41 CFR 102-173.20 - To whom does this part apply?

Code of Federal Regulations, 2014 CFR

2014-01-01

... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false To whom does this part apply? 102-173.20 Section 102-173.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV...

41 CFR 102-173.20 - To whom does this part apply?

Code of Federal Regulations, 2013 CFR

2013-07-01

... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false To whom does this part apply? 102-173.20 Section 102-173.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV...

41 CFR 102-173.20 - To whom does this part apply?

Code of Federal Regulations, 2012 CFR

2012-01-01

... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false To whom does this part apply? 102-173.20 Section 102-173.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV...

41 CFR 102-173.20 - To whom does this part apply?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false To whom does this part apply? 102-173.20 Section 102-173.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV...

41 CFR 102-173.20 - To whom does this part apply?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false To whom does this part apply? 102-173.20 Section 102-173.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV...

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

PubMed

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

2002-12-01

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

The contribution of clinical assessments to the diagnostic algorithm of pulmonary embolism.

PubMed

Turan, Onur; Turgut, Deniz; Gunay, Turkan; Yilmaz, Erkan; Turan, Ayse; Akkoclu, Atila

2017-01-01

Pulmonary thromboembolism (PE) is a major disease in respiratory emergencies. Thoracic CT angiography (CTA) is an important method of visualizing PE. Because of the high radiation and contrast exposure, the method should be performed selectively in patients in whom PE is suspected. The aim of the study was to identify the role of clinical scoring systems utilizing CTA results to diagnose PE. The study investigated 196 patients referred to the hospital emergency service in whom PE was suspected and CTA performed. They were evaluated by empirical, Wells, Geneva and Miniati assessments and classified as low, intermediate and high clinical probability. They were also classified according to serum D-dimer levels. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated and evaluated according to CTA findings. Empirical scoring was found to have the highest sensitivity, while the Wells system had the highest specificity. When low D-dimer levels and "low probabilty" were evaluated together for each scoring system, the sensitivity was found to be 100% for all methods. Wells scoring with a cut-off score of 4 had the highest specificity (56.1%). Clinical scoring systems may be guides for patients in whom PE is suspected in the emergency department. The empirical and Wells scoring systems are effective methods for patient selection. Adding evaluation of D-dimer serum levels to the clinical scores could identify patients in whom CTA should be performed. Since CTA can only be used conservatively, the use of clinical scoring systems in conjunction with D-dimer levels can be a useful guide for patient selection.

Critical Literacy and Social Justice

ERIC Educational Resources Information Center

Comber, Barbara

2015-01-01

Given the global escalation of gaps between rich and poor, contemporary work in critical literacy needs to overtly question the politics of poverty. How and where is poverty produced, by what means, by whom and for whom and how are educational systems stratified to provide different kinds of education to the rich and the poor? Yet rather than…

78 FR 10623 - Privacy Act of 1974; Department of Homeland Security Immigration and Customs Enforcement-007...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-14

... period for National Sex Offender Registrant records and for individuals for whom non-criminal queries are... Sex Offender Registrants, and individuals for whom non-criminal queries are conducted. The new system..., and return IARs on them. Using interoperability, ICE will also begin to screen convicted sex offenders...

Dynamic Generalizations of Systems Factorial Technology for Modeling Perception of Fused Information

DTIC Science & Technology

2017-01-11

2004). Nonetheless, in all of these applications the stimuli were highly controlled and presented in isolation with little or no ex - traneous...50 maximum compensation). Twenty members of the Wright State University community were recruited to participate, sixteen of whom completed all five ex ...aligned to minimize the need for registering the images from each sensor post collection, although further registration was done with software developed

Islamism and Security in Bosnia-Herzegovina

DTIC Science & Technology

2014-05-01

independent analysis to conduct strategic studies that develop policy recommendations on: • Strategy, planning , and policy for joint and combined employment...out of the Federation,9 de - spite the fact that the Dayton quota system currently grants them outsize influence (one-third of the state- level...intervened to oppose expelling two Iranian diplomats whom Radončić had accused of improper activities and de - clared personae non grata.57 The

An "Elective Replacement" Approach to Providing Extra Help in Math: The Talent Development Middle Schools' Computer- and Team-Assisted Mathematics Acceleration (CATAMA) Program.

ERIC Educational Resources Information Center

Mac Iver, Douglas J.; Balfanz, Robert; Plank, Stephan B.

1999-01-01

Two studies evaluated the Computer- and Team-Assisted Mathematics Acceleration course (CATAMA) in Talent Development Middle Schools. The first study compared growth in math achievement for 96 seventh-graders (48 of whom participated in CATAMA and 48 of whom did not); the second study gathered data from interviews with, and observations of, CATAMA…

Cold urticaria: inhibition of cold-induced histamine release by doxantrazole.

PubMed

Bentley-Phillips, C B; Eady, R A; Greaves, M W

1978-10-01

Thirteen patients with cold urticaria were studied to assess the effect of the systemic drug doxantrazole, which has actions resembling disodium cromoglycate, on cold evoked histamine release. The patients, all of whom developed an immediate local whealing response after cooling of the forearm, demonstrated release of histamine into venous blood draining that forearm. Following doxantrazole treatment, significant suppression of histamine release occurred. In some but not all patients this was accompanied by diminution of urtication in response to cooling. A double-blind study was carried out in 3 subjects, all of whom showed diminished cold-stimulated histamine release after doxantrazole. Two of these showed clinical improvement. Doxantrazole had no effect on erythema due to intradermal histamine, but did suppress the erythematous reaction to intradermal injection of compound 48/80. Our results suggest that doxantrazole or related anti-allergic agents might be useful in the treatment of cold urticaria.

32 CFR 318.11 - Disclosure of record to persons other than the individual to whom it pertains.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Threat Reduction Agency system of records notice. (b) Accounting of disclosures. Except for disclosures... Freedom of Information Act, an accounting will be kept of all disclosures of records maintained in DTRA... to whom the disclosure is made. (3) Accounting records will be maintained for at least 5 years after...

41 CFR 102-77.20 - With whom should Federal agencies collaborate with when commissioning and selecting art for...

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false With whom should Federal...-77.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 77-ART-IN-ARCHITECTURE Art-in-Architecture § 102-77...

Co-Learning and the Evolution of Social Activity,

DTIC Science & Technology

1994-03-01

section; here we will develop the material in a self-contained fashion. 2.1 Social Games We start by defining the standard notion of a (one-shot...combined body of material is so rich that neither we, nor anyone else with whom we have discussed these matters (and we have discussed them...importing computer- sciency elements in the spirit of reinforcement learning. More specifically on the latter, since our perspective is that of system

Assessing Developmental Education through Student Tracking. AIR 1995 Annual Forum Paper.

ERIC Educational Resources Information Center

Weissman, Julie; And Others

The effectiveness of developmental education policies at a comprehensive community college was investigated using a new student tracking system. A sample of 1,644 students were tracked from fall 1992 until the end of the fall 1994 semester, 1,226 of whom evidenced basic skills and were eligible for college-level courses, and 418 of whom were…

41 CFR 102-34.25 - To whom do “we”, “you”, and their variants refer?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false To whom do âweâ, âyouâ, and their variants refer? 102-34.25 Section 102-34.25 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION PERSONAL PROPERTY 34-MOTOR...

The Who, Whom, What, and How of Institutional Accountability.

ERIC Educational Resources Information Center

Prather, George

An accountability model for the California community colleges must be based on an extensive discussion of precisely who is being held accountable, to whom are they responsible, what are they responsible for, and how will such responsibility be enforced. In developing its model, the Assembly Bill 1725 Accountability Task Force of the California…

22 CFR 208.330 - What requirements must I pass down to persons at lower tiers with whom I intend to do business?

Code of Federal Regulations, 2011 CFR

2011-04-01

... at lower tiers with whom I intend to do business? 208.330 Section 208.330 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Responsibilities of Participants Regarding Transactions Doing Business with Other Persons § 208.330 What...

22 CFR 208.330 - What requirements must I pass down to persons at lower tiers with whom I intend to do business?

Code of Federal Regulations, 2010 CFR

2010-04-01

... at lower tiers with whom I intend to do business? 208.330 Section 208.330 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Responsibilities of Participants Regarding Transactions Doing Business with Other Persons § 208.330 What...

Disability Policy Evaluation: Combining Logic Models and Systems Thinking.

PubMed

Claes, Claudia; Ferket, Neelke; Vandevelde, Stijn; Verlet, Dries; De Maeyer, Jessica

2017-07-01

Policy evaluation focuses on the assessment of policy-related personal, family, and societal changes or benefits that follow as a result of the interventions, services, and supports provided to those persons to whom the policy is directed. This article describes a systematic approach to policy evaluation based on an evaluation framework and an evaluation process that combine the use of logic models and systems thinking. The article also includes an example of how the framework and process have recently been used in policy development and evaluation in Flanders (Belgium), as well as four policy evaluation guidelines based on relevant published literature.

Development of an Action Plan for the Creation of a Capacity Building Cell within the National Institute of Open Schooling, India. Contract No. C10A-159

ERIC Educational Resources Information Center

Mishra, Sanjaya

2010-01-01

In order to understand the Open Schooling system in India, the National Institute of Open Schooling (NIOS), and its operations, the author scanned and read a large number of documents in a short span of time. These readings formed the basis of his discussions with a range of stakeholders with whom he conducted interviews/interaction to gather…

Changes in artistic style and behaviour in Parkinson's disease: dopamine and creativity.

PubMed

Kulisevsky, Jaime; Pagonabarraga, Javier; Martinez-Corral, Mercè

2009-05-01

We present a PD patient in whom dopamine agonists awoke a hidden creativity that led to a gradual increase in painting productivity evolving to a disruptive impulsive behaviour that shared many features with punding. A dramatic change in painting style related to a more emotional experience during the process of creation developed after treatment onset. This case suggests that changes in creativity in PD seem to be related to dopaminergic imbalance in the limbic system.

41 CFR 301-53.1 - To whom do the pronouns “I”, “you”, and their variants refer throughout this part?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants refer throughout this part? 301-53.1 Section 301-53.1 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES...

41 CFR 301-50.1 - To whom do the pronouns “I”, “you”, and their variants throughout this part refer?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants throughout this part refer? 301-50.1 Section 301-50.1 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES...

41 CFR 301-53.1 - To whom do the pronouns “I”, “you”, and their variants refer throughout this part?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants refer throughout this part? 301-53.1 Section 301-53.1 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES...

41 CFR 301-50.1 - To whom do the pronouns “I”, “you”, and their variants throughout this part refer?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants throughout this part refer? 301-50.1 Section 301-50.1 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES...

41 CFR 105-68.330 - What requirements must I pass down to persons at lower tiers with whom I intend to do business?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What requirements must I pass down to persons at lower tiers with whom I intend to do business? 105-68.330 Section 105-68.330 Public Contracts and Property Management Federal Property Management Regulations System (Continued...

Thinking outside to Support Newcomers: Young Administrators Benefit from Confidential Mentoring by an External Protege

ERIC Educational Resources Information Center

Conyers, John G.

2004-01-01

New leaders in educational systems sometimes fail to live up to their potential, despite obvious talent, ability and enthusiasm. In part, this may be because they have no one with whom to discuss troublesome issues or to turn to with problems--or at least no one in whom they are comfortable confiding. Some school districts have mentor programs for…

Cooley’s Anemia Symposium (6th) Held in New York on 13-15 March 1990. Annals of the New York Academy of Sciences. Volume 612

DTIC Science & Technology

1990-12-28

In Europe more than in America, blood sampling is needed to assess intrauterine infections such as toxoplasmosis, cytomegalovirus, or rubella. White...hematologic (such as intrauterine infec- tions and abnormal karyotypes). I think those who have been doing these analyses over the years should feel...Signs of hypocalcemia appeared in three patients, two of whom developed tremors and seizures and one of whom developed cardiac failure. At present, 12

Heinz-Dietrich Doebner — an accomplished octogenarian

NASA Astrophysics Data System (ADS)

Boyle, L. L.

2012-02-01

A scientific biography of Heinz-Dietrich Doebner is presented on the occasion of his 80th birthday. Doebner has been responsible for fostering the development of theoretical physics both in Germany and internationally. His scientific interests have centred around the quantum theory of both linear and non-linear systems moving on manifolds for which a technique known as Borel quantisation was developed in his group at Clausthal. He was responsible for establishing the Arnold Sommerfeld Institute within the Theoretical Physics Department at Clausthal. This provided a base for visiting scientists for many of whom funding was obtained from various sources.

41 CFR 304-3.1 - To whom do the pronouns “I”, “you”, and their variants refer throughout this part?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants refer throughout this part? 304-3.1 Section 304-3.1 Public Contracts and Property Management Federal Travel Regulation System PAYMENT OF TRAVEL EXPENSES FROM A NON-FEDERAL...

41 CFR 304-9.1 - To whom do the pronouns “I”, “you”, and their variants refer throughout this part?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants refer throughout this part? 304-9.1 Section 304-9.1 Public Contracts and Property Management Federal Travel Regulation System PAYMENT OF TRAVEL EXPENSES FROM A NON-FEDERAL...

41 CFR 304-1.1 - To whom do the pronouns “I”, “you”, and their variants refer throughout this part?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants refer throughout this part? 304-1.1 Section 304-1.1 Public Contracts and Property Management Federal Travel Regulation System PAYMENT OF TRAVEL EXPENSES FROM A NON-FEDERAL...

41 CFR 304-3.1 - To whom do the pronouns “I”, “you”, and their variants refer throughout this part?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants refer throughout this part? 304-3.1 Section 304-3.1 Public Contracts and Property Management Federal Travel Regulation System PAYMENT OF TRAVEL EXPENSES FROM A NON-FEDERAL...

41 CFR 304-1.1 - To whom do the pronouns “I”, “you”, and their variants refer throughout this part?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants refer throughout this part? 304-1.1 Section 304-1.1 Public Contracts and Property Management Federal Travel Regulation System PAYMENT OF TRAVEL EXPENSES FROM A NON-FEDERAL...

41 CFR 304-9.1 - To whom do the pronouns “I”, “you”, and their variants refer throughout this part?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false To whom do the pronouns âIâ, âyouâ, and their variants refer throughout this part? 304-9.1 Section 304-9.1 Public Contracts and Property Management Federal Travel Regulation System PAYMENT OF TRAVEL EXPENSES FROM A NON-FEDERAL...

22 CFR 208.310 - What must I do if a Federal agency excludes a person with whom I am already doing business in a...

Code of Federal Regulations, 2011 CFR

2011-04-01

... person with whom I am already doing business in a covered transaction? 208.310 Section 208.310 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Responsibilities of Participants Regarding Transactions Doing Business with Other Persons § 208.310 What must I do...

22 CFR 208.310 - What must I do if a Federal agency excludes a person with whom I am already doing business in a...

Code of Federal Regulations, 2010 CFR

2010-04-01

... person with whom I am already doing business in a covered transaction? 208.310 Section 208.310 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Responsibilities of Participants Regarding Transactions Doing Business with Other Persons § 208.310 What must I do...

Cranial ultrasound findings in preterm infants predict the development of cerebral palsy.

PubMed

Skovgaard, Ann Lawaetz; Zachariassen, Gitte

2017-02-01

Our aim was to evaluate any association between gestational age, birth weight and findings on cranial ultrasounds during hospitalisation in very preterm infants and mortality and neurological outcome in childhood. This study was a retrospective cohort study based on a patient record review. The cohort consisted of very preterm born children (gestational age ≤ 32 + 0) born from 2004 to 2008. For each infant, we obtained results from all cranial ultrasounds performed during hospitalisation. In 2014, patient records were evaluated for cerebral palsy, Gross Motor Function Classification System, blindness and deafness. A total of 249 infants were included. The mortality rate was 9.2%. In all, 217 children were evaluated at 5-9 years of age. Four children were diagnosed with germinal matrix haemorrhage - intraventricular haemorrhage grade 3 (GMH-IVH3) and periventricular haemorrhagic infarction (PVHI), of whom two developed cerebral palsy. Nine children were diagnosed with periventricular leukomalacia (PVL), of whom six developed cerebral palsy. Cerebral palsy was detected in 14 children (6.4%), and one (0.5%) child was in need of a hearing assistive device. Severe brain injury (GMH-IVH3, PVHI or PVL) (p = 0.000) and being of male gender (p = 0.03) were associated with cerebral palsy in childhood. Severe brain injuries detected by neonatal cranial ultrasound in very preterm infants is associated with development of cerebral palsy in childhood. none. TRAIL REGISTRATION: not relevant.

Retrospective analysis of the efficacy of perioperative use of the cell salvage and autologous blood recovery system during laparoscopic myomectomy.

PubMed

Kumakiri, Jun; Kikuchi, Iwaho; Kitade, Mari; Matsuoka, Shozo; Kono, Ayako; Takeda, Satoru

2012-04-01

To evaluate the benefit of the intraoperative use of a cell salvage and autologous blood recovery system during laparoscopic myomectomy (LM). We retrospectively reviewed the medical records of 538 patients who underwent LM between January 2008 and December 2009 at our hospital. Patients undergoing LM were divided into two groups depending on whether the cell salvage and autologous blood recovery system was used; the use of the system was at the discretion of the surgeon. The system for intraoperative hemorrhage was employed based on the surgeon's decision. Of the 583 patients, 23 patients (4.3%) underwent LM using the system. No patient required an allogeneic blood transfusion during or after the surgery. The median surgical time (183 vs. 100 m), total blood loss (520 vs. 100 mL), total weight of enucleated myomas (390 vs. 175 g), and postoperative calculated δ-Hemoglobin (δ-Hb) (2 vs. 1.6 g/dL) were significantly increased in the 23 patients in whom the system was used. The median autologous blood volume recovered by intraoperative use of the system and transferred to the 23 patients was 250 mL (range 125-800 mL). For patients in whom the system was not used, the total blood loss significantly correlated to δ-Hb (r = 0.29; P < 0.01). However, there was no such correlation in patients in whom the system was not used (r = 0.04; P = 0.86). The adoption of a cell salvage and autologous blood recovery system during LM was useful for patients with severe hemorrhage.

Individualized Risk Model for Venous Thromboembolism After Total Joint Arthroplasty.

PubMed

Parvizi, Javad; Huang, Ronald; Rezapoor, Maryam; Bagheri, Behrad; Maltenfort, Mitchell G

2016-09-01

Venous thromboembolism (VTE) after total joint arthroplasty (TJA) is a potentially fatal complication. Currently, a standard protocol for postoperative VTE prophylaxis is used that makes little distinction between patients at varying risks of VTE. We sought to develop a simple scoring system identifying patients at higher risk for VTE in whom more potent anticoagulation may need to be administered. Utilizing the National Inpatient Sample data, 1,721,806 patients undergoing TJA were identified, among whom 15,775 (0.9%) developed VTE after index arthroplasty. Among the cohort, all known potential risk factors for VTE were assessed. An initial logistic regression model using potential predictors for VTE was performed. Predictors with little contribution or poor predictive power were pruned from the data, and the model was refit. After pruning of variables that had little to no contribution to VTE risk, using the logistic regression, all independent predictors of VTE after TJA were identified in the data. Relative weights for each factor were determined. Hypercoagulability, metastatic cancer, stroke, sepsis, and chronic obstructive pulmonary disease had some of the highest points. Patients with any of these conditions had risk for postoperative VTE that exceeded the 3% rate. Based on the model, an iOS (iPhone operating system) application was developed (VTEstimator) that could be used to assign patients into low or high risk for VTE after TJA. We believe individualization of VTE prophylaxis after TJA can improve the efficacy of preventing VTE while minimizing untoward risks associated with the administration of anticoagulation. Copyright © 2016 Elsevier Inc. All rights reserved.

Accounting for the sedative and analgesic effects of medication changes during patient participation in clinical research studies: measurement development and application to a sample of institutionalized geriatric patients.

PubMed

Sloane, Philip; Ivey, Jena; Roth, Mary; Roederer, Mary; Williams, Christianna S

2008-03-01

To date, no system has been published that allows investigators to adjust for the overall sedative and/or analgesic effects of medications, or changes in medications, in clinical trial participants for whom medication use cannot be controlled. This is common in clinical trials of behavioral and complementary/alternative therapies, and in research involving elderly or chronically ill patients for whom ongoing medical care continues during the trial. This paper describes the development, and illustrates the use, of a method we developed to address this issue, in which we generate single continuous variables to represent the daily sedative and analgesic loads of multiple medications. Medications for 90 study participants in a clinical trial of a nonpharmacological intervention were abstracted from medication administration records across multiple treatment periods. An expert panel of three academic clinical pharmacists and a geriatrician met to develop a system by which each study medication could be assigned a sedative and analgesic effect rating. The two measures, when applied to data on 90 institutionalized persons with Alzheimer's disease, resulted in variables with moderately skewed distributions that are consistent with the clinical profile of analgesia and sedation use in long-term care populations. The average study participant received 1.89 analgesic medications per day and had a daily analgesic load of 2.96; the corresponding figures for sedation were 2.07 daily medications and an average daily load of 11.41. A system of classifying the sedative and analgesic effects of non-study medications was created that divides drugs into categories based on the strength of their effects and assigns a rating to express overall sedative and analgesic effects. These variables may be useful in comparing patients and populations, and to control for drug effects in future studies.

The Effects of Coordination and Movement Education on Pre School Children's Basic Motor Skills Improvement

ERIC Educational Resources Information Center

Altinkök, Mustafa

2016-01-01

This research was conducted for the purpose of analyzing the effect of the movement education program through a 12-week-coordination on the development of basic motor movements of pre-school children. A total of 78 students of pre-school period, 38 of whom were in the experimental group and 40 of whom were in the control group, were incorporated…

Hospital Management Between The Modern Image And Aging

NASA Astrophysics Data System (ADS)

Dadulescu, Ana-Maria

2015-09-01

Hospital management has experienced significant progress with the evolution of the Romanian health system reform, it has made strides in terms of resource allocation and cost control, new systems for classification, evaluation and monitoring (DRGs, SIUI, CaPeSaRo) were implemented, some taken from other countries and adapted to local conditions, but not always integrated with the other components and sometimes incompletely implemented and developed. This material does not offer definite solutions to current problems. It only briefly addresses the main aspects of hospital activity, and points out some failures with whom hospital managers are presently faced. Once the problems are identified it creates prerequisites for solving them, it opens channels of research and development of new methodologies or correlation of the existing deficient workflows that can be corrected.

Comparing Measures of Attachment: "To Whom One Turns in Times of Stress," Parental Warmth, and Partner Satisfaction

ERIC Educational Resources Information Center

Lindberg, Marc A.; Fugett, April; Thomas, Stuart W.

2012-01-01

The Attachment and Clinical Issues Questionnaire (ACIQ; M. A. Lindberg & S. W. Thomas, 2011), was developed over an 18-year period containing 29 scales. The purpose of the present study was to test (a) the validity of the attachment scales in terms of how they predict to whom one turns in times of stress and for affective sharing, and (b) how the…

The internal mammary artery as a shunt in a noncyanotic infant with hemitruncus: surgical and anesthetic management.

PubMed

Mahan, Vicki L; Stevens, Randy M; Mesia, Cesar I; Schwartz, Roy E; Moulick, Achintya N

2016-08-01

The internal mammary artery (IMA) has been used as a systemic-to-pulmonary artery shunt in selected patients with congenital heart disease. Growth and development of hypoplastic pulmonary arteries have been described. We discuss the surgical and anesthetic management of an infant with an atretic-thrombosed right pulmonary artery originating from the ascending aorta in whom the IMA was used to create a systemic-to-pulmonary artery shunt after failure of a previous shunt and later successful pulmonary artery reconstruction. The IMA should be considered as an alternative conduit in patients requiring a systemic-to-pulmonary artery shunt for growth of pulmonary arteries. Copyright © 2016 Elsevier Inc. All rights reserved.

Characteristics and survival of patients with end stage renal disease and spina bifida in the United States renal data system.

PubMed

Ouyang, Lijing; Bolen, Julie; Valdez, Rodolfo; Joseph, David; Baum, Michelle A; Thibadeau, Judy

2015-02-01

We describe the characteristics, treatments and survival of patients with spina bifida in whom end stage renal disease developed from 2004 through 2008 in the United States Renal Data System. We used ICD-9-CM code 741.* to identify individuals with spina bifida using hospital inpatient data from 1977 to 2010, and physician and facility claims from 2004 to 2008. We constructed a 5:1 comparison group of patients with end stage renal disease without spina bifida matched by age at first end stage renal disease service, gender and race/ethnicity. We assessed the risk of mortality and of renal transplantation while on dialysis using multivariate cause specific proportional hazards survival analysis. We also compared survival after the first renal transplant from the first end stage renal disease service to August 2011. We identified 439 patients with end stage renal disease and spina bifida in whom end stage renal disease developed at an average younger age than in patients without spina bifida (41 vs 62 years, p <0.001) and in whom urological issues were the most common primary cause of end stage renal disease. Compared to patients with end stage renal disease without spina bifida those who had spina bifida showed a similar mortality hazard on dialysis and after transplantation. However, patients with end stage renal disease without spina bifida were more likely to undergo renal transplantation than patients with spina bifida (HR 1.51, 95% CI 1.13-2.03). Hospitalizations related to urinary tract infections were positively associated with the risk of death on dialysis in patients with end stage renal disease and spina bifida (HR 1.42, 95% CI 1.33-1.53). Spina bifida was not associated with increased mortality in patients with end stage renal disease on dialysis or after renal transplantation. Proper urological and bladder management is imperative in patients with spina bifida, particularly in adults. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Translucent Procedures, Abstraction without Opacity

DTIC Science & Technology

1993-10-01

Justi1ficatilon By- Distribut •c._/ rAviiii andi or Dist Sp• ialI I ..da A Guillermo Rozas Mazo (1931-1990). c~uyo desco de dar a sus hijos la cducaci6n... que dI no pudo recibir. con este trabajo realizo. Lo proinetido es deuda. Acknowledgments There are many people to whom I owe my sanity and to whom I...constant value). This expression gives us the value of the last unknown. 4. Once the residual system is solved, compute the value of the eliminated un

"Bail out" procedures for malpositioning of aortic valve prosthesis (CoreValve).

PubMed

Vavouranakis, Manolis; Vrachatis, Dimitrios A; Toutouzas, Konstantinos P; Chrysohoou, Christina; Stefanadis, Christodoulos

2010-11-05

Two techniques for correcting malpositioning occurring during percutaneous aortic valve replacement (PAVR) with the CoreValve ReValving™ System are described in this article. The "Removing and Reinserting Technique" was used in 2 patients, in whom the prosthesis was positioned too high. The "Snare Technique" was used in 1 patient, in whom the prosthesis was implanted too low. In all patients the aortic valve prosthesis was successfully re-implanted. Copyright © 2009 Elsevier Ireland Ltd. All rights reserved.

Chronic calcific constrictive pericarditis complicating Churg-Strauss syndrome: first reported case.

PubMed

Aboukhoudir, Falah; Pansieri, Michel; Rekik, Sofiene

2014-10-01

Churg-Strauss syndrome is a necrotizing systemic vasculitis characterized by extravascular granulomas and eosinophilic infiltrates of small vessels. Although cardiac complications are considered to be relatively common, no case of constrictive calcified pericarditis has ever been previously described in this setting. In this report, we present the case of a 46-year-old man with Churg-Strauss syndrome, in whom we were able to document the development of symptomatic calcific constrictive pericarditis during a 10-year period despite long-term corticosteroid therapy. Georg Thieme Verlag KG Stuttgart · New York.

CAPITATION IN HEALTHCARE FINANCING IN GHANA.

PubMed

Aboagye, A Q Q

2013-05-01

To analyse implementation of the pilot study of the per capita system of healthcare financing in Ghana in 2012 for a determination of the likelihood of realising the inherent theoretical benefits when the system is rolled out nationally. First, publicly available information on how the pilot unfolded is presented, followed by the reaction of the health authorities to these developments. We then analysed accrued evidence on costs and developments vis-à-vis the theoretical benefits. It would appear that preparation for the pilot exercise could have been handled better. Concerns include i) the low level of both education and awareness of the capitation system among healthcare subscribers and primary care providers; ii) confusion about service provider to whom subscribers had been assigned for the capitation period; and iii) service providers not understanding differences between capitation financing and financing under the Ghana diagnostic Related Grouping; and iv) some indication of cost savings. Cost savings may be available nationally. This is important because cost containment is the driving force behind the introduction of the capitation system.

No Electromagnetic Interference Occurred in a Patient with a HeartMate II Left Ventricular Assist System and a Subcutaneous Implantable Cardioverter-Defibrillator.

PubMed

Raman, Ajay Sundara; Shabari, Farshad Raissi; Kar, Biswajit; Loyalka, Pranav; Hariharan, Ramesh

2016-04-01

The use of subcutaneous implantable cardioverter-defibrillators is a novel option for preventing arrhythmia-mediated cardiac death in patients who are at risk of endovascular-device infection or in whom venous access is difficult. However, the potential for electromagnetic interference between subcutaneous defibrillators and left ventricular assist devices is largely unknown. We report the case of a 24-year-old man in whom we observed no electromagnetic interference between a subcutaneous implanted cardioverter-defibrillator and a HeartMate II Left Ventricular Assist System, at 3 different pump speeds. To our knowledge, this is the first report of such findings in this circumstance.

No Electromagnetic Interference Occurred in a Patient with a HeartMate II Left Ventricular Assist System and a Subcutaneous Implantable Cardioverter-Defibrillator

PubMed Central

Raman, Ajay Sundara; Kar, Biswajit; Loyalka, Pranav; Hariharan, Ramesh

2016-01-01

The use of subcutaneous implantable cardioverter-defibrillators is a novel option for preventing arrhythmia-mediated cardiac death in patients who are at risk of endovascular-device infection or in whom venous access is difficult. However, the potential for electromagnetic interference between subcutaneous defibrillators and left ventricular assist devices is largely unknown. We report the case of a 24-year-old man in whom we observed no electromagnetic interference between a subcutaneous implanted cardioverter-defibrillator and a HeartMate II Left Ventricular Assist System, at 3 different pump speeds. To our knowledge, this is the first report of such findings in this circumstance. PMID:27127441

Development of Geography and Geology Terminology in British Sign Language

NASA Astrophysics Data System (ADS)

Meara, Rhian; Cameron, Audrey; Quinn, Gary; O'Neill, Rachel

2016-04-01

The BSL Glossary Project, run by the Scottish Sensory Centre at the University of Edinburgh focuses on developing scientific terminology in British Sign Language for use in the primary, secondary and tertiary education of deaf and hard of hearing students within the UK. Thus far, the project has developed 850 new signs and definitions covering Chemistry, Physics, Biology, Astronomy and Mathematics. The project has also translated examinations into BSL for students across Scotland. The current phase of the project has focused on developing terminology for Geography and Geology subjects. More than 189 new signs have been developed in these subjects including weather, rivers, maps, natural hazards and Geographical Information Systems. The signs were developed by a focus group with expertise in Geography and Geology, Chemistry, Ecology, BSL Linguistics and Deaf Education all of whom are deaf fluent BSL users.

Orthotopic liver transplantation for portosystemic encephalopathy in an adult with congenital absence of the portal vein.

PubMed

Wojcicki, Maciej; Haagsma, Elizabeth B; Gouw, Annette S H; Slooff, Maarten J H; Porte, Robert J

2004-09-01

Congenital absence of the portal vein (CAPV) is a very rare venous malformation in which mesenteric venous blood drains directly into the systemic circulation. There is no portal perfusion of the liver and no portal hypertension. This abnormality is usually coincidentally discovered in children, the majority of whom have no signs of encephalopathy and only slightly abnormal liver function tests. Additional anomalies common in CAPV are cardiovascular abnormalities and hepatic tumors. To date, only 5 adult patients (>18 years) with CAPV have been described, none of whom underwent liver transplantation. We describe a 45-year-old man with CAPV and end-stage renal insufficiency due to focal segmental glomerulopathy, who developed therapy-resistant encephalopathy with intermittently high ammonia levels. The patient underwent a combined liver and kidney transplantation and is doing well at 2.5 years of follow-up. Histopathological examination of the native liver showed no portal vein branches in the portal tracts. In conclusion, our experience suggests that, although children with CAPV usually have no symptoms of encephalopathy, this may still develop at a later stage in adult life. When encephalopathy becomes refractory to medical therapy, orthotopic liver transplantation (OLT) can be successfully performed with restoration of normal cerebral function.

A Vision for MSSP

NASA Astrophysics Data System (ADS)

Mottershead, John E.

2015-05-01

MSSP is our journal. It developed out of the research community and in that sense is owned by us, its readers and authors. It was started by a small group, all international leaders in System Identification, Measurement and Signal Processing, Modal Analysis, Machine and Structural Diagnostics etc., several of whom still provide invaluable advice and guidance through their work on the Editorial Board. Most importantly, Simon's leadership for almost three decades has been inspirational, dedicated and energetic. So, it is a great honour for me to have been invited to assume the editorial leadership of MSSP and continue the work of serving a new generation of researchers in the broad and evolving field of Mechanical Systems and Signal Processing.

Project on Academic Striving: The Moderation of Stress in the Lives of the Students of an Urban Intermediate School. A Project to Coordinate Research and Environmental Intervention. Final Report. Executive Summary.

ERIC Educational Resources Information Center

Grannis, Joseph C.; Fahs, Mary Ellen

This document summarizes the evaluation of a project that studied social, physical, and academic stress in the lives of students in an inner-city intermediate school and developed interventions to reduce that stress. Over 242 students, most of whom were from low-income families and almost all of whom were black, participated in the project. The…

Autoimmune/auto-inflammatory syndrome induced by adjuvants (ASIA) after quadrivalent human papillomavirus vaccination in Colombians: a call for personalised medicine.

PubMed

Anaya, Juan-Manuel; Reyes, Benjamin; Perdomo-Arciniegas, Ana M; Camacho-Rodríguez, Bernardo; Rojas-Villarraga, Adriana

2015-01-01

This was a case study in which 3 patients with autoimmune/auto-inflammatory syndrome induced by adjuvants (ASIA) after quadrivalent human papillomavirus vaccination (HPV) were evaluated and described. All the patients were women. Diagnosis consisted of HLA-B27 enthesitis related arthritis, rheumatoid arthritis and systemic lupus erythematous, respectively. Our results highlight the risk of developing ASIA after HPV vaccination and may serve to increase the awareness of such a complication. Factors that are predictive of developing autoimmune diseases should be examined at the population level in order to establish preventive measures in at-risk individuals for whom healthcare should be personalized and participatory.

Bucknell On-Line Circulation System; A Library Staff View.

ERIC Educational Resources Information Center

Rivoire, Helena

The Bucknell On-Line Circulation System (BLOCS) was designed to meet the requirements of a circulation system of the Ellen Clarke Bertrand Library of Bucknell University. The requirements for an automated system were, in sum: (1) a system whose operations were not only reliable but simple enough for student assistants (many of whom work only 10…

Managing Systemic Change: Future Roles for Social Learning Systems and Communities of Practice?

NASA Astrophysics Data System (ADS)

Blackmore, Chris

The Open University course that prompted this book, and for which it is part of the required reading, focuses on managing systemic change. The course is designed for people who want to develop their skills and understanding in systems thinking and practice, to be used in a range of different domains. Most of the examples in the course come from work-based settings. The idea of managing in this context is mainly about appreciating situations with others, recognising what actions are desirable and feasible and for whom, and getting organised, in order to affect or respond to change in a positive way. It has little to do with control. As Vickers (1978, p. 81) said 'I do not think it too much to hope that an understanding of systemic relations may bring us a better understanding of our limitations and even our possibilities.'

Radiologic findings in late-onset systemic lupus erythematosus

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

Braunstein, E.M.; Weissman, B.N.; Sosman, J.L.

1983-03-01

Systemic lupus erythematosus in the elderly has a different clinical and serologic course from that in young patients. Radiographic findings in patients in whom the diagnosis was made after age 50 were compared with findings in younger patients to see if the radiologic patterns are also different. The only significant radiographic difference between the two groups was that the older group had a greater incidence of soft-tissue swelling of the hands and wrists (p < 0.001). There was no significant difference in osteopenia, erosion, soft-tissue calcification, alignment abnormalities, or intrathoracic findings. Of 24 patients over age 50, two developed lymphomamore » and another developed multiple myeloma. The data agree with clinical observations that there is a higher incidence of arthritis in late-onset lupus, but clinical findings of increased incidence of pleuropericardial disease are not confirmed radiographically. The coincidence of hematologic malignancy with late-onset lupus in this series is noteworthy.« less

36 CFR 61.3 - Implementation of this part.

Code of Federal Regulations, 2012 CFR

2012-07-01

... State, tribal, or local government system establishes and maintains accounting standards substantially...) member whom the Secretary has approved as meeting “the Secretary's (Historic Preservation) Professional...

36 CFR 61.3 - Implementation of this part.

Code of Federal Regulations, 2014 CFR

2014-07-01

... State, tribal, or local government system establishes and maintains accounting standards substantially...) member whom the Secretary has approved as meeting “the Secretary's (Historic Preservation) Professional...

36 CFR 61.3 - Implementation of this part.

Code of Federal Regulations, 2013 CFR

2013-07-01

... State, tribal, or local government system establishes and maintains accounting standards substantially...) member whom the Secretary has approved as meeting “the Secretary's (Historic Preservation) Professional...

