subject, with half of the sites irradiated with filtered UV light. Dermal reactions at the test sites were evaluated using a visual scale with corresponding numerical scores that rated the degree of erythema and oedema. Desoximetasone 0.25%, 0.05%, and vehicle caused no detectable signs of phototoxicity when examined on days 3 and 4. Mean scores of desoximetasone 0.25%, 0.05% and vehicle to non-irradiated treatment areas showed no signs of irritation. Our results suggest that regular application of desoximetasone 0.25% and 0.05% topical sprays do not induce photosensitization or photoirritation. The safety of this topical spray may help with clinical management of patients using topical corticosteroids while also receiving therapeutic UV light exposure. Thus, patients can use desoximetasone sprays without concerns of side effects due to therapeutic light or sun exposure.

  2. [Thirty years of US long-term ecological research: characteristics, results, and lessons learned of--taking the Virginia Coast Reserve as an example].

    PubMed

    Zhu, Gao-Ru; Porter, John H; Xu, Xue-Gong

    2011-06-01

    In order to observe and understand long-term and large-scale ecological changes, the US National Science Foundation initiated a Long-Term Ecological Research (LTER) program in 1980. Over the past 30 years, the US LTER program has achieved advances in ecological and social science research, and in the development of site-based research infrastructure. This paper attributed the success of the program to five characteristics, i.e., 1) consistency of research topics and data across the network, 2) long-term time scale of both the research and the program, 3) flexibility in research content and funding procedures, 4) growth of LTER to include international partners, new disciplines such as social science, advanced research methods, and cooperation among sites, and 5) sharing of data and educational resources. The Virginia Coast Reserve LTER site was taken as an example to illustrate how the US LTER works at site level. Some suggestions were made on the China long-term ecological research, including strengthening institution construction, improving network and inter-site cooperation, emphasizing data quality, management, and sharing, reinforcing multidisciplinary cooperation, and expanding public influence.

  3. Adverse Effects (AEs) of Topical NSAIDs in Older Adults with Osteoarthritis (OA): a Systematic Review of the Literature

    PubMed Central

    Makris, UE.; Kohler, MJ.; Fraenkel, L.

    2010-01-01

    Objective To systematically review the literature on reported adverse effects (AEs) associated with topical NSAID use in older adults with osteoarthritis (OA). Methods A systematic search of Medline (1950 to November 2009), Scopus, Embase, Web of Science, Cochrane databases, Dissertation and American College of Rheumatology Meeting Abstracts was performed to identify original randomized controlled trials, case reports, observational studies, editorials or dissertations reporting AEs from topical NSAIDs in older adults with OA. Information was sought on study and participant characteristics, detailed recording of application site and systemic AEs as well as withdrawals due to AEs. Results The initial search yielded 953 articles of which 19 met eligibility criteria. Subjects receiving topical NSAIDs reported up to 39.3% application site AEs, and up to 17.5% systemic AEs. Five cases of warfarin potentiation with topical agents were reported; 1 resulting in gastrointestinal bleeding. In formal trials, the withdrawal rate from AEs ranged from 0-21% in the topical agents, 0-25% in the oral NSAIDs, and 0-16% in the placebo group. Conclusion In summary, although topical NSAIDs are safer than oral NSAIDs (fewer severe gastrointestinal AEs), a substantial proportion of older adults report systemic AEs with topical agents. Moreover, the withdrawal rate due to AEs with topical agents is comparable to that of oral NSAIDs. Given the safety profile and withdrawal rates described in this study, further data are needed to determine the incremental benefits of topical NSAIDs compared to other treatment modalities in older adults with OA. PMID:20360183

  4. Nurses' perceptions of involvement in Thunder Project. American Association of Critical-Care Nurses Thunder Project task force.

    PubMed

    1995-03-01

    The American Association of Critical-Care Nurse's (AACN) Thunder Project was conceptualized and developed to provide critical-care nurses with a research protocol ready for institutional review and implementation. Project goals included providing a research package (protocol, educational, and data collection materials) and a topic of clinical significance to critical-care nurses. Site coordinators and research associates were identified at participating institutions to coordinate and implement all study activities. In this article, an evaluation study undertaken to recount perceptions of site coordinators and research associates in relation to project goals and research experience is described. Data demonstrated that study goals were achieved, and research experience was considered professionally enhancing. Written comments described barriers to project implementation at participating sites. Obtaining informed consent and physician approval and/or cooperation were identified as significant barriers to implementation at some sites.

  5. (Low-level waste disposal facility siting and site characterization)

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

    Mezga, L.J.; Ketelle, R.H.; Pin, F.G.

    A US team consisting of representatives of Oak Ridge National Laboratory (ORNL), Savannah River Plant (SRP), Savannah river Laboratory (SRL), and the Department of Energy Office of Defense Waste and Byproducts Management participated in the fourth meeting held under the US/French Radioactive Waste Management Agreement between the US Department of Energy and the Commissariat a l'Energie Atomique. This meeting, held at Agence Nationale pour les Gestion des Dechets Radioactifs' (ANDRA's) Headquarters in Paris, was a detailed, technical topical workshop focusing on Low-Level Waste Disposal Facility Siting and Site Characterization.'' The meeting also included a visit to the Centre de lamore » Manche waste management facility operated by ANDRA to discuss and observe the French approach to low-level waste management. The final day of the meeting was spent at the offices of Societe Generale pour les Techniques Nouvelles (SGN) discussing potential areas of future cooperation and exchange. 20 figs.« less

  6. The roles of TAM receptor tyrosine kinases in the mammalian testis and immunoprivileged sites.

    PubMed

    Deng, Tingting; Chen, Qiaoyuan; Han, Daishu

    2016-01-01

    Three members of a receptor tyrosine kinase family, including Tyro3, Axl, and Mer, are collectively called as TAM receptors. TAM receptors have two common ligands, namely, growth arrest specific gene 6 (Gas6) and protein S (ProS). The TAM-Gas6/ProS system is essential for phagocytic removal of apoptotic cells, and plays critical roles in regulating immune response. Genetic studies have shown that TAM receptors are essential regulators of the tissue homeostasis in immunoprivileged sites, including the testis, retina and brain. The mechanisms by which the TAM-Gas6/ProS system regulates the tissue homeostasis in immunoprivileged sites are emerging. The roles of the TAM-Gas6/ProS system in regulating the immune privilege were intensively investigated in the mouse testis, and several studies were performed in the eye and brain. This review summarizes our current understanding of TAM signaling in the testis and other immunoprivileged tissues, as well as highlights topics that are worthy of further investigation.

  7. Testbed for Satellite and Terrestrial Interoperability (TSTI)

    NASA Technical Reports Server (NTRS)

    Gary, J. Patrick

    1998-01-01

    Various issues associated with the "Testbed for Satellite and Terrestrial Interoperability (TSTI)" are presented in viewgraph form. Specific topics include: 1) General and specific scientific technical objectives; 2) ACTS experiment No. 118: 622 Mbps network tests between ATDNet and MAGIC via ACTS; 3) ATDNet SONET/ATM gigabit network; 4) Testbed infrastructure, collaborations and end sites in TSTI based evaluations; 5) the Trans-Pacific digital library experiment; and 6) ESDCD on-going network projects.

  8. FY 2016 Research Highlights

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

    This fact sheet summarizes the research highlights for the Clean Energy Manufacturing Analysis Center (CEMAC) for Fiscal Year 2106. Topics covered include additive manufacturing for the wind industry, biomass-based chemicals substitutions, carbon fiber manufacturing facility siting, geothermal power plant turbines, hydrogen refueling stations, hydropower turbines, LEDs and lighting, light-duty automotive lithium-ion cells, magnetocaloric refrigeration, silicon carbide power electronics for variable frequency motor drives, solar photovoltaics, and wide bandgap semiconductor opportunities in power electronics.

  9. Ecological Risk Assessment of Explosive Residues in Rodents, Reptiles, Amphibians, and Fish

    DTIC Science & Technology

    2004-03-01

    oligonucleotide primers were designed according to the sequence for pendrin in Mus musculus . PCR was carried out using a Failsafe kit (Epicentre, WI). PCR...Project No. T9700 PERCHLORATE ANALYTICAL Phase V As a calibration curve is run each time a set of samples is analyzed, we routinely include an... Reset FINAL REPORT FY2002 SERDP Project: ER-1235 TABLE OF CONTENTS Topic Page IDENTIFICATION OF PERCHLORATE-CONTAMINATED AND REFERENCE SITES

  10. Enhanced Wound Healing Using Topically Administered Nanoparticle Encapsulated siRNA

    DTIC Science & Technology

    2013-11-01

    from eye surgery such as LASIK surgery, LASEK surgery, PRK surgery, glaucoma filtration surgery, cataract surgery, or surgery in which the lens...treatment vs . siRNA transfection using the RNAiMAX delivery system from InVitrogen (http://www.invitrogen.com/site/us/en/home/Products-and- Services...consisting of: wounds of the skin; wounds of the eye (including the inhibition of scarring resulting from eye surgery such as LASIK surgery, LASEK surgery

  11. Blogs: A New Frontier for School Discipline Issues. A Legal Memorandum: Quarterly Law Topics for School Leaders. Vol. 7, No. 1, Fall 2006

    ERIC Educational Resources Information Center

    Kirby, Elizabeth; Kallio, Brenda

    2006-01-01

    Blogging is a widely used means of communication for millions of Internet users around the world. Blogs, which are Web sites or Weblogs where entries may be posted on a regular basis, frequently serve as online diaries or commentaries and may include text, images, and links to other sources. Diaries are no longer kept under lock and key. Today's…

  12. Endoscopic treatment of inverted papilloma attached in the frontal sinus/recess.

    PubMed

    Adriaensen, G F J P M; van der Hout, M W; Reinartz, S M; Georgalas, C; Fokkens, W J

    2015-12-01

    Inverted papilloma (IP) is a benign sinonasal tumour for which endoscopic surgery, with complete removal of the underlying and surrounding mucoperiosteum at the attachment site followed by drilling and/or coagulation of this area, is the treatment of choice. This can be challenging in the frontal sinus. To report on the outcome of treatment for IPs involving the frontal sinus. To propose the possible use of topical 5-fluorouracil 5% (5-FU) in the postoperative management of challenging IPs. This is a retrospective cohort evaluation of patients with IPs attached in the frontal sinus or in the frontal recess and growing into the frontal sinus. Data on primary or revision surgery, uni- or bilaterality, attachment site, surgical procedure, 5-FU usage, recurrence and follow-up are provided. The end points are disease-free follow-up in months and recurrence. Twenty cases, including fifteen revision cases, were retrieved over a period of ten years. All cases were treated endoscopically. Two cases recurred (10%) and the intervention was repeated. In eight cases, 5-FU was applied at the end of surgery. None of these cases recurred. The mean follow-up after the last intervention was 42 months (standard deviation (SD) 22.1). IP involving the frontal sinus is a surgical challenge that can be successfully addressed endoscopically. The topical application of 5-FU could have a place in postoperative treatment when it is difficult to be absolutely sure that all diseased mucoperichondrium or mucoperiosteum at the attachment site(s) has been completely removed.

  13. Breast cancer on the world wide web: cross sectional survey of quality of information and popularity of websites

    PubMed Central

    Meric, Funda; Bernstam, Elmer V; Mirza, Nadeem Q; Hunt, Kelly K; Ames, Frederick C; Ross, Merrick I; Kuerer, Henry M; Pollock, Raphael E; Musen, Mark A; Singletary, S Eva

    2002-01-01

    Objectives To determine the characteristics of popular breast cancer related websites and whether more popular sites are of higher quality. Design The search engine Google was used to generate a list of websites about breast cancer. Google ranks search results by measures of link popularity—the number of links to a site from other sites. The top 200 sites returned in response to the query “breast cancer” were divided into “more popular” and “less popular” subgroups by three different measures of link popularity: Google rank and number of links reported independently by Google and by AltaVista (another search engine). Main outcome measures Type and quality of content. Results More popular sites according to Google rank were more likely than less popular ones to contain information on ongoing clinical trials (27% v 12%, P=0.01 ), results of trials (12% v 3%, P=0.02), and opportunities for psychosocial adjustment (48% v 23%, P<0.01). These characteristics were also associated with higher number of links as reported by Google and AltaVista. More popular sites by number of linking sites were also more likely to provide updates on other breast cancer research, information on legislation and advocacy, and a message board service. Measures of quality such as display of authorship, attribution or references, currency of information, and disclosure did not differ between groups. Conclusions Popularity of websites is associated with type rather than quality of content. Sites that include content correlated with popularity may best meet the public's desire for information about breast cancer. What is already known on this topicPatients are using the world wide web to search for health informationBreast cancer is one of the most popular search topicsCharacteristics of popular websites may reflect the information needs of patientsWhat this study addsType rather than quality of content correlates with popularity of websitesMeasures of quality correlate with accuracy of medical information PMID:11884322

  14. 76 FR 17118 - Environmental Management Site-Specific Advisory Board Chairs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-28

    ... DEPARTMENT OF ENERGY Environmental Management Site-Specific Advisory Board Chairs AGENCY... Environmental Management Site-Specific Advisory Board (EM SSAB) Chairs. The Federal Advisory Committee Act (Pub... areas of environmental restoration, waste management, and related activities. Tentative Agenda Topics...

  15. 76 FR 62054 - Environmental Management Site-Specific Advisory Board Chairs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-06

    ... environmental restoration, waste management, and related activities. Tentative Agenda Topics [cir] EM Program... DEPARTMENT OF ENERGY Environmental Management Site-Specific Advisory Board Chairs AGENCY... of the Environmental Management Site-Specific Advisory Board (EM SSAB) Chairs. The Federal Advisory...

  16. 77 FR 55813 - Environmental Management Site-Specific Advisory Board Chairs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-11

    ... DEPARTMENT OF ENERGY Environmental Management Site-Specific Advisory Board Chairs AGENCY... Environmental Management Site-Specific Advisory Board (EM SSAB) Chairs. The Federal Advisory Committee Act (Pub... environmental restoration, waste management, and related activities. Tentative Agenda Topics Tuesday, October 2...

  17. Programming as an Instrument for Community Involvement: Designing Topical Television Programs for Rural Adult Audiences. Satellite Technology Demonstration Technical Report No. 0503.

    ERIC Educational Resources Information Center

    Darby, Keith

    The overall objective of the Satellite Technology Demonstration (STD) was to test the feasibility of delivering television Programing via satellite to isolated, rural locations. Community members at various STD sites were surveyed to determine how they felt about a variety of topics which were planned for an adult evening series. Topics in…

  18. Topical NSAIDs for acute pain in adults

    PubMed Central

    Massey, Thomas; Derry, Sheena; Moore, R Andrew; McQuay, Henry J

    2014-01-01

    Background Use of topical NSAIDs to treat acute musculoskeletal conditions is widely accepted in some parts of the world, but not in others. Their main attraction is their potential to provide pain relief without associated systemic adverse events. Objectives To review the evidence from randomised, double-blind, controlled trials on the efficacy and safety of topically applied NSAIDs in acute pain. Search methods We searched MEDLINE, EMBASE, The Cochrane Library, and our own in-house database to December 2009. We sought unpublished studies by asking personal contacts and searching on-line clinical trial registers and manufacturers web sites. Selection criteria We included randomised, double-blind, active or placebo (inert carrier)-controlled trials in which treatments were administered to adult patients with acute pain resulting from strains, sprains or sports or overuse-type injuries (twisted ankle, for instance). There had to be at least 10 participants in each treatment arm, with application of treatment at least once daily. Data collection and analysis Two review authors independently assessed trial quality and validity, and extracted data. Numbers of participants achieving each outcome were used to calculate relative risk and numbers needed to treat (NNT) or harm (NNH) compared to placebo or other active treatment. Main results Forty-seven studies were included; most compared topical NSAIDs in the form of a gel, spray, or cream with a similar placebo, with 3455 participants in the overall analysis of efficacy. For all topical NSAIDs combined, compared with placebo, the number needed to treat to benefit (NNT) for clinical success, equivalent to 50% pain relief, was 4.5 (3.9 to 5.3) for treatment periods of 6 to 14 days. Topical diclofenac, ibuprofen, ketoprofen, and piroxicam were of similar efficacy, but indomethacin and benzydamine were not significantly better than placebo. Local skin reactions were generally mild and transient, and did not differ from placebo. There were very few systemic adverse events or withdrawals due to adverse events. There were insufficient data to reliably compare individual topical NSAIDs with each other or the same oral NSAID. Authors’ conclusions Topical NSAIDs can provide good levels of pain relief, without the systemic adverse events associated with oral NSAIDs, when used to treat acute musculoskeletal conditions. PMID:20556778

  19. Conference on the Origin of the Moon

    NASA Technical Reports Server (NTRS)

    1984-01-01

    Various topics relating to lunar evolution are discussed. The Moon's ancient orbital history, geophysical and geochemical constraints favoring the capture hypothesis, the site of the lunar core, chemical and petrological constraints, dynamical constraints, and mathematical models are among the topics discussed.

  20. Sharing for Health: A Study of Chinese Adolescents' Experiences and Perspectives on Using Social Network Sites to Share Health Information.

    PubMed

    Zhang, Ni; Teti, Michele; Stanfield, Kellie; Campo, Shelly

    2017-07-01

    This exploratory qualitative study examines Chinese adolescents' health information sharing habits on social network sites. Ten focus group meetings with 76 adolescents, ages 12 to 17 years, were conducted at community-based organizations in Chicago's Chinatown. The research team transcribed the recording and analyzed the transcripts using ATLAS.ti. Chinese adolescents are using different social network sites for various topics of health information including food, physical activity, and so on. Adolescents would share useful and/or interesting health information. Many adolescents raised credibility concerns regarding health information and suggested evaluating the information based on self-experience or intuition, word-of-mouth, or information online. The findings shed lights on future intervention using social network sites to promote health among Chinese adolescents in the United States. Future interventions should provide adolescents with interesting and culturally sensitive health information and educate them to critically evaluate health information on social network sites.

  1. Microbiome and pancreatic cancer: A comprehensive topic review of literature

    PubMed Central

    Ertz-Archambault, Natalie; Keim, Paul; Von Hoff, Daniel

    2017-01-01

    AIM To review microbiome alterations associated with pancreatic cancer, its potential utility in diagnostics, risk assessment, and influence on disease outcomes. METHODS A comprehensive literature review was conducted by all-inclusive topic review from PubMed, MEDLINE, and Web of Science. The last search was performed in October 2016. RESULTS Diverse microbiome alterations exist among several body sites including oral, gut, and pancreatic tissue, in patients with pancreatic cancer compared to healthy populations. CONCLUSION Pilot study successes in non-invasive screening strategies warrant further investigation for future translational application in early diagnostics and to learn modifiable risk factors relevant to disease prevention. Pre-clinical investigations exist in other tumor types that suggest microbiome manipulation provides opportunity to favorably transform cancer response to existing treatment protocols and improve survival. PMID:28348497

  2. The Second Conference on Lunar Bases and Space Activities of the 21st Century, volume 1

    NASA Technical Reports Server (NTRS)

    Mendell, Wendell W. (Editor); Alred, John W. (Editor); Bell, Larry S. (Editor); Cintala, Mark J. (Editor); Crabb, Thomas M. (Editor); Durrett, Robert H. (Editor); Finney, Ben R. (Editor); Franklin, H. Andrew (Editor); French, James R. (Editor); Greenberg, Joel S. (Editor)

    1992-01-01

    These papers comprise a peer-review selection of presentations by authors from NASA, LPI industry, and academia at the Second Conference (April 1988) on Lunar Bases and Space Activities of the 21st Century, sponsored by the NASA Office of Exploration and the Lunar Planetary Institute. These papers go into more technical depth than did those published from the first NASA-sponsored symposium on the topic, held in 1984. Session topics covered by this volume include (1) design and operation of transportation systems to, in orbit around, and on the Moon, (2) lunar base site selection, (3) design, architecture, construction, and operation of lunar bases and human habitats, and (4) lunar-based scientific research and experimentation in astronomy, exobiology, and lunar geology.

  3. CPR: MedlinePlus Health Topic

    MedlinePlus

    ... to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to ...

  4. Trichomoniasis: MedlinePlus Health Topic

    MedlinePlus

    ... to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to ...

  5. Colonoscopy: MedlinePlus Health Topic

    MedlinePlus

    ... to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to ...

  6. Diabetic Diet: MedlinePlus Health Topic

    MedlinePlus

    ... to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to ...

  7. Heart Surgery: MedlinePlus Health Topic

    MedlinePlus

    ... to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to ...

  8. Liver Transplantation: MedlinePlus Health Topic

    MedlinePlus

    ... to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to ...

  9. Pulmonary Rehabilitation: MedlinePlus Health Topic

    MedlinePlus

    ... to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to ...

  10. Hearing Aids: MedlinePlus Health Topic

    MedlinePlus

    ... to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to ...

  11. Achieving ideal donor site aesthetics with autologous breast reconstruction

    PubMed Central

    2015-01-01

    The appearance of the donor site following breast reconstruction with abdominal flaps has become an important topic for study. Given the variety of flaps that are derived from the abdomen, decisions are often based on how much muscle and fascia will be harvested. Comparisons between muscle sparing and non-muscle sparing techniques have been performed with outcomes related to function and contour. Closure techniques will vary and include primary fascial closure, mesh reinforcement and additional fascial plication all of which can produce natural and sometimes improved abdominal contours. Proper patient selection however is important. This manuscript will describe various techniques in order to achieve ideal abdominal contour following autologous reconstruction. PMID:26005646

  12. Conducting survey research at nursing conferences.

    PubMed

    Sleutel, M R

    2001-01-01

    Conferences can provide large numbers of potential subjects in one location, yet there is little published guidance on how to collect data at a conference site. A computer search revealed no citations on this topic. This article outlines a systematic strategy to plan and perform research at conferences. This article provides a step-by-step process to guide researchers in planning and conducting survey research at conferences. Initial components in planning data collection at a conference include making a timeline and getting permission. Detailed advanced planning involves specific strategies for attracting participants, and for distributing and collecting the questionnaires. Travel provisions and on-site logistical approaches are explained, followed by suggestions for post-conference activities.

  13. Gas Interactions with Carbon Nanotubes - Chapter 11 in the book "Chemistry of Carbon Nanotubes," ed. by V.A. Basiuk and E.V. Basiuk, May 2008, American Scientific Publishers, Valencia, CA, ISBN: 978-1-58883-128-6, v. 1, pp. 217-236

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

    Matranga, C.S.

    2008-05-01

    This book chapter will review the growing body of literature reporting on how gases interact with carbon nanotubes. The chapter will include both experimental and computational results. Issues related to the energetics, mechanism, geometry, and nature of adsorption sites in CNTs will be highlighted. An excellent review by Migone and Talaptra has detailed a large body of experimental results for the physisorption of gases on CNTs [1]. The current review chapter will not duplicate their efforts, but instead will focus on topics not included in their work: trapped molecules, molecular transport, chemisorption, and new physisorption results of significance. Research papersmore » related to hydrogen adsorption and storage have been omitted from this chapter since there are several reviews already published on this topic.« less

  14. Proceedings of the Monterey Containment Symposium, Monterey, California, August 26-28, 1981. Volume 1

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

    Hudson, B.C.; Jones, E.M.; Keller, C.E.

    1983-02-01

    Since the Atmospheric Test Ban Treaty was signed in 1963, the United States has conducted all nuclear weapons tests underground. To meet US treaty responsibilities and to ensure public safety, the containment community must prevent any release of radioactive gases to the atmosphere. In the past two decades we have gained considerable insight into the scientific and engineering requirements for complete containment, but the papers and discussions at the Monterey Symposium indicate that a great deal remains to be done. Among papers included here, those dealing with mature topics will serve as reviews and introductions for new workers in themore » field. Others, representing first looks at new areas, contain more speculative material. Active research topics include propagation of stress waves in rocks, formation and decay of residual hoop stresses around a cavity, hydrofracture out of a cavity, formation of chimneys, and geologic and geophysical investigations of the Nevada Test Site. Selected papers are indexed separately for inclusion in the Energy Science and Technology Database.« less

  15. Paleo postings

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    A new Web site will help to satisfy the thirst for information about drought. The U.S. National Oceanic and Atmospheric Administration (NOAA) has created a site called North American Drought: A Paleo Perspective, which is a sibling to another NOAA Web site, A Paleo Perspective on Global Warming.Both sites are packed with information about their topic areas and have links to a number of other sites.

  16. Croup: MedlinePlus Health Topic

    MedlinePlus

    ... federal government agencies. MedlinePlus also links to health information from non-government Web sites. See our disclaimer about external links and our quality guidelines . About MedlinePlus Site Map FAQs Customer Support ...

  17. GSFC Supplier Surveillance

    NASA Technical Reports Server (NTRS)

    Kelly, Michael P.

    2011-01-01

    Topics covered include: Develop Program/Project Quality Assurance Surveillance Plans The work activities performed by the developer and/or his suppliers are subject to evaluation and audit by government-designated representatives. CSO supports project by selecting on-site supplier representative s by one of several methods: (1) a Defense Contract Management Agency (DCMA) person via a Letter Of Delegation (LOD), (2) an independent assurance contractor (IAC) via a contract Audits, Assessments, and Assurance (A3) Contract Code 300 Mission Assurance Support Contract (MASC)

  18. Decreasing Skin Graft Contraction through Topical Wound Bed Preparation with Anti-Inflammatory Agents

    DTIC Science & Technology

    2015-10-01

    AWARD NUMBER: W81XWH-14-2-0153 TITLE: Decreasing Skin Graft Contraction through Topical Wound Bed Preparation with Anti - Inflammatory Agents...Sep 2015 4. TITLE AND SUBTITLE Decreasing Skin Graft Contraction Through Topical Wound Bed Preparation with Anti - Inflammatory Agents 5a. CONTRACT...applied anti - inflammatory drugs that will reduce recipient site inflammation and skin graft contraction. 15. SUBJECT TERMS Graft contraction, anti

  19. The effects of heat on skin barrier function and in vivo dermal absorption.

    PubMed

    Oliveira, Gabriela; Leverett, Jesse C; Emamzadeh, Mandana; Lane, Majella E

    2014-04-10

    Enhanced delivery of ingredients across the stratum corneum (SC) is of great interest for improving the efficacy of topically applied formulations. Various methods for improving dermal penetration have been reported including galvanic devices and micro-needles. From a safety perspective it is important that such approaches do not compromise SC barrier function. This study investigates the influence of topically applied heat in vivo on the dermal uptake and penetration of a model active, allantoin from gel and lotion formulations. A custom designed device was used to deliver 42°C for 30s daily to human subjects after application of two formulations containing allantoin. The results were compared with sites treated with formulations containing no active and no heat, and a control site. In addition to penetration of allantoin, the integrity of the SC was monitored using trans-epidermal water loss (TEWL) measurements. The results showed that just 30s of 42°C topically applied heat was enough to cause significantly more penetration of allantoin from the lotion formulation compared with no application of heat. TEWL data indicated that the integrity of the skin was not compromised by the treatment. However, the application of heat did not promote enhanced penetration of the active from the gel formulation. Vehicle composition is therefore an important factor when considering thermal enhancement strategies for targeting actives to the skin. Copyright © 2014 Elsevier B.V. All rights reserved.

  20. Accessibility

    MedlinePlus

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  1. Treatment of extravasation of both doxorubicin and vincristine administration in a Y-site infusion.

    PubMed

    Comas, D; Mateu, J

    1996-03-01

    To describe a patient treated with vincristine, doxorubicin, and dexamethasone who experienced extravasation of both doxorubicin and vincristine during a Y-site infusion. A 74-year-old white woman was diagnosed with multiple myeloma IgA kappa in stage IIA. One year after a complete remission she relapsed. Her treatment included daily doxorubicin 16 mg in 500 mL of dextrose 5% and vincristine 0.4 mg in 500 mL of dextrose 5% administered in a Y-site continuous infusion into a peripheral vein of her left forearm. Extravasation occurred during administration of these drugs. Immediately, chondroitinsulfatase, a mucopolysaccharidase similar to hyaluronidase, was administered subcutaneously around the extravasation area and repeated 24 hours later. Furthermore, dimethyl sulfoxide 90% v/v was applied topically on the area four times daily for 2 weeks. All inflammatory signs resolved and no necrosis developed. Ths is the first report of an extravasation of two cytotoxic drugs. Doxorubicin and vincristine have different antidotes and opposite physical treatments for their extravasation. The antidotes dimethyl sulfoxide and chondroitinsulfatase have different mechanisms of action, but both cause uptake of the cytotoxic agent from the tissue and are likely to be administered together. No warming or cooling was performed. Topical dimethyl sulfoxide four times daily for 14 days plus subcutaneous chondroitinsulfatase in one or two applications effectively treated an extravasation of both doxorubicin and vincristine in our patient.

  2. Rumination disorder

    MedlinePlus

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  3. Email Updates

    MedlinePlus

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  4. Impact of topical application site efficacy of permethrin and malathion on Culex quinquefasciatus

    USDA-ARS?s Scientific Manuscript database

    Concentrations of permethrin and malathion found in droplets generated from ultra-low volume and low volume sprays used to control adult mosquito populations were evaluated for efficacy against Culex quinquefasciatus Say using a topical application bioassay. Although insecticide droplets will imping...

  5. The quality of mental disorder information websites: a review.

    PubMed

    Reavley, Nicola J; Jorm, Anthony F

    2011-11-01

    This paper reviews studies assessing the quality of websites providing information about mental disorders. The review included 31 articles identified by searching research databases in March 2010. Topics covered included affective disorders, anxiety disorders, eating disorders, substance use disorders and schizophrenia/psychosis. The largest number of articles (13) reported studies assessing affective disorder information quality. Methodologies varied in site selection and rating methods, with some of limited validity. Most concluded that quality was poor, although quality of affective disorder sites may be improving. There is currently very little understanding of the influence of website quality on user behaviour. Future quality assessments might use the criteria informed by key behaviour change theories. A possible approach to research on websites and user behaviour might be to develop an evaluation framework incorporating strategies from behaviour change models, key mental health literacy elements and health outcomes relevant to mental health promotion. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  6. Promoting pedagogical experimentation: using a wiki in graduate level education.

    PubMed

    Martin, Carolyn Thompson

    2012-12-01

    Learning to write in a scholarly manner is often a challenge for graduate students. This study describes nursing students' use of a wiki to encourage writing collaboration among students by allowing them to cocreate, review, and edit each other's material as it is created. Students are introduced to the online wiki site the first week of the course. A technology representative assists students with a short introduction and class visits. All students participate in making decisions related to the overall character of the site. They create pages on topics related to their clinical placements. Student pages are peer and content expert reviewed for accuracy and comprehensiveness. Students include pictures, YouTube links, attachments, videos, and Web site links into their pages. Evidence-based content includes pharmacology, diagnostic criteria, pathophysiology, history, genetics, and references. Students present their pages, and feedback questionnaires are collected at the end of the semester. The wiki writing assignment introduces students, faculty, and the community to graduate student projects while exposing students to new technology. Areas explored include issues and best practices regarding classroom pedagogy, as well as student support and technical challenges in the use of a wiki. Suggestions for improvement are discussed.

  7. Understanding natural capital

    USGS Publications Warehouse

    Stallard, Robert F.; Hall, Jefferson S.; Kirn, Vanessa; Yanguas-Fernandez, Estrella

    2015-01-01

    This chapter serves to introduce the geophysics of Neotropical steeplands. Topics are covered in a general manner with hyperlinks to active research and monitoring sites (such as the National Hurricane Center and US Geological Survey publication). Topics covered include ‘tropical climate and weather,’ ‘climate variations and trends,’ Neotropical ‘geology, and soils,’ ‘hillslopes and erosion,’ ‘lakes and reservoirs,’ and ‘effects of land cover on water quality and quantity.’ Obviously, this is a lot of information to cover in a short chapter, hence the use of hyperlinks. The last theme ‘effects of land cover on water quality and quantity’ is covered by case studies, in all of which I have been centrally involved. These studies were chosen because they are among the few studies with sufficient data of high enough quality to reach definitive conclusions.

  8. Histocompatibility antigen test

    MedlinePlus

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  9. Stress and your heart

    MedlinePlus

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  10. Premenstrual dysphoric disorder

    MedlinePlus

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  11. Learn to manage stress

    MedlinePlus

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  12. Guided surgical debridement: staining tissues with methylene blue.

    PubMed

    Dorafshar, Amir H; Gitman, Marina; Henry, Ginard; Agarwal, Shailesh; Gottlieb, Lawrence J

    2010-01-01

    Precise surgical debridement of wounds is required to achieve wound closure. The authors describe their experience with a technique using topical methylene blue to facilitate precise surgical debridement. In this technique, methylene blue dye is applied topically to the wound surface at the onset of surgery. The stained wound site is then wiped to remove dye from the surface of normal epithelium; eschar, nonviable tissue, and granulation tissue remain stained. The methylene blue-stained tissue is surgically removed, and the newly debrided surface of the wound is assessed for adequate vascularity and biopsied to verify presence of bacteriologic balance before closure. The authors have used this technique in more than 200 wound debridements during the past year, including acute surgical or traumatic wounds, acute and subacute burn wounds, chronic granulating wounds, partially epithelialized wounds, sinus tracts, and fistulae. No adverse reactions have been noted, even on patients undergoing multiple applications through serial operations. Topical application of methylene blue to wounds with mixed tissue content helps to distinguish between viable and nonviable tissue and between epithelialized and nonepithelialized areas, facilitating more precise and complete wound debridement.

  13. Transformational Spaceport and Range Technologies: 2000-2004

    NASA Technical Reports Server (NTRS)

    2004-01-01

    This custom bibliography from the NASA Scientific and Technical Information Program lists a sampling of records found in the NASA Aeronautics and Space Database. The scope of this topic is divided into two parts and includes technologies for launch site infrastructure and range capabilities for the crew exploration vehicle and advanced heavy lift vehicles. This area of focus is one of the enabling technologies as defined by NASA s Report of the President s Commission on Implementation of United States Space Exploration Policy, published in June 2004.

  14. Mental health training for law enforcement professionals.

    PubMed

    Vermette, Heidi S; Pinals, Debra A; Appelbaum, Paul S

    2005-01-01

    The purpose of this pilot study was to determine topics of interest and preferred modalities of training for police officers in their work with persons with mental illness. Police officers across Massachusetts attending in-service mental health training were asked to rate the importance of potential mental health topics and the effectiveness of potential training modalities on a Likert-type scale. Additional data collected included the officer's experience, level of education, motivation for attendance, previous attendance of post-academy mental health training, and preferences for length, frequency, training site, and trainer qualifications. A t test was used to determine if there were significant differences (p < .05) between those who volunteered and those who were mandated to attend the training. Repeated-measures ANOVAs were used to determine if there were significant differences (p < .05) between mental health topics and lecture formats and to determine the effect of education and experience on the results. Although all topics suggested were rated, primarily, as fairly important, the topics of Dangerousness, Suicide by Cop, Decreasing Suicide Risk, Mental Health Law, and Your Potential Liability for Bad Outcomes were given the highest ratings. Role-playing was rated significantly lower than other training modalities, while Videos and Small Group Discussion had the highest mean scores. Level of prior education had no significant effect on the ratings, but officers with more experience rated the importance of mental illness as a training topic significantly higher than officers with less experience. This survey suggests that police officers are interested in learning more about working with persons with mental illness and view it as an important aspect of the job.

  15. Quality of anaesthesia-related information accessed via Internet searches.

    PubMed

    Caron, S; Berton, J; Beydon, L

    2007-08-01

    We conducted a study to examine the quality and stability of information available from the Internet on four anaesthesia-related topics. In January 2006, we searched using four key words (porphyria, scleroderma, transfusion risk, and epidural analgesia risk) with five search engines (Google, HotBot, AltaVista, Excite, and Yahoo). We used a published scoring system (NetScoring) to evaluate the first 15 sites identified by each of these 20 searches. We also used a simple four-point scale to assess the first 100 sites in the Google search on one of our four topics ('epidural analgesia risk'). In November 2006, we conducted a second evaluation, using three search engines (Google, AltaVista, and Yahoo) with 14 synonyms for 'epidural analgesia risk'. The five search engines performed similarly. NetScoring scores were lower for transfusion risk (P < 0.001). One or more high-quality sites was identified consistently among the first 15 sites in each search. Quality scored using the simple scale correlated closely with medical content and design by NetScoring and with the number of references (P < 0.05). Synonyms of 'epidural analgesia risk' yielded similar results. The quality of accessed information improved somewhat over the 11 month period with Yahoo and AltaVista, but declined with Google. The Internet is a valuable tool for obtaining medical information, but the quality of websites varies between different topics. A simple rating scale may facilitate the quality scoring on individual websites. Differences in precise search terms used for a given topic did not appear to affect the quality of the information obtained.

  16. [Intra-Articular Application of Tranexamic Acid Significantly Reduces Blood Loss and Transfusion Requirement in Primary Total Knee Arthroplasty].

    PubMed

    Lošťák, J; Gallo, J; Špička, J; Langová, K

    2016-01-01

    PURPOSE OF THE STUDY The aim of this prospective study was to investigate the effect of topical application of tranexamic acid (TXA, Exacyl) on the amount of post-operative blood loss, and blood transfusion requirement in patients undergoing primary total knee arthroplasty (TKA). Attention was paid to early complications potentially associated with TXA administration, such as haematoma, wound exudate, or knee swelling. In addition, the economic benefit of TXA treatment was also taken into account. MATERIAL AND METHODS The study included 238 patients (85 men and 153 women) who underwent primary total knee arthroplasty (TKA) at our department between January 2013 and November 2015. A group of 119 patients (41 men and 78 women) received intraarticular TXA injections according to the treatment protocol (TXA group). A control group matched in basic characteristics to the TXA group also consisted of 119 patients. The average age in the TXA group was 69.8 years, and the most frequent indication for TKA surgery was primary knee osteoarthritis (81.5%). In each patient, post-operative volume of blood lost from drains and total blood loss including hidden blood loss were recorded, as well as post-operative haemoglobin and haematocrit levels. On discharge of each patient from hospital, the size and site of a haematoma; wound exudate, if present after post-operative day 4; joint swelling; range of motion and early revision surgery, if performed, were evaluated. Requirements of analgesic drugs after surgery were also recorded. RESULTS In the TXA group, blood losses from drains were significantly lower than in the control group (456.7 ± 270.8 vs 640.5 ±448.2; p = 0.004). The median value for blood losses from drains was lower by 22% and the average value for total blood loss, including hidden losses, was also lower than in the control group (762.4 ± 345.2 ml vs 995.5 ± 457.3 ml). The difference in the total amount of blood loss between the two groups was significant (p = 0.0001), including hidden blood loss (p = 0.030). The TXA patients had significantly fewer requirements for allogeneic blood transfusion (p < 0.0004), higher post-operative haemoglobin levels (p = 0.014), lower incidence of haematomas (p = 0.0003), and a significantly higher flexion degree on discharge from hospital (p < 0.0001). No higher volume of wound drainage was found (p = 1.000). Only one patient of the TXA group underwent revision surgery due to wound healing disturbance. The total costs of blood transfusion requirements were significantly lower in the TXA group than in the control group (p = 0.0004). DISCUSSION Topical administration allows the antifibrinolytic effect of TXA to act directly at a bleeding site. Its advantages involve easy application, maximum TXA concentration at the site of application, no danger associated with administration of a higher TXA dose and minimal TXA resorption into the circulation. On the other hand, there are no exact instructions for an effective and safe topical application of TXA and some authors are concerned that a coagulum arising after TXA application might affect soft tissue behaviour (healing, swelling, rehabilitation) or result in infection. CONCLUSIONS The study showed the efficacy and safety of topical TXA administration resulting in lower peri-operative bleeding, fewer blood transfusion requirements and higher haemoglobin levels after TKA. The patients treated with TXA had less knee swelling, lower incidence of haematomas and used fewer analgesic drugs in the early post-operative period. The economic benefit is also worth considering. In agreement with the recent literature, it is suggested to add topical TXA application to the recommended procedures for TKA surgery. Key words: tranexamic acid, Exacyl, topical application, intra-articular application, blood loss, hidden blood loss, total knee arthroplasty, complications.

