48 CFR 17.207 - Exercise of options.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Exercise of options. 17... METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.207 Exercise of options. (a) When... exercise options only after determining that— (1) Funds are available; (2) The requirement covered by the...

48 CFR 317.207 - Exercise of options.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Exercise of options. 317... METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 317.207 Exercise of options. (h) Before..., and the Section 508 Official or designee, prior to exercise of an option. The Contracting Officer...

48 CFR 317.207 - Exercise of options.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 4 2014-10-01 2014-10-01 false Exercise of options. 317... METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 317.207 Exercise of options. (h) Before..., and the Section 508 Official or designee, prior to exercise of an option. The Contracting Officer...

48 CFR 17.207 - Exercise of options.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Exercise of options. 17... METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.207 Exercise of options. (a) When... exercise options only after determining that— (1) Funds are available; (2) The requirement covered by the...

48 CFR 17.207 - Exercise of options.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Exercise of options. 17... METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.207 Exercise of options. (a) When... exercise options only after determining that— (1) Funds are available; (2) The requirement covered by the...

7 CFR 3555.304 - Special servicing options.

Code of Federal Regulations, 2014 CFR

2014-01-01

... consider a mortgage recovery advance under this section in addition to the extended-term loan modification... required for taxes and insurance. (6) The following terms apply to the repayment of mortgage recovery... does not change the terms of the loan note guarantee. (4) Special servicing options shall be used in...

48 CFR 517.202 - Use of options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Use of options. 517.202... AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 517.202 Use of options. (a) Supplies or services. (1) You should use options when they meet one or more of the following objectives: (i) Reduce...

48 CFR 3417.207 - Exercise of options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Exercise of options. 3417... REGULATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 3417.207 Exercise of options. If any provision in a contract requires that an option may only be exercised within a specified...

48 CFR 817.202 - Use of options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Use of options. 817.202... AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 817.202 Use of options. All solicitations... four one-year renewal options as prescribed in FAR Subpart 17.2. The contracting officer must forward...

48 CFR 17.202 - Use of options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Use of options. 17.202... AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.202 Use of options. (a) Subject to the..., the contracting officer may include options in contracts when it is in the Government's interest. When...

48 CFR 217.207 - Exercise of options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Exercise of options. 217..., DEPARTMENT OF DEFENSE CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 217.207 Exercise of options. (c) In addition to the requirements at FAR 17.207(c), exercise an option only after...

Work-Experience and Work-Study Programs for Students with Special Needs: Quality Indicators of Transition Services.

ERIC Educational Resources Information Center

Wisniewski, Lech A.; And Others

1991-01-01

This article proposes a continuum of employment training options for students with special needs and identifies program quality indicators in the areas of assessment and the Individual Education Plan; the employment training program; community-based settings; provisions for on-site training and evaluation; and interagency cooperation. (DB)

Feynman perturbation expansion for the price of coupon bond options and swaptions in quantum finance. I. Theory

NASA Astrophysics Data System (ADS)

Baaquie, Belal E.

2007-01-01

European options on coupon bonds are studied in a quantum field theory model of forward interest rates. Swaptions are briefly reviewed. An approximation scheme for the coupon bond option price is developed based on the fact that the volatility of the forward interest rates is a small quantity. The field theory for the forward interest rates is Gaussian, but when the payoff function for the coupon bond option is included it makes the field theory nonlocal and nonlinear. A perturbation expansion using Feynman diagrams gives a closed form approximation for the price of coupon bond option. A special case of the approximate bond option is shown to yield the industry standard one-factor HJM formula with exponential volatility.

Feynman perturbation expansion for the price of coupon bond options and swaptions in quantum finance. I. Theory.

PubMed

Baaquie, Belal E

2007-01-01

European options on coupon bonds are studied in a quantum field theory model of forward interest rates. Swaptions are briefly reviewed. An approximation scheme for the coupon bond option price is developed based on the fact that the volatility of the forward interest rates is a small quantity. The field theory for the forward interest rates is Gaussian, but when the payoff function for the coupon bond option is included it makes the field theory nonlocal and nonlinear. A perturbation expansion using Feynman diagrams gives a closed form approximation for the price of coupon bond option. A special case of the approximate bond option is shown to yield the industry standard one-factor HJM formula with exponential volatility.

48 CFR 517.207 - Exercise of options.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 4 2012-10-01 2012-10-01 false Exercise of options. 517.207 Section 517.207 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 517.207 Exercise of options. Before...

48 CFR 517.207 - Exercise of options.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 4 2013-10-01 2013-10-01 false Exercise of options. 517.207 Section 517.207 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 517.207 Exercise of options. Before...

48 CFR 517.207 - Exercise of options.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 4 2014-10-01 2014-10-01 false Exercise of options. 517.207 Section 517.207 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 517.207 Exercise of options. Before...

48 CFR 517.207 - Exercise of options.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Exercise of options. 517.207 Section 517.207 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 517.207 Exercise of options. Before...

42 CFR 422.105 - Special rules for self-referral and point of service option.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Special rules for self-referral and point of service option. 422.105 Section 422.105 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Benefits and...

48 CFR 2917.202 - Use of options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Use of options. 2917.202... CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 2917.202 Use of options. The HCA may, in unusual circumstances, approve option quantities in excess of the 50 percent limit prescribed in FAR 17.203(g)(2). The...

48 CFR 217.202 - Use of options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Use of options. 217.202... OF DEFENSE CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 217.202 Use of options. (1) See PGI 217.202 for guidance on the use of options. (2) See 234.005-1 for limitations on the...

48 CFR 17.202 - Use of options.

Code of Federal Regulations, 2011 CFR

2011-10-01

... AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.202 Use of options. (a) Subject to the... enough to permit the recovery of startup costs and production of the required supplies at a reasonable...

48 CFR 17.202 - Use of options.

Code of Federal Regulations, 2012 CFR

2012-10-01

... AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.202 Use of options. (a) Subject to the... enough to permit the recovery of startup costs and production of the required supplies at a reasonable...

48 CFR 17.202 - Use of options.

Code of Federal Regulations, 2014 CFR

2014-10-01

... AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.202 Use of options. (a) Subject to the... enough to permit the recovery of startup costs and production of the required supplies at a reasonable...

48 CFR 17.202 - Use of options.

Code of Federal Regulations, 2013 CFR

2013-10-01

... AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.202 Use of options. (a) Subject to the... enough to permit the recovery of startup costs and production of the required supplies at a reasonable...

48 CFR 17.107 - Options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Options. 17.107 Section 17... CONTRACT TYPES SPECIAL CONTRACTING METHODS Multiyear Contracting 17.107 Options. Benefits may accrue by including options in a multiyear contract. In that event, contracting officers must follow the requirements...

48 CFR 1517.207 - Exercise of options.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false Exercise of options. 1517... CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 1517.207 Exercise of options. (a... periods shall require that a preliminary written notice of the Government's intention to exercise the...

48 CFR 1517.207 - Exercise of options.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false Exercise of options. 1517... CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 1517.207 Exercise of options. (a... periods shall require that a preliminary written notice of the Government's intention to exercise the...

48 CFR 1517.207 - Exercise of options.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 6 2014-10-01 2014-10-01 false Exercise of options. 1517... CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 1517.207 Exercise of options. (a... periods shall require that a preliminary written notice of the Government's intention to exercise the...

48 CFR 1517.207 - Exercise of options.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Exercise of options. 1517... CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 1517.207 Exercise of options. (a... periods shall require that a preliminary written notice of the Government's intention to exercise the...

Application of Real Options Theory to DoD Software Acquisitions

DTIC Science & Technology

2009-08-01

words.) The traditional real options valuation methodology, when enhanced and properly formulated around a proposed or existing software investment...Std 239-18 - ii - THIS PAGE INTENTIONALLY LEFT BLANK - iii - Abstract The traditional real options valuation ...founder and CEO of Real Options Valuation , Inc., a consulting, training, and software development firm specializing in strategic real options

A Comparison of Large Lecture, Fully Online, and Hybrid Sections of Introduction to Special Education

ERIC Educational Resources Information Center

O'brien, Chris; Hartshorne, Richard; Beattie, John; Jordan, Luann

2011-01-01

This study evaluated the effectiveness of flexible learning options at a university serving multiple geographic areas (including remote and rural areas) and age groups by teaching an introduction to special education course to three large groups of pre-teacher education majors using three modes of instruction. The university offered sections as…

The Inclusion Puzzle: A Case Study of Inclusion in a Rural Elementary School

ERIC Educational Resources Information Center

Arnold, Linda N.

2010-01-01

Inclusion of special education students in general education classrooms has come to general acceptance by educators as one option in the continuum of special education service delivery. Another view of inclusion is the ideal of providing for all the varied individual needs of a diverse population of students: learning needs, physical needs,…

48 CFR 317.107 - Options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Options. 317.107 Section... CONTRACT TYPES SPECIAL CONTRACTING METHODS Multi-year Contracting 317.107 Options. When used as part of a multi-year contract, options shall not be used to extend the performance of the original requirement for...

Preparing Special Educators for Teacher Consultation.

ERIC Educational Resources Information Center

Warger, Cynthia L., Ed.; Aldinger, Loviah E., Ed.

The publication defines the nature of special education consultation and presents various options through which training can be provided by college and university departments of special education. The first three papers present the realities of special education consultation as currently practiced: "Serving Special Children through Teacher…

26 CFR 1.1234-3 - Special rules for the treatment of grantors of certain options granted after September 1, 1976.

Code of Federal Regulations, 2010 CFR

2010-04-01

... termination of a grantor's obligation under an option to buy property (a call) or an option to sell property...), commodities, and commodity futures. (3) The term grantor means the writer or issuer of an option. (4) The term straddle means a simultaneously granted combination of an option to buy and an option to sell the same...

Senioritis: Some Paths to Sanity

ERIC Educational Resources Information Center

O'Neal, Roland

1978-01-01

A social studies course for high school seniors combines a problems of democracy content with options emphasizing long-term accountability. Each student has a faculty adviser who encourages the student to pursue a specialized social studies topic. (Author/DB)

26 CFR 1.424-1 - Definitions and special rules applicable to statutory options.

Code of Federal Regulations, 2011 CFR

2011-04-01

... that such change or issuance is made for reasons unrelated to such corporate transaction. For example... such change in the option or issuance of a new option, or if the corporate transaction serves no substantial corporate business purpose independent of the change in options. Similarly, a change in the number...

26 CFR 1.424-1 - Definitions and special rules applicable to statutory options.

Code of Federal Regulations, 2012 CFR

2012-04-01

... that such change or issuance is made for reasons unrelated to such corporate transaction. For example... such change in the option or issuance of a new option, or if the corporate transaction serves no substantial corporate business purpose independent of the change in options. Similarly, a change in the number...

26 CFR 1.424-1 - Definitions and special rules applicable to statutory options.

Code of Federal Regulations, 2014 CFR

2014-04-01

... that such change or issuance is made for reasons unrelated to such corporate transaction. For example... such change in the option or issuance of a new option, or if the corporate transaction serves no substantial corporate business purpose independent of the change in options. Similarly, a change in the number...

26 CFR 1.424-1 - Definitions and special rules applicable to statutory options.

Code of Federal Regulations, 2013 CFR

2013-04-01

... that such change or issuance is made for reasons unrelated to such corporate transaction. For example... such change in the option or issuance of a new option, or if the corporate transaction serves no substantial corporate business purpose independent of the change in options. Similarly, a change in the number...

26 CFR 1.988-1 - Certain definitions and special rules.

Code of Federal Regulations, 2010 CFR

2010-04-01

... contract, futures contract, option, warrant, or similar financial instrument. (A) Limitation for certain derivative instruments. A forward contract, futures contract, option, warrant, or similar financial..., futures contract, option contract, or similar financial instrument. Except as otherwise provided in this...

"We Can't Make Him Fit into the System": Parental Reflections on the Reasons Why Home Education Is the Only Option for Their Child Who Has Special Educational Needs

ERIC Educational Resources Information Center

Kendall, Lynne; Taylor, Elizabeth

2016-01-01

This small-scale study investigates the perspectives of parents whose children have special educational needs/disabilities and who have elected to withdraw their children from the state-maintained education system in England and educate them at home. The study draws on data gathered from seven parents and their perspectives of home education…

48 CFR 3417.207 - Exercise of options.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 7 2012-10-01 2012-10-01 false Exercise of options. 3417.207 Section 3417.207 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 3417.207 Exercise of...

48 CFR 3417.207 - Exercise of options.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 7 2013-10-01 2012-10-01 true Exercise of options. 3417.207 Section 3417.207 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 3417.207 Exercise of...

48 CFR 3417.207 - Exercise of options.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 7 2011-10-01 2011-10-01 false Exercise of options. 3417.207 Section 3417.207 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 3417.207 Exercise of...

48 CFR 3417.207 - Exercise of options.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 7 2014-10-01 2014-10-01 false Exercise of options. 3417.207 Section 3417.207 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 3417.207 Exercise of...

42 CFR 51b.405 - What information is required in the application?

Code of Federal Regulations, 2010 CFR

2010-10-01

... appropriate allied health personnel) venereal disease education, training, and clinical skills improvement...) At the option of the applicant, special studies or demonstrations to evaluate or test venereal...

34 CFR 300.110 - Program options.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 2 2010-07-01 2010-07-01 false Program options. 300.110 Section 300.110 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND... DISABILITIES State Eligibility Other Fape Requirements § 300.110 Program options. The State must ensure that...

26 CFR 1.1234-1 - Options to buy or sell.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 11 2010-04-01 2010-04-01 true Options to buy or sell. 1.1234-1 Section 1.1234... (CONTINUED) INCOME TAXES Special Rules for Determining Capital Gains and Losses § 1.1234-1 Options to buy or sell. (a) Sale or exchange—(1) Capital assets. Gain or loss from the sale or exchange of an option (or...

Is reverse total shoulder arthroplasty a feasible treatment option for failed shoulder arthroplasty? A retrospective study of 44 cases with special regards to stemless and stemmed primary implants.

PubMed

Holschen, M; Franetzki, B; Witt, K-A; Liem, D; Steinbeck, J

2017-08-01

Is reverse total shoulder arthroplasty a feasible treatment option for failed shoulder arthroplasty? A retrospective study of 44 cases with special regards to stemless and stemmed primary implants. Due to humeral or glenoid bone-loss and rotator cuff insufficiency reverse total shoulder arthroplasty often means the only remaining treatment option in revision shoulder arthroplasty. This study investigates the clinical outcome of patients treated with a reverse total shoulder in revision cases with special regard to stemless and stemmed primary implants. From 2010 to 2012 60 failed shoulder arthroplasties were converted to reverse total shoulder arthroplasty. Forty-four patients were available for follow-up after a mean of 24 months. Patients were assessed with X-rays, Constant- and ASES Score and a questionnaire about their subjective satisfaction. The total number of observed complications was seven (16%). Ninety-eight percent of the patients were satisfied with their clinical result. Patients achieved a mean normalized constant score of 70.2% and a mean ASES Score of 65.3. Patients with stemless primary implants achieved a higher normalized constant score than patients with stemmed primary implants (82 vs. 61.8%; p = 0009). Reverse total shoulder arthroplasty provides satisfactory clinical results and a high patient satisfaction in revision shoulder arthroplasty. The complication rate needs to be considered and discussed with the patient prior to surgery. Presence or absence of a stem of revised shoulder arthroplasties interferes with the outcome. LEVEL OF EVIDENCE IV: (Retrospective study).

Special Education Reform Towards Inclusive Education: Blurring or Expanding Boundaries of Special and Regular Education in China

ERIC Educational Resources Information Center

Deng, Meng; Zhu, Xinhua

2016-01-01

China has developed a three-tier special education service delivery system consisting of an array of placement options of special schools, special classes and learning in regular classrooms (LRC) (with the LRC as the major initiative) to serve students with disabilities after 1980s responding to the international trend of inclusive education…

Going Gluten Free? Necessary for Some, Optional for Others

MedlinePlus

... Special Issues Subscribe May 2016 Print this issue Going Gluten Free? Necessary for Some, Optional for Others ... may confirm the diagnosis by removing a small piece of your intestine to inspect it for damage. ...

Sink or Swim? Throw Us a Life Jacket! Novice Alternatively Certified Bilingual and Special Education Teachers Deserve Options

ERIC Educational Resources Information Center

Casey, Pat; Dunlap, Karen; Brister, Heather; Davidson, Michele; Starrett, Teresa Martin

2013-01-01

Special education and bilingual teachers are in high demand. Many teachers in these specialization areas enter the profession via alternative certification programs, expedited routes to teacher certification. There is little research focusing on the specific support needs of novice special education and bilingual teachers from these widely varying…

43 CFR 30.268 - May I demand a hearing regarding the tribal purchase option decision?

Code of Federal Regulations, 2010 CFR

2010-10-01

... tribal purchase option decision? 30.268 Section 30.268 Public Lands: Interior Office of the Secretary of the Interior INDIAN PROBATE HEARINGS PROCEDURES Tribal Purchase of Interests Under Special Statutes § 30.268 May I demand a hearing regarding the tribal purchase option decision? Yes. You may file with...

43 CFR 30.267 - What if I disagree with the probate decision regarding tribal purchase option?

Code of Federal Regulations, 2010 CFR

2010-10-01

... decision regarding tribal purchase option? 30.267 Section 30.267 Public Lands: Interior Office of the Secretary of the Interior INDIAN PROBATE HEARINGS PROCEDURES Tribal Purchase of Interests Under Special Statutes § 30.267 What if I disagree with the probate decision regarding tribal purchase option? If you are...

42 CFR 403.815 - Special rules concerning States.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false Special rules concerning States. 403.815 Section 403.815 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... Transitional Assistance Program § 403.815 Special rules concerning States. (a) Optional State payment of...

Confidence limits for data mining models of options prices

NASA Astrophysics Data System (ADS)

Healy, J. V.; Dixon, M.; Read, B. J.; Cai, F. F.

2004-12-01

Non-parametric methods such as artificial neural nets can successfully model prices of financial options, out-performing the Black-Scholes analytic model (Eur. Phys. J. B 27 (2002) 219). However, the accuracy of such approaches is usually expressed only by a global fitting/error measure. This paper describes a robust method for determining prediction intervals for models derived by non-linear regression. We have demonstrated it by application to a standard synthetic example (29th Annual Conference of the IEEE Industrial Electronics Society, Special Session on Intelligent Systems, pp. 1926-1931). The method is used here to obtain prediction intervals for option prices using market data for LIFFE “ESX” FTSE 100 index options ( http://www.liffe.com/liffedata/contracts/month_onmonth.xls). We avoid special neural net architectures and use standard regression procedures to determine local error bars. The method is appropriate for target data with non constant variance (or volatility).

The Complexities of Supervisory Arrangements: Evaluating the Performance of General Education and Special Education Co-Teachers

ERIC Educational Resources Information Center

McAllister, Felicia E.

2012-01-01

Co-teaching, the collaboration between a general education teacher and a special education teacher, is an option that is being perceived by many educators as the means to ensure that special education students have access to the same curriculum as their non-disabled peers as well as the specialized instructional strategies necessary to nurture…

12 CFR 221.123 - Combined credit for exercising employee stock options and paying income taxes incurred as a...

Code of Federal Regulations, 2011 CFR

2011-01-01

... options and paying income taxes incurred as a result of such exercise. 221.123 Section 221.123 Banks and... income taxes incurred as a result of such exercise. (a) Section 221.4(a) and (b), which provides special... that might discourage the exercise of options because of tax complications would conflict with the...

12 CFR 221.123 - Combined credit for exercising employee stock options and paying income taxes incurred as a...

Code of Federal Regulations, 2012 CFR

2012-01-01

... options and paying income taxes incurred as a result of such exercise. 221.123 Section 221.123 Banks and... income taxes incurred as a result of such exercise. (a) Section 221.4(a) and (b), which provides special... that might discourage the exercise of options because of tax complications would conflict with the...

Implementing the Expanded Core Curriculum in Specialized Schools for the Blind

ERIC Educational Resources Information Center

Lohmeier, Keri L.

2005-01-01

Historically, specialized schools for the blind were the only options for educational programming available to students with visual impairments. Throughout the 19th century and into the mid-20th century, the instruction in specialized schools consisted primarily of the core curriculum or academic areas (Zebehazy & Whitten, 1998). Current…

Special Education and the Process of Change: Victim or Master of Educational Reform?

ERIC Educational Resources Information Center

Kaufman, Martin J.; And Others

1990-01-01

The article explores the process of change in special education and reviews major research projects of a five-year (1985-90) federal research program of the Department of Education's Office of Special Education Programs. Forty-one projects addressed eight priority areas, including enhancing instructional program options and educating students with…

Debunking a Special Education Myth: Don't Blame Private Options for Rising Costs

ERIC Educational Resources Information Center

Greene, Jay P.; Winters, Marcus A.

2007-01-01

Can spiraling special education costs explain why educational achievement remained stagnant over the past three decades while real education spending more than doubled? Policy makers, education researchers, and school district officials often make this claim. Special education students--goes the argument--are draining resources away from regular…

26 CFR 1.1234-2 - Special rule for grantors of straddles applicable to certain options granted on or before...

Code of Federal Regulations, 2010 CFR

2010-04-01

... applicable to certain options granted on or before September 1, 1976. 1.1234-2 Section 1.1234-2 Internal... straddles applicable to certain options granted on or before September 1, 1976. (a) In general. Section 1234... granted after January 24, 1972. In computing the 15-day period prescribed by this paragraph, the first day...

A Critical Review of Videoconferencing Software to Support School Consultation

ERIC Educational Resources Information Center

Fischer, Aaron J.; Schultz, Brandon K.; Collier-Meek, Melissa A.; Zoder-Martell, Kimberly A.; Erchul, William P.

2018-01-01

With recent advances in technology, several viable options now exist for school consultants to communicate with teachers via synchronous online videoconferencing (VC) without the need for specialized equipment. Unfortunately, few studies have evaluated the effectiveness of school consultation through VC, so practitioners are provided little…

34 CFR 300.110 - Program options.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 34 Education 2 2011-07-01 2010-07-01 true Program options. 300.110 Section 300.110 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH...

76 FR 22603 - Geographic Preference Option for the Procurement of Unprocessed Agricultural Products in Child...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-22

... Program, Special Milk Program for Children, Child and Adult Care Food Program and Summer Food Service... Program, Fresh Fruit and Vegetable Program, Special Milk Program, Child and Adult Care Food Program and... and 10.553, respectively. The Special Milk Program is listed under No. 10.556. The Child and Adult...

Provision of Services to Students with Attention Deficit Hyperactivity Disorder. A Vision for Education.

ERIC Educational Resources Information Center

Virginia State Dept. of Education, Richmond.

Presented is the report of a Virginia study committee analyzing various policy options on the provision of services to students with Attention Deficit Hyperactivity Disorder (ADHD). The study found that approximately 49,000 Virginia students have an attention deficit disorder, with 24,500 in need of special education services and an additional…

A Case Study of School Choice and Special Education in the 21st Century

ERIC Educational Resources Information Center

Bernier, Lisa E.

2017-01-01

School choice is deeply rooted in the marketization theories originally presented by Milton Friedman in the 1950s. There are many school choice options available in Arizona. The purpose and primary research question of this case study explored how a Free Appropriate Public Education (FAPE) and other factors influenced the parents' decisions to…

Leisure Service Career Programs Model. Final Report.

ERIC Educational Resources Information Center

Twining, Marilyn

This report identifies leisure career occupations, determines the occupational outlook, and develops primary core competencies as well as specialized, optional competencies for entry level employment. The main method of inquiry is described as a needs assessment based on an audit at Moraine Valley Community College, two previous studies by the…

Decentralisation and Privatisation of Education in Africa: Which Option for Nigeria?

ERIC Educational Resources Information Center

Geo-Jaja, Macleans A.

2004-01-01

Arguing that the politicisation of decentralisation appreciably reduces educational quality and efficient resource allocation and negatively affects matters of equity in and delivery of education, the present study provides a critique of decentralisation and privatisation in education in Africa with special reference to Nigeria. On the basis of…

45 CFR 146.117 - Special enrollment periods.

Code of Federal Regulations, 2014 CFR

2014-10-01

... and an indemnity option. Self-only and family coverage are available under both options. A enrolls for... becomes a dependent of the individual through marriage, birth, adoption, or placement for adoption. (ii... chapter) of a participant and the individual has become a dependent of the participant through marriage...

45 CFR 146.117 - Special enrollment periods.

Code of Federal Regulations, 2013 CFR

2013-10-01

... and an indemnity option. Self-only and family coverage are available under both options. A enrolls for... marriage, birth, adoption, or placement for adoption. (ii) Spouse of a participant only. An individual is... individual has become a dependent of the participant through marriage, birth, adoption, or placement for...

New Options, Old Concerns.

ERIC Educational Resources Information Center

O'Neil, John

1996-01-01

Will greater school choice result in more responsive, higher quality schools and happier parents? Or will proliferating options further sort students and families by race, social class, and special interest? Increasingly, education is viewed as a private good. If parents become autonomous, self-interested consumers, erosion of common purposes and…

48 CFR 17.206 - Evaluation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Evaluation. 17.206 Section... CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.206 Evaluation. (a) In awarding the basic contract... officer need not evaluate offers for any option quantities when it is determined that evaluation would not...

Facilitated IEP Meetings. PACER Center ACTion Information Sheets: PHP-c90

ERIC Educational Resources Information Center

PACER Center, 2014

2014-01-01

To help special education planning teams reach agreements, the Minnesota Department of Education, Compliance and Assistance, Alternative Dispute Resolution Services provide the option of facilitated IEP (Individualized Education Program) meetings. This option is available for IEP, IIIP (Individual Interagency Intervention Plan), and IFSP…

29 CFR 2590.701-6 - Special enrollment periods.

Code of Federal Regulations, 2011 CFR

2011-07-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... in this paragraph (b)(2)(i) if a person becomes a dependent of the individual through marriage, birth... dependent of the participant through marriage, birth, adoption, or placement for adoption. (v) Current...

29 CFR 2590.701-6 - Special enrollment periods.

Code of Federal Regulations, 2014 CFR

2014-07-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... individual through marriage, birth, adoption, or placement for adoption. (ii) Spouse of a participant only... participant and the individual has become a dependent of the participant through marriage, birth, adoption, or...

26 CFR 54.9801-6 - Special enrollment periods.

Code of Federal Regulations, 2012 CFR

2012-04-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... becomes a dependent of the individual through marriage, birth, adoption, or placement for adoption. (ii... participant and the individual has become a dependent of the participant through marriage, birth, adoption, or...

29 CFR 2590.701-6 - Special enrollment periods.

Code of Federal Regulations, 2012 CFR

2012-07-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... in this paragraph (b)(2)(i) if a person becomes a dependent of the individual through marriage, birth... dependent of the participant through marriage, birth, adoption, or placement for adoption. (v) Current...

26 CFR 54.9801-6 - Special enrollment periods.

Code of Federal Regulations, 2013 CFR

2013-04-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... becomes a dependent of the individual through marriage, birth, adoption, or placement for adoption. (ii... participant and the individual has become a dependent of the participant through marriage, birth, adoption, or...

29 CFR 2590.701-6 - Special enrollment periods.

Code of Federal Regulations, 2013 CFR

2013-07-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... in this paragraph (b)(2)(i) if a person becomes a dependent of the individual through marriage, birth... dependent of the participant through marriage, birth, adoption, or placement for adoption. (v) Current...

26 CFR 54.9801-6 - Special enrollment periods.

Code of Federal Regulations, 2011 CFR

2011-04-01

... benefit packages—an HMO option and an indemnity option. Self-only and family coverage are available under... becomes a dependent of the individual through marriage, birth, adoption, or placement for adoption. (ii... participant and the individual has become a dependent of the participant through marriage, birth, adoption, or...

30 CFR 90.3 - Part 90 option; notice of eligibility; exercise of option.

Code of Federal Regulations, 2014 CFR

2014-07-01

... as measured by the Mining Research Establishment (MRE) instrument. When the approved sampling device... concentrations. Mechanized mining unit (MMU). A unit of mining equipment including hand loading equipment used for the production of material; or a specialized unit which uses mining equipment other than specified...

Experimenting with Support of Mobile Touch Devices for Pupils with Special Educational Needs

ERIC Educational Resources Information Center

Gybas, Vojtech; Kostolányová, Katerina; Klubal, Libor

2017-01-01

The aim of this paper is to describe one of the learning option for pupils with special educational needs with the support of ICT in the educational area Man and Nature, "a basic knowledge of chemistry." Form of experimental teaching is not commonly used in elementary school special education. With the support of ICT, specifically the…

No Special Equipment Required: The Accessibility Features Built into the Windows and Macintosh Operating Systems make Computers Accessible for Students with Special Needs

ERIC Educational Resources Information Center

Kimball,Walter H.; Cohen,Libby G.; Dimmick,Deb; Mills,Rick

2003-01-01

The proliferation of computers and other electronic learning devices has made knowledge and communication accessible to people with a wide range of abilities. Both Windows and Macintosh computers have accessibility options to help with many different special needs. This documents discusses solutions for: (1) visual impairments; (2) hearing…

Application of shell elements in simulation of cans ironing

NASA Astrophysics Data System (ADS)

Andrianov, A. V.; Erisov, Y. A.; Aryshensky, E. V.; Aryshensky, V. Y.

2017-01-01

In the present study, the special shell finite elements are used to simulate the drawing with high ironing ratio of aluminum beverage cans. These elements are implemented in commercial software complex PAM-STAMP 2G by means of T.T.S. normal stress option, which is used for ironing to describe well normal stress. By comparison of simulation and experimental data, it is shown that shell elements with T.T.S. option are capable to provide accurate simulation of deep drawing and ironing. The error of can thickness and height computation agrees with the engineering computation accuracy.

7 CFR 245.9 - Special assistance certification and reimbursement alternatives.

Code of Federal Regulations, 2011 CFR

2011-01-01

... REDUCED PRICE MEALS AND FREE MILK IN SCHOOLS § 245.9 Special assistance certification and reimbursement... children determined eligible for free or reduced price meals may, at its option, authorize the school to reduce annual certification and public notification for those children eligible for free meals to once...

7 CFR 245.9 - Special assistance certification and reimbursement alternatives.

Code of Federal Regulations, 2010 CFR

2010-01-01

... REDUCED PRICE MEALS AND FREE MILK IN SCHOOLS § 245.9 Special assistance certification and reimbursement... children determined eligible for free or reduced price meals may, at its option, authorize the school to reduce annual certification and public notification for those children eligible for free meals to once...

42 CFR 436.1100 - Basis and scope.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) MEDICAL ASSISTANCE PROGRAMS ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS Option for Coverage of Special Groups § 436.1100 Basis and scope. (a) Statutory basis. Section 1920A of the Act allows... requirements for providing medical assistance to special groups who are not eligible for Medicaid as...

Special Ed. and Choice Ties Grow

ERIC Educational Resources Information Center

Shah, Nirvi

2012-01-01

Creating private school vouchers for special education students--programs that are largely unchallenged in court, unlike other publicly financed tuition vouchers--can be the perfect way to clear a path for other students to get school options, according to school choice proponents. At least seven states--Arizona, Florida, Georgia, Louisiana, Ohio,…

Critical Practice Analysis of Special Education Policy: An RTI Example

ERIC Educational Resources Information Center

Thorius, Kathleen A. King; Maxcy, Brendan D.

2015-01-01

Since 1997, revisions to the Individuals With Disabilities Education Act (IDEA) have shown promise for addressing special education equity concerns: For example, states have the option to use response to intervention (RTI) for determining and thus reducing inappropriate disability determination, and states and districts are required to assess and…

Medium Earth Orbit Scatterometer (MEOScat) Concept Phase Study

NASA Technical Reports Server (NTRS)

Spencer, Michael W.

2004-01-01

In this report, advanced scatterometer concept options to operate in the post-SeaWinds era are examined. In order to meet the future requirements of scientific and operational users, a variety of scatterometer systems capable of producing improved wind vector products are evaluated. Special emphasis is placed on addressing concept options that operate at higher altitudes in order to improve the temporal revisit time. A preliminary set of generalized wind measurement goals designed to meet the future needs of both scientific and operational communities is put forth. Geophysically based measurement constraints (such as allowable carrier frequencies and measurement incidence angles) are identified. It was found that a potential key constraint at higher satellite altitudes is the longer time required to make all of the azimuth measurements. The revisit and coverage characteristics of a variety of platform orbits throughout the MEO range is studied in detail, and a discussion of the associated increase in radiation is presented. The "trade space" of scatterometer architectures and design options, along with associated advantages and disadvantages, is described for mission options in the MEO range. Finally, key technology studies that will enable further development of a MEO scatterometer mission are identified.

Adjusting Hours to Increase Jobs: An Analysis of the Options. A Special Report of the National Commission for Manpower Policy. Special Report No. 15.

ERIC Educational Resources Information Center

Clark, Robert

This fifteenth special report of the National Commission for Manpower Policy examines the interplay between the forces determining work schedules and the incidence and prevalence of unemployment. In the first chapter the author sets forth the major trends in hours of work and in the changing structure of the labor force that has led increasingly…

What do Americans think about federal tax options to support public transit, highways, and local streets and roads? Results from year six of a national survey.

DOT National Transportation Integrated Search

2015-06-01

This report summarizes the results of year six of a national random-digit-dial public opinion poll asking 1,503 respondents if they : would support various tax options for raising federal transportation revenues, with a special focus on understanding...

What do Americans think about federal tax options to support public transit, highways, and local streets and roads? results from year 3 of a national survey.

DOT National Transportation Integrated Search

2012-06-01

This report summarizes the results of a national random-digit-dial public opinion poll that asked 1,519 respondents if they would support various tax options for raising federal transportation revenues, with a special focus on understanding support f...

12 CFR Optional Annual Percentage... - End Plans Subject to the Requirements of § 226.5b

Code of Federal Regulations, 2012 CFR

2012-01-01

....5b Annual Optional Annual Percentage Rate Computations for Creditors Offering Open Banks and Banking... (REGULATION Z) Special Rules Applicable to Credit Card Accounts and Open-End Credit Offered to College... Creditors Offering Open-End Plans Subject to the Requirements of § 226.5b In determining the denominator of...

12 CFR Optional Annual Percentage... - End Plans Subject to the Requirements of § 226.5b

Code of Federal Regulations, 2011 CFR

2011-01-01

....5b Annual Optional Annual Percentage Rate Computations for Creditors Offering Open Banks and Banking... (REGULATION Z) Special Rules Applicable to Credit Card Accounts and Open-End Credit Offered to College... Creditors Offering Open-End Plans Subject to the Requirements of § 226.5b In determining the denominator of...

12 CFR Optional Annual Percentage... - End Plans Subject to the Requirements of § 226.5b

Code of Federal Regulations, 2013 CFR

2013-01-01

....5b Annual Optional Annual Percentage Rate Computations for Creditors Offering Open Banks and Banking... LENDING (REGULATION Z) Special Rules Applicable to Credit Card Accounts and Open-End Credit Offered to... Computations for Creditors Offering Open-End Plans Subject to the Requirements of § 226.5b In determining the...

What do Americans think about Federal tax options to support public transit, highways, and local streets and roads? results from year seven of a national survey.

DOT National Transportation Integrated Search

2016-06-01

This report summarizes the results of year seven of a national random-digit-dial public opinion poll asking 1,503 respondents if : they would support various tax options for raising federal transportation revenues, with a special focus on understandi...

What do Americans think about federal tax options to support public transit, highways, and local streets and roads? Results from year four of a national survey.

DOT National Transportation Integrated Search

2013-06-01

This report summarizes the results of year four of a national random-digit-dial public opinion poll asking 1,501 respondents : if they would support various tax options for raising federal transportation revenues, with a special focus on understandin...

43 CFR 30.261 - How does a tribe exercise its statutory option to purchase?

Code of Federal Regulations, 2010 CFR

2010-10-01

... tribe may purchase all or part of the available interests specified in the probate decision. A tribe may... option to purchase? 30.261 Section 30.261 Public Lands: Interior Office of the Secretary of the Interior INDIAN PROBATE HEARINGS PROCEDURES Tribal Purchase of Interests Under Special Statutes § 30.261 How does...

43 CFR 30.262 - When may a tribe exercise its statutory option to purchase?

Code of Federal Regulations, 2010 CFR

2010-10-01

... purchase: (1) Within 60 days after mailing of the probate decision unless a petition for rehearing has been... option to purchase? 30.262 Section 30.262 Public Lands: Interior Office of the Secretary of the Interior INDIAN PROBATE HEARINGS PROCEDURES Tribal Purchase of Interests Under Special Statutes § 30.262 When may...

What do Americans think about federal tax options to support public transit, highways, and local streets and roads? Results from year five of a national survey.

DOT National Transportation Integrated Search

2014-06-01

This report summarizes the results of year five of a national random-digit-dial public opinion poll asking 1,503 respondents if they : would support various tax options for raising federal transportation revenues, with a special focus on understandin...

77 FR 53231 - Final Environmental Impact Statement for the Odessa Subarea Special Study-Columbia Basin Project...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-31

... scope of the action alternative which include acreage, water supply, and general site locations would... authorized boundary with a surface water supply as part of continued phased development of the CBP. The... alternative impacts considered in the Draft EIS. Two water supply options are being considered that would use...

Herbicide options for hardwood management

Treesearch

Andrew W. Ezell; A. Brady Self

2016-01-01

The use of herbicides in hardwood management presents special problems in that many of the most effective herbicides are either designed to control hardwoods or the product is not labeled for such applications. Numerous studies involving herbicide application in hardwoods have been completed at Mississippi State University. This paper is a compilation of results from...

Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2018; Amendments to Special Enrollment Periods and the Consumer Operated and Oriented Plan Program. Final rule.

PubMed

2016-12-22

This final rule sets forth payment parameters and provisions related to the risk adjustment program; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal platform. It also provides additional guidance relating to standardized options; qualified health plans; consumer assistance tools; network adequacy; the Small Business Health Options Programs; stand-alone dental plans; fair health insurance premiums; guaranteed availability and guaranteed renewability; the medical loss ratio program; eligibility and enrollment; appeals; consumer-operated and oriented plans; special enrollment periods; and other related topics.

Using Junior Achievement as a Vocational Option for Youth with Special Needs.

ERIC Educational Resources Information Center

Schoff, Patty

Junior Achievement (JA) offers high school students its traditional evening program, in which business advisors help students run their own mini-businesses. In 1980, JA offered this program to mentally, emotionally, and physically disabled students aged 16-21. The special needs component operates an in-class program where students run companies…

76 FR 5846 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-02

... Change Relating to Firm Related Equity Option Cap, Active SQF Port Fees and Other Membership Fees January... Schedule to: (i) Allow Firms to cap their equity option transaction charges, per month, when such Firms are... Specialized Quote Feed (``SQF'') Port Fee and also extended the current $40,000 per month cap from March 31...

Flexible Fringe Benefit Plans Save You Money and Keep Employees Happy.

ERIC Educational Resources Information Center

Johnson, Rob

1987-01-01

This fringe benefit plan saves money for both employers and employees, provides a better fit for employees' actual benefit needs, and allows employees to choose options from a menu of benefits. One option is a flexible spending plan. Employees place a portion of their before-tax income into a special account from which allowable expenses are paid…

Counterinsurgency Aircraft Procurement Options: Processes, Methods, Alternatives, and Estimates

DTIC Science & Technology

2009-08-01

4. TITLE AND SUBTITLE Counterinsurgency Aircraft Procurement Options: Processes, Methods, Alternatives, and Estimates 5a. CONTRACT NUMBER 5b...Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT A call is being made for an aircraft dedicated to the...counterinsurgency (COIN) mission within military academic circles and the special operations community. Support for a COIN aircraft needs hard numbers, given

26 CFR 1.424-1 - Definitions and special rules applicable to statutory options.

Code of Federal Regulations, 2010 CFR

2010-04-01

... in § 1.424-1(e)(4)(v)) or change in the terms or number of outstanding shares of such corporation... or price of shares purchasable under an option merely to reflect market fluctuations in the price of... of the outstanding shares of a corporation (as described in paragraph (a)(3)(ii) of this section...

Economic Impact of Harvesting Corn Stover under Time Constraint: The Case of North Dakota

DOE PAGES

Maung, Thein A.; Gustafson, Cole R.

2013-01-01

This study examines the impact of stochastic harvest field time on profit maximizing potential of corn cob/stover collection in North Dakota. Three harvest options are analyzed using mathematical programming models. Our findings show that under the first corn grain only harvest option, farmers are able to complete harvesting corn grain and achieve maximum net income in a fairly short amount of time with existing combine technology. However, under the second simultaneous corn grain and cob (one-pass) harvest option, farmers generate lower net income compared to the net income of the first option. This is due to the slowdown in combinemore » harvest capacity as a consequence of harvesting corn cobs. Under the third option of separate corn grain and stover (two-pass) harvest option, time allocation is the main challenge and our evidence shows that with limited harvest field time available, farmers find it optimal to allocate most of their time harvesting grain and then proceed to harvest and bale stover if time permits at the end of harvest season. The overall findings suggest is that it would be more economically efficient to allow a firm that is specialized in collecting biomass feedstock to participate in cob/stover harvest business.« less

Economic Impact of Harvesting Corn Stover under Time Constraint: The Case of North Dakota

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

Maung, Thein A.; Gustafson, Cole R.

This study examines the impact of stochastic harvest field time on profit maximizing potential of corn cob/stover collection in North Dakota. Three harvest options are analyzed using mathematical programming models. Our findings show that under the first corn grain only harvest option, farmers are able to complete harvesting corn grain and achieve maximum net income in a fairly short amount of time with existing combine technology. However, under the second simultaneous corn grain and cob (one-pass) harvest option, farmers generate lower net income compared to the net income of the first option. This is due to the slowdown in combinemore » harvest capacity as a consequence of harvesting corn cobs. Under the third option of separate corn grain and stover (two-pass) harvest option, time allocation is the main challenge and our evidence shows that with limited harvest field time available, farmers find it optimal to allocate most of their time harvesting grain and then proceed to harvest and bale stover if time permits at the end of harvest season. The overall findings suggest is that it would be more economically efficient to allow a firm that is specialized in collecting biomass feedstock to participate in cob/stover harvest business.« less

Redressing Gender Inequalities in Education. A Review of Constraints and Priorities in Malawi, Zambia, and Zimbabwe.

