29 CFR 2200.62 - Postponement of hearing.

Code of Federal Regulations, 2011 CFR

2011-07-01

... the concurrence of the Chief Administrative Law Judge. The original of any motion seeking a... Hearings § 2200.62 Postponement of hearing. (a) Motion to postpone. A hearing may be postponed by the Judge on his own initiative or for good cause shown upon the motion of a party. A motion for postponement...

29 CFR 2200.62 - Postponement of hearing.

Code of Federal Regulations, 2013 CFR

2013-07-01

... the concurrence of the Chief Administrative Law Judge. The original of any motion seeking a... Hearings § 2200.62 Postponement of hearing. (a) Motion to postpone. A hearing may be postponed by the Judge on his own initiative or for good cause shown upon the motion of a party. A motion for postponement...

29 CFR 2200.62 - Postponement of hearing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... the concurrence of the Chief Administrative Law Judge. The original of any motion seeking a... Hearings § 2200.62 Postponement of hearing. (a) Motion to postpone. A hearing may be postponed by the Judge on his own initiative or for good cause shown upon the motion of a party. A motion for postponement...

29 CFR 2200.62 - Postponement of hearing.

Code of Federal Regulations, 2012 CFR

2012-07-01

... the concurrence of the Chief Administrative Law Judge. The original of any motion seeking a... Hearings § 2200.62 Postponement of hearing. (a) Motion to postpone. A hearing may be postponed by the Judge on his own initiative or for good cause shown upon the motion of a party. A motion for postponement...

EU sales ban on new cosmetics tested on animals: impact on alternative methods, WTO implications and animal welfare aspects.

PubMed

Ruhdel, Irmela W

2004-06-01

In 1993, the European Union (EU) adopted Directive 93/35/EEC, calling for a sales ban on new cosmetic products containing ingredients tested on animals after 1 January, 1998, provided that alternative methods had been developed by then. In May 2000, for the second time, the European Commission postponed that ban. The Commission justified the repeated postponement of the sales ban by saying that no animal-free methods were available, although three in vitro methods were scientifically approved in 1997. With three years delay, these methods have been published and therefore "made available" in the EU. OECD acceptance is still awaited. Another reason for the postponement was the fear of possible World Trade Organisation (WTO) conflicts. However, according to WTO rules, the protection of public morality or animal health could justify a restriction of the free trade principle. From the animal welfare point of view, an unqualified EU sales ban, combined with an animal testing ban, would provide the incentive to further promote the development and acceptance of alternative methods and to prove that ethical standards are legitimate concerns under WTO rules.

7 CFR 27.57 - Request for postponement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... REGULATIONS COTTON CLASSIFICATION UNDER COTTON FUTURES LEGISLATION Regulations Postponed Classification § 27.57 Request for postponement. If the applicant desires the postponement of the classification of any cotton covered by a classification request filed pursuant to the regulations in this subpart until later...

7 CFR 27.57 - Request for postponement.

Code of Federal Regulations, 2011 CFR

2011-01-01

... REGULATIONS COTTON CLASSIFICATION UNDER COTTON FUTURES LEGISLATION Regulations Postponed Classification § 27.57 Request for postponement. If the applicant desires the postponement of the classification of any cotton covered by a classification request filed pursuant to the regulations in this subpart until later...

14 CFR 1215.111 - User postponement of service.

Code of Federal Regulations, 2011 CFR

2011-01-01

... RELAY SATELLITE SYSTEM (TDRSS) Use and Reimbursement Policy for Non-U.S. Government Users § 1215.111 User postponement of service. The user may postpone the initiation of contracted service (e.g., user... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true User postponement of service. 1215.111...

14 CFR 1215.111 - User postponement of service.

Code of Federal Regulations, 2010 CFR

2010-01-01

... RELAY SATELLITE SYSTEM (TDRSS) Use and Reimbursement Policy for Non-U.S. Government Users § 1215.111 User postponement of service. The user may postpone the initiation of contracted service (e.g., user... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false User postponement of service. 1215.111...

Epidemiologic Analysis of Elective Operative Procedures in Infants Less Than 6 Months of Age in the United States.