  17. Publications | Research Site Name | NREL

    Science.gov Websites

    Article Title, Journal Name (Year) Conference Paper Title, Conference Name (Year) Report Title, NREL Technical Report (Year) Topic 2 Article Title, Journal Name (Year) Conference Paper Title, Conference Name (Year) Report Title, NREL Technical Report (Year) Topic 3 Article Title, Journal Name (Year) Conference

  18. 76 FR 53888 - Environmental Management Site-Specific Advisory Board, Idaho National Laboratory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ...) Contract Extension. EM Organizational Changes. American Recovery and Reinvestment Act (ARRA) Status. Public... are subject to change; please contact the Federal Coordinator (below) for confirmation of times prior... Topics (agenda topics may change up to the day of the meeting; please contact Robert L. Pence for the...

  19. The effect of topically applied tissue expanders on radial forearm skin pliability: a prospective self-controlled study

    PubMed Central

    2014-01-01

    Background The use of pre-operatively applied topical tissue expansion tapes have previously demonstrated increased rates of primary closure of radial forearm free flap donor sites. This is associated with a reduced cost of care as well as improved cosmetic appearance of the donor site. Unfortunately, little is known about the biomechanical changes these tapes cause in the forearm skin. This study tested the hypothesis that the use of topically applied tissue expansion tapes will result in an increase in forearm skin pliability in patients undergoing radial forearm free flap surgery. Methods Twenty-four patients scheduled for head and neck surgery requiring a radial forearm free flap were enrolled in this prospective self-controlled observational study. DynaClose tissue expansion tapes (registered Canica Design Inc, Almonte, Canada) were applied across the forearm one week pre-operatively. Immediately prior to surgery, the skin pliability of the dorsal and volar forearm sites were measured with the Cutometer MPA 580 (registered Courage-Khazaka Electronic GmbH, Cologne, Germany) on both the treatment and contralateral (control) arms. Paired t-tests were used to compare treatment to control at both sites, with p < 0.025 defined as statistically significant. Results There was a statistically significant increase in pliability by a mean of 0.05 mm (SD = 0.09 mm) between treatment and control arms on the dorsal site (95% CI [0.01, 0.08], p = 0.018). This corresponded to an 8% increase in pliability. In contrast, the volar site did not show a statistically significant difference between treatment and control (mean difference = 0.04 mm, SD = 0.20 mm, 95% CI [−0.04, 0.12], p = 0.30). Conclusions This result provides evidence that the pre-operative application of topical tissue expansion tapes produces measurable changes in skin biomechanical properties. The location of this change on the dorsal forearm is consistent with the method of tape application. While this increase in skin pliability may account for the improved rate of primary donor site closure reported using this technique, the results did not reach our definition of clinical significance. PMID:24739510

  20. Laser-assisted topical corticosteroid delivery for the treatment of keloids.

    PubMed

    Park, Ji Hye; Chun, Ji Young; Lee, Jong Hee

    2017-04-01

    Laser-assisted drug delivery has generated intense interest. The objectives of this study are to evaluate the clinical benefit of laser-assisted corticosteroid delivery and to compare this technique to corticosteroid intralesional injection, a standard treatment for keloids. Patients with keloids on the left shoulder after BCG vaccination were enrolled in this study. The entire lesion was first treated with an ablative fractional erbium-YAG laser. After this treatment, the lesion was divided into two halves. The first half received an intralesional injection of corticosteroid, whereas the second half received topical application of corticosteroids that were occluded for 3 hours. Four treatment sessions were conducted, with treatments occurring once every 6 weeks. Treatment outcomes were evaluated using the Vancouver Scar Scale (VSS). Pain was self-assessed by the patient during the procedure. The mean keloid VSS score before treatment was 8.59 ± 1.23 for the corticosteroid injection site and 8.31 ± 2.09 for the topical site. After treatment, the mean keloid VSS score was decreased on both sides (4.56 ± 1.09 vs 5.02 ± 0.87, respectively, P > 0.05). Patients rated their satisfaction level as "moderate" on both sides. However, the mean pain score was 1.1 out of 10 on the topical side versus 6.1 on the corticosteroid injection site. The combination of ablative fractional laser treatment and topical corticosteroid application is a promising modality for the treatment of keloids. Moreover, this procedure was not associated with any serious adverse reactions or unbearable pain.

  1. Adoption and use of social media among public health departments.

    PubMed

    Thackeray, Rosemary; Neiger, Brad L; Smith, Amanda K; Van Wagenen, Sarah B

    2012-03-26

    Effective communication is a critical function within any public health system. Social media has enhanced communication between individuals and organizations and has the potential to augment public health communication. However, there is a lack of reported data on social media adoption within public health settings. The purposes of this study were to assess: 1) the extent to which state public health departments (SHDs) are using social media; 2) which social media applications are used most often; and 3) how often social media is used interactively to engage audiences. This was a non-experimental, cross sectional study of SHD social media sites. Screen capture software Snag-It® was used to obtain screenshots of SHD social media sites across five applications. These sites were coded for social media presence, interactivity, reach, and topic. Sixty percent of SHDs reported using at least one social media application. Of these, 86.7% had a Twitter account, 56% a Facebook account, and 43% a YouTube channel. There was a statistically significant difference between average population density and use of social media (p = .01). On average, SHDs made one post per day on social media sites, and this was primarily to distribute information; there was very little interaction with audiences. SHDs have few followers or friends on their social media sites. The most common topics for posts and tweets related to staying healthy and diseases and conditions. Limitations include the absence of a standard by which social media metrics measure presence, reach, or interactivity; SHDs were only included if they had an institutionally maintained account; and the study was cross sectional. Social media use by public health agencies is in the early adoption stage. However, the reach of social media is limited. SHDs are using social media as a channel to distribute information rather than capitalizing on the interactivity available to create conversations and engage with the audience. If public health agencies are to effectively use social media then they must develop a strategic communication plan that incorporates best practices for expanding reach and fostering interactivity and engagement.

  2. [Endoscopic endonasal detection of cerebrospinal fluid leakage with topical fluorescein].

    PubMed

    Sato, Taku; Kishida, Yugo; Watanabe, Tadashi; Tani, Akiko; Tada, Yasuhiro; Tamura, Takamitsu; Ichikawa, Masahiro; Sakuma, Jun; Omori, Koichi; Saito, Kiyoshi

    2013-08-01

    We evaluated the effectiveness of intraoperative topical application of fluorescein to detect the leakage point of cerebrospinal fluid(CSF)rhinorrhea. Three patients with CSF rhinorrhea were treated with an endoscopic endonasal technique. Ten percent fluorescein was topically used for intraoperative localization of the leak site. A change of the fluorescein color from brown to green due to dilation of CSF were recognized as evidence of CSF rhinorrhea. We repeated the procedure to detect any small defects. All CSF rhinorrheas were successfully repaired by this endoscopic endonasal approach. Topical application of fluorescein is simple and sensitive for identifying intraoperative CSF rhinorrhea.

  3. Efficacy, tolerability and consumer acceptability of terbinafine topical spray versus terbinafine topical solution: a phase IIa, randomised, observer-blind, comparative study.

    PubMed

    Brown, Marc; Evans, Charles; Muddle, Andrew; Turner, Rob; Lim, Sian; Reed, Jessica; Traynor, Matt

    2013-10-01

    Tinea pedis is one of the world's most prevalent dermatophyte infections. MedSpray™ tinea pedis 1 % w/w (topical spray) is a novel, easy-to-use propellant-based spray formulation containing 1 % w/w terbinafine, requiring no manipulation at the site of infection. This is in contrast to the only formulation currently approved in Europe for single application (none are approved in the USA for single use), which is Lamisil(®) Once 1 % w/w (topical solution), containing 1 % w/w terbinafine hydrochloride, which requires manipulation on the affected area. The aim of this study was to evaluate the efficacy, tolerability and consumer acceptability of a topical spray versus a topical solution in the treatment of tinea pedis. This study is a phase IIa, randomised, observer-blind, non-inferiority comparative study of the topical spray compared with the topical solution over a 12-week study period. The study was conducted at Bioskin GmbH, Hamburg and Berlin. Patients (n = 120) who presented with the presence of interdigital tinea pedis caused by dermatophytes on one or both feet were enrolled in the study. Patients were randomly assigned between the two treatment groups. Either the topical spray or the topical solution was administered by the study nurse and consisted of a single application (equivalent to 20 mg of terbinafine per foot) on day 1 of the study. No further applications were made for the duration of the study. The hypothesis formulated before commencement of the study was that the topical spray would prove to be non-inferior to the topical solution. Efficacy assessments, including clinical signs and symptoms, mycology and microscopy were performed at baseline and 1, 6 and 12 weeks after treatment. The rate of mycological cure at week 1 was statistically equivalent for both treatments. There was a significant reduction in the overall clinical score as assessed by the Physician's Global Assessment of signs and symptoms for both treatment groups. The topical spray and the topical solution showed comparable anti-fungal activity. Furthermore, the non-inferiority of topical spray to the topical solution was confirmed as determined by the proportion of patients categorised as successfully treated at week 1. This confirms that a topical spray product, which can be applied once without touching the affected skin, is equally as effective in the treatment of tinea pedis and removes the risk of organism transfer associated with touching infected areas. EudraCT-No. 2008-002399-92.

  4. Healthy habits for weight loss

    MedlinePlus

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  5. Community Update on Site Activities, July 19, 2013

    EPA Pesticide Factsheets

    In an effort to engage and inform community members interested in the New Bedford Harbor Superfund Site cleanup, EPA will be issuing periodic topic-based fact sheets that will provide background information and updates about ongoing activities.

  6. Protective effects of a topical antioxidant mixture containing vitamin C, ferulic acid, and phloretin against ultraviolet-induced photodamage in human skin.

    PubMed

    Oresajo, Christian; Stephens, Thomas; Hino, Peter D; Law, Robert M; Yatskayer, Margarita; Foltis, Peter; Pillai, Sreekumar; Pinnell, Sheldon R

    2008-12-01

    Ultraviolet (UV) irradiation of the skin leads to acute inflammatory reactions, such as erythema, sunburn, and chronic reactions, including premature skin aging and skin cancer. In this study, the effects of a topical antioxidant mixture consisting of vitamin C, ferulic acid, and phloretin on attenuating the harmful effects of UV irradiation on normal healthy volunteers were studied using biomarkers of skin damage. Ten subjects (age, 18-60 years; Fitzpatrick skin types II and III) were randomized and treated with antioxidant product or vehicle control on the lower back for four consecutive days. On day 3, the minimal erythema dose (MED) was determined for each subject at a different site on the back. On day 4, the two test sites received solar-simulated UV irradiation 1-5x MED at 1x MED intervals. On day 5, digital images were taken, and 4-mm punch biopsies were collected from the two 5x MED test sites and a control site from each subject for morphology and immunohistochemical studies. UV irradiation significantly increased the erythema of human skin in a linear manner from 1x to 5x MED. As early as 24 h after exposure to 5x MEDs of UV irradiation, there were significant increases in sunburn cell formation, thymine dimer formation, matrix metalloproteinase-9 expression, and p53 protein expression. All these changes were attenuated by the antioxidant composition. UV irradiation also suppressed the amount of CD1a-expressing Langerhans cells, indicating immunosuppressive effects of a single 5x MED dose of UV irradiation. Pretreatment of skin with the antioxidant composition blocked this effect. This study confirms the protective role of a unique mixture of antioxidants containing vitamin C, ferulic acid, and phloretin on human skin from the harmful effects of UV irradiation. Phloretin, in addition to being a potent antioxidant, may stabilize and increase the skin availability of topically applied vitamin C and ferulic acid. We propose that antioxidant mixture will complement and synergize with sunscreens in providing photoprotection for human skin.

  7. From Reader to Writer: Citizen Journalism as News Produsage

    NASA Astrophysics Data System (ADS)

    Bruns, Axel

    Today, participatory or citizen journalism - journalism which enables readers to become writers - exists online and offline in a variety of forms and formats, operates under a number of editorial schemes, and focuses on a wide range of topics from the specialist to the generic and the micro-local to the global. Key models in this phenomenon include veteran sites Slashdot and Indymedia, as well as news-related weblogs; more recent additions into the mix have been the South Korean OhmyNews, which in 2003 was “the most influential online news site in that country, attracting an estimated 2 million readers a day” (Gillmor, 2003a, p. 7), with its new Japanese and international offshoots, as well as the Wikipedia with its highly up-to-date news and current events section and its more recent offshoot Wikinews, and even citizen-produced video news as it is found in sites such as YouTube and Current.tv.

  8. Architecture of the Mammalian Golgi

    PubMed Central

    Klumperman, Judith

    2011-01-01

    Since its first visualization in 1898, the Golgi has been a topic of intense morphological research. A typical mammalian Golgi consists of a pile of stapled cisternae, the Golgi stack, which is a key station for modification of newly synthesized proteins and lipids. Distinct stacks are interconnected by tubules to form the Golgi ribbon. At the entrance site of the Golgi, the cis-Golgi, vesicular tubular clusters (VTCs) form the intermediate between the endoplasmic reticulum and the Golgi stack. At the exit site of the Golgi, the trans-Golgi, the trans-Golgi network (TGN) is the major site of sorting proteins to distinct cellular locations. Golgi functioning can only be understood in light of its complex architecture, as was revealed by a range of distinct electron microscopy (EM) approaches. In this article, a general concept of mammalian Golgi architecture, including VTCs and the TGN, is described. PMID:21502307

  9. Development of the Virtual Visitor Center at SLAC

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

    McDunn, Ruth

    1999-11-17

    The Virtual Visitor Center (VVC) web site (www2.slac.stanford.edu/vvc) is a ''virtual'' version of the Visitor Center, a mini science museum that opened at SLAC in 1996. The VVC was made public in December 1998. Both centers contribute to SLAC mission regarding education of the next generation and increasing scientific awareness of the public. The site is designed to mimic the real visitor center and allow a larger audience to the information. The intent was to reach the 8th-12th grade audience. Considerable effort was made to organize the content, including color-coding graphical elements for each main topic area. Tables of contents,more » a search tool, several photo tours, as well as graphical and non-graphical menu bars allow users many methods of navigating the site. The site was developed over almost two years using an estimated .95 FTE, split between a program manager, graphic designer, content provider (theoretical physicist), and a summer intern (high school teacher). As of November 1999, the site consists of 1,147 files, 935 images, 3,080 internal hyperlinks, and 190 external hyperlinks. The site has had over 1 million hits between January and mid-October 1999 and averages about 600 page views each day. Future plans include bringing the web site into compliance with the W3Cs Web Content Accessibility guidelines, thoroughly integrating the glossary terms, continued incorporation of current research at SLAC, and adding more interactivity.« less

  10. Testing the Effectiveness of Interactive Multimedia for Library-User Education

    ERIC Educational Resources Information Center

    Markey, Karen; Armstrong, Annie; De Groote, Sandy; Fosmire, Michael; Fuderer, Laura; Garrett, Kelly; Georgas, Helen; Sharp, Linda; Smith, Cheri; Spaly, Michael; Warner, Joni E.

    2005-01-01

    A test of the effectiveness of interactive multimedia Web sites demonstrates that library users' topic knowledge was significantly greater after visiting the sites than before. Library users want more such sites about library services, their majors, and campus life generally. Librarians describe the roles they want to play on multimedia production…

  11. The Researcher's Journey: Scholarly Navigation of an Academic Library Web Site

    ERIC Educational Resources Information Center

    McCann, Steve; Ravas, Tammy; Zoellner, Kate

    2010-01-01

    A qualitative study of the Maureen and Mike Mansfield Library's Web site identified the ways in which students and faculty of the University of Montana used the site for research purposes. This study employed open-ended interview questions and observations to spontaneously capture a user's experience in researching topics in which they…

  12. Topical diclofenac epolamine patch 1.3% for treatment of acute pain caused by soft tissue injury

    PubMed Central

    McCarberg, B H; Argoff, C E

    2010-01-01

    Acute pain caused by musculoskeletal disorders is very common and has a significant negative impact on quality-of-life and societal costs. Many types of acute pain have been managed with traditional oral non-steroidal anti-inflammatory drugs (NSAIDs) and selective cyclooxygenase-2 inhibitors (coxibs). Data from prospective, randomised controlled clinical trials and postmarketing surveillance indicate that use of oral traditional NSAIDs and coxibs is associated with an elevated risk of developing gastrointestinal, renovascular and/or cardiovascular adverse events (AEs). Increasing awareness of the AEs associated with NSAID therapy, including coxibs, has led many physicians and patients to reconsider use of these drugs and look for alternative treatment options. Treatment with NSAIDs via the topical route of administration has been shown to provide clinically effective analgesia at the site of application while minimising systemic absorption. The anti-inflammatory and analgesic potency of the traditional oral NSAID diclofenac, along with its physicochemical properties, makes it well suited for topical delivery. Several topical formulations of diclofenac have been developed. A topical patch containing diclofenac epolamine 1.3% (DETP, FLECTOR® Patch), approved for use in Europe in 1993, has recently been approved for use in the United States and is indicated for the treatment of acute pain caused by minor strains, sprains and contusions. In this article, we review the available clinical trial data for this product in the treatment of pain caused by soft tissue injury. PMID:20666849

  13. Long-term management of moderate-to-severe atopic dermatitis with dupilumab and concomitant topical corticosteroids (LIBERTY AD CHRONOS): a 1-year, randomised, double-blinded, placebo-controlled, phase 3 trial.

    PubMed

    Blauvelt, Andrew; de Bruin-Weller, Marjolein; Gooderham, Melinda; Cather, Jennifer C; Weisman, Jamie; Pariser, David; Simpson, Eric L; Papp, Kim A; Hong, H Chih-Ho; Rubel, Diana; Foley, Peter; Prens, Errol; Griffiths, Christopher E M; Etoh, Takafumi; Pinto, Pedro Herranz; Pujol, Ramon M; Szepietowski, Jacek C; Ettler, Karel; Kemény, Lajos; Zhu, Xiaoping; Akinlade, Bolanle; Hultsch, Thomas; Mastey, Vera; Gadkari, Abhijit; Eckert, Laurent; Amin, Nikhil; Graham, Neil M H; Pirozzi, Gianluca; Stahl, Neil; Yancopoulos, George D; Shumel, Brad

    2017-06-10

    Dupilumab (an anti-interleukin-4-receptor-α monoclonal antibody) blocks signalling of interleukin 4 and interleukin 13, type 2/Th2 cytokines implicated in numerous allergic diseases ranging from asthma to atopic dermatitis. Previous 16-week monotherapy studies showed that dupilumab substantially improved signs and symptoms of moderate-to-severe atopic dermatitis with acceptable safety, validating the crucial role of interleukin 4 and interleukin 13 in atopic dermatitis pathogenesis. We aimed to evaluate the long-term efficacy and safety of dupilumab with medium-potency topical corticosteroids versus placebo with topical corticosteroids in adults with moderate-to-severe atopic dermatitis. In this 1-year, randomised, double-blinded, placebo-controlled, phase 3 study (LIBERTY AD CHRONOS), adults with moderate-to-severe atopic dermatitis and inadequate response to topical corticosteroids were enrolled at 161 hospitals, clinics, and academic institutions in 14 countries in Europe, Asia-Pacific, and North America. Patients were randomly assigned (3:1:3) to subcutaneous dupilumab 300 mg once weekly (qw), dupilumab 300 mg every 2 weeks (q2w), or placebo via a central interactive voice/web response system, stratified by severity and global region. All three groups were given concomitant topical corticosteroids with or without topical calcineurin inhibitors where inadvisable for topical corticosteroids. Topical corticosteroids could be tapered, stopped, or restarted on the basis of disease activity. Coprimary endpoints were patients (%) achieving Investigator's Global Assessment (IGA) 0/1 and 2-point or higher improvement from baseline, and Eczema Area and Severity Index 75% improvement from baseline (EASI-75) at week 16. Week 16 efficacy and week 52 safety analyses included all randomised patients; week 52 efficacy included patients who completed treatment by US regulatory submission cutoff. This study is registered with ClinicalTrials.gov, NCT02260986. Between Oct 3, 2014, and July 31, 2015, 740 patients were enrolled: 319 were randomly assigned to dupilumab qw plus topical corticosteroids, 106 to dupilumab q2w plus topical corticosteroids, and 315 to placebo plus topical corticosteroids. 623 (270, 89, and 264, respectively) were evaluable for week 52 efficacy. At week 16, more patients who received dupilumab plus topical corticosteroids achieved the coprimary endpoints of IGA 0/1 (39% [125 patients] who received dupilumab plus topical corticosteroids qw and 39% [41 patients] who received dupilumab q2w plus topical corticosteroids vs 12% [39 patients] who received placebo plus topical corticosteroids; p<0·0001) and EASI-75 (64% [204] and 69% [73] vs 23% [73]; p<0·0001). Week 52 results were similar. Adverse events were reported in 261 (83%) patients who received dupilumab qw plus topical corticosteroids, 97 (88%) patients who received dupilumab q2w, and 266 (84%) patients who received placebo, and serious adverse events in nine (3%), four (4%), and 16 (5%) patients, respectively. No significant dupilumab-induced laboratory abnormalities were noted. Injection-site reactions and conjunctivitis were more common in patients treated with dupilumab plus topical corticosteroids-treated patients than in patients treated with placebo plus topical corticosteroids. Dupilumab added to standard topical corticosteroid treatment for 1 year improved atopic dermatitis signs and symptoms, with acceptable safety. Sanofi and Regeneron Pharmaceuticals Inc. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Canine periodontal disease control using a clindamycin hydrochloride gel.

    PubMed

    Johnston, Thomas P; Mondal, Pravakar; Pal, Dhananjay; MacGee, Scott; Stromberg, Arnold J; Alur, Hemant

    2011-01-01

    Stabilizing or reducing periodontal pocket depth can have a positive influence on the retention of teeth in dogs. A topical 2% clindamycin hydrochloride gel (CHgel) was evaluated for the treatment of periodontal disease in dogs. The CHgel formulation provides for the sustained erosion of the matrix, but also flows into the periodontal pocket as a viscous liquid, and then rapidly forms a gel that has mucoadhesive properties and also may function as a physical barrier to the introduction of bacteria. A professional teeth cleaning procedure including scaling and root planing was done in dogs with one group receiving CHgel following treatment. Periodontal health was determined before and after the procedure including measurement of periodontal pocket depth, gingival index, gingival bleeding sites, and number of suppurating sites. There was a statistically significant decrease in periodontal pocket depth (19%), gingival index (16%), and the number of bleeding sites (64%) at 90-days in dogs receiving CHgel. Additionally, the number of suppurating sites was lower (93%) at 90-days for the group receiving CHgel. The addition of CHgel effectively controlled the bacterial burden (e.g, Fusobacterium nucleatum) at both day 14 and 90. Gingival cells in culture were shown to rapidly incorporate clindamycin and attain saturation in approximately 20-minutes. In summary, a professional teeth cleaning procedure including root planning and the addition of CHgel improves the gingival index and reduces periodontal pocket depth.

  15. Time Scavengers: a Website for the Public to Learn about Climate Change and Evolution Through the Experiences of Scientists

    NASA Astrophysics Data System (ADS)

    Fraass, A. J.; Lam, A. R.; Bauer, J.; Bryant, R.; Golder, K.; Hartshorn, K. R.; Hils, J. M.; Limbeck, M.; Sheffield, S. L.

    2017-12-01

    Climate change and evolution are subjects that are consistently in the public sphere, though as public acceptance and desire to act on these subjects has increased, misinformation has as well. Thus, it is critical that scientists engage the public in discussions on these subjects. Several sites and blogs have attempted to explain these concepts; however, they often focus on one aspect of climate change or evolution, and blogs tend to follow the experiences of one scientist in a specific field. Due to these limitations, we have created a new website, TimeScavengers.blog. The site, maintained by postdocs, graduate students, and avocational scientists, is unique in that it includes static pages that thoroughly explain climate and evolution related topics and includes 5 blog pages that highlight the experiences of the site collaborators. Blog pages include: `Meet the Scientist', dedicated to introducing the public to scientists in many disciplines; `Science Bytes', focusing on research conducted by the site collaborators; `Education & Outreach', highlighting interactions between site collaborators and the public; and `Climate & Paleo News', explaining the relevance of important papers in climate research, paleoceanography, and paleontology and how they increase our understanding of climate change and evolution. The site also includes a `Teaching Resources' page with links to sites with activities related to the content on the website appropriate for K-12 classrooms. The overarching goal of the site is to bridge the gap between scientists and the public through engaging, informational pages and personal experiences in the field, lab, classroom, and community. Current data indicate that 78% of the public find the site through social media platforms and people ages 25-34 are dominantly interacting with the site. 21.7% of users' first interaction (first click once on the homepage) viewed the `Meet the Scientist' blog, 10.2% viewed the climate pages, and 8.4% visited the evolution pages. Statistics and data continue to be collected on the site's traffic will be used to determine the best practices for science communication and ways which the public interacts with educational websites.

  16. Quality analysis of patient information about knee arthroscopy on the World Wide Web.

    PubMed

    Sambandam, Senthil Nathan; Ramasamy, Vijayaraj; Priyanka, Priyanka; Ilango, Balakrishnan

    2007-05-01

    This study was designed to ascertain the quality of patient information available on the World Wide Web on the topic of knee arthroscopy. For the purpose of quality analysis, we used a pool of 232 search results obtained from 7 different search engines. We used a modified assessment questionnaire to assess the quality of these Web sites. This questionnaire was developed based on similar studies evaluating Web site quality and includes items on illustrations, accessibility, availability, accountability, and content of the Web site. We also compared results obtained with different search engines and tried to establish the best possible search strategy to attain the most relevant, authentic, and adequate information with minimum time consumption. For this purpose, we first compared 100 search results from the single most commonly used search engine (AltaVista) with the pooled sample containing 20 search results from each of the 7 different search engines. The search engines used were metasearch (Copernic and Mamma), general search (Google, AltaVista, and Yahoo), and health topic-related search engines (MedHunt and Healthfinder). The phrase "knee arthroscopy" was used as the search terminology. Excluding the repetitions, there were 117 Web sites available for quality analysis. These sites were analyzed for accessibility, relevance, authenticity, adequacy, and accountability by use of a specially designed questionnaire. Our analysis showed that most of the sites providing patient information on knee arthroscopy contained outdated information, were inadequate, and were not accountable. Only 16 sites were found to be providing reasonably good patient information and hence can be recommended to patients. Understandably, most of these sites were from nonprofit organizations and educational institutions. Furthermore, our study revealed that using multiple search engines increases patients' chances of obtaining more relevant information rather than using a single search engine. Our study shows the difficulties encountered by patients in obtaining information regarding knee arthroscopy and highlights the duty of knee surgeons in helping patients to identify the relevant and authentic information in the most efficient manner from the World Wide Web. This study highlights the importance of the role of orthopaedic surgeons in helping their patients to identify the best possible information on the World Wide Web.

  17. Prospective randomized controlled trial comparing standard analgesia with combined intra-operative cystic plate and port-site local anesthesia for post-operative pain management in elective laparoscopic cholecystectomy.

    PubMed

    Protic, Mladjan; Veljkovic, Radovan; Bilchik, Anton J; Popovic, Ana; Kresoja, Milana; Nissan, Aviram; Avital, Itzhak; Stojadinovic, Alexander

    2017-02-01

    Various mechanisms, including somatic and visceral nociceptive stimulation, have been suggested as a cause for pain after laparoscopic cholecystectomy (LC). We therefore conducted a prospective randomized controlled trial (PRCT) to evaluate whether somatovisceral pain blockade reduces pain after LC. Analgesic efficacy of multimodal analgesia is superior to standard analgesia for patients undergoing elective LC for symptomatic cholelithiasis. Specifically, topical cystic plate and port-site injection with 0.25 % bupivacaine significantly reduces pain after LC. This study was designed as single-blinded PRCT. This study was conducted in an academic medical center. Between February and May 2010 we randomly assigned 63 patients with symptomatic cholelithiasis in a 1:1 ratio to non-opioid/opioid analgesic combinations (Control Group, n = 32) and non-opioid/opioid analgesic combinations plus topical 0.25 % bupivacaine onto the cystic plate and local 0.25 % bupivacaine port-site injection, post-LC (Study Group, n = 31). Primary endpoint was patient-reported pain 1, 4, 6, 12, 24 h and 1 week post-LC using the Visual Analog Scale (VAS 0-10). Study groups were comparable clinicopathologically. There were no adverse events. A statistically significant reduction in mean pain score was apparent in Study Group patients in comparison with Control Group (mean VAS 4.83 ± 2.33 vs. 6.80 ± 1.87; p < 0.001) at all early (1-6 h) post-operative time points following LC. This PRCT shows significantly improved pain control with somatovisceral pain blockade over non-opioid/opioid analgesic combinations following LC for symptomatic cholelithiasis. For centers not utilizing adjunctive local anesthetic for LC, this topical use of bupivacaine may improve patient comfort during recovery. This trial was registered on www.ClinicalTrials.gov NCT# 01972620.

  18. Differences in Cutaneous Irritation of Five Commonly Used Topical Products.

    PubMed

    Draelos, Zoe Diana

    2016-07-01

    Irritation, such as burning and stinging, on the site of application, is a common side effect of topical dermatologic products including creams, lotions, sprays, and foams. This effect may be more pronounced when applying products to atopic or psoriatic skin. The composition of the vehicle may affect the extent of the irritation. This study compared the irritation and erythema potential of 7 different topical dermatologic products to determine the products with the least likelihood of causing discomfort when applied.
    Seven sites on the anterior leg of 30 subjects were dry shaven with 10 upward strokes. Subjects rated the stinging of petrolatum (negative control), isopropyl alcohol (positive control), Cetaphil Lotion, triamcinolone 0.1% cream, triamcinolone 0.2% spray, betamethasone foam, and clobetasol 0.05% spray, 1 minute after product application, using a scale of 0 (no symptoms) to 10 (intolerable stinging/burning). The investigator assessed erythema at the sites 30 minutes after application of the products using a scale of 0 (none) to 4 (severe).
    Stinging rating score of each product was statistically significant from one another. Petrolatum produced the least stinging (0) and isopropyl alcohol the most (10). Stinging with triamcinolone spray, Cetaphil Lotion, and triamcinolone cream ranked in the lower half of the rating scale (all below 5). Betamethasone foam and clobetal spray ranked the highest at >7. When corrected for the erythema caused by shaving, triamcinolone spray and Cetaphil Lotion produced the least amount of erythema of all the products tested.
    Rapid evaporation of the volatile vehicle of triamcinolone spray and the non-irriating nature of the medication left behind may contribute to its low erythema and stinging. This product may be an appropriate choice for patients with compromised skin but who require the advantages and conveniences of a spray vehicle.

    J Drugs Dermatol. 2016;15(7):870-873.

  19. Additional Degree Required? Advanced Subject Knowledge and Academic Librarianship

    ERIC Educational Resources Information Center

    Ferguson, Jennifer

    2016-01-01

    Since the Association of College and Research Libraries (ACRL) first published its terminal degree statement in 1975, the topic of librarians and advanced subject degrees has been controversial, and research on the topic has remained limited. Based on data gathered from two major online job sites as well as library and information science programs…

  20. Science News Stories as Boundary Objects Affecting Engagement with Science

    ERIC Educational Resources Information Center

    Polman, Joseph L.; Hope, Jennifer M. G.

    2014-01-01

    This paper explores how participating in a program spanning an informal science institution and multiple school sites engaged youth with science in a different way. In particular, teens in the program selected and researched science topics of personal interest, and then authored, revised, and published science news stories about those topics in an…

  1. 76 FR 75890 - Agency Information Collection Activities: Solicitation of Proposal Information for Award of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-05

    ... burden. DHS S&T uses a secure Web site which the public can propose SBIR research topics and submit... submit SBIR research topics and submit response to DHS SBIR solicitations. Additionally, electronic web... Innovative Research (SBIR) and Small Business Technology Transfer (STTR) programs 15 U.S.C. 628. For...

  2. Facebook: A Bibliographic Analysis of the PsycINFO Database

    ERIC Educational Resources Information Center

    Piotrowski, Chris

    2012-01-01

    With the advent of rapidly emerging technologies, researchers need to be cognizant of developments and applications in the area of social media as a topic of investigatory interest. To date, scholarly research on the topic of Facebook, a ubiquitous social media site, is rather extensive. This study on Facebook, using a bibliographic content…

  3. Blogging in the Academy

    ERIC Educational Resources Information Center

    Nackerud, Shane; Scaletta, Kurtis

    2008-01-01

    Blogs are a hot topic in academia. A search on "blog" in the "Chronicle of Education's" Web site returns nearly two hundred articles, covering such topics as the dangers an impolitic blog can do to an institution's leaders (Read, 2006) or the blogger's career (Tribble, 2005) and the mutual use of blogs by instructors to lambaste students (Lipka,…

  4. A Healthy Delivery

    ERIC Educational Resources Information Center

    Eastwood, Elizabeth J.

    2008-01-01

    Books on the topic of pregnancy abound; in fact, publishers are more attentive to the subject than ever. According to R.R. Bowker's "Books in Print," 226 nonfiction pregnancy titles were published in 2006, a 30 percent increase over the decade before. Add to this glut all the magazines, DVDs, web sites, and TV programs available on the topic, and…

  5. Topical non-barrier agents for postoperative adhesion prevention in animal models.

    PubMed

    Imai, Atsushi; Suzuki, Noriko

    2010-04-01

    Pelvic adhesion can form as a result of inflammation, endometriosis or surgical trauma. Most surgical procedures performed by obstetrician-gynecologists are associated with pelvic adhesions that may cause subsequent serious sequelae, including small bowel obstruction, infertility, chronic pelvic pain, and difficulty in postoperative treatment, including complexity during subsequent surgical procedures. An increasing number of adhesion reduction agents, in the form of site-specific and broad-coverage barriers and solutions, are becoming available to surgical teams. The most widely studied strategies include placing synthetic barrier agents between the pelvic structures. Most of the adhesions in the barrier-treated patients develop in uncovered areas in the abdomen. This fact suggests that the application of liquid or gel anti-adhesive agents to cover all potential peritoneal lesions, together with the use of barrier agents, may reduce the formation of postoperative adhesions. This article introduces the topical choices available for adhesion prevention mentioned in preliminary clinical applications and animal models. To date there is no substantial evidence that their use reduces the incidence of postoperative adhesions. In combination with good surgical techniques, these non-barrier agents may play an important role in adhesion reduction. Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved.

  6. Topical amitriptyline and ketamine for post-herpetic neuralgia and other forms of neuropathic pain.

    PubMed

    Sawynok, Jana; Zinger, Celia

    2016-01-01

    Neuropathic pain (NP) has several therapeutic options but efficacy is limited and adverse effects occur, such that additional treatment options are needed. A topical formulation containing amitriptyline 4% and ketamine 2% (AmiKet) may provide such an option. This report summarizes both published and unpublished results of clinical trials with AmiKet. In post-herpetic neuralgia (PHN), AmiKet produces a significant analgesia which is comparable to that produced by oral gabapentin. In diabetic painful neuropathy, AmiKet showed a strong trend towards pain reduction. In mixed neuropathic pain, case series reports suggest a favourable response rate, but are limited by trial characteristics. AmiKet is absorbed minimally following topical administration. Over 700 patients have now received topical AmiKet in clinical regimens, and it is well-tolerated with the adverse effects mainly being application site reactions. Both agents are polymodal, and several mechanisms may contribute to the peripheral efficacy of AmiKet. Topical AmiKet has the potential to be a first-line treatment option for PHN, and to be useful in other NP conditions. Furthermore, AmiKet has the potential to be an adjunct to systemic therapies, with the targeting of a peripheral compartment in addition to central sites of action representing a rational drug combination.

  7. Six week evaluation of the potential for topical desoximetasone 0.25% spray to induce photoallergic skin reaction.

    PubMed

    Patel, Nupur U; Gowda, Asha; Grammenos, Alexandra; Onikoyi, Omobola; Feldman, Steven R

    2018-05-01

    Desoximetasone 0.25% topical spray is a novel formulation that has not been tested or approved for safety and efficacy. The primary objective was to determine the potential of desoximetasone 0.25 and 0.05% topical sprays, as well as a vehicle to induce photoallergic skin reaction after repeated topical application and irradiation to the skin using a controlled photopatch testing procedure. 53 subjects completed the study, each with six application sites (two of each treatment), three of which were irradiated and three non-irradiated, for an induction period of three weeks and then challenge period at week 6. Desoximetasone 0.25 and 0.05%, as well as vehicle showed no evidence of potential to induce photosensitization. There was statistically significantly greater irritation at the vehicle irradiated site in comparison to the irradiated treatment area of desoximetasone 0.25% (p = .005) and the irradiated treatment area of desoximetasone 0.05% (p = .008). Our results suggest that regular treatment with desoximetasone 0.25 and 0.05% spray, followed by UV light exposure does not induce photosensitization or photo-irritation. These findings increase confidence for the use of this topical spray in eczema or psoriasis patients who may also be receiving UV light therapy and may contribute to the clinical management of these patients.

  8. Comorbid Vulvar Lichen Planus and Lichen Sclerosus.

    PubMed

    Day, Tania; Moore, Sarah; Bohl, Tanja Gizela; Scurry, James

    2017-07-01

    The aims of the study are to assess the histopathologic characteristics of vulvar biopsies consistent with lichen planus (LP) in women with a previous or concurrent histopathologic diagnosis of vulvar lichen sclerosus (LS) and to describe the clinical features of comorbid LP and LS. Patients were included if a diagnosis of LP was confirmed after review of the hematoxylin and eosin slides and the histopathology reporting LS noted a band of abnormal collagen. Data were collected on anatomic site, clinical appearance, histopathology, microbiology, treatment, and follow-up. There were 31 cases with a mean age of 69.5 years. Thirty specimens showed erosive LP, of which 22 were from inner labium minus and 8 from vestibule. There were no significant differences between biopsy site in epithelial thickness, erosion, lymphocytic infiltrate, or basal layer pattern. One third of cases showed a regenerative pattern of LP. Of the 26 patients with clinical records available, erythema at the biopsy site was noted in all cases; in 23 the notes specified central erythema and peripheral pallor. Forty-six percent were prescribed topical corticosteroids before biopsy. All 26 were treated with topical corticosteroids, 23% were prescribed antimycotics, and 38% required other supplemental therapies. Comorbid vulvar LP and LS are not rare; clinicians suspecting one should evaluate for the other and consider separate biopsies of morphologically distinct areas. Clinicopathological correlation is an invaluable tool in assessing biopsies when both diagnoses are suspected, because the regenerative pattern of LP may otherwise be overlooked or misdiagnosed.

  9. Site-directed topical lidocaine spray attenuates perioperative respiratory adverse events in children undergoing elective surgery.