ERIC Educational Resources Information Center

Swainson, Nicola

The causes and manifestations of gender inequalities in education in Malawi, Zambia, and Zimbabwe and policy options for redressing them were examined through a review of literature on the causes, nature, and extent of gender disparities in education in the study region and information on efforts to eliminate gender inequality. Special attention…

The Quality of Care under a Managed-Care Program for Dual Eligibles

ERIC Educational Resources Information Center

Kane, Robert L.; Homyak, Patricia; Bershadsky, Boris; Lum, Terry; Flood, Shannon; Zhang, Hui

2005-01-01

Purpose: Our objective in this study was to compare the quality of care provided under the Minnesota Senior Health Options (MSHO), a special program designed to serve dually eligible older persons, to care provided to controls who received fee-for-service Medicare and Medicaid managed care. Design and Methods: Two control groups were used; one was…

Career Planning without a Regular Diploma: A Study of High School Students Who Received "Special" Diplomas

ERIC Educational Resources Information Center

Price-Wright, Demetress LaGale

2013-01-01

There is a growing demand by our society and legislature to educate all students equitably in an inclusive general education setting. Societal trends vary as time progresses, but this does not eliminate the growing debate regarding diploma options, exit requirements and future career planning for high school graduates. What does a future look like…

Psychosocial Research on the International Space Station: Special Privacy Considerations

NASA Astrophysics Data System (ADS)

Kanas, N.; Salnitskiy, V.; Ritsher, J.; Grund, E.; Weiss, D.; Gushin, V.; Kozerenko, O.

Conducting psychosocial research with astronauts and cosmonauts requires special privacy and confidentiality precautions due to the high profile nature of the subject population and to individual crewmember perception of the risks inherent in divulging sensitive psychological information. Sampling from this small population necessitates subject protections above and beyond standard scientific human subject protocols. Many of these protections have relevance for psychosocial research on the International Space Station. In our previous study of psychosocial issues involving crewmembers on the Mir space station, special precautions were taken during each phase of the missions. These were implemented in order to gain the trust necessary to ameliorate the perceived risks of divulging potentially sensitive psychological information and to encourage candid responses. Pre-flight, a standard confidentiality agreement was provided along with a special layman's summary indicating that only group-level data would be presented, and subjects chose their own ID codes known only to themselves. In-flight, special procedures and technologies (such as encryption) were employed to protect the data during the collection. Post-flight, an analytic strategy was chosen to further mask subject identifiers, and draft manuscripts were reviewed by the astronaut office prior to publication. All of the eligible five astronauts and eight cosmonauts who flew joint US/Russian missions on the Mir were successfully recruited to participate, and their data completion rate was 76%. Descriptive analyses of the data indicated that there was sufficient variability in all of the measures to indicate that thoughtful, discriminating responses were being provided (e.g., the full range of response options was used in 63 of the 65 items of the Profile of Mood States measure, and both true and false response options were used in all 126 items of the Group Environment and the Work Environment measures). This presentation will discuss and expand on the lessons learned during the Mir study and relate them to future long-duration space missions.

IDEA Special Education Mediation. A Guide for Parents of Children & Youth (Ages 3-21)

ERIC Educational Resources Information Center

Center for Appropriate Dispute Resolution in Special Education (CADRE), 2014

2014-01-01

This information guide was designed to assist in resolving special education disputes, as well as to provide dispute resolution options for parents or school district staff when communications are difficult or there is a dispute that cannot be resolved. Mediation is a voluntary process that (1) brings people together to resolve their…

Customizing model membranes and samples for NMR spectroscopic studies of complex membrane proteins.

PubMed

Sanders, C R; Oxenoid, K

2000-11-23

Both solution and solid state nuclear magnetic resonance (NMR) techniques for structural determination are advancing rapidly such that it is possible to contemplate bringing these techniques to bear upon integral membrane proteins having multiple transmembrane segments. This review outlines existing and emerging options for model membrane media for use in such studies and surveys the special considerations which must be taken into account when preparing larger membrane proteins for NMR spectroscopic studies.

A Qualitative Study on Factors that Influence Turkish Medical Students' Decisions to Become Family Physicians After the Health Transformation Programme.

PubMed

Tanriover, Ozlem; Hidiroglu, Seyhan; Akan, Hulya; Ay, Pinar; Erdogan, Yalcin; Karavus, Melda; Vitrinel, Ayca; Hayran, Osman

2014-06-01

In Turkey, general practitioners were authorized to work as family physicians without specialization, within the scope of the Health Transformation Programme, due to inadequate number of family medicine specialists since 2004. With this new implementation Family Medicine specialty became a less preferable option for medical students. The study was to investigate the perspectives of medical students and understand the issues to choose Family Medicine specialty as a career option. This qualitative study was performed with 48 final year medical students using a convenience sample from two medical universities. Three main categories emerged from the data viewing Family Medicine 'as a specialty', 'as an employment', and finally 'as a system'. Very few students stated that Family Medicine would be their choice for specialty. Family Medicine does not seem to be an attractive option in career planning by medical students. Several factors that may constrain students from choosing Family Medicine include: not perceiving Family Medicine as a field of expertise, and the adverse conditions at work which may originate from duality in the system.

IgE-based Immunotherapy of Cancer -A Comparative Oncology Approach

PubMed Central

Singer, Josef; Jensen-Jarolim, Erika

2014-01-01

Antibody-based immunotherapies are important therapy options in human oncology. Although human humoral specific immunity is constituted of five different immunoglobulin classes, currently only IgG-based immunotherapies have proceeded to clinical application. This review, however, discusses the benefits and difficulties of IgE-based immunotherapy of cancer, with special emphasis on how to translate promising preclinical results into clinical studies. Pursuing the “Comparative Oncology” approach, novel drug candidates are investigated in clinical trials with veterinary cancer patients, most often dogs. By this strategy drug development could be speeded up, animal experiments could be reduced and novel therapy options could be introduced benefitting humans as well as man’s best friend. PMID:25264496

Pectus Excavatum: A Review of Diagnosis and Current Treatment Options.

PubMed

Abid, Irfaan; Ewais, MennatAllah M; Marranca, Joseph; Jaroszewski, Dawn E

2017-02-01

Osteopathic medicine places a special emphasis on the musculoskeletal system, and understanding how chest wall structure may influence function is critical. Pectus excavatum is a common congenital chest wall defect in which the sternum is depressed posteriorly. Patients may present with complaints of chest wall discomfort, exercise intolerance, and tachycardia. The medical implications, diagnosis, and treatment options for patients with pectus excavatum are reviewed.

Implications of flexible work systems for work studies.

PubMed

Kogi, K

1997-12-01

The relationship between changing work systems and work study methods is discussed by focusing on a recent trend toward more flexible work systems in different countries. These systems are commonly characterized by (a) uncoupling of working hours from business hours, (b) combining different atypical work forms and (c) individualized work patterns. Increased flexibility in working patterns is demanded because business hours may be covered by different workers and because special arrangements become necessary for unpopular shifts or linking separate jobs. Changes in work systems seem more successful when they are associated with (a) multiskilled work, (b) independent task implementation, (c) networked communication, (d) balanced or adjusted workload, and (e) accommodation of workers' preferences. Special attention is drawn to safety and health concerns and work-life effects. Many intervention studies done for work improvement are paying attention to multifaceted work aspects, locally available options, and participation by people. All these elements are important because prepackaged solutions do not exist. The following three views seem especially useful for action-oriented work studies: 1) Look at multiple aspects of the work, including work content and atypical work forms; 2) Know worker preferences and available options; and 3) Take into account work elements that may not be well defined, but important from local points of view. It is envisioned that these studies can provide support for a well-informed participatory process of work system changes in each local context.

School Partners in ILLINET. Automation Options for School Library Resource Sharing in Illinois. Final Report [and] Partners in ILLINET. Special Report.

ERIC Educational Resources Information Center

Howrey, Mary M.

This study was funded by the Library Services and Construction Act (LSCA) to enable the Illinois School Library Media Association (ISLMA) to plan the automation of the state's school libraries. The research was intended to identify current national programs of interest to ISLMA, identify current automation programs within Illinois library systems,…

LEP Students in Special High School Programs, 1987-88. Evaluation Section Report. OREA Report.

ERIC Educational Resources Information Center

Berney, Tomi D.; Asselle, Maria Grazia

The LEP (limited-English-proficient) Students in Special High Schools Program, funded from a variety of sources, was partially implemented in 1987-88. The program's aim was to provide 277 LEP students, whose native languages were Chinese, Haitian Creole/French, and Spanish, with equal access to 8 educational-option and 5 vocational/technical high…

Inconsistencies in authoritative national paediatric workforce data sources.

PubMed

Allen, Amy R; Doherty, Richard; Hilton, Andrew M; Freed, Gary L

2017-12-01

Objective National health workforce data are used in workforce projections, policy and planning. If data to measure the current effective clinical medical workforce are not consistent, accurate and reliable, policy options pursued may not be aligned with Australia's actual needs. The aim of the present study was to identify any inconsistencies and contradictions in the numerical count of paediatric specialists in Australia, and discuss issues related to the accuracy of collection and analysis of medical workforce data. Methods This study compared respected national data sources regarding the number of medical practitioners in eight fields of paediatric speciality medical (non-surgical) practice. It also counted the number of doctors listed on the websites of speciality paediatric hospitals and clinics as practicing in these eight fields. Results Counts of medical practitioners varied markedly for all specialties across the data sources examined. In some fields examined, the range of variability across data sources exceeded 450%. Conclusions The national datasets currently available from federal and speciality sources do not provide consistent or reliable counts of the number of medical practitioners. The lack of an adequate baseline for the workforce prevents accurate predictions of future needs to provide the best possible care of children in Australia. What is known about the topic? Various national data sources contain counts of the number of medical practitioners in Australia. These data are used in health workforce projections, policy and planning. What does this paper add? The present study found that the current data sources do not provide consistent or reliable counts of the number of practitioners in eight selected fields of paediatric speciality practice. There are several potential issues in the way workforce data are collected or analysed that cause the variation between sources to occur. What are the implications for practitioners? Without accurate data on which to base decision making, policy options may not be aligned with the actual needs of children with various medical needs, in various geographic areas or the nation as a whole.

25 CFR 1200.5 - What are the advantages and disadvantages of managing trust funds under the options in § 1200.4?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 2 2010-04-01 2010-04-01 false What are the advantages and disadvantages of managing trust funds under the options in § 1200.4? 1200.5 Section 1200.5 Indians OFFICE OF THE SPECIAL TRUSTEE... General Provisions § 1200.5 What are the advantages and disadvantages of managing trust funds under the...

Help the climate, change your diet: A cross-sectional study on how to involve consumers in a transition to a low-carbon society.

PubMed

de Boer, Joop; de Witt, Annick; Aiking, Harry

2016-03-01

This paper explores how the transition to a low-carbon society to mitigate climate change can be better supported by a diet change. As climate mitigation is not the focal goal of consumers who are buying or consuming food, the study highlighted the role of motivational and cognitive background factors, including possible spillover effects. Consumer samples in the Netherlands (n = 527) and the United States (n = 556) were asked to evaluate food-related and energy-related mitigation options in a design that included three food-related options with very different mitigation potentials (i.e. eating less meat, buying local and seasonal food, and buying organic food). They rated each option's effectiveness and their willingness to adopt it. The outstanding effectiveness of the less meat option (as established by climate experts) was recognized by merely 12% of the Dutch and 6% of the American sample. Many more participants gave fairly positive effectiveness ratings and this was correlated with belief in human causation of climate change, personal importance of climate change, and being a moderate meat eater. Willingness to adopt the less meat option increased with its perceived effectiveness and, controlling for that, it was significantly related to various motivationally relevant factors. The local food option appealed to consumer segments with overlapping but partly different motivational orientations. It was concluded that a transition to a low carbon society can significantly benefit from a special focus on the food-related options to involve more consumers and to improve mitigation. Copyright © 2015 Elsevier Ltd. All rights reserved.

Specialized Study Options U.S.A., 1986-1988. A Guide to Short-Term Educational Programs in the United States for Foreign Nationals. Volume 2: Professional Development. Second Edition.

ERIC Educational Resources Information Center

Howard, Edrice, Ed.

Information is provided on nearly 500 short-term professional development programs offered in the United States that are open to or intended for non-U.S. students. The programs, which range from 2 weeks to 1 year in length, require at least an associate's degree or a corresponding level of academic or nonacademic study for admission. The programs…

Examining Key Issues Underlying the Audit Commission Reports on SEN Policy Paper 1 (5th Series)

ERIC Educational Resources Information Center

Norwich, Brahm; Beek, Chris; Richardson, Penny; Gray, Peter

2004-01-01

This book is the first publication in the fifth series of seminars organised by the SEN Policy Options Steering Group to examine policy issues to do with special educational needs. The aim of the seminar was to examine in depth several underlying issues raised by the recent Audit Commission Reports on special educational needs. The seminar…

42 CFR 436.1102 - General rules.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) MEDICAL ASSISTANCE PROGRAMS ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS Option for Coverage of Special Groups Presumptive Eligibility for Children § 436.1102 General rules. (a) The agency may...

Higher education in health promotion in Europe: a comparative analysis of master's level training programmes using HP-Source.net.

PubMed

König, Claudia; Mittelmark, Maurice B

2008-01-01

This report summarises opportunities in Europe for master's degree level training in health promotion. Using data available at www.HP-Source.net, 105 study programmes at 71 institutions, spread over 20 European countries, were identified that include health promotion as a main subject. The programmes were analysed along a number of dimensions, including title, learning objectives, curricula, learning and teaching methods, entry requirements, duration, accreditation, language(s) of instruction and participation in European educational structures. The present analysis reveals great diversity along all these dimensions, but also several clusters of programmes that offer quite similar education in health promotion. Of special interest is the range of options available in Europe for length of study, ranging from one to two years, with part-time as well as full-time options.

Case studies of pre-engineered and manufactured sound isolation rooms for music practice and radio broadcast

NASA Astrophysics Data System (ADS)

Probst, Ron N.; Rypka, Dann

2005-09-01

Pre-engineered and manufactured sound isolation rooms were developed to ensure guaranteed sound isolation while offering the unique ability to be disassembled and relocated without loss of acoustic performance. Case studies of pre-engineered sound isolation rooms used for music practice and various radio broadcast purposes are highlighted. Three prominent universities wrestle with the challenges of growth and expansion while responding to the specialized acoustic requirements of these spaces. Reduced state funding for universities requires close examination of all options while ensuring sound isolation requirements are achieved. Changing curriculum, renovation, and new construction make pre-engineered and manufactured rooms with guaranteed acoustical performance good investments now and for the future. An added benefit is the optional integration of active acoustics to provide simulations of other spaces or venues along with the benefit of sound isolation.

Help a Brother Out: A Case Study in Multinational Intelligence Sharing, NATO SOF

DTIC Science & Technology

2011-12-01

increases the likelihood of operational failure and further risks the personal safety of the operators. NATO (and many of the individual member states... personalities in a region. The more 33 Lucien S. Vandenbroucke, Perilous Options: Special Operations as an...ICBMs, tank armies -- they were actually relatively easy to find , but they were very hard to kill. Intelligence was important, don’t get me wrong, but

Alternative Education: An Introduction, a Special Report on Pasadena, California, and a Bibliography. Oregon School Study Council Bulletin, Vol. 17, No. 10.

ERIC Educational Resources Information Center

Oregon School Study Council, Eugene.

The rapid increase in the number of alternative schools in the past two years suggests that today's educator should closely examine the topic--whether with a view toward promoting such options or simply in the interest of keeping abreast of major developments that affect American education. This bulletin gives an introductory overview of the…

Individual differences in decision making by foraging hummingbirds.

PubMed

Morgan, Kate V; Hurly, T Andrew; Healy, Susan D

2014-11-01

For both humans and animals preference for one option over others can be influenced by the context in which the options occur. In animals, changes in preference could be due to comparative decision-making or to changes in the energy state of the animal when making decisions. We investigated which of these possibilities better explained the response of wild hummingbirds to the addition of a decoy option to a set of two options by presenting Rufous hummingbirds (Selasphorus rufus) with a foraging experiment with two treatments. In each treatment the birds were presented with a binary choice between two options and a trinary choice with three options. In treatment one the binary choice was between a volume option and a concentration option, whereas in treatment two the same volume option was presented alongside an alternative concentration option. In the trinary choice, birds were presented with the same options as in the binary choice plus one of two inferior options. Birds changed their preferences when a poorer option was added to the choice set: birds increased their preference for the same option when in the presence of either decoy. Which option differed across individuals and the changes in preference were not readily explained by either energy maximisation or the decoy effect. The consistency in response within individuals, however, would suggest that the individual itself brings an extra dimension to context-dependent decision-making. This article is part of a Special Issue entitled: Cognition in the wild. Copyright © 2014 Elsevier B.V. All rights reserved.

Mental health literacy: A cross-cultural study of American and Chinese bachelor of nursing students.

PubMed

Liu, W; Li, Y-M; Peng, Y

2018-03-01

WHAT IS KNOWN ON THE SUBJECT?: Many nursing students have inadequate preparation for practice in mental health nursing in the United States and China. The concept of mental illness has different connotations in different cultures. Studies differ from country to country concerning the influence of nursing education on students' knowledge about and attitudes towards mental disorders. There is a lack of cross-cultural research that takes a broad perspective to explore how nursing students' knowledge and beliefs about mental disorders are influenced by the culture within education and healthcare systems. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Nursing students in the United States and China shared similar views on a broad range of intervention options including professional help, psychotropic medications and activity interventions for managing depression and schizophrenia. The major difference between the two nursing student groups was that the Chinese students showed more preference to occasional alcohol consumption and specialized therapies including cognitive-behavioural therapy and electroconvulsive therapy and the US students held less skepticism towards traditional and religious practices as possible treatment options for depression and schizophrenia. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The Chinese nursing students need to be educated about safe alcohol consumption guidelines adopted by the National Health and Family Planning Commission. The US nursing students need to increase their awareness of national practice guidelines for managing mental disorders, particularly with respect to the use of specialized therapies such as cognitive-behavioural therapy and electroconvulsive therapy. We support professional and psychosocial interventions in caring for patients with mental disorders. INTRODUCTION Nursing students in the United States and China have reported inadequate preparedness for practice in mental health nursing. It is important to investigate nursing students' mental health literacy levels for a better understanding of their practice readiness in mental health field upon completion of their education. Aim This study was aimed at developing an understanding of American and Chinese nursing students' mental health literacy regarding the effectiveness of specific interventions for managing depression and schizophrenia. Method The "Australian National Mental Health Literacy Survey" was completed by a group of 310 nursing students including 152 Americans and 158 Chinese between April 2016 and April 2017 to compare students' rated intervention options on two provided vignettes. Results The two student groups reached consensus on many intervention options. However, the Chinese students showed more preference to occasional alcohol consumption and specialized therapies and the US students held less skepticism towards traditional practices as treatment options for depression and schizophrenia. Discussion and implications for practice The findings support professional and psychosocial interventions in caring for patients with mental disorders. There is a significant need for specific education on safe alcohol consumption guidelines for Chinese nursing students and clinical practice guidelines for managing mental disorders for American nursing students. © 2017 John Wiley & Sons Ltd.

Radioisotope Thermoelectric Generator Options for Pluto Fast Flyby Mission

NASA Astrophysics Data System (ADS)

Schock, Alfred

1994-07-01

A small spacecraft design for the Pluto Fast Flyby (PFF) mission is under study by the Jet Propulsion Laboratory (PL) for the National Aeronautics and Space Administration (NASA), for a possible launch as early as 1998. JPL's 1992 baseline design calls for a power source able to furnish an energy output of 3963 kWh and a power output of 69 Watts(e) at the end of the 9.2-year mission. Satisfying those demands is made difficult because NASA management has set a goal of reducing the spacecraft mass from a baseline value of 166 kg to ~110 kg, which implies a mass goal of less than 10 kg for the power source. To support the ongoing NASA/JPL studies, the Department of Energy's Office of Special Applications (DOE/OSA) commissioned Fairchild Space to prepare and analyze conceptual designs of radioisotope power systems for the PFF mission. Thus far, a total of eight options employing essentially the same radioisotope heat source modules were designed and subjected to thermal, electrical, structural, and mass analyses by Fairchild. Five of these - employing thermoelectric converters - are described in the present paper, and three - employing free-piston Stirling converters - are described in the companion paper presented next. The system masses of the thermoelectric options ranged from 19.3 kg to 10.2 kg. In general, the options requiring least development are the heaviest, and the lighter options require more development with greater programmatic risk.

A Qualitative Study on Factors that Influence Turkish Medical Students’ Decisions to Become Family Physicians After the Health Transformation Programme

PubMed Central

Tanriover, Ozlem; Hidiroglu, Seyhan; Akan, Hulya; Ay, Pinar; Erdogan, Yalcin; Karavus, Melda; Vitrinel, Ayca; Hayran, Osman

2014-01-01

Background: In Turkey, general practitioners were authorized to work as family physicians without specialization, within the scope of the Health Transformation Programme, due to inadequate number of family medicine specialists since 2004. With this new implementation Family Medicine specialty became a less preferable option for medical students. Aims: The study was to investigate the perspectives of medical students and understand the issues to choose Family Medicine specialty as a career option. Materials and Methods: This qualitative study was performed with 48 final year medical students using a convenience sample from two medical universities. Results: Three main categories emerged from the data viewing Family Medicine ‘as a specialty’, ‘as an employment’, and finally ‘as a system’. Very few students stated that Family Medicine would be their choice for specialty. Conclusions: Family Medicine does not seem to be an attractive option in career planning by medical students. Several factors that may constrain students from choosing Family Medicine include: not perceiving Family Medicine as a field of expertise, and the adverse conditions at work which may originate from duality in the system. PMID:25006564

OCD Treatment Options

MedlinePlus

... or educational DVD. Follow Us Facebook Twitter RSS YouTube Advertisement Find A Therapist Search our directory of ADAA mental health professional members who specialize in anxiety, depression and co-occurring disorders. Understand the Facts Anxiety ...

SEER Data & Software

Cancer.gov

Options for accessing datasets for incidence, mortality, county populations, standard populations, expected survival, and SEER-linked and specialized data. Plus variable definitions, documentation for reporting and using datasets, statistical software (SEER*Stat), and observational research resources.

Balance improvement after physical therapy training using specially developed serious games for cerebral palsy children: preliminary results.

PubMed

Bonnechère, Bruno; Omelina, Lubos; Jansen, Bart; Van Sint Jan, Serge

2017-02-01

Cerebral palsy (CP) leads to various clinical signs mainly induced by muscle spasticity and muscle weakness. Among these ones impaired balance and posture are very common. Traditional physical therapy exercise programs are focusing on this aspect, but it is difficult to motivate patients to regularly perform these exercises, especially at home without therapist supervision. Specially developed serious games (SG) could therefore be an interesting option to motivate children to perform specific exercise for balance improvement. Ten CP children participated in this study. Patients received four sessions of SG included into conventional therapy (1 session of 30 min a week during 4 weeks). Trunk control and balance were assessed using Trunk Control Motor Scale (TCMS) before and after interventions. Children presented a significant improvement in TCMS global score after interventions [37.6 (8.7) and 39.6 (9.5) before and after interventions, respectively, p = 0.04]. SG could therefore be an interesting option to integrate in the conventional treatment of CP children. Implication for Rehabilitation Cerebral palsy (CP) leads to balance issues. Rehabilitation exercises are not performed (enough) at home. Serious games (SG) could increase patients' motivation. SG increase balance control of CP children.

Pharmacological pain management in chronic pancreatitis

PubMed Central

Olesen, Søren S; Juel, Jacob; Graversen, Carina; Kolesnikov, Yuri; Wilder-Smith, Oliver HG; Drewes, Asbjørn M

2013-01-01

Intense abdominal pain is a prominent feature of chronic pancreatitis and its treatment remains a major clinical challenge. Basic studies of pancreatic nerves and experimental human pain research have provided evidence that pain processing is abnormal in these patients and in many cases resembles that seen in neuropathic and chronic pain disorders. An important ultimate outcome of such aberrant pain processing is that once the disease has advanced and the pathophysiological processes are firmly established, the generation of pain can become self-perpetuating and independent of the initial peripheral nociceptive drive. Consequently, the management of pain by traditional methods based on nociceptive deafferentation (e.g., surgery and visceral nerve blockade) becomes difficult and often ineffective. This novel and improved understanding of pain aetiology requires a paradigm shift in pain management of chronic pancreatitis. Modern mechanism based pain treatments taking into account altered pain processing are likely to increasingly replace invasive therapies targeting the nociceptive source, which should be reserved for special and carefully selected cases. In this review, we offer an overview of the current available pharmacological options for pain management in chronic pancreatitis. In addition, future options for pain management are discussed with special emphasis on personalized pain medicine and multidisciplinarity. PMID:24259960

Automated Discovery of Machine-Specific Code Improvements

DTIC Science & Technology

1984-12-01

operation of the source language. Additional analysis may reveal special features of the target architecture that may be exploited to generate efficient...Additional analysis may reveal special features of the target architecture that may be exploited to generate efficient code. Such analysis is optional...incorporate knowledge of the source language, but do not refer to features of the target machine. These early phases are sometimes referred to as the

MIRACAL: A mission radiation calculation program for analysis of lunar and interplanetary missions

NASA Technical Reports Server (NTRS)

Nealy, John E.; Striepe, Scott A.; Simonsen, Lisa C.

1992-01-01

A computational procedure and data base are developed for manned space exploration missions for which estimates are made for the energetic particle fluences encountered and the resulting dose equivalent incurred. The data base includes the following options: statistical or continuum model for ordinary solar proton events, selection of up to six large proton flare spectra, and galactic cosmic ray fluxes for elemental nuclei of charge numbers 1 through 92. The program requires an input trajectory definition information and specifications of optional parameters, which include desired spectral data and nominal shield thickness. The procedure may be implemented as an independent program or as a subroutine in trajectory codes. This code should be most useful in mission optimization and selection studies for which radiation exposure is of special importance.

Impact of regional SPLOST on county infrastructure.

DOT National Transportation Integrated Search

2012-01-01

In response to fiscal constraints on transportation funding and the need to address transportation problems and create regional solutions, Georgia is proposing a 1% regional Special-Purpose Local-Option Sales Tax (SPLOST). To accommodate this initiat...

[Medical specialization in Chile. A centralized vision].

PubMed

Clouet-Huerta, Diego E; González, Bárbara; Correa, Katherine

2017-11-01

Medical graduates face different postgraduate training options, but their priority is to obtain a primary medical specialty, defined as a specialty that does not derive from other. There are different specialty training programs in Chile, which can be dependent or independent of the Ministry of Health. The information about these programs is available in different Internet sites. However a centralized information service that groups and synthetize these programs is lacking, hampering graduate choice decisions. This article aims to review all specialization program modalities, providing a general vision of the institutional structure and implications that govern the specialization process in Chile.

Examining the Role of Inclusive STEM Schools in the College and Career Readiness of Students in the United States: A Multi-Group Analysis on the Outcome of Student Achievement

ERIC Educational Resources Information Center

Erdogan, Niyazi; Stuessy, Carol

2016-01-01

The most prominent option for finding a solution to the shortage of workers with STEM knowledge has been identified as specialized STEM schools by policymakers in the United States. The current perception of specialized STEM schools can be described as a unique environment that includes advanced curriculum, expert teachers, and opportunities for…

Work after 65: Options for the 80's. Hearing before the Special Committee on Aging, United States Senate, Ninety-Sixth Congress, Second Session. Part 3--Orlando, Fla.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Special Committee on Aging.

The problem of senior citizens in Florida who need to work are chronicled in this third part of the Senate Special Committee on Aging, Work after 65 hearings, conducted in Orlando, Florida, in July, 1980. During the Florida hearing, representatives of various government programs for senior citizens, professors of education and economics and…

A serial digital data communications device. [for real time flight simulation

NASA Technical Reports Server (NTRS)

Fetter, J. L.

1977-01-01

A general purpose computer peripheral device which is used to provide a full-duplex, serial, digital data transmission link between a Xerox Sigma computer and a wide variety of external equipment, including computers, terminals, and special purpose devices is reported. The interface has an extensive set of user defined options to assist the user in establishing the necessary data links. This report describes those options and other features of the serial communications interface and its performance by discussing its application to a particular problem.

Mobile ECMO - A divine technology or bridge to nowhere?

PubMed

Merkle, Julia; Djorjevic, Ilija; Sabashnikov, Anton; Kuhn, Elmar W; Deppe, Antje-Christin; Eghbalzadeh, Kaveh; Fattulayev, Javid; Hohmann, Christopher; Zeriouh, Mohamed; Kuhn-Régnier, Ferdinand; Choi, Yeong-Hoon; Mader, Navid; Wahlers, Thorsten

2017-10-01

Extracorporeal life support emerged as a salvage option in patients with therapy-refractory severe hemodynamic or respiratory failure. However, this promising therapy option has been limited by the use of experienced teams in highly specialized tertiary-care centers. Thus, in order to provide this standard of care in local hospitals and due to increasing evidence on improved outcomes using ECMO devices and setting for patients with heart and lung failure, an increasing number of experienced ECMO centers have launched mobile ECMO retrieval services in recent years. Areas covered: This review provides a summary on the current scientific status concerning use, indications and complications of mobile ECMO devices and services. A scientific literature research was conducted in MEDLINE, Embase, Cochrane and Web of Science databases using keywords denoted. Expert commentary: Mobile ECMO devices and setting offer severely ill patients refractory to maximal conventional treatment an option of hemodynamic and/or respiratory stabilization and subsequent transportation to specialized care centers for further treatment. Compared to in-hospital ECMO support, out-of-hospital mobile ECMO implantation, transport and retrieval of patients require additional organizational, logistical and clinical efforts. This review provides a summary on the current scientific status concerning use, indications and complications of mobile ECMO services.

Satellite power systems (SPS) concept definition study. Volume 1: Executive summary

NASA Technical Reports Server (NTRS)

Hanley, G. M.

1980-01-01

System definition studies resulted in a further definition of the reference system using gallium arsenide solar arrays, analysis of alternative subsystem options for the reference concept, preliminary solid state microwave concept studies, and an environmental analysis of laser transmission systems. The special emphasis studies concentrated on satellite construction, satellite construction base definition, satellite construction base construction, and rectenna construction. Major emphasis in the transportation studies was put on definition of a two stage parallel burn, vertical takeoff/horizontal landing concept. The electric orbit transfer vehicle was defined in greater detail. Program definition included cost analyses and schedule definition.

The special study module: a novel approach to undergraduate teaching in occupational medicine.

PubMed

Fletcher, G; Agius, R M

1995-12-01

Difficulties in teaching occupational medicine to undergraduates stem from the reduced availability of teaching time and the perception of the specialty. Recent changes in the General Medical Council curricular framework have permitted the development of a special study module (options course) in occupational medicine, in which a small number of motivated undergraduates elected to participate and which was adequately resourced. This course laid particular emphasis on changing students' attitudes towards the specialty, self-learning techniques, problem-solving and other skills such as workplace assessment. The objectives, content and teaching methods of the course are described, as is a preliminary evaluation. It is suggested that other medical schools should adopt and refine this approach in order to improve the quality of undergraduate training in at least a proportion of the output of medical schools.

The next $120,000: a case study to illustrate analysis of alternative farm investments in fixed assets.

PubMed

St-Pierre, N R; Shoemaker, D; Jones, L R

2000-05-01

Dairy scientists specializing in the area of farm management are increasingly involved in analysis of farm investments in fixed assets. There have been instances where the wrong procedures were used to assess investments in fixed assets, leading to erroneous and possibly disastrous conclusions. A detailed case study of a dairy farm facing the decision of where best to invest an unexpected $120,000 windfall is used to illustrate the various facets of financial analysis. Indicators of profitability, liquidity, solvency, repayment capacity, and financial efficiency are explained and applied to the farm case to produce a detailed analysis of the current financial position of the firm. Long-range budgets of four alternate investment options and their impact on all financial indicators are presented. The four options are: 1) to pay down debt, 2) to purchase an additional 100 cows, 3) to install automatic milk yield recording in the parlor, and 4) to build new heifer facilities. All four investments are profitable. Therefore, an analysis limited to profitability indicators would conclude that any of the four options is a good investment. However, liquidity and financial efficiency issues showed that the option of purchasing 100 cows is far superior to the three others. We conclude that a complete and thorough financial analysis is required to evaluate the impact of long-run investments in fixed assets.

Aerospace engineering educational program

NASA Technical Reports Server (NTRS)

Craft, William; Klett, David; Lai, Steven

1992-01-01

The principle goal of the educational component of NASA CORE is the creation of aerospace engineering options in the mechanical engineering program at both the undergraduate and graduate levels. To accomplish this goal, a concerted effort during the past year has resulted in detailed plans for the initiation of aerospace options in both the BSME and MSME programs in the fall of 1993. All proposed new courses and the BSME aerospace option curriculum must undergo a lengthy approval process involving two cirriculum oversight committees (School of Engineering and University level) and three levels of general faculty approval. Assuming approval is obtained from all levels, the options will officially take effect in Fall '93. In anticipation of this, certain courses in the proposed curriculum are being offered during the current academic year under special topics headings so that current junior level students may graduate in May '94 under the BSME aerospace option. The proposed undergraduate aerospace option curriculum (along with the regular mechanical engineering curriculum for reference) is attached at the end of this report, and course outlines for the new courses are included in the appendix.

26 CFR 1.401(a)-4 - Optional forms of benefit (before 1994).

Code of Federal Regulations, 2012 CFR

2012-04-01

... nondiscriminatory group of employees. (iii) Special rule for certain governmental or church plans. Plans described... income taxation under section 501(a), including plans subject to section 403(b)(12)(A)(i) (nonelective...

26 CFR 1.401(a)-4 - Optional forms of benefit (before 1994).

Code of Federal Regulations, 2014 CFR

2014-04-01

... nondiscriminatory group of employees. (iii) Special rule for certain governmental or church plans. Plans described... income taxation under section 501(a), including plans subject to section 403(b)(12)(A)(i) (nonelective...

26 CFR 1.401(a)-4 - Optional forms of benefit (before 1994).

Code of Federal Regulations, 2013 CFR

2013-04-01

... nondiscriminatory group of employees. (iii) Special rule for certain governmental or church plans. Plans described... income taxation under section 501(a), including plans subject to section 403(b)(12)(A)(i) (nonelective...

17 CFR 210.6-03 - Special rules of general application to registered investment companies.

Code of Federal Regulations, 2010 CFR

2010-04-01

... not prevent the inclusion, at the option of such person, of information applicable to other classes or... other appropriate contingency reserves, for death and disability benefits or for reinstatement rights on...

Understanding pave-IR : background, use, and advanced techniques

DOT National Transportation Integrated Search

2010-01-01

Why Has TxDOT Implemented Pave-IR? : Promote more uniform, higher quality pavements : Minimize/eliminate thermal segregation : Expand range of weather conditions for paving : Special Provision 341-024 : Contains option for contractor to use Pave-IR :...

Reviewing the Role of Mobile Learning Technology in Special Operations Forces Language Learning Contexts

DTIC Science & Technology

2013-03-01

could be used as a change-of-pace option to add variety to IAT and increase (or regain) student engagement . It is important to note language resources...courses’ virtual learning environment (VLE) so tutors could provide feedback (Belanger, 2005). The results of this study indicated that student ... engagement and interest in class discussions increased as a result of the iPods, and that location-independent access to digital course materials led to

Specialized Study Options U.S.A., 1986-1988. A Guide to Short-Term Educational Programs in the United States for Foreign Nationals. Volume 1: Technical Education. Second Edition.

ERIC Educational Resources Information Center

Howard, Edrice, Ed.

Information is provided on over 1,000 short-term programs offered by United States universities, trade and technical schools, and other organizations that are open to or designed for non-U.S. students. The programs, which range from 2 weeks to 1 year in length, require only a high school diploma as a prerequisite for enrollment. The programs are…

Option pricing for stochastic volatility model with infinite activity Lévy jumps

NASA Astrophysics Data System (ADS)

Gong, Xiaoli; Zhuang, Xintian

2016-08-01

The purpose of this paper is to apply the stochastic volatility model driven by infinite activity Lévy processes to option pricing which displays infinite activity jumps behaviors and time varying volatility that is consistent with the phenomenon observed in underlying asset dynamics. We specially pay attention to three typical Lévy processes that replace the compound Poisson jumps in Bates model, aiming to capture the leptokurtic feature in asset returns and volatility clustering effect in returns variance. By utilizing the analytical characteristic function and fast Fourier transform technique, the closed form formula of option pricing can be derived. The intelligent global optimization search algorithm called Differential Evolution is introduced into the above highly dimensional models for parameters calibration so as to improve the calibration quality of fitted option models. Finally, we perform empirical researches using both time series data and options data on financial markets to illustrate the effectiveness and superiority of the proposed method.

Alternative disposal options for transuranic waste

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

Loomis, G.G.

1994-12-31

Three alternative concepts are proposed for the final disposal of stored and retrieved buried transuranic waste. These proposed options answer criticisms of the existing U.S. Department of Energy strategy of directly disposing of stored transuranic waste in deep, geological salt formations at the Waste Isolation Pilot Plant (WIPP) in Carlsbad, New Mexico. The first option involves enhanced stabilization of stored waste by thermal treatment followed by convoy transportation and internment in the existing WIPP facility. This concept could also be extended to retrieved buried waste with proper permitting. The second option involves in-state, in situ internment using an encapsulating lensmore » around the waste. This concept applies only to previously buried transuranic waste. The third option involves sending stored and retrieved waste to the Nevada Test Site and configuring the waste around a thermonuclear device from the U.S. or Russian arsenal in a specially designed underground chamber. The thermonuclear explosion would transmute plutonium and disassociate hazardous materials while entombing the waste in a national sacrifice area.« less

Targeting oncogenic vulnerabilities in triple negative breast cancer: biological bases and ongoing clinical studies

PubMed Central

Ocana, Alberto; Pandiella, Atanasio

2017-01-01

Triple negative breast cancer (TNBC) is still an incurable disease despite the great scientific effort performed during the last years. The huge heterogeneity of this disease has motivated the evaluation of a great number of therapies against different molecular alterations. In this article, we review the biological bases of this entity and how the known molecular evidence supports the current preclinical and clinical development of new therapies. Special attention will be given to ongoing clinical studies and potential options for future drug combinations. PMID:28108739

The Easy Way to Create Computer Slide Shows.

ERIC Educational Resources Information Center

Anderson, Mary Alice

1995-01-01

Discusses techniques for creating computer slide shows. Topics include memory; format; color use; HyperCard and CD-ROM; font styles and sizes; graphs and graphics; the slide show option; special effects; and tips for effective presentation. (Author/AEF)

In-Depth Analysis of the JACK Model.

DOT National Transportation Integrated Search

2009-04-30

Recently, as part of a comprehensive analysis of budget and funding options, a TxDOT : special task force has examined the agencys current financial forecasting methods and has : developed a model designed to estimate future State Highway Fund rev...

Spirituality, religiosity and addiction recovery: current perspectives.

PubMed

Castaldelli-Maia, Joao Mauricio; Beraldo, Livia; Ventriglio, Antonio; de Andrade, Arthur Guerra; da Silva, Antonio Geraldo; Torales, Julio; Goncalves, Priscila Dib; Bhugra, Dinesh

2018-06-11

Substance use disorders are an important public health problem with a multifactorial etiology and limited effective treatment options. Within this context, spirituality-based approaches may provide interesting and useful options in managing substance use disorders. This kind of intervention can have positive effects in alleviating some core symptoms associated with substance use, such as aggressiveness. Improvement in cessation rates for alcohol, cocaine and opioid use disorders have also been described in some clinical studies. However, spirituality may not play a beneficial role in some subgroups, such as among individuals with crack cocaine and cannabis use disorders. A widely available intervention for alcohol use disorders is Alcoholics Anonymous (AA), which can be seen as a spirituality-based intervention. Spirituality also seems to be especially beneficial for minorities such as Latinos, African-Americans and Native-Americans. Moreover, spiritual-based interventions are also helpful alternatives in many rural environments where conventional healthcare for substance use disorders may not be easily available. However, spiritual-based interventions may be considered as a possible adjunctive therapeutic option to conventional treatments. There is a need for prospective studies outside U.S., especially where spiritual-based approaches are available. It may be difficult to carry out randomized controlled trials because of the nature of the spiritual/religious dimensions. However, prospective studies that evaluate mediation effect of spirituality and religiosity on recovery would be helpful. Qualitative studies combined with quantitative design offer excellent options to evaluate the recovery process, especially among special populations. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

A multi-site review of policies affecting opportunities for children with developmental disabilities to become bilingual.

PubMed

Pesco, Diane; MacLeod, Andrea A A N; Kay-Raining Bird, Elizabeth; Cleave, Patricia; Trudeau, Natacha; de Valenzuela, Julia Scherba; Cain, Kate; Marinova-Todd, Stefka H; Colozzo, Paola; Stahl, Hillary; Segers, Eliane; Verhoeven, Ludo

This review of special education and language-in-education policies at six sites in four countries (Canada, United States, United Kingdom, and Netherlands) aimed to determine the opportunities for bilingualism provided at school for children with developmental disabilities (DD). While research has demonstrated that children with DD are capable of learning more than one language (see Kay Raining Bird, Genesee, & Verhoeven, this issue), it was not clear whether recent policies reflect these findings. The review, conducted using the same protocol across sites, showed that special education policies rarely addressed second language learning explicitly. However, at all sites, the policies favoured inclusion and educational planning based on individual needs, and thus implied that students with DD would have opportunities for second language learning. The language-in-education policies occasionally specified the support individuals with special needs would receive. At some sites, policies and educational options provided little support for minority languages, a factor that could contribute to subtractive bilingualism. At others, we found stronger support for minority languages and optional majority languages: conditions that could be more conducive to additive bilingualism. Copyright © 2016 Elsevier Inc. All rights reserved.