PubMed

Einhorn, Lisa M; Young, Brian J; Routh, Jonathan C; Allori, Alexander C; Tracy, Elisabeth T; Greene, Nathaniel H

2017-11-01

This study uses publicly available data to analyze the total number of elective, potentially deferrable operative procedures involving infants <6 months of age in the United States. We investigated the factors associated with the performance of these procedures in this population. The State Ambulatory Surgery Database was used to identify patients in California, North Carolina, New York, and Utah during the years of 2007-2010 who were younger than 6 months of age at the time that they underwent outpatient (ambulatory) surgery. Operations that could reasonably be postponed until 6 months of age were classified as potentially deferrable procedures. Hernia repairs were analyzed separately from other deferrable procedures. Primary outcomes included the total number of elective procedures and the number and rates of potentially deferrable procedures per state per year in this population. Over the study period, a total of 27,540 procedures were identified as meeting inclusion criteria; of those, 7832 (28%) were classified as potentially deferrable, 4315 of which were hernia repairs. The average rates of potentially deferrable nonhernia procedures in California, North Carolina, New York, and Utah were 8.3, 43.8, 30.0, and 11.7 per 10,000 person-years, respectively. In multivariable analysis, private insurance (odds ratio [OR] = 1.36), self-pay status (OR = 1.50), and treatment in a different state (OR = 0.48-3.16) were independent predictors of a potentially deferrable procedure being performed on an infant younger than 6 months. Potentially deferrable procedures are still performed in infants <6 months of age. There appears to be significant variation in timing of these procedures among states. Insurance status and geography may be independent predictors of a procedure being potentially deferrable.

Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians.

PubMed

Grines, Cindy L; Bonow, Robert O; Casey, Donald E; Gardner, Timothy J; Lockhart, Peter B; Moliterno, David J; O'Gara, Patrick; Whitlow, Patrick

2007-02-13

Dual antiplatelet therapy with aspirin and a thienopyridine has been shown to reduce cardiac events after coronary stenting. However, many patients and healthcare providers prematurely discontinue dual antiplatelet therapy, which greatly increases the risk of stent thrombosis, myocardial infarction, and death. This advisory stresses the importance of 12 months of dual antiplatelet therapy after placement of a drug-eluting stent and educating the patient and healthcare providers about hazards of premature discontinuation. It also recommends postponing elective surgery for 1 year, and if surgery cannot be deferred, considering the continuation of aspirin during the perioperative period in high-risk patients with drug-eluting stents.

Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians.

PubMed

Grines, Cindy L; Bonow, Robert O; Casey, Donald E; Gardner, Timothy J; Lockhart, Peter B; Moliterno, David J; O'Gara, Patrick; Whitlow, Patrick

2007-05-01

and Overview. Dual antiplatelet therapy with aspirin and a thienopyridine has been shown to reduce cardiac events after coronary stenting. However, many patients and health care providers prematurely discontinue dual antiplatelet therapy, which greatly increases the risk of stent thrombosis, myocardial infarction and death. This advisory stresses the importance of 12 months of dual antiplatelet therapy after placement of a drug-eluting stent and educating patients and health care providers about hazards of premature discontinuation. It also recommends postponing elective surgery for one year, and if surgery cannot be deferred, considering the continuation of aspirin during the perioperative period in high-risk patients with drug-eluting stents.

Combining Learning and Assessment to Improve Science Education

ERIC Educational Resources Information Center

Linn, Marcia C.; Chiu, Jennifer

2011-01-01

High-stakes tests take time away from valuable learning activities, narrow the focus of instruction, and imply that science involves memorizing details rather than understanding the natural world. Current tests lead precollege instructors to postpone science inquiry activities until after the last standardized test is completed--often during the…

26 CFR 56.4911-1 - Tax on excess lobbying expenditures.

Code of Federal Regulations, 2011 CFR

2011-04-01

... expenditure test election under section 501(h) is in effect (an “electing public charity”). An electing public... legislation through grass roots lobbying, the grass roots nontaxable amount (see paragraph (c) of this section... expenditures. For any taxable year for which the expenditure test election under section 501(h) is in effect...

26 CFR 56.4911-1 - Tax on excess lobbying expenditures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... expenditure test election under section 501(h) is in effect (an “electing public charity”). An electing public... legislation through grass roots lobbying, the grass roots nontaxable amount (see paragraph (c) of this section... expenditures. For any taxable year for which the expenditure test election under section 501(h) is in effect...

Postponement of death around Chinese holidays: a Hong Kong perspective.