36 CFR 61.3 - Implementation of this part.

Code of Federal Regulations, 2010 CFR

2010-07-01

... State, tribal, or local government system establishes and maintains accounting standards substantially...) member whom the Secretary has approved as meeting “the Secretary's (Historic Preservation) Professional...

36 CFR 61.3 - Implementation of this part.

Code of Federal Regulations, 2011 CFR

2011-07-01

... State, tribal, or local government system establishes and maintains accounting standards substantially...) member whom the Secretary has approved as meeting “the Secretary's (Historic Preservation) Professional...

Renewed mobilization against malaria.

PubMed

1991-01-01

1 million people die in the world from malaria annually, 800,000 of whom are 5 year old children in Sub-Sahara Africa. Further it affects 270 million people. In fact, 110 million develop malaria, 90 million of whom are from Sub-Saharan Africa. Thus WHO has introduced a new world initiative for malaria control to reverse the worsening trend that began in the mid 1970s. In October 1991, 150 officials from 50 African, Asian, and Latin American countries and participants from UN cooperation and development agencies and bilateral agencies attended an interregional conference at the WHO Regional office for Africa in Brazzaville, Congo. It strove to evaluate malaria situations specific to Africa, to update the malaria control plan in Africa, and to contribute to the development of an implementable world strategy. This world strategy needs to consider the local situation and encourage participation of the government and people of affected countries. Further individuals, communities, and various sectors of the national economy including those involved in health, education, development, and agriculture need to participate in malaria control. In addition, for this strategy to work, most countries must strengthen the management and financing of health services to meet their needs. For example, local populations must share local operating costs such as those for essential drugs and mosquito control operations. Community participation must also include personal protection such as impregnated bed nets and environmental measures. Besides malaria control must be integrated into the existing health system at country, provincial, and peripheral levels. In sum, improved case management, control of malaria transmission, and prevention and control of epidemics form the basis for the new strategy.

Making MEPA-IEP work: tools for professionals.

PubMed

McRoy, Ruth; Mica, Maryanne; Freundlich, Madelyn; Kroll, Joe

2007-01-01

The Multiethnic Placement Act of 1994 and the Interethnic Adoption Provisions of 1996 (MEPA-IEP) require states to develop plans that "provide for the diligent recruitment of potential foster and adoptive families that reflect the ethnic and racial diversity of children in the state for whom foster and adoptive homes are needed." This paper explores the background of MEPA-IEP, describes the disparate outcomes for minority children in the child welfare system, and identifies agency challenges in finding permanent families for African American children. Tools are provided for successfully recruiting families while following MEPA-IEP and avoiding potentially discriminatory practices in placement decisionmaking.

32 CFR Appendix F to Part 505 - Example of a System of Records Notice

Code of Federal Regulations, 2011 CFR

2011-07-01

... series number related to the subject matter, and the final letter group shows the system manager's... use office symbols. (e) Categories of Individuals: Describe the individuals covered by the system. Use non-technical, specific categories of individuals about whom the Department of Army keeps records. Do...

32 CFR Appendix F to Part 505 - Example of a System of Records Notice

Code of Federal Regulations, 2013 CFR

2013-07-01

... series number related to the subject matter, and the final letter group shows the system manager's... use office symbols. (e) Categories of Individuals: Describe the individuals covered by the system. Use non-technical, specific categories of individuals about whom the Department of Army keeps records. Do...

5 CFR 297.307 - Statement of disagreement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Section 297.307 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PRIVACY... concise statement of disagreement. Such a statement should be filed with the appropriate system manager... system manager should provide a copy of the statement of disagreement to any individual or agency to whom...

5 CFR 297.307 - Statement of disagreement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Section 297.307 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PRIVACY... concise statement of disagreement. Such a statement should be filed with the appropriate system manager... system manager should provide a copy of the statement of disagreement to any individual or agency to whom...

Embedded System for Prosthetic Control Using Implanted Neuromuscular Interfaces Accessed Via an Osseointegrated Implant.

PubMed

Mastinu, Enzo; Doguet, Pascal; Botquin, Yohan; Hakansson, Bo; Ortiz-Catalan, Max

2017-08-01

Despite the technological progress in robotics achieved in the last decades, prosthetic limbs still lack functionality, reliability, and comfort. Recently, an implanted neuromusculoskeletal interface built upon osseointegration was developed and tested in humans, namely the Osseointegrated Human-Machine Gateway. Here, we present an embedded system to exploit the advantages of this technology. Our artificial limb controller allows for bioelectric signals acquisition, processing, decoding of motor intent, prosthetic control, and sensory feedback. It includes a neurostimulator to provide direct neural feedback based on sensory information. The system was validated using real-time tasks characterization, power consumption evaluation, and myoelectric pattern recognition performance. Functionality was proven in a first pilot patient from whom results of daily usage were obtained. The system was designed to be reliably used in activities of daily living, as well as a research platform to monitor prosthesis usage and training, machine-learning-based control algorithms, and neural stimulation paradigms.

Recurring ventriculitis due to Citrobacter diversus: clinical and bacteriologic analysis.

PubMed

Eppes, S C; Woods, C R; Mayer, A S; Klein, J D

1993-09-01

Neonatal meningitis due to Citrobacter diversus is usually accompanied by the development of brain abscesses and tends to have high rates of morbidity and mortality. We report a case of a newborn with C. diversus meningitis and brain abscesses who relapsed after initial antibiotic therapy and from whom C. diversus was recovered from cerebrospinal fluid 4 years later during a neurosurgical procedure. Genetic differences in the early and late isolates were discovered, and explanations for this phenomenon are suggested. Possible mechanisms for prolonged persistence in the central nervous system are explored. This unusual case and the analysis of the organisms illustrate the unique features of C. diversus as a pathogen and underscore the need for developing optimal therapeutic strategies.

24 CFR 10.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-04-01

... Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development... formulating the issuance, modification, or repeal of a rule. (c) Secretary means the Secretary or the Under Secretary of Housing and Urban Development, or an official to whom the Secretary has expressly delegated...

24 CFR 10.2 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-04-01

... Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development... formulating the issuance, modification, or repeal of a rule. (c) Secretary means the Secretary or the Under Secretary of Housing and Urban Development, or an official to whom the Secretary has expressly delegated...

24 CFR 10.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development... formulating the issuance, modification, or repeal of a rule. (c) Secretary means the Secretary or the Under Secretary of Housing and Urban Development, or an official to whom the Secretary has expressly delegated...

24 CFR 10.2 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-04-01

... Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development... formulating the issuance, modification, or repeal of a rule. (c) Secretary means the Secretary or the Under Secretary of Housing and Urban Development, or an official to whom the Secretary has expressly delegated...

24 CFR 10.2 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-04-01

... Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development... formulating the issuance, modification, or repeal of a rule. (c) Secretary means the Secretary or the Under Secretary of Housing and Urban Development, or an official to whom the Secretary has expressly delegated...

Training faculty in Bangladesh to use a microcomputer for public health: followup report.

PubMed Central

Gould, J B; Frerichs, R R

1986-01-01

In 1984 the Western Consortium for the Health Professions, Inc., under contract to the United Nations Fund for Population Activities (UNFPA), began a project to assist Bangladesh's National Institute for Preventive and Social Medicine (NIPSOM) in establishing a microcomputing capability. The project's goal was to enable NIPSOM to become self-sufficient in the analysis by microcomputer of health, population, and family planning data; program evaluation; and policy activities. Lack of a local microcomputer infrastructure demanded that a local team of experts be developed to run the system described in a previous report. Five NIPSOM faculty members--three of whom had taken the workshop held when the system was first installed--were assigned to a computer committee, which was responsible for the computer's well-being. Six months after the microcomputer system was installed, a second 2-week workshop was given. The consortium's consultant facilitated the development of a basic microcomputer course, which was taught by four members of the computer committee to an additional eight NIPSOM faculty members. Emphasis was placed on developing local self-reliance and the need to overcome obstacles imposed by the lack of local hardware and software support systems. A strategy is proposed for the successful introduction of microcomputers in developing countries. PMID:3097742

Systems Approach as a Handcuff to Curb the Democratization of Curriculums: Systems Approach for What and for Whom?

ERIC Educational Resources Information Center

Sahin, Abdurrahman

2007-01-01

This study reinvestigates the systems approach, which is, among educators, a well-recognized approach reflecting the fundamental discourses of the industrial order. The pervasive discourses of the industrial order that failed to invite a holistic view for students have led to a conceptual division. This systemic thinking has thus started viewing…

A clinical scoring system for predicting nonalcoholic steatohepatitis in morbidly obese patients.

PubMed

Campos, Guilherme M; Bambha, Kiran; Vittinghoff, Eric; Rabl, Charlotte; Posselt, Andrew M; Ciovica, Ruxandra; Tiwari, Umesh; Ferrel, Linda; Pabst, Mark; Bass, Nathan M; Merriman, Raphael B

2008-06-01

Nonalcoholic steatohepatitis (NASH) is common in morbidly obese persons. Liver biopsy is diagnostic but technically challenging in such individuals. This study was undertaken to develop a clinically useful scoring system to predict the probability of NASH in morbidly obese persons, thus assisting in the decision to perform liver biopsy. Consecutive subjects undergoing bariatric surgery without evidence of other liver disease underwent intraoperative liver biopsy. The outcome was pathologic diagnosis of NASH. Predictors evaluated were demographic, clinical, and laboratory variables. A clinical scoring system was constructed by rounding the estimated regression coefficients for the independent predictors in a multivariate logistic model for the diagnosis of NASH. Of 200 subjects studied, 64 (32%) had NASH. Median body mass index was 48 kg/m(2) (interquartile range, 43-55). Multivariate analysis identified six predictive factors for NASH: the diagnosis of hypertension (odds ratio [OR], 2.4; 95% confidence interval [CI], 1-5.6), type 2 diabetes (OR, 2.6; 95% CI, 1.1-6.3), sleep apnea (OR, 4.0; 95% CI, 1.3-12.2), AST > 27 IU/L (OR, 2.9; 95% CI, 1.2-7.0), alanine aminotransferase (ALT) > 27 IU/L (OR, 3.3; 95% CI, 1.4-8.0), and non-Black race (OR, 8.4; 95% CI, 1.9-37.1). A NASH Clinical Scoring System for Morbid Obesity was derived to predict the probability of NASH in four categories (low, intermediate, high, and very high). The proposed clinical scoring can predict NASH in morbidly obese persons with sufficient accuracy to be considered for clinical use, identifying a very high-risk group in whom liver biopsy would be very likely to detect NASH, as well as a low-risk group in whom biopsy can be safely delayed or avoided.

Project on Academic Striving: The Moderation of Stress in the Lives of the Students of an Urban Intermediate School. A Project To Coordinate Research and Environmental Intervention. Final Report to the William T. Grant Foundation. Volume One [and] Volume Two.

ERIC Educational Resources Information Center

Grannis, Joseph C.; Fahs, Mary Ellen

This report evaluates a project that studied social, physical, and academic stress in the lives of students in an inner-city intermediate school and developed interventions to reduce that stress. Over 242 students, most of whom were from low-income families and almost all of whom were black, participated in the project. The following findings are…

[An intense result contract].

PubMed

Allard, R H B

2009-12-01

As a consequence of developments in the oral health care profession and in society as a whole horizontally organized oral health care is becoming increasingly widely accepted. For patients, this brings increasing obscurity along with it regarding questions as to whom is responsible for what exactly. In case of conflict it will also become more difficult for lawyers to determine with whom a patient has entered into a (partial) treatment agreement. In order to put an end to such obscurity this article makes a case for legislation prescribing centralized liability for oral health care centres.

Towards a framework for personalized healthcare: lessons learned from the field of rare diseases.

PubMed

Tambuyzer, Erik

2010-09-01

A large percentage of medicines do not work for the patient populations they are intended to treat. Increased knowledge regarding genomics and the underlying biological mechanism of diseases should help us be able to stratify patients into groups of likely responders and nonresponders, and to identify those patients for whom a treatment might do more harm than good. This article sets out different policy perspectives for the healthcare systems, and draws in on 25 years of particular experience from the rare disease and orphan drug field, to illuminate the pathway forward in relation to key implementation aspects of personalized healthcare. In principle, we submit that targeting medicines to preidentified groups for whom we can predict a beneficial outcome is a good thing for everyone - first of all for the patients, but also for all the other stakeholders, including payers, treating physicians and industry - because it has the potential to create sustainable and functioning healthcare systems directed to better health and prevention of disease. Personalized healthcare over time could also lead to shorter drug-development times because of lower rates of failure in late-stage drug development. Using orphan medicines to treat well-diagnosed patients suffering from a life-threatening or seriously debilitating rare disease, is an attempt to work according to these principles. As there is much that needs to be done to turn the promise into reality, we need to identify the barriers and challenges to transform the potential opportunities into real-life benefits, and what needs to be done in order to overcome them. Learning from the field of rare diseases and orphan drugs may provide, perhaps unexpectedly, some of the answers to public policy questions related to future (personalized) healthcare, but of course not all aspects, are common between the two fields.

Developing an Outcome Measure With High Luminance for Optogenetics Treatment of Severe Retinal Degenerations and for Gene Therapy of Cone Diseases.

PubMed

Cideciyan, Artur V; Roman, Alejandro J; Jacobson, Samuel G; Yan, Boyuan; Pascolini, Michele; Charng, Jason; Pajaro, Simone; Nirenberg, Sheila

2016-06-01

To present stimuli with varied sizes, colors, and patterns over a large range of luminance. The filter bar used in scotopic MP1 was replaced with a custom slide-in tray that introduces light from an external projector driven by an additional computer. MP1 software was modified to provide retinal tracking information to the computer driving the projector. Retinal tracking performance was evaluated by imaging the system input and the output simultaneously with a high-speed video system. Spatial resolution was measured with achromatic and chromatic grating/background combinations over scotopic and photopic ranges. The range of retinal illuminance achievable by the modification was up to 6.8 log photopic Trolands (phot-Td); however, in the current work, only a lower range over -4 to +3 log phot-Td was tested in human subjects. Optical magnification was optimized for low-vision testing with gratings from 4.5 to 0.2 cyc/deg. In normal subjects, spatial resolution driven by rods, short wavelength-sensitive (S-) cones, and long/middle wavelength-sensitive (L/M-) cones was obtained by the choice of adapting conditions and wavelengths of grating and background. Data from a patient with blue cone monochromacy was used to confirm mediation. The modified MP1 can be developed into an outcome measure for treatments in patients with severe retinal degeneration, very low vision, and abnormal eye movements such as those for whom treatment with optogenetics is planned, as well as for patients with cone disorders such as blue cone monochromacy for whom treatment with gene therapy is planned to improve L/M-cone function above a normal complement of rod and S-cone function.

Developing an Outcome Measure With High Luminance for Optogenetics Treatment of Severe Retinal Degenerations and for Gene Therapy of Cone Diseases

PubMed Central

Cideciyan, Artur V.; Roman, Alejandro J.; Jacobson, Samuel G.; Yan, Boyuan; Pascolini, Michele; Charng, Jason; Pajaro, Simone; Nirenberg, Sheila

2016-01-01

Purpose To present stimuli with varied sizes, colors, and patterns over a large range of luminance. Methods The filter bar used in scotopic MP1 was replaced with a custom slide-in tray that introduces light from an external projector driven by an additional computer. MP1 software was modified to provide retinal tracking information to the computer driving the projector. Retinal tracking performance was evaluated by imaging the system input and the output simultaneously with a high-speed video system. Spatial resolution was measured with achromatic and chromatic grating/background combinations over scotopic and photopic ranges. Results The range of retinal illuminance achievable by the modification was up to 6.8 log photopic Trolands (phot-Td); however, in the current work, only a lower range over −4 to +3 log phot-Td was tested in human subjects. Optical magnification was optimized for low-vision testing with gratings from 4.5 to 0.2 cyc/deg. In normal subjects, spatial resolution driven by rods, short wavelength-sensitive (S-) cones, and long/middle wavelength-sensitive (L/M-) cones was obtained by the choice of adapting conditions and wavelengths of grating and background. Data from a patient with blue cone monochromacy was used to confirm mediation. Conclusions The modified MP1 can be developed into an outcome measure for treatments in patients with severe retinal degeneration, very low vision, and abnormal eye movements such as those for whom treatment with optogenetics is planned, as well as for patients with cone disorders such as blue cone monochromacy for whom treatment with gene therapy is planned to improve L/M-cone function above a normal complement of rod and S-cone function. PMID:27309625

Community-based participatory research and integrated knowledge translation: advancing the co-creation of knowledge.

PubMed

Jull, Janet; Giles, Audrey; Graham, Ian D

2017-12-19

Better use of research evidence (one form of "knowledge") in health systems requires partnerships between researchers and those who contend with the real-world needs and constraints of health systems. Community-based participatory research (CBPR) and integrated knowledge translation (IKT) are research approaches that emphasize the importance of creating partnerships between researchers and the people for whom the research is ultimately meant to be of use ("knowledge users"). There exist poor understandings of the ways in which these approaches converge and diverge. Better understanding of the similarities and differences between CBPR and IKT will enable researchers to use these approaches appropriately and to leverage best practices and knowledge from each. The co-creation of knowledge conveys promise of significant social impacts, and further understandings of how to engage and involve knowledge users in research are needed. We examine the histories and traditions of CBPR and IKT, as well as their points of convergence and divergence. We critically evaluate the ways in which both have the potential to contribute to the development and integration of knowledge in health systems. As distinct research traditions, the underlying drivers and rationale for CBPR and IKT have similarities and differences across the areas of motivation, social location, and ethics; nevertheless, the practices of CBPR and IKT converge upon a common aim: the co-creation of knowledge that is the result of knowledge user and researcher expertise. We argue that while CBPR and IKT both have the potential to contribute evidence to implementation science and practices for collaborative research, clarity for the purpose of the research-social change or application-is a critical feature in the selection of an appropriate collaborative approach to build knowledge. CBPR and IKT bring distinct strengths to a common aim: to foster democratic processes in the co-creation of knowledge. As research approaches, they create opportunities to challenge assumptions about for whom, how, and what is defined as knowledge, and to develop and integrate research findings into health systems. When used appropriately, CBPR and IKT both have the potential to contribute to and advance implementation science about the conduct of collaborative health systems research.

Comparing measures of attachment: "To whom one turns in times of stress", parental warmth, and partner satisfaction.

PubMed

Lindberg, Marc A; Fugett, April; Thomas, Stuart W

2012-01-01

The Attachment and Clinical Issues Questionnaire (ACIQ; M. A. Lindberg & S. W. Thomas, 2011), was developed over an 18-year period containing 29 scales. The purpose of the present study was to test (a) the validity of the attachment scales in terms of how they predict to whom one turns in times of stress and for affective sharing, and (b) how the attachment scales compared with the Experiences in Close Relationship Questionnaire (ECR) in terms of concurrent, convergent, and discriminant evidence. The relevant secure scales of the ACIQ predicted to whom one turned in study 1, and study 2 demonstrated good convergent evidence with the ECR, but superior concurrent evidence in predicting partner satisfaction, and superior discriminant evidence in differentially correlating with mother and father warmth. Thus, the ACIQ passed essential validity and psychometric tests and was a more robust measure than the ECR with these defining characteristics of attachment.

Suitable for Whom? The Case of System of Rice Intensification in Tanzania

ERIC Educational Resources Information Center

Tumusiime, Emmanuel

2017-01-01

Purpose: This study examines the suitability of the system of rice intensification (SRI) for diverse small-scale farmers in Tanzania by exploring if poor and non-poor farmers adopt the system to a similar extent. Originality: The suitability of low-external input technologies such as SRI for diverse African farmers is a contentious issue. Existing…

Development of a tool for calculating early internal doses in the Fukushima Daiichi nuclear power plant accident based on atmospheric dispersion simulation

NASA Astrophysics Data System (ADS)

Kurihara, Osamu; Kim, Eunjoo; Kunishima, Naoaki; Tani, Kotaro; Ishikawa, Tetsuo; Furuyama, Kazuo; Hashimoto, Shozo; Akashi, Makoto

2017-09-01

A tool was developed to facilitate the calculation of the early internal doses to residents involved in the Fukushima Nuclear Disaster based on atmospheric transport and dispersion model (ATDM) simulations performed using Worldwide version of System for Prediction of Environmental Emergency Information 2nd version (WSPEEDI-II) together with personal behavior data containing the history of the whereabouts of individul's after the accident. The tool generates hourly-averaged air concentration data for the simulation grids nearest to an individual's whereabouts using WSPEEDI-II datasets for the subsequent calculation of internal doses due to inhalation. This paper presents an overview of the developed tool and provides tentative comparisons between direct measurement-based and ATDM-based results regarding the internal doses received by 421 persons from whom personal behavior data available.

76 FR 66752 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-27

...-OPR-001 system is maintained to provide for the resolution of allegations of misconduct made against... misconduct by attorneys outside DOJ, and makes such referrals where warranted. OPR is revising the categories... allegations of professional misconduct which have been referred to OPR and about whom information is...

48 CFR 9901.309 - Quorum.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Quorum. 9901.309 Section 9901.309 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET ADMINISTRATION RULES AND PROCEDURES 9901.309 Quorum. Three Board members, at least one of whom is...

12 CFR 1403.6 - Special procedures for medical records.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Section 1403.6 Banks and Banking FARM CREDIT SYSTEM INSURANCE CORPORATION PRIVACY ACT REGULATIONS § 1403.6 Special procedures for medical records. Medical records in the custody of the Farm Credit System Insurance... the individual to whom they pertain or that person's authorized or legal representative or to a...

Functional Plasticity in Childhood Brain Disorders: When, What, How, and Whom to Assess

PubMed Central

Dennis, Maureen; Spiegler, Brenda J.; Simic, Nevena; Sinopoli, Katia J.; Wilkinson, Amy; Yeates, Keith Owen; Taylor, H. Gerry; Bigler, Erin D.; Fletcher, Jack M.

2014-01-01

At every point in the lifespan, the brain balances malleable processes representing neural plasticity that promote change with homeostatic processes that promote stability. Whether a child develops typically or with brain injury, his or her neural and behavioral outcome is constructed through transactions between plastic and homeostatic processes and the environment. In clinical research with children in whom the developing brain has been malformed or injured, behavioral outcomes provide an index of the result of plasticity, homeostasis, and environmental transactions. When should we assess outcome in relation to age at brain insult, time since brain insult, and age of the child at testing? What should we measure? Functions involving reacting to the past and predicting the future, as well as social-affective skills, are important. How should we assess outcome? Information from performance variability, direct measures and informants, overt and covert measures, and laboratory and ecological measures should be considered. In whom are we assessing outcome? Assessment should be cognizant of individual differences in gene, socio-economic status (SES), parenting, nutrition, and interpersonal supports, which are moderators that interact with other factors influencing functional outcome. PMID:24821533

Management of intracranial hemorrhage in patients with left ventricular assist devices.

PubMed

Wilson, Thomas J; Stetler, William R; Al-Holou, Wajd N; Sullivan, Stephen E; Fletcher, Jeffrey J

2013-05-01

The authors conducted a study to review outcomes and management in patients in whom intracranial hemorrhage (ICH) develops during left ventricular assist device (LVAD) therapy. This retrospective cohort study included all adult patients (18 years of age or older) at a single institution who underwent placement of an LVAD between January 1, 2003, and March 1, 2012. The authors conducted a detailed medical chart review, and data were abstracted to assess outcomes in patients in whom ICH developed compared to those in patients in whom ICH did not develop; to compare management of antiplatelet agents and anticoagulation with outcomes; to describe surgical management employed and outcomes achieved; to compare subtypes of ICH (intraparenchymal, subdural, and subarachnoid hemorrhage) and their outcomes; and to determine any predictors of outcome. During the study period, 330 LVADs were placed and 36 patients developed an ICH (traumatic subarachnoid hemorrhage in 10, traumatic subdural hematoma in 8, spontaneous intraventricular hemorrhage in 1, and spontaneous intraparenchymal hemorrhage in 17). All patients were treated with aspirin and warfarin at the time of presentation. With suspension of these agents, no thromboembolic events or pump failures were seen and no delayed rehemorrhages occurred after resuming these medications. Intraparenchymal hemorrhages had the worst outcomes, with a 30-day mortality rate in 59% compared with a 30-day mortality rate of 0% in patients with traumatic subarachnoid hemorrhages and 13% in those with traumatic subdural hematomas. Five patients with intraparenchymal hemorrhages were managed with surgical intervention, 4 of whom died within 60 days. The only factor found to be predictive of outcome was initial Glasgow Coma Scale score. No patients with a Glasgow Coma Scale score less than 11 survived beyond 30 days. Overall, the development of an ICH significantly reduced survival compared with the natural history of patients on LVAD therapy. The authors' data suggest that withholding aspirin for 1 week and warfarin for 10 days is sufficient to reduce the risk of hemorrhage expansion or rehemorrhage while minimizing the risk of thromboembolic events and pump failure. Patients with intraparenchymal hemorrhage have poor outcomes, whereas patients with traumatic subarachnoid hemorrhage or subdural hematoma have better outcomes.

Prospective study of awake craniotomy used routinely and nonselectively for supratentorial tumors.

PubMed

Serletis, Demitre; Bernstein, Mark

2007-07-01

The authors prospectively assessed the value of awake craniotomy used nonselectively in patients undergoing resection of supratentorial tumors. The demographic features, presenting symptoms, tumor location, histological diagnosis, outcomes, and complications were documented for 610 patients who underwent awake craniotomy for supratentorial tumor resection. Intraoperative brain mapping was used in 511 cases (83.8%). Mapping identified eloquent cortex in 115 patients (22.5%) and no eloquent cortex in 396 patients (77.5%). Neurological deficits occurred in 89 patients (14.6%). In the subset of 511 patients in whom brain mapping was performed, 78 (15.3%) experienced postoperative neurological worsening. This phenomenon was more common in patients with preoperative neurological deficits or in those individuals in whom mapping successfully identified eloquent tissue. Twenty-five (4.9%) of the 511 patients suffered intraoperative seizures, and two of these individuals required intubation and induction of general anesthesia after generalized seizures occurred. Four (0.7%) of the 610 patients developed wound complications. Postoperative hematomas developed in seven patients (1.1%), four of whom urgently required a repeated craniotomy to allow evacuation of the clot. Two patients (0.3%) required readmission to the hospital soon after being discharged. There were three deaths (0.5%). Awake craniotomy is safe, practical, and effective during resection of supratentorial lesions of diverse pathological range and location. It allows for intraoperative brain mapping that helps identify and protect functional cortex. It also avoids the complications inherent in the induction of general anesthesia. Awake craniotomy provides an excellent alternative to surgery of supratentorial brain lesions in patients in whom general anesthesia has been induced.

Failure of Urological Implants in Spinal Cord Injury Patients due to Infection, Malfunction, and Implants Becoming Obsolete due to Medical Progress and Age-Related Changes in Human Body Making Implant Futile: Report of Three Cases.

PubMed

Vaidyanathan, Subramanian; Soni, Bakul; Singh, Gurpreet; Hughes, Peter; Selmi, Fahed; Mansour, Paul

2013-01-01

Any new clinical data, whether positive or negative, generated about a medical device should be published because health professionals should know which devices do not work, as well as those which do. We report three spinal cord injury patients in whom urological implants failed to work. In the first, paraplegic, patient, a sacral anterior root stimulator failed to produce erection, and a drug delivery system for intracavernosal administration of vasoactive drugs was therefore implanted; however, this implant never functioned (and, furthermore, such penile drug delivery systems to produce erection had effectively become obsolete following the advent of phosphodiesterase type 5 inhibitors). Subsequently, the sacral anterior root stimulator developed a malfunction and the patient therefore learned to perform self-catheterisation. In the second patient, also paraplegic, an artificial urinary sphincter was implanted but the patient developed a postoperative sacral pressure sore. Eight months later, a suprapubic cystostomy was performed as urethral catheterisation was very difficult. The pressure sore had not healed completely even after five years. In the third case, a sacral anterior root stimulator was implanted in a tetraplegic patient in whom, after five years, a penile sheath could not be fitted because of penile retraction. This patient was therefore established on urethral catheter drainage. Later, infection with Staphylococcus aureus around the receiver block necessitated its removal. In conclusion, spinal cord injury patients are at risk of developing pressure sores, wound infections, malfunction of implants, and the inability to use implants because of age-related changes, as well as running the risk of their implants becoming obsolete due to advances in medicine. Some surgical procedures such as dorsal rhizotomy are irreversible. Alternative treatments such as intermittent catheterisations may be less damaging than bladder stimulator in the long term.

'Beyond the willing & the waiting' - The role of peer-based approaches in hepatitis C diagnosis & treatment.

PubMed

Henderson, Charles; Madden, Annie; Kelsall, Jenny

2017-12-01

This commentary seeks to examine the role, value and importance of peer-based programmatic approaches for ensuring the effective roll-out of the new hepatitis C (HCV) treatments among those most affected - that is, people who inject drugs (PWID). The authors examine recent approaches to HCV treatment in Australia including the provision of universal access to the new DAA regimens regardless of acquisition, genotype or severity of disease. These approaches are contextualised within wider global strategies to support HCV elimination as a public health threat by 2030 (WHO, 2016). Despite the unprecedented opportunity presented by the availability of the new treatments, the fact remains that those most affected by hepatitis C are still largely hidden and disconnected from the health system and are likely to stay that way without targeted education and support. There is a need to for greater investment in new and innovative HCV+ PWID peer education approaches for HCV diagnosis and treatment that add value to existing models of care to improve pathways and support people across their entire treatment journey. Key components include expanding existing peer-based programmes and developing new innovative peer initiatives, supporting the development of the PWID peer workforce, developing new, targeted peer education resources and promoting linkages and partnerships between peer based and HCV treatment service providers in primary and community settings. Our approach to HCV elimination needs to take account of people's broader lives, their vulnerabilities, their life journeys and their potential points of connection, engagement and access. Peer-based organisations and networks provide that unique point of engagement and access for those HCV+ PWID for whom the health system is an unfamiliar even forbidding place or for whom hepatitis C can be but one of many overwhelming issues in the lives. Copyright © 2017 Elsevier B.V. All rights reserved.

The Munsell Color System: a scientific compromise from the world of art.

PubMed

Cochrane, Sally

2014-09-01

Color systems make accurate color specification and matching possible in science, art, and industry by defining a coordinate system for all possible color perceptions. The Munsell Color System, developed by the artist Albert Henry Munsell in the early twentieth century, has influenced color science to this day. I trace the development of the Munsell Color System from its origins in the art world to its acceptance in the scientific community. Munsell's system was the first to accurately and quantitatively describe the psychological experience of color. By considering the problems that color posed for Munsell's art community and examining his diaries and published material, I conclude that Munsell arrived at his results by remaining agnostic as to the scientific definition of color, while retaining faith that color perceptions could be objectively quantified. I argue that Munsell was able to interest the scientific community in his work because color had become a controversial topic between physicists and psychologists. Parts of Munsell's system appealed to each field, making it a workable compromise. For contrast, I suggest that three contemporary scientists with whom Munsell had contact--Wilhelm Ostwald, Ogden Rood, and Edward Titchener--did not reach the same conclusions in their color systems because they started from scientific assumptions about the nature of color.

Significance of occipitoaxial angle in subaxial lesion after occipitocervical fusion.

PubMed

Matsunaga, S; Onishi, T; Sakou, T

2001-01-15

The significance of occipitoaxial angle in the development of subaxial subluxation after occipitocervical fusion was determined in a minimum 5-year follow-up study performed retrospectively. To clarify the association between the position of the fixed occipital bone and axis and the development of subaxial subluxation. There have been few reports describing the association between the position of fixation of the occipital bone and axis and subaxial lesion in occipitocervical fusion. Thirty-eight patients with rheumatoid arthritis who underwent occipitocervical fusion for irreducible atlantoaxial dislocation were reviewed. The angle between the McGregor line and the inferior surface of the axis (O-C2) was measured in healthy volunteers and patients who had undergone occipitocervical fusion. The association between any changes in the alignment of the cervical vertebrae and the development of subaxial subluxation during follow-up periods was studied. The number of the patients in whom postoperative kyphosis and swan neck deformity developed was only five, but in four (80%) of them, retroversion of the occipital bone was used to increase the O-C2 angle. In 14 patients, in whom anteversion of the occipital bone against the axis was excessive, 12 (86%) patients experienced subaxial subluxation after surgery. In the patients in whom fixed O-C2 angles were in normal range, only one patient developed such abnormal changes in the middle and lower cervical vertebrae. It is necessary to give attention to the position of the fixed occipital bone and axis during procedures of occipitoaxial fusion for patients with rheumatoid arthritis.

Churg-Strauss syndrome associated with montelukast therapy

PubMed Central

Tuggey, J; Hosker, H

2000-01-01

Churg-Strauss syndrome is a rare form of eosinophilic vasculitis associated with asthma. There have been several recent case reports of the condition in association with leukotriene antagonists and it has been speculated that the Churg-Strauss syndrome was unmasked when oral corticosteroids were withdrawn. We report a case of Churg-Strauss syndrome associated with montelukast therapy in an asthmatic patient in whom there had been no recent oral corticosteroid use. We believe that this is the first such reported case and would suggest that clinicians need to be vigilant in all patients who develop systemic symptoms when starting treatment with leukotriene antagonists.

 PMID:10950903

Lactic acidosis occurrence during exercises in the smoke chamber in a 53-year-old firefighter with no significant medical history.

PubMed

Bronisz, Agata; Spychalska, Magdalena; Szafrańska, Małgorzata

2014-04-01

Lactic acidosis is a form of metabolic acidosis with a high anion gap, reduced rate of arterial blood pH under 7.35 mmol/l, and lactic acid concentration over 7 mmol/l. In the literature we can find some descriptions of the cases of lactic acidosis in patients with severe systemic diseases (cancer, acquired immunodeficiency syndrome, sepsis, diabetes with cardiovascular disease and after organ transplantations). We present the case of lactic acidosis in a patient with no chronic disease--a firefighter in whom lactic acidosis has developed during standard exercises in the smoke chamber.

[PCR testing for Bordetella pertussis in household contacts as a diagnostic tool for atypical whooping cough in unvaccinated young infants].

PubMed

Cosnes-Lambe, Cecile; Raymond, Josette; Vallet, Christelle; Armengaud, Jean-Baptiste; Bosdure, Emmanuelle; Catalano-Pons, Charlotte; Chalumeau, Martin; El Hajje, Marie-Joelle; Moulin, Florence; de Suremain, Nathalie; Reglier-Poupet, Hélène; Poyart, Claire; Gendrel, Dominique

2008-10-01

False-negative findings of polymerase chain reaction (PCR) for genuine pertussis as well as the numerous atypical forms of whooping cough make it difficult to diagnose this disease in young babies. For two years, real-time PCR was performed to test for Bordetella pertussis in 86 infants younger than 6 months hospitalized for apnea or paroxysmal and/or vomiting cough and in 205 of their household contacts, whether or not they coughed. Group 1 included 30 infants for whom PCR detected B. pertussis (25 of whom were also RSV+). PCR was also positive for at least one household contact in 25/30 families. This group included 16 babies with apnea and 12 who developed a whooping cough during follow-up. Group 2 comprised 12 infants whose PCR was negative while at least one household contact had positive results. Five of these infants had severe apnea and 6 developed a whooping cough. Group 3 included 44 infants (28 RSV +) for whom PCR was negative in the index case and in the household contacts: none developed a whooping cough during follow-up. Only 3 of the 54 positive household contacts had a paroxysmal cough or a typical whooping cough and 12 had no cough at all. Positive PCR in a household contact, symptomatic or not, is helpful for the diagnosis of atypical whooping cough in young infants.

Student Organizations as Avenues for Leader Learning and Development.

PubMed

Sessa, Valerie I; Alonso, Nicole; Farago, Pamela; Schettino, Gaynell; Tacchi, Kelcie; Bragger, Jennifer D

2017-09-01

This chapter describes theory and research demonstrating that the experiences students have within student organizations, and the people with whom they interact within those organizations, are powerful triggers for leader learning and development. © 2017 Wiley Periodicals, Inc., A Wiley Company.

10 CFR 1008.20 - Content of systems of records.

Code of Federal Regulations, 2011 CFR

2011-01-01

...) The DOE will maintain no record describing how any individual exercises rights guaranteed by the First Amendment unless expressly authorized by statute or by the individual about whom the record is maintained or...

10 CFR 1008.20 - Content of systems of records.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) The DOE will maintain no record describing how any individual exercises rights guaranteed by the First Amendment unless expressly authorized by statute or by the individual about whom the record is maintained or...

10 CFR 1008.20 - Content of systems of records.

Code of Federal Regulations, 2014 CFR

2014-01-01

...) The DOE will maintain no record describing how any individual exercises rights guaranteed by the First Amendment unless expressly authorized by statute or by the individual about whom the record is maintained or...

10 CFR 1008.20 - Content of systems of records.

Code of Federal Regulations, 2012 CFR

2012-01-01

...) The DOE will maintain no record describing how any individual exercises rights guaranteed by the First Amendment unless expressly authorized by statute or by the individual about whom the record is maintained or...

10 CFR 1008.20 - Content of systems of records.

Code of Federal Regulations, 2013 CFR

2013-01-01

...) The DOE will maintain no record describing how any individual exercises rights guaranteed by the First Amendment unless expressly authorized by statute or by the individual about whom the record is maintained or...