Some unconventional approaches to the exploration of Mars

NASA Astrophysics Data System (ADS)

French, J. R.

1991-02-01

The topics of space transport to Mars, and surface transport and surface operations on Mars are discussed in detail and new options for accomplishing these activities are presented. The question of maximizing the return on the investment in a Mars mission is addressed. One way to accomplish this is through reduction of propellant requirements by increasing the performance of the rocket engine, while another option is to make use of nuclear fuel. A technique discussed in detail would provide a means to manufacture fuel from Martian resources for both the return trip and for Mars surface exploration. Options for Mars surface transport include battery and nuclear powered rovers, solar powered automobiles, and either battery, nuclear or Mars-generated-propellant-powered aircraft specially designed to explore the Martian surface. The advantages and disadvantages of each of these options are considered, and the usefulness of a manned aircraft for both exploration and surface operational functions is discussed.

Strategies for achieving global collective action on antimicrobial resistance

PubMed Central

Caleo, Grazia M; Daulaire, Nils; Elbe, Stefan; Matsoso, Precious; Mossialos, Elias; Rizvi, Zain; Røttingen, John-Arne

2015-01-01

Abstract Global governance and market failures mean that it is not possible to ensure access to antimicrobial medicines of sustainable effectiveness. Many people work to overcome these failures, but their institutions and initiatives are insufficiently coordinated, led and financed. Options for promoting global collective action on antimicrobial access and effectiveness include building institutions, crafting incentives and mobilizing interests. No single option is sufficient to tackle all the challenges associated with antimicrobial resistance. Promising institutional options include monitored milestones and an inter-agency task force. A global pooled fund could be used to craft incentives and a special representative nominated as an interest mobilizer. There are three policy components to the problem of antimicrobials – ensuring access, conservation and innovation. To address all three components, the right mix of options needs to be matched with an effective forum and may need to be supported by an international legal framework. PMID:26668439

Default neglect in attempts at social influence.

PubMed

Zlatev, Julian J; Daniels, David P; Kim, Hajin; Neale, Margaret A

2017-12-26

Current theories suggest that people understand how to exploit common biases to influence others. However, these predictions have received little empirical attention. We consider a widely studied bias with special policy relevance: the default effect, which is the tendency to choose whichever option is the status quo. We asked participants (including managers, law/business/medical students, and US adults) to nudge others toward selecting a target option by choosing whether to present that target option as the default. In contrast to theoretical predictions, we find that people often fail to understand and/or use defaults to influence others, i.e., they show "default neglect." First, in one-shot default-setting games, we find that only 50.8% of participants set the target option as the default across 11 samples ( n = 2,844), consistent with people not systematically using defaults at all. Second, when participants have multiple opportunities for experience and feedback, they still do not systematically use defaults. Third, we investigate beliefs related to the default effect. People seem to anticipate some mechanisms that drive default effects, yet most people do not believe in the default effect on average, even in cases where they do use defaults. We discuss implications of default neglect for decision making, social influence, and evidence-based policy.

Development of a model to guide decision making in amyotrophic lateral sclerosis multidisciplinary care.

PubMed

Hogden, Anne; Greenfield, David; Nugus, Peter; Kiernan, Matthew C

2015-10-01

Patients with amyotrophic lateral sclerosis (ALS) face numerous decisions for symptom management and quality of life. Models of decision making in chronic disease and cancer care are insufficient for the complex and changing needs of patients with ALS . The aim was to examine the question: how can decision making that is both effective and patient-centred be enacted in ALS multidisciplinary care? Fifty-four respondents (32 health professionals, 14 patients and eight carers) from two specialized ALS multidisciplinary clinics participated in semi-structured interviews. Interviews were transcribed, coded and analysed thematically. Comparison of stakeholder perspectives revealed six key themes of ALS decision making. These were the decision-making process; patient-centred focus; timing and planning; information sources; engagement with specialized ALS services; and access to non-specialized services. A model, embedded in the specialized ALS multidisciplinary clinic, was derived to guide patient decision making. The model is cyclic, with four stages: 'Participant Engagement'; 'Option Information'; 'Option Deliberation'; and 'Decision Implementation'. Effective and patient-centred decision making is enhanced by the structure of the specialized ALS clinic, which promotes patients' symptom management and quality of life goals. However, patient and carer engagement in ALS decision making is tested by the dynamic nature of ALS, and patient and family distress. Our model optimizes patient-centred decision making, by incorporating patients' cyclic decision-making patterns and facilitating carer inclusion in decision processes. The model captures the complexities of patient-centred decision making in ALS. The framework can assist patients and carers, health professionals, researchers and policymakers in this challenging disease environment. © 2013 John Wiley & Sons Ltd.

Measurement and Analysis Infrastructure Diagnostic (MAID) Evaluation Criteria, Version 1.0

DTIC Science & Technology

2010-02-01

information) 13 These criteria do not address data collection for special cases such as inferential statistical studies which would imply the need for...2009-TR-022 3.2 When a dataset is examined 3.2.1 a data value is not missing from a data cell unless entry has been specified as optional 3.2.2 data... dataset distribution is examined to expose data outliers (if they exist) and to ensure that departures from underlying assumptions associated with the

Deterrence by Denial: The Efficacy of U.S. Missile Defense in the Persian Gulf as a Deterrent Against the Iranian Regional Missile Threat

DTIC Science & Technology

2011-06-10

me throughout the entire process. Your professionalism and guidance were critical in making this a worthwhile study. Special thanks to my wife Jamie ...intelligence review by Michael Knights entitled ―Deterrence by punishment could offer last resort options for Iran‖ in April 2006. In this report, Knights ...RL32048, Iran: U.S. Concerns and Policy Responses. Washington, DC: Congressional Research Service, 20 August 2010. Knights , Michael. ―Deterrence by

Preparation of physical therapists to work with handicapped infants and their families: current status and training needs.

PubMed

Cochrane, C G; Farley, B G; Wilhelm, I J

1990-06-01

The purposes of this study were to determine the current status of physical therapists' preparation to work with handicapped and at-risk infants and their families and to identify needs for infant- and family-focused training materials and curricula. Results of a telephone survey of 73 physical therapy programs and a follow-up mail survey of 14 physical therapy programs with infancy specialization options are presented. Students in entry-level programs and postprofessional master's degree programs with infancy specializations commonly received instruction in infancy-related topics. Many students received minimal or no exposure to family-related content. Family assessment and intervention were identified as the areas of highest priority for development of training materials and curricula. The results of this study provide direction for the design of infant- and family-focused training materials and curricula in physical therapy.

Commodities Trading: An Essential Economic Tool.

ERIC Educational Resources Information Center

Welch, Mary A., Ed.

1989-01-01

This issue focuses on commodities trading as an essential economic tool. Activities include critical thinking about marketing decisions and discussion on how futures markets and options are used as important economic tools. Discussion questions and a special student project are included. (EH)

Raising the Investment Quotient.

ERIC Educational Resources Information Center

Kraack, Paul F.

1998-01-01

Describes efforts in suburban Atlanta's Clayton County to improve existing schools, build new ones, and retire old debts through the passage of a special local-option sales tax. Discusses increases in student achievement, improved technology training and implementation, and relations with the community. (LRW)

48 CFR 1517.204 - Contracts.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false Contracts. 1517.204 Section 1517.204 Federal Acquisition Regulations System ENVIRONMENTAL PROTECTION AGENCY CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 1517.204 Contracts. The SCM may approve a...

48 CFR 17.206 - Evaluation.

Code of Federal Regulations, 2011 CFR

2011-10-01

... contracting officer. An example of a circumstance that may support a determination not to evaluate offers for... 17.206 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 17.206 Evaluation. (a) In awarding the basic contract...

48 CFR 1817.204 - Contracts.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Contracts. 1817.204 Section 1817.204 Federal Acquisition Regulations System NATIONAL AERONAUTICS AND SPACE ADMINISTRATION CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 1817.204 Contracts. (e)(i) The 5...

Patient Protection and Affordable Care Act; establishment of exchanges and qualified health plans; Small Business Health Options Program. Final rule.

PubMed

2013-06-04

This final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) related to the Small Business Health Options Program (SHOP). Specifically, this final rule amends existing regulations regarding triggering events and special enrollment periods for qualified employees and their dependents and implements a transitional policy regarding employees' choice of qualified health plans (QHPs) in the SHOP.

Cosmetic arm lengthening with monorail fixator.

PubMed

Agrawal, Hemendra Kumar; Singh, Balvinder; Garg, Mohit; Khatkar, Vipin; Batra, Sumit; Sharma, Vinod Kumar

2015-01-01

Upper limb length discrepancy is a rare occurrence. Humerus shortening may need specialized treatment to restore the functional and cosmetic status of upper limb. We report a case of humerus lengthening of 9 cm with a monorail external fixator and the result was observed during a 2-year follow-up. Humerus lengthening needs specialized focus as it is not only a cosmetic issue but also a functional demand. The monorail unilateral fixator is more functional and cosmetically acceptable, and thus becomes an effective treatment option.

Offensive Use of Chemical Technologies by US Special Operations Forces in the Global War on Terrorism: The Nonlethal Option (Maxwell Paper, Number 37)

DTIC Science & Technology

2006-07-01

their application in the October 2002 Moscow 9 theater hostage crisis, where Russian special forces used the analgesic fentanyl to subdue occupying...devices throughout the theater. Female terrorists strapped explosive suicide devices to their bodies and positioned themselves among the hostages as...Federal’naia sluzhba bezopasnosti [FSBI, referred to hereafter as FSB) Al’fa, pumped fentanyl , a nonlethal incapacitating agent, into the theater to subdue

Risk management with substitution options: Valuing flexibility in small-scale energy systems

NASA Astrophysics Data System (ADS)

Knapp, Karl Eric

Several features of small-scale energy systems make them more easily adapted to a changing operating environment than large centralized designs. This flexibility is often manifested as the ability to substitute inputs. This research explores the value of this substitution flexibility and the marginal value of becoming a "little more flexible" in the context of real project investment in developing countries. The elasticity of substitution is proposed as a stylized measure of flexibility and a choice variable. A flexible alternative (elasticity > 0) can be thought of as holding a fixed-proportions "nflexible" asset plus a sequence of exchange options---the option to move to another feasible "recipe" each period. Substitutability derives value from following a contour of anticipated variations and from responding to new information. Substitutability value, a "cost savings option", increases with elasticity and price risk. However, the required premium to incrementally increase flexibility can in some cases decrease with an increase in risk. Variance is not always a measure of risk. Tools from stochastic dominance are newly applied to real options with convex payoffs to correct some misperceptions and clarify many common modeling situations that meet the criteria for increased variance to imply increased risk. The behavior of the cost savings option is explored subject to a stochastic input price process. At the point where costs are identical for all alternatives, the stochastic process for cost savings becomes deterministic, with savings directly proportional to elasticity of substitution and price variance. The option is also formulated as a derivative security via dynamic programming. The partial differential equation is solved for the special case of Cobb-Douglas (elasticity = 1) (also shown are linear (infinite elasticity), Leontief (elasticity = 0)). Risk aversion is insufficient to prefer a more flexible alternative with the same expected value. Intertemporal links convert the sequence of independent options to a single compound option and require an expansion of the flexibility concept. Additional options increase the value of the project but generally decrease flexibility value. The framework is applied to case study in India: an urban industry electricity strategy decision with reliability risk.

Responses to Horner and Carr.

ERIC Educational Resources Information Center

Durand, V. Mark; And Others

1997-01-01

Five special educators (Durand, Bambara, Dunlap, Kennedy, and Wacker) respond to an article in the same issue by Horner and Carr entitled "Behavioral Support for Students with Severe Disabilities: Functional Assessment and Comprehensive Intervention." Respondents raise concerns regarding the range of intervention options, the behavioral…

48 CFR 1517.204 - Contracts.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Contracts. 1517.204 Section 1517.204 Federal Acquisition Regulations System ENVIRONMENTAL PROTECTION AGENCY CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 1517.204 Contracts. The SCM may approve a contract with...

12 CFR Appendix F - Optional Annual Percentage Rate Computations for Creditors Offering Open-End Plans Subject to the...

Code of Federal Regulations, 2014 CFR

2014-01-01

...) TRUTH IN LENDING (REGULATION Z) Special Rules Applicable to Credit Card Accounts and Open-End Credit... balance (previous balance less payments and credits) and the consumer made a payment of $50 at the...

48 CFR 36.702 - Forms for use in contracting for architect-engineer services.

Code of Federal Regulations, 2010 CFR

2010-10-01

... contracting for architect-engineer services. 36.702 Section 36.702 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Standard and Optional Forms for Contracting for Construction, Architect-Engineer Services, and...

48 CFR 36.702 - Forms for use in contracting for architect-engineer services.

Code of Federal Regulations, 2011 CFR

2011-10-01

... contracting for architect-engineer services. 36.702 Section 36.702 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Standard and Optional Forms for Contracting for Construction, Architect-Engineer Services, and...

48 CFR 36.702 - Forms for use in contracting for architect-engineer services.

Code of Federal Regulations, 2014 CFR

2014-10-01

... contracting for architect-engineer services. 36.702 Section 36.702 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Standard and Optional Forms for Contracting for Construction, Architect-Engineer Services, and...

Adolescent Sexuality: Pregnancy, Sexually Transmitted Diseases, and Prevention.

ERIC Educational Resources Information Center

Santelli, John S.; And Others

1992-01-01

Special edition discusses adolescent sexuality, focusing on pregnancy, sexually transmitted diseases, and prevention. The articles focus on demographics, risk factors, school-based risk reduction programs, contraception, early intervention, options, school-based prenatal and postpartum care programs, teenage parenting, abortion, HIV and AIDS,…

48 CFR 1417.206 - Evaluation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Evaluation. 1417.206 Section 1417.206 Federal Acquisition Regulations System DEPARTMENT OF THE INTERIOR CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 1417.206 Evaluation. The determination in FAR 17.206(b...

Prevention of Mother-to-Child Transmission of HIV in Option B+ Era: Uptake and Adherence During Pregnancy in Western Uganda.

PubMed

Schnack, Alexandra; Rempis, Eva; Decker, Sarah; Braun, Vera; Rubaihayo, John; Busingye, Priscilla; Tumwesigye, Nazarius Mbona; Harms, Gundel; Theuring, Stefanie

2016-03-01

Since 2012, lifelong antiretroviral therapy for all HIV-positive pregnant women ("Option B+") is recommended by WHO for the prevention of mother-to-child transmission of HIV (PMTCT). Many sub-Saharan African countries have since introduced this regimen, but to date, longer-term outcome evaluations are scarce. We conducted an observational study in Fort Portal Municipality, Uganda, to describe uptake and adherence of Option B+ during pregnancy. HIV-positive women approaching antenatal care (ANC) services in two hospitals were enrolled and followed-up at monthly routine ANC visits until delivery. At each visit, next to sociodemographic and clinical data, we assessed drug adherence through pill counts. In total, 124 HIV-positive pregnant women were enrolled in our study; from these, 80.8% had not been aware of their positive serostatus before. Forty-five PMTCT clients (36.3%) never returned to ANC after their first visit. Protective factors (p < 0.05) for immediate loss to care included previous HIV status knowledge, status disclosure before or at first ANC visit, and tertiary education. Among those clients starting Option B+, the median adherence during pregnancy was 95.7% pill intake. Rather low adherence (<80%) was observed in 21.1% of clients, while more than half achieved an adherence level of ≥95%, with 40.8% of all clients being 100% adherent. The cohort's median adherence remained stable throughout the course of pregnancy. Healthcare providers should place high emphasis on individual PMTCT counseling at first ANC encounter, and pay special attention to those women previously unaware of their HIV status. However, after initial uptake, high adherence seems to be feasible for Option B+.

Satellite Power Study (SPS) concept definition study (Exhibit D). Volume 1: Executive summary

NASA Technical Reports Server (NTRS)

Hanley, G. M.

1981-01-01

Efforts concentrated on updating of the Rockwell reference concept, definition of new system options, studies of special emphasis topics, further definition of the transportation system, and further program definition. The Rockwell reference satellite concept has a gallium arsenide (GaAs) solar cell array having flat concentrators with an effective concentration ratio of 1.83at end of life. Alternatives to this concept includes solid state power amplifiers or magnetrons for dc/RF conversion and multibandgap solar cells for solar to dc energy conversion. Two solid state concepts were studied. It was determined that the magnetron approach was the lowest mass and cost system.

Chemical pharmacotherapy options for managing adult acne.

PubMed

Vera, Nora; Patel, Nupur; Cardwell, Leah A; Saleem, Mohammed; Feldman, Steven R

2017-02-01

The incidence of adult acne is increasing worldwide. Despite clinical overlap with conventional acne, it has distinct features. Areas covered: A literature search of English-language review articles, randomized control studies and retrospective studies conducted over the past 30 years was performed using PubMed and Google Scholar. Search terms included acne, adult, topical medication, oral medication and skin of color. We highlight important clinical features and treatment modalities pertinent to the evaluation and management of adult acne. Given the relative dearth of literature detailing treatment options specific to adult acne, we offer expert opinion regarding management of the condition especially in special populations such as skin of color and pregnancy. Expert Opinion: It is unclear whether adult acne represents a distinct entity or a continuum of adolescent disease. Providers may opt to use topical medication as first-line, but should have a low threshold for switching to systemic therapy given the magnitude of psychosocial and emotional burden associated with the condition.

Safe use of vaccines and vaccine compliance with food safety requirements.

PubMed

Grein, K; Papadopoulos, O; Tollis, M

2007-08-01

Advanced technologies and regulatory regimes have contributed to the availability of veterinary vaccines that have high quality and favourable safety profiles in terms of potential risks posed to the target animals, the persons who come into contact with the vaccine, the consumers of food derived from vaccinated animals and the environment. The authorisation process requires that a range of safety studies are provided to evaluate the products. The design and production of vaccines, and their safe use, are primarily assessed by using data gathered from extensive pre-marketing studies performed on target animals and specific quality tests. The current post-marketing safeguards include good manufacturing practices, batch safety testing, inspections and pharmacovigilance. In addition to hazard identification, a full benefit/risk evaluation needs to be undertaken. The outcome of that evaluation will determine options for risk management and affect regulatory decisions on the safety of the vaccine; options might, for example, include special warnings on package inserts and labels.

Transitioning of special needs paediatric patients to adult special needs dental services.

PubMed

Borromeo, G L; Bramante, G; Betar, D; Bhikha, C; Cai, Y Y; Cajili, C

2014-09-01

Special needs dentistry is in its infancy compared to other dental specialties. Continuity of care through transition from paediatric to adult dental care providers is unknown. This study seeks to determine the nature of transition practices adopted by paediatric and special needs (SN) specialists practising throughout Australia. A survey was sent to all paediatric and SN specialist dentists in Australia to determine the nature of current transition practices for paediatric SN patients in Australia. Two subsequent mail-outs were sent to non-responders. Forty-nine specialist dentists registered across Australia completed the survey, of which 35 (71%) were paediatric dentists and 14 (29%) were SN dentists. Both paediatric and SN dentists treated patients over the age of 18. Of the total paediatric dentists who had transition discussions with their paediatric patients and their families, the majority (over 80%) discussed treatment options available as part of future oral care management. Paediatric dentists identified level of independence and financial situations as the most significant barrier for transition. Key factors exist that should be discussed with SN patients and their parents and/or guardians in order to enhance the prospect of sustained dental care into adulthood. © 2014 Australian Dental Association.

PubMed

Thielker, Jovanna; Bendella, Habib; Gaudin, Robert A; Grosheva, Maria; Volk, Fabian Gerd; Guntinas-Lichius, Orlando

2018-06-01

There are numerous reasons for facial palsy, which range from idiopathic palsy (Bell's palsy) to destruction of the facial nerve by a malignant salivary gland tumor. If the chance of spontaneous recovery is low or there is no drug therapy available, surgery is a therapeutical option. Recently, larger studies were published by specialized centers which enable a more individualized therapeutical concept to achieve tone, symmetry and movement of the paralyzed face based on a detailed preoperative assessment. An important therapy target is the improvement of patient´s quality of life. In the present article, we systematically review the important diagnostic steps and, directly derived from this, the indications for surgical options for reanimation of the mimic function. Furthermore, we provide an overview about a variety of postoperative adjuvant measures as well as on new objective assessment tools to evaluate the therapy results. © Georg Thieme Verlag KG Stuttgart · New York.

Possible applications for municipal solid waste fly ash.

PubMed

Ferreira, C; Ribeiro, A; Ottosen, L

2003-01-31

The present study focuses on existing practices related to the reuse of Municipal Solid Waste (MSW) fly ash and identifies new potential uses. Nine possible applications were identified and grouped into four main categories: construction materials (cement, concrete, ceramics, glass and glass-ceramics); geotechnical applications (road pavement, embankments); "agriculture" (soil amendment); and, miscellaneous (sorbent, sludge conditioning). Each application is analysed in detail, including final-product technical characteristics, with a special emphasis on environmental impacts. A comparative analysis of the different options is performed, stressing the advantages but also the weaknesses of each option. This information is systemized in order to provide a framework for the selection of best technology and final products. The results presented here show new possibilities for this waste reuse in a short-term, in a wide range of fields, resulting in great advantages in waste minimization as well as resources conservation.

Space station systems analysis study. Part 2, Volume 3: Appendixes, Book 1. Program requirements documentation

NASA Technical Reports Server (NTRS)

1977-01-01

The objective elements representative of the kinds of space activities that will be supported by the space construction base (SCB) are discussed in (1) a brief mission overview including the primary purpose and general objectives; (2) descriptions of the processes involved (where applicable), the mission hardware, the principal activities to be undertaken, the test requirements, and the principal tests; and (3) the SCB requirements including such items as special devices (e.g., fabrication modules, assembly or construction fixtures, cranes, and airlocks), power, data management and communications, waste management, environmental control, safety, and logistics. Each program option is then described in terms of the objective elements it supports, its orbit, the general makeup of the SCB, the transportation approach, and the program schedule goals. The specific requirements that are imposed on the SCB in order to support program option L are given.

Avoiding the Slippery Slope: Conducting Effective Interventions

DTIC Science & Technology

2013-06-01

internal memo from NATO headquarters in Zagreb , Croatia discussed these options in detail. Withdraw- ing more than 40,000 troops from an active war zone...Interoffice Memorandum, UN Peace Forces, HQ Zagreb to Special Representative of the Secretary-General, July 17, 1995, Lester Pearson Canadian Peacekeeping

University Child Care Proposal.

ERIC Educational Resources Information Center

Eastern Michigan Univ., Ypsilanti.

Options for expanding child care services to Eastern Michigan University students, staff, and faculty are presented by the special assistant to the university vice president for university marketing and student affairs. The university's policy statement concerning child care services is considered, along with the relationship of these services to…

Managing a Special Library. Parts I and II.

ERIC Educational Resources Information Center

Labovitz, Judy; Swanigan, Meryl

1985-01-01

Various concepts from "In Search of Excellence" are described in context of authors' personal styles. Discussions address thinking in terms of options, using statistics, learning value of corporate politics, a bias toward action, productivity through people, the "lean-machine" concept, staying close to client, entrepreneurship…

42 CFR 413.100 - Special treatment of certain accrued costs.

Code of Federal Regulations, 2012 CFR

2012-10-01

... SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES Specific...) If the sick leave plan grants employees the nonforfeitable right to demand cash payment for unused... reporting periods that produce the highest average contribution(s), out of the five most recent Medicare...

42 CFR 413.100 - Special treatment of certain accrued costs.

Code of Federal Regulations, 2013 CFR

2013-10-01

... SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES Specific...) If the sick leave plan grants employees the nonforfeitable right to demand cash payment for unused... reporting periods that produce the highest average contribution(s), out of the five most recent Medicare...

Barriers to Teaching Introductory Physical Geography Online

ERIC Educational Resources Information Center

Ritter, Michael E.

2012-01-01

Learning geography online is becoming an option for more students but not without controversy. Issues of faculty resources, logistics, professional recognition, and pedagogical concerns are cited as barriers to teaching online. Offering introductory physical geography online presents special challenges. As a general education course, an…

Mars Soil-Based Resource Processing and Planetary Protection

NASA Technical Reports Server (NTRS)

Sanders, G. B.; Mueller, R. P.

2015-01-01

The ability to extract and process resources at the site of exploration into products and services, commonly referred to as In Situ Resource Utilization (ISRU), can have significant benefits for robotic and human exploration missions. In particular, the ability to use in situ resources to make propellants, fuel cell reactants, and life support consumables has been shown in studies to significantly reduce mission mass, cost, and risk, while enhancing or enabling missions not possible without the incorporation of ISRU. In December 2007, NASA completed the Mars Human Design Reference Architecture (DRA) 5.0 study. For the first time in a large scale Mars architecture study, water from Mars soil was considered as a potential resource. At the time of the study, knowledge of water resources (their form, concentration, and distribution) was extremely limited. Also, due to lack of understanding of how to apply planetary protection rules and requirements to ISRU soil-based excavation and processing, an extremely conservative approach was incorporated where only the top several centimeters of ultraviolet (UV) radiated soil could be processed (assumed to be 3% water by mass). While results of the Mars DRA 5.0 study showed that combining atmosphere processing to make oxygen and methane with soil processing to extract water provided the lowest mission mass, atmosphere processing to convert carbon dioxide (CO2) into oxygen was baselined for the mission since it was the lowest power and risk option. With increased knowledge and further clarification of Mars planetary protection rules, and the recent release of the Mars Exploration Program Analysis Group (MEPAG) report on "Special Regions and the Human Exploration of Mars", it is time to reexamine potential water resources on Mars, options for soil processing to extract water, and the implications with respect to planetary protection and Special Regions on Mars.

48 CFR 1817.208 - Solicitation provisions and contract clauses. (NASA supplements paragraph (c))

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Solicitation provisions and contract clauses. (NASA supplements paragraph (c)) 1817.208 Section 1817.208 Federal Acquisition... SPECIAL CONTRACTING METHODS Options 1817.208 Solicitation provisions and contract clauses. (NASA...

48 CFR 1817.208 - Solicitation provisions and contract clauses. (NASA supplements paragraph (c))

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false Solicitation provisions and contract clauses. (NASA supplements paragraph (c)) 1817.208 Section 1817.208 Federal Acquisition... SPECIAL CONTRACTING METHODS Options 1817.208 Solicitation provisions and contract clauses. (NASA...

78 FR 40060 - Airworthiness Directives; The Boeing Company Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-03

... identified in this AD, Boeing Commercial Airplanes, Attention: Data & Services Management, P.O. Box 3707, MC... Attention Service Bulletin 777-78-0064, Revision 1, dated November 30, 2006. That AD requires repetitive... flight operation, on airplanes on which the optional terminating action (Boeing Special Attention Service...

32 CFR 105.12 - SAFE Kit collection and preservation.

Code of Federal Regulations, 2014 CFR

2014-07-01

... response, to include mental healthcare. The SAFE of a sexual assault victim should be conducted by a healthcare provider who has specialized education and clinical experience in the collection of forensic... under this reporting option. The healthcare provider shall encourage the victim to obtain referrals for...

42 CFR 438.706 - Special rules for temporary management.

Code of Federal Regulations, 2010 CFR

2010-10-01

... temporary management. (a) Optional imposition of sanction. The State may impose temporary management only if... sanction. The State must impose temporary management (regardless of any other sanction that may be imposed... right to terminate enrollment. (c) Hearing. The State may not delay imposition of temporary management...

77 FR 58982 - New England Fishery Management Council; Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-25

... allowed into the Georges Bank access areas. The Committee may also develop options for additional sub-ACLs... may be incorporated into the framework, such as issues related to Georges Bank yellowtail flounder.... Special Accommodations This meeting is physically accessible to people with disabilities. Requests for...

Postgraduate Medical Education for Rural Family Practice in Canada.

ERIC Educational Resources Information Center

Rourke, James T. B.

2000-01-01

To produce more rural physicians, the College of Family Physicians of Canada recommends providing earlier and more extensive rural medicine experience for all undergraduate medical students, developing rural postgraduate training programs, providing third-year optional special and advanced rural family-medicine skills training, and making advanced…

76 FR 50811 - Seventeenth Meeting: EUROCAE WG-72: RTCA Special Committee 216: Aeronautical Systems Security...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-16

.... Agenda Tuesday, September 6th (Pre-Meeting Events) 9 a.m. to 12 p.m. Optional--DHS National Cybersecurity... cooperation. 11:15 a.m.-12 p.m., DHS Briefing on the Cybersecurity Control System Security (CSSP) Program. 1 p...

["Two professions for a single task". The introduction of chemical engineering in Spain during the first Francoism].

PubMed

Toca, Angel

2006-01-01

Through the first half of the 20th century, chemical engineering was established as an academic option in the training of specialists for the North-American and European chemical industry, whereas it was not a special field of study in Spain until the 1990s. The reason for this delay was a battle of interests between chemist and industrial engineers to control this career during the first Francoism. This article will try to show the development and professionalization of specialists for the Spanish chemical industry.

A path to in-space welding and to other in-space metal processing technologies using Space Shuttle small payloads

NASA Technical Reports Server (NTRS)

Tamir, David

1992-01-01

As we venture into space, it becomes necessary to assemble, expand, and repair space-based structures for our housing, research, and manufacturing. The zero gravity-vacuum of space challenges us to employ construction options which are commonplace on Earth. Rockwell International (RI) has begun to undertake the challenge of space-based construction via numerous options, of which one is welding. As of today, RI divisions have developed appropriate resources and technologies to bring space-based welding within our grasp. Further work, specifically in the area of developing space experiments to test RI technology, is required. RI Space Welding Project's achievements to date, from research and development (R&E) efforts in the areas of microgravity, vacuum, intra- / extra- vehicular activity and spinoff technologies, are reviewed. Special emphasis is given to results for G-169's (Get Away Special) microgravity flights aboard a NASA KC-135. Based on these achievements, a path to actual development of a space welding system is proposed with options to explore spinoff in-space metal processing technologies. This path is constructed by following a series of milestone experiments, of which several are to utilize NASA's Shuttle Small Payload Programs. Conceptual designs of the proposed shuttle payload experiments are discussed with application of lessons learned from G-169's design, development, integration, testing, safety approval process, and KC-135 flights.

Mediation Plus Options To Resolve the "Real" Problems Underlying Disputes.

ERIC Educational Resources Information Center

Beekman, Lyn

This paper discusses alternatives to court litigation in special education disputes between schools and parents of students with disabilities. It begins by describing problems with the current hearing process and dispelling myths about alternative dispute resolutions (ADR). The advantages and disadvantages of mediation are then outlined, along…

Educational Equity Options. A Resource Bibliography.

ERIC Educational Resources Information Center

Martino, Susan; Watson, Jennifer

This selected list of educational resources includes 44 video items, 23 books, 9 posters, and 24 educational equity organizations and resource centers. Video materials and books are classified according to appropriate age groups and student abilities. All items are annotated. Topics of the videos and books include career choices, special needs…

Special Educators' Roles as Virtual Teachers

ERIC Educational Resources Information Center

Coy, Kimberly

2014-01-01

Students with disabilities are included in the nearly two million students who attend school online (Queen & Lewis, 2011). Like many families, parents of children with disabilities are increasingly considering online schools as an option for their child's education. Online schools may be more attractive to parents of students with disabilities…

Connect"Hear" TeleIntervention Program

ERIC Educational Resources Information Center

Lalios, Amy Peters

2012-01-01

"We wish we had that option in our area." "Wish we lived closer." "I wish I would have known." These statements, made by parents of children who are deaf and hard of hearing, illustrate a frustrating reality for many families--a lack of access to qualified professionals and specialized services to help children with…

Instructional Math Technology in Secondary Special Education: Teacher-Reported Practices and Perceptions

ERIC Educational Resources Information Center

Higa, Joice M.

2017-01-01

Students with disabilities often have difficulty meeting established math proficiency levels. Without these skills, students may face increased challenges in transitioning to adulthood, including fewer post-secondary educational opportunities, limited career options, and decreased long-term income. Addressing low math skills is important to…

The Federal Pell Grant Program: Recent Growth and Policy Options

ERIC Educational Resources Information Center

Congressional Budget Office, 2013

2013-01-01

The Federal Pell Grant Program was created to improve the access of low-income students to postsecondary education. Grant recipients enroll at a variety of educational institutions, including four-year colleges and universities, for-profit schools, two-year community colleges, and institutions that specialize in occupational training. Grants are…

Special Report: High-Speed Data Races Home.

ERIC Educational Resources Information Center

Clark, David D.

1999-01-01

Describes the worldwide use of Internet services and the changing technology to fill consumer requirements. Explains the technology that is used to provide Internet access. Focuses on the cable TV, telephone, and satellite-based communications industries. Sees satellites, which are mostly geosynchronous, as a broadband option, which is risky from…

48 CFR 3017.204-90 - Detention Facilities and Services (ICE).

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 7 2011-10-01 2011-10-01 false Detention Facilities and Services (ICE). 3017.204-90 Section 3017.204-90 Federal Acquisition Regulations System DEPARTMENT OF... SPECIAL CONTRACTING METHODS Options. 3017.204-90 Detention Facilities and Services (ICE). The ICE Head of...

48 CFR 3017.204-90 - Detention Facilities and Services (ICE).

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 7 2013-10-01 2012-10-01 true Detention Facilities and Services (ICE). 3017.204-90 Section 3017.204-90 Federal Acquisition Regulations System DEPARTMENT OF... SPECIAL CONTRACTING METHODS Options 3017.204-90 Detention Facilities and Services (ICE). The ICE Head of...

48 CFR 3017.204-90 - Detention Facilities and Services (ICE).

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Detention Facilities and Services (ICE). 3017.204-90 Section 3017.204-90 Federal Acquisition Regulations System DEPARTMENT OF... SPECIAL CONTRACTING METHODS Options. 3017.204-90 Detention Facilities and Services (ICE). The ICE Head of...

48 CFR 3017.204-90 - Detention Facilities and Services (ICE).

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 7 2014-10-01 2014-10-01 false Detention Facilities and Services (ICE). 3017.204-90 Section 3017.204-90 Federal Acquisition Regulations System DEPARTMENT OF... SPECIAL CONTRACTING METHODS Options 3017.204-90 Detention Facilities and Services (ICE). The ICE Head of...

48 CFR 3017.204-90 - Detention Facilities and Services (ICE).

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 7 2012-10-01 2012-10-01 false Detention Facilities and Services (ICE). 3017.204-90 Section 3017.204-90 Federal Acquisition Regulations System DEPARTMENT OF... SPECIAL CONTRACTING METHODS Options 3017.204-90 Detention Facilities and Services (ICE). The ICE Head of...

Serving Homeless Children and Families in Head Start.

ERIC Educational Resources Information Center

Koblinsky, Sally A.; Anderson, Elaine A.

1993-01-01

Describes the plight of homeless families in the United States, examining the special role that Head Start programs can play in homeless families' lives. Suggests that Head Start programs need to address staff training, family recruitment, health services, transportation, flexible scheduling, home-based options, attendance, parent education,…

29 CFR 553.227 - Outside employment.

Code of Federal Regulations, 2010 CFR

2010-07-01

... such details and take disciplinary action against those who fail to do so. (e) Section 7(p)(1) applies... convention center during concerts or sports events. If the officers perform such work at their own option... overtime compensation. (f) The principles in paragraphs (d) and (e) of this section with respect to special...

Meeting the Challenge. Annual Report of the Public Schools of the District of Columbia for 1976.

ERIC Educational Resources Information Center

District of Columbia Public Schools, Washington, DC.

This annual report discusses the District of Columbia's public schools' activities in a number of areas--special education, bilingual education, reading, optional programs, career development, mathematics, early childhood education, student services, curriculum development, child nutrition programs, adult education, research and evaluation, staff…

42 CFR 413.100 - Special treatment of certain accrued costs.

Code of Federal Regulations, 2014 CFR

2014-10-01

... SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES Specific... nonforfeitable right to demand cash payment for unused sick leave at the end of each year, sick pay is includable... reporting periods that produce the highest average contribution(s), out of the five most recent Medicare...

Alternative Options in State-University Relationships in a Regional Setting: The Case of Canada.

ERIC Educational Resources Information Center

Farquhar, Robin H.

This document highlights the special challenges that Canada's higher education system faces due to its organizational structure that is, the relationship between the federal government and the provincial governments. Virtually all Canadian universities are publicly supported, but because the constitution clearly assigns responsibility for…

20 CFR 656.18 - Optional special recruitment and documentation procedures for college and university teachers.

Code of Federal Regulations, 2013 CFR

2013-04-01

... documentation procedures for college and university teachers. 656.18 Section 656.18 Employees' Benefits... and documentation procedures for college and university teachers. (a) Filing requirements. Applications for certification of employment of college and university teachers must be filed by submitting a...

20 CFR 656.18 - Optional special recruitment and documentation procedures for college and university teachers.

Code of Federal Regulations, 2011 CFR

2011-04-01

... documentation procedures for college and university teachers. 656.18 Section 656.18 Employees' Benefits... and documentation procedures for college and university teachers. (a) Filing requirements. Applications for certification of employment of college and university teachers must be filed by submitting a...

20 CFR 656.18 - Optional special recruitment and documentation procedures for college and university teachers.

Code of Federal Regulations, 2014 CFR

2014-04-01

... documentation procedures for college and university teachers. 656.18 Section 656.18 Employees' Benefits... and documentation procedures for college and university teachers. (a) Filing requirements. Applications for certification of employment of college and university teachers must be filed by submitting a...

20 CFR 656.18 - Optional special recruitment and documentation procedures for college and university teachers.

Code of Federal Regulations, 2012 CFR

2012-04-01

... documentation procedures for college and university teachers. 656.18 Section 656.18 Employees' Benefits... and documentation procedures for college and university teachers. (a) Filing requirements. Applications for certification of employment of college and university teachers must be filed by submitting a...

Effects of inclusion on the academic achievement and adaptive behaviour of children with intellectual disabilities.

PubMed

Dessemontet, R Sermier; Bless, G; Morin, D

2012-06-01

While an extensive body of research has examined the outcomes of inclusion for pupils with special needs, in particular learning disabilities, its effects on the development of children with intellectual disabilities (ID) have been less explored. As inclusive practices tend to be more common for this group of children, it is important to acquire more knowledge on this issue. A comparative study with an experimental group of 34 children with ID fully included in general education classrooms with support, and a control group of 34 comparable children in special schools has been conducted. The progress accomplished by these two groups in their academic achievement and adaptive behaviour has been compared over two school years. Included children made slightly more progress in literacy skills than children attending special schools. No differences were found between the progress of the two groups in mathematics and adaptive behaviour. Inclusive education is an appropriate educational option for primary pupils with ID who require extensive support in school. © 2011 The Authors. Journal of Intellectual Disability Research © 2011 Blackwell Publishing Ltd.

Managing the risks of extreme events and disasters to advance climate change adaptation. Special report of the Intergovernmental Panel on Climate Change (IPCC)

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

Field, C.B.; Barros, V.; Stocker, T.F.

2012-07-01

This Special Report on Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation (SREX) has been jointly coordinated by Working Groups I (WGI) and II (WGII) of the Intergovernmental Panel on Climate Change (IPCC). The report focuses on the relationship between climate change and extreme weather and climate events, the impacts of such events, and the strategies to manage the associated risks. This Special Report, in particular, contributes to frame the challenge of dealing with extreme weather and climate events as an issue in decision making under uncertainty, analyzing response in the context of risk management.more » The report consists of nine chapters, covering risk management; observed and projected changes in extreme weather and climate events; exposure and vulnerability to as well as losses resulting from such events; adaptation options from the local to the international scale; the role of sustainable development in modulating risks; and insights from specific case studies. (LN)« less

Back to the future? Views of heads of schools of nursing about undergraduate specialization in mental health nursing.

PubMed

Happell, Brenda; McAllister, Margaret

2014-12-01

Preparation of nursing students for practice in mental health settings in Australia has been criticized since comprehensive education replaced preregistration specialist education. Current and projected workforce shortages have given rise to considering the reintroduction of specialization at preregistration level as a potential solution. Support of heads of schools of nursing would be essential for such an initiative to be considered. A qualitative exploratory study was undertaken involving in-depth telephone interviews with heads of schools of nursing in Queensland. Participants generally favoured the concept of specialization in mental health nursing at undergraduate level. Data analysis revealed the following themes: meeting workforce needs, improving quality of care, employability of graduates, an attractive option for students, and what would have to go. Participants identified many benefits to mental health service delivery and consumer outcomes. How the initiative could be developed within an already overcrowded curriculum was identified as the major barrier. This level of support is encouraging if necessary changes to the educational preparation for mental health nursing practice are to be considered. © 2014 Australian College of Mental Health Nurses Inc.

Dynamic Changes in Yeast Phosphatase Families Allow for Specialization in Phosphate and Thiamine Starvation.

PubMed

Nahas, John V; Iosue, Christine L; Shaik, Noor F; Selhorst, Kathleen; He, Bin Z; Wykoff, Dennis D

2018-05-10

Convergent evolution is often due to selective pressures generating a similar phenotype. We observe relatively recent duplications in a spectrum of Saccharomycetaceae yeast species resulting in multiple phosphatases that are regulated by different nutrient conditions - thiamine and phosphate starvation. This specialization is both transcriptional and at the level of phosphatase substrate specificity. In Candida glabrata , loss of the ancestral phosphatase family was compensated by the co-option of a different histidine phosphatase family with three paralogs. Using RNA-seq and functional assays, we identify one of these paralogs, CgPMU3 , as a thiamine phosphatase. We further determine that the 81% identical paralog CgPMU2 does not encode thiamine phosphatase activity; however, both are capable of cleaving the phosphatase substrate, 1-napthyl-phosphate. We functionally demonstrate that members of this family evolved novel enzymatic functions for phosphate and thiamine starvation, and are regulated transcriptionally by either nutrient condition, and observe similar trends in other yeast species. This independent, parallel evolution involving two different families of histidine phosphatases suggests that there were likely similar selective pressures on multiple yeast species to recycle thiamine and phosphate. In this work, we focused on duplication and specialization, but there is also repeated loss of phosphatases, indicating that the expansion and contraction of the phosphatase family is dynamic in many Ascomycetes. The dynamic evolution of the phosphatase gene families is perhaps just one example of how gene duplication, co-option, and transcriptional and functional specialization together allow species to adapt to their environment with existing genetic resources. Copyright © 2018, G3: Genes, Genomes, Genetics.