    PubMed

    Li, Li-Wei; He, Long; Ai, Yanqiu; Chu, Qinjun; Zhang, Wei

    2016-06-01

    Perioperative respiratory adverse events (PRAEs) are a major cause of morbidity and mortality associated with pediatric anesthesia. Topical lidocaine administration reduces risk of PRAE in children undergoing elective endotracheal intubation. However, definitive evidence of its efficacy remains elusive, due, in part, to the wide variability in the methodology for spraying topical lidocaine. In this randomized controlled double-blind clinical trial, we sought to evaluate the effect of site-directed topical airway lidocaine, sprayed directly onto supraglottic, glottis, and subglottic areas, on the incidence of PRAE. The study population consisted of 322 children (age range, 6 mo-12 y), who were scheduled for an elective surgical procedure under general anesthesia with endotracheal intubation. Patients were randomly assigned to receive topical spray of lidocaine (group L) or saline (group S) over the supraglottic, glottis and subglottic areas under direct vision before tracheal intubation. Incidence of PRAE and time to extubation was recorded. There were no statistically significant intergroup differences with regard to baseline demographics, patient characteristics, and surgical parameters. Group L was associated with a significantly lower incidence of PRAE as compared with group S (12.80% versus 38.13%, respectively; P < 0.001). Similarly, the incidence of laryngospasm (1.7% versus 8.1%; P = 0.01), excessive coughing (4.3% versus 13.2%; P = 0.005), and oxygen desaturation <95% (6.8% versus 16.9%; P = 0.005), respectively, was significantly lower in group L. However, time to extubation was longer in group L as compared with that in group S (18.6 ± 7.7 min versus 21.3 ± 8.9 min; P = 0.03). Site-directed topical spray of lidocaine over supraglottic, glottis, and subglottic areas before tracheal intubation significantly reduced the incidence of PRAE and a prolongation of extubation time in children. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Teaching Contemporary Physics Topics Using Real-Time Data Obtained via the World Wide Web

    NASA Astrophysics Data System (ADS)

    Post-Zwicker, A. P.; Davis, W.; Grip, R.; McKay, M.; Pfaff, R.; Stotler, D. P.

    1999-12-01

    As a teaching tool, the World Wide Web (WWW) is unprecedented in its ability to transmit information and enhance communication between scientist and student. Just beginning to be developed are sites that actively engage the user in the learning process and provide hands-on methods of teaching contemporary topics. These topics are often not found in the classroom due to the complexity and expense of the laboratory equipment and the WWW is an ideal tool for overcoming this difficulty. This paper presents a model for using the Internet to teach high school students about plasma physics and fusion energy. Students are given access to real-time data, virtual experiments, and communication with professional scientists via email. Preliminary data indicate that student collaboration and student-led learning is encouraged when using the site in the classroom. Scientist/student mentoring is enhanced with this form of communication.

  11. Internet India.

    ERIC Educational Resources Information Center

    Pahl, Ronald H.

    1997-01-01

    Reviews a number of Internet sites containing information on every aspect of life in Modern India. The various sites provide information on such diverse topics as the Indian film industry, politics, the booming Indian computer industry, changing status of women, and financial and political issues. (MJP)

  12. 30 CFR 291.108 - How do I pay the processing fee?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Web site may be accessed through links on the MMS Offshore Web site at: http://www.mms.gov/offshore/homepage (on drop-down topic list) or directly through Pay.Gov at: https://www.pay.gov/paygov/. (b) You...

  13. MedlinePlus - Health Information from the National Library of Medicine

    MedlinePlus

    ... MedlinePlus GO GO About MedlinePlus Site Map FAQs Customer Support Health Topics Drugs & Supplements Videos & Tools Español ... Connect for EHRs About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to RSS Follow ...

  14. The Second Conference on Lunar Bases and Space Activities of the 21st Century, volume 2

    NASA Technical Reports Server (NTRS)

    Mendell, Wendell W. (Editor); Alred, John W. (Editor); Bell, Larry S. (Editor); Cintala, Mark J. (Editor); Crabb, Thomas M. (Editor); Durrett, Robert H. (Editor); Finney, Ben R. (Editor); Franklin, H. Andrew (Editor); French, James R. (Editor); Greenberg, Joel S. (Editor)

    1992-01-01

    These 92 papers comprise a peer-reviewed selection of presentations by authors from NASA, the Lunar and Planetary Institute (LPI), industry, and academia at the Second Conference on Lunar Bases and Space Activities of the 21st Century. These papers go into more technical depth than did those published from the first NASA-sponsored symposium on the topic, held in 1984. Session topics included the following: (1) design and operation of transportation systems to, in orbit around, and on the Moon; (2) lunar base site selection; (3) design, architecture, construction, and operation of lunar bases and human habitats; (4) lunar-based scientific research and experimentation in astronomy, exobiology, and lunar geology; (5) recovery and use of lunar resources; (6) environmental and human factors of and life support technology for human presence on the Moon; and (7) program management of human exploration of the Moon and space.

  15. Mathematics and online learning experiences: a gateway site for engineering students

    NASA Astrophysics Data System (ADS)

    Masouros, Spyridon D.; Alpay, Esat

    2010-03-01

    This paper focuses on the preliminary design of a multifaceted computer-based mathematics resource for undergraduate and pre-entry engineering students. Online maths resources, while attractive in their flexibility of delivery, have seen variable interest from students and teachers alike. Through student surveys and wide consultations, guidelines have been developed for effectively collating and integrating learning, support, application and diagnostic tools to produce an Engineer's Mathematics Gateway. Specific recommendations include: the development of a shared database of engineering discipline-specific problems and examples; the identification of, and resource development for, troublesome mathematics topics which encompass ideas of threshold concepts and mastery components; the use of motivational and promotional material to raise student interest in learning mathematics in an engineering context; the use of general and lecture-specific concept maps and matrices to identify the needs and relevance of mathematics to engineering topics; and further exploration of the facilitation of peer-based learning through online resources.

  16. [Contact dermatitis caused by acetazolamide under occlusion].

    PubMed

    Daveluy, Amélie; Vial, Thierry; Marty, Laurine; Miremont-Salamé, Ghada; Moore, Nicholas; Haramburu, Françoise

    2007-12-01

    Acetazolamide is a carbonic anhydrase inhibitor used topically for local secondary treatment of posttraumatic or postoperative edema. Two women had contact dermatitis, secondarily extensive, after local cutaneous use of acetazolamide under a compression panty after liposuction. The eruption disappeared after acetazolamide was stopped and local treatment administered. Cutaneous tests were positive for acetazolamide. Local allergic reactions are mentioned in the monograph on topical acetazolamide. Cases of contact dermatitis from this drug have not so far been published, but French adverse drug reaction reporting data include 10 other cases of eczema or rash at the application site. In one of these, a positive reaction was observed on readministration, and in 2 cases allergy skin tests were positive. The application of the drug under occlusion, which is contraindicated, may have contributed to spreading the lesions. Cases have also been described with another carbonic anhydrase inhibitor, dorzolamide, used in ophthalmology.

  17. Have You Googled Your Teacher Lately? Teachers' Use of Social Networking Sites

    ERIC Educational Resources Information Center

    Carter, Heather L.; Foulger, Teresa S.; Ewbank, Ann Dutton

    2008-01-01

    Social networking sites are interactive websites designed to build online communities for individuals who have something in common--an interest in a hobby, a topic, or an organization--and a simple desire to communicate across physical boundaries with other interested people. These sites are not unlike the old-fashioned "party line" telephones,…

  18. Surfing the Net for medical information about psychological trauma: An empirical study of the quality and accuracy of trauma-related websites

    PubMed Central

    BREMNER, J. DOUGLAS; QUINN, JOHN; QUINN, WILLIAM; VELEDAR, EMIR

    2011-01-01

    Psychological trauma is a major public-health problem, and trauma victims frequently turn to the Internet for medical information related to trauma. The Internet has many advantages for trauma victims, including low cost, privacy, use of access, and reduced direct social interactions. However, there are no regulations on what is posted on the Internet, or by whom, and little is known about the quality of information currently available related to the topic of psychological trauma. The purpose of this study was to evaluate the quality of Internet sites related to the topic of psychological trauma. The top 20 hits for searches on Google, AllTheWeb, and Yahoo were tabulated, using search words of ‘psychological trauma’, ‘stress’, ‘PTSD’, and ‘trauma’. From these searches, a list of 94 unique unsponsored hits that represented accessible websites was generated. Fourteen sites were unrelated or only peripherally related, and eight were related but were not comprehensively evaluated because they represented brochures, online book sales, etc. Seventy-two websites underwent evaluation of the content, design, disclosure, ease of use, and other factors based on published guidelines for medical information sites. Forty-two per cent of sites had inaccurate information, 82% did not provide a source of their information, and 41% did not use a mental-health professional in the development of the content. Ratings of content (e.g. accuracy, reliability, etc.) were 4 (2 SD) on a scale of 1 – 10, with 10 being the best. There were similar ratings for the other variables assessed. These findings suggest that although abundant, websites providing information about psychological trauma are often not useful, and can sometimes provide inaccurate and potentially harmful information to consumers of medical information. PMID:16954059

  19. Surfing the net for medical information about psychological trauma: an empirical study of the quality and accuracy of trauma-related websites.

    PubMed

    Bremner, J Douglas; Quinn, John; Quinn, William; Veledar, Emir

    2006-09-01

    Psychological trauma is a major public-health problem, and trauma victims frequently turn to the Internet for medical information related to trauma. The Internet has many advantages for trauma victims, including low cost, privacy, use of access, and reduced direct social interactions. However, there are no regulations on what is posted on the Internet, or by whom, and little is known about the quality of information currently available related to the topic of psychological trauma. The purpose of this study was to evaluate the quality of Internet sites related to the topic of psychological trauma. The top 20 hits for searches on Google, AllTheWeb, and Yahoo were tabulated, using search words of 'psychological trauma', 'stress', 'PTSD', and 'trauma'. From these searches, a list of 94 unique unsponsored hits that represented accessible websites was generated. Fourteen sites were unrelated or only peripherally related, and eight were related but were not comprehensively evaluated because they represented brochures, online book sales, etc. Seventy-two websites underwent evaluation of the content, design, disclosure, ease of use, and other factors based on published guidelines for medical information sites. Forty-two per cent of sites had inaccurate information, 82% did not provide a source of their information, and 41% did not use a mental-health professional in the development of the content. Ratings of content (e.g. accuracy, reliability, etc.) were 4 (2 SD) on a scale of 1 - 10, with 10 being the best. There were similar ratings for the other variables assessed. These findings suggest that although abundant, websites providing information about psychological trauma are often not useful, and can sometimes provide inaccurate and potentially harmful information to consumers of medical information.

  20. Piercing Ear Keloid: Excision Using Loupe Magnification and Topical Liquid Silicone Gel as Adjuvant

    PubMed Central

    Ramesh, Bellam A.; Mohan, J.

    2018-01-01

    Background: Keloid is an abnormal growth of scar at the site of skin injury, which usually does not regress. It proliferates beyond the original scar. The ear keloid usually develops after piercing injury to wear ornaments. A patient usually asks for removal of keloid, as it is aesthetically unpleasant. Patient may sometimes complain of itching and pain. Aim: The study was conducted to analyze results following excision of keloid with its tract and topical silicone gel as the postsurgical adjuvant. Materials and Methods: Ear keloids measuring less than 0.5cm or more than 5cm in maximum dimension were excluded from the study. Nonpiercing causes such as burns, trauma, and recurrent keloid were excluded from the study. The study was carried out on 22 patients who had keloid because of piercing injury, including 4 cases with both ear keloids. Of 26 ear keloids, 19 had the tract or connecting tissue. The lesion was excised under anesthesia using magnification. For all the operated cases, topical liquid silicone gel was used as postsurgical adjuvant therapy. The method of application of topical silicone gel was taught to each patient and was considered significant. Result: The magnification helped in identification of tract in 73% of the cases in this study. Twenty patients had successfully responded to proposed treatment, and two patients developed recurrence while using topical silicone gel as the adjuvant. These two patients were managed with conventional triamcinolone injection. Conclusion: The topical silicone gel as postsurgical adjuvant therapy avoided the use of painful postsurgical injection or radiotherapy for the 1–3cm primary ear keloids. The advantages of magnification were better clearance of keloid tissue, easier identification of tract and removal of keloid pseudopods, meticulous suturing, and comfortable elevation of a small local flap. PMID:29731586

  1. Crisaborole Topical Ointment, 2% in Adults With Atopic Dermatitis: A Phase 2a, Vehicle-Controlled, Proof-of-Concept Study.

    PubMed

    Murrell, Dedee F; Gebauer, Kurt; Spelman, Lynda; Zane, Lee T

    2015-10-01

    A novel approach for treating atopic dermatitis (AD) is the inhibition of phosphodiesterase 4 (PDE4), an enzyme involved in the proinflammatory cascade. Crisaborole topical ointment, 2% is a novel, boron-based small-molecule PDE4 inhibitor with anti-inflammatory properties. The objective of this proof-of-concept study was to assess the efficacy and safety of crisaborole topical ointment, 2% in adults with mild to moderate AD. This phase 2a, randomized, double-blind, bilateral, 6-week study of crisaborole topical ointment, 2% was conducted in adult patients with mild to moderate AD with 2 comparable target AD lesions. Patients were randomly assigned to twice-daily application of crisaborole topical ointment, 2% or vehicle, each to 1 of the 2 target lesions. The primary efficacy endpoint was change from baseline in Atopic Dermatitis Severity Index (ADSI) score at day 28. Safety assessments included local tolerability and incidence of adverse events (AEs). A total of 25 enrolled patients received study medication. At day 28, 17 patients (68%) experienced a greater decrease in ADSI score in the active-treated lesion than in the vehicle-treated lesion; 5 patients (20%) had a greater decrease in ADSI score in the vehicle-treated lesion than in the active-treated lesion. Local application-site reactions were reported in 3 patients (12%). A total of 29 AEs were reported in 11 patients; most (90%) were mild in intensity and unrelated to study medication. No serious or severe AEs were reported, and no patient discontinued due to an AE. These findings provide preliminary evidence of the efficacy and safety of treatment with crisaborole topical ointment, 2% in adults with mild to moderate AD. The study is registered on ClinicalTrials.gov (identifier NCT01301508).

  2. Quality and accuracy of sexual health information web sites visited by young people.

    PubMed

    Buhi, Eric R; Daley, Ellen M; Oberne, Alison; Smith, Sarah A; Schneider, Tali; Fuhrmann, Hollie J

    2010-08-01

    We assessed online sexual health information quality and accuracy and the utility of web site quality indicators. In reviewing 177 sexual health web sites, we found below average quality but few inaccuracies. Web sites with the most technically complex information and/or controversial topics contained the most inaccuracies. We found no association between inaccurate information and web site quality. (c) 2010 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  3. Activity of Topical Antimicrobial Agents Against Multidrug-Resistant Bacteria Recovered from Burn Patients

    DTIC Science & Technology

    2010-01-01

    produced by Pseudomonas fluorescens [19] Inhibition of RNA and protein synthesis by targeting the isoleucine-binding site on the isoleucyl-transfer-RNA...multidrug-resistant (MDR) bacteria. We compared two methods of determining topical antimicrobial susceptibilities. Methods: Isolates of Pseudomonas ...aeruginosa, methicillin-resistant Staphylococcus aureus (MRSA), extended spectrum beta-lactamase (ESBL) producing Klebsiella pneumoniae, and

  4. MALVAC 2012 scientific forum: accelerating development of second-generation malaria vaccines

    PubMed Central

    2012-01-01

    The World Health Organization (WHO) convened a malaria vaccines committee (MALVAC) scientific forum from 20 to 21 February 2012 in Geneva, Switzerland, to review the global malaria vaccine portfolio, to gain consensus on approaches to accelerate second-generation malaria vaccine development, and to discuss the need to update the vision and strategic goal of the Malaria Vaccine Technology Roadmap. This article summarizes the forum, which included reviews of leading Plasmodium falciparum vaccine candidates for pre-erythrocytic vaccines, blood-stage vaccines, and transmission-blocking vaccines. Other major topics included vaccine candidates against Plasmodium vivax, clinical trial site capacity development in Africa, trial design considerations for a second-generation malaria vaccine, adjuvant selection, and regulatory oversight functions including vaccine licensure. PMID:23140365

  5. 77 FR 64810 - Government-Owned Inventions; Availability for Licensing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-23

    ... effectively eliminate bacteria at a wound site. But in eliminating bacteria in the wound, such antibiotics... for topical antibiotics to remove infectious bacteria but also provide the immune stimulating signals.... Competitive Advantages: Eliminates wound site bacteria while retaining immune stimulating properties that...

  6. Decolonization in Prevention of Health Care-Associated Infections

    PubMed Central

    Schweizer, Marin L.

    2016-01-01

    SUMMARY Colonization with health care-associated pathogens such as Staphylococcus aureus, enterococci, Gram-negative organisms, and Clostridium difficile is associated with increased risk of infection. Decolonization is an evidence-based intervention that can be used to prevent health care-associated infections (HAIs). This review evaluates agents used for nasal topical decolonization, topical (e.g., skin) decolonization, oral decolonization, and selective digestive or oropharyngeal decontamination. Although the majority of studies performed to date have focused on S. aureus decolonization, there is increasing interest in how to apply decolonization strategies to reduce infections due to Gram-negative organisms, especially those that are multidrug resistant. Nasal topical decolonization agents reviewed include mupirocin, bacitracin, retapamulin, povidone-iodine, alcohol-based nasal antiseptic, tea tree oil, photodynamic therapy, omiganan pentahydrochloride, and lysostaphin. Mupirocin is still the gold standard agent for S. aureus nasal decolonization, but there is concern about mupirocin resistance, and alternative agents are needed. Of the other nasal decolonization agents, large clinical trials are still needed to evaluate the effectiveness of retapamulin, povidone-iodine, alcohol-based nasal antiseptic, tea tree oil, omiganan pentahydrochloride, and lysostaphin. Given inferior outcomes and increased risk of allergic dermatitis, the use of bacitracin-containing compounds cannot be recommended as a decolonization strategy. Topical decolonization agents reviewed included chlorhexidine gluconate (CHG), hexachlorophane, povidone-iodine, triclosan, and sodium hypochlorite. Of these, CHG is the skin decolonization agent that has the strongest evidence base, and sodium hypochlorite can also be recommended. CHG is associated with prevention of infections due to Gram-positive and Gram-negative organisms as well as Candida. Conversely, triclosan use is discouraged, and topical decolonization with hexachlorophane and povidone-iodine cannot be recommended at this time. There is also evidence to support use of selective digestive decontamination and selective oropharyngeal decontamination, but additional studies are needed to assess resistance to these agents, especially selection for resistance among Gram-negative organisms. The strongest evidence for decolonization is for use among surgical patients as a strategy to prevent surgical site infections. PMID:26817630

  7. Topical simvastatin gel as a novel therapeutic modality for palatal donor site wound healing following free gingival graft procedure.

    PubMed

    Madi, Marwa; Kassem, Abeer

    2018-04-01

    Autogenous soft-tissue grafting is a commonly used procedure nowadays in dentistry. However, the prolonged healing time needed for the donor site leads to increase the patient's pain and discomfort. Statin has been observed to be beneficial in reducing bacterial burden, improving epithelization and wound healing. The aim of this study was to evaluate intra-oral topical application of simvastatin/chitosan gel (10 mg/mL) over the palatal donor site following free gingival graft (FGG) procedure. Subjects indicated for FGG procedure were divided into four groups. Group I: Simvastatin suspension (S), group II: simvastatin/chitosan gel (SC), group III: chitosan gel (C), group IV: petroleum gel (P). Treatment was applied three times/day for the following 7 days. Wound healing was evaluated at day 3, 7 and 14 post-surgery. A visual analogue scale (VAS) was used to measure the experienced discomfort at 1, 3, 5, 7 and 14 days. Statistical significant reduction in wound-healing scores was observed after 3 and 7 days for group II compared to other groups (p  = .015). A significant reduction was also observed in VAS score for group II compared to other groups at day 1, 3, 5 and 7. Topical application of S/C gel could be used as a novel therapeutic modality that improved healing and reduced pain in the palatal donor site following FGG procedure.

  8. Imagine the Universe: The Hidden Lives of Galaxies

    NASA Technical Reports Server (NTRS)

    Lochner, James C.; Williamson, Lisa; Fitzhugh, Ethel

    2000-01-01

    Welcome to the fourth in a series of posters and activity booklets produced in conjunction with the Imagine the Universe! web site. The poster/booklet sets are intended to provide additional curriculum support materials for some of the subjects presented in the web site. The information provided for the educator in the booklet is meant to give the necessary background information so that the topic can be taught confidently to the students. The activities can be used to engage and excite students about the topic of galaxies in a number of disciplines and ways. The booklet and all activities can be photocopied and distributed for educational, non-commercial purposes.

  9. EDITORIAL: XIII Mexican Workshop on Particles and Fields

    NASA Astrophysics Data System (ADS)

    Barranco, Juan; Contreras, Guillermo; Delepine, David; Napsuciale, Mauro

    2012-08-01

    Juan Barranco Physics Department, Guanajuato University, Loma del Bosque 103, col. Loma del Campestre, 37150, Leon (Mexico) jbarranc@fisica.ugto.mx Guillermo Contreras Departamento de Fisica Aplicada Centro de Investigacion y de Estudios Avanzados del Instituto Politecnico Nacional, Merida (Mexico) jgcn@mda.cinvestav.mx David Delepine Physics Department, Guanajuato University, Loma del Bosque 103, col. Loma del Campestre, 37150, Leon (Mexico) delepine@fisica.ugto.mx Mauro Napsuciale Physics Department, Guanajuato University, Loma del Bosque 103, col. Loma del Campestre, 37150, Leon (Mexico) mauro@fisica.ugto.mx The XIII Mexican Workshop on Particles and Fields (MWPF) took place from 20-26 October 2011, in the city of León, Guanajuato, México. This is a biennial meeting organized by the Division of Particles and Fields of the Mexican Physical Society designed to gather specialists in different areas of high energy physics to discuss the latest developments in the field. The thirteenth edition of this meeting was hosted by the Department of Cultural Studies of Guanajuato University in a nice environment dedicated to the Arts and Culture. The XIII MWPF was organized by three working groups who organized the corresponding sessions around three topics. The first one was Strings, Cosmology, Astroparticles and Physics Beyond the Standard Model. In this category we included: Cosmic Rays, Gamma Ray Bursts, Physics Beyond the Standard Model (theory and experimental searches), Strings and Cosmology. The working group for this topic was formed by Arnulfo Zepeda, Oscar Loaiza, Axel de la Macorra and Myriam Mondragón. The second topic was Hadronic Matter which included Perturbative QCD, Jets and Diffractive Physics, Hadronic Structure, Soft QCD, Hadron Spectroscopy, Heavy Ion Collisions and Soft Physics at Hadron Colliders, Lattice Results and Instrumentation. The working group for this topic was integrated by Wolfgang Bietenholz and Mariana Kirchbach. The third topic was Electroweak and Flavor Physics in whose classification we had Quark masses and mixing, Electroweak Symmetry Breaking, Heavy Quark Physics, Neutrinos, CP Violation, CKM and Rare Decays. The working group for this topic was formed by David Delepine, Lorenzo Díaz, Gerardo Herrera and Olga Félix Beltrán. The three topics included invited talks dedicated to reviewing theoretical and experimental aspects of the corresponding topic. We had also plenary topical sessions during the mornings and early afternoons and parallel thematic sessions were held late in the afternoons. The reviews sessions were delivered by invited speakers of international prestige on the corresponding subjects and having an active collaboration with the Mexican scientific community. The plenary topical sessions and parallel thematic sessions were given by active researchers both from abroad and working in México. The program included also a permanent poster session and the organizing committee awarded the best poster - a decision made by the three working groups - with a silver medal. On Sunday 23 October, we had an excursion to the ancient archaeological site of Plazuelas near Penjamo (Guanajuato). Plazuelas is a prehispanic archaeological site located just north of San Juan el Alto, some 2.7 kilometers north of federal highway 90 (Penjamo-Guadalajara), and about 11 kilometers west of the city of Penjamo in the state of Guanajuato, Mexico. The site has been recently opened to the public. This site is a very complex city, it was edified following the natural landscape surrounding it. This city was occupied between 600 and 900 a.C. After spending some time at this very interesting archaeological site, we went to Hacienda Corralejo, an hacienda where Tequila Corralejo is produced and we had a guided visit of the 'Tequilera' where the famous Corralejo blue bottle of Tequila is made. Hacienda Corralejo is very close to the orginal Hacienda where Miguel Hidalgo (a Mexican independence hero) was born which now is just a set of foundations and a portal, considered national monuments. There, we enjoyed a delicious meal in the cellars of the Corralejo Hacienda before returning to Leon. The XIII MWPF was sponsored by several institutions: Consejo Nacional de Ciencia y Tecnología (CONACyT) through the Red Nacional de Física de Altas Energías and individual research projects, Consejo de Ciencia y Tecnológico del Estado de Guanajuato (CONCyTEG), Universidad de Guanajuato, Universidad Nacional Autónoma de México, Universidad de Guanajuato, Centro de Investigaciones de Estudios Avanzados del IPN (CINVESTAV), Universidad Michoacana de San Nicolás de Hidalgo, Benemérita Universidad Autónoma de Puebla and Universidad Autónoma de San Luis Potosí. Also, we wish to thak to those who helped in the process of getting financial support for the meeting, specially Dr Juan Carlos D'Olivo, President of the Red Nacional de Física de Altas Energías and Dr José Luis Lucio Martínez, Rector of Universidad de Guanajuato, Campus León. These proceedings have been published thanks to the support of PIFI 2011. This meeting was possible due to the commitment of the working groups and we wish to thank to their members for the decisive collaboration with the organizing committee. At the local level, we thank our graduate students: Carolina Luján, Vannia González, Selim Gomez and Carlos Alberto Vaquera for their invaluable contribution in the organization of the large amount of small but important things around the meeting. Finally, we would like to thank all the speakers for delivering excellent talks which contributed to the success of the event. We are also grateful to all the participants for the nice academic and social atmosphere during the meeting and for providing their write-ups on time. The National organizing committee was formed by Arnulfo Zepeda (CINVESTAV-DF) Guillermo Contreras (CINVESTAV-Mérida) David Delepine (DF-UG) Axel de la Macorra (IAC/IF-UNAM) Lorenzo Díaz (BUAP) Gerardo Herrera (CINVESTAV-DF) Mariana Kirchbach (IF-UASLP) Oscar Loaiza (DF-UG) Myriam Mondragón (IF-UNAM) Mauro Napsuciale (DF-UG) Humberto Salazar Ibarguen (BUAP) Andrés Sandoval (IF-UNAM) Juan Carlos D_Olivo (ICN-UNAM) Wolfgang Bietenholz (ICN-UNAM) Olga Félix Beltrán (BUAP) Dinner at Hacienda Corralejo Dinner in the cellars of Hacienda Corralejo. Visit to Hacienda Corralejo Visit to Hacienda Corralejo. The PDF contains the conference programme.

  10. Imagine the Universe!. Version 2

    NASA Technical Reports Server (NTRS)

    Whitlock, Laura A.; Bene, Meredith; Cliffe, J. Allie; Lochner, James C.

    1998-01-01

    Imagine the Universe! gives students, teachers, and the general public a window on how high-energy astrophysics is used to probe the structure and evolution of the Universe. This is the universe as revealed by X-rays, gamma-rays and cosmic rays. Information about this exciting branch of astronomy is available in Imagine the Universe! at a variety of reading levels, and is illustrated with on-line graphics, animations, and movies. Information is presented on topics ranging from the Sun to black holes to X-ray and gamma-ray satellites. Imagine! also features a Teacher's Corner with study guides, lesson plans, and information on other education resources. Further descriptions of features of the Imagine! site and the other sites included on the CD-ROM may be found in sections V and VI of the booklet file.

  11. Ten years of change: National Library of Medicine TOXMAP gets a new look.

    PubMed

    Hochstein, Colette; Gemoets, Darren; Goshorn, Jeanne

    2014-01-01

    The United States National Library of Medicine (NLM) TOXNET® databases < http://toxnet.nlm.nih.gov > provide broad coverage of environmental health information covering a wide variety of topics, including access to the U.S. Environment Protection Agency (EPA)'s Toxics Release Inventory (TRI) data. The NLM web-based geographic information system (GIS), TOXMAP® < http://toxmap.nlm.nih.gov/ >, provides interactive maps which show where TRI chemicals are released into the environment and links to TOXNET for information about these chemicals. TOXMAP also displays locations of Superfund sites on the EPA National Priority List, as well as information about the chemical contaminants at these sites. This column focuses on a new version of TOXMAP which brings it up to date with current web GIS technologies and user expectations.

  12. Calcium Modulation of Plant Plasma Membrane-Bound Atpase Activities

    NASA Technical Reports Server (NTRS)

    Caldwell, C.

    1983-01-01

    The kinetic properties of barley enzyme are discussed and compared with those of other plants. Possibilities for calcium transport in the plasma membrane by proton pump and ATPase-dependent calcium pumps are explored. Topics covered include the ph phase of the enzyme; high affinity of barley for calcium; temperature dependence, activation enthalpy, and the types of ATPase catalytic sites. Attention is given to lipids which are both screened and bound by calcium. Studies show that barley has a calmodulin activated ATPase that is found in the presence of magnesium and calcium.

  13. Large Meteorite Impacts and Planetary Evolution

    NASA Technical Reports Server (NTRS)

    1997-01-01

    Topics considered include: Petrography, geochemistry and geochronology; impact-induced hydrothermal base metal mineralization; nickel-and platinum group element -enriched quartz norite in the latest jurassic morokweng impact structure, south Africa; extraterrestrial helium trapped in fullerenes in the sudbury; synthetic aperture radar characteristics of a glacially modified meltsheet; the chicxulub seismic experiment; chemical compositions of chicxulub impact breccias; experimental investigation of the chemistry of vaporization of targets in relation to the chicxulub impact; artificial ozone hole generation following a large meteoroid impact into an oceanic site; three dimensional modeling of impactite bodies of popigai impact crater, Russia.

  14. Space Weather Workshop

    NASA Technical Reports Server (NTRS)

    Gallagher, D. L.

    2004-01-01

    This workshop will focus on what space weather is about and its impact on society. An overall picture will be "painted" describing the Sun's influence through the solar wind on the near-Earth space environment, including the aurora, killer electrons at geosynchronous orbit, million ampere electric currents through the ionosphere and along magnetic field lines, and the generation of giga-Watts of natural radio waves. Reference material in the form of Internet sites will be provided so that teachers can discuss space weather in the classroom and enable students to learn more about this topic.

  15. Schools as Sites for Recruiting Participants and Implementing Research.

    PubMed

    Bartlett, Robin; Wright, Tiffany; Olarinde, Tia; Holmes, Tara; Beamon, Emily R; Wallace, Debra

    2017-01-01

    Schools can be a valuable resource for recruitment of participants for research involving children, adolescents, and parents. Awareness of the benefits and challenges of working with schools can assist researchers in developing effective school partnerships. This article discusses the advantages of conducting research within the school system as well as the challenges that may also arise. Such challenges include developing key contacts, building relationships, logistical arrangements, and facilitating trust in the research topic and team. Suggestions for strategies to forge successful collaborative relationships with schools are provided.

  16. Frequency and trends of contact allergy to and iatrogenic contact dermatitis caused by topical drugs over a 25-year period.

    PubMed

    Gilissen, Liesbeth; Goossens, An

    2016-11-01

    Allergic contact dermatitis is the most common adverse reaction caused by topical drugs. To study the demographic characteristics and lesion locations of patients with iatrogenic dermatitis, and to analyse contact allergy to active principles and trends in frequencies over the years. Between 1990 and 2014, 14 911 patients were patch tested with the European baseline series. Patients with a presumed iatrogenic cause were often tested with a pharmaceutical series, and, if indicated, with photo-patch tests. Most were also tested with the topical products to which they had been exposed, along with their ingredients. Eight thousand three hundred and seventy-four (56%) patients tested positively, and 2600 (17.4%, 95%CI: 16.8-18.0%) of all patients suffered from iatrogenic contact dermatitis. The most important primary sites of dermatitis were the legs, face, and hands. The most common sensitizers included topical antibiotics, antiseptics, and corticosteroids. The most frequent baseline allergens in this subgroup were budesonide, neomycin, and benzocaine, although with a decreasing trend over the years. Many other allergens from different pharmacological classes were identified. With a prevalence of 17.4% of consecutive patients, iatrogenic contact dermatitis is a frequent diagnosis in patients attending a general patch test clinic, involving one-third of the patients with at least one positive reaction. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  17. Comparing community and specialty provider-based recruitment in a randomized clinical trial: clinical trial in fecal incontinence.

    PubMed

    Whitebird, Robin R; Bliss, Donna Zimmaro; Savik, Kay; Lowry, Ann; Jung, Hans-Joachim G

    2010-12-01

    Recruitment of participants to clinical trials remains a significant challenge, especially for research addressing topics of a sensitive nature such as fecal incontinence (FI). In the Fiber Study, a randomized controlled trial on symptom management for FI, we successfully enrolled 189 community-living adults through collaborations with specialty-based and community-based settings, each employing methods tailored to the organizational characteristics of their site. Results show that using the two settings increased racial and ethnic diversity of the sample and inclusion of informal caregivers. There were no differential effects on enrollment, final eligibility, or completion of protocol by site. Strategic collaborations with complementary sites can achieve sample recruitment goals for clinical trials on topics that are sensitive or known to be underreported. Copyright © 2010 Wiley Periodicals, Inc.

  18. Restaurant Food Allergy Practices - Six Selected Sites, United States, 2014.

    PubMed

    Radke, Taylor J; Brown, Laura G; Faw, Brenda; Hedeen, Nicole; Matis, Bailey; Perez, Priscela; Viveiros, Brendalee; Ripley, Danny

    2017-04-21

    Food allergies affect an estimated 15 million persons in the United States (1), and are responsible for approximately 30,000 emergency department visits and 150-200 deaths each year (2). Nearly half of reported fatal food allergy reactions over a 13-year period were caused by food from a restaurant or other food service establishment (3). To ascertain the prevalence of food allergy training, training topics, and practices related to food allergies, CDC's Environmental Health Specialists Network (EHS-Net), a collaborative forum of federal agencies and state and local health departments with six sites, interviewed personnel at 278 restaurants. Fewer than half of the 277 restaurant managers (44.4%), 211 food workers (40.8%), and 156 servers (33.3%) interviewed reported receiving food allergy training. Among those who reported receiving training, topics commonly included the major food allergens and what to do if a customer has a food allergy. Although most restaurants had ingredient lists for at least some menu items, few had separate equipment or areas designated for the preparation of allergen-free food. Restaurants can reduce the risk for allergic reactions among patrons by providing food allergy training for personnel and ingredient lists for all menu items and by dedicating equipment and areas specifically for preparing allergen-free food.

  19. Recent advances in topical anesthesia

    PubMed Central

    2016-01-01

    Topical anesthetics act on the peripheral nerves and reduce the sensation of pain at the site of application. In dentistry, they are used to control local pain caused by needling, placement of orthodontic bands, the vomiting reflex, oral mucositis, and rubber-dam clamp placement. Traditional topical anesthetics contain lidocaine or benzocaine as active ingredients and are used in the form of solutions, creams, gels, and sprays. Eutectic mixtures of local anesthesia cream, a mixture of various topical anesthetics, has been reported to be more potent than other anesthetics. Recently, new products with modified ingredients and application methods have been introduced into the market. These products may be used for mild pain during periodontal treatment, such as scaling. Dentists should be aware that topical anesthetics, although rare, might induce allergic reactions or side effects as a result of an overdose. Topical anesthetics are useful aids during dental treatment, as they reduce dental phobia, especially in children, by mitigating discomfort and pain. PMID:28879311

  20. 78 FR 23540 - General Advisory Committee and Scientific Advisory Subcommittee to the U.S. Section to the Inter...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-19

    .... Meeting topics are provided under the SUPPLEMENTARY INFORMATION section of this notice. DATES: The one-day... Topics The SAS meeting topics will include, but are not limited to, the following: (1) Relevant stock... topics will include, but are not limited to, the following: (1) Relevant stock status updates, including...

  1. Effectiveness of topical silicone gel and pressure garment therapy for burn scar prevention and management in children: study protocol for a randomised controlled trial.

    PubMed

    Wiseman, Jodie; Simons, Megan; Kimble, Roy; Ware, Robert; McPhail, Steven; Tyack, Zephanie

    2017-02-16

    Abnormal scar development following burn injury can cause substantial physical and psychological distress to children and their families. Common burn scar prevention and management techniques include silicone therapy, pressure garment therapy, or a combination of both. Currently, no definitive, high-quality evidence is available for the effectiveness of topical silicone gel or pressure garment therapy for the prevention and management of burn scars in the paediatric population. Thus, this study aims to determine the effectiveness of these treatments in children. A randomised controlled trial will be conducted at a large tertiary metropolitan children's hospital in Australia. Participants will be randomised to one of three groups: Strataderm® topical silicone gel only, pressure garment therapy only, or combined Strataderm® topical silicone gel and pressure garment therapy. Participants will include 135 children (45 per group) up to 16 years of age who are referred for scar management for a new burn. Children up to 18 years of age will also be recruited following surgery for burn scar reconstruction. Primary outcomes are scar itch intensity and scar thickness. Secondary outcomes include scar characteristics (e.g. colour, pigmentation, pliability, pain), the patient's, caregiver's and therapist's overall opinion of the scar, health service costs, adherence, health-related quality of life, treatment satisfaction and adverse effects. Measures will be completed on up to two sites per person at baseline and 1 week post scar management commencement, 3 months and 6 months post burn, or post burn scar reconstruction. Data will be analysed using descriptive statistics and univariate and multivariate regression analyses. Results of this study will determine the effectiveness of three noninvasive scar interventions in children at risk of, and with, scarring post burn or post reconstruction. Australian New Zealand Clinical Trials Registry, ACTRN12616001100482 . Registered on 5 August 2016.

  2. College Students' Health Information Activities on Facebook: Investigating the Impacts of Health Topic Sensitivity, Information Sources, and Demographics.

    PubMed

    Syn, Sue Yeon; Kim, Sung Un

    2016-07-01

    College students tend to lack access to health information. Because social networking sites (SNSs) are popularly adopted by college students, SNSs are considered to be good media channels for college students to obtain health-related information. This study examines the factors that influence college students' health information-seeking and -sharing activities on Facebook. An online survey was distributed to college students between the ages of 18 and 29 to determine intentions pertaining to health information activities according to the factors identified for the study. The factors included both contextual factors (such as health topic sensitivity and health information sources) as well as user factors (such as demographics). Our findings showed that college students are willing to read and post health-related information on Facebook when the health topic is not sensitive. In addition, there are clear differences in preferences between professional sources and personal sources as health information sources. It was found that most user factors, except gender, have no influence on health information activities. The impacts of SNS contexts, awareness of information sources, types of interlocutors, and privacy concerns are further discussed.

  3. Facilitating Navigation Through Large Archives

    NASA Technical Reports Server (NTRS)

    Shelton, Robert O.; Smith, Stephanie L.; Troung, Dat; Hodgson, Terry R.

    2005-01-01

    Automated Visual Access (AVA) is a computer program that effectively makes a large collection of information visible in a manner that enables a user to quickly and efficiently locate information resources, with minimal need for conventional keyword searches and perusal of complex hierarchical directory systems. AVA includes three key components: (1) a taxonomy that comprises a collection of words and phrases, clustered according to meaning, that are used to classify information resources; (2) a statistical indexing and scoring engine; and (3) a component that generates a graphical user interface that uses the scoring data to generate a visual map of resources and topics. The top level of an AVA display is a pictorial representation of an information archive. The user enters the depicted archive by either clicking on a depiction of subject area cluster, selecting a topic from a list, or entering a query into a text box. The resulting display enables the user to view candidate information entities at various levels of detail. Resources are grouped spatially by topic with greatest generality at the top layer and increasing detail with depth. The user can zoom in or out of specific sites or into greater or lesser content detail.