Martin Karplus and Computer Modeling for Chemical Systems

Science.gov Websites

&D Nuggets Database dropdown arrow Search Tag Cloud Browse Reports Database Help Finding Aids with two-time Nobel laureate Linus Pauling, whom Karplus described as an important early influence. He

12 CFR 261a.12 - Exceptions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Exceptions. 261a.12 Section 261a.12 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM RULES... Individual to Whom Record Pertains § 261a.12 Exceptions. The restrictions on disclosure in § 261a.11 of this...

Domain-Specific Creativity in Relation to the Level of Empathy and Systemizing

ERIC Educational Resources Information Center

Dostál, Daniel; Plháková, Alena; Záškodná, Tereza

2017-01-01

This study aimed to explore self-reported domain-specific creativity in relation to the level of empathy, systemizing, and the Big Five personality dimensions. The research sample consisted of 1112 college students to whom the Kaufman Domains of Creativity Scale (K-DOCS), the Creative Achievement Questionnaire (CAQ), Baron-Cohen's empathy and…

Proteogenemic Approaches for the Molecular Characterization of Natural Microbial Communities

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

Banfield, Jillian F.

2014-04-25

Microbial biofilms involved in acid mine drainage formation have served as a model systems for the study of microbial communities. Over the grant period we developed community metagenomic methods for recovery of genomes of uncultivated bacteria, archaea, viruses/phage, and plasmids from natural systems. We leveraged highly curated metagenomic datasets to develop methods to monitor microbial function in situ. Beyond new insight into extremophilic microbial ecosystems, we have shown that our strain-resolved proteogenomic methods can be applied to other systems. Our studies have uncovered new patters of inter-species recombination that likely lead to fine-scale environmental adaptation, defined the importance of inter-speciesmore » vs. intra-species recombination in archaea, and evaluated the processes shaping fine-scale sequence variation. The project was the subject of study for six Ph.D. students, two of whom are now Associate Professors, the others are post docs; for M.S. or undergraduate researchers, and thirteen post docs, ten of which are now Assistant or Associate professors. The research generated 53 publications, five of which appeard in Science or Nature.« less

Operational Earthquake Forecasting and Earthquake Early Warning: The Challenges of Introducing Scientific Innovations for Public Safety

NASA Astrophysics Data System (ADS)

Goltz, J. D.

2016-12-01

Although variants of both earthquake early warning and short-term operational earthquake forecasting systems have been implemented or are now being implemented in some regions and nations, they have been slow to gain acceptance within the disciplines that produced them as well as among those for whom they were intended to assist. To accelerate the development and implementation of these technologies will require the cooperation and collaboration of multiple disciplines, some inside and others outside of academia. Seismologists, social scientists, emergency managers, elected officials and key opinion leaders from the media and public must be the participants in this process. Representatives of these groups come from both inside and outside of academia and represent very different organizational cultures, backgrounds and expectations for these systems, sometimes leading to serious disagreements and impediments to further development and implementation. This presentation will focus on examples of the emergence of earthquake early warning and operational earthquake forecasting systems in California, Japan and other regions and document the challenges confronted in the ongoing effort to improve seismic safety.

Does Facial Expression Recognition Provide a Toehold for the Development of Emotion Understanding?

ERIC Educational Resources Information Center

Strand, Paul S.; Downs, Andrew; Barbosa-Leiker, Celestina

2016-01-01

The authors explored predictions from basic emotion theory (BET) that facial emotion expression recognition skills are insular with respect to their own development, and yet foundational to the development of emotional perspective-taking skills. Participants included 417 preschool children for whom estimates of these 2 emotion understanding…

Dilemmas of a Successful People's Education Movement in India.

ERIC Educational Resources Information Center

Zachariah, Mathew

Government policies of developing nations to stimulate economic development do not necessarily improve the living conditions of their citizens, most of whom are economically poor and politically powerless. A major criticism of attempts by most Western and national governments to promote development is that they serve only the elite. This study of…

Does early onset of criminal behavior differentiate for whom serious mental illness has a direct or indirect effect on recidivism?

PubMed

Matejkowski, Jason; Conrad, Aaron; Ostermann, Michael

2017-02-01

The involvement of people with serious mental illness (SMI) with the justice system may be a direct result of their disruptive/unsafe expression of psychiatric symptoms being responded to by law enforcement. SMI may also indirectly contribute to justice involvement, through exposure to environmental and social learning processes that place people with SMI at risk for criminal behavior. This study addresses the question: For whom does SMI directly or indirectly relate to criminal behavior? Mediation and conditional effects testing were used to examine the potential of early onset of criminal behavior to distinguish those groups for whom SMI displays a direct effect or an indirect effect on criminal recidivism. This study utilized a disproportionate random sample of 379 inmates released from New Jersey Department of Corrections; 190 of whom had SMI and 189 of whom did not have SMI. Data were collected from clinical and administrative records. Results indicate that criminal risk mediated the relationship between SMI and recidivism. This indirect effect was conditioned by whether the individual had a juvenile conviction. Specifically, for early start offenders, criminal risk was positively related to recidivism while this relationship was not observed for late start offenders. Juvenile criminal onset did not condition the direct effects of SMI on recidivism. A juvenile history of criminal involvement may signal the presence of heightened criminogenic need among adults with SMI. This simple indicator could function to differentiate for clinicians those adults who are good candidates for exploring further, and targeting for amelioration, criminogenic needs to reduce further criminal involvement. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Challenges to clinical deployment of upper limb neuroprostheses.

PubMed

Triolo, R; Nathan, R; Handa, Y; Keith, M; Betz, R R; Carroll, S; Kantor, C

1996-04-01

The technology for functional neuromuscular stimulation (FNS) as a means of providing upper limb function to people with tetraplegia has been under development by three clinical research groups for almost two decades. This paper presents the current status of the clinical trials of three FNS systems: a noninvasive system built into a cosmetic forearm splint, a 30-channel percutaneous system, and an 8-channel implantable system. The complexity of FNS systems and the unique characteristics of the individuals to whom they are applied combine to create many clinical and technical challenges that must be addressed before the devices can be deployed. The emerging challenges to widespread clinical introduction of FNS systems for hand and arm function are identified and analyzed. In addition to the demands of designed and conducting the clinical trials to satisfy regulatory requirements, the lack of knowledge, skepticism, and the complacency on the part of potential FNS recipients, as well as of rehabilitation professionals, must be overcome through education and careful consideration of economic and societal factors in the design of clinical systems.

A Forced Fit.

ERIC Educational Resources Information Center

Jaffe, Betsy

1985-01-01

The author states that to meet the needs of--and to retain--the people in whom organizations have made hefty investments, companies must reexamine and most likely redesign human resource development programs. She presents ways to acknowledge the differences between managerial men and women and establish effective career development practices. (CT)

Acid-fast bacilli culture positivity and drug resistance in abdominal tuberculosis in Mumbai, India.

PubMed

Samant, Hrishikesh; Desai, Devendra; Abraham, Philip; Joshi, Anand; Gupta, Tarun; Rodrigues, Camilla; George, Siji

2014-09-01

Culture positivity for Mycobacterium tuberculosis complex (MTB) in abdominal tuberculosis (TB) using Lowenstein Jensen medium and Bactec system varies from 25 % to 36 %. Data on the prevalence of drug resistance in primary abdominal TB is scant. Our aim was to study the acid-fast bacilli (AFB) culture positivity rate in primary abdominal TB using Bactec Mycobacterial Growth Indicator Tubes (MGIT) system and the prevalence of drug resistance in these patients. Records of patients with abdominal TB (diagnosed on clinical features, endoscopy, histology, microbiology) seen during the period 2008 to 2013 were retrieved from the Gastroenterology and Microbiology departments. Patients with extra-abdominal TB (five pulmonary, two nodal), adnexal (one), and HIV (one) were excluded from analysis. Of 61 patients, 31 (50.8 %) had a positive AFB culture. In the 30 culture-negative patients, histology showed non-caseating granulomas in 25 patients. Drug sensitivity pattern was analyzed in 18 patients; resistance was detected in eight (14.3 % of all patients and 44.4 % of patients in whom drug sensitivity was done) including three (5.4 % of all subjects and 16.6 % in whom drug sensitivity was available) who were multidrug-resistant. The rate of AFB culture positivity in primary abdominal TB was 50.8 % using Bactec MGIT. Likelihood of drug resistance was seen in 14.3 %, of whom 5.4 % were multidrug-resistant.

Validating a Prognostic Scoring System for Postmastectomy Locoregional Recurrence in Breast Cancer

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

Cheng, Skye Hung-Chun, E-mail: skye@kfsyscc.org; Clinical Research Office, Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan; Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina

2013-03-15

Purpose: This study is designed to validate a previously developed locoregional recurrence risk (LRR) scoring system and further define which groups of patients with breast cancer would benefit from postmastectomy radiation therapy (PMRT). Methods and Materials: An LRR risk scoring system was developed previously at our institution using breast cancer patients initially treated with modified radical mastectomy between 1990 and 2001. The LRR score comprised 4 factors: patient age, lymphovascular invasion, estrogen receptor negativity, and number of involved lymph nodes. We sought to validate the original study by examining a new dataset of 1545 patients treated between 2002 and 2007. Results:more » The 1545 patients were scored according to the previously developed criteria: 920 (59.6%) were low risk (score 0-1), 493 (31.9%) intermediate risk (score 2-3), and 132 (8.5%) were high risk (score ≥4). The 5-year locoregional control rates with and without PMRT in low-risk, intermediate-risk, and high-risk groups were 98% versus 97% (P=.41), 97% versus 91% (P=.0005), and 89% versus 50% (P=.0002) respectively. Conclusions: This analysis of an additional 1545 patients treated between 2002 and 2007 validates our previously reported LRR scoring system and suggests appropriate patients for whom PMRT will be beneficial. Independent validation of this scoring system by other institutions is recommended.« less

Reframing Schools to Enhance Gender Access--Making the World a Better Place

ERIC Educational Resources Information Center

Gentry, Ruben; Buck, Jessica L.

2010-01-01

With whom does the American education system get high grades? For race and ethnicity, disparities are ever so prevalent. For socioeconomic status and family income, poor people never seem to get a fair share. For geographical location, inner city students are almost always underserved. Perhaps the one entity on which the system can boast is…

Effectiveness of an Online Automated Evaluation and Feedback System in an Introductory Computer Literacy Course

ERIC Educational Resources Information Center

Varank, Ilhan; Erkoç, M. Fatih; Büyükimdat, Meryem Köskeroglu; Aktas, Mehmet; Yeni, Sabiha; Adigüzel, Tufan; Cömert, Zafer; Esgin, Esad

2014-01-01

The purpose of this study was to investigate the effectiveness of an online automated evaluation and feedback system that assessed students' word processing assignments prepared with Microsoft Office Word. The participants of the study were 119 undergraduate teacher education students, 86 of whom were female and 32 were male, enrolled in different…

Use of Self-Monitoring to Maintain Program Fidelity of Multi-Tiered Interventions

ERIC Educational Resources Information Center

Nelson, J. Ron; Oliver, Regina M.; Hebert, Michael A.; Bohaty, Janet

2015-01-01

Multi-tiered system of supports represents one of the most significant advancements in improving the outcomes of students for whom typical instruction is not effective. While many practices need to be in place to make multi-tiered systems of support effective, accurate implementation of evidence-based practices by individuals at all tiers is…

Designing a Course in Statistics for a Learning Health Systems Training Program

ERIC Educational Resources Information Center

Samsa, Gregory P.; LeBlanc, Thomas W.; Zaas, Aimee; Howie, Lynn; Abernethy, Amy P.

2014-01-01

The core pedagogic problem considered here is how to effectively teach statistics to physicians who are engaged in a "learning health system" (LHS). This is a special case of a broader issue--namely, how to effectively teach statistics to academic physicians for whom research--and thus statistics--is a requirement for professional…

Chagas disease and systemic autoimmune diseases among Bolivian patients in Switzerland.

PubMed

Jackson, Yves; Pula, Drenusha Vieira de Mello; Finckh, Axel; Chizzolini, Carlo; Chappuis, François

2018-02-05

Chronic cardiomyopathy occurs in 20-40% of the patients with Chagas disease. Autoimmune mechanisms may contribute to its pathogenesis. We diagnosed several cases of systemic autoimmune diseases among Bolivian migrants in Geneva with a high prevalence of Chagas disease. We tested the hypothesis of a clinical association between systemic autoimmune diseases and Chagas disease, particularly with the development of cardiomyopathy. We retrospectively searched the medical records of all Bolivian patients visiting Geneva University Hospitals between 2012 and 2015 for diagnosis of Chagas disease or systemic autoimmune diseases. Of the 2,189 eligible patients, 28 [1.3%; 95% confidence interval (CI) = 0.9-1.9%] presented with systemic autoimmune disease. The Chagas status was known in 903 (41.3%) patient, of whom 244 (27.0%; 95% CI = 24.2-30.0%) were positive. Eight (28.6%; 95% CI = 15.3-47.1%) of the 28 cases of systemic autoimmune disease had Chagas disease. We found no association between both entities (p = 1.000) or with Chagasic cardiomyopathy (p = 0.729). Moreover, there was no evidence of a temporal relationship between antiparasitic chemotherapy and the development of systemic autoimmune diseases. Our results do not support a clinical association between chronic Chagas disease and systemic autoimmune diseases. However, prospective studies in areas endemic for Chagas disease should better assess the prevalence of systemic autoimmune diseases and thus a possible relationship with this infection.

The effects of alcohol on pilot performance during instrument flight.

DOT National Transportation Integrated Search

1972-01-01

Sixteen instrument-rated pilots, eight of whom were very experienced professional aviators, flew instrument landing system approaches in a Cessna 172 under simulated instrument flight conditions while sober and while under the influence of 40, 80, an...

Transnational Higher Education for Capacity Development? An Analysis of British Degree Programmes in Hong Kong

ERIC Educational Resources Information Center

Leung, Maggi W. H.; Waters, Johanna L.

2013-01-01

Drawing upon a project on British transnational education (TNE) programmes offered in Hong Kong, this paper interrogates the capacity development impact of TNE on the students, the Hong Kong Government and the programme providers. It addresses the questions: "What capacity is being developed in TNE operations?" and "For whom?"…

Getting an Early Start on Early Child Development. Education Notes. 30194

ERIC Educational Resources Information Center

Young, Mary Eming; Dunkelberg, Erika

2004-01-01

The children born this year--2004--will be eleven years old in 2015--the age of primary school completion in most countries. This is the MDG (Millennium Development Goal) generation--for whom the international community has pledged that by 2015, all children will be able to complete primary schooling. Ensuring good early child development is the…

38 CFR 21.8080 - Requirement for an individualized written plan of vocational rehabilitation.

Code of Federal Regulations, 2013 CFR

2013-07-01

... CP or VRC will work in consultation with each child for whom a vocational goal is feasible to develop...'s vocational training needs. The CP or VRC will develop this individualized written plan of.... If training is necessary, the CP or VRC will explore a range of possibilities, to include paid and...

38 CFR 21.8080 - Requirement for an individualized written plan of vocational rehabilitation.

Code of Federal Regulations, 2012 CFR

2012-07-01

... CP or VRC will work in consultation with each child for whom a vocational goal is feasible to develop...'s vocational training needs. The CP or VRC will develop this individualized written plan of.... If training is necessary, the CP or VRC will explore a range of possibilities, to include paid and...

38 CFR 21.8080 - Requirement for an individualized written plan of vocational rehabilitation.

Code of Federal Regulations, 2011 CFR

2011-07-01

... CP or VRC will work in consultation with each child for whom a vocational goal is feasible to develop...'s vocational training needs. The CP or VRC will develop this individualized written plan of.... If training is necessary, the CP or VRC will explore a range of possibilities, to include paid and...

38 CFR 21.8080 - Requirement for an individualized written plan of vocational rehabilitation.

Code of Federal Regulations, 2014 CFR

2014-07-01

... CP or VRC will work in consultation with each child for whom a vocational goal is feasible to develop...'s vocational training needs. The CP or VRC will develop this individualized written plan of.... If training is necessary, the CP or VRC will explore a range of possibilities, to include paid and...

The Development of Human Capital in Young Entrepreneurs

ERIC Educational Resources Information Center

Hickie, James

2011-01-01

This paper provides insights into the human capital development of a group of young entrepreneurs, all of whom have built growth businesses with turnovers of between 1M British Pounds and 90M British Pounds. Their development of knowledge and skills was investigated before and during the creation of their first main ventures. This is significant…

Development of First-Graders' Word Reading Skills: For Whom Can Dynamic Assessment Tell Us More?

ERIC Educational Resources Information Center

Cho, Eunsoo; Compton, Donald L.; Gilbert, Jennifer K.; Steacy, Laura M.; Collins, Alyson A.; Lindström, Esther R.

2017-01-01

Dynamic assessment (DA) of word reading measures learning potential for early reading development by documenting the amount of assistance needed to learn how to read words with unfamiliar orthography. We examined the additive value of DA for predicting first-grade decoding and word recognition development while controlling for autoregressive…

Use of International Documentation: Some of the Major Problems Facing Developing Countries. Occasional Paper No. 14.

ERIC Educational Resources Information Center

Kaungamno, E. E.

This paper discusses the role of information in national development, addressing such issues as for whom and for what purposes information is needed in developing countries, the impact of the information explosion on the Third World, and the problems inherent in current national and international information infrastructures. A series of statements…

[Lights and shadows on single and dual RAAS blockade].

PubMed

Cavalli, Andrea; Del Vecchio, Lucia; Locatelli, Francesco

2010-01-01

Angiotensin-converting enzyme inhibitors (ACE-i) and angiotensin II receptor blockers (ARBs) are of paramount importance in everyday clinical practice. Developed as antihypertensive drugs, they soon acquired another important indication as a result of their antiproteinuric activity and capacity to delay the progression of chronic kidney disease. ACE-i and ARBs started out being used as single drugs and were subsequently combined to obtain more complete blocking of the renin-angiotensin-aldosterone system (RAAS). The most evident advantages derived from the administration of these drugs - alone or in combination - have been obtained in proteinuric nephropathies, such as chronic glomerulonephritis and diabetic nephropathy, where they have become the treatment choice. Dual RAAS blockade has been recently evaluated in a large trial of high-risk cardiovascular patients, in whom no related benefits were shown. To the contrary, a higher risk of worsening renal function emerged. It is now quite clear that patients with high proteinuria levels are the ones that benefit most from RAAS inhibition, also with combined ACE-i and ARB. It is very important to pay the utmost attention when these drugs are used in patients in whom no benefit is obtained by RAAS inhibition, such as patients with chronic kidney disease and atherosclerosis, elderly patients, and those without any significant proteinuria.

32 CFR 211.2 - Applicability.

Code of Federal Regulations, 2012 CFR

2012-07-01

... local official or a developer of a renewable energy development or other energy project seeking a review of such project by DoD. (d) Members of the general public from whom comments are received on notices... applications with the Secretary of Transportation for proposed projects pursuant to 49 U.S.C. 44718, when such...

32 CFR 211.2 - Applicability.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., Indian tribal, or local official, a landowner, or a developer of a renewable energy development or other energy project seeking a review of such project by DoD. (d) Members of the general public from whom... applications with the Secretary of Transportation for proposed projects pursuant to 49 U.S.C. 44718, when such...

32 CFR 211.2 - Applicability.

Code of Federal Regulations, 2013 CFR

2013-07-01

... local official or a developer of a renewable energy development or other energy project seeking a review of such project by DoD. (d) Members of the general public from whom comments are received on notices... applications with the Secretary of Transportation for proposed projects pursuant to 49 U.S.C. 44718, when such...

Business Education Delphi Study of Future Directions for the Field

ERIC Educational Resources Information Center

Lambrecht, Judith J.

2007-01-01

Business education has a long history of growth, change, and development. Instruction "about" commercial practices and "for" business employment is fundamental to every known society, and the key question for contemporary societies, especially highly developed economies, is how business education can best be implemented, and by whom.…

Who Talks to Whom in Malawi's Agricultural Research Information Network?

ERIC Educational Resources Information Center

Mapila, Mariam A. T. J.; Yauney, Jason; Thangata, Paul; Droppelmann, Klaus; Mazunda, John

2016-01-01

Purpose: The sector-wide approach currently dominates as the strategy for developing the agricultural sector of many African countries. Although recognised that collaborative agricultural research is vital in ensuring success of sector-wide agricultural development strategies; there have been few efforts to understand the dynamics of national…

eduCRATE--a Virtual Hospital architecture.

PubMed

Stoicu-Tivadar, Lăcrimioara; Stoicu-Tivadar, Vasile; Berian, Dorin; Drăgan, Simona; Serban, Alexandru; Serban, Corina

2014-01-01

eduCRATE is a complex project proposal which aims to develop a virtual learning environment offering interactive digital content through original and integrated solutions using cloud computing, complex multimedia systems in virtual space and personalized design with avatars. Compared to existing similar products the project brings the novelty of using languages for medical guides in order to ensure a maximum of flexibility. The Virtual Hospital simulations will create interactive clinical scenarios for which students will find solutions for positive diagnosis and therapeutic management. The solution based on cloud computing and immersive multimedia is an attractive option in education because is economical and it matches the current working style of the young generation to whom it addresses.

Biomedical Innovation: Lessons From the Past and Perspectives for the Future.

PubMed

Munos, B H

2016-12-01

Back around the turn of the millennium, the future of the pharmaceutical industry was bright. Amazing technologies were converging to enable a top-to-bottom reengineering of drug research and development (R&D). The "omics," combinatorial chemistry, high-throughput screening, robotic automation, and systems biology, promised to bring order and method to drug research's bewildering complexity. Pharmaceutical executives-many of whom were ill at ease with their scientists' freewheeling ways-were excited. Gushing with an enthusiasm that was typical of the times, a former industry Chief Executive Officer spoke glowingly of the launch of "two to three new blockbusters… each year" driving a quadrupling of revenues. © 2016 ASCPT.

A Case of Transient Pulmonary Interstitial Lesions in Aquaporin-4-positive Neuromyelitis Optica Spectrum Disorder.

PubMed

Asato, Yuko; Kamitani, Toshiaki; Ootsuka, Kuniyuki; Kuramochi, Mizuki; Nakanishi, Kozo; Shimada, Tetsuya; Takahashi, Toshiyuki; Misu, Tatsuro; Aoki, Masashi; Fujihara, Kazuo; Kawabata, Yoshinori

2018-05-18

We herein report the case of a 76-year old man with aquaporin-4-Immunoglobulin-G (AQP4-IgG)-positive neuromyelitis optica spectrum disorder (NMOSD), in whom transient interstitial pulmonary lesions developed at the early stage of the disease. Chest X-ray showed multiple infiltrative shadows in both upper lung fields, and computed tomography revealed abnormal shadows distributed randomly in the lungs. Surgical lung biopsy showed features of unclassifiable interstitial pneumonia, characterized by various types of air-space organization, which resulted in obscure lung structure. This is the first report to describe the pathological findings of interstitial pneumonia, which may represent a rare extra-central nervous system complication of NMOSD.

Digital Microwave System Design Guide.

DTIC Science & Technology

1984-02-01

traffic analysis is a continuous effort, setting parameters for subsequent stages of expansion after the system design is finished. 2.1.3 Quality of...operational structure of the user for whom he is providing service. 2.2.3 Quality of Service. In digital communications, the basic performance parameter ...the basic interpretation of system performance is measured in terms of a single parameter , throughput. Throughput can be defined as the number of

Breaking Hepatitis B Virus Tolerance and Inducing Protective Immunity Based on Mimicking T Cell-Independent Antigen.

PubMed

Li, Xiaoyan; Ni, Runzhou

2016-11-01

There are over 350 million chronic carriers of hepatitis B virus (HBV) in the world, of whom about a third eventually develop severe HBV-related complications. HBV contributes to liver cirrhosis and hepatocellular carcinoma development. Remarkable progress has been made in selective inhibition of HBV replication by nucleoside analogs. However, how to generate protective antibody of HBsAb in HBV-infected patients after HBV-DNA becomes negative still remains a challenge for scientists. In this study, we show that OmpC-HBsAg 'a' epitope chimeric protein vaccine can break HBV tolerance and induce protective immunity in HBV transgenic mice based on mimicking T cell-independent antigen to bypass T cells from the adaptive immune system. The antibodies induced by the vaccine have the ability to prevent HBV virion infection of human hepatocytes.

A 46-Year-Old Woman With Dyspnea From an Inhalational Exposure, Triggering Thyroid Storm and Subsequent Multi-Organ System Failure.

PubMed

Moraco, Andrew H; Banauch, Gisela; Kopec, Scott

2015-12-01

Thyroid storm is a rare, life-threatening condition which arises in patients with thyrotoxicosis, with an annual incidence of 2 patients per 1,000,000 and a mortality rate of 11%. We present the case of a 46-year-old-female with a medical history of controlled mild intermittent asthma, who presented with a severe asthma exacerbation, that triggered thyroid storm after exposure to polyurethane fumes. This patient represents, to the best of our knowledge, the first patient in whom the stress related to a severe asthma attack triggered the development of thyroid storm. She also is the first patient with no indication of cardiac dysfunction who developed fatal cardiac arrest after initiation of b-blockade for treatment of thyroid storm. © The Author(s) 2015.

Clinical presentation and course of acute hepatitis C infection in HIV-infected patients.

PubMed

Luetkemeyer, Annie; Hare, C Bradley; Stansell, John; Tien, Phyllis C; Charlesbois, Edwin; Lum, Paula; Havlir, Diane; Peters, Marion

2006-01-01

Hepatitis C virus (HCV) has become a significant source of morbidity and mortality in HIV-infected patients. However, little is known about the clinical presentation and course of acute HCV infection in this population. This study reports the outcomes of acute HCV infection in 9 HIV-infected men. Sex with men was the only reported risk factor for HCV infection in 6 of the subjects. Clinical presentation of acute HCV ranged from incidentally discovered elevated transaminases to severe liver dysfunction requiring hospitalization. At the time of HCV diagnosis, 8 of 9 patients had CD4+ counts >250 cells/mm(3), and 6 had HIV viral loads of < or =5000 copies/mL. Eight patients were receiving antiretroviral therapy. Outcome of these acute HCV infections varied. Five patients experienced virologic clearance, 2 in whom virus cleared spontaneously and 3 who were treated with pegylated interferon and ribavirin. Four patients developed chronic infection, one of whom had a relapse during HCV treatment and 3 of whom were untreated. All 4 patients to whom HCV therapy was administered experienced significant anemia or neutropenia, necessitating dose reduction or support with growth factors. Prompt recognition of acute HCV infection may minimize antiretroviral treatment interruption and will allow early treatment, which may improve virologic clearance. Unexplained transaminase elevations in HIV-infected patients, including men who have sex with men, should trigger an evaluation for acute HCV infection.

TEACHER PERCEPTION OF PUPIL SOCIOMETRIC CHOICE.

ERIC Educational Resources Information Center

HOFFMAN, CARL B.; AND OTHERS

TO HELP TEACHERS WORK WITH CHILDREN WHO ARE SOCIAL ISOLATES IN THE CLASSROOM, 800 ELEMENTARY SCHOOL STUDENTS WERE ASKED TO NAME 3 CHILDREN (1) WITH WHOM THEY WOULD LIKE TO PLAY AND DO THINGS AFTER SCHOOL, AT RECESS, AND AT NOON, (2) WITH WHOM THEY WOULD LIKE TO WORK IN THE ROOM, (3) BESIDE WHOM THEY WOULD MOST LIKE TO SIT, (4) BESIDE WHOM THEY…

Understanding the Development of a Hybrid Practice of Inquiry-Based Science Instruction and Language Development: A Case Study of One Teacher's Journey through Reflections on Classroom Practice

ERIC Educational Resources Information Center

Capitelli, Sarah; Hooper, Paula; Rankin, Lynn; Austin, Marilyn; Caven, Gennifer

2016-01-01

This qualitative case study looks closely at an elementary teacher who participated in professional development experiences that helped her develop a hybrid practice of using inquiry-based science to teach both science content and English language development (ELD) to her students, many of whom are English language learners (ELLs). This case study…

The mobilization of community resources to support long-term addiction recovery.

PubMed

White, William L

2009-03-01

Models of addiction treatment that view the sources and solutions to severe alcohol and other drug (AOD) problems as rooted within the vulnerability and resiliency of each individual stand in marked contrast to models that focus on the ecology of AOD problem development and resolution via complex interactions between individuals, families, and communities. An integration of the latter model into mainstream addiction treatment would necessitate a reconstruction of the treatment-community relationship and new approaches to community resource development and mobilization. Such an integration would redefine core addiction treatment services and to whom, by whom, when, where, and for how long such services are delivered. This article draws on historical and contemporary events in the history of addiction treatment and recovery in the United States to illuminate the relationship between recovery and community. Principles and strategies that could guide the development and mobilization of community resources to support the long-term recovery of individuals and families are identified.

Substance-Abusing Parents in the Criminal Justice System: Does Substance Abuse Treatment Improve Their Children's Outcomes?

ERIC Educational Resources Information Center

Phillips, Susan D.; Gleeson, James P.; Waites-Garrett, Melissa

2009-01-01

The expansion of the criminal justice system over the last several decades helped to focus attention on children of incarcerated parents, many of whom have parents with substance abuse problems. Since the 1990's, a national grassroots campaign has been underway to make substance abuse treatment an alternative to incarceration for parents who…

45 CFR 2508.11 - How shall offices maintaining a system of records be accountable for those records to prevent...

Code of Federal Regulations, 2010 CFR

2010-10-01

.... (2) Such accounting shall contain the name and address of the person or agency to whom the disclosure was made. (3) The accounting shall be maintained in accordance with a system of records approved by...) The accounting shall reference any justification or basis upon which any release was made including...

32 CFR 320.9 - Disclosure of record to person other than the individual to whom it pertains.

Code of Federal Regulations, 2013 CFR

2013-07-01

... OF THE SECRETARY OF DEFENSE (CONTINUED) PRIVACY PROGRAM NATIONAL GEOSPATIAL-INTELLIGENCE AGENCY (NGA... officer or employee of NGA will disclose any record which is contained in a system of records, by any...; Appendix C to part 310 of this chapter; and/or a NGA Privacy Act system of records notice. (b) Any such...

32 CFR 320.9 - Disclosure of record to person other than the individual to whom it pertains.

Code of Federal Regulations, 2011 CFR

2011-07-01

... OF THE SECRETARY OF DEFENSE (CONTINUED) PRIVACY PROGRAM NATIONAL GEOSPATIAL-INTELLIGENCE AGENCY (NGA... officer or employee of NGA will disclose any record which is contained in a system of records, by any...; appendix C to part 310 of this chapter; and/or a NGA Privacy Act system of records notice. (b) Any such...

Nonalcoholic fatty liver disease: Evolving paradigms

PubMed Central

Lonardo, Amedeo; Nascimbeni, Fabio; Maurantonio, Mauro; Marrazzo, Alessandra; Rinaldi, Luca; Adinolfi, Luigi Elio

2017-01-01

In the last years new evidence has accumulated on nonalcoholic fatty liver disease (NAFLD) challenging the paradigms that had been holding the scene over the previous 30 years. NAFLD has such an epidemic prevalence as to make it impossible to screen general population looking for NAFLD cases. Conversely, focusing on those cohorts of individuals exposed to the highest risk of NAFLD could be a more rational approach. NAFLD, which can be diagnosed with either non-invasive strategies or through liver biopsy, is a pathogenically complex and clinically heterogeneous disease. The existence of metabolic as opposed to genetic-associated disease, notably including ”lean NAFLD” has recently been recognized. Moreover, NAFLD is a systemic condition, featuring metabolic, cardiovascular and (hepatic/extra-hepatic) cancer risk. Among the clinico-laboratory features of NAFLD we discuss hyperuricemia, insulin resistance, atherosclerosis, gallstones, psoriasis and selected endocrine derangements. NAFLD is a precursor of type 2 diabetes (T2D) and metabolic syndrome and progressive liver disease develops in T2D patients in whom the course of disease is worsened by NAFLD. Finally, lifestyle changes and drug treatment options to be implemented in the individual patient are also critically discussed. In conclusion, this review emphasizes the new concepts on clinical and pathogenic heterogeneity of NAFLD, a systemic disorder with a multifactorial pathogenesis and protean clinical manifestations. It is highly prevalent in certain cohorts of individuals who are thus potentially amenable to selective screening strategies, intensive follow-up schedules for early identification of liver-related and extrahepatic complications and in whom earlier and more aggressive treatment schedules should be carried out whenever possible. PMID:29085206

Unpacking (In)formal Learning in an Academic Development Programme: A Mixed-Method Social Network Perspective

ERIC Educational Resources Information Center

Rienties, Bart; Hosein, Anesa

2015-01-01

How and with whom academics develop and maintain formal and informal networks for reflecting on their teaching practice has received limited attention even though academic development (AD) programmes have become an almost ubiquitous feature of higher education. The primary goal of this mixed-method study is to unpack how 114 academics in an AD…

Video-tracker trajectory analysis: who meets whom, when and where

NASA Astrophysics Data System (ADS)

Jäger, U.; Willersinn, D.

2010-04-01

Unveiling unusual or hostile events by observing manifold moving persons in a crowd is a challenging task for human operators, especially when sitting in front of monitor walls for hours. Typically, hostile events are rare. Thus, due to tiredness and negligence the operator may miss important events. In such situations, an automatic alarming system is able to support the human operator. The system incorporates a processing chain consisting of (1) people tracking, (2) event detection, (3) data retrieval, and (4) display of relevant video sequence overlaid by highlighted regions of interest. In this paper we focus on the event detection stage of the processing chain mentioned above. In our case, the selected event of interest is the encounter of people. Although being based on a rather simple trajectory analysis, this kind of event embodies great practical importance because it paves the way to answer the question "who meets whom, when and where". This, in turn, forms the basis to detect potential situations where e.g. money, weapons, drugs etc. are handed over from one person to another in crowded environments like railway stations, airports or busy streets and places etc.. The input to the trajectory analysis comes from a multi-object video-based tracking system developed at IOSB which is able to track multiple individuals within a crowd in real-time [1]. From this we calculate the inter-distances between all persons on a frame-to-frame basis. We use a sequence of simple rules based on the individuals' kinematics to detect the event mentioned above to output the frame number, the persons' IDs from the tracker and the pixel coordinates of the meeting position. Using this information, a data retrieval system may extract the corresponding part of the recorded video image sequence and finally allows for replaying the selected video clip with a highlighted region of interest to attract the operator's attention for further visual inspection.

47 CFR 52.105 - Warehousing.

Code of Federal Regulations, 2014 CFR

2014-10-01

... the Service Management System database without having an actual toll free subscriber for whom those... database; or (2) The Responsible Organization does not have an identified toll free subscriber agreeing to... database shall serve as that Responsible Organization's certification that there is an identified toll free...

47 CFR 52.105 - Warehousing.

Code of Federal Regulations, 2011 CFR

2011-10-01

... the Service Management System database without having an actual toll free subscriber for whom those... database; or (2) The Responsible Organization does not have an identified toll free subscriber agreeing to... database shall serve as that Responsible Organization's certification that there is an identified toll free...

47 CFR 52.105 - Warehousing.

Code of Federal Regulations, 2013 CFR

2013-10-01

... the Service Management System database without having an actual toll free subscriber for whom those... database; or (2) The Responsible Organization does not have an identified toll free subscriber agreeing to... database shall serve as that Responsible Organization's certification that there is an identified toll free...

47 CFR 52.105 - Warehousing.

Code of Federal Regulations, 2010 CFR

2010-10-01

... the Service Management System database without having an actual toll free subscriber for whom those... database; or (2) The Responsible Organization does not have an identified toll free subscriber agreeing to... database shall serve as that Responsible Organization's certification that there is an identified toll free...

47 CFR 52.105 - Warehousing.

Code of Federal Regulations, 2012 CFR

2012-10-01

... the Service Management System database without having an actual toll free subscriber for whom those... database; or (2) The Responsible Organization does not have an identified toll free subscriber agreeing to... database shall serve as that Responsible Organization's certification that there is an identified toll free...

Emergency Department Allies: a Web-based multihospital pediatric asthma tracking system.

PubMed

Kelly, Kevin J; Walsh-Kelly, Christine M; Christenson, Peter; Rogalinski, Steven; Gorelick, Marc H; Barthell, Edward N; Grabowski, Laura

2006-04-01

To describe the development of a Web-based multihospital pediatric asthma tracking system and present results from the initial 18-month implementation of patient tracking experience. The Emergency Department (ED) Allies tracking system is a secure, password-protected data repository. Use-case methodology served as the foundation for technical development, testing, and implementation. Seventy-seven data elements addressing sociodemographics, wheezing history, quality of life, triggers, and ED managment were included for each subject visit. The ED Allies partners comprised 1 academic pediatric ED and 5 community EDs. Subjects with a physician diagnosis of asthma who presented to the ED for acute respiratory complaints composed the asthma group; subjects lacking a physician diagnosis of asthma but presenting with wheezing composed the wheezing group. The tracking-system development and implementation process included identification of data elements, system database and use case development, and delineation of screen features, system users, reporting functions, and help screens. For the asthma group, 2005 subjects with physician-diagnosed asthma were enrolled between July 15, 2002 and January 14, 2004. These subjects accounted for 2978 visits; 10.4% had > or = 3 visits. Persistent asthma was noted in 68% of the subjects. During the same time period, 1297 wheezing subjects with a total of 1628 ED visits (wheezing group) were entered into the tracking system. After enrollment, 57% of the subjects with > or = 1 subsequent ED visits received a physician diagnosis of asthma. Our sophisticated tracking system facilitated data collection and identified key intervention opportunities for a diverse ED wheezing population. A significant asthma burden was identified with significant rates of hospitalization, acute care visits and persistent asthma in 68% of subjects. The surveillance component provided important insights into health care issues of both asthmatic subjects and wheezing subjects, many of whom subsequently were diagnosed with asthma.