Assessing the Fire Risk for a Historic Hangar

NASA Technical Reports Server (NTRS)

Datta, Koushik; Morrison, Richard S.

2010-01-01

NASA Ames Research Center (ARC) is evaluating options of reuse of its historic Hangar 1. As a part of this evaluation, a qualitative fire risk assessment study was performed to evaluate the potential threat of combustion of the historic hangar. The study focused on the fire risk trade-off of either installing or not installing a Special Hazard Fire Suppression System in the Hangar 1 deck areas. The assessment methodology was useful in discussing the important issues among various groups within the Center. Once the methodology was deemed acceptable, the results were assessed. The results showed that the risk remained in the same risk category, whether Hangar 1 does or does not have a Special Hazard Fire Suppression System. Note that the methodology assessed the risk to Hangar 1 and not the risk to an aircraft in the hangar. If one had a high value aircraft, the aircraft risk analysis could potentially show a different result. The assessed risk results were then communicated to management and other stakeholders.

Pharmacy Education in Vietnam

PubMed Central

Bedouch, Pierrick; Nguyen, Thi-Hoai; Nguyen, Thi-Lien-Huong; Hoang, Thi-Kim-Huyen; Calop, Jean; Allenet, Benoît

2013-01-01

Pharmacy education programs in Vietnam are complex and offer various career pathways. All include theory and laboratory modules in general, foundation, and pharmaceutical knowledge; placements in health facilities; and a final examination. The various pharmacy degree programs allow specialization in 1 or more of 5 main fields: (1) drug management and supply, (2) drug development and production, (3) pharmacology and clinical pharmacy, (4) traditional medicine and pharmacognosy, and (5) drug quality control, which are offered as main specialization options during the reformed undergraduate and postgraduate programs. However, pharmacy education in Vietnam in general remains product oriented and clinical pharmacy training has not received adequate attention. Only students who have obtained the bachelor of pharmacy degree, which requires a minimum of 5 years of study, are considered as fully qualified pharmacists. In contrast, an elementary diploma in pharmacy awarded after 1 year of pharmacy study permits entry into more junior pharmacy positions. Since the 2000s, there has been a surge in the number and types of schools offering pharmacy qualifications at various levels. PMID:23966717

A questionnaire survey of second year graduate-entry medical students' perception of obstetrics and gynaecology as a future career speciality.

PubMed

Ismail, Sharif I M F; Kevelighan, Euan H

2018-02-12

The aim of this study was to explore the impressions of second year graduate-entry medical students of Obstetrics and Gynaecology, before their attachment in the speciality in the subsequent year, so as to improve its appeal to them and increase their recruitment into it. A total of 74 questionnaires were distributed at the end of the Learning Opportunities in Clinical Setting (LOCS) week in the speciality and 66 (89.19%) completed questionnaires were returned. Over 4% of the respondents were considering the speciality as their career choice and less than half would consider it as a second option. Whilst more than a third perceived some of the demerits of the speciality, more than a third endorsed its merits. This showed the need to explore and address their concerns about training and working in the speciality. Having a health-related primary degree, prior employment and being female were significantly associated with choosing the speciality as a career (p < .001). Barriers for male respondents were flagged, which need to be addressed, and a bias towards Obstetrics was noted, which reflects the narrow focus on the Labour Ward and necessitates a broader exposure to the speciality. Impact statement What is already known on this subject? The perception of third year graduate-entry medical students of Obstetrics and Gynaecology is biased towards Obstetrics, and they have apprehensions about the challenges of training and working in the speciality. What do the results of this study add? The views of second year graduate-entry medical students are consistent with the views of third year graduate-entry medical students, which shows that these views may be formed early. What are the implications of these findings for clinical practice and/or further research? More research is needed to establish and understand the perception of the speciality earlier than second year and explore the value of practical steps that may improve this perception and increase the interest in it and recruitment into its training programmes.

42 CFR 413.157 - Return on equity capital of proprietary providers.

Code of Federal Regulations, 2012 CFR

2012-10-01

... RENAL DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES... percentage equal to one and one-half times the average of the rates of interest on special issues of public... inpatient hospital services is a percentage of the average of the rates of interest described in paragraph...

42 CFR 413.157 - Return on equity capital of proprietary providers.

Code of Federal Regulations, 2011 CFR

2011-10-01

... RENAL DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES... percentage equal to one and one-half times the average of the rates of interest on special issues of public... inpatient hospital services is a percentage of the average of the rates of interest described in paragraph...

42 CFR 413.157 - Return on equity capital of proprietary providers.

Code of Federal Regulations, 2013 CFR

2013-10-01

... RENAL DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES... percentage equal to one and one-half times the average of the rates of interest on special issues of public... inpatient hospital services is a percentage of the average of the rates of interest described in paragraph...

Master's Students' Perceptions of Microsoft Word for Mathematical Typesetting

ERIC Educational Resources Information Center

Loch, Birgit; Lowe, Tim W.; Mestel, Ben D.

2015-01-01

It is widely recognized that mathematical typesetting is more difficult than typesetting in most other disciplines due to the need for specialized mathematical notation and symbols. While most mathematicians type mathematical documents using LaTeX, with varying levels of proficiency, students often use other options or handwrite mathematics. Here,…

Special Operations Forces in a Peacetime Engagement Strategy with the People’s Republic of China

DTIC Science & Technology

2001-06-01

Internal and External Tasks and Capabilities,” published on-line by The National Bureau of Asian Research, “Malaysian Prime Minister Mahatir has suggested...South China Sea. The situation is serious enough for regional leaders to discuss options of confronting it. “Malaysian Prime Minister Mahatir has

Eligibility Guidance/Free and Reduced Price Policy Handbook.

ERIC Educational Resources Information Center

New York State Education Dept., Albany. Bureau of School Food Management and Nutrition.

This handbook is designed to serve as a resource guide to New York school district officials who are involved in the application approval, hearing, and verification processes for the National School Lunch and School Breakfast Programs, and for those exercising the free milk option of the Special Milk Program. Detailed information and clarification…

Recent Developments in Special Education/Inclusion, January 2013. BCTF Research Report. RR2013-01

ERIC Educational Resources Information Center

Naylor, Charlie

2013-01-01

Several recent documents and presentations, most but not all from the British Columbia (BC) Ministry of Education, suggest that considerable changes are being floated as options for redesigning inclusive educational approaches in the BC K-12 public education system. The documents include: (1) "The BC Education Plan"; (2) "Global…

26 CFR 1.988-1 - Certain definitions and special rules.

Code of Federal Regulations, 2012 CFR

2012-04-01

....g., an option on a futures contract), then the underlying property to which such other instrument (e.g., the futures contract) ultimately relates must be a nonfunctional currency. For example, a... principal contract” means a contract (e.g., a swap, cap, floor or collar) that provides for the payment of...

26 CFR 1.988-1 - Certain definitions and special rules.

Code of Federal Regulations, 2014 CFR

2014-04-01

....g., an option on a futures contract), then the underlying property to which such other instrument (e.g., the futures contract) ultimately relates must be a nonfunctional currency. For example, a... principal contract” means a contract (e.g., a swap, cap, floor or collar) that provides for the payment of...

26 CFR 1.988-1 - Certain definitions and special rules.

Code of Federal Regulations, 2013 CFR

2013-04-01

....g., an option on a futures contract), then the underlying property to which such other instrument (e.g., the futures contract) ultimately relates must be a nonfunctional currency. For example, a... principal contract” means a contract (e.g., a swap, cap, floor or collar) that provides for the payment of...

26 CFR 1.988-1 - Certain definitions and special rules.

Code of Federal Regulations, 2011 CFR

2011-04-01

....g., an option on a futures contract), then the underlying property to which such other instrument (e.g., the futures contract) ultimately relates must be a nonfunctional currency. For example, a... principal contract” means a contract (e.g., a swap, cap, floor or collar) that provides for the payment of...

Special Education Forms. Volume 1: School-Age Students.

ERIC Educational Resources Information Center

Fink, Sandra; And Others

This document comprises forms (and directions for their use) used in Oregon in conjunction with the Individuals with Disabilities Education Act (IDEA) for school-aged children. Forms are identified as either required or optional and are presented in a two-page format, with one page identifying the form, explaining its purposes, and providing…

75 FR 54497 - Ocean Dumping; Guam Ocean Dredged Material Disposal Site Designation

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-08

... of special scientific importance, and other legitimate uses of the ocean. Minor short-term... option available since 1997. EPA determined that there is a long-term need for an ocean disposal site... Guam and surrounding waters. This is based on the long-term need to support the Naval and commercial...

Curricular Implications of Transition: Life Skills Instruction as an Integral Part of Transition Education.

ERIC Educational Resources Information Center

Patton, James R.; Cronin, Mary E.; Jairrels, Veda

1997-01-01

Discusses life skills instruction in the transition education of adolescents with disabilities. The relationship of life skills instruction to the transition process, curricular issues related to students with special needs, models for teaching life skills, options for covering life skills in the curriculum, and cultural considerations are…

A Longitudinal Sociological Monitoring of Customers' Satisfaction with the Quality of Educational Services

ERIC Educational Resources Information Center

Gaidukova, G. N.

2014-01-01

Research data on levels of satisfaction with educational services in a Russian university show room for improvement in such areas as vocational guidance work; range of opportunities in the choice of specialization and optional disciplines; availability of academic and methodological literature; the quality of food services; and amount of practical…

16 CFR 1500.14 - Products requiring special labeling under section 3(b) of the act.

Code of Federal Regulations, 2011 CFR

2011-01-01

...) Fountains. Warning (or Caution) FLAMMABLE (or EMITS SHOWERS OF SPARKS, if more descriptive). Use only under..., if More Descriptive) Use only under [close] adult supervision. (Use of the word close is optional...) Flammable (or Emits Showers of Sparks, if More Descriptive) Use only under [close] adult supervision. (Use...

16 CFR 1500.14 - Products requiring special labeling under section 3(b) of the act.

Code of Federal Regulations, 2014 CFR

2014-01-01

...) Fountains. Warning (or Caution) FLAMMABLE (or EMITS SHOWERS OF SPARKS, if more descriptive). Use only under..., if More Descriptive) Use only under [close] adult supervision. (Use of the word close is optional...) Flammable (or Emits Showers of Sparks, if More Descriptive) Use only under [close] adult supervision. (Use...

16 CFR 1500.14 - Products requiring special labeling under section 3(b) of the act.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Fountains. Warning (or Caution) FLAMMABLE (or EMITS SHOWERS OF SPARKS, if more descriptive). Use only under..., if More Descriptive) Use only under [close] adult supervision. (Use of the word close is optional...) Flammable (or Emits Showers of Sparks, if More Descriptive) Use only under [close] adult supervision. (Use...

40 CFR 142.16 - Special primacy requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... this chapter—How the State will approve a more representative annual data set than the data set... approve a more representative data set for optional TTHM and HAA5 monitoring and profiling. (ii) Section... set by the State subsequent to the initial 24-hour Tier 1 notice, as a result of their consultation...

76 FR 37889 - Proposed Information Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-28

... before the customer completes the purchase of the contract. There are special rules for transactions by... customers who buy DCCs and DSAs from national banks and ensure that national banks provide these products in... appropriate: Anti-tying--A bank must inform the customer that purchase of the product is optional and neither...

The Guide to Career Education.

ERIC Educational Resources Information Center

Lederer, Muriel

The book is an effort to provide information that will increase the number of options open to post-high school students seeking specialized or advanced training via vocational or technical programs. It explores the many alternatives other than a four-year college or university. The author states, "The time is coming, if not already here, when…

76 FR 19173 - Self-Regulatory Organizations; the Options Clearing Corporation; Order Granting Approval of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-06

... Lawson, Senior Special Counsel, Division of Trading and Markets (``Division''), Commission, dated May 20... return--of two index components (the target component and the benchmark component). The index is calculated by measuring the total return of the target component relative to the total return of the...

Preparing for High Technology: Robotics Programs. Research & Development Series No. 233.

ERIC Educational Resources Information Center

Ashley, William; And Others

This guide is one of three developed to provide guidelines, information, and resources useful in planning and developing postsecondary technician training programs in high technology. It is specifically intended for program planners and developers in the initial stages of planning a new program or specialized option in robotics. (Two companion…

Outsourcing Facility Work

ERIC Educational Resources Information Center

Burke, Patrick J.; Klein, Jennifer R.

2009-01-01

In the late 1990s, Fulton County Schools in Atlanta were looking at average enrollment growth of more than 2,500 students a year and a new source of significant revenue to drive its capital improvement program. With funding from Georgia's new special purpose local option sales tax, or SPLOST, for school capital needs, total revenue from the…

Conflict Resolution Strategies Adopted from Parenting Coordination: Assisting High-Conflict Coparenting Students

ERIC Educational Resources Information Center

Henry, Wilma J.; Mitcham, Michelle A.; Henry, Lynette M.

2013-01-01

This article examines the challenges faced by nontraditional college students who are coparents as a result of divorce. The need for college counseling centers to have counseling options designed to assist this special population in successfully completing their academic pursuits is presented. Conflict resolution techniques based on the Parenting…

Parental Refusal to Consent for Evaluation: A Legal Analysis with Implications for School Psychologists

ERIC Educational Resources Information Center

Etscheidt, Susan; Clopton, Kerri; Haselhuhn, Charlotte

2012-01-01

The decision to begin the process for special education eligibility has complexities impacting children, parents, teachers, and schools. The Individuals with Disabilities Education Improvement Act (IDEA) eligibility provisions specify the need to obtain consent prior to evaluation and options when consent cannot be obtained. School psychologists…

[Gerontology--Multi-, inter- and transdisciplinarity in theory and practise?].

PubMed

Künemund, H; Schroeter, K R

2015-04-01

Given the suggestion to establish gerontology as an independent scientific discipline, the paper discusses the options for further development. It is argued that multidisciplinarity, interdisciplinarity and transdisciplinarity are the only alternatives that should be explicitly highlighted as a special feature of gerontology and that advantages and disadvantages of these alternatives should be discussed further.

Pay Now, Learn Later.

ERIC Educational Resources Information Center

Schwartz, John

1986-01-01

Duquesne University's pay-now, learn-later plan is one device that could transform college-fee payment almost as much as the GI Bill did. The further away from college age the child, the more the school earns and the deeper the discount. Some other options are discussed including installment plans and special sales on tuition. (MLW)

38 CFR 36.4319 - Servicer loss-mitigation options and incentives.

Code of Federal Regulations, 2010 CFR

2010-07-01

... modifications, compromise sales, and deeds-in-lieu of foreclosure. Only one incentive payment will be made with... review), but VA recognizes that individual circumstances may lead to “out of the ordinary” considerations... $200 $160 $120 $0 Special Forbearance 200 160 120 0 Loan Modification 700 500 300 0 Compromise Sale 1...

The omni-relevance of surgery: how medical specialization shapes orthopedic surgeons' treatment recommendations.

PubMed

Hudak, Pamela L; Clark, Shannon J; Raymond, Geoffrey

2013-01-01

This article examines treatment recommendations in orthopedic surgery consultations and shows how surgery is treated as "omni-relevant" within this activity, providing a context within which the broad range of treatment recommendations proposed by surgeons is offered. Using conversation analysis to analyse audiotaped encounters between orthopedic surgeons and patients, we highlight how surgeons treat surgery as having a special, privileged status relative to other treatment options by (1) invoking surgery (whether or not it is actually being recommended) and (2) presenting surgery as the "last best resort" (in relation to which other treatment options are calibrated, described and considered). This privileged status surfaces in the design and delivery of recommendations as a clear asymmetry: Recommendations for surgery are proposed early, in relatively simple and unmitigated form. In contrast, recommendations not for surgery tend to be delayed and involve significantly more interactional work in their delivery. Possible implications of these findings, including how surgeons' structuring of recommendations may shape patient expectations (whether for surgery or some alternative), and potentially influence the distribution of orthopedic surgery procedures arising from these consultations, are considered.

NIRS in clinical neurology - a 'promising' tool?

PubMed

Obrig, Hellmuth

2014-01-15

Near-infrared spectroscopy (NIRS) has become a relevant research tool in neuroscience. In special populations such as infants and for special tasks such as walking, NIRS has asserted itself as a low resolution functional imaging technique which profits from its ease of application, portability and the option to co-register other neurophysiological and behavioral data in a 'near natural' environment. For clinical use in neurology this translates into the option to provide a bed-side oximeter for the brain, broadly available at comparatively low costs. However, while some potential for routine brain monitoring during cardiac and vascular surgery and in neonatology has been established, NIRS is largely unknown to clinical neurologists. The article discusses some of the reasons for this lack of use in clinical neurology. Research using NIRS in three major neurologic diseases (cerebrovascular disease, epilepsy and headache) is reviewed. Additionally the potential to exploit the established position of NIRS as a functional imaging tool with regard to clinical questions such as preoperative functional assessment and neurorehabilitation is discussed. Copyright © 2013 Elsevier Inc. All rights reserved.

Assessment of MSFC's supervisory training programs and courses. [marshall space flight center

NASA Technical Reports Server (NTRS)

Brindley, T. A.

1982-01-01

Courses and special programs to train supervisors at Marshall Space Flight Center (MSFC) were to determine the adequacy of the present MSFC Supervisory Training Program and to recommend changes, if appropriate. The content, procedures, and student evaluations of the required Office of Personnel Management (OPM) 80 hours training for supervisors, the optional 120 hours, the MSFC Management Development Program (MDP), NASA's Management Education Program (MEP), various OPM and special contract programs, pertinent procedural guidelines, regulations, and letters, as well as various MSFC computer reports which indicate who took what training were analyzed. Various interviews with MSFC personnel involved in training are included. Recommendations consist of: (1) the choice of courses selected for the basic required OPM 80 hours be improved; (2) the optional 120 hours be discontinued and a shorter module be developed dealing with managerial decision making and human relations skills; (3) the MDP and MEP be continued as at present; and (4) that a broad array of developmental strategies be incorporated to provide a variety of opportunities for supervisory improvement.

Impact of dentists' years since graduation on management of temporomandibular disorders.

PubMed

Reissmann, Daniel R; Behn, Alexandra; Schierz, Oliver; List, Thomas; Heydecke, Guido

2015-12-01

The aims were to assess the impact of the number of years since dentists' graduation on appraisement of diagnostic needs and utilization of treatment options for temporomandibular disorders (TMD) and to investigate whether increased knowledge in TMD is sufficiently considered in today's dentist's undergraduate curricula and, therefore, represented in more evidence-based TMD management in dentists with less years since graduation. A questionnaire regarding knowledge and management of TMD was developed and was subsequently applied in a random sample of 400 dentists in a region in Northern Germany. Of the 222 dentists (response rate 55.6 %), participating in the study, the frequency of TMD treatment need in the general population was estimated at 21.5 %, with lower values in dentists with more years passed since graduation. Measures regarding utilization of standardized examination forms, perceptions of insufficient specialization, and referrals of patients to TMD specialists indicated a lower quality and certainty in TMD management in participants with less time since graduation. While the provision of splints was a well-established treatment option in initial TMD management of all participants, additional TMD treatment options were mentioned less often, with lower proportions of participants making use of these options within the first decade since graduation. Evidence-based TMD management is not fully represented in dental practitioners in Germany. This might be due to an insufficient consideration of TMD management in the dentist's undergraduate curricula. Effective interventions to increase dentists' knowledge and to change dentists' practices in TMD management are required.

Liquid fuels from coal: analysis of a partial transition from oil to coal; light liquids in Zimbabwe's liquid fuels base

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

Maya, R.S.

1986-01-01

This study assesses the feasibility of a coal based light liquids program as a way to localize forces that determine the flow of oil into the Zimbabwean economy. Methods in End-use Energy Analysis and Econometrics in which the utilization of petroleum energy is related to economic and industrial activity are used to gain insight into the structure and behavior of petroleum utilization in that country and to forecast future requirements of this resource. The feasibility of coal liquefaction as a substitute for imported oil is assessed by the use of engineering economics in which the technical economics of competing oilmore » supply technologies are analyzed and the best option is selected. Coal conversion technologies are numerous but all except the Fischer-Trosch indirect coal liquefaction technology are deficient in reliability as commercial ventures. The Fischer-Tropsch process by coincidence better matches Zimbabwe's product configuration than the less commercially advanced technologies. Using present value analysis to compare the coal liquefaction and the import option indicates that it is better to continue importing oil than to resort to a coal base for a portion of the oil supplies. An extended analysis taking special consideration of the risk and uncertainty factors characteristic of Zimbabwe's oil supply system indicates that the coal option is better than the import option. The relative infancy of the coal liquefaction industry and the possibility that activities responsible for the risk and uncertainty in the oil supply system will be removed in the future, however, make the adoption of the coal option an unusually risky undertaking.« less

Proximity Operations for the Robotic Boulder Capture Option for the Asteroid Redirect Mission

NASA Technical Reports Server (NTRS)

Reeves, David M.; Naasz, Bo J.; Wright, Cinnamon A.; Pini, Alex J.

2014-01-01

In September of 2013, the Asteroid Robotic Redirect Mission (ARRM) Option B team was formed to expand on NASA's previous work on the robotic boulder capture option. While the original Option A concept focuses on capturing an entire smaller Near-Earth Asteroid (NEA) using an inflatable bag capture mechanism, this design seeks to land on a larger NEA and retrieve a boulder off of its surface. The Option B team has developed a detailed and feasible mission concept that preserves many aspects of Option A's vehicle design while employing a fundamentally different technique for returning a significant quantity of asteroidal material to the Earth-Moon system. As part of this effort, a point of departure proximity operations concept was developed complete with a detailed timeline, as well as DeltaV and propellant allocations. Special attention was paid to the development of the approach strategy, terminal descent to the surface, controlled ascent with the captured boulder, and control during the Enhanced Gravity Tractor planetary defense demonstration. The concept of retrieving a boulder from the surface of an asteroid and demonstrating the Enhanced Gravity Tractor planetary defense technique is found to be feasible and within the proposed capabilities of the Asteroid Redirect Vehicle (ARV). While this point of departure concept initially focuses on a mission to Itokawa, the proximity operations design is also shown to be extensible to wide range of asteroids.

How I manage patients with Fanconi anaemia.

PubMed

Dufour, Carlo

2017-07-01

Fanconi Anaemia is a rare, genetic heterogeneous multisystem disease that is the most common congenital syndrome of marrow failure. Twenty genes have been reported to cause the disease. Remarkable progress has been made over the last 20 years in the understanding of the genetic and pathophysiological mechanisms. Unfortunately, these advances have not been completely paralleled by advances in medical treatment, where the most important component remains stem cell transplantation. This therapy, although contributing to long-term negative effects, such as increased occurrence of late malignancies, is the only current option capable of prolonging the survival of patients. In spite of relevant recent progress in matched unrelated donor transplants, the largest studies with longer follow-up still show a superiority of matched sibling donor transplants with a success rate, in selected cohorts, of over 90%. This article reviews different aspects of the disease, including genetics, diagnosis and treatment options, with special focus on stem cell transplantation, comprehensive post-diagnosis management, decision-making processes and long-term follow-up. © 2017 John Wiley & Sons Ltd.

Disease-modifying and symptomatic treatment of amyotrophic lateral sclerosis

PubMed Central

Dorst, Johannes; Ludolph, Albert C.; Huebers, Annemarie

2017-01-01

In this review, we summarize the most important recent developments in the treatment of amyotrophic lateral sclerosis (ALS). In terms of disease-modifying treatment options, several drugs such as dexpramipexole, pioglitazone, lithium, and many others have been tested in large multicenter trials, albeit with disappointing results. Therefore, riluzole remains the only directly disease-modifying drug. In addition, we discuss antisense oligonucleotides (ASOs) as a new and potentially causal treatment option. Progress in symptomatic treatments has been more important. Nutrition and ventilation are now an important focus of ALS therapy. Several studies have firmly established that noninvasive ventilation improves patients’ quality of life and prolongs survival. On the other hand, there is still no consensus regarding best nutritional management, but big multicenter trials addressing this issue are currently ongoing. Evidence regarding secondary symptoms like spasticity, muscle cramps or sialorrhea remains generally scarce, but some new insights will also be discussed. Growing evidence suggests that multidisciplinary care in specialized clinics improves survival. PMID:29399045

A study of special care dental patient preference toward choice of mask and visor use by dental clinicians.

PubMed

Emanuel, Robert; Corcoran, Richard; Cass, Helen

2017-07-01

Do patients have a preference for the clinician's choice of face protection (visor or mask), and can this make a difference to the patient's feelings of anxiety? In a normative sample (n = 72) of patients from Special Care Dentistry, different combinations of face protection were studied to see whether the patients clearly preferred one type over another, and whether that was related to the levels of anxiety they suffered, based on the modified dental anxiety scale. The majority of patients, 68% had the visor only as their first choice of face protection. This was followed by 22% having the mask only as their first choice and 10% having the visor and mask combination as their first choice. Patients with higher anxiety levels were more likely to believe that the type of face protection worn by the dentist would affect their levels of anxiety. The patients preferred the visor only option. As the level of anxiety rose, so did the percentage of patients that felt the style of protection worn by the dentist would affect their level of anxiety. The comments from patients referred to the benefit of nonverbal communication offered by the visor. © 2017 Special Care Dentistry Association and Wiley Periodicals, Inc.

Beyond the Baseline 1991: Proceedings of the Space Station Evolution Symposium. Volume 1: Space Station Freedom, part 2

NASA Technical Reports Server (NTRS)

1991-01-01

This report contains the individual presentations delivered at the Space Station Evolution Symposium. The results of Space Station Freedom Advanced Studies provide a road map for the evolution of Freedom in terms of user requirements, utilization and operations concepts, and growth options for distributed systems. Regarding these specific systems, special attention is given to: highlighting changes made during restructuring; description of growth paths through the follow-on and evolution phases; identification of minimum impact provisions to allow flexibility in the baseline; and identification of enhancing and enabling technologies.

After Special Education, Students Turn to College

ERIC Educational Resources Information Center

Shah, Nirvi

2011-01-01

Until the past decade, college wasn't much of an option for students who have significant intellectual impairments. Vanderbilt University's Next Steps program is one of many created for students with severe cognitive disabilities in the last 10 years. The programs have grown in number from about 15 in 2002 to almost 170 now, as tracked by Think…

Determinants of Public Support for Education Sales Tax Initiatives in Georgia

ERIC Educational Resources Information Center

Sanders, Robert M.; Lee, Sooho

2009-01-01

While many state and local governments are gravitating towards alternative sources of revenue for public services and schools, Georgia, a growing sun-belt state, has taken a leading role in allowing voters the choice of selecting a Special Purpose Local Option Sales Tax (SPLOST) to fund local projects, particularly school facilities (known as…

The Center for Children and Families at Risk: A Facilitating Environment.

ERIC Educational Resources Information Center

Eisenstein-Naveh, Antonina Rosa

2003-01-01

The Centers for Children and Families at Risk are family treatment settings, which were established by the Ministry of Welfare in Israel. Their purpose was to provide an alternative option to the removal of children from their homes. This article discusses how a special model of therapy developed from ongoing dialogue between the staff and…

Challenges in Fingertip Replantation

PubMed Central

Kim, Jin-Soo; Yang, Jae-Won; Lee, Dong-Chul; Ki, Sae-Hwi; Roh, Si-Young

2013-01-01

Fingertip amputation is a challenging injury to manage. Among various reconstructive procedures, replantation results in superior outcome, but is seldom considered in many institutions. From the identification of vessel ends to reanastomosis of the submillimeter vessels, fingertip's highly specialized anatomy requires technical excellence. By addressing these anatomic challenges, fingertip replantation can be a routine reconstructive option for microvascular surgeons. PMID:24872765

Responses to "Intention to Leave, Anticipated Reasons for Leaving, and 12-Month Turnover of Child Care Center Staff."

ERIC Educational Resources Information Center

Whitehead, Linda; Russell, Susan

1997-01-01

Two practitioners address problem of employee turnover in child care centers. The first plan argues for comprehensive wage raises, increased benefits, and low cost options to workers that increase flexibility. The second strategy advocates continuing education opportunities, special mentoring programs, and bonuses or raises paid early in the…

Contraceptive counseling for adolescents.

PubMed

Potter, Julia; Santelli, John S

2015-11-01

The majority of adolescents become sexually active during their teenage years, making contraceptive counseling an important aspect of routine adolescent healthcare. However, many healthcare providers express discomfort when it comes to counseling adolescents about contraceptive options. This Special Report highlights the evidence supporting age-appropriate contraceptive counseling for adolescents and focuses on best practices for addressing adolescents' questions and concerns about contraceptive methods.

Quality Alternative Certification Programs in Special Education Ensure High Retention

ERIC Educational Resources Information Center

Karge, Belinda D.; McCabe, Marjorie

2014-01-01

Market driven alternative routes to teaching have evolved into a quality program option and not just an answer to the teacher shortage. Alternative certification is a viable means of recruiting, training, and certifying those who have a bachelor's degree and a strong desire to enter the field of teaching. California has been a leader in the…

16 CFR § 1500.14 - Products requiring special labeling under section 3(b) of the act.

Code of Federal Regulations, 2013 CFR

2013-01-01

...) Fountains. Warning (or Caution) FLAMMABLE (or EMITS SHOWERS OF SPARKS, if more descriptive). Use only under..., if More Descriptive) Use only under [close] adult supervision. (Use of the word close is optional...) Flammable (or Emits Showers of Sparks, if More Descriptive) Use only under [close] adult supervision. (Use...

Construct-Driven SJTs: Toward an Agenda for Future Research

ERIC Educational Resources Information Center

Lievens, Filip

2017-01-01

A common theme running through recent research on Situational Judgment Tests (SJTs) and this special issue is the aim to improve the measurement of constructs via SJTs. Construct-driven SJTs differ from traditional SJTs in that they present a trait activating situation to test-takers and a more unidimensional set of response options that depict…

Preparing for High Technology: CAD/CAM Programs. Research & Development Series No. 234.

ERIC Educational Resources Information Center

Abram, Robert; And Others

This guide is one of three developed to provide information and resources to assist in planning and developing postsecondary technican training programs in high technology areas. It is specifically intended for vocational-technical educators and planners in the initial stages of planning a specialized training option in computer-aided design (CAD)…

42 CFR 413.82 - Direct GME payments: Special rules for States that formerly had a waiver from Medicare...

Code of Federal Regulations, 2011 CFR

2011-10-01

... formerly had a waiver from Medicare reimbursement principles. 413.82 Section 413.82 Public Health CENTERS... OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; OPTIONAL... of a State reimbursement control system under section 1886(c) of the Act, section 402 of the Social...

42 CFR 413.82 - Direct GME payments: Special rules for States that formerly had a waiver from Medicare...

Code of Federal Regulations, 2013 CFR

2013-10-01

... formerly had a waiver from Medicare reimbursement principles. 413.82 Section 413.82 Public Health CENTERS... OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; OPTIONAL... of a State reimbursement control system under section 1886(c) of the Act, section 402 of the Social...

42 CFR 413.82 - Direct GME payments: Special rules for States that formerly had a waiver from Medicare...

Code of Federal Regulations, 2014 CFR

2014-10-01

... formerly had a waiver from Medicare reimbursement principles. 413.82 Section 413.82 Public Health CENTERS... OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; OPTIONAL... of a State reimbursement control system under section 1886(c) of the Act, section 402 of the Social...

42 CFR 413.82 - Direct GME payments: Special rules for States that formerly had a waiver from Medicare...

Code of Federal Regulations, 2012 CFR

2012-10-01

... formerly had a waiver from Medicare reimbursement principles. 413.82 Section 413.82 Public Health CENTERS... OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; OPTIONAL... of a State reimbursement control system under section 1886(c) of the Act, section 402 of the Social...

What do Americans think about federal tax options to support public transit, highways, and local streets and roads? results from year 3 of a national survey [research brief].

DOT National Transportation Integrated Search

2012-06-01

This research brief summarizes the results of Year 3 of a national random-digit-dial survey that explored public support for raising federal transportation revenues through gas, mileage, and sales taxes. This years survey added a special focus on ...

Telemetry Option in the Measurement of Physical Activity for Patients with Heart Failure

ERIC Educational Resources Information Center

Melczer, Csaba; Melczer, László; Oláh, András; Sélleyné-Gyúró, Mónika; Welker, Zsanett; Ács, Pongrác

2015-01-01

Measurement of physical activity among patients with heart failure typically requires a special approach due to the patients' physical status. Nowadays, a technology is already available that can measure the kinematic movements in 3-D by a pacemaker and implantable defibrillator giving an assessment on software. The telemetry data can be…

76 FR 71436 - Agency Information Collection Activities Proposed Information Collection; Submission for OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-17

... before the customer completes the purchase of the contract. There are special rules for transactions by... customers who buy DCCs and DSAs from national banks and ensure that national banks provide these products in... appropriate: Anti-tying--A bank must inform the customer that purchase of the product is optional and neither...

42 CFR 435.227 - Individuals under age 21 who are under State adoption assistance agreements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Coverage as Categorically Needy Options for Coverage of Families and Children § 435.227 Individuals under... (other than an agreement under title IV-E) between the State and the adoptive parent(s) is in effect; (2... adoptive parents without Medicaid because the child has special needs for medical or rehabilitative care...

Yes! You Can Build a Web Site.

ERIC Educational Resources Information Center

Holzberg, Carol

2001-01-01

With specially formatted templates or simple Web page editors, teachers can lay out text and graphics in a work space resembling the interface of a word processor. Several options are presented to help teachers build Web sites. ree templates include Class Homepage Builder, AppliTools: HomePage, MySchoolOnline.com, and BigChalk.com. Web design…

43 CFR 30.266 - When is a final decision issued?

Code of Federal Regulations, 2010 CFR

2010-10-01

... PROCEDURES Tribal Purchase of Interests Under Special Statutes § 30.266 When is a final decision issued? This... subject to the tribal purchase option, the decision must so state. (3) A copy of the probate decision... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false When is a final decision issued? 30.266...

Risk Assessment of Sexual Offenders for Extended Supervision Orders in New Zealand: Basic Principles and Current Practice

ERIC Educational Resources Information Center

Vess, James

2009-01-01

A growing number of jurisdictions in North America, the United Kingdom, and Australasia have enacted legislation allowing for special sentencing, civil commitment, and community supervision options for high risk sexual offenders. In New Zealand, one example of this concern for public protection is the Parole (Extended Supervision) Amendment Act…

Special considerations for children with hyperhidrosis.

PubMed

Bohaty, Benjamin R; Hebert, Adelaide A

2014-10-01

Hyperhidrosis, characterized by excess sweat production, affects children and adults. Primary focal hyperhidrosis affects any anatomic region with sweat appendages present. Primary hyperhidrosis has traditionally been considered a problem for adults, but approximately 1.6% of adolescents and 0.6% of prepubertal children are affected. Psychological and social development and well-being are often affected, leading to profound emotional and social distress. Quality of life can be improved by early diagnosis and therapy; however, underdiagnosis and lack of knowledge regarding therapeutic options has hindered optimization of therapy in the pediatric population. This article reviews the treatment options for hyperhidrosis with a focus on the pediatric population. Copyright © 2014 Elsevier Inc. All rights reserved.

[New physiopathological knowledge applied to migraine therapy and prophylaxis].

PubMed

Visens, Laura S

2014-01-01

Migraine is a very common condition that has a significant socioeconomic impact. Based on the most recent reports from the World Health Organization, its diagnosis and treatment are far from being optimal. Specialists have made great efforts to classify headaches, including migraines, in order to have a useful diagnostic tool and to guide treatment. On the other hand, advances made in the knowledge of the pathophysiology of migraines, new treatment options were developed. These new options include onabotulinum toxin A and topiramate. The prompt detection of migraine disorders and an appropriate treatment, both symptomatic and preventive, are key to relieve the personal, familiar, and social burden with special focus on chronic migraine.

[Logopedia and pediatric psychiatry].

PubMed

Dvorák, J

1990-12-01

The author presents some methods of special logopaedic examinations of children hospitalized in a psychiatric sanatorium for children. This diagnosis is part of a multidimensional evaluation of the child and the basis for the special development of verbal performance. The author mentions therapeutic methods some diagnostic groups and emphasizes that this work is irreplaceable in the comprehensive concept of paedopsychiatric treatment. Effective logopaedic assistance depends on professional skill which is not taught to teachers at present. In the conclusion the author submits the demand that specialists in this field should be according to norms on the staff of these institutions and should not be engaged only on an optional basis.

General Practice as a career choice among undergraduate medical students in Greece

PubMed Central

Mariolis, Anargiros; Mihas, Constantinos; Alevizos, Alevizos; Gizlis, Vasilis; Mariolis, Theodoros; Marayiannis, Konstantinos; Tountas, Yiannis; Stefanadis, Christodoulos; Philalithis, Anastas; Creatsas, George

2007-01-01

Background Although General Practice (GP) was recognized as a medical specialty in Greece in 1986, the number of GPs is insufficient to cover needs and only few medical graduates choose GP as a career option. In the present study we investigated the profile of medical students in terms of their decisions regarding specialization and the possible association of career choices different from GP with the status of undergraduate training regarding GP. Methods The sample consisted of final year students in the Medical School of the University of Athens, Greece. Students filled in a self-reported questionnaire focusing on medical specialization, and GP in particular. Results Response rate was 82.5% with 1021 questionnaires collected, out of 1237 eligible medical students. Only 44 out of the 1021 (4.3%) respondents stated that GP is -or could be- among their choices for specialty. The most popular medical specialty was General Surgery (10.9%), followed by Cardiology (9.6%), Endocrinology (8.7%) and Obstetrics-Gynaecology (8.3%). The most common criterion for choosing GP was the guaranteed employment on completion of the residency (54.6%) while a 56.6% of total respondents were positive to the introduction of GP/FM as a curriculum course during University studies. Conclusion Despite the great needs, GP specialty is currently not a career option among undergraduate students of the greater Medical University in Greece and is still held in low esteem. A university department responsible for undergraduate teaching, promotion and research in GP (where not available) is essential; the status of undergraduate training in general practice/family medicine seems to be one of the most important factors that influence physician career choices regarding primary care specialties. PMID:17543106

Chances of success in and engagement with mathematics for students who enter university with a weak mathematics background

NASA Astrophysics Data System (ADS)

Varsavsky, Cristina

2010-12-01

An increasing number of Australian students elect not to undertake studies in mathematical methods in the final years of their secondary schooling. Some higher education providers now offer pathways for these students to pursue mathematics studies up to a major specialization within the bachelor of science programme. This article analyses the performance in and engagement with mathematics of the students who elect to take up this option. Findings indicate that these are not very different when compared to students who enter university with an intermediate mathematics preparation. The biggest contrast in performance and engagement is with those students who have studied mathematics in senior secondary school to an advanced level.

The Applied and Workforce Baccalaureate at South Texas College: Specialized Workforce Development Addressing Economic Development

ERIC Educational Resources Information Center

Mejia, Juan E.

2012-01-01

South Texas College (STC), created in 1993 as South Texas Community College (STCC), has developed from a concept by visionary leaders in the region to currently offering more than one hundred degree and certificate options for students from the counties of Hidalgo and Starr, including two bachelor of applied technology (B.A.T.) degrees. These…

New Tools for a New Terrain Air Force Support to Special Operations in the Cyber Environment

DTIC Science & Technology

2016-08-01

54 3 PREFACE As a career targeteer for the US...capabilities of a toolkit of cyber options, from hardware on the front lines to “digital reachback” relationships with USCYBERCOM, is to leave...of career fields, including, but not limited to, cyberspace operations, intelligence, aircrew operations, command and control systems operations, and

Pro: pediatric anesthesia training in developing countries is best achieved by selective out of country scholarships.

PubMed

Gathuya, Zipporah N

2009-01-01

Pediatric anesthesia training in developing countries is best achieved by out of country scholarships rather than structured outreach visits by teams of specialists from the developed world. Although this may seem an expensive option with slow return, it is the only sustainable way to train future generations of specialized pediatric anesthetists in developing countries.

Development of precursors recognition methods in vector signals

NASA Astrophysics Data System (ADS)

Kapralov, V. G.; Elagin, V. V.; Kaveeva, E. G.; Stankevich, L. A.; Dremin, M. M.; Krylov, S. V.; Borovov, A. E.; Harfush, H. A.; Sedov, K. S.

2017-10-01

Precursor recognition methods in vector signals of plasma diagnostics are presented. Their requirements and possible options for their development are considered. In particular, the variants of using symbolic regression for building a plasma disruption prediction system are discussed. The initial data preparation using correlation analysis and symbolic regression is discussed. Special attention is paid to the possibility of using algorithms in real time.

Energy II: Use, Conservation and Supply. No. 6 in a Series of Special "Science" Compendia.

ERIC Educational Resources Information Center

Abelson, Philip H., Ed.; Hammond, Allen L., Ed.

Presented are 26 articles originally published in "Science" during 1975-78. The document is divided into three parts. The first part contains articles on changes in energy use. Included are articles on industrial energy use, energy options and strategies for Western Europe, energy use in Brazil, and solar energy for village development, as well as…

Elementary Teachers' Perspectives of the Implementation of Response to Intervention and Special Education Rates

ERIC Educational Resources Information Center

Dupuis, Susan D.