  4. Nutrition Education Needs Pantry Clients

    ERIC Educational Resources Information Center

    Wood, Dolores K.; Shultz, Jill Armstrong; Edlefsen, Miriam; Butkus, Sue N.

    2007-01-01

    Two food pantries were surveyed for nutrition education (NE) interests and experiences. One site provided nutrition education classes; the comparison site was utilized to assess client interest in class topics. "Fixing low cost meals," "fixing quick and easy recipes," and "stretching food and food dollars" were topics…

  5. Variable & Recode Definitions - SEER Documentation

    Cancer.gov

    Resources that define variables and provide documentation for reporting using SEER and related datasets. Choose from SEER coding and staging manuals plus instructions for recoding behavior, site, stage, cause of death, insurance, and several additional topics. Also guidance on months survived, calculating Hispanic mortality, and site-specific surgery.

  6. Pharmacokinetics of pirfenidone after topical administration in rabbit eye

    PubMed Central

    Sun, Guoying; Lin, Xianchai; Zhong, Hua; Yang, Yangfan; Qiu, Xuan; Ye, Chengtian; Wu, Kaili

    2011-01-01

    Purpose Pirfenidone (5-methyl-1-phenyl-2-[1H]-pyridone) is a new, broad-spectrum agent that has an inhibition effect on the proliferation, migration, and collagen contraction of human Tenon’s fibroblasts, and thus modulating the wound healing process of glaucoma filtering surgical site. This study investigated the pharmacokinetics of topically administered pirfenidone (0.5%) in rabbit eyes. Methods Pirfenidone solution (50 μl) was instilled into the rabbit’s conjunctival sac. The rabbits were quickly sacrificed at 2, 5, 8, 10, 15, 20, 30, 60, 90, and 120 min after the administration and ocular tissues were obtained. The concentrations of pirfenidone in conjunctiva, sclera, cornea, aqueous humor, and vitreous were determined by high performance liquid chromatography. Results After topical administration, there was wide distribution and fast clearance of pirfenidone among the various ocular tissues. The mean maximum concentrations (Cmax) of pirfenidone in cornea, conjunctiva, sclera, aqueous humor, and vitreous were 9.64 mg/g, 9.62 mg/g, 2.13 mg/g, 34.88 mg/l and 0.52 mg/l, respectively. The half-life for these tissues was 18.26, 34.16, 15.71, 70.91, and 39.48 min, respectively. Conclusions Measurable concentrations of pirfenidone are achieved in ocular tissues after topical application in rabbit model. Topical administration of pirfenidone may be an effective approach for modulation of wound healing responses in glaucoma filtration surgical site. PMID:21866212

  7. Emerging Environmental Justice Issues in Nuclear Power and Radioactive Contamination.

    PubMed

    Kyne, Dean; Bolin, Bob

    2016-07-12

    Nuclear hazards, linked to both U.S. weapons programs and civilian nuclear power, pose substantial environment justice issues. Nuclear power plant (NPP) reactors produce low-level ionizing radiation, high level nuclear waste, and are subject to catastrophic contamination events. Justice concerns include plant locations and the large potentially exposed populations, as well as issues in siting, nuclear safety, and barriers to public participation. Other justice issues relate to extensive contamination in the U.S. nuclear weapons complex, and the mining and processing industries that have supported it. To approach the topic, first we discuss distributional justice issues of NPP sites in the U.S. and related procedural injustices in siting, operation, and emergency preparedness. Then we discuss justice concerns involving the U.S. nuclear weapons complex and the ways that uranium mining, processing, and weapons development have affected those living downwind, including a substantial American Indian population. Next we examine the problem of high-level nuclear waste and the risk implications of the lack of secure long-term storage. The handling and deposition of toxic nuclear wastes pose new transgenerational justice issues of unprecedented duration, in comparison to any other industry. Finally, we discuss the persistent risks of nuclear technologies and renewable energy alternatives.

  8. Topical drug delivery systems: a patent review.

    PubMed

    Singh Malik, Deepinder; Mital, Neeraj; Kaur, Gurpreet

    2016-01-01

    Topical administration is the favored route for local delivery of therapeutic agents due to its convenience and affordability. The specific challenge of designing a therapeutic system is to achieve an optimal concentration of a certain drug at its site of action for an appropriate duration. This review summarizes innovations from the past 3 years (2012-2015) in the field of topical drug delivery for the treatment of local infections of the vagina, nose, eye and skin. The review also throws some light on the anatomy and physiology of these organs and their various defensive barriers which affect the delivery of drugs administered topically. Topical administration has been gaining attention over the last few years. However, conventional topical drug delivery systems suffer from drawbacks such as poor retention and low bioavailability. The successful formulation of topical delivery products requires the careful manipulation of defensive barriers and selection of a soluble drug carrier. Extensive research is required to develop newer topical drug delivery systems aiming either to improve the efficacy or to reduce side effects compared to current patented systems.

  9. Repeat 24-hour recalls and locally developed food composition databases: a feasible method to estimate dietary adequacy in a multi-site preconception maternal nutrition RCT.

    PubMed

    Lander, Rebecca L; Hambidge, K Michael; Krebs, Nancy F; Westcott, Jamie E; Garces, Ana; Figueroa, Lester; Tejeda, Gabriela; Lokangaka, Adrien; Diba, Tshilenge S; Somannavar, Manjunath S; Honnayya, Ranjitha; Ali, Sumera A; Khan, Umber S; McClure, Elizabeth M; Thorsten, Vanessa R; Stolka, Kristen B

    2017-01-01

    Background : Our aim was to utilize a feasible quantitative methodology to estimate the dietary adequacy of >900 first-trimester pregnant women in poor rural areas of the Democratic Republic of the Congo, Guatemala, India and Pakistan. This paper outlines the dietary methods used. Methods : Local nutritionists were trained at the sites by the lead study nutritionist and received ongoing mentoring throughout the study. Training topics focused on the standardized conduct of repeat multiple-pass 24-hr dietary recalls, including interview techniques, estimation of portion sizes, and construction of a unique site-specific food composition database (FCDB). Each FCDB was based on 13 food groups and included values for moisture, energy, 20 nutrients (i.e. macro- and micronutrients), and phytate (an anti-nutrient). Nutrient values for individual foods or beverages were taken from recently developed FAO-supported regional food composition tables or the USDA national nutrient database. Appropriate adjustments for differences in moisture and application of nutrient retention and yield factors after cooking were applied, as needed. Generic recipes for mixed dishes consumed by the study population were compiled at each site, followed by calculation of a median recipe per 100 g. Each recipe's nutrient values were included in the FCDB. Final site FCDB checks were planned according to FAO/INFOODS guidelines. Discussion : This dietary strategy provides the opportunity to assess estimated mean group usual energy and nutrient intakes and estimated prevalence of the population 'at risk' of inadequate intakes in first-trimester pregnant women living in four low- and middle-income countries. While challenges and limitations exist, this methodology demonstrates the practical application of a quantitative dietary strategy for a large international multi-site nutrition trial, providing within- and between-site comparisons. Moreover, it provides an excellent opportunity for local capacity building and each site FCDB can be easily modified for additional research activities conducted in other populations living in the same area.

  10. On Mars: Exploration of the Red Planet, 1958 - 1978

    NASA Technical Reports Server (NTRS)

    Ezell, E. C. (Editor); Ezell, L. N. (Editor)

    1984-01-01

    The exploration of Mars is covered by the following topics: Mariner spacecraft and launch vehicles, search for Martian life; Voyager spacecraft; creation of Viking; Viking Orbiter and its Mariner inheritance; Viking lander; building a complex spacecraft; selecting landing sites; site certification, and data from Mars.

  11. Topical Treatment of Degenerative Knee Osteoarthritis.

    PubMed

    Meng, Zengdong; Huang, Rongzhong

    2018-01-01

    This article reviews topical management strategies for degenerative osteoarthritis (OA) of the knee. A search of Pubmed, Embase and the Cochrane library using MeSH terms including "topical," "treatment," "knee" and "osteoarthritis" was carried out. Original research and review articles on the effectiveness and safety, recommendations from international published guidelines and acceptability studies of topical preparations were included. Current topical treatments included for the management of knee OA include topical nonsteroidal anti-inflammatory drugs, capsaicin, salicylates and physical treatments such as hot or cold therapy. Current treatment guidelines recommend topical nonsteroidal anti-inflammatory drugs as an alternative and even first-line therapy for OA management, especially among elderly patients. Guidelines on other topical treatments vary, from recommendations against their use, to in favor as alternative or simultaneous therapy, especially for patients with contraindications to other analgesics. Although often well-tolerated and preferred by many patients, clinical care still lags in the adoption of topical treatments. Aspects of efficacy, safety and patient quality of life data require further research. Copyright © 2018 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

  12. Little Boy Blue Goes High-Tech: Providing Customers with Topic-Driven Content

    ERIC Educational Resources Information Center

    King, David

    2005-01-01

    In an attempt to make the Kansas City Public Library's Web site more user friendly, the Web team took an opportunity to completely redesign the site. This article describes the techniques that the team used to organize and design the new Web site. By adopting a guided approach to the Internet, they were able to streamline their Web links and…

  13. Leveraging Social Media to Promote Evidence-Based Continuing Medical Education.

    PubMed

    Flynn, Simone; Hebert, Paul; Korenstein, Deborah; Ryan, Mark; Jordan, William B; Keyhani, Salomeh

    2017-01-01

    New dissemination methods are needed to engage physicians in evidence-based continuing medical education (CME). To examine the effectiveness of social media in engaging physicians in non-industry-sponsored CME. We tested the effect of different media platforms (e-mail, Facebook, paid Facebook and Twitter), CME topics, and different "hooks" (e.g., Q&A, clinical pearl and best evidence) on driving clicks to a landing site featuring non-industry sponsored CME. We modelled the effects of social media platform, CME topic, and hook using negative binomial regression on clicks to a single landing site. We used clicks to landing site adjusted for exposure and message number to calculate rate ratios. To understand how physicians interact with CME content on social media, we also conducted interviews with 10 physicians. The National Physicians Alliance (NPA) membership. NPA e-mail recipients, Facebook followers and friends, and Twitter followers. Clicks to the NPA's CME landing site. On average, 4,544 recipients received each message. Messages generated a total of 592 clicks to the landing site, for a rate of 5.4 clicks per 1000 recipients exposed. There were 5.4 clicks from e-mail, 11.9 clicks from Facebook, 5.5 clicks from paid Facebook, and 6.9 clicks from Twitter to the landing site for 1000 physicians exposed to each of 4 selected CME modules. A Facebook post generated 2.3x as many clicks to the landing site as did an e-mail after controlling for participant exposure, hook type and CME topic (p<0.001). Twitter posts (p = 0.13) and paid Facebook posts (p = 0.06) were not statistically different from e-mail in generating clicks to the landing site. Use of different hooks to engage physicians had no impact on clicks to the landing site. Interviews with physicians suggested that social media might not be a preferred vehicle for disseminating CME. Social media has a modest impact on driving traffic to evidence-based CME options. Facebook had a superior effect on driving physician web traffic to evidence-based CME compared to other social media platforms and email.

  14. Leveraging Social Media to Promote Evidence-Based Continuing Medical Education

    PubMed Central

    Flynn, Simone; Hebert, Paul; Korenstein, Deborah; Ryan, Mark; Jordan, William B.

    2017-01-01

    Importance New dissemination methods are needed to engage physicians in evidence-based continuing medical education (CME). Objective To examine the effectiveness of social media in engaging physicians in non-industry-sponsored CME. Design We tested the effect of different media platforms (e-mail, Facebook, paid Facebook and Twitter), CME topics, and different “hooks” (e.g., Q&A, clinical pearl and best evidence) on driving clicks to a landing site featuring non-industry sponsored CME. We modelled the effects of social media platform, CME topic, and hook using negative binomial regression on clicks to a single landing site. We used clicks to landing site adjusted for exposure and message number to calculate rate ratios. To understand how physicians interact with CME content on social media, we also conducted interviews with 10 physicians. Setting The National Physicians Alliance (NPA) membership. Participants NPA e-mail recipients, Facebook followers and friends, and Twitter followers. Main Outcomes and Measures Clicks to the NPA’s CME landing site. Results On average, 4,544 recipients received each message. Messages generated a total of 592 clicks to the landing site, for a rate of 5.4 clicks per 1000 recipients exposed. There were 5.4 clicks from e-mail, 11.9 clicks from Facebook, 5.5 clicks from paid Facebook, and 6.9 clicks from Twitter to the landing site for 1000 physicians exposed to each of 4 selected CME modules. A Facebook post generated 2.3x as many clicks to the landing site as did an e-mail after controlling for participant exposure, hook type and CME topic (p<0.001). Twitter posts (p = 0.13) and paid Facebook posts (p = 0.06) were not statistically different from e-mail in generating clicks to the landing site. Use of different hooks to engage physicians had no impact on clicks to the landing site. Interviews with physicians suggested that social media might not be a preferred vehicle for disseminating CME. Conclusions Social media has a modest impact on driving traffic to evidence-based CME options. Facebook had a superior effect on driving physician web traffic to evidence-based CME compared to other social media platforms and email. PMID:28060854

  15. Remedial investigation/feasibility study for the David Witherspoon, Inc., 901 Site, Knoxville, Tennessee: Volume 2, Appendixes

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

    NONE

    1996-10-01

    This document contains the appendixes for the remedial investigation and feasibility study for the David Witherspoon, Inc., 901 site in Knoxville, Tennessee. The following topics are covered in the appendixes: (A) David Witherspoon, Inc., 901 Site Historical Data, (B) Fieldwork Plans for the David Witherspoon, Inc., 901 Site, (C) Risk Assessment, (D) Remediation Technology Discussion, (E) Engineering Support Documentation, (F) Applicable or Relevant and Appropriate Requirements, and (G) Cost Estimate Documentation.

  16. Overview of Boundary Layer Clouds Using Satellite and Ground-Based Measurements

    NASA Astrophysics Data System (ADS)

    Xi, B.; Dong, X.; Wu, P.; Qiu, S.

    2017-12-01

    A comprehensive summary of boundary layer clouds properties based on our few recently studies will be presented. The analyses include the global cloud fractions and cloud macro/micro- physical properties based on satellite measurements using both CERES-MODIS and CloudSat/Caliposo data products,; the annual/seasonal/diurnal variations of stratocumulus clouds over different climate regions (mid-latitude land, mid-latitude ocean, and Arctic region) using DOE ARM ground-based measurements over Southern great plain (SGP), Azores (GRW), and North slope of Alaska (NSA) sites; the impact of environmental conditions to the formation and dissipation process of marine boundary layer clouds over Azores site; characterizing Arctice mixed-phase cloud structure and favorable environmental conditions for the formation/maintainess of mixed-phase clouds over NSA site. Though the presentation has widely spread topics, we will focus on the representation of the ground-based measurements over different climate regions; evaluation of satellite retrieved cloud properties using these ground-based measurements, and understanding the uncertainties of both satellite and ground-based retrievals and measurements.

  17. 2005 AG20/20 Annual Review

    NASA Technical Reports Server (NTRS)

    Ross, Kenton W.; McKellip, Rodney D.

    2005-01-01

    Topics covered include: Implementation and Validation of Sensor-Based Site-Specific Crop Management; Enhanced Management of Agricultural Perennial Systems (EMAPS) Using GIS and Remote Sensing; Validation and Application of Geospatial Information for Early Identification of Stress in Wheat; Adapting and Validating Precision Technologies for Cotton Production in the Mid-Southern United States - 2004 Progress Report; Development of a System to Automatically Geo-Rectify Images; Economics of Precision Agriculture Technologies in Cotton Production-AG 2020 Prescription Farming Automation Algorithms; Field Testing a Sensor-Based Applicator for Nitrogen and Phosphorus Application; Early Detection of Citrus Diseases Using Machine Vision and DGPS; Remote Sensing of Citrus Tree Stress Levels and Factors; Spectral-based Nitrogen Sensing for Citrus; Characterization of Tree Canopies; In-field Sensing of Shallow Water Tables and Hydromorphic Soils with an Electromagnetic Induction Profiler; Maintaining the Competitiveness of Tree Fruit Production Through Precision Agriculture; Modeling and Visualizing Terrain and Remote Sensing Data for Research and Education in Precision Agriculture; Thematic Soil Mapping and Crop-Based Strategies for Site-Specific Management; and Crop-Based Strategies for Site-Specific Management.

  18. Social network site addiction - an overview.

    PubMed

    Andreassen, Cecilie Schou; Pallesen, Ståle

    2014-01-01

    Research into frequent, excessive, and compulsive social network activity has increased the last years, in which terms such as "social network site addiction" and "Facebook addiction" have been used interchangeably. The aim of this review is to offer more knowledge and better understanding of social network site addiction (SNS-addiction) among researchers as well as clinicians by presenting a narrative overview of the research field in terms of definition, measurement, antecedents, consequences, and treatment as well as recommendations for future research efforts. Seven different measures of SNS-addiction have been developed, although they have to a very little extent been validated against each other. The small number of studies conducted so far on this topic suggests that SNS-addiction is associated with health-related, academic, and interpersonal problems/issues. However such studies have relied on a simple cross-sectional study design. It is therefore hard to draw any conclusions about potential causality and long-term effects at this point, beyond hypothetical speculations. Empirical studies suggest that SNS-addiction is caused by dispositional factors (e.g., personality, needs, self-esteem), although relevant explanatory socio-cultural and behavioral reinforcement factors remain to be empirically explored. No well-documented treatment for SNS-addiction exists, but knowledge gained from Internet addiction treatment approaches might be transferable to SNS-addiction. Overall, the research on this topic is in its infancy, and as such the SNS-addiction construct needs further conceptual and empirical exploration. There is a great demand for studies using careful longitudinal designs and studies which include objective measures of both behavior and health based on broad representative samples.

  19. Where Non-Science Majors Get Information about Science and How They Rate that Information

    NASA Astrophysics Data System (ADS)

    Buxner, Sanlyn; Impey, Chris; Nieberding, Megan; Romine, James

    2014-11-01

    College non-science major courses represent one of the last science courses many students will ever take. We report on a study of 400 undergraduate non-majors students enrolled in introductory astronomy courses at the University of Arizona to gain insight into where they get their information about science and their perception of that information. Students completed an online survey during the 2013-2014 school year. In addition to demographic information, students reported where they obtained information about science when they want to know something both for their own knowledge as well as information for a course assignment. They reported their interest in different science topics, rated the reliability of different sources of information, and reported how important science was to their life, including their future career choice.Overall, students reported getting information from a variety of online sources when looking up a topic for their own knowledge, including internet searches (71%), Wikipedia (46%), and online science sites (e.g. NASA) (45%). When asked where they got information for course assignments, most reported from assigned readings (82%) but a large percentage still reported getting information from online sources such as internet searches (60%), Wikipedia (30%) and online science sites (e.g. NASA) (20%). Overall, students rated professors/teachers and textbooks at the most reliable sources of scientific information and rated social media sites, blogs and Wikipedia as the least reliable sources of scientific information. Additionally, friends and family members were rated as less reliable sources of scientific information than similar information found on multiple websites. Students’ interest in science and self-reported knowledge in science was positively correlated. There was a significant positive correlation between those who reported that they liked science and felt that science was important to their future career. Overall, our results are giving us insights into how our non-science majors get and evaluate scientific information.

  20. Treatment of painful radiculopathies with capsaicin 8% cutaneous patch.

    PubMed

    Baron, R; Treede, R D; Birklein, F; Cegla, T; Freynhagen, R; Heskamp, M L; Kern, K U; Maier, C; Rolke, R; Seddigh, S; Sommer, C; Ständer, S; Maihöfner, C

    2017-08-01

    The treatment of neuropathic pain due to low-back (lumbosacral) radiculopathies, a common source of neuropathic pain, is challenging and often requires a multimodal therapeutic approach. The capsaicin 8% patch is the first topical analgesic licensed for peripheral neuropathic pain. To evaluate this treatment, a subset of patients with painful radiculopathy (lumbar and cervical, including ventral and dorsal rami) enrolled into the multicenter, non-interventional QUEPP study (Qutenza 2 - safety and effectiveness in peripheral neuropathic pain) was analyzed. Of the 1044 study participants, 50 were diagnosed with painful radiculopathy as only peripheral neuropathic pain syndrome and were eligible for evaluation. Patients received a single treatment (visit 1) with follow-up visits 2-5 at weeks 1-2, 4, 8 and 12. Parameters assessed at all visits included pain intensity, neuropathy symptoms and side effects. Quality of life (SF-12) and painDETECT 1 questionnaires were completed at baseline and final visit. Data was analyzed by patch application site and duration of pain. Topical treatment led to a significant decrease of pain intensity between weeks 1/2 and week 12 versus baseline at the application sites representing dermatomes of ventral (N = 26) and dorsal rami (N = 13) of spinal nerves. A significant decline (p ≤ .001) of numeric pain rating scale scores was observed between weeks 1/2 following patch application and the end of observation (week 12) in the overall radiculopathy group (N = 50), and the groups with either 3 months to 2 years (N = 14) or >2 years (N = 23) duration of pain. Pain relief of at least 30% was observed in 50.0%, 71.4% and 39.1% of patients in the respective groups. Four patients experienced in total seven adverse drug reactions (application site pain or pruritus). Effective neuropathic pain relief was observed after patch application within the innervation territories of both dorsal and ventral branches of the spinal nerve. Further controlled randomized trials are indicated.

  1. Look Who's Talking - The Role of the IARPC Collaborations Website in Supporting Mutli-Institution Dialog on Arctic Research Imperatives

    NASA Astrophysics Data System (ADS)

    Starkweather, S.; Stephenson, S. N.; Rohde, J. A.; Bowden, S.

    2015-12-01

    The IARPC Collaborations website (www.iarpccollaborations.org) was developed to support collaborative implementation of the Interagency Arctic Research Policy Committee's (IARPC) 5-Year Plan for Arctic Research. The Plan describes an ambitious agenda for advancing understanding of the changing Arctic, a challenge that requires innovative approaches to integrate disparate research activities. IARPC was created by Congress to address this integration with a mandate that includes developing interagency collaboration and outside partnerships, specifically those with the State of Alaska, indigenous communities, academia, industry and non-governmental organizations. The IARPC Collaborations website was introduced in October of 2014 as an innovative means to address IARPC's mandate. It is an open, social networking platform with member-driven content and features to support dialog and milestone tracking. In its first year, IARPC Collaborations has attracted more than 600 members. Member-supplied content added to the site includes more than 575 research planning documents and scientific presentations and 300 updates on research plans and resources; all content is tagged with descriptive keywords to expedite discovery and elucidate connectivity across members and topics. Applying a social network analysis to metadata from the site reveals the strength and nature of this connectivity. This analysis demonstrates that Collaboration Team phone meetings remain the dominant form of communication. Dialog on the site through comment forums has been slow to emerge despite its merits of persistence and transparency. While more than 80 members have used the comment features at least once, the strong centrality of the IARPC Secretariat to website dialog is apparent. An analysis of content keywords demonstrates the potential for improved dialog based on overlapping interests as revealed by trending topics like "sea ice prediction", "traditional knowledge" and "permafrost carbon". Less than one year into launch, this analysis of IARPC's experiment in collaborative integration reveals the enduring strengths of traditional collaboration tools like secretariat support and phone meetings; the full potential of IARPC's social networking tools remains to be seen.

  2. Management of split skin graft donor site in the West African sub region: survey of plastic surgeons' practice.

    PubMed

    Olawoye, O A; Ademola, S A; Iyun, A O; Michael, A I; Oluwatosin, O M

    2017-06-30

    Split skin graft (SSG) is one of the most commonly performed operations on any Plastic Surgery service. Rate of donor site healing is affected by various factors including the type of dressing applied. The aim of this study was to survey the practice of plastic surgeons in the sub region with respect to management of SSG donor site and see how it conforms to international standards. Structured questionnaires on various aspects of the harvest and management of SSG donor sites were administered to plastic surgeons during the 53rd annual conference of the West African College of Surgeons (WACS) at Lome, Togo in March 2013. The data were analyzed using descriptive statistics. There were 47 respondents out of 55 plastic surgeons from four West African countries, which represented 85.4% of registered participants at the plastic surgery section of the conference. All the respondents performed SSG regularly, and the thigh was the most commonly used donor site. Different types of paraffin gauze remained the most commonly used primary donor site dressing. Only 17% of the respondents apply a topical local anaesthetic agent on the donor site. The choice of SSG donor site dressing in the sub region was driven mainly by availability. Concerted efforts must be made to access newer wound care products for optimum management of this commonly performed operation.

  3. Oral pemphigus vulgaris: a case report and literature update.

    PubMed

    Robinson, N A; Yeo, J F; Lee, Y S; Aw, D C

    2004-07-01

    Pemphigus vulgaris is a rare cause of oral mucosal ulceration. A 47-year-old Chinese man presented with a 3-month history of oral ulceration. There were no lesions on the skin or other mucosal sites. Histology and immunostaining were consistent with pemphigus vulgaris. Systemic and topical corticosteroids were instituted, together with topical antifungals. Conventional periodontal therapy was carried out to improve gingival/oral health. Control of oral ulceration was achieved with re-establishment of normal oral function. No other sites to date have been involved. Chronic oral ulceration can be the sole manifestation of pemphigus vulgaris, at least initially. Early recognition of this lesion may prevent delayed diagnosis and inappropriate treatment of a potentially chronic dermatological condition.

  4. Searching for American Indian Resources on the Internet.

    ERIC Educational Resources Information Center

    Pollack, Ira; Derby, Amy

    This paper provides basic information on searching the Internet and lists World Wide Web sites containing resources for American Indian education. Comprehensive and topical Web directories, search engines, and meta-search engines are briefly described. Search strategies are discussed, and seven Web sites are listed that provide more advanced…

  5. Current topics in surgery for isolated total anomalous pulmonary venous connection.

    PubMed

    Yoshimura, Naoki; Fukahara, Kazuaki; Yamashita, Akio; Doki, Yoshinori; Takeuchi, Katsunori; Higuma, Tomonori; Senda, Kazutaka; Toge, Masayoshi; Matsuo, Tatsuro; Nagura, Saori; Aoki, Masaya; Sakata, Kimimasa; Obi, Hayato

    2014-12-01

    Surgical correction of total anomalous pulmonary venous connection (TAPVC) remains a challenge, with reported early mortality rates of up to 20%. In this review article, we describe several topics, including surgery for neonates, diagnoses with multidetector computed tomography (MDCT), and primary sutureless repair. Several studies have reported mortality rates of around 10%, and demonstrated unchanged hospital mortality in neonates, despite improvement of the overall mortality of cohorts including older patients. Previous reports identified a low body weight at the time of the operation, preoperative pulmonary venous obstruction (PVO), and a prolonged cardiopulmonary bypass time as risk factors for hospital mortality. With the development of new technologies, MDCT has become a good diagnostic modality for use in the pre- and post-operative evaluation. MDCT delineates the drainage site of the vertical vein and the atypical vessel into the systemic vein, and it can also evaluate the existence of obstruction in the vertical vein. Following favorable experiences with post-repair PVO, the indications for sutureless repair as a primary operation have been expanded for infants, including those at risk of developing PVO after the repair of TAPVC. Primary sutureless repair has proven especially useful for difficult patient groups, such as those with congenital PVO, infracardiac TAPVC with small pulmonary veins, or mixed-type TAPVC.

  6. Validation of AIRS Retrievals of CO2 via Comparison to In Situ Measurements

    NASA Technical Reports Server (NTRS)

    Olsen, Edward T.; Chahine, Moustafa T.; Chen, Luke L.; Jiang, Xun; Pagano, Thomas S.; Yung, Yuk L.

    2008-01-01

    Topics include AIRS on Aqua, 2002-present with discussion about continued operation to 2011 and beyond and background, including spectrum, weighting functions, and initialization; comparison with aircraft and FTIR measurements in Masueda (CONTRAIL) JAL flask measurements, Park Falls, WI FTIR, Bremen, GDF, and Spitsbergen, Norway; AIRS retrievals over addition FTIR sites in Darwin, AU and Lauder, NZ; and mid-tropospheric carbon dioxide weather and contribution from major surface sources. Slide titles include typical AIRS infrared spectrum, AIRS sensitivity for retrieving CO2 profiles, independence of CO2 solution with respect to the initial guess, available in situ measurements for validation and comparison, comparison of collocated V1.5x AIRS CO2 (N_coll greater than or equal to 9) with INTEX-NA and SPURT;

  7. Multimedia Activities in L2 Course Websites--A Case Study of a Site Dedicated to Cultural Topics of Portuguese-Speaking Countries

    ERIC Educational Resources Information Center

    Vasconcelos, Ricardo

    2012-01-01

    This study examines student preferences and behavior when navigating online multimedia modules dedicated to teaching cultural aspects associated with an L2, and the contribution of the online multimedia format of the modules to raising interest in these cultural topics. It focuses on student options regarding reading texts on the modules' main…

  8. Nuclear Data Sheets page at the NNDC

    Science.gov Websites

    for ENDF. 2014 - ND2013 Conference Proceedings. Topics include the opening and plenary talks, ENDF-6 Conference Proceedings. Topics include neutron induced reactions, gamma and charged particle induced . Topics include mass evaluations, nuclear structure, antineutrino studies, medical physics, education, and

  9. Strategies to Support Recruitment of Patients with Life-limiting illness for Research: The Palliative Care Research Cooperative Group

    PubMed Central

    Hanson, Laura C.; Bull, Janet; Wessell, Kathryn; Massie, Lisa; Bennett, Rachael E.; Kutner, Jean S.; Aziz, Noreen M.; Abernethy, Amy

    2014-01-01

    Context The Palliative Care Research Cooperative group (PCRC) is the first clinical trials cooperative for palliative care in the United States. Objectives To describe barriers and strategies for recruitment during the inaugural PCRC clinical trial. Methods The parent study was a multi-site randomized controlled trial enrolling adults with life expectancy anticipated to be 1–6 months, randomized to discontinue statins (intervention) vs. to continue on statins (control). To study recruitment best practices, we conducted semi-structured interviews with 18 site Principal Investigators (PI) and Clinical Research Coordinators (CRC), and reviewed recruitment rates. Interviews covered 3 topics – 1) successful strategies for recruitment, 2) barriers to recruitment, and 3) optimal roles of the PI and CRC. Results All eligible site PIs and CRCs completed interviews and provided data on statin protocol recruitment. The parent study completed recruitment of n=381 patients. Site enrollment ranged from 1–109 participants, with an average of 25 enrolled per site. Five major barriers included difficulty locating eligible patients, severity of illness, family and provider protectiveness, seeking patients in multiple settings, and lack of resources for recruitment activities. Five effective recruitment strategies included systematic screening of patient lists, thoughtful messaging to make research relevant, flexible protocols to accommodate patients’ needs, support from clinical champions, and the additional resources of a trials cooperative group. Conclusion The recruitment experience from the multi-site PCRC yields new insights into methods for effective recruitment to palliative care clinical trials. These results will inform training materials for the PCRC and may assist other investigators in the field. PMID:24863152

  10. Nuclear facility decommissioning and site remedial actions: A selected bibliography, Vol. 18. Part 2. Indexes

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

    NONE

    1997-09-01

    This bibliography contains 3638 citations with abstracts of documents relevant to environmental restoration, nuclear facility decontamination and decommissioning (D&D), uranium mill tailings management, and site remedial actions. This report is the eighteenth in a series of bibliographies prepared annually for the U.S. Department of Energy (DOE) Office of Environmental Restoration. Citations to foreign and domestic literature of all types - technical reports, progress reports, journal articles, symposia proceedings, theses, books, patents, legislation, and research project descriptions - have been included in Part 1 of the report. The bibliography contains scientific, technical, financial, and regulatory information that pertains to DOE environmentalmore » restoration programs. The citations are separated by topic into 16 sections, including (1) DOE Environmental Restoration Program; (2) DOE D&D Program; (3) Nuclear Facilities Decommissioning; (4) DOE Formerly Utilized Sites Remedial Action Programs; (5) NORM-Contaminated Site Restoration; (6) DOE Uranium Mill Tailings Remedial Action Project; (7) Uranium Mill Tailings Management; (8) DOE Site-Wide Remedial Actions; (9) DOE Onsite Remedial Action Projects; (10) Contaminated Site Remedial Actions; (11) DOE Underground Storage Tank Remediation; (12) DOE Technology Development, Demonstration, and Evaluations; (13) Soil Remediation; (14) Groundwater Remediation; (15) Environmental Measurements, Analysis, and Decision-Making; and (16) Environmental Management Issues. Within the 16 sections, the citations are sorted by geographic location. If a geographic location is not specified, the citations are sorted according to the document title. In Part 2 of the report, indexes are provided for author, author affiliation, selected title phrase, selected title word, publication description, geographic location, and keyword.« less

  11. Evaluation of modeling for groundwater flow and tetrachloroethylene transport in the Milford-Souhegan glacial-drift aquifer at the Savage Municipal Well Superfund site, Milford, New Hampshire, 2011

    USGS Publications Warehouse

    Harte, Philip T.

    2012-01-01

    The U.S. Geological Survey and the New Hampshire Department of Environmental Services entered into a cooperative agreement to assist in the evaluation of remedy simulations of the MSGD aquifer that are being performed by various parties to track the remedial progress of the PCE plume. This report summarizes findings from this evaluation. Topics covered include description of groundwater flow and transport models used in the study of the Savage Superfund site (section 2), evaluation of models and their results (section 3), testing of several new simulations (section 4), an assessment of the representation of models to simulate field conditions (section 5), and an assessment of models as a tool in remedial operational decision making (section 6).

  12. Tools for Engaging Scientists in Education and Public Outreach: Resources from NASA's Science Mission Directorate Forums

    NASA Astrophysics Data System (ADS)

    Buxner, S.; Grier, J.; Meinke, B. K.; Gross, N. A.; Woroner, M.

    2014-12-01

    The NASA Science Education and Public Outreach (E/PO) Forums support the NASA Science Mission Directorate (SMD) and its E/PO community by enhancing the coherency and efficiency of SMD-funded E/PO programs. The Forums foster collaboration and partnerships between scientists with content expertise and educators with pedagogy expertise. We will present tools to engage and resources to support scientists' engagement in E/PO efforts. Scientists can get connected to educators and find support materials and links to resources to support their E/PO work through the online SMD E/PO community workspace (http://smdepo.org) The site includes resources for scientists interested in E/PO including one page guides about "How to Get Involved" and "How to Increase Your Impact," as well as the NASA SMD Scientist Speaker's Bureau to connect scientists to audiences across the country. Additionally, there is a set of online clearinghouses that provide ready-made lessons and activities for use by scientists and educators: NASA Wavelength (http://nasawavelength.org/) and EarthSpace (http://www.lpi.usra.edu/earthspace/). The NASA Forums create and partner with organizations to provide resources specifically for undergraduate science instructors including slide sets for Earth and Space Science classes on the current topics in astronomy and planetary science. The Forums also provide professional development opportunities at professional science conferences each year including AGU, LPSC, AAS, and DPS to support higher education faculty who are teaching undergraduate courses. These offerings include best practices in instruction, resources for teaching planetary science and astronomy topics, and other special topics such as working with diverse students and the use of social media in the classroom. We are continually soliciting ways that we can better support scientists' efforts in effectively engaging in E/PO. Please contact Sanlyn Buxner (buxner@psi.edu) or Jennifer Grier (jgrier@psi.edu) to give us feedback on these resources or others you would like to see.

  13. e-Health and new moms: Contextual factors associated with sources of health information.

    PubMed

    Walker, Lorraine O; Mackert, Michael S; Ahn, Jisoo; Vaughan, Misha W; Sterling, Bobbie S; Guy, Sarah; Hendrickson, Sherry

    2017-11-01

    Guided by the Uses and Gratifications approach, to examine mothers' use and preference of e-Health media, and associated contextual factors. Cross-sectional survey of 165 mothers (White, African-American, and Hispanic) from a stratified random sample. Use of online media about mother-baby care; favorite websites about motherhood and best-liked features of Web sites; channel preferences (Web site, postal mail, text) for receiving three types of health information; and contextual factors, e.g., education. Media use ranged from 96% for health information searches about babies to 46% for YouTube viewing about mother-baby topics. Contextual factors, such as education, were associated with media use. Babycenter was the most frequently reported favorite Web site and rich, relevant information was the best-liked feature. Across three health topics (weight, stress/depression, parenting) mothers preferred receiving information by Web site, followed by postal mail and least by text messaging (χ 2 statistics, p < .001). Stress and race/ethnicity were among factors associated with preferences. Mothers widely used e-Health related media, but use was associated with contextual factors. In public health efforts to reach new mothers, partnering with mother-favored Web sites, focusing on audience-relevant media, and adopting attributes of successful sites are recommended strategies. © 2017 Wiley Periodicals, Inc.

  14. Efficacy of a protocol including heparin ointment for treatment of multikinase inhibitor-induced hand-foot skin reactions.

    PubMed

    Li, Jian-ri; Yang, Chi-rei; Cheng, Chen-li; Ho, Hao-chung; Chiu, Kun-yuan; Su, Chung-Kuang; Chen, Wen-Ming; Wang, Shian-Shiang; Chen, Chuan-Shu; Yang, Cheng-Kuang; Ou, Yen-chuan

    2013-03-01

    The purpose of this study is to evaluate the efficacy of a protocol including topical heparin therapy for hand-foot skin reactions (HFSR) during multikinase (MKI) treatment. We prospectively collected 26 patients who had HFSRs during treatment with the MKIs, sunitinib, sorafenib, or axitinib. The age distribution ranged from 46 to 87 years, with a mean of 66 years. The distribution of HFSR severity was 12 patients with grade 1, 12 with grade 2, and 2 with grade 3. A heparin-containing topical ointment treatment, combined with hand-foot shock absorbers and skin moisturizers, was used at the lesion sites. Changes in the grade of HFSR, MKI dosage, and interruptions of MKI therapy were recorded. The results showed that 66.7% of grade 1 patients were cured of disease, 83.3% of grade 2 patients had improved symptoms, and both grade 3 patients (100%) had improved symptoms and were downgraded to grade 2. Four (15.4%) patients required reduction of MKI dosage, but there were no treatment interruptions or dropouts. Our protocol is beneficial in promoting resolution of HFSRs induced by MKIs. Further validation in large control studies should be investigated.

  15. Lunar and Planetary Science Conference, 18th, Houston, TX, Mar. 16-20, 1987, Proceedings

    NASA Technical Reports Server (NTRS)

    Ryder, Graham (Editor)

    1988-01-01

    Papers on lunar and planetary science are presented, including petrogenesis and chemistry of lunar samples, geology and petrogenesis of the Apollo 15 landing site, lunar geology and applications, cratering records and cratering effects, differentiated meteorites, chondritic meteorites and asteroids, extraterrestrial grains, Venus, Mars, and icy satellites. The importance of lunar granite and KREEP in very high potassium basalt petrogenesis, indentifying parent plutonic rocks from lunar breccia and soil fragments, glasses in ancient and young Apollo 16 regolith breccias, the formation of the Imbrium basin, the chemistry and petrology of the Apennine Front, lunar mare ridges, studies of Rima Mozart, electromagnetic energy applications in lunar resource mining and construction, detecting a periodic signal in the terrestrial cratering record, and a search for water on the moon, are among the topics discussed. Other topics include the bidirectional reflectance properties of Fe-Ni meteorites, the nature and origin of C-rich ordinary chondrites and chondritic clasts, the dehydration kinetics of shocked serpentine, characteristics of Greenland Fe/Ni cosmic grains, electron microscopy of a hydrated interplanetary dust particle, trapping Ne, Ar, Kr, and Xe in Si2O3 smokes, gossans on Mars, and a model of the porous structure of icy satellites.