PubMed

Panesar, N S; Goggins, W

2009-10-01

Historical anecdotes suggest human beings can postpone death around important occasions. Some formal studies have claimed that elderly Jewish men and Chinese women in America postponed death around the Passover and Harvest Moon (or Mid-Autumn) Festival (HMF), respectively. We examined deaths from cancer, cerebrovascular and heart diseases in the Chinese around four important holidays celebrated in Hong Kong. From computerised data in 1995-2000, the expected weekly deaths for 12 weeks before and after Lunar New Year, Ching Ming, HMF and Chung Yeung holidays were calculated using a polynomial regression model for the three diseases in men and women, under and over the age of 75 years. The differences in the observed deaths one week before and one week after the four holidays were tested by the binomial test. There were significantly fewer deaths overall in men before the holidays than after (p-value equals 0.0081), with most of the difference being due to cancer deaths, particularly among men over 75 years of age. For women, there were actually more deaths before than after the holidays. The data, stratified according to age, gender, disease and holiday, yielded only five out of 48 variables with a p-value of less than 0.05, which was slightly above chance, considering the large number of comparisons made. In four of the five situations, there were significantly fewer deaths before than after the holidays; but after Bonferroni correction, only the finding of fewer cancer deaths for men aged over 75 years before HMF was significant. Other than cancer deaths in males, we found little evidence in this dataset of death postponement until after important holidays in the Hong Kong Chinese population.

Postponement of canine puberty by neonatal administration of a long term release GnRH superagonist.

PubMed

Faya, M; Marchetti, C; Priotto, M; Grisolía, M; D'Francisco, F; Gobello, C

2018-06-02

The objective of this study was to assess the efficiency and clinical safety of postnatal administration of a GnRH agonist on canine puberty postponement. Sexual steroids and histological gonadal changes were also described. Twenty-four littermate puppies were randomly assigned to: Deslorelin acetate 18.8 mg sc (DESLO; n = 12) or Placebo: sc (PLACE; n = 12) postnatally. The dogs were clinically and endocrinologically followed up until puberty when they were gonadectomized and their gonads histomorphometrically studied. Deslorelin postponed the age of puberty (72.7 ± 4.8 vs. 35.8 ± 1.9 weeks; P < 0.01) in these dogs. At the time of this submission, 3 DESLO dogs (108 weeks old) remain non-pubertal. All dogs concluded growing at a similar age (29.75 ± 2.44 vs. 29.25 ± 0.90 weeks; P > 0.1) independently of their group and pubertal status. None of the females had side effects while the 2 non pubertal DESLO males presented bilateral cryptorchydism. All the bitches ovulated at puberty (P > 0.1) and the 2 DESLO that were mated became pregnant. Deslorelin postponed basal serum sexual steroids up to puberty in both genders (P < 0.01). The histomorphometrical study of the testes revealed that the tubular diameter (P < 0.05), germinal epithelium height and composition (P < 0.01) were decreased in DESLO group. Ovarian structures did not differ between treatments (P > 0.05). It was concluded that postnatal deslorelin decreased sexual steroids reversibly postponing puberty in both genders without side effects in bitches and causing 2/6 of cryptorchydism and impairment of testicular histomorphometry in male dogs. Copyright © 2018 Elsevier Inc. All rights reserved.

Test Anxiety and Academic Delay of Gratification

ERIC Educational Resources Information Center

Bembenutty, Hefer

2009-01-01

The present study examined the relationship between college students' willingness to delay gratification, motivation, self-regulation of learning, and their level of test anxiety (N = 364). Academic delay of gratification refers to students' postponement of immediately available opportunities to satisfy impulses in favor of pursuing academic…

75 FR 74025 - Procedural Manual for the Election Assistance Commission's Voting System Testing and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-30

... System Testing and Certification Program, Version 2.0 AGENCY: United States Election Assistance Commission (EAC). ACTION: Notice; publication of Voting System Testing and Certification Manual, Version 2.0, for 60 day public comment period on EAC Web site. SUMMARY: The U.S. Election Assistance Commission...

7 CFR 27.59 - Postponed classification; interference.

Code of Federal Regulations, 2011 CFR

2011-01-01

... shall not be allowed to interfere with or delay the classification of other samples previously made... 7 Agriculture 2 2011-01-01 2011-01-01 false Postponed classification; interference. 27.59 Section... CONTAINER REGULATIONS COTTON CLASSIFICATION UNDER COTTON FUTURES LEGISLATION Regulations Postponed...