2010-01-01

Response to Intervention (RTI) employs a multi-tiered approach to providing targeted interventions for students who are at risk for school failure. With the reauthorization of the Individual with Disabilities Act (IDEA) 2004 and No Child Left Behind (NCLB) 2001 districts are given the option to implement RTI prior to student referral for special…

Introduction: Strengthening the foundation of wildland fire Effects prediction for research and management

Treesearch

Matthew B. Dickinson; Kevin C. Ryan

2010-01-01

As prescribed fire use increases and the options for responding to wildfires continue to expand beyond suppression, the need for improving fire effects prediction capabilities be¬comes increasingly apparent. The papers in this Fire Ecology special issue describe recent advances in fire effects prediction for key classes of direct (first-order) fire effects. Important...

Miniaturized photoacoustic spectrometer

DOEpatents

Okandan, Murat; Robinson, Alex; Nielson, Gregory N.; Resnick, Paul J.

2016-08-09

A low-power miniaturized photoacoustic sensor uses an optical microphone made by semiconductor fabrication techniques, and optionally allows for all-optical communication to and from the sensor. This allows integration of the photoacoustic sensor into systems with special requirements, such as those that would be reactive in an electrical discharge condition. The photoacoustic sensor can also be operated in various other modes with wide application flexibility.

The Air Transportation Policy of Small States: Meeting the Challenges of Globalization

NASA Technical Reports Server (NTRS)

Antoniou, Andreas

2001-01-01

The air transport policies of small states are currently at a crossroad. Policy makers in these countries are facing a difficult dilemma: either follow the general trend of liberalization and pay the high cost of the resulting restructuring or maintain the existing regulatory and ownership structures at the risk of isolation thus undermining the viability and sustainability of their air transport sector and their economies in general. This paper proposes to explore the broad issues raised by this difficult dilemma, to outline its special significance in the context of small states and to delineate the options opened to the economic policymakers; in these states. After a brief note on the method of research, we sketch the main elements of the international air transport industry in which the airlines of small states are called upon to act. We then propose to review the main features of the analytical framework of this debate as it pertains to the special circumstances of these states. Then we focus on the challenges facing the airlines of Small States, while the next section proposes a number of the alternative policy options open to the policy makers in these states. The main conclusions are drawn in the final section.

Military Neurosurgery: A Range of Service Options.

PubMed

Menger, Richard P; Wolf, Michael E; Lang, Richard W; Smith, Donald R; Nanda, Anil; Letarte, Peter; Rosner, Michael K

2016-06-01

The pathway to military neurosurgical practice can include a number of accession options. This article is an objective comparison of fiscal, tangible, and intangible benefits provided through different military neurosurgery career paths. Neurosurgeons may train through active duty, reserve, or civilian pathways. These modalities were evaluated on the basis of economic data during residency and the initial 3 years afterwards. When available, military base pay, basic allowance for housing and subsistence, variable special pay, board certified pay, incentive pay, multiyear special pay, reserve drill pay, civilian salary, income tax, and other tax incentives were analyzed using publically available data. Civilians had lower residency pay, higher starting salaries, increased taxes, malpractice insurance cost, and increased overhead. Active duty service saw higher residency pay, lower starting salary, tax incentives, increased benefits, and almost no associated overhead including malpractice coverage. Reserve service saw a combination of civilian benefits with supplementation of reserve drill pay in return for weekend drill and the possibility of deployment and activation. Being a neurosurgeon in the military is extremely rewarding. From a financial perspective, ignoring intangibles, this article shows most entry pathways with initially modest differences between the cumulative salaries of active duty and civilian career paths and with higher overall compensation available from the reserve service option. These pathways become increasingly discrepant over time as civilian pay greatly exceeds that of military neurosurgeons. We hope that those curious about or considering serving in the United States military benefit from our accounting and review of these comparative paths. FAP, Financial Assistance ProgramNADDS, Navy Active Duty Delay for SpecialistsTMS, Training in Medical Specialties.

The influence of ambient light on the driver

NASA Astrophysics Data System (ADS)

Klinger, Karsten D.; Lemmer, Uli

2008-04-01

Increasingly, cars are fitted with interior ambient lighting which is switched on while driving. This special kind of interior light emphasizes the interior design of the car, it makes a car look special and gives the buyers a new option to personalize their automobiles. But how does ambient interior light influence the driver? We conducted a series of over 50 tests to study the influence of interior ambient light on contrast perception under different illumination levels, colors and positions of the illuminated areas. Our tests show that in many cases the ambient lighting can improve the visual contrast for seeing objects in the headlamp beam. But the test persons mentioned that the tested brightness looked too bright and that they felt glared. The measured values instead proved that no disability glare exists. Therefore, provided that the drivers can adjust the intensity of the ambient light to avoid glare, the ambient light has no negative effect on the drivers' contrast perception.

Effects of Contextual Information on Seeing Pareidolic Religious Inscriptions on an Artifact: Implications for the Shroud of Turin.

PubMed

Sheen, Mercedes; Jordan, Timothy R

2015-12-01

Several reports suggest that images of the Shroud of Turin contain faint religious inscriptions that support the view that the Shroud has special religious significance. Against this background, we investigated effects of contextual information on detecting religious inscriptions using an image of plain modern linen with no religious provenance and containing no writing. The image was viewed in three contexts: In the Neutral Context, participants were told that the image was of a simple piece of linen; in the Religious Context, participants were told that the image was of an important religious artifact; and in the Religious Context + Options condition, participants were also given plausible word options. Very few words were detected in the Neutral Context, significantly more in the Religious Context, and most in the Religious Context+Options condition. Some implications of these findings for reports of inscriptions in the context-laden conditions surrounding the Shroud of Turin are discussed. © The Author(s) 2015.

Endometriosis: Survey of Current Diagnostic and Therapeutic Options and Latest Research Work

PubMed Central

Juhasz-Böss, I.; Laschke, M. W.; Müller, F.; Rosenbaum, P.; Baum, S.; Solomayer, E. F.; Ulrich, U.

2014-01-01

Endometriosis is one of the most frequent benign diseases in women of child-bearing age. The main symptoms are chronic upper abdominal pain and infertility. However, the aetiology and pathogenesis of endometriosis are as yet insufficiently clarified. Thus, therapy is mainly symptomatic with laparoscopic surgery being the gold standard. The aim of drug therapy is to achieve a hypo-oestrogenic condition. In cases of severe endometriosis and a desire to have children there is often an indication for assisted reproduction. The present article illustrates almost all current aspects on the diagnosis of and therapy of endometriosis. From the clinical viewpoint, emphasis is placed on the rare cases of deeply infiltrating endometriosis that are, however, accompanied with a high morbidity. Current therapeutic options in cases of infertility are also presented in more detail. Furthermore, special attention is paid to the latest research results from both clinical and basic research fields in order to demonstrate our current knowledge on the pathogenesis and, where possible, potentially related therapeutic options. PMID:25221341

Using a flipped classroom and the perspective of families to teach medical students about children with disabilities and special education.

PubMed

Sheppard, Mary E; Vitalone-Raccaro, Nancy; Kaari, Jacqueline M; Ajumobi, Taiwo T

2017-10-01

The need to teach medical students to care for children with disabilities, work effectively with these patients' families, and collaborate with schools has been well established. Yet, what is not clear is the exact nature of the content to be taught and how medical schools develop the systems and enabling structures required to ensure medical education responds to the needs of children with disabilities and their families. The aim of this study was to develop and assess the efficacy of an educational intervention designed to introduce the topics of special education law and practices and working with parents of children with disabilities into an undergraduate medical education pediatrics course. A new curricular element based upon the flipped classroom that included an on-line module followed by participation in a panel discussion comprised of parents of children with disabilities, and concluding with an on-line discussion was implemented. Medical students completed a pre- and post-assessment that evaluated their knowledge of special education law and practices. Students demonstrated increased understanding of special education laws and practices. Qualitative findings showed that students recognized the importance and value of learning the content to support their patients and their patients' families. Based upon study findings, the flipped classroom method improved student knowledge of the topic and students reported they valued the content. This addition to the undergraduate medical curriculum provided students with an effective introductory overview and demonstrated one viable option for incorporating necessary topics into the undergraduate medical curriculum. Copyright © 2017 Elsevier Inc. All rights reserved.

[The complex aortic abdominal aneurysm: is open surgery old fashion?].

PubMed

Saucy, F; Déglise, S; Doenz, F; Dubuis, C; Corpataux, J-M

2012-06-20

Open surgery is still the main treatment of complex abdominal aortic aneurysm. Nevertheless, this approach is associated with major complications and high mortality rate. Therefore the fenestrated endograft has been used to treat the juxtarenal aneurysms. Unfortunately, no randomised controlled study is available to assess the efficacy of such devices. Moreover, the costs are still prohibitive to generalise this approach. Alternative treatments such as chimney or sandwich technique are being evaluated in order to avoid theses disadvantages. The aim of this paper is to present the endovascular approach to treat juxtarenal aneurysm and to emphasize that this option should be used only by highly specialized vascular centres.

Epithelioid Haemangioendothelioma (EHE) of the Liver.

PubMed

Khan, Abidullah; Humayun, Mohammad; Haider, Iqbal; Khan, Wazir Muhammad; Ajmal, Fahad; Ayub, Maimoona

2016-06-01

A45-year previously known hypertensive lady presented with 2-year history of upper abdominal pain, heaviness, and weight loss. Her radiological assessment suggested the possibility of hepatoma or liver metastases. Considering her age, overall good health and absence of cirrhosis, a liver biopsy was taken which showed hepatic epithelioidhaemangioendothelioma (HEHE), a rare and unusual intermediate grade vascular tumor which can easily be confused with hepatoma or metastatic liver disease. To the best of their knowledge, the authors are most probably reporting the first ever case of HEHE from Pakistan with special emphasis on its clinical presentations, clinico-radiological diagnostic clues, and the management options in the light of the limited retrospective studies.

Editorial

NASA Astrophysics Data System (ADS)

Sorger, Volker

2015-05-01

The year 2015 will likely have a unique place in the history books for the optics and photonics community, since it is paired with various events that are exciting for this field. For one it is the 125th birthday of the Optical Society (OSA), and in addition, the United Nations declared 2015 to be the Year Of Light. The first special issue of this year is dedicated to the topic of "Emerging Materials on Nanophotonics". While the field of nanophotonics has seen tremendous momentum through the support of plasmonics, opto-mechanics, and quantum photonics, it often are both the breakthroughs and continuing developments of materials that bring enabling opportunities for this field. For instance, the area of 2D materials has grown out of its infancy being focused on Graphene into a crossdisciplinary subject area. Here, both scientific and engineering potential are seen in a) novel physical effects, b) higher functionality, and c) smaller form factors all found in one material option. Coincidentally, theUSNational Science Foundation recently held a path findingworkshop on 2D materials Beyond Graphene, and followed through with a dedicated two-year program to fund engineering innovations of the same. Here, the bandgap tunability of trimetal Dichalcogenides (TMD) has found to bear rich bandgap tunability via composition, alloying, and altering design options such as substrate choices or stress, thus providing a large variety of functions. In this context it is interesting to note, that with the many material choices for TMDs, the importance of targeted approaches towards accelerated material-to-marketwas raised in theMaterial Genome Initiative by the US White House. However, with the fundamental challenge of nanophotonics - weak interactions between light and matter - the choice of materials as both device building block and functionality delivery option needs to be synergistically considered. In this regard metal optics is seen as an emerging field that is able to contribute to this design evolution of devices and systems with ever growing constrains. However, materials with new functionalities and *Corresponding Author: Volker Sorger: E-mail: sorger@email.gwu.edu form factors allow utilizing field enhancement techniques in an unprecedented way. This, for instance, enables subwavelength scale photonic and opto-electronic devices with performance improvements such as utilized by the Purcell effect in light emitters, detectors, or electro-optic switching devices. On the other hand, certain novel materials are able to clearly outperform any existing option; for instance transparent-conductive-oxides (TCO) have been found to be able to alter its refractive index by unity. Lastly, with the maturing of silicon photonics as an on-chip optics platform, higher integration options are considered in this special issue; passive devices such as waveguides made out of the electro-optically active Lithium Niobate aid highfunctionality systems on-chip. However, these novel materials and subsequent devices and systems need to be compared and benchmarked in order to be a guide for the next phase of opto-electronic integration and other technologies as carried out by some contributions of this special issue.As the festivities around this Year Of Light continue, this special issue summarizes some of the interesting work around the emerging materials for nanophotonics. Concluding, I would like to thank for the input and help of the fellow Guest Editors, Jenifer Dionne, Alexandra Boltasseva, and Luke Sweatlock along with the Nanophotonics staff, Dennis Couwenberg and Tara Dorrian. Sincerely

Renewable and Nuclear Energy: an International Study of Students' Beliefs About, and Willingness to Act, in Relation to Two Energy Production Scenarios

NASA Astrophysics Data System (ADS)

Skamp, Keith; Boyes, Eddie; Stanisstreet, Martin; Rodriguez, Manuel; Malandrakis, Georgios; Fortner, Rosanne; Kilinc, Ahmet; Taylor, Neil; Chhokar, Kiran; Dua, Shweta; Ambusaidi, Abdullah; Cheong, Irene; Kim, Mijung; Yoon, Hye-Gyoung

2017-07-01

Renewable and nuclear energy are two plausible alternatives to fossil fuel-based energy production. This study reports students' beliefs about the usefulness of these two options in reducing global warming and their willingness to undertake actions that would encourage their uptake. Using a specially designed questionnaire, students' (n > 12,000; grades 6 to 10) responses were obtained from 11 countries. Links between their beliefs about these energy options and their willingness to act were quantified using a range of novel derived indices: significant differences between beliefs and willingness to act were found across the various counties. One derived index, the Potential Effectiveness of Education, measures the extent to which enhancing a person's belief in the effectiveness of an action might increase their willingness to undertake that action: this indicated that education may impact willingness to act in some countries more than others. Interpretations are proffered for the reported differences between countries including whether the extent of students' concern about global warming had impacted their decisions and whether cultural attributes had any influence. Pedagogical ways forward are related to the findings.

Robots and ICT to support play in children with severe physical disabilities: a systematic review.

PubMed

van den Heuvel, Renée J F; Lexis, Monique A S; Gelderblom, Gert Jan; Jansens, Rianne M L; de Witte, Luc P

2015-09-02

Play is an essential part of children's lives. Children with physical disabilities experience difficulties in play, especially those with severe physical disabilities. With the progress of innovative technology, the possibilities to support play are increasing. The purpose of this literature study is to gain insight into the aims, control options and commercial availability of information and communication technology (ICT) and robots to support play (especially play for the sake of play) in children with severe physical disabilities. A systematic literature search in the databases PubMed, CINAHL, IEEE and ERIC was carried out. Titles and abstracts were assessed independently by three reviewers. In addition, studies were selected using Google Scholar, conference proceedings and reference lists. Three main groups of technology for play could be distinguished: robots (n = 8), virtual reality systems (n = 15) and computer systems (n = 4). Besides, ICT and robots developed for specific therapy or educational goals using play-like activities, five of the in total 27 technologies in this study described the aim of "play for play's sake". Many ICT systems and robots to support play in children with physical disabilities were found. Numerous technologies use play-like activities to achieve therapeutic or educational goals. Robots especially are used for "play for play's sake". Implications for Rehabilitation This study gives insight into the aims, control options and commercial availability for application of robots and ICT to support play in children with severe physical disabilities. This overview can be used in both the fields of rehabilitation and special education to search for new innovative intervention options and it can stimulate them to use these innovative play materials. Especially robots may have great potential in supporting "play for play's sake".

Maximizing value in opioid utilization: Is oxycodone immediate release a good option for pain management?

PubMed

Pergolizzi, Joseph V; Köknel Talu, Gül; Zmponga, Gianpetrio; Erdine, Serdar; Taylor, Robert; Ayan, Burak; Raffa, Robert B

2015-01-01

The modern approach to the management of pain involves optimizing all aspects of the process. This includes utilization of pharmacologic and non-pharmacologic modalities, consideration of patient characteristics, proper matching of the physiology of the pain with the analgesic's mechanism of action (pharmacodynamics, PD), and the onset and duration of action (pharmacokinetics, PK). No single agent or formulation satisfies all of the requirements for all patients. Aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs) are effective options for inflammatory pain and, as is acetaminophen, for mild pain. Specialized agents are helpful for particular pains, such as for migraine headache. Opioids remain the standard option for severe pain. Although they are generally a safe and effective option, opioids can produce dose-limiting adverse effects and have abuse potential. The goal of pain therapy is thus to achieve the maximum pain relief with the least amount of opioid exposure. Against this background of measured approach to the use of analgesics, an immediate release (IR) oral formulation of the established opioid oxycodone has been developed to provide rapid onset of action and rate of titration, both of which could maximize temporal matching of dose with pain level and reduce total exposure to drug. This article considers the option of an immediate release (IR) oral formulation for the management of pain.

Making effective referrals: a knowledge-management approach.

PubMed Central

Einbinder, J. S.; Klein, D. A.; Safran, C. S.

1997-01-01

Patients and physicians often choose specially consultants with only limited knowledge of the available options. Access to information about specialists that was directly relevant to patient and clinician preferences could improve the effectiveness of the referral process. We have developed a prescriptive representation of the process of selecting consultants. This "referral map," based on decision theory, uses patient and provider preferences elicited through a literature review and interviews with physicians and provides a formal framework for representing referral knowledge and for evaluating referral options. Our method suggests that the goals and processes of selecting consultants can be managed more systematically using explicit repositories. Such systematic management promises to have a beneficial impact on the delivery of health care, as well as on patient satisfaction. PMID:9357642

Percutaneous treatment of complex biliary stone disease using endourological technique and literature review

PubMed Central

Korkes, Fernando; Carneiro, Ariê; Nasser, Felipe; Affonso, Breno Boueri; Galastri, Francisco Leonardo; de Oliveira, Marcos Belotto; Macedo, Antônio Luiz de Vasconcellos

2015-01-01

Most biliary stone diseases need to be treated surgically. However, in special cases that traditional biliary tract endoscopic access is not allowed, a multidisciplinary approach using hybrid technique with urologic instrumental constitute a treatment option. We report a case of a patient with complex intrahepatic stones who previously underwent unsuccessful conventional approaches, and who symptoms resolved after treatment with hybrid technique using an endourologic technology. We conducted an extensive literature review until October 2012 of manuscripts indexed in PubMed on the treatment of complex gallstones with hybrid technique. The multidisciplinary approach with hybrid technique using endourologic instrumental represents a safe and effective treatment option for patients with complex biliary stone who cannot conduct treatment with conventional methods. PMID:26061073

Recommendations for the Pharmacological Management of Neuropathic Pain: An Overview and Literature Update

PubMed Central

Dworkin, Robert H.; O'Connor, Alec B.; Audette, Joseph; Baron, Ralf; Gourlay, Geoffrey K.; Haanpää, Maija L.; Kent, Joel L.; Krane, Elliot J.; LeBel, Alyssa A.; Levy, Robert M.; Mackey, Sean C.; Mayer, John; Miaskowski, Christine; Raja, Srinivasa N.; Rice, Andrew S. C.; Schmader, Kenneth E.; Stacey, Brett; Stanos, Steven; Treede, Rolf-Detlef; Turk, Dennis C.; Walco, Gary A.; Wells, Christopher D.

2010-01-01

The Neuropathic Pain Special Interest Group of the International Association for the Study of Pain recently sponsored the development of evidence-based guidelines for the pharmacological treatment of neuropathic pain. Tricyclic antidepressants, dual reuptake inhibitors of serotonin and norepinephrine, calcium channel α2-δ ligands (ie, gabapentin and pregabalin), and topical lidocaine were recommended as first-line treatment options on the basis of the results of randomized clinical trials. Opioid analgesics and tramadol were recommended as second-line treatments that can be considered for first-line use in certain clinical circumstances. Results of several recent clinical trials have become available since the development of these guidelines. These studies have examined botulinum toxin, high-concentration capsaicin patch, lacosamide, selective serotonin reuptake inhibitors, and combination therapies in various neuropathic pain conditions. The increasing number of negative clinical trials of pharmacological treatments for neuropathic pain and ambiguities in the interpretation of these negative trials must also be considered in developing treatment guidelines. The objectives of the current article are to review the Neuropathic Pain Special Interest Group guidelines for the pharmacological management of neuropathic pain and to provide a brief overview of these recent studies. PMID:20194146

Introduction to the special issue 'unintended effects of international cooperation'.

PubMed

Koch, Dirk-Jan; Schulpen, Lau

2018-06-01

The 'Evaluation and Program Planning' journal has contributed to the launch of an academic discussion of unintended effects of international cooperation, notably by publishing in 2016 articles by Bamberger, Tarsilla, & Hesse-Biber and by Jabeen. This special issue aims to take up the academic challenges as laid down by those authors, by providing among others a clear typology and applying it, by outlining various methodological options and testing them, and elaborating on suggestions on how to deal with the barriers that prevent unintended effects being taken into account. This special issue makes clear that it is possible to reduce the share of unforeseen effects of international cooperation. Turning the spotlight on unintended effects that can be anticipated, and aiming to make progress on uncovering those that are particularly difficult to detect and debunking those that are exaggerated is the task that lies ahead of us. Copyright © 2017 Elsevier Ltd. All rights reserved.

Design and assessment of compact optical systems towards special effects imaging

NASA Astrophysics Data System (ADS)

Shaoulov, Vesselin Iossifov

A main challenge in the field of special effects is to create special effects in real time in a way that the user can preview the effect before taking the actual picture or movie sequence. There are many techniques currently used to create computer-simulated special effects, however current techniques in computer graphics do not provide the option for the creation of real-time texture synthesis. Thus, while computer graphics is a powerful tool in the field of special effects, it is neither portable nor does it provide work in real-time capabilities. Real-time special effects may, however, be created optically. Such approach will provide not only real-time image processing at the speed of light but also a preview option, allowing the user or the artist to preview the effect on various parts of the object in order to optimize the outcome. The work presented in this dissertation was inspired by the idea of optically created special effects, such as painterly effects, encoded in images captured by photographic or motion picture cameras. As part of the presented work, compact relay optics was assessed, developed, and a working prototype was built. It was concluded that even though compact relay optics can be achieved, further push for compactness and cost-effectiveness was impossible in the paradigm of bulk macro-optics systems. Thus, a paradigm for imaging with multi-aperture micro-optics was proposed and demonstrated for the first time, which constitutes one of the key contributions of this work. This new paradigm was further extended to the most general case of magnifying multi-aperture micro-optical systems. Such paradigm allows an extreme reduction in size of the imaging optics by a factor of about 10 and a reduction in weight by a factor of about 500. Furthermore, an experimental quantification of the feasibility of optically created special effects was completed, and consequently raytracing software was developed, which was later commercialized by SmARTLens(TM). While the art forms created via raytracing were powerful, they did not predict all effects acquired experimentally. Thus, finally, as key contribution of this work, the principles of scalar diffraction theory were applied to optical imaging of extended objects under quasi-monochromatic incoherent illumination in order to provide a path to more accurately model the proposed optical imaging process for special effects obtained in the hardware. The existing theoretical framework was generalized to non-paraxial in- and out-of-focus imaging and results were obtained to verify the generalized framework. In the generalized non-paraxial framework, even the most complex linear systems, without any assumptions for shift invariance, can be modeled and analyzed.

Improvement of Patient- and Family-Specific Care for Children with Special Behavioral Needs in the Emergency Setting: A Behavioral Needs Education.

PubMed

Brynes, Nicole; Lee, Heeyoung; Ren, Dianxu; Beach, Michael

2017-05-01

Improvements in staff training, identification, and treatment planning for children with special health care needs who have behavioral issues are routinely recommended, but a literature review revealed no coherent plans targeted specifically toward pediatric ED staff. An educational module was delivered to emergency staff along with a survey before and after and 1 month after the intervention to examine comfort in working with children with behavioral special needs and the ability to deliver specialized care. Child life consultations in the pediatric emergency department were measured 3 months before and 3 months after the education was provided. A total of 122 staff participated and reported clinically significant improvements across all areas of care that were maintained at 1 month. To the best of our knowledge, this project represents the first quality improvement project offering behavioral needs education to emergency staff at a large pediatric hospital with an examination of its impact on staff competence, comfort, and outcomes. A large-scale educational module is a practical option for improvement in pediatric ED staff competence in caring for patients with behavioral special needs. Copyright © 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

Interviews of Children in a Portuguese Special Judicial Procedure.

PubMed

Peixoto, Carlos Eduardo; Fernandes, Raquel Veludo; Almeida, Telma Sousa; Silva, Júlia Marina; La Rooy, David; Ribeiro, Catarina; Magalhães, Teresa; Lamb, Michael E

2017-05-01

Since 2007, alleged victims of child sexual abuse in Portugal have provided evidence in a mandatory "Declarações para Memória Futura" (DMF; English transl. 'Statement for future use') proceeding. In order to protect children from having to testify in court, interviews conducted at the DMF can be used later as trial evidence because the hearings are conducted by judges. The present study examined 137 interviews with 3- to 17-year-olds conducted in several Portuguese criminal courts. Detailed examination of interview transcripts showed that 69% of all questions asked were option-posing questions, 16% were directive questions, 11% were suggestive questions, and only 3% were open-ended prompts. The vast majority of details provided by children were thus obtained using the risky recognition-based prompts (i.e., option posing and suggestive questions) associated with the risks of contaminating and limiting children's informativeness, both potential threats to the credibility of their testimony. There is an urgent need to address this issue and consider the implementation of a scientifically validated structured interview protocol in Portugal. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

Public Education Finance Systems in the United States and Funding Policies for Populations with Special Educational Needs

ERIC Educational Resources Information Center

Verstegen, Deborah A.

2011-01-01

This research investigates state finance policies for public education using survey methodology. The purpose is to update previous work and the existing knowledge base in the field as well as to provide a compendium of finance and policy options that are used across the states to finance public elementary and secondary schools. Chief state school…

20 CFR 408.234 - Can you continue to receive SVB payments if you stay in the United States for more than 1 full...

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Can you continue to receive SVB payments if...' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB... family, a transportation strike, etc.); or (2) Are exercising your option to be personally present in the...

ASDIR-II. Volume II. Program Description

DTIC Science & Technology

1975-01-01

in ASDIR. INPUT: Engine description, gas properties and case definition (See ASDIR-II, Volume I, User’s Manual). OIWPUT: Primarily the information...conditions Special surface cooling flow conditions Exhaust system surface properties The predictions provided by the progi un for the combination of a...nonattenuated by the atmosphere Optional exhaust system information which can be requested from the program is: Internal fluid flow properties Surface

Investing in Child Care Jobs in Low-Income Communities: A Special Report from the National Center for the Early Childhood Work Force.

ERIC Educational Resources Information Center

National Center for the Early Childhood Work Force, Washington, DC.

Child care is a prevalent service need among parents of young children and a major employment option for women. Low compensation for child care teachers/providers contributes to the cycle of poverty because poor women have little access to training, education, and other avenues of career advancement. Mandatory employment for welfare recipients…

Can Plasticity Transform Functions in Neurodegeneration in Children as Well as Adults? An Observational Study

PubMed Central

Chandra, Sadanandavalli Retnaswami; Ahamed, Safwan; Vidhya Annapoorni, Chandra Sasitharan

2018-01-01

Introduction: Creativity is a physiological need based biological function very essential for survival. However, generally in disorders of progressive cognitive dysfunction creative skills are lost. However there are situations where these potentials are temporarily enhanced. Patients and Methods: We did an observational study of children and adults, 5 adults and 2 childrens, who showed extraordinary creativity evaluated based on evidence shown by patient, peers and re produced in test situation. Discussion: Our observational study reveals spontaneous interest in new and useful creative activity in our patients with various disorders causing progressive cognitive dysfunction. This observation reveals creative gain of function does take place in the face of progressive cognitive dysfunction in the setting of several diseases and it serves as a treatment option in behaviour management. Whether it is due to disinhibition of creative areas in the brain or facilitated function in regenerating data linking circuits needs further study. Conclusion: Set goals which are survival instinct based activities are probably removed by neurodegeneration and thereby the innate creativity gets disinhibited and expressed in wonderful forms of creativity. Whether special creative circuits in the brain, which causes this extraordinary creativity also needs to be studied. These creative skills in some of our patients served as effective pharmaco sparing agents during periods of aggression and agitation by engaging them in those activities, utility of which can be considered as a therapeutic option. PMID:29403132

Remote hearing aid fitting: Tele-audiology in the context of Brazilian Public Policy

PubMed Central

Penteado, Silvio Pires; Ramos, Sueli de Lima; Battistella, Linamara Rizzo; Marone, Silvio Antonio Monteiro; Bento, Ricardo Ferreira

2012-01-01

Summary Introduction: Currently, the Brazilian government has certificated nearly 140 specialized centers in hearing aid fittings through the Brazilian National Health System (SUS). Remote fitting through the Internet can allow a broader and more efficient coverage with a higher likelihood of success for patients covered by the SUS, as they can receive fittings from their own homes instead of going to the few and distant specialized centers. Aim: To describe a case of remote fitting between 2 cities, with revision of the literature. Method: Computer gears, a universal interface, and hearing aids were used. Case study: An audiologist located in a specialized center introduced a new hearing aid and its fitting procedure to a remote center (200 km away). The specialized center helped the remote center in fitting a hearing aid in 2 patients, and performed fitting in one of its own patients. The whole process was done through the Internet with audio and video in real time. Results: Three patients were fitted remotely. Three audiologists were remotely trained on how to fit the hearing aids. Conclusions: Remote fitting of hearing aids is possible through the Internet, as well as further supplying technical training to a remote center about the fitting procedures. Such a technological approach can help the government advance public policies on hearing rehabilitation, as patients can be motivated about maintaining their use of hearing aids with the option to ask for help in the comfort of their own homes. PMID:25991960

[Standards, options, and recommendations for initial management of patients with malignant ovarian epithelial tumors].

PubMed

Kerbrat, P; Lhommé, C; Fervers, B; Guastalla, J P; Thomas, L; Basuyau, J P; Duvillard, P; Cohen-Solal, C; Dauplat, J; Tournemaine, N

2000-12-09

Suprapubic and transvaginal pelvic ultrasound exploration is indicated for suspected ovarian tumor (standard). Diagnosis and search for extension require surgery and pathology examination. Systematic preoperative computed tomography is not recommended (standard). Surgery for cancer of the ovary is a specialized procedure requiring skill in cancer, gynecology, visceral surgery and laparoscopic surgery. If the patient is referred to a specialized center after a primary procedure considered to be inadequate, a new procedure is recommended for staging. Residual tumor volume after the primary procedure has prognostic value. Systematic second look procedures are not recommended for routine practice (standard). For patients with grade IA G1 tumors, there is no indication for complementary treatment (standard). For patients with grade IA G2-3 or clear cell tumors, IB, IC, IIA, there is no standard. no complementary treatment, complementary chemotherapy using platinum, complementary external abdominopelvic radiotherapy. A complementary treatment is recommended for grades IC and IIA. Complementary treatment for grades IIB (no residual tissue), IIC (with residual tissue), III (no residual tissue), is based on: complementary chemotherapy with platinium, complementary external abdominopelvic radiotherapy (options). Complementary treatment for advanced forms (IIB (with residual tissue), IIC (with residual tissue), III (with residual tissue) and IV) is based on polychemotherapy with platinium (standard). platinium combined with paclitaxel (intravenous), platinium combined with cyclophosphamide and/or doxorubicin (intravenous) or intraperitoneal cisplatin combined with cyclophosphamide (intravenous). The chemotherapy work-up includes physical examination, assay of serum markers (particularly CA125) and abdominopelvic computed tomography (proof level B) (standard). Physical examination is recommended for monitoring patients in complete remission with no sign of suspected recurrence (standard). This document was reviewed in April 1977. The working group again validated the Standards, OPTIONS and Recommendations, without modifications in June 1999.

Knowledge-Driven Creative Destruction, or Leveraging Knowledge for Competitive Advantage: Strategic Knowledge Arbitrage and Serendipity as Real Options Drivers Triggered by Co-Opetition, Co-Evolution and Co-Specialization

ERIC Educational Resources Information Center

Carayannis, Elias G.

2008-01-01

In today's globalizing and hypercompetitive marketplace, knowledge and learning are the only capabilities that can provide sustained competitive advantage. "Knowledge" is the content of learning, and a firm gains competitive superiority either by knowing something that its competitors do not know or by having a certain type of knowledge that…

Expedient Repair of Structural Facilities (ERSF). Volume 1. ERSF System Development

DTIC Science & Technology

1992-01-01

slabs, will require a different vehicle for transportation; for example a flatbed truck. Specialized equipment, such as the shotcrete machine described in...1) glued, laminated timber (glulam) column insertion and (2) mechanical shoring jack insertion. Both systems were ranked essentially equally after...gage wire mesh; - (optional) 100 rebar ties; and - in some cases, a bulldozer, front-end loader, and flatbed truck. c. Training Since a new piece of

Army Field-Oriented S&T Experimentation Venues: A Comparative Analysis

DTIC Science & Technology

2011-09-01

Microclimate Cooling Station (MCCS)). The Fort Benning AEWE provides the venue and the data collection and analysis. The costs to the S&T...forest, fields, etc.) and is designated as an Army experimental station with access to ground and an aerial fleet. Technology developers have optional...YTC), (2) tropical (the Tropic Regions Test Center, Panama Canal Zone), and (3) cold weather (CRTC, Bolio Lake Test Complex, AK. Special

Proceedings: 1989 electric utility franchise conference

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

Romo, R.G.

The primary purpose of the Conference was to present and discuss strategic issues related to franchising electric service. The theme for the conference was to both improve the management of existing franchises and the negotiation of new franchises. To promote a better understanding of the planning issues related to this theme, the following sessions were designed: (1) public utility franchising, (2) investor owned utility and community perspectives on franchising, (3) franchise case study presentations, (4) alternatives to franchise renewal: the public acquisition option, and (5) special franchise issues. The Conference combined results from research coupled with actual franchise negotiating experiences,more » and concepts and ideas considered or implemented by utilities, government agencies, consultants and others.« less

Nutrigenomics and Beef Quality: A Review about Lipogenesis.

PubMed

Ladeira, Marcio M; Schoonmaker, Jon P; Gionbelli, Mateus P; Dias, Júlio C O; Gionbelli, Tathyane R S; Carvalho, José Rodolfo R; Teixeira, Priscilla D

2016-06-10

The objective of the present review is to discuss the results of published studies that show how nutrition affects the expression of genes involved in lipid metabolism and how diet manipulation might change marbling and composition of fat in beef. Several key points in the synthesis of fat in cattle take place at the molecular level, and the association of nutritional factors with the modulation of this metabolism is one of the recent targets of nutrigenomic research. Within this context, special attention has been paid to the study of nuclear receptors associated with fatty acid metabolism. Among the transcription factors involved in lipid metabolism, the peroxisome proliferator-activated receptors (PPARs) and sterol regulatory element-binding proteins (SREBPs) stand out. The mRNA synthesis of these transcription factors is regulated by nutrients, and their metabolic action might be potentiated by diet components and change lipogenesis in muscle. Among the options for dietary manipulation with the objective to modulate lipogenesis, the use of different sources of polyunsaturated fatty acids, starch concentrations, forage ratios and vitamins stand out. Therefore, special care must be exercised in feedlot feed management, mainly when the goal is to produce high marbling beef.

Toughened uni-piece, fibrous, reinforced, oxidization-resistant composite

NASA Technical Reports Server (NTRS)

Stewart, David A. (Inventor); Leiser, Daniel B. (Inventor)

2008-01-01

A composite thermal protection structure, for applications such as atmospheric re-entry vehicles, that can withstand temperatures as high as 3600.degree. F. The structure includes an exposed surface cap having a specially formulated coating, an insulator base adjacent to the cap with another specially formulated coating, and one or more pins that extend from the cap through the insulator base to tie the cap and base together, through ceramic bonding and mechanical attachment. The cap and insulator base have corresponding depressions and projections that mate and allow for differences in thermal expansion of the cap and base. A thin coating of a reaction cured glass formulation is optionally provided on the structure to allow reduce oxidization and/or to reduce catalytic efficiency.

Bariatric embolization: a new and effective option for the obese patient?

PubMed

Weiss, Clifford R; Kathait, Anjaneya S

2017-04-01

Obesity is a public health epidemic in the United States, which results in significant morbidity, mortality, and cost to the healthcare system. Despite advancements in traditional therapeutic options for the obese patients, there is a treatment gap for patients in whom lifestyle modifications alone have not been successful, but for whom bariatric surgery is not a suitable option. Areas covered: This treatment gap needs to be addressed and thus, complimentary or alternative treatments to lifestyle changes and surgery are urgently needed. Recent evidence suggests that embolization of the gastric fundus ('Bariatric Embolization'), which is predominantly supplied by the left gastric artery, may affect energy homeostasis by decreasing ghrelin production. The purpose of this special report is to discuss the background, rationale and latest data on this topic, as well as provide the latest data from the ongoing BEAT Obesity clinical trial. Expert commentary: A multipronged approach is essential in the treatment of obesity. Bariatric embolization looks to treat the hormonal imbalances which contribute to obesity. If proven successful in the long-term, bariatric embolization represents a potential minimally invasive approach to treat obesity offered by interventional radiologists.

Biopharmaceuticals from plants: a multitude of options for posttranslational modifications.

PubMed

Warzecha, Heribert

2008-01-01

In 1982 the first recombinant therapeutic, human insulin, was introduced into the market and started a new branch of pharmaceutical development, manufacture, and therapy options. To date, more than 130 recombinant protein therapeutics have been approved by the US Food and Drug Administration (FDA) and many more are being developed world wide. With the increasing number of protein therapeutics the number of potential production organisms is also expanding, and posttranslational modification of proteins has become a topic of special focus. One major difference between small-molecule drugs and protein therapeutics is that the latter are reliant on a host organism for their production and this can have a large influence on the final structure and can ultimately affect the pharmacokinetics, immunogenicity, and the function of the protein depending on the production process. Plants can be efficiently used as production systems for recombinant proteins thereby offering a variety of options for transgene targeting and modification. This review is intended to give an overview about the potential of plants to serve as a production system for therapeutic and prophylactic biopharmaceuticals with respect to posttranslational modifications.

Pre-specialization - Considerations for more focused and personalized educational modules in the twenty-first century.

PubMed

Han, Jason J; Vapiwala, Neha

2018-04-14

This essay provides a multidisciplinary discussion of the current medical education curriculum and the increasing need to adapt it to our rapidly evolving and expanding healthcare environment. Thorough literature search on the topic of medical school curriculum, ranging from its historical origins to contemporary practice as well as statistics, was conducted. The authors give a brief historical overview of and rationale behind the current structure of the medical education system in America. The recent trends towards information overload and rapid evolution of the evidence-base are discussed. Specialization, as a means of responding to the burgeoning abundance of information in medicine, is described. The authors further provide current as well as foreseeable limitations of today's medical training paradigm as the trend towards specialization continues. The potential negative influences of a specialist-focused training paradigm on the overall length of training and the degree of autonomy exercised by generalists are described. A proposal toward pre-specialization at the level of medical school is introduced and elaborated upon. The authors incorporate social psychology principles and analyze trends toward career specialization, highlighting potential benefits to a different-size-for-all approach. The importance of optionality and flexibility of such a curriculum is emphasized. The authors describe the inevitable trend toward specialization, and the need to fundamentally re-configure American medical education system to behoove trainees' experiences and quality of training during the 21st century.

Beyond the Baseline 1991: Proceedings of the Space Station Evolution Symposium. Volume 1: Space Station Freedom, part 1

NASA Technical Reports Server (NTRS)

1991-01-01

Personnel responsible for Advanced Systems Studies and Advanced Development within the Space Station Freedom Program reported on the results of their work to date. The results of SSF Advanced Studies provide a road map for the evolution of Freedom in terms of user requirements, utilization and operations concepts, and growth options for distributed systems. Regarding these specific systems, special attention is given to: highlighting changes made during restructuring; description of growth paths thru the follow-on and evolution phases; identification of minimum impact provisions to allow flexibility in the baseline; and identification of enhancing and enabling technologies. Products of these tasks include: engineering fidelity demonstrations and evaluations of advanced technology; detailed requirements, performance specifications, and design accommodations for insertion of advanced technology.

Opinion and Special Articles: Amateur fundus photography with various new devices: Our experience as neurology residents.

PubMed

Zafar, Saman; Cardenas, Ylec Mariana; Leishangthem, Lakshmi; Yaddanapudi, Sridhara

2018-05-08

Times are changing in the way we secure and share patient fundus photographs to enhance our diagnostic skills in neurology. At the recent American Academy of Neurology meeting, the use of a fundus camera and smartphones to secure good-quality fundus photographs of patients presenting with headache to the emergency department (ED) was presented. We were enthusiastic to replicate the success of the Fundus Photography vs Ophthalmoscopy Trial Outcomes in the Emergency Department (FOTO-ED) study in our neurology department, but encountered problems in terms of cost, setup, feasibility, and portability of the device. As neurology residents, we came up with 3 easier options. We present these 3 options as our personal experience, and hope to reignite enthusiasm among neurology trainees to find their own means of performing ophthalmoscopy routinely in the hospital, as it appears that the Internet market is now thriving with many other devices to make this examination easier and more rewarding. Of the options explored above, the Handheld Fundus Camera was a clear favorite among the residents, and we have placed one in our call room for routine use. It travels to the clinic, floor, intensive care unit, and ED when needed. It has enhanced the way we approach the fundus examination and been a fun skill to acquire. We look forward to further advances that will make it possible to carry such a device in a physician's pocket. © 2018 American Academy of Neurology.

Education and training of future wetland scientists and managers

USGS Publications Warehouse

Wilcox, D.A.