  16. Utilizing hydrologic, statistical, and geochemical tools to assess uranium mobility in surface and near-surface environments

    NASA Astrophysics Data System (ADS)

    Naftz, D. L.; Walton-Day, K. E.; Fuller, C.; Dam, W. L.; Briggs, M. A.; Snyder, T.

    2015-12-01

    Legacy uranium (U) mining and processing activities have resulted in soil and water contamination on Federal, state, and tribal lands in the western United States. Sites include legacy mill sites associated with U extraction now managed by the Department of Energy and thousands of waste dumps associated with U exploration, mining, and processing. Recently (2012), over 400,000 hectares of federally managed land in northern Arizona was withdrawn from consideration of mining for a 20-year period to protect the Grand Canyon watershed from potentially adverse effects of U mineral exploration and development. Ore from active and recently active U mines in the Colorado Plateau, the Henry Mountains Complex, and the Arizona Strip is transported to the only currently (2015) active conventional mill site in the western United States, located in Utah. Previous and ongoing U.S. Geological Survey assessments to examine U mobility at a variety of legacy and active sites associated with ore exploration, extraction, and processing will be presented as field-scale examples. Topics associated with site investigations will include: (1) offsite migration of radionuclides associated with the operation of the White Mesa U mill; (2) long-term contaminant transport from legacy U waste dumps on Bureau of Land Management regulated land in Utah; (3) application of incremental soil sampling techniques to determine pre- and post-mining radionuclide levels associated with planned and operating U mines in northern Arizona; (4) application of fiber optic digital temperature sensing equipment to identify areas where shallow groundwater containing elevated U levels may be discharging to a river adjacent to a reclaimed mill site in central Wyoming; and (5) field-scale manipulation of groundwater chemistry to limit U migration from a legacy upgrader site in southeastern Utah.

  17. Localized reduction of gingival inflammation using site-specific therapy with a topical gingival patch.

    PubMed

    Samuels, Noah; Saffer, Aron; Wexler, Isaiah D; Oberbaum, Menachem

    2012-01-01

    Sites of inflammation were identified on subjects with moderate-to-severe chronic periodontitis, and were allocated to either patch placement or untreated controls, both for 24 hours. Conventional treatment with scaling and root planing was postponed during the study period. Inflammation was evaluated measuring neutrophilic activity using gingival crevicular fluid (GCF) beta-glucuronidase (b-glu) levels, and clinical response was evaluated using the gingival index (GI). A total of 26 patients were recruited and 36 sites examined, with 22 sites on which the patch was placed and 14 controls. GCF b-glu levels at 24 hours were reduced following patch placement, significantly more so than with controls (17/22 vs. 3/14 sites, respectively; p = 0.002). The patch placement resulted in a significant reduction in mean b-glu levels (-2.52 +/- 1.62), with a reduction from baseline of 29.7%. This compared to untreated controls, for whom the mean b-glu levels and percent change from baseline increased (2.14 +/- 0.89 and 33%, respectively). At 24 hours, GI response rate for treated sites was better than for control sites (18/21 vs. 7/14; p = 0.053). No adverse events were reported in either group. This pilot study indicates that a topical gingival patch promotes reduction of gingival inflammation. Further clinical testing of this novel treatment of gingival inflammation is warranted.

  18. Readability of ASPS and ASAPS educational web sites: an analysis of consumer impact.

    PubMed

    Aliu, Oluseyi; Chung, Kevin C

    2010-04-01

    Patients use the Internet to educate themselves about health-related topics, and learning about plastic surgery is a common activity for enthusiastic consumers in the United States. How to educate consumers regarding plastic surgical procedures is a continued concern for plastic surgeons when faced with the growing portion of the American population having relatively low health care literacy. The usefulness of health-related education materials on the Internet depends largely on their comprehensibility and understandability for all who visit the Web sites. The authors studied the readability of patient education materials related to common plastic surgery procedures from the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS) Web sites and compared them with materials on similar topics from 10 popular health information-providing sites. The authors found that all analyzed documents on the ASPS and ASAPS Web sites targeted to the consumers were rated to be more difficult than the recommended reading grade level for most American adults, and these documents were consistently among the most difficult to read when compared with the other health information Web sites. The Internet is an increasingly popular avenue for patients to educate themselves about plastic surgery procedures. Patient education material provided on ASPS and ASAPS Web sites should be written at recommended reading grade levels to ensure that it is readable and comprehensible to the targeted audience.

  19. An Introduction to Online Resources for ATOD Prevention Specialists.

    ERIC Educational Resources Information Center

    Collver, Randy

    Written to provide a brief introduction of online resources and searching the Internet, this document highlights Internet sites relating to alcohol, tobacco, and other drug (ATOD) prevention. Information is provided on the following topics: (1) software and hardware needed to access Internet sites; (2) the variety of online services available; and…

  20. 76 FR 74776 - Forum-Trends in Extreme Winds, Waves, and Extratropical Storms Along the Coasts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-01

    ... Winds, Waves, and Extratropical Storms Along the Coasts AGENCY: National Environmental Satellite, Data... information, please check the forum Web site at https://sites.google.com/a/noaa.gov/extreme-winds-waves.../noaa.gov/extreme-winds-waves-extratropical-storms/home . Topics To Be Addressed This forum will address...

  1. Web Supplement to "Teaching Chain-Weight Real GDP Measures."

    ERIC Educational Resources Information Center

    Cahill, Miles B.

    2003-01-01

    Describes a Web site that is a companion to the Miles Cahill article, "Teaching Chain-Weight Real GDP Measures." States that the exercises are useful because intermediate level textbooks treat this topic casually. Indicates that the Web site contains the comment tool, an overview of the concepts, and links to article references. (JEH)

  2. Tracking Student Participants from a REU Site with NAE Grand Challenges as the Common Theme

    ERIC Educational Resources Information Center

    Burkett, Susan; Dye, Tabatha; Johnson, Pauline

    2015-01-01

    The National Academy of Engineering (NAE) Grand Challenges provides the theme for this NSFfunded Research Experience for Undergraduates (REU) site. Research topics, with their broad societal impact, allow undergraduate students from multiple engineering disciplines and computer science to work together on exciting and critical problems. The…

  3. 58. RSS Windows Editors: First Impressions

    ERIC Educational Resources Information Center

    Swettenham, Steve

    2006-01-01

    An RSS feed is a list of topics made available from a webpage via a standard XML file format known as RSS, an abbreviation of either Really Simple Syndication or Rich Site Summary (Wikipedia, 2006). The end-user subscribes to their favorite Internet content site via RSS-aware software. Once subscribed, announcements with appropriate links are…

  4. Topical therapies for the treatment of plaque psoriasis: systematic review and network meta-analyses.

    PubMed

    Samarasekera, E J; Sawyer, L; Wonderling, D; Tucker, R; Smith, C H

    2013-05-01

    The majority of people with psoriasis have localized disease, where topical therapy forms the cornerstone of treatment. We set out to summarize evidence on the relative efficacy, safety and tolerability of different topical treatments used in plaque psoriasis. We undertook a systematic review and meta-analyses of randomized trial data of U.K.-licensed topical therapies. The primary outcome was clear or nearly clear status stratified for (i) trunk and limbs; and (ii) scalp. Network meta-analyses allowed ranking of treatment efficacy. In total, 48 studies were available for trunk and limb psoriasis, and 17 for scalp psoriasis (22,028 patients in total); the majority included people with at least moderate severity psoriasis. Strategies containing potent corticosteroids (alone or in combination with a vitamin D analogue) or very potent corticosteroids dominated the treatment hierarchy at both sites (trunk and limbs, scalp); coal tar and retinoids were no better than placebo. No significant differences in achievement of clear or nearly clear status were observed between twice- and once-daily application of the same intervention or between any of the following: combined vitamin D analogue and potent corticosteroid (applied separately or in a single product), very potent corticosteroids, or potent corticosteroids (applied twice daily). Investigator and patient assessment of response differed significantly for some interventions (response rates to very potent corticosteroids: 78% and 39%, respectively). No significant differences were noted for tolerability or steroid atrophy, but data were limited. In conclusion, corticosteroids are highly effective in psoriasis when used continuously for up to 8 weeks and intermittently for up to 52 weeks. Coal tar and retinoids are of limited benefit. There is a lack of long-term efficacy and safety data available on topical interventions used for psoriasis. © 2013 The Authors BJD © 2013 British Association of Dermatologists.

  5. Tolerability of Crisaborole Ointment for Application on Sensitive Skin Areas: A Randomized, Double-Blind, Vehicle-Controlled Study in Healthy Volunteers.

    PubMed

    Zane, Lee T; Hughes, Matilda H; Shakib, Sepehr

    2016-10-01

    Inflammatory skin diseases such as atopic dermatitis (AD) and psoriasis often present in sensitive and thin-skinned areas that are at higher risk for topical treatment-related skin irritation (e.g., burning, stinging). Our objective was to address the need for topical treatments that can be safely applied to these areas. We assessed the local tolerability of crisaborole topical ointment when applied to sensitive and thin-skinned areas of healthy volunteers. In this phase I, randomized, double-blind, vehicle-controlled, single-center study, 32 subjects were randomized 3:1 to twice-daily application of crisaborole topical ointment, 2 %, (n = 24) or vehicle ointment (n = 8) for 21 days to 13 anatomic skin areas, including the face/hairline, genitals, extensor, and intertriginous areas. The primary endpoint was assessment of the frequency and severity of local tolerability symptoms (burning/stinging, erythema, and pruritus) using the Local Tolerability Scale. Overall, 98.8 % of all tolerability assessments had a grade of 0 (no signs/symptoms of irritation) and 0.1 % had a grade >1 (mild); no differences were observed in the frequency of local tolerability scores between treatment groups. The total frequency of local tolerability assessments graded >0 (none) was lower across all application sites with crisaborole ointment (0.0-2.2 %) than with vehicle ointment (2.4-7.1 %). Local tolerability did not change over time, and was comparable between sensitive and nonsensitive skin areas. Crisaborole ointment application to sensitive skin areas was well tolerated in healthy volunteers, supporting its potential role as a topical treatment alternative for patients with AD or psoriasis.

  6. General health risk of periodontal disease.

    PubMed

    Slots, J; Kamma, J J

    2001-12-01

    The possibility that periodontal disease might influence the morbidity and mortality of systemic diseases constitutes a research topic of great current interest. Human periodontal disease is associated with a complex microbiota containing approximately 500 microbial taxa and various human viruses, many of which possess significant virulence potential. Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis and other periodontopathic bacteria that are unique to the oral cavity and may disseminate to other body sites comprise the best-documented form of dental focal infection. However, systemically healthy individuals seem to be at low risk of acquiring acute non-oral diseases from direct infections by periodontal pathogens. Research data from various laboratories point to periodontal infections as a risk factor for chronic medical disorders, including cardiovascular disease, cerebrovascular accidents and low-birth-weight infants. However, recent epidemiological studies have failed to show a significant relationship between periodontal disease and cardiovascular disease. This review paper evaluates the current status of knowledge on dental focal infection and suggests avenues for further research into the topic of general health risks of periodontal disease.

  7. Sulfur and Its Role In Modern Materials Science.

    PubMed

    Boyd, Darryl A

    2016-12-12

    Although well-known and studied for centuries, sulfur continues to be at the center of an extensive array of scientific research topics. As one of the most abundant elements in the Universe, a major by-product of oil refinery processes, and as a common reaction site within biological systems, research involving sulfur is both broad in scope and incredibly important to our daily lives. Indeed, there has been renewed interest in sulfur-based reactions in just the past ten years. Sulfur research spans the spectrum of topics within the physical sciences including research on improving energy efficiency, environmentally friendly uses for oil refinery waste products, development of polymers with unique optical and mechanical properties, and materials produced for biological applications. This Review focuses on some of the latest exciting ways in which sulfur and sulfur-based reactions are being utilized to produce materials for application in energy, environmental, and other practical areas. © 2016 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

  8. Decreasing Skin Graft Contraction through Topical Wound Bed Preparation with Anti-Inflammatory Agents

    DTIC Science & Technology

    2015-10-01

    This proposal aims to identify topically applied anti-inflammatory drugs that will reduce recipient site inflammation and skin graft contraction. We...hypothesize that the elevated and prolonged inflammatory state of the recipient wound bed is a causative factor in the development of skin graft contraction...Using a porcine model of skin graft contraction, we will screen for anti-inflammatory agents (dose, schedule of administration, drug class

  9. Cultural Resources Investigation of the Reservoir Shorelines: Gull Lake, Leech Lake, Pine River, and Lake Pokegama. Volume 1,

    DTIC Science & Technology

    1979-06-01

    topic: Typological and Stylistic Approaches tn the Analysis of Minnesota-Wisconsin Middle Woodland. (expected, 1979) SMaster of Arts : University of...Minnesota, dept. oV anthropology, 1969 Thesis topic: The Archaeology of the Snake Riier Valley, iinnesota. Bachelor of Arts , magna cum laude and with... Paleolithic site survey, Pakistan Professional Associations: American Anthropological Association, Fellow Society for American Archaeology American

  10. Pluronic® F-127 and Pluronic Lecithin Organogel (PLO): main features and their applications in topical and transdermal administration of drugs.

    PubMed

    Almeida, Hugo; Amaral, Maria Helena; Lobão, Paulo; Lobo, José Manuel Sousa

    2012-01-01

    Topical drug treatment aims at providing high concentrations of drugs at the site of application so as to avoid adverse systemic effects associated with oral administration. Smart polymers, or stimuli-responsive polymers, are able to respond to a stimulus by showing physical or chemical changes in their behaviour as, for example, the delivery of the drug carried by them. The thermo-responsive nature of Pluronic® F-127 (Basf, Ludwigshafen, Germany) makes it an excellent candidate for the delivery of drugs at various application sites. In recent years, PF-127, and later, Pluronic lecithin organogels (PLO), have attracted particular interest in the design of dermal and transdermal delivery systems with a view to promoting, improving or retarding drug permeation through the skin, bearing in mind that for topical delivery systems, accumulation in the skin with minimal permeation is desired, while for systemic delivery, the opposite behaviour is preferred. In this review, we discuss the properties and characteristics of PF-127 and Pluronic lecithin organogels (PLO), and present many examples and advantages of the application of these polymeric systems in topical and transdermal administration of drugs. This article is open to POST-PUBLICATION REVIEW. Registered readers (see "For Readers") may comment by clicking on ABSTRACT on the issue's contents page.

  11. Review of Portable and Low-Cost Sensors for the Ambient Air Monitoring of Benzene and Other Volatile Organic Compounds

    PubMed Central

    Kok, Gertjan; Persijn, Stefan; Sauerwald, Tilman

    2017-01-01

    This article presents a literature review of sensors for the monitoring of benzene in ambient air and other volatile organic compounds. Combined with information provided by stakeholders, manufacturers and literature, the review considers commercially available sensors, including PID-based sensors, semiconductor (resistive gas sensors) and portable on-line measuring devices as for example sensor arrays. The bibliographic collection includes the following topics: sensor description, field of application at fixed sites, indoor and ambient air monitoring, range of concentration levels and limit of detection in air, model descriptions of the phenomena involved in the sensor detection process, gaseous interference selectivity of sensors in complex VOC matrix, validation data in lab experiments and under field conditions. PMID:28657595

  12. Review of Portable and Low-Cost Sensors for the Ambient Air Monitoring of Benzene and Other Volatile Organic Compounds.

    PubMed

    Spinelle, Laurent; Gerboles, Michel; Kok, Gertjan; Persijn, Stefan; Sauerwald, Tilman

    2017-06-28

    This article presents a literature review of sensors for the monitoring of benzene in ambient air and other volatile organic compounds. Combined with information provided by stakeholders, manufacturers and literature, the review considers commercially available sensors, including PID-based sensors, semiconductor (resistive gas sensors) and portable on-line measuring devices as for example sensor arrays. The bibliographic collection includes the following topics: sensor description, field of application at fixed sites, indoor and ambient air monitoring, range of concentration levels and limit of detection in air, model descriptions of the phenomena involved in the sensor detection process, gaseous interference selectivity of sensors in complex VOC matrix, validation data in lab experiments and under field conditions.

  13. International VLBI Service for Geodesy and Astrometry: 2000 General Meeting Proceedings

    NASA Technical Reports Server (NTRS)

    Vandenberg, Nancy R. (Editor); Baver, Karen D. (Editor)

    2000-01-01

    This volume is the proceedings of the first General Meeting of the International Very Long Base Interferometry (VLBI) Service for Geodesy and Astrometry (IVS), held in Koetzting, Germany, February 21-24, 2000. The content of this volume also appears on the IVS web site at: http://ivscc.gsfc.nasa.gov/publications/gm2000. The goal of the program committee for the General Meeting was to provide an interesting and informative program for a wide cross section of IVS members, including station operators, program managers, and analysts. The program included reports, tutorials, invited and contributed papers, and poster presentations. The tutorial papers should be particularly useful references because each one provides an overview and introduction to a topic relevant to VLBI.

  14. Studies of the net surface radiative flux from satellite radiances during FIFE

    NASA Technical Reports Server (NTRS)

    Frouin, Robert

    1993-01-01

    Studies of the net surface radiative flux from satellite radiances during First ISLSCP Field Experiment (FIFE) are presented. Topics covered include: radiative transfer model validation; calibration of VISSR and AVHRR solar channels; development and refinement of algorithms to estimate downward solar and terrestrial irradiances at the surface, including photosynthetically available radiation (PAR) and surface albedo; verification of these algorithms using in situ measurements; production of maps of shortwave irradiance, surface albedo, and related products; analysis of the temporal variability of shortwave irradiance over the FIFE site; development of a spectroscopy technique to estimate atmospheric total water vapor amount; and study of optimum linear combinations of visible and near-infrared reflectances for estimating the fraction of PAR absorbed by plants.

  15. Delphi survey to identify topics to be addressed at the initial follow-up consultation after oesophageal cancer surgery.

    PubMed

    Jacobs, M; Henselmans, I; Macefield, R C; Blencowe, N S; Smets, E M A; de Haes, J C J M; Sprangers, M A G; Blazeby, J M; van Berge Henegouwen, M I

    2014-12-01

    There is no consensus among patients and healthcare professionals (HCPs) on the topics that need to be addressed after oesophageal cancer surgery. The aim of this study was to identify these topics, using a two-round Delphi survey. In round 1, patients and HCPs (surgeons, dieticians, nurses) were invited to rate the importance of 49 topics. The proportion of panellists that considered a topic to be of low, moderate or high importance was then calculated for each of these two groups. Based on these proportions and the i.q.r., topics were categorized as: 'consensus to be included', 'consensus to be excluded' and 'no consensus'. Only topics in the first category were included in the second round. In round 2, panellists were provided with individual and group feedback. To be included in the final list, topics had to meet criteria for consensus and stability. There were 108 patients and 77 HCPs in the round 2 analyses. In general, patients and HCPs considered the same topics important. The final list included 23 topics and revealed that it was most important to address: cancer removed/lymph nodes, the new oesophagus, eating and drinking, surgery, alarming new complaints and the recovery period. The study provides surgeons with a list of topics selected by patients and HCPs that may be addressed systematically at the initial follow-up consultation after oesophageal cancer surgery. © 2014 BJS Society Ltd. Published by John Wiley & Sons Ltd.

  16. The healing effects of autologous platelet gel on acute human skin wounds.

    PubMed

    Hom, David B; Linzie, Bradley M; Huang, Trevor C

    2007-01-01

    To compare the healing of full-thickness skin punch wounds treated with topical autologous platelet gel (APG) vs conventional therapy (antibiotic ointment and/or occlusive dressings) in healthy volunteers. A prospective, single-blind, pilot study comprising 80 full-thickness skin punch wounds (4 mm diameter) was conducted on the thighs of 8 healthy volunteers. With each subject serving as his or her own control (5 punch sites per leg), APG was applied topically on one thigh, and an antibiotic ointment and/or a semiocclusive dressing was applied on the other thigh. Healing was monitored for spontaneous wound closure by clinical assessment and by digital photographs over 6 months. Over 35 days, 64 serial dermal biopsy specimens (6 mm diameter) were analyzed (using hematoxylin-eosin, Mason trichrome, CD-34, and Ki-67 stains) to measure differences between treated and control sites for cellularity, granulation formation, vascularity, epithelialization, and cellular replication. Over a 42-day period, the APG-treated sites had statistically increased wound closure compared with controls by visual clinical assessment and by digital planimetry photographic measurements (P

  17. Increased Dapivirine tissue accumulation through vaginal film codelivery of dapivirine and Tenofovir.

    PubMed

    Akil, Ayman; Devlin, Brid; Cost, Marilyn; Rohan, Lisa Cencia

    2014-05-05

    The HIV-1 replication inhibitor dapivirine (DPV) is one of the most promising drug candidates being used in topical microbicide products for prevention of HIV-1 sexual transmission. To be able to block HIV-1 replication, DPV must have access to the viral reverse transcriptase enzyme. The window for DPV to access the enzyme happens during the HIV-1 cellular infection cycle. Thus, in order for DPV to exert its anti-HIV activity, it must be present in the mucosal tissue or cells where HIV-1 infection occurs. A dosage form containing DPV must be able to deliver the drug to the tissue site of action. Polymeric films are solid dosage forms that dissolve and release their payload upon contact with fluids. Films have been used as vaginal delivery systems of topical microbicide drug candidates including DPV. For use in topical microbicide products containing DPV, polymeric films must prove their ability to deliver DPV to the target tissue site of action. Ex vivo exposure studies of human ectocervical tissue to DPV film revealed that DPV was released from the film and did diffuse into the tissue in a concentration dependent manner indicating a process of passive diffusion. Analysis of drug distribution in the tissue revealed that DPV accumulated mostly at the basal layer of the epithelium infiltrating the upper part of the stroma. Furthermore, as a combination microbicide product, codelivery of DPV and TFV from a polymeric film resulted in a significant increase in DPV tissue concentration [14.21 (single entity film) and 31.03 μg/g (combination film)], whereas no impact on TFV tissue concentration was found. In vitro release experiments showed that this observation was due to a more rapid DPV release from the combination film as compared to the single entity film. In conclusion, the findings of this study confirm the ability of polymeric films to deliver DPV and TFV to human ectocervical tissue and show that codelivery of the two agents has a significant impact on DPV tissue accumulation. These findings support the use of polymeric films for topical microbicide products containing DPV and/or TFV.

  18. Increased Dapivirine Tissue Accumulation through Vaginal Film Codelivery of Dapivirine and Tenofovir

    PubMed Central

    2015-01-01

    The HIV-1 replication inhibitor dapivirine (DPV) is one of the most promising drug candidates being used in topical microbicide products for prevention of HIV-1 sexual transmission. To be able to block HIV-1 replication, DPV must have access to the viral reverse transcriptase enzyme. The window for DPV to access the enzyme happens during the HIV-1 cellular infection cycle. Thus, in order for DPV to exert its anti-HIV activity, it must be present in the mucosal tissue or cells where HIV-1 infection occurs. A dosage form containing DPV must be able to deliver the drug to the tissue site of action. Polymeric films are solid dosage forms that dissolve and release their payload upon contact with fluids. Films have been used as vaginal delivery systems of topical microbicide drug candidates including DPV. For use in topical microbicide products containing DPV, polymeric films must prove their ability to deliver DPV to the target tissue site of action. Ex vivo exposure studies of human ectocervical tissue to DPV film revealed that DPV was released from the film and did diffuse into the tissue in a concentration dependent manner indicating a process of passive diffusion. Analysis of drug distribution in the tissue revealed that DPV accumulated mostly at the basal layer of the epithelium infiltrating the upper part of the stroma. Furthermore, as a combination microbicide product, codelivery of DPV and TFV from a polymeric film resulted in a significant increase in DPV tissue concentration [14.21 (single entity film) and 31.03 μg/g (combination film)], whereas no impact on TFV tissue concentration was found. In vitro release experiments showed that this observation was due to a more rapid DPV release from the combination film as compared to the single entity film. In conclusion, the findings of this study confirm the ability of polymeric films to deliver DPV and TFV to human ectocervical tissue and show that codelivery of the two agents has a significant impact on DPV tissue accumulation. These findings support the use of polymeric films for topical microbicide products containing DPV and/or TFV. PMID:24693866

  19. A novel model of inflammatory pain in human skin involving topical application of sodium lauryl sulfate.

    PubMed

    Petersen, L J; Lyngholm, A M; Arendt-Nielsen, L

    2010-09-01

    Sodium lauryl sulfate (SLS) is a known irritant. It releases pro-inflammatory mediators considered pivotal in inflammatory pain. The sensory effects of SLS in the skin remain largely unexplored. In this study, SLS was evaluated for its effect on skin sensory functions. Eight healthy subjects were recruited for this study. Skin sites were randomized to topical SLS 0.25, 0.5, 1, 2% and vehicle for 24 h. Topical capsaicin 1% was applied for 30 min at 24 h after SLS application. Assessments included laser Doppler imaging of local vasodilation and flare reactions, rating of spontaneous pain, assessment of primary thermal and tactile hyperalgesia, and determination of secondary dynamic and static hyperalgesia. SLS induced significant and dose-dependent local inflammation and primary hyperalgesia to tactile and thermal stimulation at 24 h after application, with SLS 2% treatment eliciting results comparable to those observed following treatment with capsaicin 1%. SLS induced no spontaneous pain, small areas of flare, and minimal secondary hyperalgesia. The primary hyperalgesia vanished within 2-3 days, whereas the skin inflammation persisted and was only partly normalized by Day 6. SLS induces profound perturbations of skin sensory functions lasting 2-3 days. SLS-induced inflammation may be a useful model for studying the mechanisms of inflammatory pain.

  20. Lidocaine 20% patch vs lidocaine 5% gel for topical anaesthesia of oral mucosa.

    PubMed

    Bågesund, Mats; Tabrizi, Parisa

    2008-11-01

    Topical anaesthetics are important to provide pain control at dental injection. The aim was to evaluate the effectiveness of the intraoral topical anaesthetics lidocaine 20% patch (DentiPatch) and lidocaine 5% gel. The randomized unblinded cross-over study included 31 patients (ten boys, 21 girls) aged 13.5 +/- 2.5 years. Application of lidocaine patch or gel was randomly used at first and second visit in the upper premolar region. Heart rate was measured before and at each needle insertion after 2.5, 5, and 15 min and at injection after 15 min. Discomfort and pain were expressed in visual analogue scales (VAS). Paired t-test and Mann-Whitney U-test were used for statistic analyses. Heart rate at buccal injection decreased more when the patch was used (P = 0.0149). Heart rate was lower at the second visit (P = 0.0287). Patients expressed less discomfort when the patch was used on both buccal (P = 0.0150) and palatal (P = 0.0391) site. Boys had lower heart rate and VAS pain scale ratings than girls. Good pain control can reduce the patients' anxiety level--expressed in heart rate--at the second appointment. The patch and gel seem to provide similar pain reduction at needle stick and injection of local anaesthetics.

  1. Innovations in Teaching: How Novice Teaching Assistants Include LGBTQ Topics in the Writing Classroom

    ERIC Educational Resources Information Center

    Jaekel, Kathryn S.

    2016-01-01

    This article examines how three novice graduate teaching assistants included lesbian, gay, bisexual, transgender, and queer topics in their first-year writing classrooms. Findings suggest that inclusion of these topics can be successfully done through attention to identity in the classroom, including current-day events, and structuring classroom…

  2. Topical Histamine Stimulates Repigmentation of Nonsegmental Vitiligo by a Receptor-Dependent Mechanism.

    PubMed

    Liu, Jun; Xu, Yan; Lin, Tzu-Kai; Lv, Chengzhi; Elias, Peter M; Man, Mao-Qiang

    2017-01-01

    Though vitiligo is a common depigmentary disorder, it still represents a substantial therapeutic challenge. Therapeutic options are limited in part due to its uncertain etiology. Because recent studies suggest that histamine stimulates melanogenesis in vitro, we determined here whether topical histamine stimulates repigmentation in patients with stable, nonsegmental vitiligo. A total of 23 otherwise normal volunteers with vitiligo, including 14 males and 9 females aged 6-59 years (mean age 29.2 ± 2.8), were enrolled in this study. 1% histamine in distilled water was applied to the lesions twice daily for 5 weeks, while comparable lesions, treated with distilled water alone, served as the controls. The melanin index was measured on the uninvolved and lesional skin sites before and after 5 weeks of treatments using the melanin/erythema probe connected to a Courage-Khazaka MPA5 (Cologne, Germany). Changes in epidermal permeability barrier were also assessed at the same time point. To determine whether histamine-induced repigmentation is receptor-dependent, both ears of C57BL/6J mice were treated topically with 5% cimetidine, a histamine type 2 receptor (H2r) antagonist, twice daily for 10 days. One hour after each cimetidine application, the right ear was treated topically with 10% histamine, while vehicle alone was applied to the left ear. Changes in melanin index were measured 24 h after the last application of histamine and vehicle as described in the human study. In patients with vitiligo treated with vehicle alone for 5 weeks, the melanin index remained unchanged, while topical histamine treatment increased the melanin index by 38% (p < 0.001 vs. both vehicle and pretreatment), which was paralleled by a >60% reduction in lesion surface area. Moreover, topical histamine accelerated permeability barrier recovery. No adverse events were observed following histamine applications. In mice, topical histamine significantly increased the melanin index, while topical co-applications of the H2r antagonist (cimetidine) prevented the expected histamine-induced increase in melanin index. These studies indicate that topical histamine or an H2r agonist could be useful for treating nonsegmental vitiligo, but further clinical studies in large populations will be required to validate the efficacy and safety of this approach. © 2017 S. Karger AG, Basel.

  3. Treatment of Signs and Symptoms (Pruritus) of Interdigital Tinea Pedis With Econazole Nitrate Foam, 1.

    PubMed

    Hoffman, Lauren K; Raymond, Isabelle; Kircik, Leon

    2018-02-01

    Tinea pedis is the most common dermatophyte infection. Treatment is critical to alleviate pruritic symptoms, to reduce the risk for secondary bacterial infection, and to limit the spread of infection to other body sites or other individuals. The objective of this study was to compare the abilities of econazole nitrate topical foam, 1% and ketoconazole cream (2%) to reduce pruritus, thus improving quality of life, and to determine patient preference for the foam product versus the cream product in patients with interdigital tinea pedis. A single-center, investigator-blinded, observational pilot study was conducted to compare econazole nitrate topical foam (1%) to ketoconazole cream (2%). In this split-body study, 20 subjects received both econazole nitrate topical foam and ketoconazole cream and applied the medications daily to either the right or left foot for 14 days. Improvements in patient quality of life (pruritus) and patient preference were measured using the pruritus visual analog scale (VAS), Skindex-16, and patient preference questionnaires. Nineteen subjects completed the study and one subject was lost to follow-up. Reductions in VAS scores of econazole nitrate topical foam were significantly greater than those of ketoconazole cream, indicating the superiority of the econazole nitrate foam in reducing pruritus. Skindex-16 data showed significant reductions in total scores and individual domains, including patient symptom, emotional, and functional domains, by the final visit. Since each subject received both medications the questionnaire was not medication-specific. Responses to patient preference questionnaires showed that econazole nitrate topical foam,1% was rated as "good" or "excellent" in all measures assessed. One adverse event was noted. In patients with interdigital tinea pedis, application of econazole nitrate topical foam 1% twice daily for two weeks was clinically effective and significantly superior to ketoconazole cream 2% in reducing pruritus. J Drugs Dermatol. 2018;17(2):229-232.

  4. Decolonization in Prevention of Health Care-Associated Infections.

    PubMed

    Septimus, Edward J; Schweizer, Marin L

    2016-04-01

    Colonization with health care-associated pathogens such as Staphylococcus aureus, enterococci, Gram-negative organisms, and Clostridium difficile is associated with increased risk of infection. Decolonization is an evidence-based intervention that can be used to prevent health care-associated infections (HAIs). This review evaluates agents used for nasal topical decolonization, topical (e.g., skin) decolonization, oral decolonization, and selective digestive or oropharyngeal decontamination. Although the majority of studies performed to date have focused on S. aureus decolonization, there is increasing interest in how to apply decolonization strategies to reduce infections due to Gram-negative organisms, especially those that are multidrug resistant. Nasal topical decolonization agents reviewed include mupirocin, bacitracin, retapamulin, povidone-iodine, alcohol-based nasal antiseptic, tea tree oil, photodynamic therapy, omiganan pentahydrochloride, and lysostaphin. Mupirocin is still the gold standard agent for S. aureus nasal decolonization, but there is concern about mupirocin resistance, and alternative agents are needed. Of the other nasal decolonization agents, large clinical trials are still needed to evaluate the effectiveness of retapamulin, povidone-iodine, alcohol-based nasal antiseptic, tea tree oil, omiganan pentahydrochloride, and lysostaphin. Given inferior outcomes and increased risk of allergic dermatitis, the use of bacitracin-containing compounds cannot be recommended as a decolonization strategy. Topical decolonization agents reviewed included chlorhexidine gluconate (CHG), hexachlorophane, povidone-iodine, triclosan, and sodium hypochlorite. Of these, CHG is the skin decolonization agent that has the strongest evidence base, and sodium hypochlorite can also be recommended. CHG is associated with prevention of infections due to Gram-positive and Gram-negative organisms as well as Candida. Conversely, triclosan use is discouraged, and topical decolonization with hexachlorophane and povidone-iodine cannot be recommended at this time. There is also evidence to support use of selective digestive decontamination and selective oropharyngeal decontamination, but additional studies are needed to assess resistance to these agents, especially selection for resistance among Gram-negative organisms. The strongest evidence for decolonization is for use among surgical patients as a strategy to prevent surgical site infections. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

  5. QUT Para at TREC 2012 Web Track: Word Associations for Retrieving Web Documents

    DTIC Science & Technology

    2012-11-01

    zero for the QUTParaTQEg1 sys- tem (and the best performance across all participants was non-zero), included: 1. Topic 157: The beatles rock band 2...Topic 162: dnr 3. Topic 163: arkansas 5 4. Topic 167: barbados 5. Topic 170: scooters 6. Topic 179: black history 7. Topic 188: internet phone service

  6. Teach Astronomy: An Online Resource for Introductory Astronomy Courses and Informal Learners

    NASA Astrophysics Data System (ADS)

    Austin, Carmen; Impey, C. D.; Hardegree-Ullman, K.; Patikkal, A.; Ganesan, N.

    2013-01-01

    Teach Astronomy (www.teachastronomy.com) is a new, free online resource—a teaching tool for non-science major astronomy courses and a reference guide for lifelong learners interested in the subject. Digital content available includes: a comprehensive introductory astronomy textbook by Chris Impey, Wikipedia astronomy articles, images from Astronomy Picture of the Day archives and AstroPix database, two to three minute topical video clips by Chris Impey, podcasts from 365 Days of Astronomy archives, and an RSS feed of astronomy news from Science Daily. Teach Astronomy features an original technology called the Wikimap to cluster, display, and navigate site search results. Motivation behind the development of Teach Astronomy includes steep increases in textbook prices, the rapid adoption by students and the public of digital resources, and the modern capabilities of digital technology. Recent additions to Teach Astronomy include: AstroPix images—from some of the most advanced observatories and complete with metadata, mobile device functionality, links to WikiSky where users can see the location of astronomical objects in the sky, and end of chapter textbook review questions. Next in line for development are assignments for classroom use. We present suggestions for utilizing the rich content and features of the web site.

  7. Beyond likes and tweets: an in-depth look at the physician social media landscape.

    PubMed

    Fogelson, Nicholas S; Rubin, Zarya A; Ault, Kevin A

    2013-09-01

    Social networking sites are a popular way for physicians to communicate about clinical, professional, and social topics. These sites can be used for educational purposes, professional interaction, and for general discussion. There are many popular sites oriented toward health care professionals, each with their own functionality and style. We reviewed the top physician-oriented networking sites, as well as popular general social networking sites that can be used for physician communication. We also provide background on social media communication, as well as specific advice for online physician communication and a discussion of confidentiality.

  8. Methemoglobinemia Secondary to Topical Benzocaine Application to Gastrostomy Site.

    PubMed

    Lipton, Matthew; Szlam, Sarah M; Barker, Kim; Benitez, John G

    2016-05-01

    Benzocaine is a common topical anesthetic that has the ability to induce methemoglobinemia (MetHgb) in large doses. We describe a 4-year-old girl who received a standard dose of topical benzocaine to her gastrostomy mucosa that resulted in rapid, severe MetHgb. She required intubation, mechanical ventilation, and multiple doses of methylene blue for treatment. The resultant tissue hypoxia from MetHgb caused profound confusion, cyanosis, and myocardial infarction. Although the patient did not sustain any permanent disability, this case demonstrates the need for emergency providers to rapidly identify and treat MetHgb to reverse tissue hypoxia and prevent long-term sequelae.

  9. Guidelines and standard procedures for studies of ground-water quality; selection and installation of wells, and supporting documentation

    USGS Publications Warehouse

    Lapham, W.W.; Wilde, F.D.; Koterba, M.T.

    1997-01-01

    This is the first of a two-part report to document guidelines and standard procedures of the U.S. Geological Survey for the acquisition of data in ground-water-quality studies. This report provides guidelines and procedures for the selection and installation of wells for water-quality studies/*, and the required or recommended supporting documentation of these activities. Topics include (1) documentation needed for well files, field folders, and electronic files; (2) criteria and information needed for the selection of water-supply and observation wells, including site inventory and data collection during field reconnaissance; and (3) criteria and preparation for installation of monitoring wells, including the effects of equipment and materials on the chemistry of ground-water samples, a summary of drilling and coring methods, and information concerning well completion, development, and disposition.

  10. Emerging Environmental Justice Issues in Nuclear Power and Radioactive Contamination

    PubMed Central

    Kyne, Dean; Bolin, Bob

    2016-01-01

    Nuclear hazards, linked to both U.S. weapons programs and civilian nuclear power, pose substantial environment justice issues. Nuclear power plant (NPP) reactors produce low-level ionizing radiation, high level nuclear waste, and are subject to catastrophic contamination events. Justice concerns include plant locations and the large potentially exposed populations, as well as issues in siting, nuclear safety, and barriers to public participation. Other justice issues relate to extensive contamination in the U.S. nuclear weapons complex, and the mining and processing industries that have supported it. To approach the topic, first we discuss distributional justice issues of NPP sites in the U.S. and related procedural injustices in siting, operation, and emergency preparedness. Then we discuss justice concerns involving the U.S. nuclear weapons complex and the ways that uranium mining, processing, and weapons development have affected those living downwind, including a substantial American Indian population. Next we examine the problem of high-level nuclear waste and the risk implications of the lack of secure long-term storage. The handling and deposition of toxic nuclear wastes pose new transgenerational justice issues of unprecedented duration, in comparison to any other industry. Finally, we discuss the persistent risks of nuclear technologies and renewable energy alternatives. PMID:27420080

  11. Honey compared with silver sulphadiazine in the treatment of superficial partial-thickness burns.

    PubMed

    Malik, Kamran Ishaque; Malik, M A Nasir; Aslam, Azhar

    2010-10-01

    Burn injury is associated with a high incidence of death and disability; yet, its management remains problematic and costly. We conducted this clinical study to evaluate the efficacy of honey in the treatment of superficial and partial-thickness burns covering less than 40% of body surface area and compared its results with those of silver sulphadiazine (SSD). In this randomised comparative clinical trial, carried out Burn Center of POF Hospital, Wah Cantt, Pakistan, from May 2007 to February 2008, 150 patients of all ages having similar types of superficial and partial-thickness burns at two sites on different parts of body were included. Each patient had one burn site treated with honey and one treated with topical SSD, randomly. The rate of re-epithelialization and healing of superficial and partial-thickness burns was significantly faster in the sites treated with honey than in the sites treated with SSD (13·47 ± 4·06 versus 15·62 ± 4·40 days, respectively: P < 0·0001). The site treated with honey healed completely in less than 21 days versus 24 days for the site treated with SSD. Six patients had positive culture for Pseudomonas aeroginsa in honey-treated site, whereas 27 patients had positive culture in SSD-treated site. The results clearly showed greater efficacy of honey over SSD cream for treating superficial and partial-thickness burns. 2010 The Authors. Journal Compilation © 2010 Blackwell Publishing Ltd and Medicalhelplines.com Inc.