7 CFR 27.59 - Postponed classification; interference.

Code of Federal Regulations, 2010 CFR

2010-01-01

... shall not be allowed to interfere with or delay the classification of other samples previously made... 7 Agriculture 2 2010-01-01 2010-01-01 false Postponed classification; interference. 27.59 Section... CONTAINER REGULATIONS COTTON CLASSIFICATION UNDER COTTON FUTURES LEGISLATION Regulations Postponed...

78 FR 22536 - Procedural Manual for the Election Assistance Commission's Voting System Test Laboratories...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-16

... System Test Laboratories Program Manual, Version 2.0 AGENCY: United States Election Assistance Commission (EAC). ACTION: Notice; publication of Voting System Test Laboratories Program Manual, Version 2.0, for 60 day public comment period on EAC Web site. SUMMARY: The U.S. Election Assistance Commission (EAC...

45 CFR 2400.61 - Postponement of award.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 4 2014-10-01 2014-10-01 false Postponement of award. 2400.61 Section 2400.61 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Special Conditions § 2400.61 Postponement of award. Upon...

45 CFR 2400.61 - Postponement of award.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 4 2013-10-01 2013-10-01 false Postponement of award. 2400.61 Section 2400.61 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Special Conditions § 2400.61 Postponement of award. Upon...

45 CFR 2400.61 - Postponement of award.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 4 2012-10-01 2012-10-01 false Postponement of award. 2400.61 Section 2400.61 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Special Conditions § 2400.61 Postponement of award. Upon...

45 CFR 2400.61 - Postponement of award.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Postponement of award. 2400.61 Section 2400.61 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Special Conditions § 2400.61 Postponement of award. Upon...

45 CFR 2400.61 - Postponement of award.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 4 2011-10-01 2011-10-01 false Postponement of award. 2400.61 Section 2400.61 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Special Conditions § 2400.61 Postponement of award. Upon...

76 FR 17627 - Sunshine Act Meeting Postponed

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-30

... DEFENSE NUCLEAR FACILITIES SAFETY BOARD Sunshine Act Meeting Postponed AGENCY: Defense Nuclear Facilities Safety Board. ACTION: Notice of public meeting postponement. SUMMARY: The Defense Nuclear Facilities Safety Board (Board) published a document in the Federal Register of March 3, 2011 (76 FR 11764...

45 CFR 1801.53 - Postponement of payment.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 4 2012-10-01 2012-10-01 false Postponement of payment. 1801.53 Section 1801.53 Public Welfare Regulations Relating to Public Welfare (Continued) HARRY S. TRUMAN SCHOLARSHIP FOUNDATION HARRY S. TRUMAN SCHOLARSHIP PROGRAM Payment Conditions and Procedures § 1801.53 Postponement of payment...

45 CFR 1801.53 - Postponement of payment.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 4 2013-10-01 2013-10-01 false Postponement of payment. 1801.53 Section 1801.53 Public Welfare Regulations Relating to Public Welfare (Continued) HARRY S. TRUMAN SCHOLARSHIP FOUNDATION HARRY S. TRUMAN SCHOLARSHIP PROGRAM Payment Conditions and Procedures § 1801.53 Postponement of payment...

45 CFR 1801.53 - Postponement of payment.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 4 2011-10-01 2011-10-01 false Postponement of payment. 1801.53 Section 1801.53 Public Welfare Regulations Relating to Public Welfare (Continued) HARRY S. TRUMAN SCHOLARSHIP FOUNDATION HARRY S. TRUMAN SCHOLARSHIP PROGRAM Payment Conditions and Procedures § 1801.53 Postponement of payment...

45 CFR 1801.53 - Postponement of payment.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 4 2014-10-01 2014-10-01 false Postponement of payment. 1801.53 Section 1801.53 Public Welfare Regulations Relating to Public Welfare (Continued) HARRY S. TRUMAN SCHOLARSHIP FOUNDATION HARRY S. TRUMAN SCHOLARSHIP PROGRAM Payment Conditions and Procedures § 1801.53 Postponement of payment...

45 CFR 1801.53 - Postponement of payment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Postponement of payment. 1801.53 Section 1801.53 Public Welfare Regulations Relating to Public Welfare (Continued) HARRY S. TRUMAN SCHOLARSHIP FOUNDATION HARRY S. TRUMAN SCHOLARSHIP PROGRAM Payment Conditions and Procedures § 1801.53 Postponement of payment...