Employability Skill Development in Work-Integrated Learning: Barriers and Best Practice

ERIC Educational Resources Information Center

Jackson, Denise

2015-01-01

Work-integrated learning (WIL) is widely considered instrumental in equipping new graduates with the required employability skills to function effectively in the work environment. Evaluation of WIL programs in enhancing skill development remains predominantly outcomes-focused with little attention to the process of what, how and from whom students…

Assessing Young Children's Social Concept Development.

ERIC Educational Resources Information Center

Stanley, William B.; And Others

This study investigated a number of questions regarding the nature of social concept development in young children. Subjects were 64 kindergarten children and 65 first grade public school students from lower to upper middle class socioeconomic levels, of whom 66 were male, 63 were female, 78 were Caucasian, and 51 were black. Two assessment…

Sustained Partnerships: The Establishment and Development of Meaningful Student-Faculty Relationships

ERIC Educational Resources Information Center

Urso, David J.

2012-01-01

This phenomenological study was designed to explore the one-on-one connections between successful students and the faculty members with whom a meaningful relationship was fostered. The specific focus was on the establishment, development, and reciprocity within the context of the relationships. By comparing the students' experiences to their…

Hyponatremia associated with repeated use of levetiracetam.

PubMed

Nasrallah, Khalil; Silver, Brian

2005-06-01

Levetiracetam (LEV) is increasingly used as adjunctive anticonvulsant therapy because of apparent low toxicity. Somnolence, asthenia, headache, dizziness, and nervousness are the most frequently reported side effects (1). We describe a patient, predisposed to the development of the syndrome of inappropriate antidiuretic hormone secretion (SIADH), in whom hyponatremia developed after two challenges of LEV.

All the Facts: Who's Giving How Much of What to Whom--and Why.

ERIC Educational Resources Information Center

Zemke, Ron

1979-01-01

Reports the findings of a study that surveyed over 500 human resource developers to determine the extent to which they have heard the word and are seizing the opportunity to involve themselves in planning, development, and administration of nonsales and marketing recognition award and incentive programs for their organizations. (LRA)

Action or Reaction, Learning or Display: Interactional Development and Usage-Based Data

ERIC Educational Resources Information Center

Huth, Thorsten

2013-01-01

This paper investigates how instances of language use can serve as analytic anchors for insight into interactional development over time. I present a usage-based, longitudinal study of multi-turn sequences underlying telephone openings in order to specify if and to whom "language learning" may be relevantly ascribed. Two successive…

A Learning Opportunity for Staff: Simulating an IT Department Review

ERIC Educational Resources Information Center

Sipher, Justin; Spencer, Gene

2007-01-01

Skidmore College CTO Justin Sipher wanted to develop a staff professional development activity that would focus on the general issue of organizational effectiveness. He contacted Gene Spencer, whom he had met at the 2001 Frye Institute, for help. Sipher and Spencer agreed that the theme of organizational effectiveness could be explored in a…

Describing knowledge encounters in healthcare: a mixed studies systematic review and development of a classification.

PubMed

Hurst, Dominic; Mickan, Sharon

2017-03-14

Implementation science seeks to promote the uptake of research and other evidence-based findings into practice, but for healthcare professionals, this is complex as practice draws on, in addition to scientific principles, rules of thumb and a store of practical wisdom acquired from a range of informational and experiential sources. The aims of this review were to identify sources of information and professional experiences encountered by healthcare workers and from this to build a classification system, for use in future observational studies, that describes influences on how healthcare professionals acquire and use information in their clinical practice. This was a mixed studies systematic review of observational studies. OVID MEDLINE and Embase and Google Scholar were searched using terms around information, knowledge or evidence and sharing, searching and utilisation combined with terms relating to healthcare groups. Studies were eligible if one of the intentions was to identify information or experiential encounters by healthcare workers. Data was extracted by one author after piloting with another. Studies were assessed using the Mixed Methods Appraisal Tool (MMAT). The primary outcome extracted was the information source or professional experience encounter. Similar encounters were grouped together as single constructs. Our synthesis involved a mixed approach using the top-down logic of the Bliss Bibliographic Classification System (BC2) to generate classification categories and a bottom-up approach to develop descriptive codes (or "facets") for each category, from the data. The generic terms of BC2 were customised by an iterative process of thematic content analysis. Facets were developed by using available theory and keeping in mind the pragmatic end use of the classification. Eighty studies were included from which 178 discreet knowledge encounters were extracted. Six classification categories were developed: what information or experience was encountered; how was the information or experience encountered; what was the mode of encounter; from whom did the information originate or with whom was the experience; how many participants were there; and where did the encounter take place. For each of these categories, relevant descriptive facets were identified. We have sought to identify and classify all knowledge encounters, and we have developed a faceted description of key categories which will support richer descriptions and interrogations of knowledge encounters in healthcare research.

Tonic vibration reflex in spasticity, Parkinson's disease, and normal subjects

PubMed Central

Burke, David; Andrews, Colin J.; Lance, James W.

1972-01-01

The tonic vibration reflex (TVR) has been studied in the quadriceps and triceps surae muscles of 34 spastic, 15 Parkinsonism, and 10 normal subjects. The TVR of spasticity develops rapidly, reaching a plateau level within 2-4 sec of the onset of vibration. The tonic contraction was often preceded by a phasic spike which appeared to be a vibration-induced equivalent of the tendon jerk. The initial phasic spike was usually followed by a silent period, and induced clonus in some patients. No correlation was found between the shape of the TVR and the site of the lesion in the central nervous system. The TVR of normal subjects and patients with Parkinsonism developed slowly, starting some seconds after the onset of vibration, and reaching a plateau level in 20-60 sec. A phasic spike was recorded occasionally in these subjects, but the subsequent tonic contraction followed the usual time course. Muscle stretch increased the quadriceps TVR of all subjects, including those with spasticity in whom the quadriceps stretch reflex decreased with increasing stretch. It is suggested that this difference between the tonic vibration reflex and the tonic stretch reflex arises from the selective activation of spindle primary endings by vibration, while both the primary and the secondary endings are responsive to muscle stretch. The TVR could be potentiated by reinforcement in some subjects. Potentiation outlasted the reinforcing manoeuvre, and was most apparent at short muscle lengths. As muscle stretch increased, thus producing a larger TVR, the degree of potentiation decreased. It is therefore suggested that the effects of reinforcement result at least partially from the activation of the fusimotor system. Since reinforcement potentiated the TVR of patients with spinal spasticity in whom a prominent clasp-knife phenomenon could be demonstrated, it is suggested that the effects of reinforcement are mediated by a descending pathway that traverses the anterior quadrant of the spinal cord. PMID:4261955

An online brain-computer interface based on shifting attention to concurrent streams of auditory stimuli

PubMed Central

Hill, N J; Schölkopf, B

2012-01-01

We report on the development and online testing of an EEG-based brain-computer interface (BCI) that aims to be usable by completely paralysed users—for whom visual or motor-system-based BCIs may not be suitable, and among whom reports of successful BCI use have so far been very rare. The current approach exploits covert shifts of attention to auditory stimuli in a dichotic-listening stimulus design. To compare the efficacy of event-related potentials (ERPs) and steady-state auditory evoked potentials (SSAEPs), the stimuli were designed such that they elicited both ERPs and SSAEPs simultaneously. Trial-by-trial feedback was provided online, based on subjects’ modulation of N1 and P3 ERP components measured during single 5-second stimulation intervals. All 13 healthy subjects were able to use the BCI, with performance in a binary left/right choice task ranging from 75% to 96% correct across subjects (mean 85%). BCI classification was based on the contrast between stimuli in the attended stream and stimuli in the unattended stream, making use of every stimulus, rather than contrasting frequent standard and rare “oddball” stimuli. SSAEPs were assessed offline: for all subjects, spectral components at the two exactly-known modulation frequencies allowed discrimination of pre-stimulus from stimulus intervals, and of left-only stimuli from right-only stimuli when one side of the dichotic stimulus pair was muted. However, attention-modulation of SSAEPs was not sufficient for single-trial BCI communication, even when the subject’s attention was clearly focused well enough to allow classification of the same trials via ERPs. ERPs clearly provided a superior basis for BCI. The ERP results are a promising step towards the development of a simple-to-use, reliable yes/no communication system for users in the most severely paralysed states, as well as potential attention-monitoring and -training applications outside the context of assistive technology. PMID:22333135

Prevalence of criminal offending by men and women with intellectual disability and the characteristics of offenders: implications for research and service development.

PubMed

Holland, T; Clare, I C H; Mukhopadhyay, T

2002-05-01

The investigation of the relationship between criminal offending and the presence of an intellectual disability (ID) is problematic for two main reasons. First, because of problems associated with the definition of 'ID' and secondly, because much criminal offending goes undetected or unreported, and studies can only investigate those already involved with the criminal justice process. Studies using IQ as a continuous variable indicate that significantly below-average intellectual ability is an independent predictor of future offending. Whilst people with ID may be over-represented in parts of the criminal justice system, given the intellectual and other psychosocial disadvantages which they experience, the level of offending behaviour in this particularly vulnerable group is strikingly low. The present authors propose that two broad groups of people can be identified. The first, broader, group is one of people for whom social disadvantage and mental ill health (particularly substance abuse), coupled with a significant intellectual impairment, are the main characteristics. Secondly, there is a smaller group of people, usually already known to ID services as service users, but for whom the process whereby what might have been conceptualized as 'challenging behaviour' becomes 'offending' is far from clear. The distinction the present authors make between challenging behaviour and offending is important for understanding how 'difficult' behaviour becomes identified as 'antisocial/criminal behaviour'. They argue that research needs to move from prevalence and descriptive studies to investigating the processes which determine movement in and out the criminal justice system. The present political emphasis on public protection and proposals for significantly broader mental health legislation raise the danger of a re-expansion of institutional models of care, rather than the development of multi-agency support networks. The present paper underscores a note of caution, particularly where choices have to be made between expanding institutional models on the one hand and providing more integrated services on the other. Over and above policy decisions, these are social and political choices.

An online brain-computer interface based on shifting attention to concurrent streams of auditory stimuli

NASA Astrophysics Data System (ADS)

Hill, N. J.; Schölkopf, B.

2012-04-01

We report on the development and online testing of an electroencephalogram-based brain-computer interface (BCI) that aims to be usable by completely paralysed users—for whom visual or motor-system-based BCIs may not be suitable, and among whom reports of successful BCI use have so far been very rare. The current approach exploits covert shifts of attention to auditory stimuli in a dichotic-listening stimulus design. To compare the efficacy of event-related potentials (ERPs) and steady-state auditory evoked potentials (SSAEPs), the stimuli were designed such that they elicited both ERPs and SSAEPs simultaneously. Trial-by-trial feedback was provided online, based on subjects' modulation of N1 and P3 ERP components measured during single 5 s stimulation intervals. All 13 healthy subjects were able to use the BCI, with performance in a binary left/right choice task ranging from 75% to 96% correct across subjects (mean 85%). BCI classification was based on the contrast between stimuli in the attended stream and stimuli in the unattended stream, making use of every stimulus, rather than contrasting frequent standard and rare ‘oddball’ stimuli. SSAEPs were assessed offline: for all subjects, spectral components at the two exactly known modulation frequencies allowed discrimination of pre-stimulus from stimulus intervals, and of left-only stimuli from right-only stimuli when one side of the dichotic stimulus pair was muted. However, attention modulation of SSAEPs was not sufficient for single-trial BCI communication, even when the subject's attention was clearly focused well enough to allow classification of the same trials via ERPs. ERPs clearly provided a superior basis for BCI. The ERP results are a promising step towards the development of a simple-to-use, reliable yes/no communication system for users in the most severely paralysed states, as well as potential attention-monitoring and -training applications outside the context of assistive technology.

Paediatric retinal detachment: aetiology, characteristics and outcomes.

PubMed

McElnea, Elizabeth; Stephenson, Kirk; Gilmore, Sarah; O'Keefe, Michael; Keegan, David

2018-01-01

To provide contemporary data on the aetiology, clinical features and outcomes of paediatric retinal detachment. A retrospective review of all those under 16y who underwent surgical repair for retinal detachment at a single centre between the years 2008 and 2015 inclusive was performed. In each case the cause of retinal detachment, the type of detachment, the presence or absence of macular involvement, the number and form of reparative surgeries undertaken, and the surgical outcome achieved was recorded. Twenty-eight eyes of 24 patients, 15 (62.5%) of whom were male and 9 (37.5%) of whom were female, their mean age being 11.6y and range 2-16y developed retinal detachment over the eight year period studied. Trauma featured in the development of retinal detachment in 14 (50.0%) cases. Retinal detachment was associated with other ocular and/or systemic conditions in 11 (39.3%) cases. A mean of 3.0 procedures with a range of 1-9 procedures per patient were undertaken in the management of retinal detachment. Complex vitrectomy combined with scleral buckling or complex vitrectomy alone were those most frequently performed. Mean postoperative visual acuity was 1.2 logMAR with range 0.0-3.0 logMAR. In 22 of 26 (84.6%) cases which underwent surgical repair the retina was attached at last follow-up. Aggressive management of paediatric retinal detachment including re-operation increases the likelihood of anatomical success. In cases where the retinal detachment can be repaired by an external approach alone there is a more favourable visual outcome.

Criterion-based clinical audit in obstetrics: bridging the quality gap?

PubMed

Graham, W J

2009-06-01

The Millennium Development Goal 5 - reducing maternal mortality by 75% - is unlikely to be met globally and for the majority of low-income countries. At this time of heightened concern to scale-up services for mothers and babies, it is crucial that not only shortfalls in the quantity of care - in terms of location and financial access - are addressed, but also the quality. Reductions in maternal and perinatal mortality in the immediate term depend in large part on the timely delivery of effective practices in the management of life-threatening complications. Such practices require a functioning health system - including skilled and motivated providers engaged with the women and communities whom they serve. Assuring the quality of this system, the services and the care that women receive requires many inputs, including effective and efficient monitoring mechanisms. The purpose of this article is to summarise the practical steps involved in applying one such mechanism, criterion-based clinical audit (CBCA), and to highlight recent lessons from its application in developing countries. Like all audit tools, the ultimate worth of CBCA relates to the action it stimulates in the health system and among providers.

The resilience of structure built around the predicate: Homesign gesture systems in Turkish and American deaf children

PubMed Central

Goldin-Meadow, Susan; Namboodiripad, Savithry; Mylander, Carolyn; Özyürek, Aslı; Sancar, Burcu

2013-01-01

Deaf children whose hearing losses prevent them from accessing spoken language and whose hearing parents have not exposed them to sign language develop gesture systems, called homesigns, that have many of the properties of natural language—the so-called resilient properties of language. We explored the resilience of structure built around the predicate—in particular, how manner and path are mapped onto the verb—in homesign systems developed by deaf children in Turkey and the United States. We also asked whether the Turkish homesigners exhibit sentence-level structures previously identified as resilient in American and Chinese homesigners. We found that the Turkish and American deaf children used not only the same production probability and ordering patterns to indicate who does what to whom, but also the same segmentation and conflation patterns to package manner and path. The gestures that the hearing parents produced did not, for the most part, display the patterns found in the children’s gestures. Although co-speech gesture may provide the building blocks for homesign, it does not provide the blueprint for these resilient properties of language. PMID:25663828

Lupus erythematosus cells in bone marrow: the only clue to a previously unsuspected diagnosis of systemic lupus erythematosus.

PubMed

Pujani, Mukta; Kushwaha, Shivani; Sethi, Neha; Beniwal, Anu; Shukla, Shailaja

2013-01-01

Systemic lupus erythematosus (SLE) is an autoimmune multisystem disease characterized by the development of antinuclear antibodies. Nowadays considered outdated, lupus erythematosus (LE) cell preparation served as a screening test for SLE for decades. However, the importance of discovering LE cells on routine cytology cannot be overemphasized. We report the case of a 30-year-old female in whom bone marrow aspiration (BMA) was performed during an investigative workup for pyrexia of unknown origin. The observation of LE cells in direct bone marrow smears (without the use of an anticoagulant) raised the suspicion of SLE, which was later confirmed by antinuclear antibody testing. In the present case, LE cells were observed on BMA performed for the investigation of fever of unknown origin. The unexpected observation of LE cells in BMA smears emphasizes the fact that good morphological observation of marrow aspirates can provide crucial clues to a previously unsuspected diagnosis.

Quality, risk management and governance in mental health: an overview.

PubMed

Callaly, Tom; Arya, Dinesh; Minas, Harry

2005-03-01

To consider the origin, current emphasis and relevance of the concepts of quality, risk management and clinical governance in mental health. Increasingly, health service boards and management teams are required to give attention to clinical governance rather than corporate governance alone. Clinical governance is a unifying quality concept that aims to produce a structure and systems to assure and improve the quality of clinical services by promoting an integrated and organization-wide approach towards continuous quality improvement. Many psychiatrists will find the reduction in clinical autonomy, the need to consider the welfare of the whole population as well as the individual patient for whom they are responsible, and the requirement that they play a part in a complex systems approach to quality improvement to be a challenge. Avoiding or ignoring this challenge will potentially lead to conflict with modern management approaches and increased loss of influence on future developments in mental health services.

Insights Gained From the Study of Pediatric Systemic Lupus Erythematosus.

PubMed

Lo, Mindy S

2018-01-01

The pathophysiology of systemic lupus erythematosus (SLE) has been intensely studied but remains incompletely defined. Currently, multiple mechanisms are known to contribute to the development of SLE. These include inadequate clearance of apoptotic debris, aberrant presentation of self nucleic antigens, loss of tolerance, and inappropriate activation of T and B cells. Genetic, hormonal, and environmental influences are also known to play a role. The study of lupus in children, in whom there is presumed to be greater genetic influence, has led to new understandings that are applicable to SLE pathophysiology as a whole. In particular, characterization of inherited disorders associated with excessive type I interferon production has elucidated specific mechanisms by which interferon is induced in SLE. In this review, we discuss several monogenic forms of lupus presenting in childhood and also review recent insights gained from cytokine and autoantibody profiling of pediatric SLE.

Personalized medicine. Closing the gap between knowledge and clinical practice.

PubMed

Anaya, Juan-Manuel; Duarte-Rey, Carolina; Sarmiento-Monroy, Juan C; Bardey, David; Castiblanco, John; Rojas-Villarraga, Adriana

2016-08-01

Personalized medicine encompasses a broad and evolving field informed by a patient distinctive information and biomarker profile. Although terminology is evolving and some semantic interpretations exist (e.g., personalized, individualized, precision), in a broad sense personalized medicine can be coined as: "To practice medicine as it once used to be in the past using the current biotechnological tools." A humanized approach to personalized medicine would offer the possibility of exploiting systems biology and its concept of P5 medicine, where predictive factors for developing a disease should be examined within populations in order to establish preventive measures on at-risk individuals, for whom healthcare should be personalized and participatory. Herein, the process of personalized medicine is presented together with the options that can be offered in health care systems with limited resources for diseases like rheumatoid arthritis and type 1 diabetes. Copyright © 2016 Elsevier B.V. All rights reserved.

Student understanding of control of variables: Deciding whether or not a variable influences the behavior of a system

NASA Astrophysics Data System (ADS)

Boudreaux, Andrew; Shaffer, Peter S.; Heron, Paula R. L.; McDermott, Lillian C.

2008-02-01

The ability of adult students to reason on the basis of the control of variables was the subject of an extended investigation. This paper describes the part of the study that focused on the reasoning required to decide whether or not a given variable influences the behavior of a system. The participants were undergraduates taking introductory Physics and K-8 teachers studying physics and physical science in inservice institutes and workshops. Although most of the students recognized the need to control variables, many had significant difficulty with the underlying reasoning. The results indicate serious shortcomings in the preparation of future scientists and in the education of a scientifically literate citizenry. There are also strong implications for the professional development of teachers, many of whom are expected to teach control of variables to young students.

Systemic vasculitis associated with vemurafenib treatment: Case report and literature review.

PubMed

Mirouse, Adrien; Savey, Léa; Domont, Fanny; Comarmond, Cloé; Barete, Stéphane; Plaisier, Emmanuelle; Rouvier, Philippe; Cacoub, Patrice; Saadoun, David

2016-11-01

Vemurafenib, an inhibitor of mutated B-rapidly accelerated fibrosarcoma, is frequently used in the treatment of melanoma and Erdheim-Chester disease (ECD) patients. Inflammatory adverse effects have been increasingly reported after vemurafenib treatment. We report 6 cases of vemurafenib-associated vasculitis, of whom a personal case of a 75-year-old man with history of ECD who developed purpura and rapidly progressive pauci-immune glomerulonephritis during treatment with vemurafenib. In the 5 others cases from the literature, all patients presented skin vasculitis, and with joint involvement in 60% of them. Vemurafenib treatment was stopped (n = 3), continued at reduced doses (n = 1), or continued at the same dose (n = 2). Three patients (50%) received corticosteroids combined with cyclophosphamide (n = 1), and all achieved remission of vasculitis. One patient experienced vasculitis relapse after vemurafenib therapy was restarted. Systemic vasculitis is a rare vemurafenib-associated adverse event that may be life-threatening.

Technology Assessment of High Capacity Data Storage Systems: Can We Avoid a Data Survivability Crisis

NASA Technical Reports Server (NTRS)

Halem, M.; Shaffer, F.; Palm, N.; Salmon, E.; Raghavan, S.; Kempster, L.

1998-01-01

The density of digital storage media in our information-intensive society increases by a factor of four every three years, while the rate at which this data can be migrated to viable long-term storage has been increasing by a factor of only four every nine years. Meanwhile, older data stored on increasingly obsolete media, are at considerable risk. When the systems for which the media were designed are no longer serviced by their manufacturers (many of whom are out of business), the data will no longer be accessible. In some cases, older media suffer from a physical breakdown of components - tapes simply lose their magnetic properties after a long time in storage. The scale of the crisis is compatible to that facing the Social Security System. Greater financial and intellectual resources to the development and refinement of new storage media and migration technologies in order to preserve as much data as possible.

Adaptation in Collaborative Governance Regimes

NASA Astrophysics Data System (ADS)

Emerson, Kirk; Gerlak, Andrea K.

2014-10-01

Adaptation and the adaptive capacity of human and environmental systems have been of central concern to natural and social science scholars, many of whom characterize and promote the need for collaborative cross-boundary systems that are seen as flexible and adaptive by definition. Researchers who study collaborative governance systems in the public administration, planning and policy literature have paid less attention to adaptive capacity specifically and institutional adaptation in general. This paper bridges the two literatures and finds four common dimensions of capacity, including structural arrangements, leadership, knowledge and learning, and resources. In this paper, we focus on institutional adaptation in the context of collaborative governance regimes and try to clarify and distinguish collaborative capacity from adaptive capacity and their contributions to adaptive action. We posit further that collaborative capacities generate associated adaptive capacities thereby enabling institutional adaptation within collaborative governance regimes. We develop these distinctions and linkages between collaborative and adaptive capacities with the help of an illustrative case study in watershed management within the National Estuary Program.

The coping strategies of front-line health workers in the context of user fee exemptions in Niger

PubMed Central

2015-01-01

When user fee exemptions were introduced for children under five years of age in Niger, front-line staff in the health system were not consulted in advance, and various obstacles seriously hindered the policy's implementation. Health workers developed two types of coping strategies. The first dealt with shortcomings of the policy implementation process related to management tools, drug stocks, co-existence of the fee exemption and cost recovery systems, and, above all, supply management for medicines (ordering from private companies, issuing makeshift prescriptions). The second involved clientelism, circumvention of regulations, and misappropriation of resources. Adverse effects have arisen due to both the failings of the health system and the practices of health workers. These include a focus on the commercial management of patients, the most 'costly' of whom sometimes find themselves being refused treatment, patients roaming in search of medicines and treatment, and a decline in quality of care. PMID:26558816

Promoting Healthy Outcomes Among Youth with Multiple Risks: Innovative Approaches

PubMed Central

Greenberg, Mark T.; Lippold, Melissa A.

2015-01-01

Adolescent behavior problems such as substance use, antisocial behavior problems, and mental health problems have extremely high social costs and lead to overburdened mental health and juvenile justice systems in the United States and Europe. The prevalence of these problems is substantial, and at-risk youth often present with a combination of concerns. An understanding of risk and protective factors at multiple levels, including the child, family, peer, school, and community, has influenced intervention development. At the individual and family levels, the most effective and cost-effective programs work intensively with youth and their families or use individual and group cognitive-behavioral approaches. However, there is a paucity of careful studies of effective policies and programs in the juvenile justice system. Research is needed that focuses on adoption, financing, implementation, and sustainable use of evidence-based programs in public service systems. In addition, the field needs to understand better for whom current programs are most effective to create the next generation of more effective and efficient programs. PMID:23297659

Information Integrity

ERIC Educational Resources Information Center

Graves, Eric

2013-01-01

This dissertation introduces the concept of Information Integrity, which is the detection and possible correction of information manipulation by any intermediary node in a communication system. As networks continue to grow in complexity, information theoretic security has failed to keep pace. As a result many parties whom want to communicate,…

Transparent mediation-based access to multiple yeast data sources using an ontology driven interface.

PubMed

Briache, Abdelaali; Marrakchi, Kamar; Kerzazi, Amine; Navas-Delgado, Ismael; Rossi Hassani, Badr D; Lairini, Khalid; Aldana-Montes, José F

2012-01-25

Saccharomyces cerevisiae is recognized as a model system representing a simple eukaryote whose genome can be easily manipulated. Information solicited by scientists on its biological entities (Proteins, Genes, RNAs...) is scattered within several data sources like SGD, Yeastract, CYGD-MIPS, BioGrid, PhosphoGrid, etc. Because of the heterogeneity of these sources, querying them separately and then manually combining the returned results is a complex and time-consuming task for biologists most of whom are not bioinformatics expert. It also reduces and limits the use that can be made on the available data. To provide transparent and simultaneous access to yeast sources, we have developed YeastMed: an XML and mediator-based system. In this paper, we present our approach in developing this system which takes advantage of SB-KOM to perform the query transformation needed and a set of Data Services to reach the integrated data sources. The system is composed of a set of modules that depend heavily on XML and Semantic Web technologies. User queries are expressed in terms of a domain ontology through a simple form-based web interface. YeastMed is the first mediation-based system specific for integrating yeast data sources. It was conceived mainly to help biologists to find simultaneously relevant data from multiple data sources. It has a biologist-friendly interface easy to use. The system is available at http://www.khaos.uma.es/yeastmed/.

A Report on the Fitness and Health Promotion Delivery System of the United States. Report No. 4.

ERIC Educational Resources Information Center

Bozzo, Robert; And Others

An assessment is presented of the structure of fitness promotion policy and the function of fitness promotion delivery systems in the United States. The focus is upon: (1) how fitness initiatives first arose; (2) how these initiatives were formalized into broad goals, directives, or mandates; (3) to whom and how these mandates were entrusted; (4)…

Evasion in the plane

NASA Technical Reports Server (NTRS)

Leitmann, G.; Liu, H. S.

1977-01-01

Dynamic systems were considered subject to control by two agents, one of whom desires that no trajectory of the system emanating from outside a given set, intersects that set no matter what the admissible actions of the other agent. Constructive conditions sufficient to yield a feedback control for the agent seeking avoidance were employed to deduce an evader control for the planar pursuit-evasion problem with bounded normal accelerations.

22 CFR 1203.735-304 - Coercion.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Coercion. 1203.735-304 Section 1203.735-304 Foreign Relations UNITED STATES INTERNATIONAL DEVELOPMENT COOPERATION AGENCY EMPLOYEE RESPONSIBILITIES AND... one with whom the employee has family, business, or financial ties. ...

Chagas disease and systemic autoimmune diseases among Bolivian patients in Switzerland

PubMed Central

Jackson, Yves; Pula, Drenusha Vieira de Mello; Finckh, Axel; Chizzolini, Carlo; Chappuis, François

2018-01-01

BACKGROUND Chronic cardiomyopathy occurs in 20-40% of the patients with Chagas disease. Autoimmune mechanisms may contribute to its pathogenesis. We diagnosed several cases of systemic autoimmune diseases among Bolivian migrants in Geneva with a high prevalence of Chagas disease. OBJECTIVES We tested the hypothesis of a clinical association between systemic autoimmune diseases and Chagas disease, particularly with the development of cardiomyopathy. METHODS We retrospectively searched the medical records of all Bolivian patients visiting Geneva University Hospitals between 2012 and 2015 for diagnosis of Chagas disease or systemic autoimmune diseases. FINDINGS Of the 2,189 eligible patients, 28 [1.3%; 95% confidence interval (CI) = 0.9-1.9%] presented with systemic autoimmune disease. The Chagas status was known in 903 (41.3%) patient, of whom 244 (27.0%; 95% CI = 24.2-30.0%) were positive. Eight (28.6%; 95% CI = 15.3-47.1%) of the 28 cases of systemic autoimmune disease had Chagas disease. We found no association between both entities (p = 1.000) or with Chagasic cardiomyopathy (p = 0.729). Moreover, there was no evidence of a temporal relationship between antiparasitic chemotherapy and the development of systemic autoimmune diseases. CONCLUSIONS Our results do not support a clinical association between chronic Chagas disease and systemic autoimmune diseases. However, prospective studies in areas endemic for Chagas disease should better assess the prevalence of systemic autoimmune diseases and thus a possible relationship with this infection. PMID:29412344

[Guide for monitoring children's development in pediatric practice].

PubMed

2017-06-01

The pediatrician is the best-informed professional to whom many families look to be the expert, not only on childhood illnesses but also on development. Early identification, diagnosis and monitoring of these patients are a real challenge for physicians who serve children. This guide provides recommendations for development monitoring, evaluation, diagnosis and follow up of patients with developmental delays and disabilities. Sociedad Argentina de Pediatría.

Establishing a harmonized haemophilia registry for countries with developing health care systems.

PubMed

Alzoebie, A; Belhani, M; Eshghi, P; Kupesiz, A O; Ozelo, M; Pompa, M T; Potgieter, J; Smith, M

2013-09-01

Over recent decades tremendous progress has been made in diagnosing and treating haemophilia and, in resource-rich countries, life expectancy of people with haemophilia (PWH) is now close to that of a healthy person. However, an estimated 70% of PWH are not diagnosed or are undertreated; the majority of whom live in countries with developing health care systems. In these countries, designated registries for people with haemophilia are often limited and comprehensive information on the natural history of the disease and treatment outcomes is lacking. Taken together, this means that planning efforts for future treatment and care of affected individuals is constrained in countries where it is most needed. Establishment of standardized national registries in these countries would be a step towards obtaining reliable sociodemographic and clinical data for an entire country. A series of consensus meetings with experts from widely differing countries with different health care systems took place to discuss concerns specific to countries with developing health care systems. As a result of these discussions, recommendations are made on parameters to include when establishing and harmonizing national registries. Such recommendations should enable countries with developing health care systems to establish standardized national haemophilia registries. Although not a primary objective, the recommendations should also help standardized data collation on an international level, enabling treatment and health care trends to be monitored across groups of countries and providing data for advocacy purposes. Greater standardization of data collation should have implications for optimizing resources for haemophilia care both nationally and internationally. © 2013 John Wiley & Sons Ltd.

Not just a drop in the bucket: expanding access to point-of-use water treatment systems.

PubMed

Mintz, E; Bartram, J; Lochery, P; Wegelin, M

2001-10-01

Since 1990, the number of people without access to safe water sources has remained constant at approximately 1.1 billion, of whom approximately 2.2 million die of waterborne disease each year. In developing countries, population growth and migrations strain existing water and sanitary infrastructure and complicate planning and construction of new infrastructure. Providing safe water for all is a long-term goal; however, relying only on time- and resource-intensive centralized solutions such as piped, treated water will leave hundreds of millions of people without safe water far into the future. Self-sustaining, decentralized approaches to making drinking water safe, including point-of-use chemical and solar disinfection, safe water storage, and behavioral change, have been widely field-tested. These options target the most affected, enhance health, contribute to development and productivity, and merit far greater priority for rapid implementation.

Not Just a Drop in the Bucket: Expanding Access to Point-of-Use Water Treatment Systems

PubMed Central

Mintz, Eric; Bartram, Jamie; Lochery, Peter; Wegelin, Martin

2001-01-01

Since 1990, the number of people without access to safe water sources has remained constant at approximately 1.1 billion, of whom approximately 2.2 million die of waterborne disease each year. In developing countries, population growth and migrations strain existing water and sanitary infrastructure and complicate planning and construction of new infrastructure. Providing safe water for all is a long-term goal; however, relying only on time- and resource-intensive centralized solutions such as piped, treated water will leave hundreds of millions of people without safe water far into the future. Self-sustaining, decentralized approaches to making drinking water safe, including point-of-use chemical and solar disinfection, safe water storage, and behavioral change, have been widely field-tested. These options target the most affected, enhance health, contribute to development and productivity, and merit far greater priority for rapid implementation. PMID:11574307

The Galaxen model--a concept for rehabilitation and prevention in the construction industry.

PubMed

Stenlund, Berndt

2005-01-01

The Galaxen model was developed during the late 1980s to provide rehabilitation and prevention activities in the construction industry. It handles around 1200 workers with long-term sick leave or partial disabilities annually, some 10% of whom annually leave Galaxen for an ordinary job without a wage subsidy. The model includes a decision by a rehabilitation board of representatives from the employers, the trade union, and the regional employment office, a rehabilitation plan, allotment of a case manager, wage subsidies from the State to the company, a search for a suitable job in relation to the partial disability. It also includes a preventive program with emphasis on practical ergonomics. The Galaxen model has proved to be a suitable means of rehabilitating construction workers and returning them to the workforce. The model was developed within the Swedish social security system but could well be adjusted to other contexts.

Data governance and data sharing agreements for community-wide health information exchange: lessons from the beacon communities.

PubMed

Allen, Claudia; Des Jardins, Terrisca R; Heider, Arvela; Lyman, Kristin A; McWilliams, Lee; Rein, Alison L; Schachter, Abigail A; Singh, Ranjit; Sorondo, Barbara; Topper, Joan; Turske, Scott A

2014-01-01

Unprecedented efforts are underway across the United States to electronically capture and exchange health information to improve health care and population health, and reduce costs. This increased collection and sharing of electronic patient data raises several governance issues, including privacy, security, liability, and market competition. Those engaged in such efforts have had to develop data sharing agreements (DSAs) among entities involved in information exchange, many of whom are "nontraditional" health care entities and/or new partners. This paper shares lessons learned based on the experiences of six federally funded communities participating in the Beacon Community Cooperative Agreement Program, and offers guidance for navigating data governance issues and developing DSAs to facilitate community-wide health information exchange. While all entities involved in electronic data sharing must address governance issues and create DSAs accordingly, until recently little formal guidance existed for doing so - particularly for community-based initiatives. Despite this lack of guidance, together the Beacon Communities' experiences highlight promising strategies for navigating complex governance issues, which may be useful to other entities or communities initiating information exchange efforts to support delivery system transformation. For the past three years, AcademyHealth has provided technical assistance to most of the 17 Beacon Communities, 6 of whom contributed to this collaborative writing effort. Though these communities varied widely in terms of their demographics, resources, and Beacon-driven priorities, common themes emerged as they described their approaches to data governance and DSA development. The 6 Beacon Communities confirmed that DSAs are necessary to satisfy legal and market-based concerns, and they identified several specific issues, many of which have been noted by others involved in network data sharing initiatives. More importantly, these communities identified several promising approaches to timely and effective DSA development, including: stakeholder engagement; identification and effective communication of value; adoption of a parsimonious approach; attention to market-based concerns; flexibility in adapting and expanding existing agreements and partnerships; and anticipation of required time and investment.

Prospective observational study of 177Lu-DOTA-octreotate therapy in 200 patients with advanced metastasized neuroendocrine tumours (NETs): feasibility and impact of a dosimetry-guided study protocol on outcome and toxicity.

PubMed

Garske-Román, Ulrike; Sandström, Mattias; Fröss Baron, Katarzyna; Lundin, Lars; Hellman, Per; Welin, Staffan; Johansson, Silvia; Khan, Tanweera; Lundqvist, Hans; Eriksson, Barbro; Sundin, Anders; Granberg, Dan

2018-06-01

Peptide receptor radionuclide therapy in patients with neuroendocrine tumours has yielded promising results. This prospective study investigated the feasibility of dosimetry of the kidneys and bone marrow during therapy and its impact on efficacy and outcome. The study group comprised 200 consecutive patients with metastasized somatostatin receptor-positive neuroendocrine tumours progressing on standard therapy or not suitable for other therapeutic options. A treatment cycle consisted of 7.4 GBq 177 Lu-DOTA-octreotate with co-infusion of a mixed amino acid solution, and cycles were repeated until the absorbed dose to the kidneys reached 23 Gy or there were other reasons for stopping therapy. The Ki-67 index was ≤2% in 47 patients (23.5%), 3-20% in 121 (60.5%) and >20% in 16 (8%). In 123 patients (61.5%) the absorbed dose to the kidneys reached 23 Gy with three to nine cycles during first-line therapy; in no patient was a dose to the bone marrow of 2 Gy reached. The best responses (according to RECIST 1.1) were a complete response (CR) in 1 patient (0.5%), a partial response (PR) in 47 (23.5%), stable disease (SD) in 135 (67.5%) and progressive disease (PD) in 7 (3.5%). Median progression-free survival was 27 months (95% CI 22-30 months) in all patients, 33 months in those in whom the absorbed dose to the kidneys reached 23 Gy and 15 months in those in whom it did not. Median overall survival (OS) was 43 months (95% CI 39-53 months) in all patients, 54 months in those in whom the absorbed dose to the kidneys reached 23 Gy and 25 months in those in whom it did not. Median OS was 60 months in patients with a best response of PR or CR, 42 months in those with SD and 16 months in those with PD. Three patients (1.5%) developed acute leukaemia, 1 patient (0.5%) chronic leukaemia (unconfirmed) and 30 patients (15%) grade 3 or 4 bone marrow toxicity. Eight patients (4%) developed grade 2 kidney toxicity and one patient (0.5%) grade 4 kidney toxicity. Dosimetry-based therapy with 177 Lu-DOTA-octreotate is feasible. Patients in whom the absorbed dose to the kidneys reached 23 Gy had a longer OS than those in whom it did not. Patients with CR/PR had a longer OS than those with SD. Bone marrow dosimetry did not predict toxicity.