  12. Environmental Justice

    EPA Pesticide Factsheets

    This site provides EJ policy, information resources, compliance and enforcement data tools and community outreach activities. Additional topics are grants and program info documents, federal advisory committee and interagency working group activities.

  13. ORD'S ORGANIZATION AND HOW IT IS FUNDED. OVERVIEW OF SCIENTIST-TO-SCIENTIST MINING (TOPICS, OUTCOMES, MAJOR OUTCOMES). FOLLOW-UP ACTION ITEMS.

    EPA Science Inventory

    This discussion was geered to mining experts and discussed mixed ownership sites, ecological risk ssessments, Good Sam Legislation, and lessons learned on Superfund Sites. An overview of ORD was also presented as well as a dicussion on funding, and the purpose of scientist-to-sc...

  14. Development of a subspecialty cardiology curriculum for paediatric registrars in Malawi: Implementation of a long-distance hybrid model.

    PubMed

    Newberry, Laura; Kennedy, Neil; Greene, Elizabeth A

    2016-06-01

    Malawi has a high burden of paediatric cardiac disease but a limited number of health providers familiar with these chronic diseases. Given the rising number of Malawian postgraduate paediatric trainees at the University of Malawi College of Medicine, we sought to remedy this lack of basic cardiology training with a long-distance, module-based curriculum that could be utilised independently, as needed, with on-site teaching. We also wished to evaluate the initial modules for utility and improvement in knowledge and confidence in each topic. After an initial site visit to determine curriculum needs, online modules with interactive evaluations and quizzes were developed by a paediatric cardiologist in the United States, in collaboration with paediatric registrar training directors in Malawi. This online interactive curriculum was followed by several site visits to Malawi, by the United States-based paediatric cardiologist, to provide bedside teaching, case-based discussions and hands-on skill training in cardiac ultrasound and electrocardiogram interpretation. Evaluation of the curriculum model included post-module quizzes on cardiac topics as well as registrar self-assessments regarding confidence in content areas. The average post-module quiz score was 93.6%. Repeat testing with the same questions four months later yielded an average score of 78%, with a range from 60 to 100%. Pre- and post-module registrar self-assessment regarding confidence in content areas showed a substantial gain in knowledge and confidence mean. In their qualitative feedback, registrars noted that the modules were helpful in studying for their certifying examinations, and all four of the registrars sitting Part I of their Malawian and South African paediatric certifying examinations passed. Our innovative hybrid approach, combining online educational modules with in-person teaching visits, is a useful approach in expanding paediatric cardiology subspecialty education in Malawi.

  15. Recent activity in the moon; Proceedings of the Special Symposium, Houston, Tex., March 16, 1976

    NASA Technical Reports Server (NTRS)

    Runcorn, S. K.; Oreilly, W.; Srnka, L. J.

    1977-01-01

    The papers review evidence for recent activity within the moon as manifested by lunar grid system, transient phenomena, moonquakes, and episodic emissions of radiogenic gases. Topics include a survey of lunar transient phenomena, possible causes of such phenomena, evidence that high-frequency seismic events may be shallow moonquakes, lunar seismicity and tectonics, a hypothesis on the nature of sites of lunar gas venting, and a search for sporadic gas emissions from the moon. Other contributions discuss the release of radiogenic argon-40 from the moon, radon-222 emission as an indicator of current activity on the moon, upper limits to gas emission from sites of lunar transient phenomena, physical processes that could produce transient changes on the lunar surface, critical-velocity gas-plasma interaction as a mechanism for lunar transient phenomena, and tidal triggering of moonquakes, transient phenomena, and radiogenic-gas emissions.

  16. Taking the liability out of contaminated property transactions

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

    Ayers, K.W.; Taylor, R.J.

    Brownfield redevelopment has been one of the hottest environmental topics for the past several years. However, brownfields are only a small segment of the contaminated property transaction market that includes the sale of real estate, signing of leases, and mergers and acquisitions that involve the transfer of property impacted by environmental contamination. Historic site pollution creates problems due to strict, joint and several, and retroactive liability imposed by environmental laws. In response to the interest in contaminated properties, the environmental insurance industry has developed a number of products that cap the remediation costs and supplement or in many instances replacemore » indemnity agreements. These insurance products allow buyers, sellers, and remediation contractors to cap remediation costs, provide long-term warranties, manage balance sheet liabilities, and even allow PRPs to walk away from site cleanup and long-term operation and maintenance obligations.« less

  17. An Advanced Professional Pharmacy Experience in a Community Setting Using an Experiential Manual

    PubMed Central

    Lee, Karen W.; Machado, Matthew R.; Wenzel, Marie M.; Gagnon, James M.; Calomo, Joseph M.

    2006-01-01

    Objectives To determine the usefulness of a teaching and learning tool used to create structure for advanced pharmacy practice experiences (APPEs) in community pharmacy settings, and to identify differences between respondents' perspectives on the relevance and practicality of implementing specific community pharmacy-related topics during the experience. Design Community practice faculty members designed a manual that outlined a week-by-week schedule of student activities, consistent with the Center for the Advancement of Pharmaceutical Education (CAPE) outcome-based goals, and included associated teaching, documentation, and assessment tools. The manual was distributed to site preceptors and students. Assessment Eighty-six PharmD students responded to a questionnaire upon completion of their community APPE. Student feedback concerning the impact of the manual relative to interactions with site preceptors and their overall learning experience was relatively positive. Conclusion The manual was an effective teaching and learning tool for students completing a community APPE. PMID:17149421

  18. Covering Climate Change in Wikipedia

    NASA Astrophysics Data System (ADS)

    Arritt, R. W.; Connolley, W.; Ramjohn, I.; Schulz, S.; Wickert, A. D.

    2010-12-01

    The first hit in an internet search for "global warming" using any of the three leading search engines (Google, Bing, or Yahoo) is the article "Global warming" in the online encyclopedia Wikipedia. The article garners about half a million page views per month. In addition to the site's visibility with the public, Wikipedia's articles on climate-related topics are widely referenced by policymakers, media outlets, and academia. Despite the site's strong influence on public understanding of science, few geoscientists actively participate in Wikipedia, with the result that the community that edits these articles is mostly composed of individuals with little or no expertise in the topic at hand. In this presentation we discuss how geoscientists can help shape public understanding of science by contributing to Wikipedia. Although Wikipedia prides itself on being "the encyclopedia that anyone can edit," the site has policies regarding contributions and behavior that can be pitfalls for newcomers. This presentation is intended as a guide for the geoscience community in contributing to information about climate change in this widely-used reference.

  19. Growing Diversity in Space Weather and Climate Change Research

    NASA Astrophysics Data System (ADS)

    Johnson, L. P.; Ng, C.; Marchese, P.; Austin, S.; Frost, J.; Cheung, T. D.; Robbins, I.; Carlson, B. E.; Steiner, J. C.; Tremberger, G.; Paglione, T.; Damas, C.; Howard, A.; Scalzo, F.

    2013-12-01

    Space Weather and Global Climate Impacts are critical items on the present national and international science agendas. Understanding and forecasting solar activity is increasingly important for manned space flight, unmanned missions (including communications satellites, satellites that monitor the space and earth environment), and regional power grids. The ability to predict the effects of forcings and feedback mechanisms on global and local climate is critical to survival of the inhabitants of planet Earth. It is therefore important to motivate students to continue their studies via advanced degrees and pursue careers related to these areas. This CUNY-based initiative, supported by NASA and NSF, provided undergraduate research experience for more than 70 students in topics ranging from urban impacts of global climate change to magnetic rope structure, solar flares and CMEs. Other research topics included investigations of the ionosphere using a CubeSat, stratospheric aerosols in Jupiter's atmosphere, and ocean climate modeling. Mentors for the primarily summer research experiences included CUNY faculty, GISS and GSFC scientists. Students were recruited from CUNY colleges as well as other colleges including Spelman, Cornell, Rutgers and SUNY colleges. Fifty-eight percent of the undergraduate students were under-represented minorities and thirty-four percent were female. Many of the research teams included high school teachers and students as well as graduate students. Supporting workshops for students included data analysis and visualization tools, space weather, planetary energy balance and BalloonSats. The project is supported by NASA awards NNX10AE72G and NNX09AL77G, and NSF REU Site award 0851932.

  20. A primer in lunar geology

    NASA Technical Reports Server (NTRS)

    Greeley, R. (Editor); Schultz, P. H. (Editor)

    1974-01-01

    Primary topics in lunar geology range from the evolution of the solar system to lunar photointerpretation, impact crater formation, and sampling to analyses on various Apollo lunar landing site geomorphologies.

  1. Measurement Sets and Sites Commonly Used for Characterization

    NASA Technical Reports Server (NTRS)

    Pagnutti, Mary; Holekamp, Kara; Ryan, Robert; Sellers, Richard; Davis, Bruce; Zanoni, Vicki

    2002-01-01

    Scientists at NASA's Earth Science Applications Directorate are creating a well-characterized Verification & Validation (V&V) site at the Stennis Space Center. This site enables the in-flight characterization of remote sensing systems and the data they acquire. The data are predominantly acquired by commercial, high spatial resolution satellite systems, such as IKONOS and QuickBird 2, and airborne systems. The smaller scale of these newer high resolution remote sensing systems allows scientists to characterize the geometric, spatial, and radiometric data properties using a single V&V site. The targets and techniques used to characterize data from these newer systems can differ significantly from the techniques used to characterize data from the earlier, coarser spatial resolution systems. Scientists are also using the SSC V&V site to characterize thermal infrared systems and active LIDAR systems. SSC employs geodetic targets, edge targets, radiometric tarps, and thermal calibration ponds to characterize remote sensing data products. This paper presents a proposed set of required measurements for visible through long-wave infrared remote sensing systems and a description of the Stennis characterization. Other topics discussed include: 1) The use of ancillary atmospheric and solar measurements taken at SSC that support various characterizations; 2) Additional sites used for radiometric, geometric, and spatial characterization in the continental United States; 3) The need for a standardized technique to be adopted by CEOS and other organizations.

  2. Quality of prostate cancer screening information on the websites of nationally recognized cancer centers and health organizations.

    PubMed

    Manole, Bogdan-Alexandru; Wakefield, Daniel V; Dove, Austin P; Dulaney, Caleb R; Marcrom, Samuel R; Schwartz, David L; Farmer, Michael R

    2017-12-24

    The purpose of this study was to survey the accessibility and quality of prostate-specific antigen (PSA) screening information from National Cancer Institute (NCI) cancer center and public health organization Web sites. We surveyed the December 1, 2016, version of all 63 NCI-designated cancer center public Web sites and 5 major online clearinghouses from allied public/private organizations (cancer.gov, cancer.org, PCF.org, USPSTF.org, and CDC.gov). Web sites were analyzed according to a 50-item list of validated health care information quality measures. Web sites were graded by 2 blinded reviewers. Interrater agreement was confirmed by Cohen kappa coefficient. Ninety percent of Web sites addressed PSA screening. Cancer center sites covered 45% of topics surveyed, whereas organization Web sites addressed 70%. All organizational Web pages addressed the possibility of false-positive screening results; 41% of cancer center Web pages did not. Forty percent of cancer center Web pages also did not discuss next steps if a PSA test was positive. Only 6% of cancer center Web pages were rated by our reviewers as "superior" (eg, addressing >75% of the surveyed topics) versus 20% of organizational Web pages. Interrater agreement between our reviewers was high (kappa coefficient = 0.602). NCI-designated cancer center Web sites publish lower quality public information about PSA screening than sites run by major allied organizations. Nonetheless, information and communication deficiencies were observed across all surveyed sites. In an age of increasing patient consumerism, prospective prostate cancer patients would benefit from improved online PSA screening information from provider and advocacy organizations. Validated cancer patient Web educational standards remain an important, understudied priority. Copyright © 2018. Published by Elsevier Inc.

  3. Repeat 24-hour recalls and locally developed food composition databases: a feasible method to estimate dietary adequacy in a multi-site preconception maternal nutrition RCT

    PubMed Central

    Lander, Rebecca L.; Hambidge, K. Michael; Krebs, Nancy F.; Westcott, Jamie E.; Garces, Ana; Figueroa, Lester; Tejeda, Gabriela; Lokangaka, Adrien; Diba, Tshilenge S.; Somannavar, Manjunath S.; Honnayya, Ranjitha; Ali, Sumera A.; Khan, Umber S.; McClure, Elizabeth M.; Thorsten, Vanessa R.; Stolka, Kristen B.

    2017-01-01

    ABSTRACT Background: Our aim was to utilize a feasible quantitative methodology to estimate the dietary adequacy of >900 first-trimester pregnant women in poor rural areas of the Democratic Republic of the Congo, Guatemala, India and Pakistan. This paper outlines the dietary methods used. Methods: Local nutritionists were trained at the sites by the lead study nutritionist and received ongoing mentoring throughout the study. Training topics focused on the standardized conduct of repeat multiple-pass 24-hr dietary recalls, including interview techniques, estimation of portion sizes, and construction of a unique site-specific food composition database (FCDB). Each FCDB was based on 13 food groups and included values for moisture, energy, 20 nutrients (i.e. macro- and micronutrients), and phytate (an anti-nutrient). Nutrient values for individual foods or beverages were taken from recently developed FAO-supported regional food composition tables or the USDA national nutrient database. Appropriate adjustments for differences in moisture and application of nutrient retention and yield factors after cooking were applied, as needed. Generic recipes for mixed dishes consumed by the study population were compiled at each site, followed by calculation of a median recipe per 100 g. Each recipe’s nutrient values were included in the FCDB. Final site FCDB checks were planned according to FAO/INFOODS guidelines. Discussion: This dietary strategy provides the opportunity to assess estimated mean group usual energy and nutrient intakes and estimated prevalence of the population ‘at risk’ of inadequate intakes in first-trimester pregnant women living in four low- and middle-income countries. While challenges and limitations exist, this methodology demonstrates the practical application of a quantitative dietary strategy for a large international multi-site nutrition trial, providing within- and between-site comparisons. Moreover, it provides an excellent opportunity for local capacity building and each site FCDB can be easily modified for additional research activities conducted in other populations living in the same area. PMID:28469549

  4. Nanostructured lipid carriers-based flurbiprofen gel after topical administration: acute skin irritation, pharmacodynamics, and percutaneous absorption mechanism.

    PubMed

    Song, Aihua; Su, Zhen; Li, Sanming; Han, Fei

    2015-01-01

    In order to assess the preliminary safety and effectiveness of nanostructured lipid carriers-based flurbiprofen gel (FP NLC-gel), the acute irritation test, in vivo pharmacodynamics evaluation and pharmacokinetic study were investigated after topical application. No dropsy and erythema were observed after continuous dosing 7 d of FP NLC-gel on the rabbit skin, and the xylene-induced ear drossy could be inhibited by FP NLC-gel at different dosages. The maximum concentration of FP in rats muscle was 2.03 μg/g and 1.55 μg/g after oral and topical administration, respectively. While the peak concentration in untreated muscle after topical administration was only 0.37 μg/mL. And at any time, following topical administration the mean muscle-plasma concentration ratio Cmuscle/CPlasma was obviously higher than that following oral administration. Results indicated that FP could directly penetrate into the subcutaneous muscle tissue from the administration site. Thus, the developed FP NLC-gel could be a safe and effective vehicle for topical delivery of FP.

  5. Wind energy utilization: A bibliography

    NASA Technical Reports Server (NTRS)

    1975-01-01

    Bibliography cites documents published to and including 1974 with abstracts and references, and is indexed by topic, author, organization, title, and keywords. Topics include: Wind Energy Potential and Economic Feasibility, Utilization, Wind Power Plants and Generators, Wind Machines, Wind Data and Properties, Energy Storage, and related topics.

  6. Environmental site description for a Uranium Atomic Vapor Laser Isotope Separation (U-AVLIS) production plant at the Oak Ridge Gaseous Diffusion Plant Site

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

    Not Available

    1991-09-01

    In January 1990, the Secretary of Energy approved a plan for the demonstration and deployment of the Uranium Atomic Vapor Laser Isotope Separation (U-AVLIS) technology, with the near-term goal to provide the necessary information to make a deployment decision by November 1992. The U-AVLIS process is based on electrostatic extraction of photoionized U-235 atoms from an atomic vapor stream created by electron-beam vaporization of uranium metal alloy. A programmatic document for use in screening DOE sites to locate the U-AVLIS production plant was developed and implemented in two parts (Wolsko et al. 1991). The first part consisted of a seriesmore » of screening analyses, based on exclusionary and other criteria, that identified a reasonable number of candidate sites. These sites were then subjected to a more rigorous and detailed comparative analysis for the purpose of developing a short list of reasonable alternative sites for later environmental examination. This environmental site description (ESD) provides a detailed description of the ORGDP site and vicinity suitable for use in an environmental impact statement (EIS). The report is based on existing literature, data collected at the site, and information collected by Argonne National Laboratory (ANL) staff during a site visit. The organization of the ESD is as follows. Topics addressed in Sec. 2 include a general site description and the disciplines of geology, water resources, biotic resources, air resources, noise, cultural resources, land use, socioeconomics, and waste management. Identification of any additional data that would be required for an EIS is presented in Sec. 3. Following the site description and additional data requirements, Sec. 4 provides a short, qualitative assessment of potential environmental issues. 37 refs., 20 figs., 18 tabs.« less

  7. Efficacy and Safety of Topical Rapamycin in Patients With Facial Angiofibromas Secondary to Tuberous Sclerosis Complex: The TREATMENT Randomized Clinical Trial.

    PubMed

    Koenig, Mary Kay; Bell, Cynthia S; Hebert, Adelaide A; Roberson, Joan; Samuels, Joshua A; Slopis, John M; Tate, Patti; Northrup, Hope

    2018-05-23

    Facial angiofibromas occur in approximately 75% of individuals with tuberous sclerosis complex (TSC), causing substantial morbidity and disfigurement. Current therapies are partially effective, uncomfortable, produce scarring, and need repeating to treat recurrence. To evaluate the efficacy and safety of topical rapamycin for TSC-related facial angiofibromas. This prospective, multicenter, randomized, double-blind, vehicle-controlled trial with 6 monthly clinic visits enrolled 179 patients with TSC-related facial angiofibromas not treated within 6 months from May 2012 to March 2014 in 9 clinical sites in the United States and 1 in Australia. Patients were randomized (1:1:1) to topical formulation containing 0.3 g per 30 g (1%) rapamycin, 0.03 g per 30 g (0.1%) rapamycin, or vehicle alone. Participants applied 1.0 mL to designated areas daily at bedtime. Angiofibroma Grading Scale (AGS) change from baseline scored from photographs by independent masked dermatologists. Safety analyses included adverse events (AEs) and serum rapamycin levels. All 179 patients randomized (99 [55.3%] female) comprised the primary analysis population (59 in the 1% rapamycin group, 63 in the 0.1% rapamycin group, and 57 in the vehicle-only group). The mean age was 20.5 years (range 3-61 years). Clinically meaningful and statistically significant improvement in facial angiofibromas was observed for both 1% and 0.1% rapamycin relative to the vehicle-only control group, and for 1% vs 0.1% rapamycin, with most of the improvement realized within the first month. At 6 months, AGS mean improvement for 1% rapamycin was 16.7 points compared with 11.0 for 0.1% rapamycin and 2.1 points for vehicle only (P < .001 for 1% and 0.1% vs vehicle only). Compared with baseline, end-of-treatment photos were rated "better" for 81.8% of patients in the 1% rapamycin group, compared with 65.5% for those in the 0.1% rapamycin group and 25.5% for those in the vehicle-only group (P < .001, all 3 pairwise comparisons). Topical rapamycin was generally well-tolerated, with no measurable systemic absorption. Apparent drug-related adverse effects were limited to 10% or less incidence of application site discomfort and/or pain, pruritus, erythema, and irritation. Nearly all AEs were mild, with no drug-related moderate, severe, or serious events. Topical rapamycin appears effective and safe for treatment of TSC-related facial angiofibromas. In this trial, the preferred dose was 1% once daily. Future studies are needed to evaluate prophylactic, early, and long-term use of topical rapamycin, durability of response, and combination therapy with oral mammalian target of rapamycin (mTOR) inhibitors. ClinicalTrials.gov Identifier: NCT01526356.

  8. Topical botulinum toxin.

    PubMed

    Collins, Ashley; Nasir, Adnan

    2010-03-01

    Nanotechnology is a rapidly growing discipline that capitalizes on the unique properties of matter engineered on the nanoscale. Vehicles incorporating nanotechnology have led to great strides in drug delivery, allowing for increased active ingredient stability, bioavailability, and site-specific targeting. Botulinum toxin has historically been used for the correction of neurological and neuromuscular disorders, such as torticollis, blepharospasm, and strabismus. Recent dermatological indications have been for the management of axillary hyperhydrosis and facial rhytides. Traditional methods of botulinum toxin delivery have been needle-based. These have been associated with increased pain and cost. Newer methods of botulinum toxin formulation have yielded topical preparations that are bioactive in small pilot clinical studies. While there are some risks associated with topical delivery, the refinement and standardization of delivery systems and techniques for the topical administration of botulinum toxin using nanotechnology is anticipated in the near future.

  9. The effect of timolol maleate on the disruption of the blood-aqueous barrier in the rabbit eye

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

    Holmdahl, G.; Bengtsson, E.

    1981-06-01

    A disruption of the blood-aqueous barrier in rabbit eyes was elicited by use of topical prostaglandin E2(PGE2), infrared irradiation of the iris, or by subcutaneous alpha-melanocyte-stimulating hormone (alpha-MSH). The aqueous flare provoked was measured quantitatively with a photoelectric instrument. The effect of the (topical) beta-adrenergic antagonist timolol maleate on the breakdown of the blood-aqueous barrier was tested. Timolol applied topically in very large doses had no effect on exogenously administered PGE2. However, even in a very small concentration applied topically, timolol reduced the flare response to both infrared irradiation and alpha-MSH. These results support the theory that the effect ofmore » alpha-MSH and infrared irradiation on the blood-aqueous barrier is dependent on intact beta-adrenergic receptor sites.« less

  10. Saving home energy

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

    Synder, R.

    1977-01-01

    Guidelines for organizing and conducting a passive solar energy and a hands-on energy conservation workshop are presented in handbook format. The guidelines formed the organizational basis of a Saving Home Energy' workshop sponsored by the Colorado Solar Energy Association. The workshop was divided into sessions on cost-effective information in energy conservation, skills and tools required for home heat conservation, on-site instruction in basic home energy conservation, and dissemination of information on passive solar energy applications. Fundraising schemes for financing the workshop are described, and local businesses that may be approached for monetary and material donations are identified. Guidelines and checklistsmore » are presented for workshop registration, publicity, location arrangements, and methods for retaining qualified instructors to run the workshops. Timetables are included for scheduling organization jobs and deadlines, sample fundraising, instructor invitation, thank-you letters, and a questionnaire are reproduced. The formats, objectives, problems, topics, information, and conclusions for each of the four sessions are outlined. Materials required for the on-site work session are listed and methods for selecting on-site locations are reviewed.« less

  11. Space rescue system definition (system performance analysis and trades)

    NASA Astrophysics Data System (ADS)

    Housten, Sam; Elsner, Tim; Redler, Ken; Svendsen, Hal; Wenzel, Sheri

    This paper addresses key technical issues involved in the system definition of the Assured Crew Return Vehicle (ACRV). The perspective on these issues is that of a prospective ACRV contractor, performing system analysis and trade studies. The objective of these analyses and trade studies is to develop the recovery vehicle system concept and top level requirements. The starting point for this work is the definition of the set of design missions for the ACRV. This set of missions encompasses three classes of contingency/emergency (crew illness/injury, space station catastrophe/failure, transportation element catastrophe/failure). The need is to provide a system to return Space Station crew to Earth quickly (less than 24 hours) in response to randomly occurring contingency events over an extended period of time (30 years of planned Space Station life). The main topics addressed and characterized in this paper include the following: Key Recovery (Rescue) Site Access Considerations; Rescue Site Locations and Distribution; Vehicle Cross Range vs Site Access; On-orbit Loiter Capability and Vehicle Design; and Water vs. Land Recovery.

  12. Group Discussion Topics. Revised Edition.

    ERIC Educational Resources Information Center

    Area Education Agency 7, Cedar Falls, IA.

    A collection of group disussion topics, developed and field-tested by a group of Iowa teachers, is presented in this guide. Twenty-eight topics for K-6 students, 24 topics for K-12 students, and 7 topics for students in grades 7-12 are included. Warm-up activities are given for introducing some of the topics, and lists of questions to provoke…

  13. Low-Dose Topical 5-Aminolevulinic Acid Photodynamic Therapy in the Treatment of Different Severity of Acne Vulgaris.

    PubMed

    Tao, Shi-Qin; Li, Fei; Cao, Lei; Xia, Ru-Shan; Fan, Hua; Fan, Ying; Sun, Hui; Jing, Cheng; Yang, Li-Jia

    2015-12-01

    The objective of this article is to investigate the effectiveness and safety of photodynamic therapy (PDT) with 3.6 % topical aminolevulinic acid (ALA) and a short incubation time with red light in moderate to severe acne. One hundred and thirty-six patients with moderate to severe acne were treated with 3.6 % topical ALA-PDT for three sessions with an interval of 2 weeks. Patients were evaluated for efficacy and safety on week 2, 4, 6, 8, and 12 after the initial treatment. Most patients showed apparent clearance of acne lesions at the treated site after three sessions. The effective treatment rates were increased after the multiple therapies. The clinical outcomes are the best at 4 weeks after the final treatment. The total effectiveness rate and cure rate of the low-dose ALA-PDT procedure is 92.65 and 47.06 %, respectively. Thirty-one patients and nineteen patients showed apparent exacerbation of acne lesions before the 2nd and 3rd treatment, respectively, but all of them showed good or excellent improvement after a three-course treatment. A few patients showed mild relapse including papules and comedos at 8 weeks after the final treatment. No significant differences are found in the effects of different acne severity and different genders. Adverse reactions are mild and transient. A 3.6 % topical ALA-PDT with a short time incubation with red light is a simple and an effective treatment option for moderate to severe acne with mild side effects in Chinese people.

  14. Localized neuropathic pain: an expert consensus on local treatments

    PubMed Central

    Pickering, Gisèle; Martin, Elodie; Tiberghien, Florence; Delorme, Claire; Mick, Gérard

    2017-01-01

    Background Pain localization is one of the hallmarks for the choice of first-line treatment in neuropathic pain. This literature review has been conducted to provide an overview of the current knowledge regarding the etiology and pathophysiology of localized neuropathic pain (LNP), its assessment and the existing topical pharmacological treatments. Materials and methods Literature review was performed using Medline from 2010 to December 2016, and all studies involving LNP and treatments were examined. A multidisciplinary expert panel of five pain specialists in this article reports a consensus on topical approaches that may be recommended to alleviate LNP and on their advantages in clinical practice. Results Successive international recommendations have included topical 5% lidocaine and 8% capsaicin for LNP treatment. The expert panel considers that these compounds can be a first-line treatment for LNP, especially in elderly patients and patients with comorbidities and polypharmacy. Regulatory LNP indications should cover the whole range of LNP and not be restricted to specific etiologies or sites. Precautions for the use of plasters must be followed cautiously. Conclusion Although there is a real need for more randomized controlled trials for both drugs, publications clearly demonstrate excellent risk/benefit ratios, safety, tolerance and continued efficacy throughout long-term treatment. A major advantage of both plasters is that they have proven efficacy and may reduce the risk of adverse events such as cognitive impairment, confusion, somnolence, dizziness and constipation that are often associated with systemic neuropathic pain treatment and reduce the quality of life. Topical modalities also may be used in combination with other drugs and analgesics with limited drug–drug interactions. PMID:29066862

  15. Rational design of a topical androgen receptor antagonist for the suppression of sebum production with properties suitable for follicular delivery.

    PubMed

    Mitchell, Lorna H; Johnson, Theodore R; Lu, Guang Wei; Du, Daniel; Datta, Kaushik; Grzemski, Felicity; Shanmugasundaram, Veerabahu; Spence, Julie; Wade, Kim; Wang, Zhi; Sun, Kevin; Lin, Kristin; Hu, Lain-Yen; Sexton, Karen; Raheja, Neil; Kostlan, Catherine; Pocalyko, David

    2010-06-10

    A novel nonsteroidal androgen receptor antagonist, (R)-4-(1-benzyl-4,4-dimethyl-2-oxopyrrolidin-3-yloxy)-2-(trifluoromethyl)benzonitrile (1), for the topical control of sebum production is reported. This compound, which is potent, selective, and efficacious in the clinically validated golden Syrian hamster ear animal model, was designed to be delivered to the pilosebaceous unit, the site of action, preferentially by the follicular route.

  16. #CleftProud: A Content Analysis and Online Survey of 2 Cleft Lip and Palate Facebook Groups.

    PubMed

    Stock, Nicola Marie; Martindale, Anna; Cunniffe, Claire

    2018-01-01

    More than 2 billion people worldwide now use social networking sites, with an increasing number of users accessing these sites to obtain health information and engage in emotional support. Yet, investigation of social networking sites in the context of cleft lip and/or palate (CL/P) has been scarce. Real-time data posted during 2 weeks in April 2017 were collected from 2 existing private Facebook groups (hosted by the Cleft Lip and Palate Association United Kingdom) using video screen capture software. The number of posts, comments, unique contributors, and post "likes" was recorded, as well as the type and theme of each post. Data relating to the benefits and challenges of participation in the 2 groups were also collected via an online survey. A content analysis of real-time data identified perioperative care, associated syndromes, and dental health to be particular areas of concern for parents/caregivers. Expectations, experiences, and outcomes of further treatment were key topics of discussion for adults with CL/P. Common benefits of the groups included the ability to connect with others, learn about local events, give and receive emotional support, and obtain quick responses to queries in a semi-anonymous environment. Disadvantages of the groups included a reliance upon opinion rather than medical fact and the frequent use of inappropriate terminology. Social networking sites appear to be a helpful source of health-related information and peer support for the CL/P population, yet closer monitoring of these groups may be required.

  17. Chamomile

    MedlinePlus

    ... anxiety, and gastrointestinal conditions such as upset stomach, gas, and diarrhea. It is also used topically for ... Review . 2007;28(4):e16-e18. German chamomile. Natural Medicines Web site. Accessed at naturalmedicines.therapeuticresearch.com/ ...

  18. Checking Out Cuts, Scratches, and Abrasions

    MedlinePlus

    ... reviewed: January 2015 More on this topic for: Kids ... the Nemours Web site. Note: All information on KidsHealth® is for educational purposes only. For specific medical advice, diagnoses, and ...

  19. 76 FR 30695 - Environmental Management Site-Specific Advisory Board Chairs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-26

    .... ADDRESSES: Aliante Station Hotel, 7300 Aliante Parkway, North Las Vegas, Nevada 89084. FOR FURTHER... Topics and Achievements, [cir] EM Headquarters Budget Update, [cir] EM Headquarters Waste Disposition...

  20. Research Trends in Social Network Sites' Educational Use: A Review of Publications in All SSCI Journals to 2015

    ERIC Educational Resources Information Center

    Akçayir, Gökçe; Akçayir, Murat

    2016-01-01

    In the current study, 247 articles dealing with the use of SNSs (social network sites) in education and published in Social Sciences Citation Index (SSCI) journals up to 2015 were analysed. The articles' demographic (year, learner type, used SNS, major contributing countries, and academic discipline) and topic trends were determined. As a result…

  1. 77 FR 70449 - Medical Device User Fee and Modernization Act; Notice to Public of Web Site Location of Fiscal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-26

    ... of guidance documents that the Center for Devices and Radiological Health (CDRH) is intending to... notice announces the Web site location of the two lists of guidance documents which CDRH is intending to... list. FDA and CDRH priorities are subject to change at any time. Topics on this and past guidance...

  2. Sexuality Education Websites for Adolescents: A Framework-Based Content Analysis.

    PubMed

    Marques, Sara S; Lin, Jessica S; Starling, M Summer; Daquiz, Aubrey G; Goldfarb, Eva S; Garcia, Kimberly C R; Constantine, Norman A

    2015-01-01

    The web has unique potential for adolescents seeking comprehensive sexual health information. As such, it is important to understand the nature, scope, and readability of the content and messaging provided by sexuality educational websites. We conducted a content analysis of 14 sexuality education websites for adolescents, based on the 7 essential components (sexual and reproductive health and HIV, relationships, sexual rights and sexual citizenship, pleasure, violence, diversity, and gender) of the International Planned Parenthood Framework for Comprehensive Sexuality Education. A majority of content across all sites focused on sexual and reproductive health and HIV, particularly pregnancy and STI prevention, and other information about STIs and HIV. No other topic comprised more than 10% of content coverage across a majority of sites. The authors found little discussion of gender issues, sexual rights, sexual diversity, or sexual violence. Most sites provided brief references to sexual pleasure, generally moderated with cautionary words. Language used implied a heterosexual female audience. Reading levels for most sites were above the 9th-grade level, with several at the college level. These findings have implications for enhancing online sexuality education and broadening the coverage of essential topics.

  3. Solar power satellite system definition study, phase 2. Part 1: Midterm briefing

    NASA Technical Reports Server (NTRS)

    1979-01-01

    An overview of the program plan for the Solar Power Satellite Program is given. Progress in the microwave power transmission system is reported. A description is given of the following: (1) launch and recovery site facilities, systems and operations; (2) cargo packaging; (3) earth-to-LEO cargo transportation operations; (4) LEO-to-GEO cargo transportation operations; (5) personnel transportation operations; (6) space vehicles in-space maintenance operations; and (7) SPS maintenance systems and operations. Other topics discussed include GEO base operations, satellite construction operations, intra-base logistics, and GEO base definition. A research and program plan is presented along with cost estimates.

  4. Ecology

    NASA Astrophysics Data System (ADS)

    Ternjej, Ivancica; Mihaljevic, Zlatko

    2017-10-01

    Ecology is a science that studies the mutual interactions between organisms and their environment. The fundamental subject of interest in ecology is the individual. Topics of interest to ecologists include the diversity, distribution and number of particular organisms, as well as cooperation and competition between organisms, both within and among ecosystems. Today, ecology is a multidisciplinary science. This is particularly true when the subject of interest is the ecosystem or biosphere, which requires the knowledge and input of biologists, chemists, physicists, geologists, geographists, climatologists, hydrologists and many other experts. Ecology is applied in a science of restoration, repairing disturbed sites through human intervention, in natural resource management, and in environmental impact assessments.

  5. Sample Return Primer and Handbook

    NASA Technical Reports Server (NTRS)

    Barrow, Kirk; Cheuvront, Allan; Faris, Grant; Hirst, Edward; Mainland, Nora; McGee, Michael; Szalai, Christine; Vellinga, Joseph; Wahl, Thomas; Williams, Kenneth; hide

    2007-01-01

    This three-part Sample Return Primer and Handbook provides a road map for conducting the terminal phase of a sample return mission. The main chapters describe element-by-element analyses and trade studies, as well as required operations plans, procedures, contingencies, interfaces, and corresponding documentation. Based on the experiences of the lead Stardust engineers, the topics include systems engineering (in particular range safety compliance), mission design and navigation, spacecraft hardware and entry, descent, and landing certification, flight and recovery operations, mission assurance and system safety, test and training, and the very important interactions with external support organizations (non-NASA tracking assets, landing site support, and science curation).

  6. Mining and beneficiation: A review of possible lunar applications

    NASA Technical Reports Server (NTRS)

    Chamberlain, Peter G.

    1991-01-01

    Successful exploration of Mars and outer space may require base stations strategically located on the Moon. Such bases must develop a certain self-sufficiency, particularly in the critical life support materials, fuel components, and construction materials. Technology is reviewed for the first steps in lunar resource recovery-mining and beneficiation. The topic is covered in three main categories: site selection; mining; and beneficiation. It will also include (in less detail) in-situ processes. The text described mining technology ranging from simple diggings and hauling vehicles (the strawman) to more specialized technology including underground excavation methods. The section of beneficiation emphasizes dry separation techniques and methods of sorting the ore by particle size. In-situ processes, chemical and thermal, are identified to stimulate further thinking by future researchers.

  7. Community structure in networks

    NASA Astrophysics Data System (ADS)

    Newman, Mark

    2004-03-01

    Many networked systems, including physical, biological, social, and technological networks, appear to contain ``communities'' -- groups of nodes within which connections are dense, but between which they are sparser. The ability to find such communities in an automated fashion could be of considerable use. Communities in a web graph for instance might correspond to sets of web sites dealing with related topics, while communities in a biochemical network or an electronic circuit might correspond to functional units of some kind. We present a number of new methods for community discovery, including methods based on ``betweenness'' measures and methods based on modularity optimization. We also give examples of applications of these methods to both computer-generated and real-world network data, and show how our techniques can be used to shed light on the sometimes dauntingly complex structure of networked systems.

  8. Surge capacity logistics: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement.

    PubMed

    Einav, Sharon; Hick, John L; Hanfling, Dan; Erstad, Brian L; Toner, Eric S; Branson, Richard D; Kanter, Robert K; Kissoon, Niranjan; Dichter, Jeffrey R; Devereaux, Asha V; Christian, Michael D

    2014-10-01

    Successful management of a pandemic or disaster requires implementation of preexisting plans to minimize loss of life and maintain control. Managing the expected surges in intensive care capacity requires strategic planning from a systems perspective and includes focused intensive care abilities and requirements as well as all individuals and organizations involved in hospital and regional planning. The suggestions in this article are important for all involved in a large-scale disaster or pandemic, including front-line clinicians, hospital administrators, and public health or government officials. Specifically, this article focuses on surge logistics-those elements that provide the capability to deliver mass critical care. The Surge Capacity topic panel developed 23 key questions focused on the following domains: systems issues; equipment, supplies, and pharmaceuticals; staffing; and informatics. Literature searches were conducted to identify studies upon which evidence-based recommendations could be made. The results were reviewed for relevance to the topic, and the articles were screened by two topic editors for placement within one of the surge domains noted previously. Most reports were small scale, were observational, or used flawed modeling; hence, the level of evidence on which to base recommendations was poor and did not permit the development of evidence-based recommendations. The Surge Capacity topic panel subsequently followed the American College of Chest Physicians (CHEST) Guidelines Oversight Committee's methodology to develop suggestion based on expert opinion using a modified Delphi process. This article presents 22 suggestions pertaining to surge capacity mass critical care, including requirements for equipment, supplies, and pharmaceuticals; staff preparation and organization; methods of mitigating overwhelming patient loads; the role of deployable critical care services; and the use of transportation assets to support the surge response. Critical care response to a disaster relies on careful planning for staff and resource augmentation and involves many agencies. Maximizing the use of regional resources, including staff, equipment, and supplies, extends critical care capabilities. Regional coalitions should be established to facilitate agreements, outline operational plans, and coordinate hospital efforts to achieve predetermined goals. Specialized physician oversight is necessary and if not available on site, may be provided through remote consultation. Triage by experienced providers, reverse triage, and service deescalation may be used to minimize ICU resource consumption. During a temporary loss of infrastructure or overwhelmed hospital resources, deployable critical care services should be considered.