29 CFR 1921.11 - Postponement or change of place of hearing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 7 2010-07-01 2010-07-01 false Postponement or change of place of hearing. 1921.11 Section 1921.11 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT Hearing and Related Matters § 1921.11 Postponement or...

14 CFR 1214.107 - Postponement.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214.107...) A customer postponing the flight of a payload will pay a postponement fee to NASA. The fee will be computed as a percentage of the customer's Shuttle standard flight price and will be based on the table...

14 CFR 1214.107 - Postponement.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214.107...) A customer postponing the flight of a payload will pay a postponement fee to NASA. The fee will be computed as a percentage of the customer's Shuttle standard flight price and will be based on the table...

14 CFR 1214.107 - Postponement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214.107...) A customer postponing the flight of a payload will pay a postponement fee to NASA. The fee will be computed as a percentage of the customer's Shuttle standard flight price and will be based on the table...

14 CFR 1214.107 - Postponement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214.107...) A customer postponing the flight of a payload will pay a postponement fee to NASA. The fee will be computed as a percentage of the customer's Shuttle standard flight price and will be based on the table...

42 CFR 34.5 - Postponement of medical examination.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 1 2011-10-01 2011-10-01 false Postponement of medical examination. 34.5 Section 34.5 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL CARE AND EXAMINATIONS MEDICAL EXAMINATION OF ALIENS § 34.5 Postponement of medical examination. Whenever, upon an...

46 CFR 550.507 - Postponement, discontinuance, or suspension of action.

Code of Federal Regulations, 2010 CFR

2010-10-01

... action. The Commission may, on its own motion or upon petition, postpone, discontinue, or suspend any and... 46 Shipping 9 2010-10-01 2010-10-01 false Postponement, discontinuance, or suspension of action. 550.507 Section 550.507 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS...

46 CFR 550.507 - Postponement, discontinuance, or suspension of action.

Code of Federal Regulations, 2011 CFR

2011-10-01

... action. The Commission may, on its own motion or upon petition, postpone, discontinue, or suspend any and... 46 Shipping 9 2011-10-01 2011-10-01 false Postponement, discontinuance, or suspension of action. 550.507 Section 550.507 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS...

32 CFR 724.218 - Limitation-Continuance and Postponements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 5 2010-07-01 2010-07-01 false Limitation-Continuance and Postponements. 724... Limitation—Continuance and Postponements. (a) A continuance of a discharge review hearing may be authorized... continuance is of reasonable duration and is essential to achieving a full and fair hearing. When a proposal...

Why do people postpone parenthood? Reasons and social policy incentives.

PubMed

Mills, Melinda; Rindfuss, Ronald R; McDonald, Peter; te Velde, Egbert

2011-01-01

Never before have parents in most Western societies had their first children as late as in recent decades. What are the central reasons for postponement? What is known about the link between the delay of childbearing and social policy incentives to counter these trends? This review engages in a systematic analysis of existing evidence to extract the maximum amount of knowledge about the reasons for birth postponement and the effectiveness of social policy incentives. The review followed the PRISMA procedure, with literature searches conducted in relevant demographic, social science and medical science databases (SocINDEX, Econlit, PopLine, Medline) and located via other sources. The search focused on subjects related to childbearing behaviour, postponement and family policies. National, international and individual-level data sources were also used to present summary statistics. There is clear empirical evidence of the postponement of the first child. Central reasons are the rise of effective contraception, increases in women's education and labour market participation, value changes, gender equity, partnership changes, housing conditions, economic uncertainty and the absence of supportive family policies. Evidence shows that some social policies can be effective in countering postponement. The postponement of first births has implications on the ability of women to conceive and parents to produce additional offspring. Massive postponement is attributed to the clash between the optimal biological period for women to have children with obtaining additional education and building a career. A growing body of literature shows that female employment and childrearing can be combined when the reduction in work-family conflict is facilitated by policy intervention.