2008-01-01

Wetland science emerged as a distinct discipline in the 1980s. In response, courses addressing various aspects of wetland science and management were developed by universities, government agencies, and private firms. Professional certification of wetland scientists began in the mid-1990s to provide confirmation of the quality of education and experience of persons involved in regulatory, management, restoration/construction, and research involving wetland resources. The education requirements for certification and the need for persons with specific wetland training to fill an increasing number of wetland-related positions identified a critical need to develop curriculum guidelines for an undergraduate wetland science and management major for potential accreditation by the Society of Wetland Scientists. That proposed major contains options directed toward either wetland science or management. Both options include required basic courses to meet the general education requirements of many universities, required upper-level specialized courses that address critical aspects of physical and biological sciences applicable to wetlands, and a minimum of four additional upper-level specialized courses that can be used to tailor a degree to students' interests. The program would be administered by an independent review board that would develop guidelines and evaluate university applications for accreditation. Students that complete the required coursework will fulfill the education requirements for professional wetland scientist certification and possess qualifications that make them attractive candidates for graduate school or entry-level positions in wetland science or management. Universities that offer this degree program could gain an advantage in recruiting highly qualified students with an interest in natural resources. Alternative means of educating established wetland scientists are likewise important, especially to provide specialized knowledge and experience or updates related to new management discoveries, policies, and regulations. ?? 2008 The Society of Wetland Scientists.

Mothers prefer fresh fruits and vegetables over jarred baby fruits and vegetables in the new Special Supplemental Nutrition Program for Women, Infants, and Children food package.

PubMed

Kim, Loan P; Whaley, Shannon E; Gradziel, Pat H; Crocker, Nancy J; Ritchie, Lorrene D; Harrison, Gail G

2013-01-01

This study examined Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participant use and satisfaction with jarred baby foods, assessed preference for cash value vouchers (CVVs) for fruits and vegetables vs jarred baby foods, and examined whether preferences varied among selected ethnic groups. A survey of California WIC participants and statewide redemption data were used. Participants reported high satisfaction with the CVV for fruits and vegetables and jarred baby foods, with statistically significant variation across ethnic groups. About two thirds of all participants reported a preference for CVVs for fruits and vegetables over jarred baby foods. Redemption data indicated declining redemption rates for jarred fruits and vegetables with increasing age of the infant across all ethnic groups. Although the addition of jarred fruits and vegetables to the food package for infants ages 6-11 months was well received, many caregivers want the option to choose between jarred foods and fresh fruits and vegetables. Copyright © 2013 Society for Nutrition Education and Behavior. All rights reserved.

Diagnosis and management of symptomatic hemorrhoids.

PubMed

Sneider, Erica B; Maykel, Justin A

2010-02-01

Hemorrhoidal disease is a common problem that is managed by various physicians, ranging from primary care providers to surgeons. This article reviews the pathophysiology, clinical presentation, and updated treatment of hemorrhoids, including nonoperative options, office-based procedures, and surgical interventions from standard excision to stapled hemorrhoidopexy and Doppler-guided ligation. The article also covers complications and provides guidance for special circumstances, such as pregnancy, hemorrhoidal crisis, and inflammatory bowel disease. Copyright 2010 Elsevier Inc. All rights reserved.

Terrorism Prevention: How Does Special Operations Fit In?

DTIC Science & Technology

2005-06-17

controlled” (Risko 2004, 1). Of particular note in an Amazon review, a summary of this book: “Mr. Pillar explains the methods for answering the terrorist... Aurora . 2004. Meet Your Professor. Spring. Internet course on-line. Available from http://www.ccaurora.edu/crj259/ crjprofintro1.htm. Internet...Counterterrorism: Military and Economic Options. Article 4 of an internet course on Terrorism in Spring 2004 from The Community College of Aurora , offered by

Integrated testing and verification system for research flight software

NASA Technical Reports Server (NTRS)

Taylor, R. N.

1979-01-01

The MUST (Multipurpose User-oriented Software Technology) program is being developed to cut the cost of producing research flight software through a system of software support tools. An integrated verification and testing capability was designed as part of MUST. Documentation, verification and test options are provided with special attention on real-time, multiprocessing issues. The needs of the entire software production cycle were considered, with effective management and reduced lifecycle costs as foremost goals.

Stereotactic body radiotherapy in lung cancer: an update *

PubMed Central

Abreu, Carlos Eduardo Cintra Vita; Ferreira, Paula Pratti Rodrigues; de Moraes, Fabio Ynoe; Neves, Wellington Furtado Pimenta; Gadia, Rafael; Carvalho, Heloisa de Andrade

2015-01-01

Abstract For early-stage lung cancer, the treatment of choice is surgery. In patients who are not surgical candidates or are unwilling to undergo surgery, radiotherapy is the principal treatment option. Here, we review stereotactic body radiotherapy, a technique that has produced quite promising results in such patients and should be the treatment of choice, if available. We also present the major indications, technical aspects, results, and special situations related to the technique. PMID:26398758

Army Air Commandos: A New Organization for Army Special Operations Aviation Foreign Internal Defense

DTIC Science & Technology

2014-06-13

AFSOC-managed AvFID program? How can USASOAC assimilate the RWAvFID mission into its portfolio without unacceptable decrement to its other core...was exploring options to strengthen its FID portfolio .2 USSOCOM’s focus shift combined with the AvFID capability gap would begin a process that would...security environment, US national strategy, and present capabilities. For the joint force this has meant investment, divestment, and rebalancing across

When maths trumps logic: probabilistic judgements in chimpanzees.

PubMed

Hanus, Daniel; Call, Josep

2014-12-01

When searching for hidden food, do chimpanzees take into account both the number of hidden items and the number of potential hiding locations? We presented chimpanzees with two trays, each of them containing a different food/cup ratio and therefore a different likelihood of finding a baited cup among empty alternatives. Subjects' performance was directly influenced by the relative difference (probability ratio (PR)) between the two given probabilities. Interestingly, however, they did not appreciate the special value of a truly safe option (with P = 1.0). Instead, they seemed to 'blindly' rely on the PR between the two options, systematically preferring the more likely one once a certain threshold had been reached. A control condition ruled out the possibility of low-level learning explanations for the observed performance. © 2014 The Author(s) Published by the Royal Society. All rights reserved.

ACON: a multipurpose production controller for plasma physics codes

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

Snell, C.

1983-01-01

ACON is a BCON controller designed to run large production codes on the CTSS Cray-1 or the LTSS 7600 computers. ACON can also be operated interactively, with input from the user's terminal. The controller can run one code or a sequence of up to ten codes during the same job. Options are available to get and save Mass storage files, to perform Historian file updating operations, to compile and load source files, and to send out print and film files. Special features include ability to retry after Mass failures, backup options for saving files, startup messages for the various codes,more » and ability to reserve specified amounts of computer time after successive code runs. ACON's flexibility and power make it useful for running a number of different production codes.« less

Dosing strategies to optimize currently available anti-MRSA treatment options (Part 1: IV options).

PubMed

Hall, Ronald G; Thatcher, Michael; Wei, Wei; Varghese, Shibin; Varughese, Lincy; Ndiulor, Michelle; Payne, Kenna D

2017-05-01

Methicillin-resistant Staphylococcus aureus (MRSA) continues to be a predominant pathogen resulting in significant morbidity and mortality. Optimal dosing of anti-MRSA agents is needed to help prevent the development of antimicrobial resistance and to increase the likelihood of a favorable clinical outcome. Areas covered: This review summarizes the available data for antimicrobials routinely used for MRSA infections that are not administered orally or topically. We make recommendations and highlight the current gaps in the literature. A PubMed (1966 - Present) search was performed to identify relevant literature for this review. Expert commentary: Improvements in MIC determination and therapeutic drug monitoring are needed to fully implement individualized dosing that optimizes antimicrobial pharmacodynamics.Additional data will become available for these agents in regards to effectiveness for severe MRSA infections and pharmacokinetic data for special patient populations.

Extending technology-aided leisure and communication programs to persons with spinal cord injury and post-coma multiple disabilities.

PubMed

Lancioni, Giulio E; Singh, Nirbhay N; O'Reilly, Mark F; Sigafoos, Jeff; Ricciuti, Riccardo A; Trignani, Roberto; Oliva, Doretta; Signorino, Mario; D'Amico, Fiora; Sasanelli, Giovanni

2015-01-01

These two studies extended technology-aided programs to promote leisure and communication opportunities to a man with cervical spinal cord injury and a post-coma man with multiple disabilities. The studies involved the use of ABAB designs, in which A and B represented baseline and intervention phases, respectively. The programs focused on enabling the participants to activate songs, videos, requests, text messages, and telephone calls. These options were presented on a computer screen and activated through a small pressure microswitch by the man with spinal cord injury and a special touch screen by the post-coma man. To help the latter participant, who had no verbal skills, with requests and telephone calls, series of words and phrases were made available that he could activate in those situations. Data showed that both participants were successful in managing the programs arranged for them. The man with spinal cord injury activated mean frequencies of above five options per 10-min session. The post-coma man activated mean frequencies of about 12 options per 20-min session. Technology-aided programs for promoting leisure and communication opportunities might be successfully tailored to persons with spinal cord injury and persons with post-coma multiple disabilities. Implications for Rehabilitation Technology-aided programs may be critical to enable persons with pervasive motor impairment to engage in leisure activities and communication events independently. Persons with spinal cord injury, post-coma extended brain damage, and forms of neurodegenerative disease, such as amyotrophic lateral sclerosis, may benefit from those programs. The programs could be adapted to the participants' characteristics, both in terms of technology and contents, so as to improve their overall impact on the participants' functioning and general mood.

How sex work becomes an option: Experiences of female sex workers in Kerman, Iran.

PubMed

Karamouzian, Mohammad; Foroozanfar, Zohre; Ahmadi, Azal; Haghdoost, Ali Akbar; Vogel, Joanna; Zolala, Farzaneh

2016-01-01

Sex work is rarely an occupation of choice for Iranian women and is often described as a last resort. While several factors play a role in creating an environment where individuals become involved in sex work, female sex workers' experiences regarding entry into sex work in Iran are poorly understood. In this qualitative study, a convenience sample of 24 participants was recruited from a drop-in centre for vulnerable women in Kerman, Iran. Through in-depth interviews, participants were asked about their personal lived experiences of initiating sex work. Grounded theory was used to analyse findings from this research. We learned that major factors impacting on women's initiation into sex work circulated around their vulnerability and chronic poverty. Participants continued to sell sex due to their limited opportunities, drug dependence and financial needs. Improving sex workers' economic status could be a vital intervention in providing vulnerable women with options other than sex work. Female sex workers should be provided with government support and educational programmes delivered through special centres. Despite the illegal status of their work, sex workers' needs should be recognised across all aspects of policy and legislation.

Telephone-administered cognitive behavioral therapy: a case study of anxiety and depression in Parkinson's disease.

PubMed

Veazey, Connie; Cook, Karon F; Stanley, Melinda; Lai, Eugene C; Kunik, Mark E

2009-09-01

Parkinson's disease (PD) is a chronic medical illness with a high incidence of psychiatric comorbidity, specifically depression and anxiety. Research on treatment of such psychiatric complications is scarce. Non-pharmaceutical treatment options are especially attractive. Cognitive behavioral therapy (CBT) is a psychotherapeutic treatment option that has been successful in other chronically medically ill populations with comorbid depression and anxiety. The current research had two aims. The first was to pilot the feasibility of screening and identifying PD patients with symptoms of anxiety and depression in a specialized outpatient clinic. The second aim was to pilot the feasibility of telephone-administered CBT for the treatment of depression and anxiety in persons with PD, which was done through a case series comparing telephone-administered CBT to a Support strategy. A fairly large portion (67.5%) of patients screened in the outpatient clinic were identified as having symptoms of anxiety and/or depression. Results also indicated that CBT delivered via the telephone is a useful approach for targeting psychiatric symptoms in this population. A case example is given to illustrate the clinical considerations associated with delivering therapy via telephone to persons with PD.

Status of Progress Made Toward Preliminary Design Concepts for the Inventory in Select Media for DOE-Managed HLW/SNF

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

Matteo, Edward N.; Hardin, Ernest L.; Hadgu, Teklu

As the title suggests, this report provides a summary of the status and progress for the Preliminary Design Concepts Work Package. Described herein are design concepts and thermal analysis for crystalline and salt host media. The report concludes that thermal management of defense waste, including the relatively small subset of high thermal output waste packages, is readily achievable. Another important conclusion pertains to engineering feasibility, and design concepts presented herein are based upon established and existing elements and/or designs. The multipack configuration options for the crystalline host media pose the greatest engineering challenges, as these designs involve large, heavy wastemore » packages that pose specific challenges with respect to handling and emplacement. Defense-related Spent Nuclear Fuel (DSNF) presents issues for post-closure criticality control, and a key recommendation made herein relates to the need for special packaging design that includes neutron-absorbing material for the DSNF. Lastly, this report finds that the preliminary design options discussed are tenable for operational and post-closure safety, owing to the fact that these concepts have been derived from other published and well-studied repository designs.« less

Knowledge, attitude and awareness of speciality of oral and maxillofacial surgery amongst medical consultants of vadodara district in gujarat state.

PubMed

Shah, Navin; Patel, Nameeta; Mahajan, Amit; Shah, Rishabh

2015-03-01

Aim of this study was to survey the knowledge, attitude and awareness of the subject of oral and maxillofacial surgery speciality amongst the consultants and practitioners of medicine in district of Vadodara. List of members of various specialities in medical faculty were obtained from Indian Medical Association, Baroda branch and staff members of medical colleges of Vadodara district. A questionnaire survey was made which was distributed and their options were noted. Surgical removal of third molar, oral submucous fibrosis and implants were the problems where oral surgeons were preferred. For maxillofacial trauma plastic surgeons and orthopaedic surgeons were preferred than oral surgeons. For maxillofacial pathology E.N.T surgeons were mostly preferred. There is low awareness regarding oral and maxillofacial surgery amongst the general practitioners and medical consultants in Vadodara district. Survey shows that our training needs to be upgraded and revamped so that our trainees (post graduates in oral surgery) and have a greater "hands-on" exposure during their postgraduate training. They will then be able to handle increasingly complex cases in a multispecialty setup when they graduate and earn the mutual respect of the medical and dental fraternity and also the general public. MBBS students during their dental postings should be made aware of the depth and scope of oral surgery branch.

Selection bias between 2 Medicare capitated benefit programs.

PubMed

Leutz, Walter; Brody, Kathleen K; Nonnenkamp, Lucy L; Perrin, Nancy A

2007-04-01

To assess enrollment selection bias between a standard Medicare health maintenance organization (HMO) and a higher-priced social health maintenance organization (SHMO) offering full prescription drug and unique home-based and community-based benefits and to assess how adverse selection was handled through SHMO finances. Kaiser Permanente Northwest offered the dual-choice option in the greater Portland region from 1985 to 2002. Analysis focused on 3 "choice points" when options were clear and highlighted for beneficiaries. Data collected included age and sex, utilization 1 year before and after the choice points, health status data at enrollment (1999-2002 only), mortality, and cost and revenues. Data were extracted from health plan databases. Hospital, pharmacy, and nursing facility utilization for 1 year before and after the choice points are compared for HMO and SHMO choosers. Health and functional status data are compared from 1999 to 2002. Utilization and mortality data are controlled by age and sex. SHMO joiners evidenced adverse selection, while healthier members tended to stay in the HMO, with leaner benefits. Despite adverse selection, the health plan maintained margins in the SHMO, assisted by frailty-adjusted Medicare payments and member premiums. This high-low option strategy sought to offer the "right care at the right time" and may be a model for managed care organizations to serve aging and disabled beneficiaries under Medicare's new special needs plan option.

Optional part-time and longer GP training modules in GP practices associated with more trainees becoming GPs - a cohort study in Switzerland.

PubMed

Studerus, Lara; Ahrens, Regina; Häuptle, Christian; Goeldlin, Adrian; Streit, Sven

2018-01-05

Switzerland, like many other countries, has a shortage of General Practitioners (GPs). Optional GP training modules in GP practices were offered during the at least 5-year GP training program to increase student and trainee interest in becoming a GP. The training modules had not yet been evaluated. We determined how many Swiss GP trainees became practicing GPs after they completed optional training modules, and if longer modules were associated with higher rates of GP specialization. In this population-based cohort study, we included GP trainees who chose an optional GP training module in GP practice, provided by the Foundation to Promote Training in General Practice (WHM) between 2006 and 2015. GP trainees were invited to complete an online survey to assess the primary outcome (becoming a practicing GP by 2016). Data on non-responders was collected via an internet search. We calculated univariate time-to-event curves to become a practicing GP, stratified by trainee's gender, length, part-time training, and number of years after graduation until training modules were completed. We used a multivariate model to adjust for characteristics of participants, training, and satisfaction with training modules. We assessed primary outcome for 351 (92.1%) of 381 former GP trainees who participated in a WHM program between 2006 and 2015. Of these 218 (57%) were practicing GPs by 2016. When focusing on the trainees who had completed training between 2006 and 2010, the rate of practicing GPs was even 73%. Longer (p = 0.018) and part-time training modules (p = 0.003) were associated with higher rates of being a practicing GP. Most (81%) practicing GPs thought their optional GP training module was (very) important in their choice of specialty. GP trainees who spent more time training in a GP practice, or who trained part-time were more likely to become practicing GPs. Most (80%) rated their training module as (very) important in their choice of career, highlighting that these modules effectively encourage the interests of those already inclined towards the GP specialty. Longer GP training modules and more opportunities for part-time training may attract and retain more interested trainees, and possibly increase the number of practicing GPs.

Access to special care dentistry, part 3. Consent and capacity.

PubMed

Dougall, A; Fiske, J

2008-07-26

This article considers what is meant by informed consent and the implications of the Mental Capacity Act in obtaining consent from vulnerable adults. It explores a number of conditions which impact on this task, namely dyslexia, literacy problems and learning disability. The focus on encouraging and facilitating autonomy and the use of the appropriate level of language in the consent giving process ensures that consent is valid. The use of appropriate methods to facilitate communication with individuals in order to be able to assess capacity and ensure that any treatment options that are chosen on their behalf are in their best interests are outlined. The use of physical intervention in special care dentistry in order to provide dental care safely for both the patient and the dental team is also considered.

Percutaneous Ultrasound-Guided TOPAZ Radiofrequency Coblation: A Novel Coaxial Technique for the Treatment of Recalcitrant Plantar Fasciitis-Our Experience.

PubMed

Shah, Amit; Best, Alistair J; Rennie, Winston J

2016-06-01

Various therapeutic options are available for treatment of recalcitrant plantar fasciitis. Studies using TOPAZ coblation (ArthroCare, Sunnyvale, CA) have had good early results. The current coblation technique involves a surgical incision or breach of the highly specialized plantar fat pad, which can be associated with risks. We describe a novel technique of ultrasound-guided percutaneous coblation with a lateral heel approach. Advantages include precise targeting of the plantar fascia by direct dynamic visualization of the coblation tip, a true percutaneous approach with a needle skin puncture (<5 mm), and preservation of the plantar fat pad by using a lateral heel approach. © 2016 by the American Institute of Ultrasound in Medicine.

Special Warfare: The Missing Middle in U.S. Coercive Options

DTIC Science & Technology

2014-01-01

institutions that respond to the needs of society” (U.S. Joint Chiefs of Staff, 2010). Also see Cleveland (2013) and Tompkins and Crosset (2012). 2...York: Penguin Books, 2004. Crist, David , The Twilight War: The Secret History of America’s Thirty-Year Conflict with Iran, New York: The Penguin...George W., and David M. Rocke, “Conflict, Agency, and Gambling for Resurrection: The Principle-Agent Problem Goes to War,” American Journal of Political

The use of programmable logic controllers (PLC) for rocket engine component testing

NASA Technical Reports Server (NTRS)

Nail, William; Scheuermann, Patrick; Witcher, Kern

1991-01-01

Application of PLCs to the rocket engine component testing at a new Stennis Space Center Component Test Facility is suggested as an alternative to dedicated specialized computers. The PLC systems are characterized by rugged design, intuitive software, fault tolerance, flexibility, multiple end device options, networking capability, and built-in diagnostics. A distributed PLC-based system is projected to be used for testing LH2/LOx turbopumps required for the ALS/NLS rocket engines.

Work after 65: Options for the 80's. Hearing before the Special Committee on Aging, United States Senate, Ninety-Sixth Congress, Second Session. Part 2--Washington, D.C.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Special Committee on Aging.

Flexible retirement policies have worked very well for four major United States corporations, accordinq to testimony of their executives during the second part of a U.S. Senate hearing on work after age 65, conducted in Washington, D.C., in May, 1980. Executives of Xerox, Polaroid, Bankers Life and Casualty, and Atlantic Richfield told the special…

Work after 65: Options for the 80's. Hearing before the Special Committee on Aging, United States Senate, Ninety-Sixth Congress, Second Session. Part 1--Washington, D.C.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Special Committee on Aging.

With Social Security and retirement benefits unable to keep up with inflation, and persons living longer than ever in this country, retirement at age 65 or younger may no longer be a desirable choice for millions of older workers. These themes were articulated by government officials and foundation officers at the first session of a U.S. Senate…

Performance Support Technology to Assess Training Effectiveness: Functional and Test-Bed Requirements

DTIC Science & Technology

1992-10-01

Su22ort Technologv SN Conge ~t ------------------ ------------------------------ 1. Compliance with TRADOC policy 1.1 Job aid that lays out SOP. 1.2 Tutorial...Inverse area . .Mark area after matched I-Custom cursor w rong respons,,e ¶Try again (Change Response TUpe jane) Erase feedback: SOK" Edit dlsplag OK...MANAGER for GROUP rou Choose an option: U - USER NAMES *2* A - ACTIVITIES *2* F - FILE MANAGEMENr C - CODEWORD E - ERROP REPORT *PRESENT* S - SPECIAL

Remote Sensing of Environmental Pollution

NASA Technical Reports Server (NTRS)

North, G. W.

1971-01-01

Environmental pollution is a problem of international scope and concern. It can be subdivided into problems relating to water, air, or land pollution. Many of the problems in these three categories lend themselves to study and possible solution by remote sensing. Through the use of remote sensing systems and techniques, it is possible to detect and monitor, and in some cases, identify, measure, and study the effects of various environmental pollutants. As a guide for making decisions regarding the use of remote sensors for pollution studies, a special five-dimensional sensor/applications matrix has been designed. The matrix defines an environmental goal, ranks the various remote sensing objectives in terms of their ability to assist in solving environmental problems, lists the environmental problems, ranks the sensors that can be used for collecting data on each problem, and finally ranks the sensor platform options that are currently available.

Selected options supporting use of the group embedded figures test in modeling achievement in clinical laboratory science programs.

PubMed

Powell, M E

1995-01-01

To identify, in light of predicted future shortages of allied-health personnel, student and curricular characteristics of clinical laboratory science (CLS) programs relevant to recruitment and retention at the baccalaureate level. Not applicable. Not applicable. Options for modeling achievement in CLS programs are developed, and designs and procedures for clarifying procedural questions are considered in a context of delivery of instruction for specialized curricula and skill development. Considerable attention is given to the potential for using the Group Embedded Figures Test (GEFT) in modeling, advising, designing curricula, and monitoring quality improvement of programs and graduates. Not applicable. Supporting evidence is supplied from the literature for options in developing an appropriate model for examining those salient variables known to have linkages to achievement. An argument is presented for better understanding of antecedent variables affecting achievement and retention of CLS students. In addition, a case is made for development of an appropriate model examining variables identified in the literature as being linked to achievement. Dynamic models based on these considerations should be developed chronologically from entry through graduation with emphasis on growth at year-end milestones.

Editorial: Which Wei Wang?

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

Sprouse, Gene D.

The APS journals receive manuscripts from scientists all over the world. For authors whose names cannot be expressed in Latin characters, their names in the byline must be transliterated, a process that is not necessarily bidirectionally unique. For example, the eight Chinese names all transliterate as Wei Wang. To remove some of the ambiguity arising from this unfortunate degeneracy of names, APS will allow some authors the option to include their names in their own language in parentheses after the transliterated name, such as Wei Wang. The option to present names in the article byline in this manner is anmore » experiment initially offered to Chinese, Japanese, and Korean authors, whose names can be expressed in Unicode characters. An example of a Japanese name is Tadanori Minamisono and a Korean name is Chang Kee Jung. In the English text the given name precedes the family name, while the reverse is true for the characters. As we gain experience, we may be able to broaden this offer to other languages. Authors who wish to try this option will need to prepare their manuscripts by following the special instructions at http://authors.aps.org/names.html.« less

Geant4-DNA example applications for track structure simulations in liquid water: a report from the Geant4-DNA Project.

PubMed

Incerti, S; Kyriakou, I; Bernal, M A; Bordage, M C; Francis, Z; Guatelli, S; Ivanchenko, V; Karamitros, M; Lampe, N; Lee, S B; Meylan, S; Min, C H; Shin, W G; Nieminen, P; Sakata, D; Tang, N; Villagrasa, C; Tran, H; Brown, J M C

2018-06-14

This Special Report presents a description of Geant4-DNA user applications dedicated to the simulation of track structures (TS) in liquid water and associated physical quantities (e.g. range, stopping power, mean free path…). These example applications are included in the Geant4 Monte Carlo toolkit and are available in open access. Each application is described and comparisons to recent international recommendations are shown (e.g. ICRU, MIRD), when available. The influence of physics models available in Geant4-DNA for the simulation of electron interactions in liquid water is discussed. Thanks to these applications, the authors show that the most recent sets of physics models available in Geant4-DNA (the so-called "option4″ and "option 6″ sets) enable more accurate simulation of stopping powers, dose point kernels and W-values in liquid water, than the default set of models ("option 2″) initially provided in Geant4-DNA. They also serve as reference applications for Geant4-DNA users interested in TS simulations. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Concept of computer-assisted clinical diagnostic documentation systems for the practice with the option of later scientific evaluations.

PubMed

Ahlers, M O; Jaeger, D; Jakstat, H A

2010-01-01

Treatment data from practices and specialization centers, especially in the increasingly specialized areas which university clinics do not cover, are very important for evaluating the effectiveness and efficiency of dental examination and treatment methods. In the case of paper-based documentation, the evaluation of these data usually fails because of the cost it entails. With the use of electronic medical records, this expense can be markedly lower, provided the data acquisition and storage is structured accordingly. Since access to sensitive person-related data is simplified considerably by this method, such health data are protected, especially on the European level. Other than generally assumed, this protection is not restricted solely to the confidentiality principle, but also comprises the power of disposition over the data (data protection). The result is that from a legal point of view, the treatment data cannot be readily used for scientific studies, not even by dentists and physicians who have collected the data legally during the course of their therapeutic work. The technical separation of treatment data from the personal data offers a legally acceptable solution to this problem. It must ensure that a later assignment to individual persons will not be feasible at a realistic expense ("effective anonymization"). This article describes the legal and information technology principles and their practical implementation, as illustrated by the concept of a respective compliant IT architecture for the dentaConcept CMD fact diagnostic software. Here, a special export function automatically separates the anonymized treatment data and thus facilitates multicentric studies within an institution and among dental practices.

Effects of different discount levels on healthy products coupled with a healthy choice label, special offer label or both: results from a web-based supermarket experiment.

PubMed

Waterlander, Wilma E; Steenhuis, Ingrid H M; de Boer, Michiel R; Schuit, Albertine J; Seidell, Jacob C

2013-05-16

Two strategies commonly recommended to improve population diets include food labels and food taxes/subsidies. The aim of this study was to examine the effects of both strategies separately and in combination. An experiment with a 3x3 factorial design was conducted, including: three levels of price reduction (10%; 25%; and 50%) x three labels ('special offer', 'healthy choice' and 'special offer & healthy choice') on healthy foods defined following the Choices front-of-pack nutrition label. N=109 participants completed the experiment by conducting a typical weekly shop for their household at a three-dimensional web-based supermarket. Data were analysed using analysis of covariance. Participants receiving a 50% price discount purchased significantly more healthy foods for their household in a typical weekly shop than the 10% discount (+8.7 items; 95%CI=3.8-13.6) and the 25% discount group (+7.7 items; 95%CI=2.74 - 12.6). However, the proportion of healthy foods was not significantly higher and the discounts lead to an increased amount of energy purchased. No significant effects of the labels were found. This study brings some relevant insights into the effects of price discounts on healthier foods coupled with different labels and shows that price effects over shadowed food labels. However, price discounts seem to have ambiguous effects; they do encourage the purchase of healthy products, but also lead to increased energy purchases. More research is needed to examine how pricing strategies can work in directing consumers towards interchanging unhealthier options for healthier alternatives.

A DIY Ultrasonic Signal Generator for Sound Experiments

NASA Astrophysics Data System (ADS)

Riad, Ihab F.

2018-02-01

Many physics departments around the world have electronic and mechanical workshops attached to them that can help build experimental setups and instruments for research and the training of undergraduate students. The workshops are usually run by experienced technicians and equipped with expensive lathing, computer numerical control (CNC) machines, electric measuring instruments, and several other essential tools. However, in developing countries such as Sudan, the lack of qualified technicians and adequately equipped workshops hampers efforts by these departments to supplement their laboratories with the equipment they need. The only other option is to buy the needed equipment from specialized manufacturers. The latter option is not feasible for the departments in developing countries where funding for education and research is scarce and very limited and as equipment from these manufacturers is typically too expensive. These departments struggle significantly in equipping undergraduate teaching laboratories, and here we propose one way to address this.

Cyclodialysis: an update.

PubMed

González-Martín-Moro, Julio; Contreras-Martín, Inés; Muñoz-Negrete, Francisco José; Gómez-Sanz, Fernando; Zarallo-Gallardo, Jesús

2017-04-01

Cyclodialysis is the result of the separation of the longitudinal ciliary muscle fibers from the scleral spur, which creates an abnormal pathway for aqueous humor drainage that may lead to ocular hypotony. For many years cyclodialysis was considered a treatment option for glaucoma. However, today it usually occurs as a complication of blunt trauma or more rarely as a complication of anterior segment ocular surgery. Ocular hypotony can lead to cataract development, optic disk swelling, refractive changes, and several retinal complications, making accurate identification and timely intervention of the cleft mandatory. Traditionally gonioscopy was the only available technique to diagnose and localize the cleft. However, other tests such as optical coherence tomography, magnetic resonance imaging, transillumination, and specially ultrasound biomicroscopy are now available for the diagnosis of cyclodialysis. Multiple treatment options are also available for this condition. Although medical treatment can be effective to close small clefts, surgery is needed in most patients to restore ocular pressure.

Facing the challenges of new melanoma-targeted therapies: Treatment of severe fevers associated with dabrafenib/trametinib combination therapy.

PubMed

Lindsay, Julian N; Barras, Michael

2015-08-01

With the emergence of new oral therapies for metastatic melanoma to the market, as well as ongoing pre-marketing trials and special access schemes, it is important to keep up to date with the side effect profiles of these medications. A common side effect associated with the BRAF inhibitor dabrafenib is severe fever symptoms such as pyrexia and rigors/chills; however, treatment options are limited. We report a patient who was debilitated by severe pyrexia and rigors caused by dabrafenib used in combination with trametinib to treat metastatic melanoma, who was treated with low-dose steroids. To our knowledge, the use of prednisolone for the treatment and prevention of further dabrafenib-associated pyrexia is not published; however, it is a low risk and low cost option that was very effective in this case. © The Author(s) 2014.

Electromagnetic Navigational Bronchoscopy

PubMed Central

Port, Jeffrey; Harrison, Sebron

2013-01-01

Despite advances in technology and treatment options, lung cancer remains a deadly disease. National screening programs are being instituted in an attempt to discover lung cancer in high-risk individuals at an earlier stage. Such screening programs invariably discover small peripheral nodules that previously would not have been clinically apparent; the management of such lesions can be challenging. Current diagnostic options such as percutaneous biopsy are effective; however, they are hindered by their risk of morbidity such as pneumothorax. Electromagnetic bronchoscopy (ENB) is an emerging technology that allows the practitioner the ability to both sample and treat small peripheral pulmonary lesions. In experienced centers, ENB provides high rates of diagnostic yield for small lesions and a complication rate significantly lower than that of more conventional diagnostic modalities. Although there are current barriers to its widespread utilization (cost, specialized imaging, technical training), these obstacles will handled similarly to any other emerging technology and will likely not be long-term impediments to its use. PMID:24436528

Nuclear Power in Space

DOE R&D Accomplishments Database

1994-01-01

In the early years of the United States space program, lightweight batteries, fuel cells, and solar modules provided electric power for space missions. As missions became more ambitious and complex, power needs increased and scientists investigated various options to meet these challenging power requirements. One of the options was nuclear energy. By the mid-1950s, research had begun in earnest on ways to use nuclear power in space. These efforts resulted in the first radioisotope thermoelectric generators (RTGs), which are nuclear power generators build specifically for space and special terrestrial uses. These RTGs convert the heat generated from the natural decay of their radioactive fuel into electricity. RTGs have powered many spacecraft used for exploring the outer planets of the solar system and orbiting the sun and Earth. They have also landed on Mars and the moon. They provide the power that enables us to see and learn about even the farthermost objects in our solar system.

Spatial analysis of agri-environmental policy uptake and expenditure in Scotland.

PubMed

Yang, Anastasia L; Rounsevell, Mark D A; Wilson, Ronald M; Haggett, Claire

2014-01-15

Agri-environment is one of the most widely supported rural development policy measures in Scotland in terms of number of participants and expenditure. It comprises 69 management options and sub-options that are delivered primarily through the competitive 'Rural Priorities scheme'. Understanding the spatial determinants of uptake and expenditure would assist policy-makers in guiding future policy targeting efforts for the rural environment. This study is unique in examining the spatial dependency and determinants of Scotland's agri-environmental measures and categorised options uptake and payments at the parish level. Spatial econometrics is applied to test the influence of 40 explanatory variables on farming characteristics, land capability, designated sites, accessibility and population. Results identified spatial dependency for each of the dependent variables, which supported the use of spatially-explicit models. The goodness of fit of the spatial models was better than for the aspatial regression models. There was also notable improvement in the models for participation compared with the models for expenditure. Furthermore a range of expected explanatory variables were found to be significant and varied according to the dependent variable used. The majority of models for both payment and uptake showed a significant positive relationship with SSSI (Sites of Special Scientific Interest), which are designated sites prioritised in Scottish policy. These results indicate that environmental targeting efforts by the government for AEP uptake in designated sites can be effective. However habitats outside of SSSI, termed here the 'wider countryside' may not be sufficiently competitive to receive funding in the current policy system. Copyright © 2013 Elsevier Ltd. All rights reserved.

Implications of domestic food practices for the presence of bioactive components in meats with special reference to meat-based functional foods.

PubMed

Jiménez-Colmenero, Francisco; Cofrades, Susana; Herrero, Ana M; Ruiz-Capillas, Claudia

2017-06-14

Although an essential component of the diet, the consumption of meat is in question. Meat is a major source of beneficial compounds but it also contains other substances with negative health implications. Functional foods, which are leading trends in the food industry, constitute an excellent opportunity for the meat sector to improve healthier meat options. Most studies on meat-based functional foods have focused mainly on the application of different strategies (animal production practices and meat transformation systems) to improve (increase/reduce) the presence of bioactive (healthy/unhealthy) compounds; these have led to the development of numerous products, many of them by the meat industry. However, like other foods, after purchase meats undergo certain processes before they are consumed, and these affect their composition. Although domestic handling practices can significantly alter the make-up of the marketed product in terms of healthy/unhealthy compounds, there are very few studies on their consequences. This paper provides an overview of the influence of different domestic practices (from shopping to eating) habitually followed by consumers on the presence of, and consequently on the levels of exposure to, (healthy and unhealthy) food components associated with the consumption of meats, with special reference to meat-based functional foods.

When less is more: Effects of the availability of strategic options on regulating negative emotions.

PubMed

Bigman, Yochanan E; Sheppes, Gal; Tamir, Maya

2017-09-01

Research in several domains suggests that having strategic options is not always beneficial. In this paper, we tested whether having strategic options (vs. not) is helpful or harmful for regulating negative emotions. In 5 studies (N = 151) participants were presented with 1 or more strategic options prior to watching aversive images and using the selected strategic option. Across studies, we found that people reported less intense negative emotions when the strategy they used to regulate their emotions was presented as a single option, rather than as 1 of several options. This was regardless of whether people could choose between the options (Studies 3-5) or not (Studies 1, 2, and 4), and specific to negative (but not neutral) images (Study 5). A sixth study addressed an explanation based on demand characteristics, showing that participants expected to feel more positive when having more than 1 option. The findings indicate that having strategic options for regulating negative emotions can sometimes be costly. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Changes in the Arctic: Background and Issues for Congress

DTIC Science & Technology

2013-04-25

the population more suited to the changed environment) may not be able to occur fast enough, leaving migration and death as the only options. The...species in an ecosystem (e.g., host plants might not move north (or up) as fast as their moth herbivores, nor as fast as the birds that depend on the...page: http://mil.no/ excercises /coldresponse2012/pages/default.aspx 225 “The Arctic: Special Report,” The Economist, June 16, 2012. p. 11. 226 “Russia

Camarada on middeck

NASA Image and Video Library

2005-08-04

S114-E-7003 (4 August 2005) --- Astronaut Charles J. Camarda, STS-114 mission specialist, performs a middeck evaluation of the mechanical "plug" option for Reinforced Carbon-Carbon (RCC) repair aboard the Space Shuttle Discovery. Camarda used special pre-designated tools to accomplish the procedure, along with round thin, flexible 7-inch-diamter carbon-silicon cover plates designed to flex up to 0.25 inch to conform to the wing leading edge RCC panels, a hardware attachment mechanism similar to a toggle bolt and sealant.

Concise Review: Personalized Human Bone Grafts for Reconstructing Head and Face

PubMed Central

Bhumiratana, Sarindr

2012-01-01

Regeneration of normal shape, architecture, and function of craniofacial tissues following congenital abnormality, trauma, or surgical treatment presents special problems to tissue engineering. Because of the great variations in properties of these tissues, currently available treatment options fall short of adequate care. We propose that the engineering of personalized bone graft customized to the patient and the specific clinical condition would revolutionize the way we currently treat craniofacial defects and discuss some of the current and emerging treatment modalities. PMID:23197642

Report on Hyperbaric Oxygen Therapy: An Overlooked Therapeutic Option in Stroke Recovery and a Potential Source of Health Sector Revenue and Health Tourism.

PubMed

Lowe, S; Le Mercier du Quesnay, D R; Gayle, Pmh; Henry-Pinnock, F; Wedderburn-Buddo, T

2015-06-30

This is a special case report on Jamaica's first use of hyperbaric oxygen therapy (HBOT) in stroke recovery, presented at the 56 th Annual Conference of the Association of Surgeons in Jamaica, Kingston, Jamaica. The literature and story behind the trial ‒ covering case history, diagnosis and discussion of outcome ‒ technical issues, costing, insurance and possibilities for income earning and health tourism are explored.

Mandible Fractures

PubMed Central

Pickrell, Brent B.; Serebrakian, Arman T.; Maricevich, Renata S.

2017-01-01

Mandible fractures account for a significant portion of maxillofacial injuries and the evaluation, diagnosis, and management of these fractures remain challenging despite improved imaging technology and fixation techniques. Understanding appropriate surgical management can prevent complications such as malocclusion, pain, and revision procedures. Depending on the type and location of the fractures, various open and closed surgical reduction techniques can be utilized. In this article, the authors review the diagnostic evaluation, treatment options, and common complications of mandible fractures. Special considerations are described for pediatric and atrophic mandibles. PMID:28496390

Mandible Fractures.

PubMed

Pickrell, Brent B; Serebrakian, Arman T; Maricevich, Renata S

2017-05-01

Mandible fractures account for a significant portion of maxillofacial injuries and the evaluation, diagnosis, and management of these fractures remain challenging despite improved imaging technology and fixation techniques. Understanding appropriate surgical management can prevent complications such as malocclusion, pain, and revision procedures. Depending on the type and location of the fractures, various open and closed surgical reduction techniques can be utilized. In this article, the authors review the diagnostic evaluation, treatment options, and common complications of mandible fractures. Special considerations are described for pediatric and atrophic mandibles.

Naval Ship Maintenance: An Analysis of the Dutch Shipbuilding Industry using the Knowledge Value Added, Systems Dynamics, and Integrated Risk Management Methodologies

DTIC Science & Technology

2013-04-01

and Integrated Risk Management Methodologies 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e...supply chains, risk management with real options, and sustainability . [dnford@nps.edu] Thomas J. Housel—Housel specializes in valuing intellectual...maintenance services for the RDN. Damen Schelde has used an ILS since 2002 to manage the shipbuilding process from project initiation through the

Defending Norway and the Northern Flank: Analysis of NATO’s Strategic Options.

DTIC Science & Technology

1985-12-01

22a NAME OF RESPONSIBLE INDIVIDUAL 22b TELEPHONE (Include Area Code) 22c OFFICE SYMBOL Prof. Patrick J. Parker 646-2097 56 DV C")RM 1473,s84 MAt 53...34Roy Breivik , Assuring the Security of Reinforcements to Norway," NATO s Fifteen Nations, special issue no. 2 (1982), pp. 66 67. 22...Analyses 1 2000 North Beauregard Street P.O. Box 11280 Alexandria, Virginia 22311 5. Professor Patrick J. Parker, Code 56Pr 1 4 Department of National

Coil tubing fishing operations utilize a first time technique to strip over and recover 9500 feet of stuck slickline wire

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

Forgenie, V.H.; Heiberger, E.M.; Kelso, L.K.

1995-12-31

Coil tubing was utilized to perform a modified strip over operation and recover 9500 ft. of stuck slickline (0.108 in.) wire. The technique, thought to be an industry first, eliminated the risky option of recovering the wire piecemeal via conventional wireline fishing operations. This paper documents the background that lead to the development of the technique. An operational summary details its implementation and illustrations are included of the special tools and techniques employed.

Acute Decompensated Heart Failure: New Strategies for Improving Outcomes.

PubMed

Singer Fisher, Emily; Burns, Boyd

2017-05-01

Acute decompensated heart failure is a common emergency department presentation with significant associated morbidity and mortality. Heart failure accounts for more than 1 million hospitalizations annually, with a steadily increasing incidence as our population ages. This issue reviews recent literature regarding appropriate management of emergency department presentations of acute decompensated heart failure, with special attention to newer medication options. Emergency department management and appropriate interventions are discussed, along with critical decision-making points in resuscitation for both hypertensive and hypotensive patients.