  9. Topical Vasodilators in Microsurgery: What Is the Evidence?

    PubMed

    Rinkinen, Jacob; Halvorson, Eric G

    2017-01-01

    Background  Topical vasodilators are frequently used during free tissue transfer to prevent and treat vasospasm and microvascular thrombosis. A variety of agents have been studied and are available, yet most microsurgeons select an agent based on anecdotal evidence or personal training. Our aim was to review the literature on topical vasodilators so microsurgeons can make more informed decisions about which agent to use. Methods  A systemic review of the literature was performed on PubMed, EMBASE, and Google Scholar using keywords "topical vasodilator," "antispasmodic," "vasospasm," "free flaps," and "microsurgery." Studies were included if they provided a comparative quantitative assessment of topical vasodilators and were written in English. In vitro, in vivo , and clinical studies were included. Results  A total of 15 studies were identified and included in our analysis. The three most common classes of topical vasodilator include local anesthetics, phosphodiesterase inhibitors, and calcium channel blockers (CCBs). Of the most commonly used topical vasodilators, CCBs (nifedipine and verapamil) were most effective followed by papaverine and lidocaine. Conclusion  The most effective topical vasodilators appear to be CCBs including nifedipine, nicardipine, and verapamil. Evidence suggests that these agents are more effective than papaverine and lidocaine solutions that are commonly used. Future research should directly compare individual CCBs to assess the most effective agent. Studies to date have focused on vessels other than those used by microsurgeons, and therefore further studies specific to these vessels are warranted. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  10. NREL: International Activities - U.S.-China Renewable Energy Industries

    Science.gov Websites

    place in Dunhuang, Gansu Province in China on July 20-21, 2017. Discussion topics included renewable Promote Renewable Energy Deployment." View the agenda and topics, speakers, and presentations. Third MOUs between U.S. and Chinese entities were signed. Topics included concentrating solar power

  11. Smokeless Tobacco Use and Periodontal Health in a Rural Male Population

    PubMed Central

    Chu, Yong H.; Tatakis, Dimitris N.

    2010-01-01

    Background Despite the reported effects of smokeless tobacco (ST) on the periodontium and high prevalence of ST use in rural populations and in men, studies on this specific topic are limited. The purpose of this cross-sectional investigation is to evaluate the periodontal health status of male ST users from a rural population. Methods Adult male residents of two rural Appalachian Ohio counties and daily ST users, with a unilateral mandibular oral ST keratosis lesion, were recruited. Subjects completed a questionnaire and received oral examination. Teeth present, ST keratosis lesion, plaque and gingival index, probing depth (PD), recession depth (RD), and attachment level were recorded. Statistical analysis compared ST-site mandibular teeth (teeth adjacent to the subject’s unilateral ST keratosis lesion) to NST-site teeth (contralateral corresponding teeth). Results This study includes 73 ST users. Recession prevalence is much greater in ST-site quadrants (36%) compared to NST-site quadrants (18%; P <0.001). Twice as many teeth had recession on ST-site (approximately 20%) than NST-site (approximately 10%; P = 0.0001). Average buccal RD on ST-site teeth did not differ from that on the NST-site teeth (P = 0.0875). Although average buccal attachment loss is greater on ST-site teeth (P = 0.016), the mean difference is <0.5 mm. When stratified by years of ST use, subjects using ST for 10 to 18 years exhibit the most differences between ST and NST sites, whereas subjects using ST for <10 years show no differences. Conclusion The results indicate that greater gingival recession prevalence and extent are associated with ST placement site in rural male ST users. PMID:20350155

  12. Milia en plaque of the nose: report of a case and successful treatment with topical tretinoin.

    PubMed

    Nambudiri, Vinod E; Habib, Nancy; Arndt, Kenneth A; Kane, Kay S

    2014-05-01

    Milia are benign, superficial keratinaceous cysts that present as fine, small white papules. Milia en plaque is a rare, challenging-to-treat variant most often seen in the posterior auricular region. A total of 9 cases of milia en plaque have been reported in the pediatric literature to date. We report a case of milia en plaque of the nose in a 7-year-old boy, a novel site of involvement in the pediatric population, and successful treatment with the use of topical tretinoin. Topical retinoids offer an effective treatment option for the management of milia en plaque in the pediatric population. Copyright © 2014 by the American Academy of Pediatrics.

  13. Percutaneous absorption of topically applied DTIC-14C (NSC-45388) in Yorkshire white pigs. Final report, 14 September-14 November 1976

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

    Skierkowski, P.; Murphy, J.C.; Watson, E.S.

    1978-03-01

    The absorption of topically applied DTIC (5-(3,3-dimethyl-1-triazeno) imidazole-4-carboxamide-2-14C) (NSC-45388) was studied in female, weanling, Yorkshire white pigs. After 48 hours, an average of 9.61% of the topically applied dose was excreted in the urine of the test animals. Liver and kidney showed the most consistent uptake of radioactivity with heart and adrenal samples also showing significant uptake. Radioactivity was detected in random muscle samples at 6 hours after application, and in bone after 48 hours. A significant percentage of the applied dose was generally detected at and near the site of application.

  14. Intralesional injection of triamcinolone in the treatment of lichen sclerosus.

    PubMed

    Mazdisnian, F; Degregorio, F; Mazdisnian, F; Palmieri, A

    1999-04-01

    To assess intralesional vulvar injections of triamcinolone as an alternative to using topical treatment. This was an open trial, in eight patients, of intralesional injection of triamcinolone in patients with symptomatic lichen sclerosus who could not use primary topical treatments. The patients' pretreatment and posttreatment clinical symptoms and gross physical findings were reviewed. In some patients pretreatment and posttreatment biopsies were performed. There was a decrease in severity scores in the categories of symptoms and physical findings. In four patients who consented to posttreatment biopsy, there was a decrease in severity scores on histopathologic findings. Intralesional injection of triamcinolone hexacetonide into sites of vulvar lichen sclerosus seems to be an effective alternative to using topical agents.

  15. The effects of topically applied glycolic acid and salicylic acid on ultraviolet radiation-induced erythema, DNA damage and sunburn cell formation in human skin.

    PubMed

    Kornhauser, Andrija; Wei, Rong-Rong; Yamaguchi, Yuji; Coelho, Sergio G; Kaidbey, Kays; Barton, Curtis; Takahashi, Kaoruko; Beer, Janusz Z; Miller, Sharon A; Hearing, Vincent J

    2009-07-01

    alpha-Hydroxy acids (alphaHAs) are reported to reduce signs of aging in the skin and are widely used cosmetic ingredients. Several studies suggest that alphaHA can increase the sensitivity of skin to ultraviolet radiation. More recently, beta-hydroxy acids (betaHAs), or combinations of alphaHA and betaHA have also been incorporated into antiaging skin care products. Concerns have also arisen about increased sensitivity to ultraviolet radiation following use of skin care products containing beta-HA. To determine whether topical treatment with glycolic acid, a representative alphaHA, or with salicylic acid, a betaHA, modifies the short-term effects of solar simulated radiation (SSR) in human skin. Fourteen subjects participated in this study. Three of the four test sites on the mid-back of each subject were treated daily Monday-Friday, for a total of 3.5 weeks, with glycolic acid (10%), salicylic acid (2%), or vehicle (control). The fourth site received no treatment. After the last treatment, each site was exposed to SSR, and shave biopsies from all four sites were obtained. The endpoints evaluated in this study were erythema (assessed visually and instrumentally), DNA damage and sunburn cell formation. Treatment with glycolic acid resulted in increased sensitivity of human skin to SSR, measured as an increase in erythema, DNA damage and sunburn cell formation. Salicylic acid did not produce significant changes in any of these biomarkers. Short-term topical application of glycolic acid in a cosmetic formulation increased the sensitivity of human skin to SSR, while a comparable treatment with salicylic acid did not.

  16. The Effects of Topically Applied Glycolic Acid and Salicylic Acid on Ultraviolet Radiation-Induced Erythema, DNA Damage and Sunburn Cell Formation in Human Skin

    PubMed Central

    Kornhauser, Andrija; Wei, Rong-Rong; Yamaguchi, Yuji; Coelho, Sergio G.; Kaidbey, Kays; Barton, Curtis; Takahashi, Kaoruko; Beer, Janusz Z.; Miller, Sharon A.; Hearing, Vincent J.

    2009-01-01

    Background α-Hydroxy acids (αHA) are reported to reduce signs of aging in the skin and are widely used cosmetic ingredients. Several studies suggest that αHA can increase the sensitivity of skin to ultraviolet radiation. More recently, β-hydroxy acids (βHA), or combinations of αHA and βHA have also been incorporated into antiaging skin care products. Concerns have also arisen about increased sensitivity to ultraviolet radiation following use of skin care products containing β-HA. Objective To determine whether topical treatment with glycolic acid, a representative αHA, or with salicylic acid, a βHA, modifies the short-term effects of solar simulated radiation (SSR) in human skin. Methods Fourteen subjects participated in this study. Three of the four test sites on the mid-back of each subject were treated daily Monday - Friday, for a total of 3.5 weeks, with glycolic acid (10%), salicylic acid (2%), or vehicle (control). The fourth site received no treatment. After the last treatment, each site was exposed to SSR, and shave biopsies from all 4 sites were obtained. The endpoints evaluated in this study were erythema (assessed visually and instrumentally), DNA damage and sunburn cell formation. Results Treatment with glycolic acid resulted in increased sensitivity of human skin to SSR, measured as an increase in erythema, DNA damage and sunburn cell formation. Salicylic acid did not produce significant changes in any of these biomarkers. Conclusions Short-term topical application of glycolic acid in a cosmetic formulation increased the sensitivity of human skin to SSR, while a comparable treatment with salicylic acid did not. PMID:19411163

  17. MED9/368: Health education over Internet: Is there a special way for smaller language groups?

    PubMed Central

    Aru, J

    1999-01-01

    Health education over resources, that use English, German and French language, is a rapidly growing area of medicine within the World Wide Web. Multiple gateways and portal servers have been set up to guide people within the diversity of materials available. For smaller language groups the situation is quite different: there is a lack of information in even the basic medical education topics. The question is: how to fill the missing gaps. Principally two different ways are possible: Translating materials from English, German, French and other "big" language groups. Generating original Internet-based texts for "smaller" language group When using the first, possibility of problems related to copyright and proper translating occur. When using the second approach, the quality of materials could suffer. As an example, the homepage for health education www.doctus.ee is discussed in detail. This homepage includes materials about the health care system, basic health topics, main diseases and also a questionnaire for consulting one's health problems with a doctor. A year's experience running this health education Web site in Estonian has brought to following conclusions: For translations a link for originals should be included. With original Estonian texts copyright questions are frequent. Guidance is frequently needed for translated texts. Health consultations over Internet should be legally regulated

  18. An online learning course in Ergonomics.

    PubMed

    Weiss, Patrice L Tamar; Schreuer, Naomi; Jermias-Cohen, Tali; Josman, Naomi

    2004-01-01

    For the past two years, the Department of Occupational Therapy at the University of Haifa has offered an online course to third year occupational therapists on the topic of Ergonomics for Health Care Professionals. The development and implementation of this course was funded by the Israeli Ministry of Education. Unique teaching materials, developed and uploaded to the University's server via "High Learn", included interactive and self-directed documents containing graphics, animations, and video clips. Extensive use was made of the discussion forum and survey tools, and students submitted all assignments online. For the final topic, an expert in ergonomics from Boston University delivered a lecture via two-way videoconferencing. The course site included comprehensive library listings in which all bibliographic materials were made available online. Students accessed course materials at the University in a computer classroom and at home via modem. In an accompanying research study, the frequency of student usage of the various online tools was tracked and extensive data were collected via questionnaires documenting students' demographic background, preferred learning style, prior usage of technology, satisfaction with the course and academic achievement. This paper focuses on the results of the research study that examined how the students responded to and coped with teaching material presented and accessed in this format.

  19. Restoration and revegetation associated with control of saltcedar and Russian olive: Chapter 7

    USGS Publications Warehouse

    Shafroth, Patrick B.; Merritt, David M.; Beauchamp, Vanessa B.; Lair, Kenneth D.

    2010-01-01

    Rationales for controlling or eliminating saltcedar and Russian olive from sites, river reaches, or entire streams include implicit or explicit assumptions that natural recovery or applied restoration of native plant communities will follow exotic plant removal (McDaniel and Taylor, 2003; Quimby and others, 2003). The vegetation that replaces saltcedar and Russian olive after treatment (“replacement vegetation”), with or without restoration actions, strongly influences the extent to which project objectives are successfully met. It is often assumed or implied that saltcedar and Russian olive removal alone is “restoration,” and many reports equate restoration success with areal extent of nonnative plants treated (for example, Duncan and others, 1993). However, removal of nonnative species alone does not generally constitute restoration. In this chapter, the term “restoration” refers to conversion of saltcedar- and Russian olive-dominated sites to a replacement vegetation type that achieves specific management goals and helps return parts of the system to a desired state. The degree to which a site is “restored” following removal of saltcedar or Russian olive typically depends upon a range of factors, such as (1) the site’s potential for restoration (such as extant soil conditions, site hydrology), (2) the direct and indirect effects of removal (for example, mechanical impacts to the site, effects of herbicides on nontarget vegetation), (3) the efficacy of restoration activities (for example, grading, reseeding, pole planting), and (4) the maintenance of processes that support native vegetation and prevent re-colonization by nonnative communities over the long term.This chapter summarizes and synthesizes the published literature on the topic of restoring native riparian vegetation following saltcedar and Russian olive control or removal. Most of the studies reviewed here are from saltcedar removal, revegetation, and river restoration projects in semiarid and arid parts of the Western United States. The paucity of literature on Russian olive prevents thorough evaluation of specific considerations for restoration following Russian olive removal; however, a few field studies are highlighted. Furthermore, the basic principles of restoration following vegetation removal and the considerations and lessons learned from saltcedar case studies are broadly applicable to sites across the Western United States. We begin with a brief discussion of planning and objective setting. Next, we discuss site factors and context, which are important to consider when selecting and prioritizing sites for restoration. We then review and synthesize the literature on restoration approaches and methods or combinations of methods to apply to particular sites. Throughout this chapter, we highlight what is known on the topics of restoring soils, vegetation, and site conditions following nonnative species removal, as well as future research needs.

  20. Graduate Education in a Small Business Environment

    NASA Astrophysics Data System (ADS)

    Bering, E. A., III; Longmier, B.; Giambusso, M.

    2015-12-01

    This paper reports on the issues that confront a professor when supervising graduate students and postdocs whose research work is done on site at a small business. The advantages include relative freedom from having to write proposals; the excitement of working on topics that have clear, direct uses; more extensive engineering support than many students get; and hands on day to day mentoring from the rest of the team. Students get direct instruction in technology transfer and small business processes. The disadvantages include isolation from the rest of the students in your Department and campus life, physical isolation from resources such as the seminar program, library, health center, and other student services. In addition, students who need "introduction to research" practicum instruction in electronics and computer skills will not do well. Finally, care must be taken to avoid including proprietary data in the core argument of the work.

  1. Safety and Health Topics: Asbestos

    MedlinePlus

    ... Website You are exiting the Department of Labor's Web server. The Department of Labor does not endorse, ... the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the ...

  2. 77 FR 16542 - Environmental Management Site-Specific Advisory Board, Hanford

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ...: Red Lion Hotel, 1101 North Columbia Center Boulevard., Kennewick, WA 99336. FOR FURTHER INFORMATION... [cir] Fiscal Years 2013 and 2014 Budget Advice Discussion Topics [cir] Cleanup Budget Priorities [cir...

  3. Tailoring cancer education and support programs for low-income, primarily African American cancer survivors.

    PubMed

    Martin, Michelle Y; Pollack, Lori A; Evans, Mary B; Smith, Judith Lee; Kratt, Polly; Prayor-Patterson, Heather; Watson, Christopher D; Dignan, Mark; Cheney, Lydia C; Pisu, Maria; Liwo, Amandiy; Hullett, Sandral

    2011-01-01

    to identify the information and stress-management topics of most interest to low-income, predominantly African American cancer survivors. descriptive, cross sectional. outpatient oncology clinic in a public hospital in Birmingham, Alabama. 25 patients with cancer; 12 were men, 22 were African Americans, and 16 had a 12th-grade education or less. patients ranked potential topics to be included in an educational curriculum. quantitative rankings of information and stress-management priorities. learning about cancer, understanding cancer treatments, relieving cancer pain, and keeping well in mind and body were the most highly ranked topics among those offered within the American Cancer Society's I Can Cope curriculum, which also included supportive topics such as mobilizing social support. The preferred stress-management topics were humor therapy, music therapy, meditation, and relaxation; lower-ranked topics included pet therapy and art as therapy. cancer survivors appear most interested in topics specific to their illness and treatment versus supportive topics. Stress management also received high rankings. nurses have a key role in providing patient education and support. Tailoring education programs may better target specific needs and improve the quality of cancer care of underserved patients.

  4. Simulations, Games, and Virtual Labs for Science Education: a Compendium and Some Examples

    NASA Astrophysics Data System (ADS)

    Russell, R. M.

    2011-12-01

    We have assembled a list of computer-based simulations, games, and virtual labs for science education. This list, with links to the sources of these resources, is available online. The entries span a broad range of science, math, and engineering topics. They also span a range of target student ages, from elementary school to university students. We will provide a brief overview of this web site and the resources found on it. We will also briefly demonstrate some of our own educational simulations, including the "Very, Very Simple Climate Model", and report on formative evaluations of these resources. Computer-based simulations and virtual labs are valuable resources for science educators in various settings, allowing learners to experiment and explore "what if" scenarios. Educational computer games can motivate learners in both formal and informal settings, encouraging them to spend much more time exploring a topic than they might otherwise be inclined to do. Part of this presentation is effectively a "literature review" of numerous sources of simulations, games, and virtual labs. Although we have encountered several nice collections of such resources, those collections seem to be restricted in scope. They either represent materials developed by a specific group or agency (e.g. NOAA's games web site) or are restricted to a specific discipline (e.g. geology simulations and virtual labs). This presentation directs viewers to games, simulations, and virtual labs from many different sources and spanning a broad range of STEM disciplines.

  5. Long-term safety of crisaborole ointment 2% in children and adults with mild to moderate atopic dermatitis.

    PubMed

    Eichenfield, Lawrence F; Call, Robert S; Forsha, Douglass W; Fowler, Joseph; Hebert, Adelaide A; Spellman, Mary; Stein Gold, Linda F; Van Syoc, Merrie; Zane, Lee T; Tschen, Eduardo

    2017-10-01

    Long-term topical treatment is often required for atopic dermatitis (AD), a chronic inflammatory skin disease. To assess the long-term safety results from a multicenter, open-label, 48-week safety study (AD-303) of patients (N = 517) ≥2 years of age with mild to moderate AD who continued crisaborole treatment, a topical phosphodiesterase-4 inhibitor, after completing a 28-day phase 3 pivotal study (AD-301, AD-302). Global disease severity was assessed in patients every 4 weeks, and if assessed as mild or greater, a 28-day treatment period with crisaborole applied twice daily was initiated. Adverse events (AEs), including treatment-emergent AEs (TEAEs), and serious AEs were analyzed. During the pivotal studies and AD-303, 65% of patients reported ≥1 TEAE, most of which were mild (51.2%) or moderate (44.6%) and considered unrelated to treatment (93.1%). The frequency and severity of TEAEs were consistent. The most frequently reported treatment-related AEs (overall, 10.2%) were dermatitis atopic (3.1%), application-site pain (2.3%), and application-site infection (1.2%). Nine patients (1.7%) discontinued the long-term study because of TEAEs. Long-term efficacy was not analyzed. Crisaborole ointment had a low frequency of treatment-related AEs over 48 weeks of treatment of patients with AD. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  6. FRP : Strengthened RC Structures

    NASA Astrophysics Data System (ADS)

    Teng, J. G.; Chen, J. F.; Smith, S. T.; Lam, L.

    2002-01-01

    The strengthening of reinforced concrete (RC) structures using advanced fibre-reinforced polymer (FRP) composites, and in particular the behaviour of FRP-strengthened RC structures is a topic which has become very popular in recent years. This popularity has arisen due to the need to maintain and upgrade essential infrastructure in all parts of the world, combined with the well-known advantages of FRP composites, such as good corrosion resistance and ease for site handling due to their light weight. The continuous reduction in the material cost of FRP composites has also contributed to their popularity. While a great amount of research now exists in the published literature on this topic, it is scattered in various journals and conference proceedings. This book therefore provides the first ever comprehensive, state-of-the-art summary of the existing research on FRP strengthening of RC structures, with the emphasis being on structural behaviour and strength models. The main topics covered include: Bond behaviour Flexural and shear strengthening of beams Column strengthening Flexural strengthening of slabs. For each area, the methods of strengthening are discussed, followed by a description of behaviour and failure modes and then the presentation of rational design recommendations, for direct use in practical design of FRP strengthening measures. Researchers, practicing engineers, code writers and postgraduate students in structural engineering and construction materials, as well as consulting firms, government departments, professional bodies, contracting firms and FRP material suppliers will find this an invaluable resource.

  7. The efficacy of eutectic mixture of local anesthetics as a topical anesthetic agent used for dental procedures: A brief review

    PubMed Central

    Daneshkazemi, Alireza; Abrisham, Seyyed Mohammad; Daneshkazemi, Pedram; Davoudi, Amin

    2016-01-01

    Dental pain management is one of the most critical aspects of modern dentistry which might affect patient's quality of life. Several methods are suggested to provide a painless situation for patients. Desensitization of the oral site using topical anesthetics is one of those methods. The improvements of topical anesthetic agents are probably one of the most important advances in dental science in the past 100 years. Most of them are safe and can be applied on oral mucosa with minimal irritation and allergic reactions. At present, these agents are various with different potent and indications. Eutectic mixture of local anesthetics (EMLA) (lidocaine + prilocaine) is a commercial anesthetic agent which has got acceptance among dental clinicians. This article provides a brief review about the efficacy of EMLA as a topical anesthetic agent when used during dental procedures. PMID:27746520

  8. Using Facebook Within a Geriatric Pharmacotherapy Course

    PubMed Central

    2010-01-01

    Objective To evaluate using an Internet-based social networking site within an elective geriatric pharmacotherapy course. Design Thirty pharmacy students enrolled in a geriatric pharmacotherapy elective course were invited to join a closed Facebook (Facebook Inc, Palo Alto, CA) group to enhance communication among students and faculty members within the course. Creating a discussion board was the primary activity in the course. Each week, 3 students were assigned to post a healthy aging topic, and other students in the class were expected to post their comments and reactions. The healthy aging topics also were discussed during class. Assessment Students wrote reflections about their experiences using Facebook for the activities within this course. A survey instrument also measured students' opinions about using Facebook for educational purposes. Conclusion Using Facebook allowed students to discuss topics more openly and encouraged classroom discussions of healthy aging topics. PMID:21179256

  9. The efficacy of eutectic mixture of local anesthetics as a topical anesthetic agent used for dental procedures: A brief review.

    PubMed

    Daneshkazemi, Alireza; Abrisham, Seyyed Mohammad; Daneshkazemi, Pedram; Davoudi, Amin

    2016-01-01

    Dental pain management is one of the most critical aspects of modern dentistry which might affect patient's quality of life. Several methods are suggested to provide a painless situation for patients. Desensitization of the oral site using topical anesthetics is one of those methods. The improvements of topical anesthetic agents are probably one of the most important advances in dental science in the past 100 years. Most of them are safe and can be applied on oral mucosa with minimal irritation and allergic reactions. At present, these agents are various with different potent and indications. Eutectic mixture of local anesthetics (EMLA) (lidocaine + prilocaine) is a commercial anesthetic agent which has got acceptance among dental clinicians. This article provides a brief review about the efficacy of EMLA as a topical anesthetic agent when used during dental procedures.

  10. Joint Problems

    MedlinePlus

    ... Help Related Topics Arthritis Join our e-newsletter! Aging & Health A to Z Joint Problems Basic Facts & ... April 2017 Posted: March 2012 © 2018 Health in Aging. All rights reserved. Feedback • Site Map • Privacy Policy • ...

  11. Psychosocial effects of hazardous toxic waste disposal on communities

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

    Peck, D.L.

    1989-01-01

    This book covers the following topics: Community responses to exposure to hazardous wastes; Characteristics of citizen groups which emerge with respect to hazardous waste sites; The technological world-view and environmental planning.

  12. Field studies of Pan troglodytes reviewed and comprehensively mapped, focussing on Japan's contribution to cultural primatology.

    PubMed

    McGrew, William C

    2017-01-01

    Field studies done over decades of wild chimpanzees in East, Central and West Africa have yielded impressive, cumulative findings in cultural primatology. Japanese primatologists have been involved in this advance from the outset, over a wide variety of topics. Here I review the origins and development of field studies of Pan troglodytes, then assess their progress based on analogy between cultural primatology and cultural anthropology, through four stages: natural history, ethnography, ethnology, and intuition. Then, I focus on six topics that continue to yield informative debate: technology, universals, nuanced variation, archaeology, applied primatology, and ecology. Finally, I offer a map of sites of field study of wild chimpanzees. It is clear that Japanese primatologists have made a significant contribution to East-West scientific exchange, especially at the field sites of Bossou and Mahale.

  13. Topical Non-Iontophoretic Application of Acetylcholine and Nitroglycerin via a Translucent Patch: A New Means for Assessing Microvascular Reactivity

    PubMed Central

    Schonberger, Robert B.; Worden, William S.; Shahmohammadi, Kaveh; Menn, Kirsten; Silverman, Tyler J.; Stout, Robert G.; Shelley, Kirk H.; Silverman, David G.

    2007-01-01

    Objective: Assessments of endothelial cell function with acetylcholine have typically used systemic, regional intra-arterial, or iontophoretic delivery of drug. Each of these techniques induces systemic and/or local changes that compromise their safety or effectiveness. Using translucent drug preparations applied under laser Doppler flowmetry (LDF) probes, we tested whether local vasodilation can be induced with non-iontophoretic transdermal delivery of acetylcholine and how such dilation would compare to the dilation achieved with topical nitroglycerin in healthy volunteers. Methods: Ten subjects without known vascular disease were recruited for LDF monitoring at sites of drug application for this preliminary investigation. Topical acetylcholine chloride, nitroglycerin, and placebo were applied via translucent patches to the forehead directly below LDF probes. Results: LDF readings increased by 406 percent (245 percent to 566 percent) and 36 percent (26 percent to 46 percent), respectively, at the acetylcholine and placebo sites (p = .005 by Wilcoxon Signed Rank Test (WSRT) for acetylcholine vs. placebo); and they increased by 365 percent (179 percent to 550 percent) at the nitroglycerin site (p = .005 by WSRT for nitroglycerin vs. placebo; p = .6 vs. acetylcholine). Conclusion: Transdermal delivery of acetylcholine can induce significant local vasodilatory responses comparable to those achieved with nitroglycerin without requiring iontophoresis. The means of transdermal delivery and monitoring described herein may constitute a new minimally invasive way to interrogate the microvasculature and thereby assess the microcirculatory changes induced by various disorders and therapeutic interventions. PMID:17876370

  14. Forest-Site Planning and Prescription for Control of Annosus Root Disease in Ponderosa Pine and Mixed Conifer Stands

    Treesearch

    John Nesbitt

    1989-01-01

    In order to successfully combat pathogens such as annosus root rot, the land manager and pathologist must have periodic dialogue about the pest, its identification, effects, impacts, and cures. The author presents four important topics to structure this dialogue. These are (1) training from the pathologist to the silviculturist or other land manager, (2) site specific...

  15. Give Water a Hand. School Site Action Guide. Organizing Water Conservation and Pollution Prevention Service Projects in Your Community.

    ERIC Educational Resources Information Center

    Wisconsin Univ., Madison. Coll. of Agricultural and Life Sciences.

    Students grades 4-8 can use this guide to explore the topics of water, and water conservation at a school site, while conducting an environmental community service project. Youth groups, led by a group leader, work with local experts from business, government, or environmental organizations to complete the project. Nine activity sections involve…

  16. Productivity and impact of astronomical facilities: Three years of publications and citation rates

    NASA Astrophysics Data System (ADS)

    Trimble, V.; Ceja, J. A.

    2008-07-01

    In calendar years 2001 to 2003, 20 journals of astronomy and astrophysics published 11 831 papers that reported or analyzed observations at wavelengths from meter radio to ultrahigh energy gamma rays. These were cited 161 556 times in the three calendar years following publication, according to the Science Citation Index/Web of Science, for an average of 13.66 citations per paper or 4.55 citations per paper per year. We examine these numbers as a function of subject matter, wavelength bands, journals, and individual telescopes used and explore a small subset of possible temporal trends, anomalies, and sources of uncertainty, including blockbuster journals, papers and facilities. Many of the results resemble qualitative expectations. There are hot topics (cosmology, exoplanets) and not so hot topics (binary stars, planetary nebulae). Papers reporting data from space are cited a bit more often, and ground-based radio papers a bit less often, than optical papers, while multi-wavelength ones do noticeably better than average. The total number of telescopes involved is surprisingly large, approximately 350 optical and infrared (mostly ground-based but including HST because of its long life), 144 radio facilities on about 100 sites (including WMAP and COBE and a few balloon-borne CMB experiments), and 105 space-based detectors (including satellites, interplanetary probes, things carried on rockets, balloons, the Shuttle, and so forth). The outstanding telescopes are generally both stable with time and predictable. HST and the VLA are responsible for the largest number of optical and radio papers respectively, but the most frequently cited optical papers come from SDSS (by a wide margin), Keck, and the AAT, while the JCMT, Parkes and (especially) CMB observatories lead the radio brigade. Among things that fly, leadership changes more quickly, as missions are launched, vigorously exploited, and turned off, sometimes achieving geostationary, suboceanic orbits. If you have a choice, large trumps small, but well-supported sites trump struggling ones by a comparable factor. And service to the community, in the form of catalogues and mission descriptions, is rewarded, at least in citation numbers, if not always in other ways.

  17. The effect of topical diclofenac 3% and calcitriol 3 μg/g on superficial basal cell carcinoma (sBCC) and nodular basal cell carcinoma (nBCC): A phase II, randomized controlled trial.

    PubMed

    Brinkhuizen, Tjinta; Frencken, Kiki J A; Nelemans, Patty J; Hoff, Marlou L S; Kelleners-Smeets, Nicole W J; Zur Hausen, Axel; van der Horst, Michiel P J; Rennspiess, Dorit; Winnepenninckx, Véronique J L; van Steensel, Maurice A M; Mosterd, Klara

    2016-07-01

    Nonsteroidal anti-inflammatory drugs and vitamin-D derivatives can target signaling pathways activated in basal cell carcinoma (BCC). We investigated the efficacy of topically applied diclofenac sodium 3% gel, calcitriol 3 μg/g ointment, and a combination of both in superficial BCC (sBCC) and nodular BCC. Patients with a primary, histologically proven sBCC (n = 64) or nodular BCC (n = 64) were randomized to topical diclofenac, calcitriol, combination of both, or no topical treatment (control group). After self-application twice daily under occlusion (8 weeks), tumors were excised. Primary outcome was posttreatment expression levels of proliferation (Ki-67) and antiapoptosis (B-cell lymphoma [Bcl-2]) immunohistochemical markers. Secondary outcomes were histologic clearance, adverse events, application-site reactions, and patient compliance. sBCC treated with diclofenac showed a significant decrease in Ki-67 (P < .001) and Bcl-2 (P = .001), and after combination therapy for Ki-67 (P = .012). Complete histologic tumor regression was seen in 64.3% (P = .0003) of sBCC (diclofenac) and 43.8% (P = .007) of sBCC (combination therapy) compared with 0.0% of controls. No significant changes were found in nodular BCC. Application-site reactions were mostly mild to moderate. The sample size was small. Our results suggest that topical diclofenac is a promising new treatment for sBCC. Its mode of action differs from available noninvasive therapies, and thus has an additive value. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  18. Prospective pilot study on combined use of pulsed dye laser and 1% topical rapamycin for treatment of nonfacial cutaneous capillary malformation.

    PubMed

    Doh, Eun Jin; Ohn, Jungyoon; Kim, Min Ji; Kim, Young Gull; Cho, Soyun

    2017-11-01

    The regeneration or revascularization of blood vessels after pulsed dye laser (PDL) treatment is one of the causes of treatment failures of cutaneous capillary malformations (CM). Recently, topical administration of rapamycin was introduced as a possible adjunctive therapeutic option to minimize postlaser revascularization in facial CM. We evaluated the effect of combined use of 1% topical rapamycin with PDL compared to PDL alone in cutaneous CM of trunk or extremities and tried to identify the optimal duration of topical rapamycin application. Three adjacent areas of cutaneous CM that had never been treated before were selected in each patient and underwent the following regimens: (A) PDL + vehicle for 8 weeks post-PDL; (B) PDL + topical rapamycin for 1-week post-PDL and (C) PDL + topical rapamycin for 8 weeks post-PDL. Each test site was treated by PDL for two sessions with 8 weeks interval. Only one of six patients showed clinical improvement with combined rapamycin treatment. Overall, there was no statistically significant difference in erythema and blanching rate among PDL alone and combined rapamycin regimens. One percent topical rapamycin does not seem to be effective as a treatment modality for cutaneous CM of trunk or extremities.

  19. Digital media and sexually transmitted infections.

    PubMed

    Gilliam, Melissa; Chor, Julie; Hill, Brandon

    2014-10-01

    Digital media, including the Internet, social networking sites, text messaging, and mobile applications, are ubiquitous among adolescents and young adults. These platforms enable users to obtain important information on a multitude of health topics, they may facilitate risk-taking behaviors, and they can be key components of health interventions. The purpose of this article is to review the recent literature on digital media and sexually transmitted infections, discussing their role in potentiating and reducing risk. This review demonstrates adolescents' use of digital media to gather information on health topics and discusses significant privacy concerns regarding using media to explore sexual health information. Although several studies demonstrate an association between social media and increased sexual risk-taking behaviors, this relationship is not fully understood. Digital media-based interventions are increasingly being developed to either reduce risk or improve management of sexually transmitted infections. As greater numbers of adolescents use digital media, the potential for these platforms to influence sexual risk-taking behaviors is significant. Additional research is needed to better understand the impact of digital media on sexually transmitted infection risk and to develop social media-based interventions to improve sexually transmitted infection outcomes.

  20. Human recombinant epidermal growth factor in skin lesions: 77 cases in EPItelizando project.

    PubMed

    Esquirol-Caussa, Jordi; Herrero-Vila, Elisabeth

    2018-05-10

    To analyze compounded recombinant human epidermal growth factor (rhEGF) effectiveness on skin lesions through a case series. Multicentric series of skin lesions treated with topical rhEGF. Site: Patients from 56 different health professionals, three different countries, and two recruitment years. Seventy-seven patients with skin lesions, mean age of 63.15 years (min = 18, max = 95); 53.2% of patients were men and 46.8% were women; 47 of the lesions were ulcers (venous, arterial, and diabetic foot), others were surgical and traumatic wounds, burns, and scars. Most common pathologies were type 2 diabetes mellitus and chronic venous insufficiency. Mean previous evolution time before inclusion was 29.59 months. Cures using compounded topical rhEGF most commonly used rhEGF concentration: 30 μg/g; most used excipient: gel; average time between cures: 36 h (24-48); and mean follow-up: 6.6 weeks (max = 20). Lesions appearance, margins and bed, lesional size evolution, treatment subjective effectiveness, tolerability and comfort through professional oppinion. Qualitative assessment: effectiveness 8.65, tolerability 9.53, and comfort 8.86 (max = 10). Perilesional skin showed improvement in 93.5% of the cases, lesions margins and wound bed appearance improved in 92.2% of the cases, respectively. Wound area decreased a mean average of 66.7%. About 43.3% of included venous ulcers had a greater than 40% cure rate in 4 weeks. Heterogeneity of the included pathologies, limited time follow-up in some cases. Topical rhEGF in individualized formulation (compounding) seems to exhibit effectiveness, comfort, and tolerability. Further larger-size studies with experimental design will allow to establish more precise concentrations, indications, and clinical guidelines.

  1. Modernization of the International Volcanic Ash Website - a global resource for ashfall preparedness and impact guidance.

    NASA Astrophysics Data System (ADS)

    Wallace, K.; Leonard, G.; Stewart, C.; Wilson, T. M.; Randall, M.; Stovall, W. K.

    2015-12-01

    The internationally collaborative volcanic ash website (http://volcanoes.usgs.gov/ash/) has been an important global information resource for ashfall preparedness and impact guidance since 2004. Recent volcanic ashfalls with significant local, regional, and global impacts highlighted the need to improve the website to make it more accessible and pertinent to users worldwide. Recently, the Volcanic Ash Impacts Working Group (Cities and Volcanoes Commission of IAVCEI) redesigned and modernized the website. Improvements include 1) a database-driven back end, 2) reorganized menu navigation, 3) language translation, 4) increased downloadable content, 5) addition of ash-impact case studies, 7) expanded and updated references , 8) an image database, and 9) inclusion of cooperating organization's logos. The database-driven platform makes the website more dynamic and efficient to operate and update. New menus provide information about specific impact topics (buildings, transportation, power, health, agriculture, water and waste water, equipment and communications, clean up) and updated content has been added throughout all topics. A new "for scientists" menu includes information on ash collection and analysis. Website translation using Google translate will significantly increase user base. Printable resources (e.g. checklists, pamphlets, posters) provide information to people without Internet access. Ash impact studies are used to improve mitigation measures during future eruptions, and links to case studies will assist communities' preparation and response plans. The Case Studies menu is intended to be a living topic area, growing as new case studies are published. A database of all images from the website allows users to access larger resolution images and additional descriptive details. Logos clarify linkages among key contributors and assure users that the site is authoritative and science-based.

  2. Freshman Health Topics

    ERIC Educational Resources Information Center

    Hovde, Karen

    2011-01-01

    This article examines a cluster of health topics that are frequently selected by students in lower division classes. Topics address issues relating to addictive substances, including alcohol and tobacco, eating disorders, obesity, and dieting. Analysis of the topics examines their interrelationships and organization in the reference literature.…

  3. Enhanced quality and quantity of retrieval of Critically Appraised Topics using the CAT Crawler.

    PubMed

    Dong, P; Mondry, A

    2004-03-01

    As healthcare moves towards the implementation of Evidence-Based Medicine (EBM), Critically Appraised Topics (CATs) become useful in helping physicians to make clinical decisions. A number of academic and healthcare organizations have set up web-based CAT libraries. The primary objective of the presented work is to provide a one-stop search and download site that allows access to multiple CAT libraries. A web-based application, namely the CAT Crawler, was developed to serve physicians with an adequate access to available appraised topics on the Internet. Important information is extracted automatically and regularly from CAT websites, and consolidated by checking the uniqueness and availability. The principle of meta-search is incorporated into the implementation of the search engine, which finds relevant topics following keyword input. The retrieved result directs the physician to the original resource page. A full-text article of a particular topic can be converted into a proper format for downloading to Personal Digital Assistant (PDA) devices. In summary, the application provides physicians with a common interface to retrieve relevant CATs on particular clinical topics from multiple resources, and thus speeds up the decision making process.