Why do people postpone parenthood? Reasons and social policy incentives

PubMed Central

Mills, Melinda; Rindfuss, Ronald R.; McDonald, Peter; te Velde, Egbert

2011-01-01

BACKGROUND Never before have parents in most Western societies had their first children as late as in recent decades. What are the central reasons for postponement? What is known about the link between the delay of childbearing and social policy incentives to counter these trends? This review engages in a systematic analysis of existing evidence to extract the maximum amount of knowledge about the reasons for birth postponement and the effectiveness of social policy incentives. METHODS The review followed the PRISMA procedure, with literature searches conducted in relevant demographic, social science and medical science databases (SocINDEX, Econlit, PopLine, Medline) and located via other sources. The search focused on subjects related to childbearing behaviour, postponement and family policies. National, international and individual-level data sources were also used to present summary statistics. RESULTS There is clear empirical evidence of the postponement of the first child. Central reasons are the rise of effective contraception, increases in women's education and labour market participation, value changes, gender equity, partnership changes, housing conditions, economic uncertainty and the absence of supportive family policies. Evidence shows that some social policies can be effective in countering postponement. CONCLUSIONS The postponement of first births has implications on the ability of women to conceive and parents to produce additional offspring. Massive postponement is attributed to the clash between the optimal biological period for women to have children with obtaining additional education and building a career. A growing body of literature shows that female employment and childrearing can be combined when the reduction in work–family conflict is facilitated by policy intervention. PMID:21652599

Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians.

PubMed

Grines, Cindy L; Bonow, Robert O; Casey, Donald E; Gardner, Timothy J; Lockhart, Peter B; Moliterno, David J; O'Gara, Patrick; Whitlow, Patrick

2007-02-15

Dual antiplatelet therapy with aspirin and a thienopyridine has been shown to reduce cardiac events after coronary stenting. However, many patients and healthcare providers prematurely discontinue dual antiplatelet therapy, which greatly increases the risk of stent thrombosis, myocardial infarction, and death. This advisory stresses the importance of 12 months of dual antiplatelet therapy after placement of a drug-eluting stent and educating the patient and healthcare providers about hazards of premature discontinuation. It also recommends postponing elective surgery for 1 year, and if surgery cannot be deferred, considering the continuation of aspirin during the perioperative period in high-risk patients with drug-eluting stents. (c) 2007 the American Heart Association, Inc., the American College of Cardiology Foundation, the Society for Cardiovascular Angiography and Interventions, the American College of Surgeons, and the American Dental Association

76 FR 55398 - Immunology Devices Panel of the Medical Devices Advisory Committee: Notice of Postponement of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-07

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2011-N-0002] Immunology Devices Panel of the Medical Devices Advisory Committee: Notice of Postponement of Meeting AGENCY... postponing the meeting of the Immunology Devices Panel of the Medical Devices Advisory Committee scheduled...

14 CFR § 1214.107 - Postponement.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Provisions Regarding Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214... customer. (b) A customer postponing the flight of a payload will pay a postponement fee to NASA. The fee will be computed as a percentage of the customer's Shuttle standard flight price and will be based on...

42 CFR 23.31 - May loan payments be postponed or waived?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false May loan payments be postponed or waived? 23.31 Section 23.31 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL... payments be postponed or waived? (a) Whenever health, economic, or other personal problems affect the...

ASTRONAUT CERNAN, EUGENE A. - MISC. (WALK AWAY FROM PAD - GEMINI-TITAN (GT)-9 POSTPONED) - CAPE

NASA Image and Video Library

1966-05-17

S66-34559 (17 May 1966) --- Astronauts Thomas P. Stafford (left), command pilot, and Eugene A. Cernan, pilot, walk away from Pad 19 after the Gemini-9 mission was postponed. Failure of the Agena Target Vehicle to achieve orbit caused the postponement of the mission. Photo credit: NASA

School Tax Elections: Testing Messages and Targeting Voters

ERIC Educational Resources Information Center

Senden, J. Bradford; Lifto, Don E.

2010-01-01

Anticipating a substantially larger voter turnout in the upcoming election, district officials needed to probe--more precisely than in past tax elections--exactly what demographic groups would most likely go to the polls and support the tax proposal. Message testing and voter targeting became critical components in building a foundation for…

76 FR 57723 - Agency Information Collection Activities: Proposed Collection; Comment Request; Election...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-16

...; Comment Request; Election Assistance Commission's Voting System Test Laboratory Program Manual, Version 1... Paperwork Reduction Act of 1995, the U.S. Election Assistance Commission (EAC) invites the general public... information collection, EAC's Voting System Test Laboratory Program Manual, Version 1.0. Comments are invited...

Behavioral regulation of gravity - Schedule effects under escape-avoidance procedures

NASA Technical Reports Server (NTRS)

Clark, F. C.; Lange, K. O.; Belleville, R. E.