The Logistics Lessons of the Gulf War: A Snowball in the Desert

DTIC Science & Technology

1993-06-18

geration, laundry, sterilization and bath, gasoline supply, graves registration, sal- " vape , remount, and repair units, each with specialized equipment...operated] army bases or anything. . . We’d never been allowed to go in there to do any site sur’veys or market surveys, so we really went in blind.... We...terms of possible strategies . Therefore, as the commander explores the 17 various options availaabl1e toach~ieve his objective he must consider’ th~e

PDT in squamous cell carcinoma of the skin.

PubMed

Zwiebel, S; Baron, E

2011-12-01

Topical photodynamic therapy (PDT) has been demonstrated to be an effective and safe treatment option for pre-malignancies such as actinic keratoses (AK) and Bowen's disease (BD), with an increasing amount of evidence indicating good long term outcomes. Studies comparing PDT to other options such as cryotherapy and 5-fluorouracil generally demonstrate that PDT is equal to or better than these therapies with respect to patient satisfaction, cosmesis, and efficacy for AK and BD. While there are studies using squamous cell carcinoma (SCC) cells to elucidate the cellular and molecular mechanisms of PDT, this therapy is currently not indicated for treating SCC and surgery is still the first line of therapy. There has been special interest in using PDT to prevent warts, basal cell carcinoma, AK, and BD in solid organ transplant recipients, as these skin lesions are more common in immunosuppressed patients, and trials have been somewhat successful and very promising. Pain remains an obstacle for some patients and techniques such as nerve blocks, cooling packs, and hydration have been attempted to mitigate pain with an overall reduction in pain scores. Optimizing PDT is still a priority and the delivery of pro-drug as well as induction of cellular differentiation are being explored as ways to improve the efficacy of PDT. Perhaps the most interesting use of PDT in treating SCC is the potential for a tumor-specific vaccine, which is currently being developed.

An integrated Ka/Ku-band payload for personal, mobile and private business communications

NASA Technical Reports Server (NTRS)

Hayes, Edward J.; Keelty, J. Malcolm

1991-01-01

The Canadian Department of Communications has been studying options for a government-sponsored demonstration payload to be launched before the end of the century. A summary of the proposed system concepts and network architectures for providing an advanced private business network service at Ku-band and personal and mobile communications at Ka-band is presented. The system aspects addressed include coverage patterns, traffic capacity, and grade of service, multiple access options as well as special problems, such as Doppler in mobile applications. Earth terminal types and the advanced payload concept proposed in a feasibility study for the demonstration mission are described. This concept is a combined Ka-band/Ku-band payload which incorporates a number of advanced satellite technologies including a group demodulator to convert single-channel-per-carrier frequency division multiple access uplink signals to a time division multiplex downlink, on-board signal regeneration, and baseband switching to support packet switched data operation. The on-board processing capability of the payload provides a hubless VSAT architecture which permits single-hop full mesh interconnectivity. The Ka-band and Ku-band portions of the payload are fully integrated through an on-board switch, thereby providing the capability for fully integrated services, such as using the Ku-band VSAT terminals as gateway stations for the Ka-band personal and mobile communications services.

Declining average daily census. Part 1: Implications and options.

PubMed

Weil, T P

1985-12-01

A national trend toward declining average daily (inpatient) census (ADC) started in late 1982 even before the Medicare prospective payment system began. The decrease in total days will continue despite an increasing number of aged persons in the U.S. population. This decline could have been predicted from trends during 1978 to 1983, such as increasing available beds but decreasing occupancy, 100 percent increases in hospital expenses, and declining lengths of stay. Assuming that health care costs will remain as a relatively fixed part of the gross national product and no major medical advances will occur in the next five years, certain implications and options exist for facilities experiencing a declining ADC. This article discusses several considerations: Attempts to improve market share; Reduction of full-time equivalent employees; Impact of greater acuity of illness among remaining inpatients; Implications of increasing the number of physicians on medical staffs; Option of a closed medical staff by clinical specialty; Unbundling with not-for-profit and profit-making corporations; Review of mergers, consolidations, and multihospital systems to decide when this option is most appropriate; Sale of a not-for-profit hospital to an investor-owned chain, with implications facing Catholic hospitals choosing this option; Impact and difficulty of developing meaningful alternative health care systems with the hospital's medical staff; Special problems of teaching hospitals; The social issue of the hospital shifting from the community's health center to a cost center; Increased turnover of hospital CEOs; With these in mind, institutions can then focus on solutions that can sometimes be used in tandem to resolve this problem's impact. The second part of this article will discuss some of them.

Special report. Twin Cities hospital breaks down ambulatory care, overcomes fears of outpatient care.

PubMed

1995-01-06

With payers pushing for shorter hospital stays and outpatient services generating growing shares of hospitals' revenues, experts everywhere are projecting the end of the traditional inpatient-oriented hospital. Those predictions have triggered a scramble by many hospital managers to adapt their organizations and empty beds to the expected predominance of same-day services. One Minnesota facility that surveyed the outpatient trend, however, found that its strategic options weren't limited to becoming a jumbo-sized outpatient clinic, explain David Allen, a partner with The Chancellor Group, Bloomington, Minn., and Daniel Weber, vice president of Fairview Southdale Hospital, Edina, Minn., in this special report. By understanding the multidimensional nature of ambulatory services and focusing its efforts on becoming a regional hub of healthcare services, Fairview Southdale has carved its own niche in a changing provider market.

Management of facial soft tissue injuries in children.

PubMed

Vasconez, Henry C; Buseman, Jason L; Cunningham, Larry L

2011-07-01

Pediatric facial trauma can present a challenge to even the more experienced plastic surgeon. Injuries to the head and neck may involve bone and soft tissues with an assortment of specialized organs and tissue elements involved. Because of the active nature of children, facial soft tissue injuries can be diverse and extensive as well as some of the more common injuries a plastic surgeon is asked to treat. In 2007, approximately 800,000 patients younger than 15 years presented to emergency departments around the country with significant open wounds of the head that required treatment.In this review, we present the different types and regions of pediatric soft tissue facial trauma, as well as treatment options and goals of plastic surgery wound management. Special aspects, such as bite wounds, burns, pediatric analgesia, and antibiotic therapy, are also discussed.

[Metabolic disorders as paraneoplastic syndromes].

PubMed

Krug, S; Michl, P

2018-02-01

Paraneoplastic syndromes are characterized by the tumor-induced release of peptide hormones and/or the initiation of immune phenomena, which elicit clinical changes and alterations in laboratory parameters independent of the tumor size and spread. In addition to neurological, endocrinal and rheumatological phenotypes, metabolic alterations play a special role in the clinical routine as they commonly present with acute symptoms in an emergency situation and necessitate immediate diagnosis and prompt initiation of treatment. Metabolic alterations within the framework of malignant diseases should be treated in a multidisciplinary team and it is often necessary to perform monitoring and treatment in an intensive care unit. This article focuses on the diagnostic and therapeutic options for metabolic disorders due to paraneoplastic syndromes, such as hypercalcemia, hypocalcemia, hyperglycemia, hypoglycemia and a special variant of tumor-induced metabolic disorders due to tumor lysis syndrome.

The post Challenger era Get Away Special program January 1992

NASA Technical Reports Server (NTRS)

Prouty, Clarke

1992-01-01

The Get Away Special (GAS) program is described in terms of the changes that have taken place in both NASA and the GAS itself. Attention is given to the relationships developed between NASA and GAS customers in the context of programmatic and technical issues. The background of the GAS program is outlined with reference given to policy publications, the design of the Flight Verification Payload, and the first GAS payload launched. A review process is described that facilitates the management of the payloads through flight certification. The GAS Bridge was developed to carry up to 12 payloads simultaneously, and the recent period of GAS inactivity is explained. A price increase is introduced for future GAS payloads with negotiable access to optional services, and the ease and accessibility of the GAS programs for private experiments is emphasized.

Long-term treatment outcomes of acromegaly patients presenting biochemically-uncontrolled at a tertiary pituitary center.

PubMed

Carmichael, John D; Broder, Michael S; Cherepanov, Dasha; Chang, Eunice; Mamelak, Adam; Said, Qayyim; Neary, Maureen P; Bonert, Vivien

2017-08-04

Acromegaly is a rare, slowly progressive disorder resulting from excessive growth hormone (GH) production by a pituitary somatotroph tumor. The objective of this study was to examine acromegaly treatment outcomes during long-term care at a specialized pituitary center in patients presenting with lack of biochemical control. Data came from an acromegaly registry at the Cedars-Sinai Medical Center Pituitary Center (center). Acromegaly patients included in this study were those who presented biochemically-uncontrolled for care at the center. Biochemical control status, based on serum insulin-like growth factor-1 values, was determined at presentation and at study end. Patient characteristics and acromegaly treatments were reported before and after presentation by presenting treatment status and final biochemical control status. Data on long-term follow-up were recorded from 1985 through June 2013. Seventy-four patients presented uncontrolled: 40 untreated (54.1%) and 34 (45.9%) previously-treated. Mean (SD) age at diagnosis was 43.2 (14.7); 32 (43.2%) were female patients. Of 65 patients with tumor size information, 59 (90.8%) had macroadenomas. Prior treatments among the 34 previously-treated patients were pituitary surgery alone (47.1%), surgery and medication (41.2%), and medication alone (11.8%). Of the 40 patients without prior treatment, 82.5% achieved control by study end. Of the 34 with prior treatment, 50% achieved control by study end. This observational study shows that treatment outcomes of biochemically-uncontrolled acromegaly patients improve with directed care, particularly for those that initially present untreated. Patients often require multiple modalities of treatment, many of which are offered with the highest quality at specialized pituitary centers. Despite specialized care, some patients were not able to achieve biochemical control with methods of treatment that were available at the time of their treatment, showing the need for additional treatment options.

Optics and optronics in university courses for officers of the Federal Armed Forces - special curricula and hands-on lessons vs. academic requirements

NASA Astrophysics Data System (ADS)

Hahlweg, Cornelius; Rothe, Hendrik

2016-09-01

For more than two decades lessons in optics, digital image processing and optronics are compulsory optional subjects and as such integral parts of the courses in mechanical engineering at the University of the Federal Armed Forces in Hamburg. They are provided by the Chair for Measurement and Information Technology. Historically, the curricula started as typical basic lessons in optics and digital image processing and related sensors. Practical sessions originally concentrated on image processing procedures in Pascal, C and later Matlab. They evolved into a broad portfolio of practical hands-on lessons in lab and field, including high-tech and especially military equipment, but also homemaker style primitive experiments, of which the paper will give a methodical overview. A special topic - as always with optics in education - is the introduction to the various levels of abstraction in conjunction with the highly complex and wide-ranging matter squeezed into only two trimesters - instead of semesters at civil universities - for an audience being subject to strains from both study and duty. The talk will be accompanied by striking multi-media material, which will be also part of the multi-media attachment of the paper.

Gender issues in the pharmacotherapy of opioid-addicted women: buprenorphine.

PubMed

Unger, Annemarie; Jung, Erika; Winklbaur, Bernadette; Fischer, Gabriele

2010-04-01

Gender, a biological determinant of mental health and illness, plays a critical role in determining patients' susceptibility, exposure to mental health risks, and related outcomes. Regarding sex differences in the epidemiology of opioid dependence, one third of the patients are women of childbearing age. Women have an earlier age of initiation of substance use and a more rapid progression to drug involvement and dependence than men. Generally few studies exist which focus on the special needs of women in opioid maintenance therapy. The aim of this paper is to provide an overview of treatment options for opioid-dependent women, with a special focus on buprenorphine, and to look at recent findings related to other factors that should be taken into consideration in optimizing the treatment of opioid-dependent women. Issues addressed include the role of gender in the choice of medication assisted treatment, sex differences in pharmacodynamics and pharmacokinetics of buprenorphine drug interactions, cardiac interactions, induction of buprenorphine in pregnant patients, the neonatal abstinence syndrome and breastfeeding. This paper aims to heighten the awareness for the need to take gender into consideration when making treatment decisions in an effort to optimize services and enhance the quality of life of women suffering from substance abuse.

Study design options in evaluating gene-environment interactions: practical considerations for a planned case-control study of pediatric leukemia.

PubMed

Goodman, Michael; Dana Flanders, W

2007-04-01

We compare methodological approaches for evaluating gene-environment interaction using a planned study of pediatric leukemia as a practical example. We considered three design options: a full case-control study (Option I), a case-only study (Option II), and a partial case-control study (Option III), in which information on controls is limited to environmental exposure only. For each design option we determined its ability to measure the main effects of environmental factor E and genetic factor G, and the interaction between E and G. Using the leukemia study example, we calculated sample sizes required to detect and odds ratio (OR) of 2.0 for E alone, an OR of 10 for G alone and an interaction G x E of 3. Option I allows measuring both main effects and interaction, but requires a total sample size of 1,500 cases and 1,500 controls. Option II allows measuring only interaction, but requires just 121 cases. Option III allows calculating the main effect of E, and interaction, but not the main effect of G, and requires a total of 156 cases and 133 controls. In this case, the partial case-control study (Option III) appears to be more efficient with respect to its ability to answer the research questions for the amount of resources required. The design options considered in this example are not limited to observational epidemiology and may be applicable in studies of pharmacogenomics, survivorship, and other areas of pediatric ALL research.

Ionizing radiation induces senescence and differentiation of human dental pulp stem cells.

PubMed

Havelek, R; Soukup, T; Ćmielová, J; Seifrtová, M; Suchánek, J; Vávrová, J; Mokrý, J; Muthná, D; Řezáčová, M

2013-01-01

Head and neck cancer is one of the most common cancers in Europe. Many current anti-cancer treatments, including ionizing radiation, induce apoptosis via DNA damage. Unfortunately, such treatments are non-selective to cancer cells and produce similar toxicity in normal cells, including adult stem cells. One of the fundamental properties of an adult stem cell is that it does not have any tissue-specific structures that allow it to perform specialized functions. However, under certain stimuli, unspecialized adult stem cells can give rise to specialized cells to generate replacements for cells that are lost during one's life or due to injury or disease. Nevertheless, specialization of stem cells must be controlled by specific milieu and also initiated at the proper time, making the entire process beneficial for tissue recovery and maintaining it for a long time. In this paper we assess whether irradiated dental pulp stem cells have maintained open their options to mature into specialized cells, or whether they have lost their unspecialized (immature) state following irradiation. Our findings showed radiation-induced premature differentiation of dental pulp stem cells towards odonto-/osteoblast lineages in vitro. Matrix calcification was visualized from Day 6 or Day 9 following irradiation of cells expressing low or high levels of CD146, respectively.

Spatio-temporal Bayesian model selection for disease mapping

PubMed Central

Carroll, R; Lawson, AB; Faes, C; Kirby, RS; Aregay, M; Watjou, K

2016-01-01

Spatio-temporal analysis of small area health data often involves choosing a fixed set of predictors prior to the final model fit. In this paper, we propose a spatio-temporal approach of Bayesian model selection to implement model selection for certain areas of the study region as well as certain years in the study time line. Here, we examine the usefulness of this approach by way of a large-scale simulation study accompanied by a case study. Our results suggest that a special case of the model selection methods, a mixture model allowing a weight parameter to indicate if the appropriate linear predictor is spatial, spatio-temporal, or a mixture of the two, offers the best option to fitting these spatio-temporal models. In addition, the case study illustrates the effectiveness of this mixture model within the model selection setting by easily accommodating lifestyle, socio-economic, and physical environmental variables to select a predominantly spatio-temporal linear predictor. PMID:28070156

Management of constipation in palliative care patients undergoing opioid therapy: is polyethylene glycol an option?

PubMed

Wirz, Stefan; Klaschik, Eberhard

2005-01-01

This study assessed the efficacy of laxative use for treatment of constipation in patients receiving opioid therapy, with special attention to polyethylene glycol 3350/electrolyte solution (PEG-ES). Computerized data from 206 patients were analyzed using descriptive statistics. Subgroups were analyzed using confirmatory statistics. Constipation occurred in 42.7 percent of patients. Laxatives were administered to 74.3 percent of these patients using a standardized step scheme, with good results in 78.4 percent. As a therapy for constipation, the combined administration of PEG-ES, sodium picosulphate, and liquid paraffin proved most effective, although statistical analysis yielded no significance. Early use of PEG-ES using a step scheme holds promise for treatment of opioid-related constipation in palliative care patients, although further investigation is warranted.

Beyond the Baseline 1991: Proceedings of the Space Station Evolution Symposium. Volume 2: Space Station Freedom, part 1

NASA Technical Reports Server (NTRS)

1991-01-01

The results from the Advanced Systems Study and Advanced Development within the Space Station Freedom (SSF) Program are reported. The results show the evolution of the SSF in terms of user requirements, utilization and operations concepts, and growth options for distributed systems. Special attention is given to: highlighting changes made during restructuring; description of growth paths through the follow-on and evolution phases; identification of minimum-impact provisions to allow flexibility in the baseline; and identification of enhancing and enabling technologies. Products of these tasks include: engineering fidelity demonstrations and evaluations of advanced technology; detailed requirements, performance specifications, and design accommodations for insertion of advanced technology; and mature technology, tools, applications for SSF flight, ground, and information systems.

Forecasting quantities of disused household CRT appliances--a regional case study approach and its application to Baden-Württemberg.

PubMed

Walk, Wolfgang

2009-02-01

Due to special requirements regarding logistics and recycling, disused cathode ray tube (CRT) appliances are handled in some countries as a separate waste fraction. This article presents a forecast of future household waste CRT quantities based on the past and present equipment of households with television sets and computer monitors. Additional aspects taken into consideration are the product life time distribution and the ongoing change in display technology. Although CRT technology is fading out, the findings of this forecast show that quantities of waste CRT appliances will not decrease before 2012 in Baden-Württemberg, Germany. The results of this regional case study are not quantitatively transferable without further analysis. The method provided allows analysts to consider how the time shift between production and discard could impact recycling options, and the method could be valuable for future similar analyses elsewhere.

Advances in Decoding Breast Cancer Brain Metastasis

PubMed Central

Zhang, Chenyu; Yu, Dihua

2016-01-01

The past decade has witnessed impressive advances in cancer treatment ushered in by targeted and immunotherapies. However, with significantly prolonged survival, upon recurrence, more patients become inflicted by brain metastasis, which is mostly refractory to all currently available therapeutic regimens. Historically, brain metastasis is an understudied area in cancer research, partly due to the dearth of appropriate experimental models that closely simulate the special biological features of metastasis in the unique brain environment; and to the sophistication of techniques required to perform in-depth studies of the extremely complex and challenging brain metastasis. Yet, with increasing clinical demand for more effective treatment options, brain metastasis research has rapidly advanced in recent years. The present review spotlights the recent major progresses in basic and translational studies of brain metastasis with focuses on new animal models, novel imaging technologies, omics “big data” resources, and some new and exciting biological insights on brain metastasis. PMID:27873078

A study about teaching quadratic functions using mathematical models and free software

NASA Astrophysics Data System (ADS)

Nepomucena, T. V.; da Silva, A. C.; Jardim, D. F.; da Silva, J. M.

2017-12-01

In the face of the reality of teaching Mathematics in Basic Education in Brazil, specially relating teach functions focusing their relevance to the student’s academic development in Basic and Superior Education, this work proposes the use of educational software to help the teaching of functions in Basic Education since the computers and software show as an outstanding option to help the teaching and learning processes. On the other hand, the study also proposes the use of Didactic Transposition as a methodology investigation and research. Along with this survey, some teaching interventions were applied to detect the main difficulties in the teaching process of functions in the Basic Education, analyzing the results obtained along the interventions in a qualitative form. Considering the discussion of the results at the end of the didactic interventions, it was verified that the results obtained were satisfactory.

Endangered species protection and water resource development. [Endangered Species Act and its implementation; case study-survival of the whooping crane

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

Harrington, W.

1980-03-01

The Endangered Species Act and its implementation are reviewed, with special attention given to the Act's recent Amendments. This Act has played a major role in litigation surrounding several recent water resource developments. A case study of one such, the Missouri Basin Power Project, is discussed. In addition to a short case history, issues covered include the following: the link between the Power Project and its impact on the endangered species, its effect on the distribution of water resurces, its effect on future development on the Platte River, and the extent to which a range of preservation options can bemore » considered under the Act. Tentative general conclusions will be drawn concerning the flexibility of the Act, its cost effectiveness, and its implications for future water resource development.« less

Abatacept as a successful therapy for myositis—a case-based review.

PubMed

Kerola, Anne M; Kauppi, Markku J

2015-03-01

Only limited evidence exists on the therapeutic potential of biologic agents in the treatment of myositis. We present a brief review of the literature on off-label experiences of biologic agents in myositis, with a special interest in abatacept. Rituximab has been indicated to be beneficial and well tolerated in one large randomized controlled trial and many smaller studies. Initial data on tumour necrosis factor (TNF) inhibitors are conflicting. There are only a few case reports and mechanistic studies on the treatment of myositis with other biologics, including alemtuzumab, anakinra, tocilizumab and abatacept. We report a patient with severe myositis overlap syndrome, manifesting also as rheumatoid arthritis, peripheral vasculitis and interstitial lung disease. Her myositis was refractory to many conventional and biologic therapies but was well controlled with abatacept. This suggests that abatacept might be a beneficial option for the treatment of refractory myositis and that clinical trials are needed to further investigate its efficacy.

The cognitive and neural basis of option generation and subsequent choice.

PubMed

Kaiser, Stefan; Simon, Joe J; Kalis, Annemarie; Schweizer, Sophie; Tobler, Philippe N; Mojzisch, Andreas

2013-12-01

Decision-making research has thoroughly investigated how people choose from a set of externally provided options. However, in ill-structured real-world environments, possible options for action are not defined by the situation but have to be generated by the agent. Here, we apply behavioral analysis (Study 1) and functional magnetic resonance imaging (Study 2) to investigate option generation and subsequent choice. For this purpose, we employ a new experimental task that requires participants to generate options for simple real-world scenarios and to subsequently decide among the generated options. Correlational analysis with a cognitive test battery suggests that retrieval of options from long-term memory is a relevant process during option generation. The results of the fMRI study demonstrate that option generation in simple real-world scenarios recruits the anterior prefrontal cortex. Furthermore, we show that choice behavior and its neural correlates differ between self-generated and externally provided options. Specifically, choice between self-generated options is associated with stronger recruitment of the dorsal anterior cingulate cortex. This impact of option generation on subsequent choice underlines the need for an expanded model of decision making to accommodate choice between self-generated options.

The Process of Digitizing of Old Globe

NASA Astrophysics Data System (ADS)

Ambrožová, K.; Havrlanta, J.; Talich, M.; Böhm, O.

2016-06-01

This paper describes the process of digitalization of old globes that brings with it the possibility to use globes in their digital form. Created digital models are available to the general public through modern technology in the Internet network. This gives an opportunity to study old globes located in various historical collections, and prevent damage of the originals. Another benefit of digitization is also a possibility of comparing different models both among themselves and with current map data by increasing the transparency of individual layers. Digitization is carried out using special device that allows digitizing globes with a diameter ranging from 5 cm to 120 cm. This device can be easily disassembled, and it is fully mobile therefore the globes can be digitized in the place of its storage. Image data of globe surface are acquired by digital camera firmly fastened to the device. Acquired image data are then georeferenced by using a method of complex adjustment. The last step of digitization is publication of the final models that is realized by two ways. The first option is in the form of 3D model through JavaScript library Cesium or Google Earth plug-in in the Web browser. The second option is as a georeferenced map using Tile Map Service.

Saxagliptin for the treatment of diabetes - a focus on safety.

PubMed

Cernea, Simona; Cahn, Avivit; Raz, Itamar

2016-05-01

The safety of agents used to treat type 2 diabetes (T2D), a chronic disease requiring life-long intervention, is of particular interest. Saxagliptin is a potent and selective DPP-4 inhibitor that has emerged as a therapeutic option for T2D. Its safety was assessed in a development program of 20 phase 2/3 randomized clinical trials and in SAVOR-TIMI 53 trial that evaluated the cardiovascular outcomes. In order to capture any further safety signals, mainly in the long-term, a post-marketing safety surveillance is ongoing. This paper discusses the tolerability and safety profile of the agent, including cardiovascular, renal, pancreatic, hepatic and bone adverse events. Saxagliptin is a safe therapeutic option for patients with T2D, with low risk of hypoglycemia and good tolerability. It demonstrated cardiovascular safety (including in patients with pre-existing cardiovascular disease and/or HF) and safety with respect to all-cause mortality and adverse events of special interest. In SAVOR-TIMI53, saxagliptin was associated with an unexpected increased risk of HF hospitalization, mainly in the first 12 months; a mechanistic explanation for this has not been found. Further research needs to elucidate the effect of antidiabetic drugs on the heart, by including biomarkers and echocardiographic sub-studies within large outcome trials.

The care of the brute beast: animals and the seventeenth-century medical market-place.

PubMed

Curth, Louise Hill

2002-12-01

This article examines the medical options for animals in early modern England. At the present time, this is a topic that has been largely ignored by modern academics. The small number of existing scholarly works tend to begin with the late eighteenth century, after the founding of England's first veterinary college. This institutionalization is generally credited as marking the beginning of modern animal medicine. In turn, what might be called 'pre-veterinary' care is treated as beging unworthy of serious study. As this article will show, this is a misconception. Although there were many differences in the way people perceived animals, social and economic concerns demanded that everything possible be done to protect their health. There were a variety of medical options for animals, some of which could be purchased or bartered for in the market-place, as well as those that were available 'free of charge'. The main categories of animal healers consisted of 'professional' farriers, self-styled farriers, horseleeches and horse-doctors, leeches specializing in other types of lowlier working animals, and laymen. Although some of these people acquired their skills during an apprenticeship, traditional Galenic/astrological medical information was also disseminated orally, through vernacular medical books and through various types of manuscripts.

Clinical trials as treatment option: bioethics and health care disparities in substance dependency.

PubMed

Timmermans, Stefan; McKay, Tara

2009-12-01

Bioethicists have warned against the dangers of mixing research with treatment. They are concerned that research priorities may take precedence over individual patient needs and that research subjects tend to misunderstand the purpose of research or overestimate the direct medical benefits of participating in studies. Yet, other work has questioned whether clinical research can always be separated from therapeutic benefit for participants. Using in-depth interviews with participants in two phase III randomized U.S. clinical trials for methamphetamine dependency, we examine the treatment options available to participants, their experiences with participating in the trials, and potential problems of trial participation. We find that while participants have experience with four alternative treatment modalities - quitting alone, support groups, in-patient treatment facilities, and consulting primary care physicians - the randomized clinical trials compare favorably to alternatives because they provide access to evidence-based behavioral treatments, specialized medical professionals, non-judgmental staff, and the possibility of receiving an experimental drug. We conclude that while randomized clinical trials are imperfect substitutes for clinical care, they constitute a fragile and sporadic therapeutic niche in a country with fundamental problems in access to health care, a mixed punitive-therapeutic drug addiction policy, and a profit-driven pharmaceutical development and approval process.

[Teachers and attention deficit and/or hyperactivity disorder: a pilot study on the situation of teachers in Tyrol].

PubMed

Plattner, Barbara; Aglan, Anna Zeinab; Juen, Barbara; Conca, Andreas

2013-01-01

Given the high prevalence of approximately 5% of Attention Deficit and/or Hyperactivity Disorder in children the level of knowledge of Tyrolean educators at selected educational institutions was examined. As part of the thesis of A. Aglan 170 questionnaires were distributed at selected Tyrolean schools from May to October 2010. The questionnaires were completed voluntarily and anonymously by educators working there and then turned in. The questionnaire consisted of 43 items and was evaluated by means of conventional statistical methods. 98 (58%) of the questionnaires sent out were returned. 93 questionnaires (55%) were evaluated using standard statistical methods. Teachers were well informed about generic aspects of Attention Deficit and/or Hyperactivity Disorder. Knowledge gaps could be identified regarding the underlying causes of the disorder and available treatment options. Teachers demonstrated great willingness to actively cooperate and to learn more about Attention Deficit and/or Hyperactivity Disorder through further education in order to improve the situation of all parties involved. Lack of knowledge was found regarding the subtopics "causes of Attention Deficit and/or Hyperactivity Disorder" and "Treatment Options". The majority of the teachers would appreciate specialized training and is willing to adapt their lessons to the requirements of children, pupils and students affected by Attention Deficit and/or Hyperactivity Disorder.

[New oral antidiabetic drugs].

PubMed

Féry, F

2014-09-01

The therapeutic options for type 2 diabetes have grown considerably in recent years with the successive emergence on the market of glitazones, incretin mimetics, gliptins and very soon gliflozins. Meanwhile, physicians have been advised to take into account individual patient characteristics and preferences when setting glycemic targets and choosing the most appropriate molecule. Faced with an abundance of options, clinicians, even those specialized in diabetology, are left confused and are divided in their choices. To guide them in their practice, the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) jointly published a position statement in 2012. The guidelines posit that the main criteria to be considered are glucose-lowering efficacy, risk of hypoglycemia, effect on body weight, side effects and costs. Not surprisingly, they propose metformin as first line treatment but do not formulate a precise indication regarding the molecule to be introduced in case of metformin contra-indication, intolerance or monotherapy failure. In addition, there is no mention of gliflozins, which were still under evaluation at the time but are now approved and already marketed in some countries. Here we review the mechanisms of action, efficacy and side effects of the two most recent drug classes, namely incretin-based therapies and gliflozins, and try to position them in the therapeutic algorithm of type 2 diabetes.

Restoration of the Occlusal Vertical Dimension with an Overlay Removable Partial Denture: A Clinical Report.

PubMed

Zanardi, Piero Rocha; Santos, Mayara Silva; Stegun, Roberto Chaib; Sesma, Newton; Costa, Bruno; Laganá, Dalva Cruz

2016-10-01

The process of tooth loss throughout life associated with severe occlusal wear may pose a challenge in the rehabilitation of partially edentulous arches. In these cases, many therapeutic procedures are necessary because each tooth must be restored to obtain the correct anatomical contour and recover the occlusal vertical dimension (OVD). A removable partial denture (RPD) with occlusal/incisal coverage, also known as an overlay RPD, is an alternative treatment option with fewer interventions, and, consequently, lower cost. This clinical report reviews the principles involved in the clinical indication for an overlay RPD, as well as the necessary planning and execution, to discuss the feasibility and clinical effectiveness of this treatment, identifying the indications, advantages, and disadvantages of this procedure through the presentation of a clinical case. The overlay RPD can be an alternative treatment for special situations involving partially edentulous arches in patients who need reestablishment of the OVD and/or realignment of the occlusal plane, and it can be used as a temporary or definitive treatment. The main advantages of this type of treatment are its simplicity, reversibility, and relatively low cost; however, further studies are needed to ensure the efficacy of this treatment option. © 2015 by the American College of Prosthodontists.

Clinical and psychoeducational profile of children with borderline intellectual functioning.

PubMed

Karande, Sunil; Kanchan, Sandeep; Kulkarni, Madhuri

2008-08-01

To document the clinical profile and academic history of children with borderline intellectual functioning ("slow learners"); and to assess parental knowledge and attitudes regarding this condition. From November 2004 to April 2005, 55 children (35 boys, 20 girls) were diagnosed as slow learners based on current level of academic functioning and global IQ scores (71-84) done by the WISC test. Detailed clinical and academic history; and physical and neurological examination findings were noted. The parents were counseled about the diagnosis and the option of special education. The mean age of slow learners was 11.9 years (+/-SD 2.3, range 8-17). Eighteen (32.7%) children had a significant perinatal history, 15 (27.3%) had delayed walking, 17 (30.9%) had delayed talking, 17 (30.9%) had microcephaly, 34 (61.8%) had presence of soft neurologic signs, and 10 (18.2%) were on complementary and alternative medication therapy. There were no differentiating features between the two gender groups. Their chief academic problems were difficulty in writing (92.7%), overall poor performance in all subjects (89.1%), and difficulty in mathematics (76.4%). Forty-six (83.6%) children had failed in examinations, 34 (61.8%) had experienced grade retention, and 32 (58.2%) had behavior problems. Most parents (83.3%) were reluctant to consider the option of special education. Slow learners struggle to cope up with the academic demands of the regular classroom. They need to be identified at an early age and their parents counseled to understand their academic abilities.

Hemorrhoids and varicose veins: a review of treatment options.

PubMed

MacKay, D

2001-04-01

Hemorrhoids and varicose veins are common conditions seen by general practitioners. Both conditions have several treatment modalities for the physician to choose from. Varicose veins are treated with mechanical compression stockings. There are several over-the-counter topical agents available for hemorrhoids. Conservative therapies for both conditions include diet, lifestyle changes, and hydrotherapy which require a high degree of patient compliance to be effective. When conservative hemorrhoid therapy is ineffective, many physicians may choose other non-surgical modalities: injection sclerotherapy, cryotherapy, manual dilation of the anus, infrared photocoagulation, bipolar diathermy, direct current electrocoagulation, or rubber band ligation. Injection sclerotherapy is the non-surgical treatment for primary varicose veins. Non-surgical modalities require physicians to be specially trained, own specialized equipment, and assume associated risks. If a non-surgical approach fails, the patient is often referred to a surgeon. The costly and uncomfortable nature of treatment options often lead a patient to postpone evaluation until aggressive intervention is necessary. Oral dietary supplementation is an attractive addition to the traditional treatment of hemorrhoids and varicose veins. The loss of vascular integrity is associated with the pathogenesis of both hemorrhoids and varicose veins. Several botanical extracts have been shown to improve microcirculation, capillary flow, and vascular tone, and to strengthen the connective tissue of the perivascular amorphous substrate. Oral supplementation with Aesculus hippocastanum, Ruscus aculeatus, Centella asiatica, Hamamelis virginiana, and bioflavonoids may prevent time-consuming, painful, and expensive complications of varicose veins and hemorrhoids.

Homeopathy and acupuncture teaching at Faculdade de Medicina da Universidade de São Paulo: the undergraduates' attitudes.

PubMed

Teixeira, Marcus Zulian; Lin, Chin An; Martins, Milton de Arruda

2005-03-02

Homeopathy and acupuncture, although recognized as medical specializations in Brazil, are not taught in most medical schools. The objective was to evaluate undergraduate attitudes towards them following their inclusion as optional disciplines at Faculdade de Medicina da Universidade de São Paulo (FMUSP) in 2002. Questionnaire, at FMUSP. 484 students answered a self-administered questionnaire on these therapies, regarding their interest in learning, the teaching methods, their knowledge/experience (or that of someone close to them) and how it was acquired, the main indicators and general effectiveness of these therapies, and the possibilities for offering and integrating them within public healthcare units. Over 85% of the students considered that homeopathy and acupuncture should be included in curricula, as options (72%) or compulsorily (19%); 56% showed great interest in learning about them. Although 76% had little or no knowledge, 67% believed that these therapies had some effectiveness, and that chronic diseases (37%) or even chronic and acute diseases (29%) would be the main indicators for their use. Around 35% were receptive towards offering public primary care using both therapies, while 34% thought these treatments should also be available in hospitals and 60% believed they could be integrated with conventional medical practices. The medical students were interested in learning the principles of homeopathy and acupuncture, were able to observe and report on the effectiveness of these treatments and defended the use of these medical specializations within public healthcare.

Health care and personal care needs among residents in nursing homes, group homes, and congregate housing in Japan: why does transition occur, and where can the frail elderly establish a permanent residence?

PubMed

Nakanishi, Miharu; Hattori, Keiko; Nakashima, Taeko; Sawamura, Kanae

2014-01-01

Japan has had high rates of transition to nursing homes from other long term care facilities. It has been hypothesized that care transitions occur because a resident's condition deteriorates. The aim of the present study was to compare the health care and personal care needs of residents in nursing homes, group homes, and congregate housing in Japan. The present study was conducted using a cross-sectional study design. The present study included 70,519 elderly individuals from 5 types of residential facilities: care medical facilities (heavy medical care; n = 17,358), geriatric intermediate care facilities (rehabilitation aimed toward a discharge to home; n = 26,136), special nursing homes (permanent residence; n = 20,564), group homes (group living, n = 1454), and fee-based homes for the elderly (congregate housing; n = 5007). The managing director at each facility provided information on the residents' health care and personal care needs, including activities of daily living (ADLs), level of required care, level of cognitive impairment, current disease treatment, and medical procedures. A multinomial logistic regression analysis demonstrated a significantly lower rate of medical procedures among the residents in special nursing homes compared with those in care medical facilities, geriatric intermediate care facilities, group homes, and fee-based homes for the elderly. The residents of special nursing homes also indicated a significantly lower level of required care than those in care medical facilities. The results of our study suggest that care transitions occur because of unavailable permanent residence option for people who suffer with medical deterioration. The national government should modify residential facilities by reorganizing several types of residential facilities into nursing homes that provide a place of permanent residence. Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

[Children with learning disabilities and handicaps in inclusive schools or in special schools? The view of parents and professionals].

PubMed

Bode, H; Hirner, V

2013-03-01

To investigate the view of parents and professionals on sending children with special educational needs to inclusive schools. 54 preschool children in the year before school entry and 155 school children attending a Social Pediatric Center. They displayed motor-, mental-, speech- or sensory handicaps, learning or behavioral disabilities. Questionnaires for parents of preschool- and of school children and questionnaires for the professional caring for the child were evaluated and compared. Parental expectations, experiences concerning school and the severity of disability were determined. 135 pupils attended special schools and 20 integrative schools. The parents were generally very content with both types of schools despite the fact that 33% of parents had not have a free choice of the school. They had a positive attitude to inclusive education. Preference for inclusive schooling decreased with increasing severity of the child's disability. The severity of disability was rated similar by parents and by professionals. Parents of preschool children tended more often and parents of school children less often than professionals towards sending the individual child to an inclusive school. Some parents of children with special educational needs would like to send their child to a special school, others prefer inclusive schools. It is paramount to improve the professional advice and guidance to parents since parental options to choose the school for their child are increasing in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

Evidence for the acceptability and academic success of an innovative remote and rural extended placement.

PubMed

Wilson, Morven; Cleland, Jennifer

2008-01-01

Time spent in remote medicine as an undergraduate is influential in career choice in Australia and Northern America. However, its influence is not known in smaller countries, where recruitment into rural medicine is also problematic. Differences across countries mean work is required to explore determinants of success of remote and rural undergraduate training locally. The objectives of this pilot study were to identify why 4th year medical students chose an extended remote and rural option within a degree program which includes a short compulsory period of remote and rural practice. Because this was a novel option the study also looks at the academic performance of the first cohort of students to ensure quality control of teaching and learning. This was a mixed methods (questionnaire, focus group, assessment data) pilot study exploring student views and performance outcomes in 4th year medical undergraduate students (n = 14), University of Aberdeen, who completed an innovative, one-year remote and rural placement. Fourteen students took part in the pilot. Questionnaire data indicated they viewed remote and rural medicine positively. This interest was maintained over the placement. Most had no definite career plans, but did have a slight preference towards general practice. Focus group data indicated four main themes relating to the decision to select the remote and rural placement: (1) teaching reputation; (2) to experience remote and rural medicine; (3) a change from Aberdeen; and (4) lifestyle factors. Assessment data indicated that student performances at the end of the year placement were consistent with their 3rd year performance on all assessments: OSCEs (p = 0.79), written exams (p = 0.10; p = 0.49), special study module/ Ethics (p = 0.10) and year mark averages (p = 0.48). The results indicate that the extended remote and rural placement was a valuable and academically successful experience for the students. Important outcomes include that: the students who chose to undertake the remote and rural option did not suffer academically; and the cohort maintained their enthusiasm for long-term remote and rural practice. This pilot study represents only the short-term results of a remote and rural extended option offered by one university medical school. We plan further follow up on these students and their successors to look at both short- and long-term outcomes in terms of post selection and choosing to live and work within rural communities.

Effects of different discount levels on healthy products coupled with a healthy choice label, special offer label or both: results from a web-based supermarket experiment

PubMed Central

2013-01-01

Background Two strategies commonly recommended to improve population diets include food labels and food taxes/subsidies. The aim of this study was to examine the effects of both strategies separately and in combination. Findings An experiment with a 3x3 factorial design was conducted, including: three levels of price reduction (10%; 25%; and 50%) x three labels (‘special offer’, ‘healthy choice’ and ‘special offer & healthy choice’) on healthy foods defined following the Choices front-of-pack nutrition label. N = 109 participants completed the experiment by conducting a typical weekly shop for their household at a three-dimensional web-based supermarket. Data were analysed using analysis of covariance. Participants receiving a 50% price discount purchased significantly more healthy foods for their household in a typical weekly shop than the 10% discount (+8.7 items; 95%CI = 3.8-13.6) and the 25% discount group (+7.7 items; 95%CI = 2.74 – 12.6). However, the proportion of healthy foods was not significantly higher and the discounts lead to an increased amount of energy purchased. No significant effects of the labels were found. Conclusion This study brings some relevant insights into the effects of price discounts on healthier foods coupled with different labels and shows that price effects over shadowed food labels. However, price discounts seem to have ambiguous effects; they do encourage the purchase of healthy products, but also lead to increased energy purchases. More research is needed to examine how pricing strategies can work in directing consumers towards interchanging unhealthier options for healthier alternatives. PMID:23680347

Improving the use of crop models for risk assessment and climate change adaptation.