Identifying Leadership Potential: The Process of Principals within a Charter School Network

ERIC Educational Resources Information Center

Waidelich, Lynn A.

2012-01-01

The importance of strong educational leadership for American K-12 schools cannot be overstated. As such, school districts need to actively recruit and develop leaders. One way to do so is for school officials to become more strategic in leadership identification and development. If contemporary leaders are strategic about whom they identify and…

Who Does What to Whom: Introduction of Referents in Children's Storytelling from Pictures

ERIC Educational Resources Information Center

Schneider, Phyllis; Hayward, Denyse

2010-01-01

Purpose: This article describes the development of a measure, called First Mentions (FM), that can be used to evaluate the referring expressions that children use to introduce characters and objects when telling a story. Method: Participants were 377 children ages 4 to 9 years (300 with typical development, 77 with language impairment) who told…

Effects of Badminton on Physical Developments of Males with Physical Disability

ERIC Educational Resources Information Center

Yüksel, Mehmet Fatih

2018-01-01

This study was realized in order to determine the features of the male badminton players with physical disability, and to examine the effects of badminton on physical developments of individuals with physical disability. Totally 59 males voluntarily participated in the study, 35 of whom were male badminton players with physical disability (n = 35,…

Training Class Inclusion Responding in Typically Developing Children and Individuals with Autism

ERIC Educational Resources Information Center

Ming, Siri; Mulhern, Teresa; Stewart, Ian; Moran, Laura; Bynum, Kellie

2018-01-01

In a "class inclusion" task, a child must respond to stimuli as being involved in two different though hierarchically related categories. This study used a Relational Frame Theory (RFT) paradigm to assess and train this ability in three typically developing preschoolers and three individuals with autism spectrum disorder, all of whom had…

Connecting the Links: The Career Development Networking Directory.

ERIC Educational Resources Information Center

Azer, Sheri L.; Newman, Elizabeth

This directory includes lists of people, agencies, and organizations that represent many of the key stakeholders in early childhood education career development and training work. It is intended to give activists from all walks of the early care and education field a place to start and a way to know to whom they should be talking both within and…

Who Is Not Sleeping with Whom? What's Not Being Talked about in HRD?

ERIC Educational Resources Information Center

Trehan, Kiran

2004-01-01

Human resource development (HRD) occupies some interesting educational territory. Given the rapid pace of development and innovation in education and in the practice of HRD, coupled with alternative approaches to learning, a re-evaluation of HRD might be expected to be a prominent feature within discussions of the future practice of HRD. However,…

Developing Family Psychoeducational Treatments for Patients with Bipolar and Other Severe Psychiatric Disorders: A Pathway from Basic Research to Clinical Trials.

ERIC Educational Resources Information Center

Miklowitz, David J.; Hooley, Jill M.

1998-01-01

Describes the development pathway of family treatments for patients with severe and persistent psychiatric disorders in a population for whom family attributes have prognostic importance. The methodological complexities of psychosocial treatment studies are many. Moreover, the results of these studies often reflect interactions between treatment,…

Five Patients With Burning Mouth Syndrome in Whom an Antidepressant (Serotonin-Noradrenaline Reuptake Inhibitor) Was Not Effective, but Pregabalin Markedly Relieved Pain.

PubMed

Ito, Mikiko; Tokura, Tatsuya; Yoshida, Keizo; Nagashima, Wataru; Kimura, Hiroyuki; Umemura, Eri; Tachibana, Masako; Miyauchi, Tomoya; Kobayashi, Yuka; Arao, Munetaka; Ozaki, Norio; Kurita, Kenichi

2015-01-01

Burning mouth syndrome (BMS) causes idiopathic pain or a burning sensation in clinically normal oral mucosa. Burning mouth syndrome is a chronic disease with an unknown etiology. Burning mouth syndrome is also idiopathic, and a consensus regarding diagnosis/treatment has not been reached yet. Recent studies have supported the suggestion that BMS is a neuropathic pain disorder in which both the peripheral and central nervous systems are involved. Tricyclic antidepressants (nortriptyline and amitriptyline), serotonin-noradrenaline reuptake inhibitors (SNRIs) (duloxetine and milnacipran), and antiepileptic drugs, potential-dependent calcium channel α2δ subunit ligands (gabapentine and pregabalin), are currently recommended as the first-choice drugs for neuropathic pain. In this study, we report 5 patients with BMS in whom there was no response to SNRI (milnacipran or duloxetine), or administration was discontinued because of adverse reactions, but in whom pregabalin therapy markedly reduced or led to the disappearance of pain in a short period. Pregabalin, whose mechanism of action differs from that of SNRIs, may become a treatment option for BMS patients who are not responsive to or are resistant to SNRIs.

Advances in Schoolwide Inclusive School Reform

ERIC Educational Resources Information Center

Sailor, Wayne

2015-01-01

This article highlights three significant advances in schoolwide inclusive school reform and suggests three next steps to improve educational outcomes for "all" students, particularly for students for whom typical instruction is not effective. Significant advances are as follows: (a) a multi-tiered system of support (MTSS) with embedded…

Alphaphonics Reading Readiness Training Program.

ERIC Educational Resources Information Center

South San Francisco Unified School District, CA.

One of the twelve exemplary programs summarized in the Introduction to Right to Read's "Effective Reading Programs: Summaries of 222 Selected Programs" (CS001934), this program uses an organized phonics system to increase the reading readiness of one school's kindergarten children, many of whom have bilingual parents. In a careful…

The Victimization of the Homeless Mentally Ill.

ERIC Educational Resources Information Center

French, Laurence

An indication of the failure of the mental health system in this country is reflected in the increasingly visible homeless population, many of whom suffer from some form of untreated mental illness. Public policy priorities have shifted from proactive, treatment-oriented policies to reactive, punitive institutionalization. The…

5 CFR 293.102 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Policies on Maintenance of Personnel Records § 293.102 Definitions. In this part: Agency means any... President), or any independent regulatory agency; Data subject means the individual about whom the Office or agency is maintaining information in a system of records; Individual means a citizen of the United States...

5 CFR 293.102 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Policies on Maintenance of Personnel Records § 293.102 Definitions. In this part: Agency means any... President), or any independent regulatory agency; Data subject means the individual about whom the Office or agency is maintaining information in a system of records; Individual means a citizen of the United States...

5 CFR 293.102 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Policies on Maintenance of Personnel Records § 293.102 Definitions. In this part: Agency means any... President), or any independent regulatory agency; Data subject means the individual about whom the Office or agency is maintaining information in a system of records; Individual means a citizen of the United States...

75 FR 4399 - Proposed Data Collections Submitted for Public Comment and Recommendations

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-27

... partners. Interventions developed for gay men may not be relevant or appropriate for men who have sex with men and women (MSMW), many of whom do not self-identify as gay and who may need different prevention...

22 CFR 1508.1000 - Respondent.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Respondent. 1508.1000 Section 1508.1000 Foreign Relations AFRICAN DEVELOPMENT FOUNDATION GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) Definitions § 1508.1000 Respondent. Respondent means a person against whom an agency has initiated a debarment...

Onondaga Lake Watershed – A Geographic Information System Project Phase I – Needs assessment and spatial data framework

USGS Publications Warehouse

Freehafer, Douglas A.; Pierson, Oliver

2004-01-01

In the fall of 2002, the Onondaga Lake Partnership (OLP) formed a Geographic Information System (GIS) Planning Committee to begin the process of developing a comprehensive watershed geographic information system for Onondaga Lake. The goal of the Onondaga Lake Partnership geographic information system is to integrate the various types of spatial data used for scientific investigations, resource management, and planning and design of improvement projects in the Onondaga Lake Watershed. A needs-assessment survey was conducted and a spatial data framework developed to support the Onondaga Lake Partnership use of geographic information system technology. The design focused on the collection, management, and distribution of spatial data, maps, and internet mapping applications. A geographic information system library of over 100 spatial datasets and metadata links was assembled on the basis of the results of the needs assessment survey. Implementation options were presented, and the Geographic Information System Planning Committee offered recommendations for the management and distribution of spatial data belonging to Onondaga Lake Partnership members. The Onondaga Lake Partnership now has a strong foundation for building a comprehensive geographic information system for the Onondaga Lake watershed. The successful implementation of a geographic information system depends on the Onondaga Lake Partnership’s determination of: (1) the design and plan for a geographic information system, including the applications and spatial data that will be provided and to whom, (2) the level of geographic information system technology to be utilized and funded, and (3) the institutional issues of operation and maintenance of the system.

Parental Alienation Syndrome in Italian legal judgments: an exploratory study.

PubMed

Lavadera, Anna Lubrano; Ferracuti, Stefano; Togliatti, Marisa Malagoli

2012-01-01

The present study highlights the characteristics of separated families in Italy for whom Parental Alienation Syndrome (PAS) has been diagnosed during court custody evaluations. The study analyzed the psychological reports of 12 court-appointed expert evaluations of families for whom PAS had been diagnosed. Twelve evaluations that did not receive the PAS diagnosis served as a control group. A specific coding system was used for data analysis. The results indicated that the alienating parents were always the parents who had custody of the children. Children who were diagnosed with PAS were predominantly the only child in the family, had identity problems and manifested manipulative behavior. The consultant in these cases suggested individual psychotherapy for the children and recommended foster care to the Social Services agency. Copyright © 2012 Elsevier Ltd. All rights reserved.

[Character of brain interhemispheric relation in children at forming labile arterial hypertension].

PubMed

Koroleva, N V; Kolesnikov, S I; Bugun, O V; Dolgikh, V V

2010-01-01

Electroencephalography investigations were carried out twice in 26 schoolchildren in the age of 7-8 years and in the age of 9-10 years. The control group included healthy children: the research group included children in whom in the age of 7-8 years the normal level of arterial pressure was registered, and in whom in the age of 9-10 years labile arterial hypertension was revealed. It is revealed, that in children of younger school age forming of the labile form of arterial hypertension is connected whit infringement of processes of age changes of intercortical and cortical-subcortical interrelations and forming of rigidly integrated system of interhemispheric relations. Its mechanism of realization is carried out due to hyperactivation of the right hemisphere and it is incorporated on preclinical stage.

32 CFR 1651.4 - Review by district appeal board.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 1651.4 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM..., the board shall inform any registrant with respect to whom the Director of Selective Service has... which he thinks he should have been placed; and direct attention to any information in his file. The...

How IHI Promotes Learning Systems and Knowledge Management

DTIC Science & Technology

2011-01-26

promote social gatherings for individuals with similar age, etc. Early discharge planning 1.Flu/ Influenza -H1N1 Programs 2.Silver Sneakers Shared...Spread Aim: Prevent Ventilator Associated Pneumonia  Spread What: Ventilator Bundle  Target Goals: Zero Cases of VAP  Spread to Whom: All ICUs in

24 CFR 576.57 - Other Federal requirements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... particular race, color, religion, sex, age, national origin, familial status, or disability who may qualify... proceeds thereunder, either for him or herself or for those with whom he or she has family or business ties...) Audit. The financial management systems used by a State, formula city or county, governmental entity, or...

Accountability: To Whom--For What?

ERIC Educational Resources Information Center

Sharp, Rachel

1991-01-01

Australian higher education has an elitist disregard for the needs, interests, and concerns of the rest of society, and operates under a system that is inherently unaccountable in any democratic sense. Dawkinism does little to change this, and the academic community appears unable or unwilling to question the status quo. (MSE)

Holikachuk Noun Dictionary (Preliminary).

ERIC Educational Resources Information Center

Kari, James, Comp.; And Others

This dictionary contains lists of nouns in the Holikachuk Athabaskan language as spoken by about twenty people, most of whom live in the village of Grayling, Alaska. The Holikachuk alphabet and sound system are presented. The nouns with English equivalents are listed according to the following categories: animals, fish, insects, birds, plants,…

48 CFR 731.205-6 - Compensation for personal services.

Code of Federal Regulations, 2012 CFR

2012-10-01

... whom the contractor will be working. (b) Salaries and wages. It is USAID policy that if an employee's... Contractor Salary Threshold (USAID CST), as stated in USAID's Automated Directives System (ADS) Chapter 302 USAID Direct Contracting (available at http://www.usaid.gov/policy/ads/300/302.pdf), it will be...

48 CFR 731.205-6 - Compensation for personal services.

Code of Federal Regulations, 2013 CFR

2013-10-01

... whom the contractor will be working. (b) Salaries and wages. It is USAID policy that if an employee's... Contractor Salary Threshold (USAID CST), as stated in USAID's Automated Directives System (ADS) Chapter 302 USAID Direct Contracting (available at http://www.usaid.gov/policy/ads/300/302.pdf), it will be...

48 CFR 731.205-6 - Compensation for personal services.

Code of Federal Regulations, 2014 CFR

2014-10-01

... whom the contractor will be working. (b) Salaries and wages. It is USAID policy that if an employee's... Contractor Salary Threshold (USAID CST), as stated in USAID's Automated Directives System (ADS) Chapter 302 USAID Direct Contracting (available at http://www.usaid.gov/policy/ads/300/302.pdf), it will be...

24 CFR 81.99 - Additional provisions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... attachment for GSE Securities in Book-entry system. The interest of a debtor in a Security Entitlement may be reached by a creditor only by legal process upon the Securities Intermediary with whom the debtor's securities account is maintained, except where a Security Entitlement is maintained in the name of a secured...

Reference and Reference Failures. Technical Report No. 398.

ERIC Educational Resources Information Center

Goodman, Bradley A.

In order to build robust natural language processing systems that can detect and recover from miscommunication, the investigation of how people communicate and how they recover from problems in communication described in this artificial intelligence report focused on reference problems which a listener may have in determining what or whom a…

Disregarding Graduated Treatment: Why Transfer Aggravates Recidivism

ERIC Educational Resources Information Center

Johnson, Kristin; Lanza-Kaduce, Lonn; Woolard, Jennifer

2011-01-01

These data merge correctional histories with official state and courthouse information for a sample of teenage offenders, some of whom had been transferred to the adult system. Previous research indicated that transfer aggravates recidivism after the age of 18. The correctional data allow the examination of the relationship between sanctions and…

Canadian Education for the 21st Century.

ERIC Educational Resources Information Center

Kilgour, David

1991-01-01

Observes that, although Canada enjoys one of the highest standards of living in the world, children now make up its largest group of poor people. Reports that there are five million functionally illiterate Canadians, one-third of whom are high school graduates. Calls for a major overhaul of Canada's educational system. (SG)

Peer-Formativity: A Framework for Academic Writing

ERIC Educational Resources Information Center

Murray, Rowena; Thow, Morag

2014-01-01

The system currently deployed to assess research outputs in higher education can influence what, how and for whom academics write; for some it may determine whether or not they write at all. This article offers a framework for negotiating this performative context--the writing meeting. This framework uses the established theoretical underpinning…

Teaching "Trans Issues": An Intersectional and Systems-Based Approach

ERIC Educational Resources Information Center

Boucher, Michel J.

2011-01-01

Transgender people are becoming increasingly visible in popular culture, academia, and national politics. University and college administrators are struggling at every level with how to address the needs of trans-identified staff people, faculty members, and students, all of whom are increasingly becoming open, vibrant participants in university…

Trust and reliance on an automated combat identification system.

PubMed

Wang, Lu; Jamieson, Greg A; Hollands, Justin G

2009-06-01

We examined the effects of aid reliability and reliability disclosure on human trust in and reliance on a combat identification (CID) aid. We tested whether trust acts as a mediating factor between belief in and reliance on a CID aid. Individual CID systems have been developed to reduce friendly fire incidents. However, these systems cannot positively identify a target that does not have a working transponder. Therefore, when the feedback is "unknown", the target could be hostile, neutral, or friendly. Soldiers have difficulty relying on this type of imperfect automation appropriately. In manual and aided conditions, 24 participants completed a simulated CID task. The reliability of the aid varied within participants, half of whom were told the aid reliability level. We used the difference in response bias values across conditions to measure automation reliance. Response bias varied more appropriately with the aid reliability level when it was disclosed than when not. Trust in aid feedback correlated with belief in aid reliability and reliance on aid feedback; however, belief was not correlated with reliance. To engender appropriate reliance on CID systems, users should be made aware of system reliability. The findings can be applied to the design of information displays for individual CID systems and soldier training.

Setting up a wide panel of patient-derived tumor xenografts of non-small cell lung cancer by improving the preanalytical steps.

PubMed

Ilie, Marius; Nunes, Manoel; Blot, Lydia; Hofman, Véronique; Long-Mira, Elodie; Butori, Catherine; Selva, Eric; Merino-Trigo, Ana; Vénissac, Nicolas; Mouroux, Jérôme; Vrignaud, Patricia; Hofman, Paul

2015-02-01

With the ongoing need to improve therapy for non-small cell lung cancer (NSCLC) there has been increasing interest in developing reliable preclinical models to test novel therapeutics. Patient-derived tumor xenografts (PDX) are considered to be interesting candidates. However, the establishment of such model systems requires highly specialized research facilities and introduces logistic challenges. We aimed to establish an extensive well-characterized panel of NSCLC xenograft models in the context of a long-distance research network after careful control of the preanalytical steps. One hundred fresh surgically resected NSCLC specimens were shipped in survival medium at room temperature from a hospital-integrated biobank to animal facilities. Within 24 h post-surgery, tumor fragments were subcutaneously xenografted into immunodeficient mice. PDX characterization was performed by histopathological, immunohistochemical, aCGH and next-generation sequencing approaches. For this model system, the tumor take rate was 35%, with higher rates for squamous carcinoma (60%) than for adenocarcinoma (13%). Patients for whom PDX tumors were obtained had a significantly shorter disease-free survival (DFS) compared to patients for whom no PDX tumors (P = 0.039) were obtained. We established a large panel of PDX NSCLC models with a high frequency of mutations (29%) in EGFR, KRAS, NRAS, MEK1, BRAF, PTEN, and PI3KCA genes and with gene amplification (20%) of c-MET and FGFR1. This new patient-derived NSCLC xenograft collection, established regardless of the considerable time required and the distance between the clinic and the animal facilities, recapitulated the histopathology and molecular diversity of NSCLC and provides stable and reliable preclinical models for human lung cancer research. © 2014 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

Plasma Neutrophil Gelatinase-Associated Lipocalin diagnosed acute kidney injury in patients with systemic inflammatory disease and sepsis.

PubMed

Md Ralib, Azrina; Mat Nor, Mohd Basri; Pickering, John W

2017-05-01

Sepsis is the leading cause of intensive care unit (ICU) admission. Plasma Neutrophil Gelatinase Associated-Lipocalin (NGAL) is a promising biomarker for acute kidney injury (AKI) detection; however, it is also increased with inflammation and few studies have been conducted in non-Caucasian populations and/or in developing economies. Therefore, we evaluated plasma NGAL's diagnostic performance in the presence of sepsis and systemic inflammatory response syndrome (SIRS) in a Malaysian ICU cohort. This is a prospective observational study on patients with SIRS. Plasma creatinine (pCr) and NGAL were measured on ICU admission. Patients were classified according to the occurrence of AKI and sepsis. Of 225 patients recruited, 129 (57%) had sepsis of whom 67 (52%) also had AKI. 96 patients (43%) had non-infectious SIRS, of whom 20 (21%) also had AKI. NGAL concentrations were higher in AKI patients within both the sepsis and non-infectious SIRS cohorts (both P < 0.0001). The diagnostic area under curve for AKI was 0.81 (95%CI: 0.74 to 0.87). The optimal cut-off was higher in sepsis compared to non-infectious SIRS patients (454 versus 176 ng/mL). Addition of NGAL to a clinical model comprising age, pCr, medical admission category and SAPS II score increased the mean risk of those with AKI by 4% and reduced the mean risk of those without AKI by 3%. Acute kidney injury is more common with sepsis than non-infectious SIRS. Plasma NGAL was diagnostic of AKI in both subgroups. The optimal cut-off for diagnosing AKI was higher in sepsis than in non-infectious SIRS. Addition of plasma NGAL improved the clinical model used to diagnose AKI. © 2016 Asian Pacific Society of Nephrology.

User Centered System Design: Papers for the CHI � Conference on Human Factors in Computer Systems.

DTIC Science & Technology

1983-11-01

purpose of the United States Government. ONR REPORT830383 2e0 104 Unclagsified ’tCCU*ITY CLASSIFICATION OF THIS PAGE (Whom, Des enteredE) REPORT... con - mand languages versus menu-based systems, choices of names, and handheld computers versus work stations are examined briefly. UN.ATkrr SErXjftTyv...lsted above in alphabetical order their intentions during the session. An extract from one of We wish to thank Don Norman. Bob Glushko, and Jnathan

Who's Who in Postsecondary Institutions?

ERIC Educational Resources Information Center

Kezar, Adrianna; Frank, Vikki; Lester, Jaime; Yang, Hannah

2009-01-01

In this document the authors provide practitioners offering education Independent Development Accounts (IDAs) with information about whom to partner with in a postsecondary institution. The authors gained this information through interviews, focus groups, and case studies with higher education and IDA practitioners. College campuses can sometimes…

7 CFR 1924.4 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Contractor. The individual or organization with whom the borrower enters into a contract for construction or...)(i)(E) of this subpart. (2) Voluntary national model building codes (model codes). Comprehensive... Department of Housing and Urban Development (HUD) Minimum Property Standards for Housing, Handbook 4910.1...

45 CFR 233.20 - Need and amount of assistance.

Code of Federal Regulations, 2012 CFR

2012-10-01

... PROGRAMS), ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES COVERAGE AND..., individuals with respect to whom Federal foster care payments are made, individuals with respect to whom State or local foster care payments are made, individuals with respect to whom Federal adoption assistance...

29 CFR 516.31 - Industrial homeworkers.

Code of Federal Regulations, 2013 CFR

2013-07-01

... perform industrial homework for an employer. (2) Industrial homework, as used in this section, means the... contractor through whom homework is distributed or collected and the name and address of each homeworker to whom homework is distributed or from whom it is collected by each such agent, distributor, or...

29 CFR 516.31 - Industrial homeworkers.

Code of Federal Regulations, 2012 CFR

2012-07-01

... perform industrial homework for an employer. (2) Industrial homework, as used in this section, means the... contractor through whom homework is distributed or collected and the name and address of each homeworker to whom homework is distributed or from whom it is collected by each such agent, distributor, or...

29 CFR 516.31 - Industrial homeworkers.

Code of Federal Regulations, 2014 CFR

2014-07-01

... perform industrial homework for an employer. (2) Industrial homework, as used in this section, means the... contractor through whom homework is distributed or collected and the name and address of each homeworker to whom homework is distributed or from whom it is collected by each such agent, distributor, or...

7 CFR 61.2 - Terms defined.

Code of Federal Regulations, 2010 CFR

2010-01-01

... United States, or any officer or employee of the Department to whom authority has heretofore been... Administrator of the Agricultural Marketing Service, or any officer or employee of the Service, to whom... Director of the Cotton Division, or any officer or employee of the Division to whom authority has...

Artistic Talent Development for Urban Youth: The Promise and the Challenge. Research Monograph Series.

ERIC Educational Resources Information Center

Oreck, Barry; Baum, Susan; McCartney, Heather

This longitudinal case study investigated issues that influence successful talent development in the arts and examined the effects of long-term artistic involvement on the lives of 23 artistically talented young people (ages 10-26) in New York City, all of whom had participated in a dance or music program in their elementary years. Most students…

[Promoting parental competence by video councelling: The Marte Meo method].

PubMed

Bünder, Peter; Sirringhaus-Bünder, Annegret

2008-01-01

Marte Meo, that is a low-levelled outpatient form of councelling parents and other persons to whom children relate most closely in order to achieve educational competence and help them to assume responsibility for the developement of children. The article gives a short summary how this method has developed and has been applied in the field of youth care.

A Critical Survey of Aircraft Maintenance Officer Training and Career Development.

DTIC Science & Technology

1982-09-01

RESEARCH DESIGN AND METHODOLOGY ............ ... 52 Introduction ...... ................. ... 52 Data Collection Plan .... ............. ... 52 v CHAPTER...1,981 of whom held an AMO AFSC. The occupational data collected was used to develop job tasks inventories, demographic pro- files, organizational...Specifically, it addresses the data collection plans we used, the statistical tests we designed and applied, and the assumptions and limitations we

How Much for Whom? Lessons from an Efficacy Study of Modest Professional Development for Child Care Providers

ERIC Educational Resources Information Center

Gerde, Hope K.; Duke, Nell K.; Moses, Annie M.; Spybrook, Jessaca; Shedd, Meagan K.

2014-01-01

Research Findings: Examining the effects of professional development of the early childhood workforce that fit within the constraints of government policy is crucial for identifying types and amounts of effective training and informing child care policy. The present study used a cluster-randomized trial to evaluate the effects of a professional…

Clinical characteristics and outcomes of bacteraemic melioidosis in a teaching hospital in a northeastern state of Malaysia: a five-year review.

PubMed

Deris, Zakuan Zainy; Hasan, Habsah; Siti Suraiya, Mohd Noor

2010-08-04

Melioidosis is an important public health problem causing community acquired sepsis in the northeastern part of Malaysia. From January 2001 to December 2005, we reviewed case reports of all bacteraemic melioidosis admitted to a tertiary teaching hospital, Hospital Universiti Sains Malaysia. Thirty-five patients had positive blood culture for meliodosis and 27 case reports were traceable for further analysis. The mean age was 46.8 + 20.0 years. Twenty patients (74.1%) were male. The main clinical presentation was fever that occurred in 23 (85.2%) patients. Eighteen patients (66.7%) had lung involvement and three patients had liver abscess. Two patients presented with scrotal swelling, one of whom further developed Fournier's Gangrene. Nineteen (70.4%) patients had underlying diabetes, five of whom were newly diagnosed during the admission. Thirteen (48.1%) patients were treated with high-dose ceftazidime and six (22.2%) patients were treated with imipenem. Eight (29.6%) patients were not given anti-melioidosis therapy because the causative agents were not identified until after the patients died. The patients were admitted 16.8 days + 18.1. Seventeen patients (63.0%) died in this series, 13 patients of whom died within four days of admission. The wide range of clinical presentations and the fatal outcomes of melioidosis require a high level of suspicion among physicians to develop an early appropriate therapy and reduce the mortality rate.

Development and evaluation of a multidisciplinary controlled substances committee within a patient-centered medical home.

PubMed

Gernant, Stephanie A; Bastien, Rachel; Lai, Andrea

2015-01-01

To present the development of a multidisciplinary controlled substances committee and describe its effectiveness in relation to prescribers' acceptance of committee recommendations, the number of premature deaths associated with controlled substances, and prescribers' need for education on controlled substances. A patient-centered medical home and accountable care organization in Maine that serves more than 60,000 patients across a large rural area, 70% of whom are classified as lower income. A multidisciplinary group of prescribers and PharmD residents created a committee to influence organizational culture regarding controlled substances. The Controlled Substances Initiative Committee (CSIC) updated institutional policies, developed provider education, and made personalized patient recommendations to prescribers. The primary outcome was average change in daily morphine equivalent dose (MED) in patients for whom CSIC recommended a dose reduction to the patient's prescriber. Secondary outcomes included the proportion of patients who died of a known overdose or suspected drug-related death during 2012-2013 or 2013-2014. In addition, prescriber beliefs about controlled substances were measured via a needs assessment. The average daily MED for patients whom CSIC recommended dose reduction was lower after 3 months compared with at baseline (175.5 ± 344.3 mg vs. 292.7 ± 466.5 mg; P <0.05). The proportion of patients who died of a known overdose did not differ between 2012-2013 and 2013-2014 (11.8% vs. 11.1%; P = 1.00). However, a greater number of patients had a suspected drug-related death during 2013-2014 compared with during 2012-2013 (0% vs. 27.3%; P = 0.05). A multidisciplinary controlled substances committee may improve patient safety and outcomes by offering prescriber support and helping alter prescribing culture.

Drought Monitoring and Forecasting: Experiences from the US and Africa

NASA Astrophysics Data System (ADS)

Sheffield, Justin; Chaney, Nate; Yuan, Xing; Wood, Eric

2013-04-01

Drought has important but very different consequences regionally due to differences in vulnerability. These differences derive from variations in exposure related to climate variability and change, sensitivity of local populations, and coping capacity at all levels. Managing the risk of drought impacts relies on a variety of measures to reduce vulnerability that includes forewarning of drought development through early-warning systems. Existing systems rely on a variety of observing systems from satellites to local observers, modeling tools, and data dissemination methods. They range from sophisticated state-of-the-art systems to simple ground reports. In some regions, systems are virtually non-existent due to limited national capacity. This talk describes our experiences in developing and implementing drought monitoring and seasonal forecast systems in the US and sub-Saharan Africa as contrasting examples of the scientific challenges and user needs in developing early warning systems. In particular, early warning can help improve livelihoods based on subsistence farming in sub-Saharan Africa; whist reduction of economic impacts is generally foremost in the US. For the US, our national drought monitoring and seasonal forecast system has been operational for over 8 years and provides near real-time updates on hydrological states at ~12km resolution and hydrological forecasts out to 9 months. Output from the system contributes to national assessments such as from the NOAA Climate Prediction Center (CPC) and the US National Drought Monitor (USDM). For sub-Saharan Africa, our experimental drought monitoring system was developed as a translation of the US system but presents generally greater challenges due to, for example, lack of ground data and unique user needs. The system provides near real-time updates based on hydrological modeling and satellite based precipitation estimates, and has recently been augmented by a seasonal forecast component. We discuss the differences in experiences in development and implementation between the two systems in terms of the scientific challenges and the utility of the systems to stakeholders, for whom the information must be relevant to local conditions and needs.

National surveillance of pandemic influenza A(H1N1) infection-related admissions to intensive care units during the 2009-10 winter peak in Denmark: two complementary approaches.

PubMed

Gubbels, S; Perner, A; Valentiner-Branth, P; Molbak, K

2010-12-09

Surveillance of 2009 pandemic influenza A(H1N1) in Denmark was enhanced during the 2009–10 winter season with a system monitoring the burden of the pandemic on intensive care units (ICUs), in order to inform policymakers and detect shortages in ICUs in a timely manner. Between week 46 of 2009 and week 11 of 2010, all 36 relevant Danish ICUs reported in two ways: aggregate data were reported online and case-based data on paper. Cases to be reported were defined as patients admitted to an ICU with laboratory-confirmed 2009 pandemic influenza A(H1N1) infection or clinically suspected illness after close contact with a laboratory-confirmed case. Aggregate numbers of cases were reported weekly: during weeks 48-51 (the peak), reporting was daily. The case-based reports contained demographic and clinical information. The aggregate surveillance registered 93 new cases, the case-based surveillance 61, of whom 53 were laboratory confirmed. The proportion of beds used for influenza patients did not exceed 4.5% of the national capacity. Hospitals with cases used a median of 11% of bed capacity (range: 3–40%). Of the patients for whom information was available, 15 of 48 patients developed renal insufficiency, 19 of 50 developed septic shock and 17 of 53 died. The number of patients with pandemic influenza could be managed within the national bed capacity, although the impact on some ICUs was substantial. The combination of both reporting methods (collecting aggregate and case-based data) proved to be useful for monitoring the burden of the pandemic on ICUs.

A Two-Biomarker Model Predicts Mortality in the Critically Ill with Sepsis.

PubMed

Mikacenic, Carmen; Price, Brenda L; Harju-Baker, Susanna; O'Mahony, D Shane; Robinson-Cohen, Cassianne; Radella, Frank; Hahn, William O; Katz, Ronit; Christiani, David C; Himmelfarb, Jonathan; Liles, W Conrad; Wurfel, Mark M

2017-10-15

Improving the prospective identification of patients with systemic inflammatory response syndrome (SIRS) and sepsis at low risk for organ dysfunction and death is a major clinical challenge. To develop and validate a multibiomarker-based prediction model for 28-day mortality in critically ill patients with SIRS and sepsis. A derivation cohort (n = 888) and internal test cohort (n = 278) were taken from a prospective study of critically ill intensive care unit (ICU) patients meeting two of four SIRS criteria at an academic medical center for whom plasma was obtained within 24 hours. The validation cohort (n = 759) was taken from a prospective cohort enrolled at another academic medical center ICU for whom plasma was obtained within 48 hours. We measured concentrations of angiopoietin-1, angiopoietin-2, IL-6, IL-8, soluble tumor necrosis factor receptor-1, soluble vascular cell adhesion molecule-1, granulocyte colony-stimulating factor, and soluble Fas. We identified a two-biomarker model in the derivation cohort that predicted mortality (area under the receiver operator characteristic curve [AUC], 0.79; 95% confidence interval [CI], 0.74-0.83). It performed well in the internal test cohort (AUC, 0.75; 95% CI, 0.65-0.85) and the external validation cohort (AUC, 0.77; 95% CI, 0.72-0.83). We determined a model score threshold demonstrating high negative predictive value (0.95) for death. In addition to a low risk of death, patients below this threshold had shorter ICU length of stay, lower incidence of acute kidney injury, acute respiratory distress syndrome, and need for vasopressors. We have developed a simple, robust biomarker-based model that identifies patients with SIRS/sepsis at low risk for death and organ dysfunction.

Detection of different Ikaros isoforms in human leukaemias using real-time quantitative polymerase chain reaction.

PubMed

Olivero, S; Maroc, C; Beillard, E; Gabert, J; Nietfeld, W; Chabannon, C; Tonnelle, C

2000-09-01

The Ikaros gene is an essential regulator in development and haematopoiesis. Dysregulated Ikaros gene expression participates in leukaemic processes, as evidenced in animal models, and by analyses of blast-cell populations from leukaemic patients. We used real-time quantitative polymerase chain reaction (PCR) to evaluate the relative abundance of several Ikaros transcript isoforms in a variety of leukaemic-cell samples. Total RNA was isolated from bone-marrow or blood-cell samples collected at diagnosis in children or adult patients, 18 of whom had acute myeloblastic leukaemia (AML), 61 of whom had acute lymphoblastic leukaemia (ALL) and 11 of whom had chronic myeloid leukaemia (CML). The ratio (Ik1 + Ik2)/(Ik1 + Ik2 + Ik4 + Ik7 + Ik8) ranged from 13.5% to 85% and was lower (P < 0. 05) in samples from patients with m-bcr-abl ALL. An alternative splicing resulting in the deletion of 30 nucleotides at the end of exon 6 was observed in leukaemic samples, and in normal thymus and bone marrow. Our results are consistent with previous reports and suggest that the pattern of expression of the different human Ikaros isoforms are not homogeneous among different subsets of leukaemias.

Central pancreatectomy: The Dagradi Serio Iacono operation. Evolution of a surgical technique from the pioneers to the robotic approach

PubMed Central

Iacono, Calogero; Ruzzenente, Andrea; Bortolasi, Luca; Guglielmi, Alfredo

2014-01-01

Central pancreatectomy (CP) is a parenchyma-sparing surgical procedure. The aims are to clarify the history and the development of CP and to give credits to those from whom it came. Ehrhardt, in 1908, described segmental neck resection (SNR) followed, in 1910, by Finney without reconstructive part. In 1950 Honjyo described two cases of SNR combined with gastrectomy for gastric cancer infiltrating the neck of the pancreas. Guillemin and Bessot (1957) and Letton and Wilson (1959) dealt only with the reconstructive aspect of CP. Dagradi and Serio, in 1982, performed the first CP including the resective and reconstructive aspects. Subsequently Iacono has validated it with functional endocrine and exocrine tests and popularized it worldwide. In 2003, Baca and Bokan performed laparoscopic CP and, In 2004, Giulianotti et al performed a robotic assisted CP. CP is performed worldwide either by open surgery or by using minimally-invasive or robotic approaches. This confirms that the operation does not belong to whom introduced it but to everyone who carries out it; however credit must be given to those from whom it came. PMID:25400451

Hermosillo from A to Z.

ERIC Educational Resources Information Center

Lefebvre, Sue

Teaching materials for a comprehensive and integrated study of Mexico at the elementary level are presented. Emphasis throughout is on developing cross-cultural comparisons between Hermosillo and its sister city, Phoenix, for whom the program was created. Mexican geography, history, current events, politics, art, entertainment, education, people,…

Help Yourself, Help Your Students

ERIC Educational Resources Information Center

Luft, Julie A.; Bang, EunJin; Hewson, Peter W.