  4. Assessment and revision of clinical pharmacy practice internet web sites.

    PubMed

    Edwards, Krystal L; Salvo, Marissa C; Ward, Kristina E; Attridge, Russell T; Kiser, Katie; Pinner, Nathan A; Gallegos, Patrick J; Kesteloot, Lori Lynn; Hylton, Ann; Bookstaver, P Brandon

    2014-02-01

    Health care professionals, trainees, and patients use the Internet extensively. Editable Web sites may contain inaccurate, incomplete, and/or outdated information that may mislead the public's perception of the topic. To evaluate the editable, online descriptions of clinical pharmacy and pharmacist and attempt to improve their accuracy. The authors identified key areas within clinical pharmacy to evaluate for accuracy and appropriateness on the Internet. Current descriptions that were reviewed on public domain Web sites included: (1) clinical pharmacy and the clinical pharmacist, (2) pharmacy education, (3) clinical pharmacy and development and provision for reimbursement, (4) clinical pharmacists and advanced specialty certifications/training opportunities, (5) pharmacists and advocacy, and (6) clinical pharmacists and interdisciplinary/interprofessional content. The authors assessed each content area to determine accuracy and prioritized the need for updating, when applicable, to achieve consistency in descriptions and relevancy. The authors found that Wikipedia, a public domain that allows users to update, was consistently the most common Web site produced in search results. The authors' evaluation resulted in the creation or revision of 14 Wikipedia Web pages. However, rejection of 3 proposed newly created Web pages affected the authors' ability to address identified content areas with deficiencies and/or inaccuracies. Through assessing and updating editable Web sites, the authors strengthened the online representation of clinical pharmacy in a clear, cohesive, and accurate manner. However, ongoing assessments of the Internet are continually needed to ensure accuracy and appropriateness.

  5. Current Events via Electronic Media: An Instructional Tool in a General Education Geology Course

    NASA Astrophysics Data System (ADS)

    Flood, T. P.

    2008-12-01

    St. Norbert College (SNC) is a liberal arts college in the Green Bay Metropolitan area with an enrollment of approximately 2100 students. All students are required to take one science course with a laboratory component as part of the general education program. Approximately 40% of all SNC students take introductory geology. Class size for this course is approximately 35 students. Each faculty member teaches one section per semester in a smart classroom A synthesis of current events via electronic media is an excellent pedagogical tool for the introductory geology course. An on-going informal survey of my introductory geology class indicates that between 75- 85% of all students in the class, mostly freshman and sophomores, do not follow the news on a regular basis in any format, i.e. print, internet, or television. Consequently, most are unaware of current scientific topics, events, trends, and relevancy. To address this issue, and develop a positive habit of the mind, a technique called In-the-News-Making-News (INMN) is employed. Each class period begins with a scientifically-related (mostly geology) online news article displayed on an overhead screen. The articles are drawn from a variety of sources that include international sites such as the BBC and CBC; national sites such as PBS, New York Times, and CNN; and local sites such as the Milwaukee Journal Sentinel and the Green Bay Press Gazette. After perusing the article, additional information is often acquired by "Google" to help supplement and clarify the original article. An interactive discussion follows. Topics that are typically covered include: global climate change, basic scientific and technological discoveries, paleontology/evolution, natural disasters, mineral/ energy/ water resources, funding for science, space exploration, and other. Ancillary areas that are often touched on in the conversation include ethics, politics, economics, philosophy, education, geography, culture, or other. INMN addresses several key goals of our general education program. Significantly, it develops critical thinking and analysis of content. For example, aspects of an article commonly addressed include: What is the main point of the article? What is the data that supports the main point? How good is the data and how was it derived (i.e. not all data is created equal)? What assumptions are involved? What is the quality of the assumptions? What part of the article is data and what part is interpretation? INMN also highlights the relevancy and excitement inherent in science, and is valuable for continually reinforcing the methodology of science. Formal feedback, from end of the semester SNC evaluations, is strongly positive.

  6. Topical treatment and combination approaches for vitiligo: new insights, new developments.

    PubMed

    Hossani-Madani, A R; Halder, R M

    2010-02-01

    Despite much research done involving elucidation of the pathogenesis of vitiligo, a precise cause is still not known. Prevalent hypotheses include the autoimmune, genetic, neural, self-destruction, growth factor deficiency, viral, and convergence theories, which have served as the basis for treatment formulation. Topical therapies have been a mainstay of vitiligo treatment, with or without phototherapy. Topical treatments used in the treatment of vitiligo include steroids, calcineurin inhibitors, vitamin D analogues, pseudocatalase, and depigmenting agents. Combination therapies are used to improve the success rate of repigmentation. In this article, we have examined randomized controlled trials utilizing topical treatments used as monotherapy or combination therapy. Although psoralen and khellin can be used as topical agents, used in conjunction with UV radiation, we have not included them in the review due to their inability to be used as monotherapy. We have also excluded less used or ineffective topical agents, such as melagenina, topical phenylalanine, topical L-DOPA, coal tar, anacarcin forte oil and topical minoxidil. According to current guidelines, a less than two month trial of potent or very potent topical corticosteroids or topical calcineurin inhibitors may be used for therapy of localized vitiligo (<20% skin surface area). Combinations of topical corticosteroids with excimer laser and UVA seem to be more effective than steroids alone. Pseudocatalase plus NB-UVB does not seem to be more effective than placebo with NB-UVB. Combinations of vitamin D analogues have varied efficacy based on which type is used and the type of UV light. Efficacy of calcineurin inhibitor combinations also vary based on the type used and UV light combined, with tacrolimus being more effective with excimer laser. Pimecrolimus has been effective with NB-UVB and excimer laser on facial lesions, and microdermabrasion on localized areas.

  7. NASA Remote Sensing Research as Applied to Archaeology

    NASA Technical Reports Server (NTRS)

    Giardino, Marco J.; Thomas, Michael R.

    2002-01-01

    The use of remotely sensed images is not new to archaeology. Ever since balloons and airplanes first flew cameras over archaeological sites, researchers have taken advantage of the elevated observation platforms to understand sites better. When viewed from above, crop marks, soil anomalies and buried features revealed new information that was not readily visible from ground level. Since 1974 and initially under the leadership of Dr. Tom Sever, NASA's Stennis Space Center, located on the Mississippi Gulf Coast, pioneered and expanded the application of remote sensing to archaeological topics, including cultural resource management. Building on remote sensing activities initiated by the National Park Service, archaeologists increasingly used this technology to study the past in greater depth. By the early 1980s, there were sufficient accomplishments in the application of remote sensing to anthropology and archaeology that a chapter on the subject was included in fundamental remote sensing references. Remote sensing technology and image analysis are currently undergoing a profound shift in emphasis from broad classification to detection, identification and condition of specific materials, both organic and inorganic. In the last few years, remote sensing platforms have grown increasingly capable and sophisticated. Sensors currently in use, or nearing deployment, offer significantly finer spatial and spectral resolutions than were previously available. Paired with new techniques of image analysis, this technology may make the direct detection of archaeological sites a realistic goal.

  8. Redox Regulation of the Superoxide Dismutases SOD3 and SOD2 in the Pulmonary Circulation.

    PubMed

    Hernandez-Saavedra, Daniel; Swain, Kalin; Tuder, Rubin; Petersen, Steen V; Nozik-Grayck, Eva

    2017-01-01

    When evaluating the role of redox-regulating signaling in pulmonary vascular diseases, it is intriguing to consider the modulation of key antioxidant enzymes like superoxide dismutase (SOD) because SOD isoforms are regulated by redox reactions, and, in turn, modulate downstream redox sensitive processes. The emerging field of redox biology is built upon understanding the regulation and consequences of tightly controlled and specific reduction-oxidation reactions that are critical for diverse cellular processes including cell signaling. Of relevance, both the site of production of specific reactive oxygen and nitrogen species and the site of the antioxidant defenses are highly compartmentalized within the cell. For example, superoxide is generated during oxidative phosphorylation in the mitochondria as well as by a number of enzymatic sources within the cytosol and at the cell membrane. In the pulmonary circulation, these sources include the mitochondrial electron transport chain, NADPH oxidases (NOX1-4, Duox1,2), nitric oxide synthases, and xanthine oxidase; this important topic has been thoroughly reviewed recently [1]. In parallel with these different cellular sites of superoxide production, the three SOD isoforms are also specifically localized to the cytosol (SOD1), mitochondria (SOD2) or extracellular compartment (SOD3). This chapter focuses on the role of redox mechanisms regulating SOD2 and SOD3, with an emphasis on these processes in the setting of pulmonary hypertension.

  9. Simple Preparation of Timolol 0.5% Gel from Eye Drop Solution for Superficial Infantile Hemangiomas.

    PubMed

    Choo, Winnie

    2017-01-01

    The discovery of beta-adrenergic blocker effects on infantile hemangiomas has affected the choice of treatment in recent years. Oral propranolol is effective in treating infantile hemangiomas, but the risk of systemic side effects remains a concern. Data from literature review reported positive clinical outcomes with no major adverse effects observed in children using topical beta-blocker such as timolol maleate. Topical application of timolol eye drop has been mentioned in few studies, most of which reported that the solution cannot stay on the site of application due to its fluidity. Adding hydroxyethyl cellulose into a timolol solution increased its viscosity by forming a hydrogel and thus changed the rheology property. The compounded timolol gel exhibited thixotropy property allowing better and longer contact at sites of application. Experimental data from literature review showed desirable characteristics and measurable flux of timolol across human stratum corneum. Gel dosage form allows easy and precise application and maximizes timolol's therapeutic efficacy at the sites of application. Copyright© by International Journal of Pharmaceutical Compounding, Inc.

  10. Comparison of topical capsaicin and topical turpentine Oil for treatment of painful diabetic neuropathy.

    PubMed

    Musharraf, Muhammad Usman; Ahmad, Zaheer; Yaqub, Zernab

    2017-01-01

    Diabetes Mellitus is a pandemic of the modern era owing to our rapidly deteriorating lifestyle. Painful diabetic neuropathy is one of the costliest and disabling complications of diabetes mellitus. No single treatment exists to prevent or reverse neuropathic changes or to provide total pain relief. Topical Capsaicin and Turpentine Oil are found to be effective in treatment of painful diabetic neuropathy. Patients of either gender with ages between 18 and 70 years having painful diabetic neuropathy already taking one oral drug for painful neuropathy and treatment for diabetes mellitus and an HbA1C less than 8.5% were included while Pregnant or lactating mothers, patients with chronic liver disease and patients with renal insufficiency (creatinine >3.0 mg/dl) and peripheral arterial disease were excluded from study. Patients were randomly divided into two groups (A & B) using computer generated random number table. Group A was given topical application of capsaicin while Group B was given topical application of commercially available turpentine oil over painful site on feet. 300 patients were equally divided in two groups. The patients in group A had a Visual Analog Pain Score of 7.91±5.10 at baseline and 5.10±1.343 after 3 months of treatment (p-value 0.0001). The patients in group B had a Visual Analog Pain Score of 7.83±1.012 at baseline and 5.20±1.187 after 3 months of treatment (p-value 0.0001). Chi Square test was applied to compare efficacy of both groups. It was noted that 71 (53%) had efficacy in group A and 63 (47%) had efficacy in the group B but the difference was not statistically significant. (p-value=0.399). It has been concluded that turpentine oil is effective in managing diabetic neuropathic pain similar to capsaicin cream.

  11. End of Life Care

    MedlinePlus

    ... Related Topics Choosing Wisely Join our e-newsletter! Aging & Health A to Z End of Life Care ... July 2017 Posted: March 2012 © 2018 Health in Aging. All rights reserved. Feedback • Site Map • Privacy Policy • ...

  12. National Ridesharing Demonstration Program : Comparative Evaluation Report

    DOT National Transportation Integrated Search

    1985-08-01

    The report evaluates 17 projects of the National Ridesharing Demonstration Program, with detailed analysis of five sites where a workplace survey was conducted--Atlanta, Cincinnati, Houston, Portland, and Seattle. Among the topics covered are project...

  13. Related Sites

    Science.gov Websites

    United States Census Bureau Topics Population Latest Information Age and Sex Ancestry Children Mobility Population Estimates Population Projections Race Veterans Economy Latest Information Portal Other Economic Programs Business Latest Information Business Characteristics Classification Codes

  14. Sustainable and Healthy Communities (SHC) Topic 3 Fact Sheets

    EPA Pesticide Factsheets

    These documents provide a condensed overview of the Sustainable and Healthy Communities (SHC) Research Program's Projects 3.61 Contaminated Sites, 3.62 Environmental Releases of Oils and Fuels, and 3.63 Sustainable Materials Management.

  15. Perimeter intrusion detection and assessment system

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

    Eaton, M.J.; Jacobs, J.; McGovern, D.E.

    1977-01-01

    The key elements of the system considered at a materials storage site are intrusion sensors, alarm assessment, and system control and display. Three papers discussing each of these topics are compiled. They are abstracted individually. (JSR)

  16. Curcumin and its topical formulations for wound healing applications.

    PubMed

    Mohanty, Chandana; Sahoo, Sanjeeb K

    2017-10-01

    Oxidative damage and inflammation have been identified, through clinical and preclinical studies, as the main causes of nonhealing chronic wounds. Reduction of persistent chronic inflammation by application of antioxidant and anti-inflammatory agents such as curcumin has been well studied. However, low aqueous solubility, poor tissue absorption, rapid metabolism and short plasma half-life have made curcumin unsuitable for systemic administration for better wound healing. Recently, various topical formulations of curcumin such as films, fibers, emulsion, hydrogels and different nanoformulations have been developed for targeted delivery of curcumin at wounded sites. In this review, we summarize and discuss different topical formulations of curcumin with emphasis on their wound-healing properties in animal models. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Topical Therapy with Mesenchymal Stem Cells Following an Acute Experimental Head Injury Has Benefits in Motor-Behavioral Tests for Rodents.

    PubMed

    Lam, P K; Wang, Kevin K W; Ip, Anthony W I; Ching, Don W C; Tong, Cindy S W; Lau, Henry C H; Kong, Themis H C S; Lai, Paul B S; Wong, George K C; Poon, W S

    2016-01-01

    The neuroprotective effects of mesenchymal stem cells (MSCs) have been reported in rodent and in preliminary clinical studies. MSCs are usually transplanted to patients by systemic infusion. However, only a few of the infused MSCs are delivered to the brain because of pulmonary trapping and the blood-brain barrier. In this study, MSCs were topically applied to the site of traumatic brain injury (TBI) and the neuroprotective effects were assessed. TBI was induced in Sprague-Dawley (SD) rats with an electromagnetically controlled cortical impact device after craniotomy was performed between the bregma and lambda, 1 mm lateral to the midline. We applied 1.5 million MSCs, derived from the adipose tissue of transgenic green fluorescent protein (GFP)-SD rats, to the exposed cerebral cortex at the injured site. The MSCs were held in position by a thin layer of fibrin. Neurological function in the test (n = 10) and control (n = 10) animals was evaluated using the rotarod test, the water maze test, and gait analysis at different time points. Within 5 days following topical application, GFP-positive cells were found in the brain parenchyma. These cells co-expressed with markers of Glial fibrillary acidic protein (GFAP), nestin, and NeuN. There was less neuronal death in CA1 and CA3 of the hippocampus in the test animals. Neurological functional recovery was significantly improved. Topically applied MSCs can migrate to the injured brain parenchyma and offer neuroprotective effects.

  18. The Internet and patient education--resources and their reliability: focus on a select urologic topic.

    PubMed

    Sacchetti, P; Zvara, P; Plante, M K

    1999-06-01

    The information revolution triggered by the rapid growth of the Internet has allowed healthcare providers and patients to access a rapidly expanding volume of information. To address the quality of this information, a survey of the data on a single urology-related topic available on the Internet was performed. The search on the World Wide Web (Web) was performed using the search engine HotBot and search directory Yahoo. The Web pages were assessed according to their relevancy to the topic chosen. Relevance rates were derived from the number of relevant sites divided by the total number of sites found. Relevant sites were subsequently ranked for quality on the basis of their accuracy, comprehensiveness, and objectivity. HotBot was then subsequently divided by domain, with each assessed separately. Yahoo was analyzed in its entirety. The resources were then compared for relevance and quality of information. When using the keyword "Viagra," HotBot responded with 15,109 hits. Yahoo presented 51 hits under the category, "Health: Pharmacy: Drugs and Medications: Specific Drugs and Medications: Viagra (Sildenafil)." The relevance rate for the first 50 hits in the search engine HotBot was 0.08. The relevance rates for the edu and org domains found by HotBot were 0.22 and 0.24, respectively; those for com and net were both 0.10. The relevance rate for the search directory Yahoo was 0.20. For relevant sites, the quality of the information presented was significantly higher in the Yahoo and in the HotBot domains hosted by nonprofit organizations when compared with HotBot in general and with its commercially oriented domains. HotBot overall was found to contain seven excellent sites, of which only three were found within Yahoo. Although the medical information available on the Web has proliferated at a remarkable rate, the number of Web sites providing complete, nonbiased information continues to represent only a small portion of the total. We have shown that the search directory Yahoo reduced the number of irrelevant sites significantly, but at the same time, some very valuable information available in HotBot was missing. At present, it may be useful to conduct searches within Yahoo followed by a review of both the edu and org HotBot domains.

  19. Regulatory Information By Topic

    EPA Pesticide Factsheets

    EPA develops and enforces regulations that span many environmental topics, from acid rain reduction to wetlands restoration. Each topic listed below may include related laws and regulations, compliance enforcement information, policies guidance

  20. Enhancement of physicochemical properties of nanocolloidal carrier loaded with cyclosporine for topical treatment of psoriasis: in vitro diffusion and in vivo hydrating action.

    PubMed

    Musa, Siti Hajar; Basri, Mahiran; Fard Masoumi, Hamid Reza; Shamsudin, Norashikin; Salim, Norazlinaliza

    2017-01-01

    Psoriasis is a chronic autoimmune disease that cannot be cured. It can however be controlled by various forms of treatment, including topical, systemic agents, and phototherapy. Topical treatment is the first-line treatment and favored by most physicians, as this form of therapy has more patient compliance. Introducing a nanoemulsion for transporting cyclosporine as an anti-inflammatory drug to an itchy site of skin disease would enhance the effectiveness of topical treatment for psoriasis. The addition of nutmeg and virgin coconut-oil mixture, with their unique properties, could improve cyclosporine loading and solubility. A high-shear homogenizer was used in formulating a cyclosporine-loaded nanoemulsion. A D-optimal mixture experimental design was used in the optimization of nanoemulsion compositions, in order to understand the relationships behind the effect of independent variables (oil, surfactant, xanthan gum, and water content) on physicochemical response (particle size and polydispersity index) and rheological response (viscosity and k -value). Investigation of these variables suggests two optimized formulations with specific oil (15% and 20%), surfactant (15%), xanthan gum (0.75%), and water content (67.55% and 62.55%), which possessed intended responses and good stability against separation over 3 months' storage at different temperatures. Optimized nanoemulsions of pH 4.5 were further studied with all types of stability analysis: physical stability, coalescence-rate analysis, Ostwald ripening, and freeze-thaw cycles. In vitro release proved the efficacy of nanosize emulsions in carrying cyclosporine across rat skin and a synthetic membrane that best fit the Korsmeyer-Peppas kinetic model. In vivo skin analysis towards healthy volunteers showed a significant improvement in the stratum corneum in skin hydration.

  1. Medical Students' Assessment of Education and Training in Women's Health and in Sex and Gender Differences

    PubMed Central

    Viscoli, Catherine M.; Abraham, Gallane D.

    2008-01-01

    Abstract Background The authors surveyed U.S. medical students to learn their perceptions of the adequacy of women's health and sex/gender-specific teaching and of their preparedness to care for female patients. Methods Between September 2004 and June 2005, third and fourth year students at the 125 allopathic medical schools received an online survey conducted by the American Medical Women's Association (AMWA). Students rated the extent to which 44 topics were included in curricula from 1 to 4 (1 = no coverage, 4 = in-depth coverage) and their preparedness to perform 27 clinical skills (1 = no preparation, 4 = thorough preparation). Results From 101 of the 125 schools, 1267 students responded (mean number of respondents/school = 13, SD 12). The mean curriculum rating (2.53, SD 0.52) indicated brief to moderate coverage of topics. The mean preparedness rating was higher (3.09, SD 0.44), indicating moderate preparedness. In a regression model, female student sex and site of an AMWA chapter were associated with lower mean combined curriculum and preparedness ratings (female 2.76, male 3.01, p < 0.001; AMWA 2.77, non-AMWA 2.89, p < 0.001), whereas other school characteristics (female dean, federally funded women's health program, and proportion of tenured women faculty) had no association. Conclusions Although medical students reported that they were moderately prepared to care for women, their low rating of curriculum coverage of women's health and sex/gender-specific topics suggests important gaps in teaching. Lower ratings by female students and by those at AMWA schools may reflect differences in students' knowledge, educational expectations, or perceptions about the importance of topics. PMID:18537483

  2. Scedosporium apiospermum infectious scleritis following posterior subtenon triamcinolone acetonide injection: a case report and literature review.

    PubMed

    Todokoro, Daisuke; Hoshino, Junki; Yo, Ayaka; Makimura, Koichi; Hirato, Junko; Akiyama, Hideo

    2018-02-13

    Ubiquitous fungi of the Scedosporium apiospermum species complex (SASC) cause various opportunistic infections. Posterior subtenon triamcinolone acetonide (STTA) injection is a standard therapy for intraocular inflammation and macular edema. We report a case of Scedosporium apiospermum infectious scleritis after a posterior STTA injection. A 75-year-old man received a posterior STTA injection to treat macular edema in his left eye. After 3 months, he complained of ocular pain and hyperemia in his left eye. Examination showed a subtenon abscess in the site corresponding with the STTA injection. After incising the abscess, the smear revealed numerous conidia-like structures. Although we suspected fungal infection and started topical voriconazole (VRCZ) and levofloxacin, the inflammation of the eye worsened. Fungal culture revealed filamentous fungus growth. Subsequently, we added systemic VRCZ and performed surgical debridement of the infected sclera and Tenon's capsule. Pathology of the sclera showed fungal hyphae. The antifungal susceptibility test revealed low minimum inhibitory concentrations for micafungin, VRCZ and miconazole (0.06, 0.25 and 0.5 μg/mL, respectively). After 2 months, the ciliary injection subsided and VRCZ therapy was stopped. However, subtenon abscess recurred 1 month after discontinuation of topical VRCZ. Surgical debridement and topical VRCZ were resumed, with the eye finally improving after 5 months of management. The fungal species was identified as Scedosporium apiospermum sensu stricto morphologically and by DNA sequencing. This case was successfully treated by topical and systemic VRCZ and repeated surgical debridement. Infectious scleritis caused by SASC rarely develops after posterior STTA. SASC can produce conidia in the enclosed subtenon space. Late-onset infectious scleritis after a posterior STTA injection suggests the presence of a fungal infection, including SASC, thereby requiring extensive and prolonged medical and surgical treatment.

  3. Patients' Concerns and Perceptions Regarding Biologic Therapies in Ankylosing Spondylitis: Insights from a Large-Scale Survey of Social Media Platforms.

    PubMed

    Dzubur, Eldin; Khalil, Carine; Almario, Christopher V; Noah, Benjamin; Minhas, Deeba; Ishimori, Mariko; Arnold, Corey; Park, Yujin; Kay, Jonathan; Weisman, Michael H; Spiegel, Brennan M R

    2018-05-21

    Few studies have examined ankylosing spondylitis (AS) patients' concerns and perceptions of biologic therapies outside of traditional surveys. In this study, we used social media data to examine AS patients' knowledge, attitudes, and beliefs regarding biologic therapies. We collected posts from 601 social media sites made between 1/1/06-4/26/17. Each post mentioned both an AS keyword and a biologic. To explore themes within the collection in an unsupervised manner, a latent Dirichlet allocation topic model was fit to the dataset. Each discovered topic was represented as a discrete distribution over the words in the collection, similar to a word cloud. The topics were manually reviewed to identify themes, which were confirmed with thematic data analysis. We examined 27,416 social media posts and found 112 themes. The majority of themes (60%, 67/112) focused on discussions surrounding AS treatment. Other themes including psychological impact of AS, reporting of medical literature, and AS disease consequences accounted for the remaining 40% (45/112). Within AS treatment discussions, most topics (54%) involved biologics, and most subthemes (78%) centered on side-effects (e.g., fatigue, allergic reactions), biologic attributes (e.g., dosing, frequency), and concerns with biologic use (e.g., increased cancer risk). Additional implicit patient needs (e.g., support) were identified using qualitative analyses. Social media reveals a dynamic range of themes governing AS patients' experience and choice with biologics. The complexity of selecting among biologics and navigating their risk-benefit profiles suggests merit in creating online tailored decision-tools to support patients' decision-making with AS biologic therapies. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  4. Evaluation of the clinical and antimicrobial effects of the Er:YAG laser or topical gaseous ozone as adjuncts to initial periodontal therapy.

    PubMed

    Yılmaz, Selçuk; Algan, Serdar; Gursoy, Hare; Noyan, Ulku; Kuru, Bahar Eren; Kadir, Tanju

    2013-06-01

    The aim of this study was to evaluate the clinical and microbiological results of treatment with the Er:YAG laser and topical gaseous ozone application as adjuncts to initial periodontal therapy in chronic periodontitis (CP) patients. Although many studies have evaluated the effectiveness of the Er:YAG laser as an adjunct to initial periodontal therapy, few studies have focused on the use of gaseous ozone as an adjunct. Thirty patients with CP were randomly divided into three parallel groups, each composed of 10 individuals with at least four teeth having at least one approximal site with a probing depth (PD) of ≥5 mm and a sulcus bleeding index (SBI) ≥2 in each quadrant. Groups of patients received: (1) Scaling and root planing (SRP)+Er:YAG laser; (2) SRP+topical gaseous ozone; or (3) SRP alone. The microbiological and clinical parameters were monitored at day 0 and day 90. At the end of the observation period, statistically significant improvements in clinical parameters were observed within each group. Parallel to the clinical changes, all treatments reduced the number of total bacteria and the proportion of obligately anaerobic microorganisms. Although intergroup comparisons of microbiological parameters showed no significant differences, clinical findings, including attachment gain and PD reduction, were found to be statistically significant in favor of the SRP+Er:YAG laser group. Although statistically nonsignificant, the fact that the obligate anaerobic change was mostly observed in the SRP+Er:YAG laser group, and a similar decrease was noted in the SRP+topical gaseous ozone group, shows that ozone has an antimicrobial effect equivalent to that of the Er:YAG laser.

  5. PUMAS: The On-line journal of Math and Science Examples for Pre-College Education

    NASA Astrophysics Data System (ADS)

    Trainer, Melissa G.; Kahn, Ralph A.

    2015-11-01

    PUMAS - “Practical Uses of Math And Science” - is an on-line collection of brief examples showing how math and science topics taught in K-12 classes can be used in interesting settings, including every day life. The examples are written primarily by scientists, engineers, and other content experts having practical experience with the material. They are aimed mainly at classroom teachers to enrich their presentation of math and science topics. The goal of PUMAS is to capture, for the benefit of pre-college education, the flavor of the vast experience that working scientists have with interesting and practical uses of math and science. There are currently over 80 examples in the PUMAS collection, and they are organized by curriculum topics and tagged with relevant grade levels and curriculum topic benchmarks. The published examples cover a wide range of subject matter: from demonstrating why summer is hot, to describing the fluid dynamics of a lava lamp, to calculating the best age to collect Social Security Benefits. The examples are available to all interested parties via the PUMAS web site: http://pumas.nasa.gov/.We invite the community to participate in the PUMAS collection. We seek scientists and scientific thinkers to provide innovative examples of practical uses for teachers to use to enrich the classroom experience, and content experts to participate in peer-review. We also seek teachers to review examples for originality, accuracy of content, clarity of presentation, and grade-level appropriateness. Finally, we encourage teachers to mine this rich repository for real-world examples to demonstrate the value of math in science in everyday life.

  6. A WWW-based information system on resistance of bacteria to antibiotics.

    PubMed

    Schindler, J; Schindler, Z; Schindler, J

    1998-01-01

    The information system on resistance of bacteria to antibiotics (WARN--World Antibiotic Resistance Network) is implemented as a WWW server at Charles University in Prague (http:/(/)www.warn.cas.cz). Its main goal is to give information about problems of antibiotic resistance of bacteria and to process data on isolated strains. The WARN web-site contains six main topics. Four of them form the core of the system: Topics of Interest bring information on selected timely topics in antibiotic resistance--pneumococci, staphylococci, beta-lactamases, glycopeptide--and aminoglycoside resistance. Global Monitor brings references and reports on resistance in the world as well as recommended method of surveillance. The topic Data contains raw data on strains in particular countries and hospitals. Data can be viewed in their original form as a list of records (strains) or processed to provide statistics about the resistance rates in the selected country or hospital respectively. The topic Search allows one to search for one or several terms in the whole document. Counts of accessed pages show, that there is a standing demand for information about the serious problems of antibiotic therapy of infectious diseases.

  7. Choosing a Field: How Graduate Student Choices of Field Sites Reflect Different Ideas of "Real" Anthropology in Colombia and the United States

    ERIC Educational Resources Information Center

    Macia, Laura

    2012-01-01

    This paper examines the decisions and motivations of graduate students in cultural anthropology when defining the field sites and topics of their final projects. The decisions among students at the Universidad de los Andes in Colombia are contrasted with those at the University of Pittsburgh in the United States. A review of recent final projects…

  8. Memories of the Alabama Creek War, 1813-1814: U.S. Governmental and Native Identities at the Horseshoe Bend National Military Park

    ERIC Educational Resources Information Center

    Black, Jason Edward

    2009-01-01

    One of the most colorful examples of the reflection of identities in heritage sites involves the historical U.S.-Native relationship. In exploring the topic of U.S.-Native memories, this article focuses on the cultural identities represented at the Horseshoe Bend National Military Park (HBNMP), a heritage site that commemorates the Creek War of…

  9. Ecological effects of pipeline construction through deciduous forested wetlands, Midland County, Michigan. Topical report, October 1990--August 1992

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

    Rastorfer, J.R.; Van Dyke, G.D.; Zellmer, S.D.

    This study is designed to record vegetational changes induced by the construction of a large-diameter gas pipeline through deciduous forested wetlands. Two second-growth wetland sites mapped Lenawee soils were selected in Midland County, Michigan: Site 1, a younger stand subjected to recent selective logging, and Site 2, a more mature stand. The collection of ecological data to analyze plant succession on the right-of-way (ROW) and the effects of the developing ROW plant communities on adjacent forest communities was initiated in 1989. Cover class estimates were made for understory and ROW plant species on the basis of 1 {times} 1{minus}m quadrats.more » Individual stem diameters and species counts were recorded for overstory plants in 10{minus}m quadrats. Although long-term studies have not been completed, firm baseline data were established for comparative analyses with future sampling. Current data indicate that vegetation became well-established on the ROW within one year and subsequently increased in coverage. About 65% of the species were wetland indicators, and the dominants included seeded and natural invading species; nevertheless, some elements of the original flora regenerated and persist. The plants of the ecotone understories of both sites changed from their original composition as a result of the installation of the gas pipeline. Although some forest species persist at both sites, the ecotone of Site I was influenced more by the seeded species, whereas the natural invaders were more important at Site 2.« less

  10. New Roles for Medical Assistants in Innovative Primary Care Practices.

    PubMed

    Chapman, Susan A; Blash, Lisel K

    2017-02-01

    To identify and describe new roles for medical assistants (MAs) in innovative care models that improve care while providing training and career advancement opportunities for MAs. Primary data collected at 15 case study sites; 173 key informant interviews and de-identified secondary data on staffing, wages, patient satisfaction, and health outcomes. Researchers used snowball sampling and screening calls to identify 15 organizations using MAs in new roles. Conducted site visits from 2010 to 2012 and updated information in 2014. Thematic analysis explored key topics: factors driving MA role innovation, role description, training required, and wage gains. Categorized outcome data in patient and staff satisfaction, quality of care, and efficiency. New MA roles included health coach, medical scribe, dual role translator, health navigator, panel manager, cross-trained flexible role, and supervisor. Implementation of new roles required extensive training. MA incentives and enhanced compensation varied by role type. New MA roles are part of a larger attempt to reform workflow and relieve primary care providers. Despite some evidence of success, spread has been limited. Key challenges to adoption included leadership and provider resistance to change, cost of additional MA training, and lack of reimbursement for nonbillable services. © Health Research and Educational Trust.

  11. Secondary stroke prevention: from guidelines to clinical practice.

    PubMed

    Graham, Glenn D

    2008-10-01

    Stroke remains a leading cause of mortality and is associated with substantial morbidity in the United States. The majority of strokes are of ischemic origin, with an atherothrombotic trigger, and the clinical manifestation of atherothrombosis depends on the affected vascular site. The systemic nature of atherosclerosis means that stroke patients are at increased risk of ischemic events in several vascular beds, including cerebral, coronary and peripheral sites. Because stroke patients are at heightened risk of more ischemic events, secondary prevention is an important therapeutic goal. Recently, the American Heart Association and its division, the American Stroke Association, released new evidence-based guidelines for secondary stroke prevention in patients with ischemic stroke or transient ischemic attack. The new guidelines emphasize an individualized, patient-oriented approach to treatment based on clinical evidence. Evidence-based recommendations are set forth for the management of risk factors, including hypertension, dyslipidemia and diabetes, through lifestyle modifications and pharmacological interventions. The purpose of this paper is to review the topic of stroke prevention in light of current guidelines and clinical implementation patterns for primary care physicians, and to discuss new and emerging clinical evidence, with a focus on antiplatelet treatment.

  12. Hyaluronan--a review of the recent patent literature.

    PubMed

    Moore, A R

    2000-02-01

    A review of patent literature surrounding the use of hyaluronan (HA) and its derivatives, or agents capable of modulating endogenous levels, is presented. Indications are many and varied and include arthritis, abnormal wound healing, neoplasia, prevention of surgical adhesions and dermatological disorders. In many cases, it is the physicochemical and biological properties of HA itself that have been exploited. For example, HA and/or its derivatives have been suggested as a synovial fluid replacement, a vehicle for topical application of drugs, a matrix for sustained drug release and a putative drug delivery system (targeting HA receptors at sites of pathology). In each of these examples, the lack of toxicity of HA and its biocompatability are important considerations.

  13. The Ad Hoc Mars Airplane science working group. [remotely piloted airplane as a Mars exploration vehicle

    NASA Technical Reports Server (NTRS)

    Clarke, V. C., Jr.

    1978-01-01

    The capability of a remotely piloted airplane as a Mars exploration vehicle in the aerial survey mode is assessed. Specific experiment areas covered include: visual imaging; gamma ray and infrared reflectance spectroscopy; gravity field; magnetic field and electromagnetic sounding; and atmospheric composition and dynamics. It is concluded that (1) the most important use of a plane in the aerial survey mode would be in topical studies and returned sample site characterization; (2) the airplane offers the unique capability to do high resolution, oblique imaging, and repeated profile measurements in the atmospheric boundary layer; and (3) it offers the best platform from which to do electromagnetic sounding.

  14. Assessment of the Economic Potential of Distributed Wind in Colorado, Minnesota, and New York

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

    Baring-Gould, Edward I; McCabe, Kevin; Sigrin, Benjamin O

    Stakeholders in the small and distributed wind space require access to better tools and data for more informed decisions on high-impact topics, including project planning, policymaking, and funding allocation. A major challenge in obtaining improved information is in the identification of favorable sites - namely, the intersection of sufficient wind resource with economic parameters such as retail rates, incentives, and other policies. This presentation made at the AWEA WINDPOWER Conference and Exhibition in Chicago in 2018 explores the researchers' objective: To understand the spatial variance of key distributed wind parameters and identify where they intersect to form pockets of favorablemore » areas in Colorado, Minnesota, and New York.« less

  15. The role of colleges and schools of pharmacy in the advent of Healthy People 2020.

    PubMed

    Offiong, Charlene Y; Oji, Valerie U; Bunyan, Wendell; Lewis, Jacqueline A; Moore, Clarence; Olusanya, Olu A

    2011-04-11

    As the need for more experiential sites increases, colleges and schools of pharmacy should consider innovative and strategic approaches to expansion including adding programs that would address the target areas emphasized by Healthy People 2020. Healthy People 2020 encompasses the following areas: adolescent health, early and middle childhood, genomics, global health, health information technology, healthcare-associated infections, hearing and other sensory or communicating disorders (ear, nose, throat-voice, speech and language), weight status, older adults, quality of life and well-being, and social determinants of health. Academic leaders should consider what role exists for pharmacy practice in these areas and focus future program and curriculum development on Healthy People 2020 topic areas.

  16. Engaging the Observer

    NASA Astrophysics Data System (ADS)

    Clark, M.

    2009-09-01

    In the past, the physical presence and direct interaction of the astronomer with an observatory's staff and telescope equipment encouraged understanding and responsiveness between both staff and observers. But now, observatories often face the problem of expediently exchanging information with observers. New observatory procedures and policies such as automated-, remote- and service-observing, dynamic scheduling, data pipelining, or fully software-arbitrated telescope control provide for more efficient telescope use, but they have reduced the role of the observer to that of a customer rather than a partner in the process of observing. Topics for discussion will include scheduling, data quality, control interfaces, training and preparation for observing, and information distribution technologies, e.g., use of web sites, email, and RSS feeds.

  17. Analyzing health organizations' use of Twitter for promoting health literacy.

    PubMed

    Park, Hyojung; Rodgers, Shelly; Stemmle, Jon

    2013-01-01

    This study explored health-related organizations' use of Twitter in delivering health literacy messages. A content analysis of 571 tweets from health-related organizations revealed that the organizations' tweets were often quoted or retweeted by other Twitter users. Nonprofit organizations and community groups had more tweets about health literacy than did other types of health-related organizations examined, including health business corporations, educational institutions, and government agencies. Tweets on health literacy topics focused predominantly on using simple language rather than complicated language. The results suggest that health organizations need a more strategic approach to managing positive organizational self-presentations in order to create an optimal level of exposure on social networking sites.

  18. Radiation energy conversion in space; Conference, 3rd, NASA Ames Research Center, Moffett Field, Calif., January 26-28, 1978, Technical Papers

    NASA Technical Reports Server (NTRS)

    Billman, K. W.

    1978-01-01

    Concepts for space-based conversion of space radiation energy into useful energy for man's needs are developed and supported by studies of costs, material and size requirements, efficiency, and available technology. Besides the more studied solar power satellite system using microwave transmission, a number of alternative space energy concepts are considered. Topics covered include orbiting mirrors for terrestrial energy supply, energy conversion at a lunar polar site, ultralightweight structures for space power, radiatively sustained cesium plasmas for solar electric conversion, solar pumped CW CO2 laser, superelastic laser energy conversion, laser-enhanced dynamics in molecular rate processes, and electron beams in space for energy storage.

  19. Simplified computational methods for elastic and elastic-plastic fracture problems

    NASA Technical Reports Server (NTRS)

    Atluri, Satya N.

    1992-01-01

    An overview is given of some of the recent (1984-1991) developments in computational/analytical methods in the mechanics of fractures. Topics covered include analytical solutions for elliptical or circular cracks embedded in isotropic or transversely isotropic solids, with crack faces being subjected to arbitrary tractions; finite element or boundary element alternating methods for two or three dimensional crack problems; a 'direct stiffness' method for stiffened panels with flexible fasteners and with multiple cracks; multiple site damage near a row of fastener holes; an analysis of cracks with bonded repair patches; methods for the generation of weight functions for two and three dimensional crack problems; and domain-integral methods for elastic-plastic or inelastic crack mechanics.

  20. Consumer Health. Bibliographies on Educational Topics No. 5.

    ERIC Educational Resources Information Center

    ERIC Clearinghouse on Teacher Education, Washington, DC.

    This document is the fifth in the series, BIBLIOGRAPHIES ON EDUCATIONAL TOPICS (BETS), providing topical searches of ERIC literature in the scope areas of teacher education and health education, physical education, and recreation education. Here, the subject of consumer health is treated bibliographically. Included are topics dealing with the wise…

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