PubMed

Challinor, Andrew J; Müller, Christoph; Asseng, Senthold; Deva, Chetan; Nicklin, Kathryn Jane; Wallach, Daniel; Vanuytrecht, Eline; Whitfield, Stephen; Ramirez-Villegas, Julian; Koehler, Ann-Kristin

2018-01-01

Crop models are used for an increasingly broad range of applications, with a commensurate proliferation of methods. Careful framing of research questions and development of targeted and appropriate methods are therefore increasingly important. In conjunction with the other authors in this special issue, we have developed a set of criteria for use of crop models in assessments of impacts, adaptation and risk. Our analysis drew on the other papers in this special issue, and on our experience in the UK Climate Change Risk Assessment 2017 and the MACSUR, AgMIP and ISIMIP projects. The criteria were used to assess how improvements could be made to the framing of climate change risks, and to outline the good practice and new developments that are needed to improve risk assessment. Key areas of good practice include: i. the development, running and documentation of crop models, with attention given to issues of spatial scale and complexity; ii. the methods used to form crop-climate ensembles, which can be based on model skill and/or spread; iii. the methods used to assess adaptation, which need broadening to account for technological development and to reflect the full range options available. The analysis highlights the limitations of focussing only on projections of future impacts and adaptation options using pre-determined time slices. Whilst this long-standing approach may remain an essential component of risk assessments, we identify three further key components: 1.Working with stakeholders to identify the timing of risks. What are the key vulnerabilities of food systems and what does crop-climate modelling tell us about when those systems are at risk?2.Use of multiple methods that critically assess the use of climate model output and avoid any presumption that analyses should begin and end with gridded output.3.Increasing transparency and inter-comparability in risk assessments. Whilst studies frequently produce ranges that quantify uncertainty, the assumptions underlying these ranges are not always clear. We suggest that the contingency of results upon assumptions is made explicit via a common uncertainty reporting format; and/or that studies are assessed against a set of criteria, such as those presented in this paper.

Analysis: Continuous Glucose Monitoring in the Intensive Care Unit

PubMed Central

Kenneth Ward, W.

2012-01-01

Control of glycemia in hospitalized patients is important; hypoglycemia is associated with increased mortality, and hyperglycemia is associated with adverse outcomes. For these reasons, though no such device is currently available, continuous glucose monitoring (CGM) is an attractive option, especially in the critical care setting. Schierenbeck and coauthors, in this issue of Journal of Diabetes Science and Technology, report on the use of a specialized central catheter designed to monitor glucose continuously in post cardiac surgery patients. This catheter, which was indwelled within the great veins, was specially designed with a separate lumen and membrane that allowed continuous glucose microdialysis. Accuracy was quite good, better than has been reported with the use of commercially-available CGM devices. Ideally, further development of this quite promising catheter-based device would allow it to be used also to deliver fluids and drugs, thus avoiding the need for a second catheter elsewhere. PMID:23294782

Novel strategies for the formulation and processing of poorly water-soluble drugs.

PubMed

Göke, Katrin; Lorenz, Thomas; Repanas, Alexandros; Schneider, Frederic; Steiner, Denise; Baumann, Knut; Bunjes, Heike; Dietzel, Andreas; Finke, Jan H; Glasmacher, Birgit; Kwade, Arno

2018-05-01

Low aqueous solubility of active pharmaceutical ingredients presents a serious challenge in the development process of new drug products. This article provides an overview on some of the current approaches for the formulation of poorly water-soluble drugs with a special focus on strategies pursued at the Center of Pharmaceutical Engineering of the TU Braunschweig. These comprise formulation in lipid-based colloidal drug delivery systems and experimental as well as computational approaches towards the efficient identification of the most suitable carrier systems. For less lipophilic substances the preparation of drug nanoparticles by milling and precipitation is investigated for instance by means of microsystem-based manufacturing techniques and with special regard to the preparation of individualized dosage forms. Another option to overcome issues with poor drug solubility is the incorporation into nanospun fibers. Copyright © 2017 Elsevier B.V. All rights reserved.

Federal Agency Scientific Integrity Policies and the Legal Landscape

NASA Astrophysics Data System (ADS)

Kurtz, L.

2017-12-01

Federal agencies have worked to develop scientific integrity policies to promote the use of scientific and technical information in policymaking, reduce special-interest influences, and increase transparency. Following recent allegations of agency misconduct, these policies are now more important than ever. In addition to setting standards, scientific integrity policies also provide avenues for whistleblowers to complain about perceived violations. While these policies have their shortcomings (which may differ by agency), they are also one of the better available options for upholding principles of scientific integrity within the federal government. A legal perspective will be offered on what sorts of issues might rise to the threshold to make an official complaint, and the process of actually making a complaint. Other legal avenues for complaining about scientific integrity violations will also be discussed, such as complaints filed with the U.S. Office of Special Counsel or an agency's Office of Inspector General, and bringing the matter to federal court.

Gender perspectives in resilience, vulnerability and adaptation to global environmental change.

PubMed

Ravera, Federica; Iniesta-Arandia, Irene; Martín-López, Berta; Pascual, Unai; Bose, Purabi

2016-12-01

The main goal of this special issue is to offer a room for interdisciplinary and engaged research in global environmental change (GEC), where gender plays a key role in building resilience and adaptation pathways. In this editorial paper, we explain the background setting, key questions and core approaches of gender and feminist research in vulnerability, resilience and adaptation to GEC. Highlighting the interlinkages between gender and GEC, we introduce the main contributions of the collection of 11 papers in this special issue. Nine empirical papers from around the globe allow to understand how gendered diversity in knowledge, institutions and everyday practices matters in producing barriers and options for achieving resilience and adaptive capacity in societies. Additionally, two papers contribute to the theoretical debate through a systematic review and an insight on the relevance of intersectional framings within GEC research and development programming.

Funding of drugs: do vaccines warrant a different approach?

PubMed

Beutels, Philippe; Scuffham, Paul A; MacIntyre, C Raina

2008-11-01

Vaccines have features that require special consideration when assessing their cost-effectiveness. These features are related to herd immunity, quality-of-life losses in young children, parental care and work loss, time preference, uncertainty, eradication, macroeconomics, and tiered pricing. Advisory committees on public funding for vaccines, or for pharmaceuticals in general, should be knowledgable about these special features. We discuss key issues and difficulties in decision making for vaccines against rotavirus, human papillomavirus, varicella-zoster virus, influenza virus, and Streptococcus pneumoniae. We argue that guidelines for economic evaluation should be reconsidered generally to recommend (1) modelling options for the assessment of interventions against infectious diseases; (2) a wider perspective to account for impacts on third parties, if relevant; (3) a wider scope of costs than health-care system costs alone, if appropriate; and (4) alternative discounting techniques to explore social time preference over long periods.

Missions, Training and Equipment: A Retrospective View from the 160th SOAR (A).

PubMed

Faudree, L Kyle

2012-01-01

On 3 October 2001, the first chalk of Night Stalkers left Campbell Army Airfield enroute to Uzbekistan in support of what would become our nation?s longest war. The vast majority of Soldiers were untested in war and would quickly have the opportunity to meet with the enemies of our nation in close combat. The two Special Operations Task Forces (TF), TF Dagger to the north in Uzbekistan and TF Sword in the south (aboard the USS Kitty Hawk) were our nation?s first strike options against Al Qaeda and Taliban forces in Afghanistan. Due to the inherent nature of forced entry operations (restrictive terrain, lack of medical infrastructure, etc.) TF Dagger and TF Sword utilized 160th Special Operations Aviation Regiment (Airborne) [SOAR (A)] rotary wing aircraft solely for the Casualty Evacuation (CASEVAC) operations during the first months of Operation ENDURING FREEDOM. 2012.

Propeller installation effects on turboprop aircraft acoustics

NASA Astrophysics Data System (ADS)

Chirico, Giulia; Barakos, George N.; Bown, Nicholas

2018-06-01

Propeller installation options for a twin-engined turboprop aircraft are evaluated at cruise conditions, aiming to identify the quieter configuration. Computational fluid dynamics is used to investigate the near-field acoustics and transfer functions are employed to estimate the interior cabin noise. Co-rotating and counter-rotating installation options are compared. The effect of propeller synchrophasing is also considered. The employed method captures the complexity of the acoustic field generated by the interactions of the propeller sound fields among each other and with the airframe, showing also the importance of simulating the whole problem to predict the actual noise on a flying aircraft. Marked differences among the various layouts are observed. The counter-rotating top-in option appears the best in terms of acoustics, the top-out propeller rotation leading to louder noise because of inflow conditions and the occurrence of constructive acoustic interferences. Synchrophasing is shown to be beneficial for co-rotating propellers, specially regarding the interior noise, because of favorable effects in the interaction between the propeller direct sound field and the noise due to the airframe. An angle closer to the maximum relative blade shift was found to be the best choice, yielding, however, higher sound levels than those provided by the counter-rotating top-in layout.

Preservative-free tafluprost/timolol fixed combination: a new opportunity in the treatment of glaucoma.

PubMed

Konstas, Anastasios G P; Holló, Gabor

2016-06-01

Medical therapy of glaucoma aims to maintain the patient's visual function and quality of life. This generally commences with monotherapy, but it is often difficult to reach the predetermined target pressure with this approach. Fixed combinations (FCs) are therefore selected as the next step of the medical therapy algorithm. By employing a prostaglandin/timolol fixed combination (PTFC) the desired target 24-hour intraocular pressure can be reached in many glaucoma patients with the convenience of once-a-day administration and the associated high rate of adherence. The current role and value of FCs in the medical therapy of glaucoma is critically appraised. Special attention is paid to the PTFCs and the emerging role of preservative-free PTFCs. This review summarizes existing information on the efficacy and tolerability of the new preservative-free tafluprost/timolol FC (Taptiqom®). The preservative-free tafluprost/timolol FC represents a promising stepwise treatment option for those patients whose intraocular pressure is insufficiently controlled with available monotherapy options. This novel FC has the potential to substantially improve glaucoma management and through evolution of the current glaucoma treatment paradigm, to become a core therapeutic option in the future. Nonetheless, future research is needed to better delineate the therapeutic role of current and future preservative-free FCs in glaucoma therapy.

Cost-Utility of Video-Electroencephalography Monitoring Followed by Surgery in Adults with Drug-Resistant Focal Epilepsy in Thailand.

PubMed

Kitwitee, Pimprapa; Unnwongse, Kanjana; Srikijvilaikul, Teeradej; Yadee, Tinonkorn; Limwattananon, Chulaporn

2017-02-01

This study assessed whether video-electroencephalography (VEEG) monitoring followed by surgery was cost-effective in adult patients with drug-resistant focal epilepsy under Thai health care context, as compared with continued medical treatment without VEEG. The total cost (in Thai Baht, THB) and effectiveness (in quality-adjusted life years, QALYs) were estimated over a lifetime horizon, using a decision tree and a Markov model. Data on short-term surgical outcomes, direct health care costs, and utilities were collected from Thai patients in a specialized hospital. Long-term outcomes and relative effectiveness of the surgery over medical treatment were derived, using systematic reviews of published literature. Seizure-free rates at years 1 and 2 after surgery were 79.4% and 77.8%, respectively. Costs of VEEG and surgery plus 1-year follow-up care were 216,782 THB, of which the VEEG and other necessary investigations were the main cost drivers (42.8%). On the basis of societal perspective, the total cost over a 40-year horizon accrued to 1,168,679 THB for the VEEG option, 64,939 THB higher than that for no VEEG. The VEEG option contributed to an additional 1.50 QALYs over no VEEG, resulting in an incremental cost-effectiveness ratio of 43,251 THB (USD 1236) per 1 QALY gained. Changes in key parameters had a minimal impact on the incremental cost-effectiveness ratio. Accounting for uncertainty, there was an 84% probability that the VEEG option was cost-effective on the basis of Thailand's cost-effective threshold of 160,000 THB/QALY. For patients with drug-resistant epilepsy, VEEG monitoring followed by epilepsy surgery was cost-effective in Thailand. Therefore it should be recommended for health insurance coverage. Copyright © 2016 Elsevier Inc. All rights reserved.

Children’s recalls from five dietary-reporting validation studies: Intrusions in correctly reported and misreported options in school breakfast reports

PubMed Central

Baxter, Suzanne Domel; Hardin, James W.; Royer, Julie A.; Guinn, Caroline H.; Smith, Albert F.

2008-01-01

For school breakfast each day, many elementary schools offer a choice between a cold option that includes ready-to-eat (RTE) cereal and a hot option that includes a non-RTE-cereal entrée such as waffles. For breakfast reports, intrusions (reports of uneaten items) in correctly reported and misreported breakfast options were examined using data from five dietary-reporting validation studies. In each study, fourth-grade children were observed eating school breakfast and school lunch and then interviewed to obtain a dietary recall. A breakfast option was correctly reported in 240 breakfast reports for 203 intrusions total, and misreported in 97 breakfast reports for 189 intrusions total. Asymmetry was evident in misreported options; specifically, children observed eating a cold option almost never misreported a hot option, but children observed eating a hot option often misreported a cold option. Proportionately more breakfast reports were intrusion-free when a breakfast option was correctly reported than misreported. Linking of intrusions (i.e., multiple intrusions from the same option in a breakfast report) was especially evident with misreported breakfast options. Methodological aspects of dietary recalls such as target period (prior 24 hours; previous day), interview time (morning; afternoon; evening), and interview format (meal; open) had implications for intrusions and misreported breakfast options. PMID:18501992

Evaluating the content and development of decision aid tools for the management of menopause: A scoping review.

PubMed

Siyam, Tasneem; Sultani, Humirah; Ross, Sue; Chatterley, Trish; Yuksel, Nese

2017-12-01

Decision-making during menopause (especially surgical menopause) can be complex given the variability in risk-benefit perceptions of menopausal treatments. Decision aid tools (DATs) help women participate in decision-making about options. Our objective is to identify and evaluate the content and development of DATs for managing menopause, with a special focus on surgical menopause. We systematically searched electronic databases, including MEDLINE and EMBASE, from inception to March 2017 for relevant records. The principal inclusion criterion was that papers reported studies on DATs for managing menopause. Search terms were derived from two concepts: menopause and DATs. Data extracted were presented in written evidence tables and narrative summaries. Our search yielded 18,801 records. Of these, 26 records met our inclusion criteria, which gave rise to 12 DATs from peer-reviewed literature and 6 from grey literature. Seventeen DATs were focused on natural menopause and two targeted surgical menopause, both identified from grey literature. More than half were published before the Women's Health Initiative (WHI) publication and 70% before the release of the International Patient Decision Aid Standards (IPDAS). Very few studies reported the full development of the DAT involved, and less than half of DATs were informed by a needs assessment to identify the decisional needs of their target population. Most DATs focused on hormone therapy as a treatment option and did not provide a comprehensive overview of other options. None of the DATs reported the steps involved in finding, appraising and summarizing scientific content of the tool. This review highlights several limitations in the content and development of DATs for managing menopause. No peer-reviewed DATs were identified for surgical menopause. A need for a complete, evidence-based DAT in the context of surgical menopause is identified. Copyright © 2017 Elsevier B.V. All rights reserved.

Desire to Have Children Among Transgender People in Germany: A Cross-Sectional Multi-Center Study.

PubMed

Auer, Matthias K; Fuss, Johannes; Nieder, Timo O; Briken, Peer; Biedermann, Sarah V; Stalla, Günter K; Beckmann, Matthias W; Hildebrandt, Thomas

2018-05-01

Many trans individuals undergo medical interventions that result in irreversible loss of fertility. Little is known about their desire to have children and attitudes toward fertility preservation options. To study how the desire for children and the use of fertility preservation options varies among trans women and trans men in different transitioning stages in Germany. In this cross-sectional multi-center study, N = 99 trans women and N = 90 trans men were included. Of these, 26 of each sex were just about to start medical treatment. Outcome parameter were the prevalence and determinants of a desire to have children in trans persons. Before treatment, a desire for children was significantly higher in trans men compared to trans women (P = .016). In contrast, in those who had already started treatment, a current desire to have children was equally present in about one fourth of participants of both genders while the interest in having children in the future was significantly higher in trans women (69.9%) than in trans men (46.9%; P = .034). Although 76.1% of trans women and 76.6% of trans men indicated that they had at least thought about preserving germ cells before starting medical transition, only 9.6% of trans women and 3.1% of trans men had put this idea into practice. Most trans men in both groups indicated that insemination of a female partner with sperm from an unrelated donor was a suitable option to fulfill their child wish, potentially explaining their low interest in preserving their own germ cells. Finally, a logistic regression analysis accounting for potential confounders revealed that overall trans women were more than twice as likely to have a current desire to have children (odds ratio 2.58), and this wish was on average 5.3% lower with each year of increasing age. A low level of fertility preservation among trans persons is contrasted by a high level of desire for children. This highlights the importance of counseling trans individuals regarding fertility preservation options. To our knowledge, this is the first study that addresses desire to have children in a clinical sample of trans women. It is also the first that investigates this issue among trans men who have not started medical treatment, and the first comparison of both genders. A limitation for the generalization of our results is the special legal context in Germany that forbids oocyte donation for reciprocal in vitro fertilization. Reproductive desire is high among trans individuals, but the use of reproductive options is surprisingly low. Auer MK, Fuss J, Nieder TO, et al. Desire to Have Children Among Transgender People in Germany: A Cross-Sectional Multi-Center Study. J Sex Med 2018;15:757-767. Copyright © 2018 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.

Camarada and Thomas on middeck

NASA Image and Video Library

2005-08-07

S114-E-7001 (4 August 2005) --- Astronaut Andrew S. W. Thomas, STS-114 mission specialist, photographs a middeck evaluation of the mechanical "plug" option for Reinforced Carbon-Carbon (RCC) repair aboard the Space Shuttle Discovery. Astronaut Charles J. Camarda, mission specialist, uses special pre-designated tools to accomplish the procedure, along with round thin, flexible 7-inch-diamter carbon-silicon cover plates designed to flex up to 0.25 inch to conform to the wing leading edge RCC panels, a hardware attachment mechanism similar to a toggle bolt and sealant.

Thomas and Camarda on middeck

NASA Image and Video Library

2005-08-04

S114-E-7005 (4 August 2005) --- Astronaut Andrew S. W. Thomas, STS-114 mission specialist, photographs a middeck evaluation of the mechanical "plug" option for Reinforced Carbon-Carbon (RCC) repair aboard the Space Shuttle Discovery. Astronaut Charles J. Camarda, mission specialist, uses special pre-designated tools to accomplish the procedure, along with round thin, flexible 7-inch-diamter carbon-silicon cover plates designed to flex up to 0.25 inch to conform to the wing leading edge RCC panels, a hardware attachment mechanism similar to a toggle bolt and sealant.

Courtyards Should Be Green Today

NASA Astrophysics Data System (ADS)

Dorozhkina, E.

2017-11-01

The article raises domestic space organization issues. Courtyards are considered as available recreational space in the structure of urban development affected by the environmental, spatial, physical and technical aspects of yard space. Special attention is paid to the improvement of the quality of the living environment. Phytoecological environment is seen as a way to improve the qualitative characteristics of residential development. The options proposed for modern residential development include indoor type courtyards. In the described embodiment the construction of the environment anthropogenic characteristics are decreased in comparison with the traditional type of buildings.

Vascularized Composite Allografts: Procurement, Allocation, and Implementation.

PubMed

Rahmel, Axel

Vascularized composite allotransplantation is a continuously evolving area of modern transplant medicine. Recently, vascularized composite allografts (VCAs) have been formally classified as 'organs'. In this review, key aspects of VCA procurement are discussed, with a special focus on interaction with the procurement of classical solid organs. In addition, options for a matching and allocation system that ensures VCA donor organs are allocated to the best-suited recipients are looked at. Finally, the different steps needed to promote VCA transplantation in society in general and in the medical community in particular are highlighted.

The Warsaw Pact Short-Warning Nuclear Attack: How Viable an Option?

DTIC Science & Technology

1979-05-01

yion in&vc err mi Iiar-j districts urhhvearmirked for north ern -.nd centr:al ~nc mlom.: n pls soviot, East Germa -- n , Czcchoslo%-akian and Pclii units...special- ists in 5-ill time tazn-lo%-, ent and several interr-tionallv kn7ca-. n inistitutions in business. There are as mzany ways to leck at the...o..W *0e - ~~~~Breerlavmnoo, tsmn: po n , Garstedt( y NETHERLANDS ~FEDERAL~ %,.JPLN I 2 EP BLI * GERMAN -5?’ ~52- GEMM A NY DEMOCRATIC REPUBLIC Bonn@®O

Treatment of adults with attention-deficit/hyperactivity disorder

PubMed Central

Kolar, Dusan; Keller, Amanda; Golfinopoulos, Maria; Cumyn, Lucy; Syer, Cassidy; Hechtman, Lily

2008-01-01

This review focuses on the treatment of attention deficit hyperactivity disorder (ADHD) in adults. It briefly addresses prevalence, diagnostic and differential diagnostic issues specific to adults. Stimulant medication, non-stimulant medication, and psychosocial treatments are thoroughly reviewed. For each class of medication possible mechanism of action, efficacy and side effects are summarized. Special attention is given to the pharmacological treatment for patients with adult ADHD and various comorbidities. In summary, stimulant medications are most effective and combined medication and psychosocial treatment is the most beneficial treatment option for most adult patients with ADHD. PMID:18728812

Treatment of adults with attention-deficit/hyperactivity disorder

PubMed Central

Kolar, Dusan; Keller, Amanda; Golfinopoulos, Maria; Cumyn, Lucy; Syer, Cassidy; Hechtman, Lily

2008-01-01

This review focuses on the treatment of attention deficit hyperactivity disorder (ADHD) in adults. It briefly addresses prevalence, diagnostic and differential diagnostic issues specific to adults. Stimulant medication, non-stimulant medication, and psychosocial treatments are thoroughly reviewed. For each class of medication possible mechanism of action, efficacy and side effects are summarized. Special attention is given to the pharmacological treatment for patients with adult ADHD and various comorbidities. In summary, stimulant medications are most effective and combined medication and psychosocial treatment is the most beneficial treatment option for most adult patients with ADHD. PMID:18728745

Advances and challenges in hair restoration of curly Afrocentric hair.

PubMed

Rogers, Nicole E; Callender, Valerie D

2014-04-01

Although the biochemical composition of hair is similar among racial and ethnic groups, the hair structure between them varies, and individuals with curly hair pose specific challenges and special considerations when a surgical option for alopecia is considered. Hair restoration in this population should therefore be approached with knowledge on the clinical characteristics of curly hair, hair grooming techniques that may influence the management, unique indications for the procedure, surgical instrumentation used, and the complications that may arise. Copyright © 2014 Elsevier Inc. All rights reserved.

Acute decompensated heart failure: new strategies for improving outcomes [digest].

PubMed

Singer Fisher, Emily; Burns, Boyd; Kim, Jeremy

2017-05-22

Acute decompensated heart failure is a common emergency department presentation with significant associated morbidity and mortality. Heart failure accounts for more than 1 million hospitalizations annually, with a steadily increasing incidence as our population ages. This issue reviews recent literature regarding appropriate management of emergency department presentations of acute decompensated heart failure, with special attention to newer medication options. Emergency department management and appropriate interventions are discussed, along with critical decision-making points in resuscitation for both hypertensive and hypotensive patients. [Points & Pearls is a digest of Emergency Medicine Practice].

Social factors in marijuana use for medical and recreational purposes.

PubMed

Szaflarski, Magdalena; Sirven, Joseph I

2017-05-01

Of all the various treatment options for epilepsy, no other therapy comes close to the polarity that cannabis engenders. The rationale for this reaction is firmly rooted in the social factors that enshroud the use of marijuana for both medical and recreational purposes. In order to best understand how to approach this controversial treatment, it is essential to explore the social, demographic, and historical variables that have led to the current opinions on cannabis therapy and how this has converged on epilepsy treatment. Utilizing a sociological conceptual framework, this review discusses in depth the social, cultural, and historical dimensions of cannabis use in the US for medical purposes and its impact on epilepsy treatment. Moreover, it posits that cannabis therapy and the opinions surrounding its use are products of history and assesses this treatment option through the lens of our current times. This article is part of a Special Issue titled Cannabinoids and Epilepsy. Copyright © 2016 Elsevier Inc. All rights reserved.

Autosomal dominant polycystic kidney disease and pain - a review of the disease from aetiology, evaluation, past surgical treatment options to current practice.

PubMed

Badani, K K; Hemal, A K; Menon, M

2004-01-01

Autosomal Dominant Polycystic Kidney Disease (ADPKD), often referred to as "adult" polycystic kidney disease, is one of the commonest hereditary disorders. It affects approximately 4 to 6 million individuals worldwide. The disease progresses to end-stage renal disease and it accounts for 10-15% of patients requiring dialysis in the United States. A comprehensive Medline search for aetiology, evaluation, screening, cellular biology, and treatment was utilized to locate, extract, and synthesize relevant data with respect to this topic. Special attention was focused on urologic literature and surgical textbooks regarding operative treatment of pain associated with ADPKD. Now, patients with ADPKD have more treatment options. More specifically, several therapeutic alternatives are now available for the management of pain in these patients. A recent review of literature supports the performance of open or laparoscopic cyst decortication procedures for control of pain and infection without the worry of causing further renal impairment in those with preserved renal function.

Medicated chewing gum--a potential drug delivery system.

PubMed

Chaudhary, Shivang A; Shahiwala, Aliasgar F

2010-07-01

Over the years, patient convenience and patient compliance-orientated research in the field of drug delivery has resulted in bringing out potential innovative drug delivery options. Out of which, medicated chewing gum (MCG) offers a highly convenient patient-compliant way of dosing medications, not only for special population groups with swallowing difficulties such as children and the elderly, but also for the general population, including the young generation. In this review, various formulation ingredients, different manufacturing processes, and assessment of in vivo and in vitro drug release from MCG are thoroughly discussed along with the therapeutic potential and limitations of MCG. Readers will gain knowledge about the rationale and prominent formulation and performance evaluation strategies behind chewing gum as a drug delivery system. The availability of directly compressible co-processed gum material enables rapid, safe and low-cost development of MCG as a drug delivery option. By MCG formulation, revitalization of old products and reformulation of new patented products is possible, to differentiate them from upcoming generics competition in the market.

An Unusual Complication With the Administration of a Volatile Anesthetic Agent for Status Asthmaticus in the Pediatric Intensive Care Unit: Case Report and Review of the Literature.

PubMed

Shutes, Brittany; Frazier, W Joshua; Tobias, Joseph D

2017-07-01

In severe cases of status asthmaticus, when conventional therapies fail, volatile anesthetic agents remain a therapeutic option. When delivered outside of the operating room setting, specialized delivery techniques are needed to ensure the safe and effective use of volatile anesthetic agents. We present a 16-year-old adolescent with status asthmaticus who required the therapeutic administration of the volatile anesthetic agent, sevoflurane, in the pediatric intensive care unit (PICU). Although initially effective in reducing bronchospasm, progressive hypercarbia developed due to defective functioning of the carbon dioxide absorber of the anesthesia machine. This failure occurred as the soda lime compartment filled with water accumulated from circuit humidification and continuous albuterol therapy. The role of volatile anesthetic agents in the treatment of status asthmaticus in the PICU is discussed, options for delivery outside of the operating room presented, and potential problems with delivery reviewed.

Psychiatry training in the United Kingdom--part 2: the training process.

PubMed

Christodoulou, N; Kasiakogia, K

2015-01-01

In the second part of this diptych, we shall deal with psychiatric training in the United Kingdom in detail, and we will compare it--wherever this is meaningful--with the equivalent system in Greece. As explained in the first part of the paper, due to the recently increased emigration of Greek psychiatrists and psychiatric trainees, and the fact that the United Kingdom is a popular destination, it has become necessary to inform those aspiring to train in the United Kingdom of the system and the circumstances they should expect to encounter. This paper principally describes the structure of the United Kingdom's psychiatric training system, including the different stages trainees progress through and their respective requirements and processes. Specifically, specialty and subspecialty options are described and explained, special paths in training are analysed, and the notions of "special interest day" and the optional "Out of programme experience" schemes are explained. Furthermore, detailed information is offered on the pivotal points of each of the stages of the training process, with special care to explain the important differences and similarities between the systems in Greece and the United Kingdom. Special attention is given to The Royal College of Psychiatrists' Membership Exams (MRCPsych) because they are the only exams towards completing specialisation in Psychiatry in the United Kingdom. Also, the educational culture of progressing according to a set curriculum, of utilising diverse means of professional development, of empowering the trainees' autonomy by allowing initiative-based development and of applying peer supervision as a tool for professional development is stressed. We conclude that psychiatric training in the United Kingdom differs substantially to that of Greece in both structure and process. Τhere are various differences such as pure psychiatric training in the United Kingdom versus neurological and medical modules in Greece, in-training exams in the United Kingdom versus an exit exam in Greece, and of course the three years of higher training, which prepares trainees towards functioning as consultants. However, perhaps the most important difference is one of mentality; namely a culture of competency- based training progression in the United Kingdom, which further extends beyond training into professional revalidation. We believe that, with careful cultural adaptation, the systems of psychiatric training in the United Kingdom and Greece may benefit from sharing some of their features. Lastly, as previously clarified, this diptych paper is meant to be informative, not advisory.

First- and fifth-year medical students' intention for emigration and practice abroad: a case study of Serbia.

PubMed

Santric-Milicevic, Milena M; Terzic-Supic, Zorica J; Matejic, Bojana R; Vasic, Vladimir; Ricketts, Thomas C

2014-11-01

Health worker migration is causing profound health, safety, social, economic and political challenges to countries without special policies for health professionals' mobility. This study describes the prevalence of migration intentions among medical undergraduates, identifies underlying factors related to migration intention and describes subsequent actions in Serbia. Data were captured by survey of 938 medical students from Belgrade University (94% response rate), representing two thirds of matching students in Serbia stated their intentions, reasons and obstacles regarding work abroad. Statistical analyses included descriptive statistics and a sequential multivariate logistic regression. Based on descriptive and inferential statistics we were able to predict the profile of first and fifth year medical students who intend or have plans to work abroad. This study contributes to our understanding of the causes and correlates of intent to migrate and could serve to raise awareness and point to the valuable policy options to manage migration. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

American Association of Clinical Endocrinologists Medical Guidelines for clinical practice for the evaluation and treatment of hypogonadism in adult male patients--2002 update.

PubMed

Petak, Steven M; Nankin, Howard R; Spark, Richard F; Swerdloff, Ronald S; Rodriguez-Rigau, Luis J

2002-01-01

In these clinical practice guidelines, specific recommendations are made for determining the most effective methods of diagnosing and treating hypogonadism in adult male patients. The target populations for these guidelines include the following: (1) men with primary testicular failure requiring testosterone replacement (hypergonadotropic hypogonadism); (2) male patients with gonadotropin deficiency or dysfunction who may have received testosterone replacement therapy or treatment for infertility (hypogonadotropic hypogonadism); and (3) aging men with symptoms relating to testosterone deficiency who could benefit from testosterone replacement therapy. Initial hormonal evaluation generally consists of a testosterone determination, in conjunction with a free testosterone or sex hormone-binding globulin level, inpatients with clear symptoms and signs but normal-range total testosterone, follicle-stimulating hormone, luteinizing hormone, and prolactin levels. Other possible tests include semen analysis, pituitary imaging studies, genetic studies, bone densitometry, testicular ultrasonography,testicular biopsy, and specialized hormonal dynamic testing. Therapeutic options generally consist of testosterone replacement by injections, patches, or topically applied gel in hypergonadotropic patients and in hypogonadotropic patients not interested in fertility. In hypogonadotropic patients interested in fertility, gonadal stimulation option scan be considered, including human chorionic gonadotropin stimulation therapy with or without human menopausal gonadotropin (or follicle-stimulating hormone) or gonadotropin-releasing hormone pump therapy. These therapies may be combined with assisted reproductive technologies such as in vitro fertilization with intracytoplasmic sperm injection, which may allow pregnancy to occur with very low numbers of sperm.

Shared decision making in the safety net: where do we go from here?

PubMed

Bouma, Angelique B; Tiedje, Kristina; Poplau, Sara; Boehm, Deborah H; Shah, Nilay D; Commers, Matthew J; Linzer, Mark; Montori, Victor M

2014-01-01

Shared decision making (SDM) is an interactive process between clinicians and patients in which both share information, deliberate together, and make clinical decisions. Clinics serving safety net patients face special challenges, including fewer resources and more challenging work environments. The use of SDM within safety net institutions has not been well studied. We recruited a convenience sample of 15 safety net primary care clinicians (13 physicians, 2 nurse practitioners). Each answered a 9-item SDM questionnaire and participated in a semistructured interview. From the transcribed interviews and questionnaire data, we identified themes and suggestions for introducing SDM into a safety net environment. Clinicians reported only partially fulfilling the central components of SDM (sharing information, deliberating, and decision making). Most clinicians expressed interest in SDM by stating that they "selected a treatment option together" with patients (8 of 15 in strong or complete agreement), but only a minority (3 of 15) "thoroughly weighed the different treatment options" together with patients. Clinicians attributed this gap to many barriers, including time pressure, overwhelming visit content, patient preferences, and lack of available resources. All clinicians believed that lack of time made it difficult to practice SDM. To increase use of SDM in the safety net, efficient SDM interventions designed for this environment, team care, and patient engagement in SDM will need further development. Future studies should focus on adapting SDM to safety net settings and determine whether SDM can reduce health care disparities.

Molecular profiling of intrahepatic cholangiocarcinoma: the search for new therapeutic targets.

PubMed

Oliveira, Douglas V N P; Zhang, Shanshan; Chen, Xin; Calvisi, Diego F; Andersen, Jesper B

2017-04-01

Intrahepatic cholangiocarcinoma (iCCA) is the second most frequent primary tumor of the liver and a highly lethal disease. Therapeutic options for advanced iCCA are limited and ineffective due to the largely incomplete understanding of the molecular pathogenesis of this deadly tumor. Areas covered: The present review article outlines the main studies and resulting discoveries on the molecular profiling of iCCA, with a special emphasis on the different techniques used for this purpose, the diagnostic and prognostic markers identified, as well as the genes and pathways that could be potentially targeted with innovative therapies. Expert commentary: Molecular profiling has led to the identification of distinct iCCA subtypes, characterized by peculiar genetic alterations and transcriptomic features. Targeted therapies against some of the identified genes are ongoing and hold great promise to improve the prognosis of iCCA patients.

Vaginal microbicides and teenagers.

PubMed

Rupp, Richard E; Rosenthal, Susan L

2003-10-01

Sexually active teens are at significant risk from sexually transmitted infections and girls and women bear the greatest burden of these infections. New methods, such as vaginal microbicides, would provide female controlled options. Microbicides are currently in development and thus it is timely to discuss the progress made and factors that may influence acceptability for teens. Microbicide development presents many challenges, and several different potential mechanisms of action are being explored. There is interest in these products from women and men, and specific preferences are being investigated. Adolescents, due to reproductive system immaturity, developing cognitive abilities and the psychosocial context of their relationships, present a special set of challenges in efforts to foster microbicide use. Vaginal microbicides are on the horizon. Further study into teen issues is required to develop successful strategies for marketing and encouraging adolescent use of microbicides.

Comparative assessment of municipal sewage sludge incineration, gasification and pyrolysis for a sustainable sludge-to-energy management in Greece.

PubMed

Samolada, M C; Zabaniotou, A A

2014-02-01

For a sustainable municipal sewage sludge management, not only the available technology, but also other parameters, such as policy regulations and socio-economic issues should be taken in account. In this study, the current status of both European and Greek Legislation on waste management, with a special insight in municipal sewage sludge, is presented. A SWOT analysis was further developed for comparison of pyrolysis with incineration and gasification and results are presented. Pyrolysis seems to be the optimal thermochemical treatment option compared to incineration and gasification. Sewage sludge pyrolysis is favorable for energy savings, material recovery and high added materials production, providing a 'zero waste' solution. Finally, identification of challenges and barriers for sewage sludge pyrolysis deployment in Greece was investigated. Copyright © 2013 Elsevier Ltd. All rights reserved.

Mixed Frames and Risky Decision-Making.

PubMed

Peng, Jiaxi; Zhang, Jiaxi; Sun, Hao; Zeng, Zhicong; Mai, Yuexia; Miao, Danmin

2017-01-01

By applying unitive vocabulary, "die" or "save," to respective frames of the Asian disease problem, Tversky and Kahneman were able to define framing effect. In this study, we preliminarily explored the effect of mixed frames, which are characterized by the use of different vocabulary in one frame. In study 1, we found that only the sure option description had significant effect on decision-making, while the effects of risky option descriptions were not significant, nor were interactions between descriptions. In study 2, the results suggested that after controlling the effects of the hedonic tone of the sure options, risky option description did not significantly predict decision-making. In study 3, we found that neither the sure-to-risky option presentation order nor presentation order within risky options had significant effect on decision-making. We thus concluded that sure option description can serve as the decision-making foundation (reference point) for decision-makers in mixed frames.

Long-term effects of hypnotherapy in patients with refractory irritable bowel syndrome.

PubMed

Lindfors, Perjohan; Unge, Peter; Nyhlin, Henry; Ljótsson, Brjánn; Björnsson, Einar S; Abrahamsson, Hasse; Simrén, Magnus

2012-04-01

Gut-directed hypnotherapy is considered to be an effective treatment in irritable bowel syndrome (IBS) but few studies report the long-term effects. This retrospective study aims to evaluate the long-term perceived efficacy of gut-directed hypnotherapy given outside highly specialized hypnotherapy centers. 208 patients, who all had received gut-directed hypnotherapy, were retrospectively evaluated. The Subjective Assessment Questionnaire (SAQ) was used to measure changes in IBS symptoms, and patients were classified as responders and non-responders. Patients were also asked to report changes in health-care seeking, use of drugs for IBS symptoms, use of alternative non-pharmacological treatments, and if they still actively used hypnotherapy. Immediately after hypnotherapy, 103 of 208 patients (49%) were responders and 75 of these (73%) had improved further at the follow-up 2-7 years after hypnotherapy (mean 4 years). A majority of the responders still used hypnotherapy on a regular basis at follow-up (73%), and the responders reported a greater reduction in health-care seeking than non-responders. A total of 87% of all patients reported that they considered gut-directed hypnotherapy to be worthwhile, and this differed between responders and non-responders (100% vs. 74%; p < 0.0001). This long-term follow-up study indicates that gut-directed hypnotherapy in refractory IBS is an effective treatment option with long-lasting effects, also when given outside highly specialized hypnotherapy centers. Apart from the clinical benefits, the reduction in health-care utilization has the potential to reduce the health-care costs.

Comparison of Tension-Band Wiring With the Cable Pin System in Patella Fractures: A Randomized Prospective Study.

PubMed

Tian, Qing-xian; Hai, Yong; Du, Xin-ru; Xu, Zi-yu; Lu, Tie; Shan, Lei; Liu, Yang; Zhou, Jun-lin

2015-12-01

To compare the outcome of tension-band wiring (TBW) with the cable pin system (CPS) for transverse fractures of the patella. Randomized prospective study. Academic Level I trauma center. From February 2008 to December 2011, 73 consecutive patients with transverse fractures of the patella were prospectively enrolled in this study. The patients were randomly divided into 2 groups: one group was treated using the CPS, and the other group was treated using the modified TBW. The clinical outcome assessment included analyses of the radiographic images, the modified Hospital for Special Surgery scoring system, and complications. The follow-up time ranged from 12 to 29 months. All fractures healed, with a union rate of 100%. The fracture healing time was significantly shorter in the CPS group (8.51 ± 2.59 weeks, n = 34) compared with the TBW group (11.79 ± 3.04 weeks, n = 39). Postoperative complications in the CPS and TBW groups were observed in 1 and 9 patients, respectively, a difference that was statistically significant. The mean Hospital for Special Surgery score for the CPS group (90.53 ± 5.19 points) was significantly higher than that for the TBW group (81.36 ± 12.71 points). The CPS is a viable option for transverse fractures of the patella and is associated with a shorter healing time, fewer complications, and better function than TBW. Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

Efficacy and safety of oral alitretinoin in severe oral lichen planus--results of a prospective pilot study.

PubMed

Kunz, M; Urosevic-Maiwald, M; Goldinger, S M; Frauchiger, A L; Dreier, J; Belloni, B; Mangana, J; Jenni, D; Dippel, M; Cozzio, A; Guenova, E; Kamarachev, J; French, L E; Dummer, R

2016-02-01

Patients with severe oral lichen planus refractory to standard topical treatment currently have limited options of therapy suitable for long-term use. Oral alitretinoin (9-cis retinoic acid) was never systematically investigated in clinical trials, although case reports suggest its possible efficacy. To assess the efficacy and safety of oral alitretinoin taken at 30 mg once daily for up to 24 weeks in the treatment of severe oral lichen planus refractory to standard topical therapy. We conducted a prospective open-label single arm pilot study to test the efficacy and safety of 30 mg oral alitretinoin once daily for up to 24 weeks in severe oral lichen planus. Ten patients were included in the study. Primary end point was reduction in signs and symptoms measured by the Escudier severity score. Secondary parameters included pain and quality of life scores. Safety parameters were assessed during a follow-up period of 5 weeks. A substantial response at the end of treatment, i.e. >50% reduction in disease severity measured by the Escudier severity score, was apparent in 40% of patients. Therapy was well tolerated. Adverse events were mild and included headache, mucocutaneous dryness, musculoskeletal pain, increased thyroid-stimulating hormone and dyslipidaemia. Alitretinoin given at 30 mg daily reduced disease severity of severe oral lichen planus in a substantial proportion of patients refractory to standard treatment, was well tolerated and may thus represent one therapeutic option for this special group of patients. © 2015 European Academy of Dermatology and Venereology.

The Role of General Anaesthesia in Special Care & Paediatric Dentistry; Inclusion Criteria and Clinical Indications.

PubMed

Dziedzic, Arkadiusz

Dental practitioners dealing with children and individuals with special needs can be supported by the provision of general anaesthesia for the most challenging patients in situations where other options are insufficient. The availability of general anaesthesia will further the aim of extending access to the widest range of dental care to the greatest number of patients regardless of disability, age or phobia. The objective is to ensure patients have a pain-free and healthy mouth, and any necessary treatment in the most appropriate setting related to their specific needs. A strictly individual and holistic approach is required when evaluating the risk versus benefit of proceeding with general anaesthesia for delivery of dental treatment particularly for children and special needs individuals. It is vitally important to consider and address all relevant factors specific to this particular group of patients including assessment of capacity, validity of consent, and any specific medical, social and behavioural issues. The other sedation modalities must be always taken into consideration. This article emphasises the crucial decision-making role of dentists in the referral process for dental treatment under general anaesthesia and the need for multidisciplinary co-operation between dental practitioners, community and hospital services.