2016-01-01

Science teachers often participate in professional development programs (PDPs) to improve their students' learning. They sign up for workshops, institutes, university classes, or professional learning communities to gain knowledge and new instructional practices and to find colleagues with whom to discuss their teaching. But with so many options…

34 CFR 304.30 - Requirements for scholar.

Code of Federal Regulations, 2014 CFR

2014-07-01

...-PERSONNEL DEVELOPMENT TO IMPROVE SERVICES AND RESULTS FOR CHILDREN WITH DISABILITIES Conditions That Must Be... a position in which— (1) At least 51 percent of the infants, toddlers, and children to whom the... special education, related services, or early intervention services to infants, toddlers, and children...

34 CFR 304.30 - Requirements for scholar.

Code of Federal Regulations, 2010 CFR

2010-07-01

...-PERSONNEL DEVELOPMENT TO IMPROVE SERVICES AND RESULTS FOR CHILDREN WITH DISABILITIES Conditions That Must Be... a position in which— (1) At least 51 percent of the infants, toddlers, and children to whom the... special education, related services, or early intervention services to infants, toddlers, and children...

34 CFR 304.30 - Requirements for scholar.

Code of Federal Regulations, 2012 CFR

2012-07-01

...-PERSONNEL DEVELOPMENT TO IMPROVE SERVICES AND RESULTS FOR CHILDREN WITH DISABILITIES Conditions That Must Be... a position in which— (1) At least 51 percent of the infants, toddlers, and children to whom the... special education, related services, or early intervention services to infants, toddlers, and children...

34 CFR 304.30 - Requirements for scholar.

Code of Federal Regulations, 2013 CFR

2013-07-01

...-PERSONNEL DEVELOPMENT TO IMPROVE SERVICES AND RESULTS FOR CHILDREN WITH DISABILITIES Conditions That Must Be... a position in which— (1) At least 51 percent of the infants, toddlers, and children to whom the... special education, related services, or early intervention services to infants, toddlers, and children...

34 CFR 304.30 - Requirements for scholar.

Code of Federal Regulations, 2011 CFR

2011-07-01

...-PERSONNEL DEVELOPMENT TO IMPROVE SERVICES AND RESULTS FOR CHILDREN WITH DISABILITIES Conditions That Must Be... a position in which— (1) At least 51 percent of the infants, toddlers, and children to whom the... special education, related services, or early intervention services to infants, toddlers, and children...

Grandmotherhood: A Study of Role Conceptions

ERIC Educational Resources Information Center

Robertson, Joan F.

1977-01-01

This research reports on the significance of grandmotherhood to an area sample of 125 females, most of whom were grandmothers, age 70 or over. The paper describes the development of a typology which was designed to identify, describe, and test four distinct types of grandparenting. (Author)

Students Active in Leadership.

ERIC Educational Resources Information Center

Brutcher, Robert

2001-01-01

Describes SAIL (Students Active in Leadership) as a school-based, youth-directed group. States that the program helps teenagers learn leadership skills by developing and implementing community service activities. SAIL finds partners with whom to collaborate among local businesses, government, and health associations, and these partners provide the…

Cystic dystrophy of the gastric and duodenal wall developing in heterotopic pancreas: an unrecognised entity.

PubMed Central

Fléjou, J F; Potet, F; Molas, G; Bernades, P; Amouyal, P; Fékété, F

1993-01-01

Ten patients in whom cystic dystrophy developed in a heterotopic pancreas of the duodenal (nine patients) or gastric (one patient) wall are reported. All were young or middle aged white men, only two of whom were alcoholic. The symptoms were caused by intestinal or biliary stenosis, or both, secondary to the inflammation and fibrosis. Only endosonography provided strong evidence for the diagnosis in three patients. All patients underwent surgery: a pancreaticoduodenectomy was performed in eight patients. The surgical specimen showed cystic lesions of the gut wall, occurring in inflammatory and fibrous heterotopic pancreatic tissue. The pancreas proper was normal in all patients. It is suggested that cystic dystrophy is an uncommon and serious complication of heterotopic pancreas. Similar cases associated with chronic pancreatitis of the pancreas have been observed and it is suggested that this process could be responsible for some of the chronic pancreatitis encountered in young, non-alcoholic patients. Images Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 PMID:8097180

Evaluating the Risks of School Dropout amongst Children in the Care of the French Child Protection System: An Exploratory Study

ERIC Educational Resources Information Center

Derivois, Daniel; Guillier-Pasut, Nathalie; Karray, Amira; Cénat, Jude-Mary; Brolles, Lisbeth; Matsuhara, Hanae

2015-01-01

The aim of this pilot study is to identify the best way of preventing and assessing the livelihood and risk of school dropout amongst children entrusted to the care of the French child protection system in the Département of Rhone. The sample comprised 91 children and adolescents aged 4- to 17-years-old, of whom 45 were girls. The data were…

Anterior cervical plate fixation with the titanium hollow screw plate system. A preliminary report.

PubMed

Suh, P B; Kostuik, J P; Esses, S I

1990-10-01

Morscher, of Switzerland, has developed an anterior cervical spine plate system (THSP) that does not require screw purchase of the posterior cortex. This design eliminates potential neurologic complications usually associated with the anterior plate system, but maintains the mechanical advantages of internal fixation. The authors reviewed 13 consecutive patients in whom the THSP system was applied. Indications for the use of this device included acute trauma in three patients, trauma of more than 6 weeks' duration in five patients, and spondylosis in five patients. Fifteen plates and 58 screws were placed, with no screws purchasing the posterior cortex. Postoperative immobilization varied from no immobilization to four-poster brace. With a mean follow-up of 13 months, all 13 patients went on to fusion. One patient had screws placed in the disc rather than in bone and went on to malunion. In all other patients, radiographs did not demonstrate screw migration, screw-bone lucency, graft dislodgement, or malunion. No patient suffered neurologic injury as a result of this device. The THSP system facilitates reliable fusion with minimal complications. Its use should be considered in multilevel anterior spine defects, posttraumatic cervical kyphosis, and cervical fractures with posterior disruption requiring anterior fusion.

43 CFR 3.3 - Permits; to whom granted.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Permits; to whom granted. 3.3 Section 3.3 Public Lands: Interior Office of the Secretary of the Interior PRESERVATION OF AMERICAN ANTIQUITIES § 3.3 Permits; to whom granted. Permits for the examination of ruins, the excavation of archeological sites, and...

43 CFR 3.3 - Permits; to whom granted.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Permits; to whom granted. 3.3 Section 3.3 Public Lands: Interior Office of the Secretary of the Interior PRESERVATION OF AMERICAN ANTIQUITIES § 3.3 Permits; to whom granted. Permits for the examination of ruins, the excavation of archeological sites, and...

43 CFR 3.3 - Permits; to whom granted.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Permits; to whom granted. 3.3 Section 3.3 Public Lands: Interior Office of the Secretary of the Interior PRESERVATION OF AMERICAN ANTIQUITIES § 3.3 Permits; to whom granted. Permits for the examination of ruins, the excavation of archeological sites, and...

43 CFR 3.3 - Permits; to whom granted.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Permits; to whom granted. 3.3 Section 3.3 Public Lands: Interior Office of the Secretary of the Interior PRESERVATION OF AMERICAN ANTIQUITIES § 3.3 Permits; to whom granted. Permits for the examination of ruins, the excavation of archeological sites, and...

30 CFR 280.31 - Whom will MMS notify about environmental issues?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Whom will MMS notify about environmental issues... Obligations Under This Part Environmental Issues § 280.31 Whom will MMS notify about environmental issues? (a... submission for approval. (b) In cases where an environmental assessment is to be prepared, the Director will...

34 CFR 5.82 - By whom review is made.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PUB. L. 90-23 (Eff. until 7-14-10) Administrative Review § 5.82 By whom review is made. (a) Requests for review of denials should be addressed to the Secretary. (b) [Reserved] ... 34 Education 1 2010-07-01 2010-07-01 false By whom review is made. 5.82 Section 5.82 Education...

33 CFR 67.35-15 - To whom addressed.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false To whom addressed. 67.35-15 Section 67.35-15 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES Applications § 67.35-15 To whom...

33 CFR 67.35-15 - To whom addressed.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false To whom addressed. 67.35-15 Section 67.35-15 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION AIDS TO NAVIGATION ON ARTIFICIAL ISLANDS AND FIXED STRUCTURES Applications § 67.35-15 To whom...

78 FR 45173 - Agency Information Collection Activities: Proposed Collection; Comment Request-Enhancing...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-26

... compare information across the States; provide descriptive estimates of the contribution to payment error... of whom will complete surveys); 106 State QC supervisors (3 in the pretest, 100 percent of whom will... telephone, 81 percent of whom will complete surveys); and 265 State QC reviewers (5 in the pretest, 100...

18 CFR 1b.10 - By whom conducted.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 18 Conservation of Power and Water Resources 1 2014-04-01 2014-04-01 false By whom conducted. 1b.10 Section 1b.10 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES RULES RELATING TO INVESTIGATIONS § 1b.10 By whom conducted. Formal...

18 CFR 1b.10 - By whom conducted.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false By whom conducted. 1b.10 Section 1b.10 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES RULES RELATING TO INVESTIGATIONS § 1b.10 By whom conducted. Formal...

18 CFR 1b.10 - By whom conducted.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false By whom conducted. 1b.10 Section 1b.10 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES RULES RELATING TO INVESTIGATIONS § 1b.10 By whom conducted. Formal...

18 CFR 1b.10 - By whom conducted.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false By whom conducted. 1b.10 Section 1b.10 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES RULES RELATING TO INVESTIGATIONS § 1b.10 By whom conducted. Formal...

20 CFR 416.542 - Underpayments-to whom underpaid amount is payable.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Underpayments-to whom underpaid amount is payable. 416.542 Section 416.542 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Payment of Benefits, Overpayments, and Underpayments § 416.542 Underpayments—to whom underpaid amount is...

Expert Seeker

NASA Technical Reports Server (NTRS)

Fernandez, Becerra

2003-01-01

Expert Seeker is a computer program of the knowledge-management-system (KMS) type that falls within the category of expertise-locator systems. The main goal of the KMS system implemented by Expert Seeker is to organize and distribute knowledge of who are the domain experts within and without a given institution, company, or other organization. The intent in developing this KMS was to enable the re-use of organizational knowledge and provide a methodology for querying existing information (including structured, semistructured, and unstructured information) in a way that could help identify organizational experts. More specifically, Expert Seeker was developed to make it possible, by use of an intranet, to do any or all of the following: Assist an employee in identifying who has the skills needed for specific projects and to determine whether the experts so identified are available. Assist managers in identifying employees who may need training opportunities. Assist managers in determining what expertise is lost when employees retire or otherwise leave. Facilitate the development of new ways of identifying opportunities for innovation and minimization of duplicated efforts. Assist employees in achieving competitive advantages through the application of knowledge-management concepts and related systems. Assist external organizations in requesting speakers for specific engagements or determining from whom they might be able to request help via electronic mail. Help foster an environment of collaboration for rapid development in today's environment, in which it is increasingly necessary to assemble teams of experts from government, universities, research laboratories, and industries, to quickly solve problems anytime, anywhere. Make experts more visible. Provide a central repository of information about employees, including information that, heretofore, has typically not been captured by the human-resources systems (e.g., information about past projects, patents, or hobbies). Unify myriad collections of data into Web-enabled repository that could easily be searched for relevant data.

Social-Emotional Learning in the Primary Curriculum

ERIC Educational Resources Information Center

Mindess, Mary; Chen, Min-hua; Brenner, Ronda

2008-01-01

The authors advocate that every primary grade program needs a carefully planned social-emotional component. All children--those who enter first or second grade with an ability to control their emotions and make friends and those for whom these skills are more difficult--benefit from intentional teaching in this area. Some school systems adopt a…

Read, Talk, Play, Watch: How HRD Practitioners Like to Learn

ERIC Educational Resources Information Center

Tyler, Jo A.

2008-01-01

While an aim of research is to inform practice, there exists a tension between scholars who undertake research and practitioners whom it might benefit. Scholars work diligently inside a system that values print for dissemination, but practitioners opine that the practicalities are embedded within ponderous articles rife with academic language and…

Central-City Schooling: Money Can Make a Difference.

ERIC Educational Resources Information Center

Silard, John; And Others

Urban school systems are finding it increasingly difficult to meet the extensive educational needs of their students, many of whom are from poverty backgrounds. By all statistical measures, the cities have far more than their share of economically disadvantaged pupils. Because of urban poverty, many of these students are not prepared to learn,…

Anticipation and Controversy Surround "Superman" Release

ERIC Educational Resources Information Center

Aarons, Dakarai I.

2010-01-01

Well in advance of its official release, the education film "Waiting For Superman" has attracted a level of attention that could make it one of the year's most-watched documentaries--and one of the most controversial among educators, some of whom question its depictions of the American school system and how to improve it. Made by…

The Case for Teachers' Classroom English Proficiency

ERIC Educational Resources Information Center

Freeman, Donald

2017-01-01

New conceptualizations of English are challenging traditional norms of what the language is, as well as how it is taught and by whom. These changes, coupled with the expansion of teaching English across the educational spectrum from younger grades to tertiary levels, present challenges to many national education systems. The role of teachers'…

THE CULTURALLY DEPRIVED. EDUCATING THE DISADVANTAGED.

ERIC Educational Resources Information Center

MITCHELL, CHARLES

AMERICA'S GREAT CITY SCHOOL SYSTEMS ARE HAVING SERIOUS DIFFICULTIES. THEY HAVEN'T ENOUGH MONEY FOR TEACHERS AND CLASSROOMS. THEIR INNER-CITY SCHOOLS ARE CROWDED WITH STUDENTS WHO REQUIRE SERVICES WHICH THE SCHOOLS HAVE NEVER HAD TO PROVIDE ON A LARGE, ORGANIZED SCALE. THEY HAVE TOO FEW TEACHERS, MANY OF WHOM ARE INADEQUATELY PREPARED TO TEACH THE…

28 CFR 25.9 - Retention and destruction of records in the system.

Code of Federal Regulations, 2010 CFR

2010-07-01

... by the individuals to whom the records pertain would violate Federal or state law. The NICS will... relating to denied transactions will be retained for 10 years, after which time they will be transferred to a Federal Records Center for storage; (ii) NICS Audit Log records relating to transactions in an...

Disability Policy Evaluation: Combining Logic Models and Systems Thinking

ERIC Educational Resources Information Center

Claes, Claudia; Ferket, Neelke; Vandevelde, Stijn; Verlet, Dries; De Maeyer, Jessica

2017-01-01

Policy evaluation focuses on the assessment of policy-related personal, family, and societal changes or benefits that follow as a result of the interventions, services, and supports provided to those persons to whom the policy is directed. This article describes a systematic approach to policy evaluation based on an evaluation framework and an…

Blackboard Wins Payment from Competitor in Patent Case

ERIC Educational Resources Information Center

Mangan, Katherine

2008-01-01

A federal jury in Texas awarded Blackboard Inc. $3.1-million last month, saying that a smaller Canadian competitor, Desire2Learn Inc., had infringed Blackboard's patent for a system of delivering course materials online. The case has been closely watched by campus-technology officials, many of whom feared that a Blackboard win could stifle…

"Rational" Observational Systems of Educational Accountability and Reform

ERIC Educational Resources Information Center

Amrein-Beardsley, Audrey; Holloway-Libell, Jessica; Cirell, Anna Montana; Hays, Alice; Chapman, Kathryn

2015-01-01

There is something incalculable about teacher expertise and whether it can be observed, detected, quantified, and as per current educational policies, used as an accountability tool to hold America's public school teachers accountable for that which they do (or do not do well). In this commentary, authors (all of whom are former public school…

41 CFR 105-74.210 - To whom must I distribute my drug-free workplace statement?

Code of Federal Regulations, 2010 CFR

2010-07-01

... distribute my drug-free workplace statement? 105-74.210 Section 105-74.210 Public Contracts and Property Management Federal Property Management Regulations System (Continued) GENERAL SERVICES ADMINISTRATION... distribute my drug-free workplace statement? You must require that a copy of the statement described in § 105...

Distributing Leadership to Make Schools Smarter: Taking the Ego out of the System

ERIC Educational Resources Information Center

Leithwood, Kenneth; Mascall, Blair; Strauss, Tiiu; Sacks, Robin; Memon, Nadeem; Yashkina, Anna

2007-01-01

In this study, we inquired about patterns of leadership distribution, as well as which leadership functions were performed by whom, the characteristics of nonadministrative leaders, and the factors promoting and inhibiting the distribution of leadership functions. We consider our account of distributed leadership in this district to be a probable…

76 FR 33753 - Modification of the Expiration Date for the National Pollutant Discharge Elimination System...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-09

... Stormwater and Nonpoint Source Section, Water Protection Division, Environmental Protection Agency, Region 4.../region4/water/permits/stormwater.html . C. How and to whom do I submit comments? You may submit comments... earlier. II. Background of Permit A. Statutory and Regulatory History The Clean Water Act (CWA...

Where Does Conflict Management Fit in the System's Leadership Puzzle?

ERIC Educational Resources Information Center

Cook, Vickie S.; Johnston, Linda M.

2008-01-01

Superintendents are faced with conflicts every day. The conflicts arise around issues of personnel, community roles, funding, politics, and work/life balance. Good leadership involves an understanding of how to deal with conflict, whom to involve in the conflict resolution, how to set up structures and processes that ensure conflict doesn't…

32 CFR 1648.5 - Procedures during personal appearance before the local board.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 6 2011-07-01 2011-07-01 false Procedures during personal appearance before the... SELECTIVE SERVICE SYSTEM CLASSIFICATION BY LOCAL BOARD § 1648.5 Procedures during personal appearance before... personal appearances. Only those members of the board before whom the registrant appears shall classify him...

Transforming Public Education: Cases in Education Entrepreneurship

ERIC Educational Resources Information Center

Childress, Stacey M., Ed.

2010-01-01

For nearly two decades, education entrepreneurs have been working to transform the K-12 public education system in the United States. "Social entrepreneurship" has become part of the language of a new generation of idealists, many of whom are focused on education. The nineteen cases in this book profile entrepreneurs who are pursuing…

Assessing neurosurgical non-technical skills: an exploratory study of a new behavioural marker system.

PubMed

Michinov, Estelle; Jamet, Eric; Dodeler, Virginie; Haegelen, Claire; Jannin, Pierre

2014-10-01

The management of non-technical skills is a major factor affecting teamwork quality and patient safety. This article presents a behavioural marker system for assessing neurosurgical non-technical skills (BMS-NNTS). We tested the BMS during deep brain stimulation surgery. We developed the BMS in three stages. First, we drew up a provisional assessment tool based on the literature and observation tools developed for other surgical specialties. We then analysed videos made in an operating room (OR) during deep brain stimulation operations in order to ensure there were no significant omissions from the skills list. Finally, we used five videos of operations to identify the behavioural markers of non-technical skills in verbal communications. Analyses of more than six hours of observations revealed 3515 behaviours from which we determined the neurosurgeon's non-technical skills behaviour pattern. The neurosurgeon frequently engaged in explicit coordination, situation awareness and leadership behaviours. In addition, the neurosurgeon's behaviours differed according to the stage of the operation and the OR staff members with whom she was communicating. Our behavioural marker system provides a structured approach to assessing non-technical skills in the field of neurosurgery. It can also be transferred to other surgical specialties and used in surgeon training curricula. © 2014 John Wiley & Sons, Ltd.

Unexpected embolization of Teflon pledget in the left main stem during: a Bentall operation.

PubMed

Rubino, Antonino S; Serraino, Giuseppe F; Marsico, Roberto; Renzulli, Attilio

2011-01-01

We report the case of an 83-year-old man in whom acute left ventricular failure with ventricular arrhythmic storm developed during a Bentall operation. During re-exploration of the annular and coronary ostial anastomoses, no abnormality was seen, and none of the common sequelae of aortic root replacement was evident. The application of retrograde cardioplegia yielded a Teflon pledget that had migrated into the distal part of the left main stem. The pledget was removed, the anastomoses were reestablished, and the patient recovered uneventfully. This case suggests that left ostial anastomosis re-exploration should be carefully considered when no other cause of coronary insufficiency is obvious, and that retrograde cardioplegia may be useful to detect embolization in the left coronary system.

Unexpected Embolization of Teflon Pledget in the Left Main Stem during a Bentall Operation

PubMed Central

Rubino, Antonino S.; Serraino, Giuseppe F.; Marsico, Roberto; Renzulli, Attilio

2011-01-01

We report the case of an 83-year-old man in whom acute left ventricular failure with ventricular arrhythmic storm developed during a Bentall operation. During re-exploration of the annular and coronary ostial anastomoses, no abnormality was seen, and none of the common sequelae of aortic root replacement was evident. The application of retrograde cardioplegia yielded a Teflon pledget that had migrated into the distal part of the left main stem. The pledget was removed, the anastomoses were reestablished, and the patient recovered uneventfully. This case suggests that left ostial anastomosis re-exploration should be carefully considered when no other cause of coronary insufficiency is obvious, and that retrograde cardioplegia may be useful to detect embolization in the left coronary system. PMID:22163143

A palliative care link nurse programme in Mulago Hospital, Uganda: an evaluation using mixed methods.

PubMed

Downing, Julia; Batuli, Mwazi; Kivumbi, Grace; Kabahweza, Josephine; Grant, Liz; Murray, Scott A; Namukwaya, Elizabeth; Leng, Mhoira

2016-04-08

Integrating palliative care (PC) and empowering the health care workforce is essential to achieve universal access to PC services. In 2010, 46% of patients in Mulago Hospital, Uganda had a life limiting illness, of whom 96% had PC needs. The university/hospital specialist PC unit (Makerere/Mulago Palliative Care Unit -MPCU) implemented a link-nurse model to empower hospital nurses to provide generalist PC. Over two years, 27 link nurses were trained and mentored and 11 clinical protocols developed. The aim of the study was to evaluate the impact of the palliative care link nurse programme at Mulago Hospital An evaluation approach utilising mixed methods was used integrating qualitative and quantitative data including: pre and post course assessment confidence ratings; course evaluation forms; audit of clinical guidelines availability; review of link-nurse activity sheets/action plans; review of MPCU patient documentation; Most Significant Change (MSC); individual and focus group interviews. A significant difference was seen in nurses' confidence after the training (p < 0.001). From July 2012 to December 2013, link nurses identified 2447 patients needing PC, of whom they cared for 2113 (86%) and referred 334 (14%) to MPCU. Clinical guidelines/protocols were utilised in 50% of wards. Main themes identified include: change in attitude; developing new skills and knowledge; change in relationships; improved outcomes of care, along with the challenges that they experienced in integrating PC. Since the start of the programme there has been an increase in PC patients seen at the hospital (611 in 2011 to 1788 in 2013). The link-nurse programme is a practical model for integrating PC into generalist services. Recommendations have been made for ongoing development and expansion of the programme as an effective health systems strengthening approach in similar healthcare contexts, as well as the improvement in medical and nursing education.

The self-description inventory+, part 1 : factor structure and convergent validity analyses.

DOT National Transportation Integrated Search

2013-07-01

Each year the FAA hires approximately 900 new air traffic controller candidates, the majority of whom take the Air Traffic Selection and Training test battery, better known as AT-SAT. This test, developed in 1997, is based on a job/task analysis cond...

Library Development Handbook. Central Archive for Reusable Defense Software (CARDS)

DTIC Science & Technology

1993-10-29

features. This feature benefits the individual not versed in the terminology of the domain. When class requirements become part of the domain criteria, they... franchisee - Group to whom a franchise is granted. generic architecture - A collection of high-level paradigms and constraints that characterize the

22 CFR 225.102 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Definitions. 225.102 Section 225.102 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT PROTECTION OF HUMAN SUBJECTS § 225.102 Definitions. (a... employee of any department or agency to whom authority has been delegated. (b) Institution means any public...

Supporting the Development of Latino Bilingual Mental Health Professionals

ERIC Educational Resources Information Center

Peters, Michelle L.; Sawyer, Cheryl B.; Guzmán, Michele R.; Graziani, Cate

2014-01-01

Latino individuals who prefer to communicate in Spanish lack linguistically and culturally proficient mental health professionals with whom they can communicate effectively. This study illustrates the components necessary to facilitate the overall success of Latino, Spanish-speaking students in attaining advanced degrees in mental health services…

38 CFR 11.76 - To whom loan may be made.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.76 To whom loan may be made. Only the... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false To whom loan may be made. 11.76 Section 11.76 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS LOANS BY...

38 CFR 11.77 - By whom loans may be made.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.77 By whom loans may be made. Any... World War Adjusted Compensation Act dated February 27, 1931, that the loan value of any certificate... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false By whom loans may be made...

38 CFR 11.76 - To whom loan may be made.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.76 To whom loan may be made. Only the... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false To whom loan may be made. 11.76 Section 11.76 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS LOANS BY...

38 CFR 11.76 - To whom loan may be made.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.76 To whom loan may be made. Only the... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false To whom loan may be made. 11.76 Section 11.76 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS LOANS BY...

38 CFR 11.77 - By whom loans may be made.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.77 By whom loans may be made. Any... World War Adjusted Compensation Act dated February 27, 1931, that the loan value of any certificate... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false By whom loans may be made...

38 CFR 11.77 - By whom loans may be made.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.77 By whom loans may be made. Any... World War Adjusted Compensation Act dated February 27, 1931, that the loan value of any certificate... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false By whom loans may be made...

38 CFR 11.76 - To whom loan may be made.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.76 To whom loan may be made. Only the... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false To whom loan may be made. 11.76 Section 11.76 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS LOANS BY...

38 CFR 11.77 - By whom loans may be made.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.77 By whom loans may be made. Any... World War Adjusted Compensation Act dated February 27, 1931, that the loan value of any certificate... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false By whom loans may be made...

38 CFR 11.76 - To whom loan may be made.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.76 To whom loan may be made. Only the... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false To whom loan may be made. 11.76 Section 11.76 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS LOANS BY...

38 CFR 11.77 - By whom loans may be made.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Under Section 502 of the World War Adjusted Compensation Act § 11.77 By whom loans may be made. Any... World War Adjusted Compensation Act dated February 27, 1931, that the loan value of any certificate... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false By whom loans may be made...

36 CFR 1239.12 - Whom may agencies contact to request program assistance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... § 1239.12 Whom may agencies contact to request program assistance? Agencies in the Washington, DC, area desiring information or assistance related to any of the areas covered by subchapter B may contact the... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Whom may agencies contact to...

42 CFR 64a.102 - To whom do these regulations apply?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false To whom do these regulations apply? 64a.102 Section 64a.102 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING OBLIGATED SERVICE FOR MENTAL HEALTH TRAINEESHIPS § 64a.102 To whom do these regulations...

42 CFR 64a.102 - To whom do these regulations apply?

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 1 2013-10-01 2013-10-01 false To whom do these regulations apply? 64a.102 Section 64a.102 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING OBLIGATED SERVICE FOR MENTAL HEALTH TRAINEESHIPS § 64a.102 To whom do these regulations...

42 CFR 64a.102 - To whom do these regulations apply?

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 1 2012-10-01 2012-10-01 false To whom do these regulations apply? 64a.102 Section 64a.102 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING OBLIGATED SERVICE FOR MENTAL HEALTH TRAINEESHIPS § 64a.102 To whom do these regulations...

42 CFR 64a.102 - To whom do these regulations apply?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 1 2011-10-01 2011-10-01 false To whom do these regulations apply? 64a.102 Section 64a.102 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING OBLIGATED SERVICE FOR MENTAL HEALTH TRAINEESHIPS § 64a.102 To whom do these regulations...

42 CFR 64a.102 - To whom do these regulations apply?

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 1 2014-10-01 2014-10-01 false To whom do these regulations apply? 64a.102 Section 64a.102 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING OBLIGATED SERVICE FOR MENTAL HEALTH TRAINEESHIPS § 64a.102 To whom do these regulations...

[Validation of the French translation of Beck's Sociotropy-Autonomy Scale].

PubMed

Husky, Mathilde M; Grondin, Olivier S; Compagnone, Philippe D

2004-12-01

To validate the French version of the Sociotropy- Autonomy Scale (SAS) developed by Beck and others. The SAS is a self-questionnaire of 60 items divided into 2 dimensions measuring sociotropy and autonomy. The SAS was completed by 1028 students, 140 of whom jointly completed Robins' Personal Style Inventory-Revised, and 75 of whom completed the SAS again 3 months later. The principal-axes factor analysis conducted on all 60 items yielded 2 distinct dimensions: sociotropy and autonomy. The factor analysis of each dimension led us to identify 6 subdimensions, just as in the original instrument. The French translation features satisfying psychometric and conceptual characteristics and allows these dimensions to be studied in a French sample. Results are discussed with regards to adequacy when compared with the original Beck's version.

[Medical inventions: developments and approaches in employer-employee [correction of worker-employee] relations].

PubMed

Teff, Zvi

2012-11-01

The past twenty years have witnessed a huge increase in research activity on the government health system in Israel. Consequently, a number of questions of enhanced importance arise: to whom the resultant IP (intellectual property) belongs?--to the researcher or the employer? and what compensation should the researcher receive for his inventive efforts? The government found many cases where the IP was registered in the name of the inventor/researcher, thus denying the government ownership of the IP. In 2009, the government sued Omryx over ownership of such an IP. Following these developments, the government issued new rules for management of IP in the government health system. They came into effect in November 2010. In many respects, the new rules are more stringent than the Israeli Patent Law in respect of the inventor. However, the stipulation of awards to the inventor in the new rules is generous. In order for the new rules to be enforceable, the following guidelines are recommended: The new rules should be more aligned with the Patent Law and with the meaning given to the Law by the judicial system, and There is need for the assent and awareness of health system workers to the conditions set out in the new rules, preferably in the form of new work contracts that clearly and concurrently delineate the worker's duties, particularly those pertaining to IP.

Getting it all together. Systems should link their strategic and financial planning.

PubMed

Barron, E; Westermann, D A

1995-04-01

Foreseeing dramatic changes in healthcare delivery, the leaders of the Franciscan Health System (FHS) decided in the early 1990s to more closely link their strategic and financial planning. Though this cooperation was tentative at first, by 1993 both our planners and our chief financial officers shared certain assumptions about the future--above all, that the coming delivery model was managed care provided by integrated delivery systems (IDSs). Having agreed on our assumptions, we translated them into a vision statement, from which we derived four strategic goals: Advance the healing mission of our sponsors; Create a culture of continuous improvement in leadership, quality, innovation, cost-effectiveness, and measurable customer value; Create an environment that values and empowers those with whom we work; Develop, through partnering, an IDS that provides affordable care to our communities; Our goals established, we charted what we call a "crosswalk" between the strategic and financial aspects of our budgeting. We found that we had to think in a new way about capital. For example, we began investing as heavily in "soft" items like research, partnerships, and new services as in the traditional "bricks and mortar." This process is new for us, and developing it has not always been comfortable. But we believe it has helped us to more wisely allocate FHS's resources and thus give our system greater stability.

Views from GP and Psychiatric trainees about getting experience in each other's specialty during training: A way to develop a shared culture?

PubMed

Butler, Sophie; Mullin, Juliette; Zacharia, Tharun; Howe, Andrew; Mirvis, Ross; Jeffries-Chung, Camilla; Mirzadeh, Damian; Holt, Clare; Couppis, Orestes

2015-09-01

The need to deliver holistic medical care that addresses both physical and mental health requirements has never been more important. The UK medical training system has been designed to provide all medical graduates with a broad experience of different medical specialities and psychiatry prior to entering specialist training. Furthermore there is a distinct crossover between Psychiatric and General Practice training, with programmes providing trainees with the opportunity to work alongside each other in the care of mental health patients. The video presentation will explain the UK medical training system in more detail, before going on to explore how the organisation of training may foster a shared culture among different specialities and how it could form a model for improving parity of esteem of medical and physical health care. In addition it will discuss the strengths and weaknesses of this system from a trainee perspective and will conclude with comments from eminent Psychiatrists whom have special interests in medical training and developingparity of mental and physical health care.

Flight physiology training experiences and perspectives: survey of 117 pilots.

PubMed

Patrão, Luís; Zorro, Sara; Silva, Jorge; Castelo-Branco, Miguel; Ribeiro, João

2013-06-01

Human factors and awareness of flight physiology play a crucial role in flight safety. Even so, international legislation is vague relative to training requirements in hypoxia and altitude physiology. Based on a previously developed survey, an adapted questionnaire was formulated and released online for Portuguese pilots. Specific questions regarding the need for pilot attention monitoring systems were added to the original survey. There were 117 pilots, 2 of whom were women, who completed the survey. Most of the pilots had a light aviation license and flew in unpressurized cabins at a maximum ceiling of 10,000 ft (3048 m). The majority of the respondents never experienced hypoxic symptoms. In general, most of the individuals agreed with the importance of an introductory hypoxia course without altitude chamber training (ACT) for all pilot populations, and with a pilot monitoring system in order to increase flight safety. Generally, most of the pilots felt that hypoxia education and training for unpressurized aircraft is not extensive enough. However, almost all the respondents were willing to use a flight physiology monitoring system in order to improve flight safety.

Progressive outer retinal necrosis syndrome in the course of systemic lupus erythematosus.

PubMed

Turno-Kręcicka, A; Tomczyk-Socha, M; Zimny, A

2016-12-01

Progressive outer retinal necrosis syndrome (PORN) is a severe clinical variant of necrotizing herpetic chorioretinitis, which occurs almost exclusively in patients with advanced acquired immunodeficiency syndrome (AIDS). To date, only a few cases of PORN have been reported in patients, mostly among those who were immunocompromised. To our knowledge, only one case of PORN in a patient with systemic lupus erythematosus (SLE) has been described. We report the case of a 44-year old HIV-negative patient with lupus nephritis, whom was being treated by mycophenolate mophetil (MMF), arechin and prednisone. After 14 months of MMF therapy, the patient revealed PORN symptoms; and several months later, the patient developed Type B primary central nervous system lymphoma (PCNSL). PORN is usually compared to acute retinal necrosis (ARN) syndrome, because of having the same causative agent: varicella zoster virus (VZV). There are also some similarities in clinical findings. Our observation supports the hypothesis that PORN symptoms in HIV-negative patients can be an intermediate form between ARN and PORN, and can vary according to the patient's immune status. © The Author(s) 2016.

Unearthing how, why, for whom and under what health system conditions the antiretroviral treatment adherence club intervention in South Africa works: A realist theory refining approach.

PubMed

Mukumbang, Ferdinand C; Marchal, Bruno; Van Belle, Sara; van Wyk, Brian

2018-05-09

Poor retention in care and suboptimal adherence to antiretroviral treatment (ART) undermine its successful rollout in South Africa. The adherence club intervention was designed as an adherence-enhancing intervention to enhance the retention in care of patients on ART and their adherence to medication. Although empirical evidence suggests the effective superiority of the adherence club intervention to standard clinic ART care schemes, it is poorly understood exactly how and why it works, and under what health system contexts. To this end, we aimed to develop a refined programme theory explicating how, why, for whom and under what health system contexts the adherence club intervention works (or not). We undertook a realist evaluation study to uncover the programme theory of the adherence club intervention. We elicited an initial programme theory of the adherence club intervention and tested the initial programme theory in three contrastive sites. Using a cross-case analysis approach, we delineated the conceptualisation of the intervention, context, actor and mechanism components of the three contrastive cases to explain the outcomes of the adherence club intervention, guided by retroductive inferencing. We found that an intervention that groups clinically stable patients on ART in a convenient space to receive a quick and uninterrupted supply of medication, health talks, counselling, and immediate access to a clinician when required works because patients' self-efficacy improves and they become motivated and nudged to remain in care and adhere to medication. The successful implementation and rollout of the adherence club intervention are contingent on the separation of the adherence club programme from other patients who are HIV-negative. In addition, there should be available convenient space for the adherence club meetings, continuous support of the adherence club facilitators by clinicians and buy-in from the health workers at the health-care facility and the community. Understanding what aspects of antiretroviral club intervention works, for what sections of the patient population, and under which community and health systems contexts, could inform guidelines for effective implementation in different contexts and scaling up of the intervention to improve population-level ART adherence.

National outpatient medication profiling: medications associated with outpatient fractures in community-dwelling elderly veterans

PubMed Central

French, Dustin D; Campbell, Robert; Spehar, Andrea; Rubenstein, Laurence Z; Branch, Laurence G; Cunningham, Francesca

2007-01-01

What is already known about this subject Polypharmacy, to include a subissue of potentially inappropriate prescribing, in community-dwelling elderly is widespread. The objective of this study was to identify the magnitude of problematic outpatient drug prescribing and its potential association as a risk factor for injuries. What this study adds This is the first national study of outpatient injuries in elderly veterans. The results are consistent with previous published literature highlighting the risks associated with prescribing central nervous system drugs in the elderly. Aims The primary objective of this retrospective case–control study in an elderly veteran population was to assess the impact of specific medications with recognized side-effects that increase the risk of a fall and were prescribed prior to fractures treated in the outpatient setting compared with patients treated for nonspecific chest pain. Methods Two national Veterans Health Administration (VHA) databases were used to identify 17 273 unique patients, aged ≥65 years, treated in outpatient settings with a fracture in fiscal year 2005, and for whom we could link to all of their outpatient prescriptions (809 536). For comparison, we identified other elderly patients with outpatient clinic visits for nonspecific chest pain (N = 62 331) for whom we could link with their 2 987 394 outpatient prescriptions. We categorized the fall-related medications as drugs that primarily affect the cardiovascular (CVS), the central nervous (CNS) or the muscular skeletal system (MSS). Results Significant differences in the two patient groups occurred in the CNS category. Approximately 41% of the patients with fracture-coded encounters were prescribed CNS drugs compared with 31% of the patients in the comparison group (P < 0.0003). Finally, the use of muscle relaxants in the MSS category was significantly higher in the fracture group than in the nonspecific chest pain group. Conclusions Studies using administrative data can foster the development of more proactive pharmacovigilance systems and assist in formulary refinement, particularly in countries with national healthcare systems that have integrated patient data. Particular attention and monitoring of elderly patients taking CNS medications may be important for injury prevention. PMID:17096682

Carpal tunnel syndrome: a complication of arteriovenous fistula in hemodialysis patients.

PubMed Central

Kumar, S.; Trivedi, H. L.; Smith, E. K.

1975-01-01

Symptoms of compression of the median nerve in the carpal tunnel developed in two patients in whom an arteriovenous fistula was created to alleviate chronic renal failure through hemodialysis. Anatomic changes in the wrist area due to the fistula are probably important in the development of this syndrome, and pre-existing uremic peripheral polyneuropathy may also be important in the early development of local symptoms of nerve damage. Images FIG. 1 PMID:1201544

Police officers' perceptions and experiences with mentally disordered suspects.

PubMed

Oxburgh, Laura; Gabbert, Fiona; Milne, Rebecca; Cherryman, Julie

Despite mentally disordered suspects being over-represented within the criminal justice system, there is a dearth of published literature that examines police officers' perceptions when interviewing this vulnerable group. This is concerning given that police officers are increasingly the first point of contact with these individuals. Using a Grounded Theory approach, this study examined 35 police officers' perceptions and experiences when interviewing mentally disordered suspects. Current safeguards, such as Appropriate Adults, and their experiences of any training they received were also explored. A specially designed questionnaire was developed and distributed across six police forces in England and Wales. Nine conceptual categories emerged from the data that highlighted how police officers' level of experience impacted upon their perceptions when dealing with this cohort. As a consequence, a new model grounded within Schema Theory has emerged termed Police Experience Transitional Model. Implications include the treatment and outcome of mentally disordered suspects being heavily dependent on whom they encounter within the criminal justice system. Copyright © 2016 Elsevier Ltd. All rights reserved.

Mobile nocturnal long-term monitoring of wheezing and cough.

PubMed

Gross, Volker; Reinke, Christian; Dette, Frank; Koch, Roland; Vasilescu, Dragos; Penzel, Thomas; Koehler, Ulrich

2007-02-01

Changes in normal lung sounds are an important sign of pathophysiological processes in the bronchial system and lung tissue. For the diagnosis of bronchial asthma, coughing and wheezing are important symptoms that indicate the existence of obstruction. In particular, nocturnal long-term acoustic monitoring and assessment make sense for qualitative and quantitative detection and documentation. Previous methods used for lung function diagnosis require active patient cooperation that is not possible during sleep. We developed a mobile device based on the CORSA standard that allows the recording of respiratory sounds throughout the night. To date, we have recorded 133 patients with different diagnoses (80 male, 53 female), of whom 38 were children. In 68 of the patients we could detect cough events and in 87 we detected wheezing. The recording method was tolerated by all participating adults and children. Our mobile system allows non-invasive and cooperation-independent nocturnal monitoring of acoustic symptoms in the domestic environment, especially at night, when most ailments occur.

Modeling the prediction of business intelligence system effectiveness.

PubMed

Weng, Sung-Shun; Yang, Ming-Hsien; Koo, Tian-Lih; Hsiao, Pei-I

2016-01-01

Although business intelligence (BI) technologies are continually evolving, the capability to apply BI technologies has become an indispensable resource for enterprises running in today's complex, uncertain and dynamic business environment. This study performed pioneering work by constructing models and rules for the prediction of business intelligence system effectiveness (BISE) in relation to the implementation of BI solutions. For enterprises, effectively managing critical attributes that determine BISE to develop prediction models with a set of rules for self-evaluation of the effectiveness of BI solutions is necessary to improve BI implementation and ensure its success. The main study findings identified the critical prediction indicators of BISE that are important to forecasting BI performance and highlighted five classification and prediction rules of BISE derived from decision tree structures, as well as a refined regression prediction model with four critical prediction indicators constructed by logistic regression analysis that can enable enterprises to improve BISE while effectively managing BI solution implementation and catering to academics to whom theory is important.

What do we mean by Human-Centered Design of Life-Critical Systems?

PubMed

Boy, Guy A

2012-01-01

Human-centered design is not a new approach to design. Aerospace is a good example of a life-critical systems domain where participatory design was fully integrated, involving experimental test pilots and design engineers as well as many other actors of the aerospace engineering community. This paper provides six topics that are currently part of the requirements of the Ph.D. Program in Human-Centered Design of the Florida Institute of Technology (FIT.) This Human-Centered Design program offers principles, methods and tools that support human-centered sustainable products such as mission or process control environments, cockpits and hospital operating rooms. It supports education and training of design thinkers who are natural leaders, and understand complex relationships among technology, organizations and people. We all need to understand what we want to do with technology, how we should organize ourselves to a better life and finally find out whom we are and have become. Human-centered design is being developed for all these reasons and issues.

Pedagogies and Practices in Multilingual Classrooms: Singularities in Pluralities

ERIC Educational Resources Information Center

Garcia, Ofelia; Sylvan, Claire E.

2011-01-01

Bilingual classrooms most often have strict language arrangements about when and who should speak what language to whom. This practice responds to diglossic arrangements and models of bilingualism developed in the 20th century. However, in the 21st century, heteroglossic bilingual conceptualizations are needed in which the complex discursive…

DEVELOPMENTS IN TECHNICAL AND VOCATIONAL EDUCATION.

ERIC Educational Resources Information Center

HARRIS, NORMAN C.

THE JUNIOR COLLEGE HAS EMERGED AS THE APPROPRIATE TRAINING AGENCY FOR STUDENTS ENTERING MIDDLE MANPOWER JOBS REQUIRING A BALANCE OF COGNITIVE AND MANUAL ABILITY. THESE ARE THE STUDENTS WITH MIDDLE LEVEL ABILITIES AND ACCOMPLISHMENTS, FOR WHOM HIGH SCHOOL EDUCATION IS NOT ENOUGH AND A 4-YEAR DEGREE NOT NECESSARY. PROBLEMS ENCOUNTERED IN TRAINING…

Father Absence in Infancy.

ERIC Educational Resources Information Center

Pedersen, Frank A.; And Others

This document reports a study investigating the effects of father absence on measures of cognitive, social, and motivational development in infancy. The sample included 54 black infants, 27 of whom were classified "father-absent." This classification was based on two indices, (1) a dichotomy of father-absent or father-present based on…

A New Role for CTE

ERIC Educational Resources Information Center

Horne, Mary

2010-01-01

The struggle to reach the Millennium Generation, known as the Millennials, is evident in the concentration of professional development courses focusing on methods of educating these high-tech students, many of whom have short attention spans and very little interest in their teachers' "antiquated" teaching practices. The ultimate goal of these…

45 CFR 1355.57 - Cost allocation.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE...) All expenditures of a State to plan, design, develop, install, and operate the data collection and... may be used with respect to foster or adoptive children other than those on behalf of whom foster care...

45 CFR 1355.57 - Cost allocation.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE...) All expenditures of a State to plan, design, develop, install, and operate the data collection and... may be used with respect to foster or adoptive children other than those on behalf of whom foster care...

Discourse Patterns of Effective Literacy Coaches

ERIC Educational Resources Information Center

LaPierre, Amy Jean

2017-01-01

Although literacy coaching is used as a professional development mechanism in many schools to facilitate teachers' learning, few studies have looked carefully at the discourse used by literacy coaches who have successfully increased the professional capacity of teachers with whom they work. This qualitative multiple case study is grounded in the…

Perceptions and Possibilities

ERIC Educational Resources Information Center

Washington, Bennetta B.

1970-01-01

Not only do black students need assistance in solving problems, but so do school personnel with whom they come in daily contact. Counselors must realize how influential they are in helping youth form images and attitudes. Students need help in channeling energies toward constructive ends and in developing positive outlooks about life. (Author)

Apprenticeship in Science Research: Whom Does It Serve?

ERIC Educational Resources Information Center

Davies, Paul

2016-01-01

This article advances the thinking of Thompson, Conaway and Dolan's "Undergraduate students' development of social, cultural, and human capital in a network research experience". Set against a background of change in the biosciences, and participation, it firstly explores ideas of what it means to be a scientist, then challenges the…

An unusual complication of stenosis of a colostomy.

PubMed Central

Haiart, D. C.

1985-01-01

A patient is reported in whom stenosis of the colostomy was responsible for perforation of the colostomy by a bone. Necrotizing gangrene of the abdominal wall developed. The management of the resulting full thickness defect of the abdominal wall is described. Images Figure 1 Figure 2 PMID:4011545

Accountability of the Business Communication Instructor.

ERIC Educational Resources Information Center

Hildebrandt, H. W.

Teachers of business communication, along with teachers in other disciplines, must develop ways of responding to demands for faculty evaluation. The first section of this paper considers three questions relevant to any kind of faculty evaluation: To whom should a teacher be accountable? What criteria should be the touchstones for evaluation? and,…

Breakthrough for Disadvantaged Youth.

ERIC Educational Resources Information Center

Manpower Administration (DOL), Washington, DC.

Evaluations have been made of 55 early (1963-66) experimental and demonstration projects conducted in 18 states and the District of Columbia under the Manpower Development and Training Act of 1962 to reach and serve youth for whom the conventional approaches, techniques, and personnel seemed inadequate. Experiences and results of the projects are…

Families as Partners: Supporting Family Resiliency through Early Intervention

ERIC Educational Resources Information Center

Frantz, Rebecca; Hansen, Sarah Grace; Squires, Jane; Machalicek, Wendy

2018-01-01

Child development occurs within the context of the child's family, neighborhood, and community environment. Early childhood providers support positive outcomes, not only for the children with whom they directly work with but also for their families. Families of children with developmental delays often experience unique challenges. A family…

Progress in Literacy Coaching Success--A Dozen Years On

ERIC Educational Resources Information Center

Toll, Cathy A.

2018-01-01

Literacy coaches are most successful when they: develop strong, trusting relationships; provide clarity about their roles; communicate well; spend much of their time in coaching conversations; and monitor their perspectives about their work and those with whom they work. However, challenges still persist for literacy coaches, particularly in…

Lessons Learned on Management of CAS Development.

ERIC Educational Resources Information Center

Boyadjieff, Kiril

1995-01-01

Computer-assisted studies (CAS) attract foreign language professionals' attention due to the reliability of personal computers, the decreasing cost of available technology, and the new generation of students for whom electronic media are a familiar habitat. This article focuses on a project of the Defense Language Institute that produced over…

Higher Education Research & Development, Volume 2, Number 2, 1983.

ERIC Educational Resources Information Center

Powell, J. P., Ed.

1983-01-01

The status of women in college and employment, the attitudes of mature-age alumni, individualized instruction, unsuccessful innovations, and grading are addressed in five articles in this issue of an Australian journal. "Women in Advanced Education, Advancement for Whom?" (Jan Craney, Carol O'Donnell) cites evidence to indicate that the…

77 FR 65882 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-31

... regulations providing guidance regarding reasonable policies and procedures that a user of consumer reports... of consumer reports to develop and implement reasonable policies and procedures designed to enable the user to form a reasonable belief that a consumer report relates to the consumer about whom it...

Developing Literacy for the Vocational-Technical Trades.

ERIC Educational Resources Information Center

Penisten, John

The University of Hawaii at Hilo offers a vocational-technical occupational reading curriculum that encourages literacy for technology. The program is geared to meet the special needs of enrollees in the university's trade and industry division, most of whom are postsecondary open-admission students. Most have poor reading skills, averaging a…

Who Is Responsible for Employability? Student Perceptions and Practices

ERIC Educational Resources Information Center

Sin, Cristina; Tavares, Orlanda; Amaral, Alberto

2016-01-01

The paper examines to whom Portuguese students attribute responsibility for the development of employability, and what extra-curricular activities they undertake to improve their employability. Particular focus lies upon how far students internalise responsibility for employability and if/how they seek to position themselves in the job market. The…

Depressive Symptomatology among Very Early Maturing Girls.

ERIC Educational Resources Information Center

Rierdan, Jill; Koff, Elissa

1991-01-01

The relationship between very early menarche and depression was studied in a sample of 488 girls (336 sixth graders and 152 seventh graders), less than 10 percent of whom were very early maturers. Very early menarche was associated with higher levels of depression than was more normative development. (SLD)

22 CFR 5.2 - Central and field organization, established places at which, the officers from whom, and the...

Code of Federal Regulations, 2012 CFR

2012-04-01

... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Central and field organization, established places at which, the officers from whom, and the methods whereby the public may secure information, make... ORGANIZATION § 5.2 Central and field organization, established places at which, the officers from whom, and the...

22 CFR 5.2 - Central and field organization, established places at which, the officers from whom, and the...

Code of Federal Regulations, 2011 CFR

2011-04-01

... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Central and field organization, established places at which, the officers from whom, and the methods whereby the public may secure information, make... ORGANIZATION § 5.2 Central and field organization, established places at which, the officers from whom, and the...

22 CFR 5.2 - Central and field organization, established places at which, the officers from whom, and the...

Code of Federal Regulations, 2013 CFR

2013-04-01

... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Central and field organization, established places at which, the officers from whom, and the methods whereby the public may secure information, make... ORGANIZATION § 5.2 Central and field organization, established places at which, the officers from whom, and the...

22 CFR 5.2 - Central and field organization, established places at which, the officers from whom, and the...

Code of Federal Regulations, 2014 CFR

2014-04-01

... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Central and field organization, established places at which, the officers from whom, and the methods whereby the public may secure information, make... ORGANIZATION § 5.2 Central and field organization, established places at which, the officers from whom, and the...

2 CFR 2245.225 - Whom in the Corporation does a recipient other than an individual notify about a criminal drug...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Whom in the Corporation does a recipient... SERVICE REQUIREMENTS FOR DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 2245.225 Whom in the Corporation does a recipient other than an individual notify about a...

2 CFR 2245.225 - Whom in the Corporation does a recipient other than an individual notify about a criminal drug...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Whom in the Corporation does a recipient... SERVICE REQUIREMENTS FOR DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 2245.225 Whom in the Corporation does a recipient other than an individual notify about a...

2 CFR 2245.225 - Whom in the Corporation does a recipient other than an individual notify about a criminal drug...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Whom in the Corporation does a recipient... SERVICE REQUIREMENTS FOR DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 2245.225 Whom in the Corporation does a recipient other than an individual notify about a...

45 CFR 1155.210 - To whom must I distribute my drug-free workplace statement?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 3 2010-10-01 2010-10-01 false To whom must I distribute my drug-free workplace statement? 1155.210 Section 1155.210 Public Welfare Regulations Relating to Public Welfare (Continued... § 1155.210 To whom must I distribute my drug-free workplace statement? You must require that a copy of...

14 CFR 223.22 - Other persons to whom free and reduced-rate transportation may be furnished.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Other persons to whom free and reduced-rate transportation may be furnished. 223.22 Section 223.22 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT... International Travel § 223.22 Other persons to whom free and reduced-rate transportation may be furnished. Air...

14 CFR 223.22 - Other persons to whom free and reduced-rate transportation may be furnished.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Other persons to whom free and reduced-rate transportation may be furnished. 223.22 Section 223.22 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT... International Travel § 223.22 Other persons to whom free and reduced-rate transportation may be furnished. Air...

30 CFR 254.46 - Whom do I notify if an oil spill occurs?

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 2 2012-07-01 2012-07-01 false Whom do I notify if an oil spill occurs? 254.46... INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Related Requirements for Outer Continental Shelf Facilities § 254.46 Whom do I notify if an oil spill occurs? (a) You...

30 CFR 254.46 - Whom do I notify if an oil spill occurs?

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 2 2014-07-01 2014-07-01 false Whom do I notify if an oil spill occurs? 254.46... INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Related Requirements for Outer Continental Shelf Facilities § 254.46 Whom do I notify if an oil spill occurs? (a) You...

30 CFR 254.46 - Whom do I notify if an oil spill occurs?

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 2 2013-07-01 2013-07-01 false Whom do I notify if an oil spill occurs? 254.46... INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Related Requirements for Outer Continental Shelf Facilities § 254.46 Whom do I notify if an oil spill occurs? (a) You...

Skull Base Erosion Resulting From Primary Tumors of the Temporomandibular Joint and Skull Base Region: Our Classification and Reconstruction Experience.

PubMed

Chen, Min-Jie; Yang, Chi; Zheng, Ji-Si; Bai, Guo; Han, Zi-Xiang; Wang, Yi-Wen

2018-06-01

We sought to introduce our classification and reconstruction protocol for skull base erosions in the temporomandibular joint and skull base region. Patients with neoplasms in the temporomandibular joint and skull base region treated from January 2006 to March 2017 were reviewed. Skull base erosion was classified into 3 types according to the size of the defect. We included 33 patients, of whom 5 (15.2%) had type I defects (including 3 in whom free fat grafts were placed and 2 in whom deep temporal fascial fat flaps were placed). There were 8 patients (24.2%) with type II defects, all of whom received deep temporal fascial fat flaps. A total of 20 patients (60.6%) had type III defects, including 17 in whom autogenous bone grafts were placed, 1 in whom titanium mesh was placed, and 2 who received total alloplastic joints. The mean follow-up period was 50 months. All of the patients exhibited stable occlusion and good facial symmetry. No recurrence was noted. Our classification and reconstruction principles allowed reliable morpho-functional skull base reconstruction. Copyright © 2018 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Leadership research in healthcare: A realist review.

PubMed

Lega, Federico; Prenestini, Anna; Rosso, Matilde

2017-05-01

Being largely considered a human right, healthcare needs leaders who are able to make choices and to set directions. Following the recommendations expressed by Gilmartin and D'Aunno's review and roadmap compiled in 2008, today, it is important to acknowledge researchers' contributions to outline this landscape. The realist review of 77 publications answered questions such as "what works, for whom, and in which circumstances" highlighting: the effectiveness and acceptance of transformational and collaborative approaches; professionalism, expertise, and good task delegation within operational teams; distributed leadership, relationships, and social responsibility at a systemic level. The relevancy and need of leadership development programs, framed within a wider strategy, emerged. Nonetheless, gaps still exist and require further investigation: particular needs in public vs. private contexts; professionals' and women's differentiating characters; generational gaps; associations between leadership and recruitment HR practices research; how (and if) leaders (should) influence the organizational culture and values; and developing countries specific challenges. Also, a greater proportion of relevant findings should be drawn by empirical and more rigorous studies. Finally, a major attention could be paid to interactions happening at the team, organizational, and systemic level among different leaders and among leaders, followers and external actors.

[Importance of health CRM in pandemics and health alerts].

PubMed

Cubillas, Juan José; Ramos, María Isabel; Feito, Francisco R; González, José María; Gersol, Rafael; Ramos, María Belén

2015-05-01

The aim of this article is to demonstrate the importance of the role a health CRM can play in a pandemic or health alert. During the influenza-A pandemic, Salud Responde played a very important role. Its main objective was to establish protocols and citizens advice lines that would avoid patients with mild influenza-A symptoms going to health centre. A triage system was developed around the Siebel CRM (software tool) to achieve this objective. This allowed the Salud Responde staff to establish the severity of the patient depending on the symptoms and the risk factors of the patient, as well as being able to inform, give health advice or refer the patient to medical centres if necessary. All patients (a total of 56,497) who were attended by Salud Responde within its influenza-A service portfolio have been included. Patients who were attended by Salud Responde. The data have been extracted from the Salud Responde data base. Salud Responde attended to 56,497 patients during the influenza-A pandemic, of whom 48,287 patients did not require health care. Salud Responde attended to 56,497 patients, of whom 48,287 patients did not require health care. Apart from any financial savings that this could entail, it contributed to minimising the pandemic, avoiding the patient having to go to a health centre to receive medical care or information, and prevented, to a great extent, the flooding of casualty departments. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

A Cross‐Study Analysis Evaluating the Effects of Food on the Pharmacokinetics of Rivaroxaban in Clinical Studies

PubMed Central

Peters, Gary; Haskell, Lloyd; Patel, Purve; Nandy, Partha; Moore, Kenneth Todd

2017-01-01

Abstract US prescribing guidelines recommend that 15‐ and 20‐mg doses of rivaroxaban be administered with food for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) and for reduction in the risk of recurrence of DVT and PE. In addition, the US prescribing guidelines recommend these doses be administered with an evening meal to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (AF). The purpose of this model‐based cross‐study comparison was to examine the impact of food, with regard to both meal timing and content, on the pharmacokinetics (PK) of rivaroxaban, using data collected during its clinical development. Results of this analysis showed that a PK model built from pooled data in the AF population (for whom rivaroxaban was administered with an evening meal) and in the DVT population (for whom rivaroxaban was administered with a morning meal) can describe both data sets well. Furthermore, the PK model built from data in the AF population alone can adequately predict the PK profile of the DVT population and vice versa. This cross‐study analysis also confirmed the findings from previous clinical pharmacology studies, which showed that meal content does not have a clinically relevant impact on the PK of rivaroxaban at 20 mg. Therefore, although the administration of rivaroxaban with food is necessary for maintaining high bioavailability, neither meal timing nor meal content appears to affect the PK of rivaroxaban. PMID:28679020

Evaluation of health promotion effectiveness: a political debate and/or a technical exercise?

PubMed

Akerman, Marco; Arroyo, Hiram; Jones, Catherine M; O'Neil, Michel; Roca, Angel; Wallerstein, Nina

2007-01-01

This article summarizes the points of view of professionals from different nationalities, working in diverse organizations and dealing with concepts and activities related to health promotion effectiveness evaluation. This collection of views came from a panel presentation and dialogue held during the First Brazilian Seminar on Effectiveness in Health Promotion. Four professionals working in evaluation and health promotion--two from the United States, one from French Canada and another representing an international professional organization--facilitated by one Brazilian and one Puerto Rican moderator, had an informal dialogue with the audience. Four questions about how these professionals perceive evaluation in health promotion were asked to initiate the dialogue. The panelists deliberated five aspects of health promotion evaluation, asking: "how", "how much", "what for", "with whom" and "why". Professionals working in developing countries (in this case, Brazil) and those dealing with indigenous communities (in developed countries) tended to put more emphasis on "what for?", "with whom?" and "why?" regarding initiatives to evaluate effectiveness of health promotion. Questions associated with "how?" and "how much?" were more often mentioned by professionals working for international or governmental agencies. A 90-minute dialogue among panelists with a clearly Brazilian bias, was not sufficient to produce conclusions on the predominant character of international evaluation efforts of effectiveness. Nevertheless, this debate framed the five aspects of evaluation into a value perspective. The questions, "what for?", "with whom?", "why?", "how?" and "how much?" are linked to a political or technical presumptions that could be orchestrated in evaluations of health promotion effectiveness.

Innovation in global collaborations: from student placement to mutually beneficial exchanges.

PubMed

Suarez-Balcazar, Yolanda; Hammel, Joy; Mayo, Liliana; Inwald, Stephanie; Sen, Supriya

2013-06-01

Five years ago, an academic department in the United States and the Ann Sullivan Center of Peru (CASP) initiated an international partnership to foster research collaborations and reciprocal consultation, and to create an advanced clinical placement for occupational therapy doctoral students. CASP is a globally recognized hub for community-based research, demonstration and training for people with disabilities (most of whom are from low-income families). CASP has provided occupational therapy students and faculty with a rich cultural environment in which to learn and collaborate as well as opportunities for developing research collaborations. The purpose of this manuscript is to discuss an innovative model of international collaboration highlighting specific areas of exchange and reciprocal learning. First, we will describe the collaboration and CASP's rich learning opportunities. Second, we will discuss a model of collaboration that includes three main phases: planning and preparation, developing and sustaining the partnership, and evaluating and celebrating outcomes and benefits. We illustrate the partnership with a case example and describe exchanges between CASP and a local community agency with whom faculty have collaborated for 20 years. Finally, we discuss implications of our innovative model towards developing and sustaining global partnerships. . Copyright © 2013 John Wiley & Sons, Ltd.

Optic neuritis occurring with anti‐tumour necrosis factor α therapy

PubMed Central

Simsek, Ismail; Erdem, Hakan; Pay, Salih; Sobaci, Gungor; Dinc, Ayhan

2007-01-01

Objective Various demyelinating disorders have been reported in association with anti‐tumour necrosis factor α (TNFα) agents. The objective of this study was to review the occurrence, clinical features and outcome of optic neuritis (ON) during treatment with anti‐TNFα agents. Methods A PubMed search was conducted to identify literature addressing the potential association between anti‐TNFα agents and ON, following our experience with a patient having rheumatoid arthritis in whom ON developed while being treated with infliximab. Results 15 patients including the case presented here with ON in whom the symptoms developed following TNFα antagonist therapy were evaluated. Eight of these patients had received infliximab, five had received etanercept and two patients had received adalimumab. Among them, nine patients experienced complete resolution, and two patients had partial resolution, while four patients continued to have symptoms. Discussion Patients being treated with a TNFα antagonist should be closely monitored for the development of ophthalmological or neurological signs and symptoms. Furthermore, consideration should be given to avoiding such therapies in patients with a history of demyelinating disease. If clinical evaluation leads to the diagnosis of ON, discontinuation of the medication and institution of steroid treatment should be a priority. PMID:17456525

41 CFR 301-70.904 - Must travelers whom we carry on Government aircraft be authorized to travel?

Code of Federal Regulations, 2010 CFR

2010-07-01

... flight in which they are also traveling (i.e., being transported from point to point) are considered... carry on Government aircraft be authorized to travel? 301-70.904 Section 301-70.904 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY...

All Sizzle and No Steak: Value-Added Model Doesn't Add Value in Houston

ERIC Educational Resources Information Center

Amrein-Beardsley, Audrey; Geiger, Tray

2017-01-01

Houston's experience with the Educational Value-Added Assessment System (R) (EVAAS) raises questions that other districts should consider before buying the software and using it for high-stakes decisions. Researchers found that teachers in Houston, all of whom were under the EVAAS gun, but who taught relatively more racial minority students,…

Cultural Enrichment: Connecting African American Elementary Children to Academic Achievement

ERIC Educational Resources Information Center

Winston, Deborah L.

2011-01-01

A large, growing number of mis-educated American citizens are being produced by America's public schools. Many of these students are being funneled into the penal system shortly after dropping out of high school. This phenomenon is especially prevalent among African American male students, many of whom have withdrawn academically years prior…

Academic Freedom for Whom? Experiences and Perceptions of Faculty of Color

ERIC Educational Resources Information Center

Locher, Holley M.

2013-01-01

Academic freedom is a cornerstone principle to the U. S. system of higher education and is intended to exist for all faculty. Thus, the dominant discourse is that academic freedom is neutral. Utilizing the framework of critical race theory, this research demonstrates that faculty of color can differentially experience and perceive their academic…

Motivational Factors Influencing the Persistence of Developmental Education Students at a Technical College

ERIC Educational Resources Information Center

Etienne, John

2012-01-01

A department of computer information systems at a community college in the southeastern United States was struggling to retain students, a large number of whom often dropped out within the first and second semester of enrollment. Identifying potential solutions to the retention problem is important to department leaders, faculty, and students…

14 CFR 11.63 - How and to whom do I submit my petition for rulemaking or petition for exemption?

Code of Federal Regulations, 2010 CFR

2010-01-01

..., submit your petition for rulemaking or exemption to FAA through the Internet at http://www.regulations.gov, the Federal Docket Management System Web site. For additional instructions, you may visit http... 20590 or by electronic submission to this Internet address: http://www.regulations.gov. (c) The FAA may...

36 CFR 223.193 - Procedures for reporting acquisition and disposition of unprocessed Federal timber.

Code of Federal Regulations, 2013 CFR

2013-07-01

... transfer, provide to such other person a written notice of origin, species, estimated volume or actual..., from whom the timber was acquired; the date of acquisition; the origin of National Forest System timber... disposal; (2) An accounting by origin, in net board feet Scribner or cubic feet, of the volume of National...

36 CFR 223.193 - Procedures for reporting acquisition and disposition of unprocessed Federal timber.

Code of Federal Regulations, 2012 CFR

2012-07-01

... transfer, provide to such other person a written notice of origin, species, estimated volume or actual..., from whom the timber was acquired; the date of acquisition; the origin of National Forest System timber... disposal; (2) An accounting by origin, in net board feet Scribner or cubic feet, of the volume of National...

36 CFR 223.193 - Procedures for reporting acquisition and disposition of unprocessed Federal timber.

Code of Federal Regulations, 2011 CFR

2011-07-01

... transfer, provide to such other person a written notice of origin, species, estimated volume or actual..., from whom the timber was acquired; the date of acquisition; the origin of National Forest System timber... disposal; (2) An accounting by origin, in net board feet Scribner or cubic feet, of the volume of National...

36 CFR 223.193 - Procedures for reporting acquisition and disposition of unprocessed Federal timber.

Code of Federal Regulations, 2014 CFR

2014-07-01

... transfer, provide to such other person a written notice of origin, species, estimated volume or actual..., from whom the timber was acquired; the date of acquisition; the origin of National Forest System timber... disposal; (2) An accounting by origin, in net board feet Scribner or cubic feet, of the volume of National...

Enlightenment for Children: Community Schools in South India.

ERIC Educational Resources Information Center

Fischer, Stephanie

2001-01-01

Describes the work of one educator and advocate for children's rights in Hyderabad, India, who founded a system of community-run schools in the slums to offer access to education to all children in the area, none of whom had previously attended school. The schools are funded by government sources and the community. Parent empowerment and community…

An Examination of School Accountability from the Perspective of Singapore School Leaders

ERIC Educational Resources Information Center

Ng, Pak Tee

2013-01-01

School accountability is such a familiar concept in many education systems that questions about what it actually means and entails are rather uncommon, especially to busy practitioners on the ground. This paper reports a research that examines each of the questions of what and to whom Singapore schools are accountable, from the point of…

Business and the Press: Who's Doing What to Whom and Why?

ERIC Educational Resources Information Center

Taylor, Arthur R.

Among the causes of the recent breakdown of the business/press relationship is the increasing public and press questioning of business, coupled with the failure of business leaders to explain the benefits of the free enterprise system. This failure, caused largely by the direction of business leaders' energies inward toward their companies rather…

Regression of pulmonary artery hypertension due to development of a pulmonary arteriovenous malformation

PubMed Central

Hasan, Ashfaq; Sastry, B.K.S.; Aleem, M.A.; Reddy, Gokul; Mahmood, Syed

2014-01-01

Idiopathic Pulmonary Hypertension (IPAH) is characterized by elevated pulmonary arterial pressure in the absence of an identifiable underlying cause. The condition is usually relentlessly progressive with a short survival in the absence of treatment.1 We describe a patient of IPAH in whom the pulmonary artery pressures significantly abated with complete disappearance of symptoms, following spontaneous development of a pulmonary arterio-venous malformation (PAVM). PMID:25443608

Factors associated with the development of atrial fibrillation in patients with rheumatic mitral stenosis.

PubMed

Ozaydin, Mehmet; Turker, Yasin; Varol, Ercan; Alaca, Sule; Erdogan, Dogan; Yilmaz, Nigar; Dogan, Abdullah

2010-06-01

The aim of this study was to evaluate the factors associated with the development of atrial fibrillation (AF) in patients with rheumatic mitral stenosis (MS). A total of 146 consecutive patients with rheumatic MS were screened. They were accepted to be in AF group and sinus rhythm group according to their rhythm in the baseline ECG. After screening, 38 patients were excluded due to hyperthyroidism (n = 13), chronic obstructive pulmonary disease (n = 22), malignancy (n = 2) and rheumatoid arthritis (n = 1). Therefore, remaining 108 patients, 74 of whom in sinus rhythm (MS-SR) and 34 of whom in AF (MS-AF) constituted study population. Fourty age- and gender-matched patients constituted control group. Factors associated with development of AF in multivariable analysis included High sensitivity C reactive protein (P = 0.005; odds ratio, 3.44; 95% confidence interval, 1.44-8.22), N-terminal of brain natriuretic peptide precursor (P < 0.0001; odds ratio, 1.03; 95% confidence interval, 1.02-1.06) and left atrial diameter (P < 0.0001; odds ratio, 1.68; 95% confidence interval, 1.32-2.14). Present study suggests that High sensitivity C reactive protein, N-terminal of brain natriuretic peptide precursor and left atrial diameter are associated with development AF in patients with MS.

The International Neuroblastoma Risk Group (INRG) staging system: an INRG Task Force report.

PubMed

Monclair, Tom; Brodeur, Garrett M; Ambros, Peter F; Brisse, Hervé J; Cecchetto, Giovanni; Holmes, Keith; Kaneko, Michio; London, Wendy B; Matthay, Katherine K; Nuchtern, Jed G; von Schweinitz, Dietrich; Simon, Thorsten; Cohn, Susan L; Pearson, Andrew D J

2009-01-10

The International Neuroblastoma Risk Group (INRG) classification system was developed to establish a consensus approach for pretreatment risk stratification. Because the International Neuroblastoma Staging System (INSS) is a postsurgical staging system, a new clinical staging system was required for the INRG pretreatment risk classification system. To stage patients before any treatment, the INRG Task Force, consisting of neuroblastoma experts from Australia/New Zealand, China, Europe, Japan, and North America, developed a new INRG staging system (INRGSS) based on clinical criteria and image-defined risk factors (IDRFs). To investigate the impact of IDRFs on outcome, survival analyses were performed on 661 European patients with INSS stages 1, 2, or 3 disease for whom IDRFs were known. In the INGRSS, locoregional tumors are staged L1 or L2 based on the absence or presence of one or more of 20 IDRFs, respectively. Metastatic tumors are defined as stage M, except for stage MS, in which metastases are confined to the skin, liver, and/or bone marrow in children younger than 18 months of age. Within the 661-patient cohort, IDRFs were present (ie, stage L2) in 21% of patients with stage 1, 45% of patients with stage 2, and 94% of patients with stage 3 disease. Patients with INRGSS stage L2 disease had significantly lower 5-year event-free survival than those with INRGSS stage L1 disease (78% +/- 4% v 90% +/- 3%; P = .0010). Use of the new staging (INRGSS) and risk classification (INRG) of neuroblastoma will greatly facilitate the comparison of risk-based clinical trials conducted in different regions of the world.

Advances in the understanding of cancer immunotherapy.

PubMed

Shore, Neal D

2015-09-01

The principal role of the immune system is to prevent and eradicate pathogens and infections. The key characteristics or features of an effective immune response include specificity, trafficking, antigen spread and durability (memory). The immune system is recognised to have a critical role in controlling cancer through a dynamic relationship with tumour cells. Normally, at the early stages of tumour development, the immune system is capable of eliminating tumour cells or keeping tumour growth abated; however, tumour cells may evolve multiple pathways over time to evade immune control. Immunotherapy may be viewed as a treatment designed to boost or restore the ability of the immune system to fight cancer, infections and other diseases. Immunotherapy manifests differently from traditional cancer treatments, eliciting delayed response kinetics and thus may be more effective in patients with lower tumour burden, in whom disease progression may be less rapid, thereby allowing ample time for the immunotherapy to evolve. Because immunotherapies may have a different mechanism of action from traditional cytotoxic or targeted biological agents, immunotherapy techniques have the potential to combine synergistically with traditional therapies. © 2014 The Authors. BJU International © 2014 BJU International Published by John Wiley & Sons Ltd.

Forging a poison prevention and control system: report of an Institute of Medicine committee.

PubMed

Guyer, Bernard; Mavor, Anne

2005-01-01

The Committee forged a vision for a national poison prevention and control system that broadly integrates the current network of poison control centers with state and local public health departments responsible for monitoring populations. Implementing the Committee's recommendations, however, will require leadership from the Congress and the federal agencies to whom the report is addressed: HRSA and CDC. The next steps include amendments to existing legislation to establish the national system and to secure federal funding to assure stability of the system and systematic oversight by the federal agencies to hold all parties accountable for the performance of the system.

Experiments in interactive panoramic cinema

NASA Astrophysics Data System (ADS)

Fisher, Scott S.; Anderson, Steve; Ruiz, Susana; Naimark, Michael; Hoberman, Perry; Bolas, Mark; Weinberg, Richard

2005-03-01

For most of the past 100 years, cinema has been the premier medium for defining and expressing relations to the visible world. However, cinematic spectacles delivered in darkened theaters are predicated on a denial of both the body and the physical surroundings of the spectators who are watching it. To overcome these deficiencies, filmmakers have historically turned to narrative, seducing audiences with compelling stories and providing realistic characters with whom to identify. This paper describes several research projects in interactive panoramic cinema that attempt to sidestep the narrative preoccupations of conventional cinema and instead are based on notions of space, movement and embodied spectatorship rather than traditional storytelling. Example projects include interactive works developed with the use of a unique 360 degree camera and editing system, and also development of panoramic imagery for a large projection environment with 14 screens on 3 adjacent walls in a 5-4-5 configuration with observations and findings from an experiment projecting panoramic video on 12 of the 14, in a 4-4-4 270 degree configuration.

Anti-epidermal growth factor receptor skin toxicity: a matter of topical hydration.

PubMed

Ferrari, Daris; Codecà, Carla; Bocci, Barbara; Crepaldi, Francesca; Violati, Martina; Viale, Giulia; Careri, Carmela; Caldiera, Sarah; Bordin, Veronica; Luciani, Andrea; Zonato, Sabrina; Cassinelli, Gabriela; Foa, Paolo

2016-02-01

Skin toxicity is a frequent complication of anti-epidermal growth factor receptor therapy, which can be an obstacle in maintaining the dose intensity and may negatively impact on the clinical outcome of cancer patients. Skin lesions depend on the disruption of the keratinocyte development pathways and no treatment is clearly effective in resolving the cutaneous alterations frequently found during anti-epidermal growth factor receptor therapy. Among systemic treatments, oral tetracycline proved to be useful in preventing skin manifestations. We describe the case of a patient affected by metastatic colorectal cancer, for whom a combination of chemotherapy and cetuximab was used as second-line treatment. The patient developed a symptomatic papulopustular skin rash that disappeared completely after a twice-daily application of a hydrating and moisturizing cream, mainly consisting of a mixture of paraffin, silicone compounds, and macrogol. The marked cutaneous amelioration allowed the patient to continue cetuximab without any further symptoms and was associated with a partial radiological response.

SARSCEST (human factors)

NASA Technical Reports Server (NTRS)

Parsons, H. Mcilvaine

1988-01-01

People interact with the processes and products of contemporary technology. Individuals are affected by these in various ways and individuals shape them. Such interactions come under the label 'human factors'. To expand the understanding of those to whom the term is relatively unfamiliar, its domain includes both an applied science and applications of knowledge. It means both research and development, with implications of research both for basic science and for development. It encompasses not only design and testing but also training and personnel requirements, even though some unwisely try to split these apart both by name and institutionally. The territory includes more than performance at work, though concentration on that aspect, epitomized in the derivation of the term ergonomics, has overshadowed human factors interest in interactions between technology and the home, health, safety, consumers, children and later life, the handicapped, sports and recreation education, and travel. Two aspects of technology considered most significant for work performance, systems and automation, and several approaches to these, are discussed.

49 CFR 40.185 - Through what methods and to whom must a laboratory report split specimen results?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false Through what methods and to whom must a laboratory... § 40.185 Through what methods and to whom must a laboratory report split specimen results? (a) As the... copy of the fully-completed Copy 1 of the CCF, which has been signed by the certifying scientist. (c...

25 CFR 516.2 - When may a person to whom this part applies give testimony, make a statement or submit to interview?

Code of Federal Regulations, 2010 CFR

2010-04-01

... testimony, make a statement or submit to interview? 516.2 Section 516.2 Indians NATIONAL INDIAN GAMING... whom this part applies give testimony, make a statement or submit to interview? (a) No person to whom... regulation, shall provide testimony, make a statement or submit to interview. (b) Whenever a subpoena...

49 CFR 40.165 - To whom does the MRO transmit reports of drug test results?

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 1 2013-10-01 2013-10-01 false To whom does the MRO transmit reports of drug test results? 40.165 Section 40.165 Transportation Office of the Secretary of Transportation PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Medical Review Officers and the Verification Process § 40.165 To whom does the MRO...

2 CFR 782.300 - Whom in USAID does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Whom in USAID does a recipient who is an...-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 782.300 Whom in USAID does a recipient who is an individual notify about a criminal drug conviction? A recipient who is...

2 CFR 382.225 - Whom in HHS does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Whom in HHS does a recipient other than an... DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 382.225 Whom in HHS does a recipient other than an individual notify about a criminal drug conviction? A...

2 CFR 3186.225 - Whom in the IMLS does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Whom in the IMLS does a recipient other than... REQUIREMENTS FOR DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 3186.225 Whom in the IMLS does a recipient other than an individual notify about a criminal drug...

2 CFR 382.300 - Whom in HHS does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false Whom in HHS does a recipient who is an... DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) (Eff. 1-11-2010) Requirements for Recipients Who Are Individuals § 382.300 Whom in HHS does a recipient who is an individual notify about a criminal drug...

2 CFR 902.225 - Whom in the DOE does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Whom in the DOE does a recipient other than...-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 902.225 Whom in the DOE does a recipient other than an individual notify about a criminal drug conviction? A...

2 CFR 902.225 - Whom in the DOE does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Whom in the DOE does a recipient other than...-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 902.225 Whom in the DOE does a recipient other than an individual notify about a criminal drug conviction? A...

2 CFR 382.300 - Whom in HHS does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Whom in HHS does a recipient who is an... DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 382.300 Whom in HHS does a recipient who is an individual notify about a criminal drug conviction? A recipient...

2 CFR 902.225 - Whom in the DOE does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Whom in the DOE does a recipient other than...-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 902.225 Whom in the DOE does a recipient other than an individual notify about a criminal drug conviction? A...

2 CFR 902.225 - Whom in the DOE does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2012 CFR

2012-01-01

... 2 Grants and Agreements 1 2012-01-01 2012-01-01 false Whom in the DOE does a recipient other than...-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 902.225 Whom in the DOE does a recipient other than an individual notify about a criminal drug conviction? A...

2 CFR 382.300 - Whom in HHS does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Whom in HHS does a recipient who is an... DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 382.300 Whom in HHS does a recipient who is an individual notify about a criminal drug conviction? A recipient...

2 CFR 782.300 - Whom in USAID does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Whom in USAID does a recipient who is an...-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 782.300 Whom in USAID does a recipient who is an individual notify about a criminal drug conviction? A recipient who is...

2 CFR 382.300 - Whom in HHS does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Whom in HHS does a recipient who is an... DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 382.300 Whom in HHS does a recipient who is an individual notify about a criminal drug conviction? A recipient...

2 CFR 2245.300 - Whom in the Corporation does a recipient who is an individual notify about a criminal drug...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Whom in the Corporation does a recipient who... SERVICE REQUIREMENTS FOR DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 2245.300 Whom in the Corporation does a recipient who is an individual notify about a criminal...

2 CFR 382.225 - Whom in HHS does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false Whom in HHS does a recipient other than an... DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) (Eff. 1-11-2010) Requirements for Recipients Other Than Individuals § 382.225 Whom in HHS does a recipient other than an individual notify about a criminal drug...

2 CFR 382.225 - Whom in HHS does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Whom in HHS does a recipient other than an... DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 382.225 Whom in HHS does a recipient other than an individual notify about a criminal drug conviction? A...

2 CFR 382.225 - Whom in HHS does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Whom in HHS does a recipient other than an... DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Other Than Individuals § 382.225 Whom in HHS does a recipient other than an individual notify about a criminal drug conviction? A...

32 CFR 37.1045 - To whom must I send copies of the award document?

Code of Federal Regulations, 2012 CFR

2012-07-01

... 32 National Defense 1 2012-07-01 2012-07-01 false To whom must I send copies of the award document... of the Award Document § 37.1045 To whom must I send copies of the award document? You must send a copy of the award document to the: (a) Recipient. You must include on the first page of the recipient's...

32 CFR 37.1045 - To whom must I send copies of the award document?

Code of Federal Regulations, 2014 CFR

2014-07-01

... 32 National Defense 1 2014-07-01 2014-07-01 false To whom must I send copies of the award document... of the Award Document § 37.1045 To whom must I send copies of the award document? You must send a copy of the award document to the: (a) Recipient. You must include on the first page of the recipient's...

32 CFR 37.1045 - To whom must I send copies of the award document?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 1 2010-07-01 2010-07-01 false To whom must I send copies of the award document... of the Award Document § 37.1045 To whom must I send copies of the award document? You must send a copy of the award document to the: (a) Recipient. You must include on the first page of the recipient's...

32 CFR 37.1045 - To whom must I send copies of the award document?

Code of Federal Regulations, 2013 CFR

2013-07-01

... 32 National Defense 1 2013-07-01 2013-07-01 false To whom must I send copies of the award document... of the Award Document § 37.1045 To whom must I send copies of the award document? You must send a copy of the award document to the: (a) Recipient. You must include on the first page of the recipient's...

32 CFR 37.1045 - To whom must I send copies of the award document?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 1 2011-07-01 2011-07-01 false To whom must I send copies of the award document... of the Award Document § 37.1045 To whom must I send copies of the award document? You must send a copy of the award document to the: (a) Recipient. You must include on the first page of the recipient's...

49 CFR 40.165 - To whom does the MRO transmit reports of drug test results?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 1 2011-10-01 2011-10-01 false To whom does the MRO transmit reports of drug test results? 40.165 Section 40.165 Transportation Office of the Secretary of Transportation PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Medical Review Officers and the Verification Process § 40.165 To whom does the MRO...

49 CFR 40.185 - Through what methods and to whom must a laboratory report split specimen results?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 1 2011-10-01 2011-10-01 false Through what methods and to whom must a laboratory report split specimen results? 40.185 Section 40.185 Transportation Office of the Secretary of Transportation PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Split Specimen Tests § 40.185 Through what methods and to whom...

2 CFR 421.300 - Whom in the USDA does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2012 CFR

2012-01-01

... 2 Grants and Agreements 1 2012-01-01 2012-01-01 false Whom in the USDA does a recipient who is an... WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 421.300 Whom in the USDA... criminal drug offense must notify the awarding official for each USDA agency from which the recipient...

2 CFR 421.300 - Whom in the USDA does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Whom in the USDA does a recipient who is an... WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 421.300 Whom in the USDA... criminal drug offense must notify the awarding official for each USDA agency from which the recipient...

2 CFR 421.300 - Whom in the USDA does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Whom in the USDA does a recipient who is an... WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 421.300 Whom in the USDA... criminal drug offense must notify the awarding official for each USDA agency from which the recipient...

30 CFR 254.46 - Whom do I notify if an oil spill occurs?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Whom do I notify if an oil spill occurs? 254.46... Outer Continental Shelf Facilities § 254.46 Whom do I notify if an oil spill occurs? (a) You must immediately notify the National Response Center (1-800-424-8802) if you observe: (1) An oil spill from your...

Communications infrastructure requirements for telemedicine/telehealth in the context of planning for and responding to natural disasters: Considering the need for shared regional networks

NASA Technical Reports Server (NTRS)

Scott, John Carver

1991-01-01

During the course of recent years the frequency and magnitude of major disasters - of natural, technological, or ecological origin - have made the world community dramatically aware of the immense losses of human life and economic resources that are caused regularly by such calamities. Particularly hard hit are developing countries, for whom the magnitude of disasters frequently outstrips the ability of the society to cope with them. In many cases this situation can be prevented, and the recent trend in disaster management has been to emphasize the importance of preparedness and mitigation as a means of prevention. In cases of disaster, a system is needed to respond to relief requirements, particularly the delivery of medical care. There is no generic telecommunications infrastructure appropriate for the variety of applications in medical care and disaster management. The need to integrate telemedicine/telehealth into shared regional disaster management telecommunications networks is discussed. Focus is on the development of infrastructure designed to serve the needs of disaster prone regions of the developing world.

Comparison of quantitative cytomegalovirus (CMV) PCR in plasma and CMV antigenemia assay: clinical utility of the prototype AMPLICOR CMV MONITOR test in transplant recipients.

PubMed

Caliendo, A M; St George, K; Kao, S Y; Allega, J; Tan, B H; LaFontaine, R; Bui, L; Rinaldo, C R

2000-06-01

The correlation between the prototype AMPLICOR CMV MONITOR test (Roche Molecular Systems), a quantitative PCR assay, and the cytomegalovirus (CMV) pp65 antigenemia assay was evaluated in transplant recipients. Sequential blood specimens were collected on 29 patients (491 specimens), the leukocyte fraction was tested by CMV antigenemia, and quantitative PCR was performed on plasma specimens. None of the 15 patients (242 specimens) who were antigenemia negative were positive for CMV DNA by PCR, and none of these patients developed active CMV disease. There were 14 antigenemia-positive patients, 8 of whom developed active CMV disease. In all patients, there was a good association between the antigenemia and PCR assays. Ganciclovir-resistant virus was isolated from three patients with active CMV disease. These three patients had persistently elevated levels of antigenemia and CMV DNA by PCR when resistance to ganciclovir developed. This standardized, quantitative CMV PCR assay on plasma has clinical utility for the diagnosis of active disease and in monitoring the response to antiviral therapy in transplant recipients.

Comparison of Quantitative Cytomegalovirus (CMV) PCR in Plasma and CMV Antigenemia Assay: Clinical Utility of the Prototype AMPLICOR CMV MONITOR Test in Transplant Recipients

PubMed Central

Caliendo, Angela M.; St. George, Kirsten; Kao, Shaw-Yi; Allega, Jessica; Tan, Ban-Hock; LaFontaine, Robert; Bui, Larry; Rinaldo, Charles R.

2000-01-01

The correlation between the prototype AMPLICOR CMV MONITOR test (Roche Molecular Systems), a quantitative PCR assay, and the cytomegalovirus (CMV) pp65 antigenemia assay was evaluated in transplant recipients. Sequential blood specimens were collected on 29 patients (491 specimens), the leukocyte fraction was tested by CMV antigenemia, and quantitative PCR was performed on plasma specimens. None of the 15 patients (242 specimens) who were antigenemia negative were positive for CMV DNA by PCR, and none of these patients developed active CMV disease. There were 14 antigenemia-positive patients, 8 of whom developed active CMV disease. In all patients, there was a good association between the antigenemia and PCR assays. Ganciclovir-resistant virus was isolated from three patients with active CMV disease. These three patients had persistently elevated levels of antigenemia and CMV DNA by PCR when resistance to ganciclovir developed. This standardized, quantitative CMV PCR assay on plasma has clinical utility for the diagnosis of active disease and in monitoring the response to antiviral therapy in transplant recipients. PMID:10834964

[How does salt intake influence blood pressure? Associated aetiopathogenic mechanisms].

PubMed

Fernández-Llama, P; Calero, F

2017-12-15

Abundant evidence from epidemiological and experimental studies has established a link between salt and blood pressure. However, there is heterogeneity in the blood pressure responses of humans to changes in sodium intake. Those individuals in whom a severe, abrupt change in salt intake causes the least change in arterial pressure and are termed salt-resistant, whereas in those in whom this leads to large changes in blood pressure, are called salt sensitive. Classically, Guyton's theory of the pressure-natriuresis phenomenon has been accepted to explain the pressor effect of salt, as well as the fundamental role played by the different protein sodium transporters of the renal tubules. In recent years, new theories have emerged pointing to the possible role of the immune system and the existence of a third sodium store in the body as aetiopathogenic factors. Copyright © 2017 SEH-LELHA. Publicado por Elsevier España, S.L.U. All rights reserved.

Exploring the Possibility for a Common System for Joint Aeromedical Standards

DTIC Science & Technology

2011-01-01

CRoSSRoAdS MJM 2011 13( 2 ): 82-9282 Copyright © 2011 by MJM *To whom correspondence should be addressed: Dr. Justin Woodson LTC, MC, SFS, US Army...Vol. 13 No. 2 Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to...REPORT DATE 2011 2 . REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE Exploring The Possibility For A Common System

Hearing Aid–Related Standards and Test Systems

PubMed Central

Ravn, Gert; Preves, David

2015-01-01

Many documents describe standardized methods and standard equipment requirements in the field of audiology and hearing aids. These standards will ensure a uniform level and a high quality of both the methods and equipment used in audiological work. The standards create the basis for measuring performance in a reproducible manner and independent from how and when and by whom parameters have been measured. This article explains, and focuses on, relevant acoustic and electromagnetic compatibility parameters and describes several test systems available. PMID:27516709

Effects of prolonged weightlessness on self-motion perception and eye movements evoked by roll and pitch

NASA Technical Reports Server (NTRS)

Reschke, Millard F.; Parker, Donald E.

1987-01-01

Seven astronauts reported translational self-motion during roll simulation 1-3 h after landing following 5-7 d of orbital flight. Two reported strong translational self-motion perception when they performed pitch head motions during entry and while the orbiter was stationary on the runway. One of two astronauts from whom adequate data were collected exhibited a 132-deg shift in the phase angle between roll stimulation and horizontal eye position 2 h after landing. Neither of two from whom adequate data were collected exhibited increased horizontal eye movement amplitude or disturbance of voluntary pitch or roll body motion immediately postflight. These results are generally consistent with an otolith tilt-translation reinterpretation model and are being applied to the development of apparatus and procedures intended to preadapt astronauts to the sensory rearrangement of weightlessness.

Diagnosis of sputum-scarce HIV-associated pulmonary tuberculosis in Lima, Peru

PubMed Central

Vargas, Daniel; García, Luis; Gilman, Robert H; Evans, Carlton; Ticona, Eduardo; Ñavincopa, Marcos; Luo, Robert F; Caviedes, Luz; Hong, Clemens; Escombe, Rod; Moore, David A J

2010-01-01

Sputum induction, bronchoalveolar lavage, or gastric aspiration are often needed to produce adequate diagnostic respiratory samples from people with HIV in whom tuberculosis is suspected. Since these procedures are rarely appropriate in less-developed countries, we compared the performances of a simple string test and the gold-standard sputum induction. 160 HIV-positive adults under investigation for tuberculosis, and 52 asymptomatic HIV-positive control patients underwent the string test followed by sputum induction. The string test detected tuberculosis in 14 patients in whom this disease was suspected; sputum induction detected only eight of them (McNemar's test, p=0·03). These preliminary data suggest that the string test is safe and effective for retrieval of useful clinical specimens for diagnosis of pulmonary tuberculosis, and is at least as sensitive as sputum induction. PMID:15639297

Data Governance and Data Sharing Agreements for Community-Wide Health Information Exchange: Lessons from the Beacon Communities

PubMed Central

Allen, Claudia; Des Jardins, Terrisca R.; Heider, Arvela; Lyman, Kristin A.; McWilliams, Lee; Rein, Alison L.; Schachter, Abigail A.; Singh, Ranjit; Sorondo, Barbara; Topper, Joan; Turske, Scott A.

2014-01-01

Purpose: Unprecedented efforts are underway across the United States to electronically capture and exchange health information to improve health care and population health, and reduce costs. This increased collection and sharing of electronic patient data raises several governance issues, including privacy, security, liability, and market competition. Those engaged in such efforts have had to develop data sharing agreements (DSAs) among entities involved in information exchange, many of whom are “nontraditional” health care entities and/or new partners. This paper shares lessons learned based on the experiences of six federally funded communities participating in the Beacon Community Cooperative Agreement Program, and offers guidance for navigating data governance issues and developing DSAs to facilitate community-wide health information exchange. Innovation: While all entities involved in electronic data sharing must address governance issues and create DSAs accordingly, until recently little formal guidance existed for doing so – particularly for community-based initiatives. Despite this lack of guidance, together the Beacon Communities’ experiences highlight promising strategies for navigating complex governance issues, which may be useful to other entities or communities initiating information exchange efforts to support delivery system transformation. Credibility: For the past three years, AcademyHealth has provided technical assistance to most of the 17 Beacon Communities, 6 of whom contributed to this collaborative writing effort. Though these communities varied widely in terms of their demographics, resources, and Beacon-driven priorities, common themes emerged as they described their approaches to data governance and DSA development. Conclusions: The 6 Beacon Communities confirmed that DSAs are necessary to satisfy legal and market-based concerns, and they identified several specific issues, many of which have been noted by others involved in network data sharing initiatives. More importantly, these communities identified several promising approaches to timely and effective DSA development, including: stakeholder engagement; identification and effective communication of value; adoption of a parsimonious approach; attention to market-based concerns; flexibility in adapting and expanding existing agreements and partnerships; and anticipation of required time and investment. PMID:25848589

Kyoto global consensus report on Helicobacter pylori gastritis

PubMed Central

Sugano, Kentaro; Tack, Jan; Kuipers, Ernst J; Graham, David Y; El-Omar, Emad M; Miura, Soichiro; Haruma, Ken; Asaka, Masahiro; Uemura, Naomi; Malfertheiner, Peter

2015-01-01

Objective To present results of the Kyoto Global Consensus Meeting, which was convened to develop global consensus on (1) classification of chronic gastritis and duodenitis, (2) clinical distinction of dyspepsia caused by Helicobacter pylori from functional dyspepsia, (3) appropriate diagnostic assessment of gastritis and (4) when, whom and how to treat H. pylori gastritis. Design Twenty-three clinical questions addressing the above-mentioned four domains were drafted for which expert panels were asked to formulate relevant statements. A Delphi method using an anonymous electronic system was adopted to develop the consensus, the level of which was predefined as ≥80%. Final modifications of clinical questions and consensus were achieved at the face-to-face meeting in Kyoto. Results All 24 statements for 22 clinical questions after extensive modifications and omission of one clinical question were achieved with a consensus level of >80%. To better organise classification of gastritis and duodenitis based on aetiology, a new classification of gastritis and duodenitis is recommended for the 11th international classification. A new category of H. pylori-associated dyspepsia together with a diagnostic algorithm was proposed. The adoption of grading systems for gastric cancer risk stratification, and modern image-enhancing endoscopy for the diagnosis of gastritis, were recommended. Treatment to eradicate H. pylori infection before preneoplastic changes develop, if feasible, was recommended to minimise the risk of more serious complications of the infection. Conclusions A global consensus for gastritis was developed for the first time, which will be the basis for an international classification system and for further research on the subject. PMID:26187502

Clinical decision support alert malfunctions: analysis and empirically derived taxonomy.

PubMed

Wright, Adam; Ai, Angela; Ash, Joan; Wiesen, Jane F; Hickman, Thu-Trang T; Aaron, Skye; McEvoy, Dustin; Borkowsky, Shane; Dissanayake, Pavithra I; Embi, Peter; Galanter, William; Harper, Jeremy; Kassakian, Steve Z; Ramoni, Rachel; Schreiber, Richard; Sirajuddin, Anwar; Bates, David W; Sittig, Dean F

2018-05-01

To develop an empirically derived taxonomy of clinical decision support (CDS) alert malfunctions. We identified CDS alert malfunctions using a mix of qualitative and quantitative methods: (1) site visits with interviews of chief medical informatics officers, CDS developers, clinical leaders, and CDS end users; (2) surveys of chief medical informatics officers; (3) analysis of CDS firing rates; and (4) analysis of CDS overrides. We used a multi-round, manual, iterative card sort to develop a multi-axial, empirically derived taxonomy of CDS malfunctions. We analyzed 68 CDS alert malfunction cases from 14 sites across the United States with diverse electronic health record systems. Four primary axes emerged: the cause of the malfunction, its mode of discovery, when it began, and how it affected rule firing. Build errors, conceptualization errors, and the introduction of new concepts or terms were the most frequent causes. User reports were the predominant mode of discovery. Many malfunctions within our database caused rules to fire for patients for whom they should not have (false positives), but the reverse (false negatives) was also common. Across organizations and electronic health record systems, similar malfunction patterns recurred. Challenges included updates to code sets and values, software issues at the time of system upgrades, difficulties with migration of CDS content between computing environments, and the challenge of correctly conceptualizing and building CDS. CDS alert malfunctions are frequent. The empirically derived taxonomy formalizes the common recurring issues that cause these malfunctions, helping CDS developers anticipate and prevent CDS malfunctions before they occur or detect and resolve them expediently.

2 CFR 902.300 - Whom in the DOE does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Whom in the DOE does a recipient who is an... WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 902.300 Whom in the DOE does a recipient who is an individual notify about a criminal drug conviction? A recipient who is an...

2 CFR 902.300 - Whom in the DOE does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2012 CFR

2012-01-01

... 2 Grants and Agreements 1 2012-01-01 2012-01-01 false Whom in the DOE does a recipient who is an... WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 902.300 Whom in the DOE does a recipient who is an individual notify about a criminal drug conviction? A recipient who is an...

2 CFR 902.300 - Whom in the DOE does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2014 CFR

2014-01-01

... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Whom in the DOE does a recipient who is an... WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 902.300 Whom in the DOE does a recipient who is an individual notify about a criminal drug conviction? A recipient who is an...

2 CFR 3186.300 - Whom in the IMLS does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Whom in the IMLS does a recipient who is an... DRUG-FREE WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 3186.300 Whom in the IMLS does a recipient who is an individual notify about a criminal drug conviction? A...

2 CFR 902.300 - Whom in the DOE does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2013 CFR

2013-01-01

... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Whom in the DOE does a recipient who is an... WORKPLACE (FINANCIAL ASSISTANCE) Requirements for Recipients Who Are Individuals § 902.300 Whom in the DOE does a recipient who is an individual notify about a criminal drug conviction? A recipient who is an...

7 CFR 3017.310 - What must I do if a Federal agency excludes a person with whom I am already doing business in a...

Code of Federal Regulations, 2010 CFR

2010-01-01

... covered transactions (other than no-cost time extensions) with any excluded person, unless the Department... with whom I am already doing business in a covered transaction? 3017.310 Section 3017.310 Agriculture... Regarding Transactions § 3017.310 What must I do if a Federal agency excludes a person with whom I am...

2 CFR 421.225 - Whom in the USDA does a recipient other than an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2012 CFR

2012-01-01

... 2 Grants and Agreements 1 2012-01-01 2012-01-01 false Whom in the USDA does a recipient other than... WORKPLACE (FINANCIAL ASSISTANCE) [Reserved] § 421.225 Whom in the USDA does a recipient other than an... offense must notify the awarding official for each USDA agency from which the recipient currently has an...

2 CFR 1401.401 - Whom in the DOI does a recipient who is an individual notify about a criminal drug conviction?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Whom in the DOI does a recipient who is an individual notify about a criminal drug conviction? 1401.401 Section 1401.401 Grants and Agreements Federal... Whom in the DOI does a recipient who is an individual notify about a criminal drug conviction? The DOI...

Emotional Processing in Male Adolescents with Childhood-Onset Conduct Disorder

ERIC Educational Resources Information Center

Herpertz, Sabine C.; Huebner, Thomas; Marx, Ivo; Vloet, Timo D.; Fink, Gereon R.; Stoecker, Tony; Shah, N. Jon; Konrad, Kerstin; Herpertz-Dahlmann, Beate

2008-01-01

Background: Boys with early onset of conduct disorder (CD), most of whom also meet diagnostic criteria of a comorbid attention deficit hyperactivity disorder (ADHD), tend to exhibit high levels of aggression throughout development. While a number of functional neuroimaging studies on emotional processing have been performed in antisocial adults,…

Assessment of a New Procedure to Prevent Timeout Escape in Preschoolers.

ERIC Educational Resources Information Center

McNeil, Cheryl Bodiford; And Others

1994-01-01

Many agencies provide parent training to groups for whom spanking as a response to timeout escape is not an option. An alternative was developed, the "two-chair hold" technique, which showed some success in decreasing timeout escape and improving overall behavior. Discusses clinical issues regarding use of this technique. (LKS)

University Professors as Academic Leaders: Professorial Leadership Development Needs and Provision

ERIC Educational Resources Information Center

Evans, Linda

2017-01-01

In the UK the title "professor" is generally applied only to the most senior academics--equivalent to North American full professors--and whom anecdotal evidence indicates to be often unprepared for the increasingly expansive academic leadership roles that they are expected to fulfil. The study reported in this paper was directed at…

Childhood Abuse, Body Image Disturbance, and Eating Disorders.

ERIC Educational Resources Information Center

Schaaf, Kristin K.; McCanne, Thomas R.

1994-01-01

This study examined the relationships among childhood sexual and physical abuse, body image disturbance, and eating disorder symptomatology in college students, of whom 29 had been sexually abused, 32 physically abused, and 29 nonabused. There was no evidence that child sexual or physical abuse was associated with the development of body image…

Codeswitching, Convergence and Compliance: The Development of Micro-Community Speech Norms.

ERIC Educational Resources Information Center

Burt, Susan Meredith

1992-01-01

In conversations between bilinguals, each of whom is a learner of the other's language, two different local patterns of codeswitching may emerge: compliance and mutual convergence. It is argued that a pattern of compliance is ultimately more accommodating that convergence, contrary to the claims of Speech Accommodation Theory. (20 references)…

Education in the Broader Middle East: Borrowing a Baroque Arsenal

ERIC Educational Resources Information Center

Donn, Gari, Ed.; Al Manthri, Yahya, Ed.

2013-01-01

This book brings together academics and postgraduate students, practitioners and Ministry officials all of whom are wedded to developing an understanding of what is happening to education in the broader Middle East. They cover many countries whilst recognising that many more could have been included. In drawing attention to education in Pakistan,…

Moral Reasoning in Gifted and Average I.Q. Third and Fourth Graders.

ERIC Educational Resources Information Center

Sager, Susan M.; Workman, Susan H.

In an examination of the relationship between academic giftedness and the development of moral reasoning, six story pairs varying intentionality with either personal injury or property damage were group administered to 104 third and fourth graders, 52 of whom had been previously identified as gifted. Results failed to demonstrate any significant…

The Actions and Feelings Questionnaire in Autism and Typically Developed Adults

ERIC Educational Resources Information Center

Williams, Justin H. G.; Cameron, Isobel M.

2017-01-01

Impaired motor cognition may underpin empathy problems in autism. The actions and feelings questionnaire (AFQ), designed to examine individual differences in motor cognition, was completed fully by 1391 adults, of whom 326 reported a diagnosis of an autism spectrum condition (ASC). A confirmatory factor analysis supported a 3 factor model. The AFQ…

Developing an Adaptive Tool to Select, Plan, and Scaffold Oral Assessment Tasks for Undergraduate Courses

ERIC Educational Resources Information Center

Demmans Epp, Carrie; Park, Gina; Plumb, Christopher

2015-01-01

The increased linguistic and cultural diversity of undergraduate classrooms at English language institutions has imposed additional pedagogical and assessment challenges on instructors, many of whom lack the knowledge necessary to design classroom activities and assessments that are fair to all students regardless of students' background and…

Education Research Priorities: A Collective View.

ERIC Educational Resources Information Center

International Development Research Centre, Ottawa (Ontario).

Emphasis of this report on education research in developing countries and priorities for future research is on providing better education to more people (many of whom live in rural areas) in spite of severe resource constraints. The need to involve policymakers in the research process and align research more closely with real needs is discussed.…

Ketoconazole-induced fulminant hepatitis.

PubMed Central

Bercoff, E; Bernuau, J; Degott, C; Kalis, B; Lemaire, A; Tilly, H; Rueff, B; Benhamou, J P

1985-01-01

We report the cases of two adult patients in whom fulminant hepatitis developed after 17 and 103 days of ketoconazole administration. Histologic administration showed massive, predominantly centrilobular necrosis. Clinical manifestations of hypersensitivity and eosinophilia were absent in both patients, which suggests that ketoconazole hepatotoxicity is not mediated through an immunoallergic mechanism. Images Fig. 2 PMID:4007605

12 CFR 1022.82 - Duties of users regarding address discrepancies.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 8 2014-01-01 2014-01-01 false Duties of users regarding address discrepancies... the consumer. (c) Reasonable belief—(1) Requirement to form a reasonable belief. A user must develop... belief that a consumer report relates to the consumer about whom it has requested the report, when the...

Preschoolers' Theory-of-Mind Knowledge Influences Whom They Trust about Others' Theories of Mind

ERIC Educational Resources Information Center

Van Reet, Jennifer; Green, Kathryn F.; Sobel, David M.

2015-01-01

Two experiments examined whether particular aspects of social-cognitive knowledge predicted how preschoolers would treat informants who displayed a more or less developed understanding of that knowledge. In Experiment 1, children's own success on false-belief measures correlated with the extent to which they endorsed information generated by a…

12 CFR 1022.82 - Duties of users regarding address discrepancies.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Duties of users regarding address discrepancies... the consumer. (c) Reasonable belief. (1) Requirement to form a reasonable belief. A user must develop... belief that a consumer report relates to the consumer about whom it has requested the report, when the...

12 CFR 1022.82 - Duties of users regarding address discrepancies.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Duties of users regarding address discrepancies... the consumer. (c) Reasonable belief—(1) Requirement to form a reasonable belief. A user must develop... belief that a consumer report relates to the consumer about whom it has requested the report, when the...

22 CFR 208.630 - May the U.S. Agency for International Development impute conduct of one person to another?

Code of Federal Regulations, 2010 CFR

2010-04-01

..., or with the organization's knowledge, approval or acquiescence. The organization's acceptance of the benefits derived from the conduct is evidence of knowledge, approval or acquiescence. (b) Conduct imputed... individual, if the individual to whom the improper conduct is imputed either participated in, had knowledge...

Desegregation Law; An Introduction.

ERIC Educational Resources Information Center

Integrated Education Associates, Evanston, IL.

This booklet is comprised of the following: (i) School desegregation law: recent developments (by J. Harold Flannery), dealing with several threshold questions such as: What is illegal school segregation? What must be done about it and by whom? What will be the role of the courts after desegregation? (ii) School desegregation--the past five years,…

Contemporary Issues in Community Colleges: A Synopsis.

ERIC Educational Resources Information Center

Cohen, Arthur M.

This report presents background on community college development and discusses four areas of concern. The first area is maintaining access for all students. Trends are toward tightening criteria for attendance. Colleges in some states will be forced to make clearer distinctions among the student groups they serve and for whom they expect to…

Improving Workplace Learning of Lifelong Learning Sector Trainee Teachers in the UK

ERIC Educational Resources Information Center

Maxwell, Bronwen

2014-01-01

Learning in the teaching workplace is crucial for the development of all trainee teachers. Workplace learning is particularly important for trainee teachers in the lifelong learning sector (LLS) in the UK, the majority of whom are already working as teachers, tutors, trainers or lecturers while undertaking initial teacher education. However,…

The Rankings Game: Who's Playing Whom?

ERIC Educational Resources Information Center

Burness, John F.

2008-01-01

This summer, Forbes magazine published its new rankings of "America's Best Colleges," implying that it had developed a methodology that would give the public the information that it needed to choose a college wisely. "U.S. News & World Report," which in 1983 published the first annual ranking, just announced its latest ratings last week--including…

Student Success: Stories That Inform High School Change

ERIC Educational Resources Information Center

Shepard, Jerri; Salina, Chuck; Girtz, Suzann; Cox, Jonas; Davenport, Nika; Hillard, Tammy L.

2012-01-01

Sunnyside High School in rural Washington faces many tough issues common to urban schools but has shown a remarkable ability to help students at risk for academic failure. The Sunnyside Intervention Program was developed for students with a history of poor academic performance, many of whom were involved in dangerous activities, including gangs.…

Reading and American Sign Language: Strategies for Translation.

ERIC Educational Resources Information Center

Burkholder, Kim

1999-01-01

A hearing teacher for whom American Sign Language is a second language identifies nine strategies developed for reading and telling stories to deaf children. These include: ask obvious questions related to the story, portray written dialog as conversation, emphasize points by saying the same thing with different signs, and adapt the story to…

Serving Special Populations: A Study of Former Foster Youth at California Community Colleges

ERIC Educational Resources Information Center

Rassen, Elisa; Cooper, Darla M.; Mery, Pamela

2010-01-01

Community colleges nationwide are tasked with meeting the needs of a wide range of students, many of whom come to higher education with financial, educational, and social disadvantages. Developing strategies to effectively serve these students and promote their academic and personal success can be challenging and resource-intensive. The study…

Hawking, Stephen W (1942-)

NASA Astrophysics Data System (ADS)

Murdin, P.

2000-11-01

Cosmologist and theoretical astrophysicist, born in Oxford, England, where he studied physics at University College. Moved to Cambridge to take up research in general relativity and cosmology, became Lucasian professor (an appointment earlier held by ISAAC NEWTON, with whom Hawking has been compared). Hawking worked to develop a valid mathematical treatment of the `singularities' in the theor...

75 FR 47306 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-05

... OMB Review; Comment Request Title: Case Plan Requirement, Title IV-E of the Social Security Act. OMB No.: 0980-0140. Description: Under section 471(a)(16) of title IV-E of the Social Security Act (the... development of a case plan for each child for whom the State receives foster care maintenance payments and...

75 FR 55792 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-14

... OMB Review; Comment Request Title: Case Plan Requirement, Title IV-E of the Social Security Act. OMB No.: 0980-0140. Description: Under section 471(a)(16) of title IV-B of the Social Security Act (the... development of a case plan for each child for whom the State receives foster care maintenance payments and...

Who Helps Whom? Investigating the Development of Adolescent Prosocial Relationships

ERIC Educational Resources Information Center

van Rijsewijk, Loes; Dijkstra, Jan Kornelis; Pattiselanno, Kim; Steglich, Christian; Veenstra, René

2016-01-01

We investigated adolescent prosocial relations by examining social networks based on the question "Who helps you (e.g., with homework, with repairing a flat [bicycle] tire, or when you are feeling down?)." The effects of individual characteristics (academic achievement, symptoms of depressive mood, and peer status) on receiving help and…

Computer-Assisted Bilingual/Bicultural Multiskills Project, 1987-1988. OREA Report.

ERIC Educational Resources Information Center

Berney, Tomi D.; Carey, Cecilia

The Computer-Assisted Bilingual/Bicultural Multiskills Project completed its first year of an extension grant. The program used computerized and non-computerized instruction to help 109 native speakers of Haitian Creole/French and Spanish, most of whom were recent immigrants, develop English-as-a-Second-Language (ESL) native language, and content…

Making MEPA-IEP Work: Tools for Professionals

ERIC Educational Resources Information Center

McRoy, Ruth; Mica, Maryanne; Freundlich, Madelyn; Kroll, Joe

2007-01-01

The Multiethnic Placement Act of 1994 and the Interethnic Adoption Provisions of 1996 (MEPA-IEP) require states to develop plans that "provide for the diligent recruitment of potential foster and adoptive families that reflect the ethnic and racial diversity of children in the state for whom foster and adoptive homes are needed." This…