1973-01-01

Squirrel monkeys were restrained in a centrifuge capsule and trained to escape and avoid increases in artificial gravity. During escape-avoidance, lever responses reduced centrifugally simulated gravity or postponed scheduled increases. The effect of variation in the interval of postponement (equal to the duration of decrease produced by escape responses) was studied under a multiple schedule of four components. Three components were gravity escape-avoidance with postponement times of 20, 40, and 60 sec. The fourth component was extinction. Each component was associated with a different auditory stimulus. Rate of responding decreased with increasing postponement time and higher mean g-levels occurred at shorter intervals of postponement. Effects of the schedule parameter on response rate and mean g-level were similar to effects of the schedule on free-operant avoidance and on titration behavior maintained by shock.

Nuclear Weapons: Comprehensive Test Ban Treaty

DTIC Science & Technology

2006-10-11

at the Nevada Test Site in June 2006 but now postponed to 2007 at the earliest, would have used 700 tons of ammonium nitrate and fuel oil to produce...June 10, 2006. Parakilas, Jacob , “Congress Cuts CTBTO Funding,” Arms Control Today, December 2005: 25. CRS-26 Robbins, Carla Anne, “U.S. Weighs Whether

76 FR 39080 - Agency Information Collection Activities: Proposed Collection; Comment Request; Election...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-05

... U.S. ELECTION ASSISTANCE COMMISSION Agency Information Collection Activities: Proposed Collection; Comment Request; Election Assistance Commission's Voting System Test Laboratory Program Manual, Version 1.0 AGENCY: U.S. Election Assistance Commission (EAC). ACTION: Notice; comment request. SUMMARY: As...

26 CFR 1.501(h)-2 - Electing the expenditure test.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 7 2010-04-01 2010-04-01 true Electing the expenditure test. 1.501(h)-2 Section 1.501(h)-2 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Exempt Organizations § 1.501(h)-2 Electing the expenditure...

Behavioral regulation of gravity: schedule effects under escape-avoidance procedures1

PubMed Central

Clark, Fogle C.; Lange, Karl O.; Belleville, Richard E.

1973-01-01

Squirrel monkeys were restrained in a centrifuge capsule and trained to escape and avoid increases in artificial gravity. During escape-avoidance, lever responses reduced centrifugally simulated gravity or postponed scheduled increases. The effect of variation in the interval of postponement (equal to the duration of decrease produced by escape responses) was studied under a multiple schedule of four components. Three components were gravity escape-avoidance with postponement times of 20, 40, and 60 sec. The fourth component was extinction. Each component was associated with a different auditory stimulus. Rate of responding decreased with increasing postponement time and higher mean g-levels occurred at shorter intervals of postponement. Effects of the schedule parameter on response rate and mean g-level were similar to effects of the schedule on free-operant avoidance and on titration behavior maintained by shock. ImagesFig. 1. PMID:4202386

Case Studies of Postponement in the Supply Chain

DTIC Science & Technology

2006-06-14

postponement it is still an underutilized strategy across manufacturing. Costs and benefits are sometimes hard to quantify. However, successful case studies...savings in inventory because the value of the product increases through the addition of each successive component. Manufacturing postponement usually...the instrument during the shipment process. Shortly after achieving successful packaging operations, DB initiated another post- ponement strategy in

Summary of Part 75 Administrative Processes: Table 6

EPA Pesticide Factsheets

Learn how to submit information for a new unit, new stack or new FGD; unit shutdown and restart, long term cold storage (LTCS), expected restart date, postponement of Appendix E testing, backup fuel used, and notice of combustion of emergency fuel.

Clinical predictors of elective total joint replacement in persons with end-stage knee osteoarthritis.

PubMed

Zeni, Joseph A; Axe, Michael J; Snyder-Mackler, Lynn

2010-05-06

Arthritis is a leading cause of disability in the United States. Total knee arthroplasty (TKA) has become the gold standard to manage the pain and disability associated with knee osteoarthritis (OA). Although more than 400,000 primary TKA surgeries are performed each year in the United States, not all individuals with knee OA elect to undergo the procedure. No clear consensus exists on criteria to determine who should undergo TKA. The purpose of this study was to determine which clinical factors will predict the decision to undergo TKA in individuals with end-stage knee OA. Knowledge of these factors will aid in clinical decision making for the timing of TKA. Functional data from one hundred twenty persons with end-stage knee OA were obtained through a database. All of the individuals complained of knee pain during daily activities and had radiographic evidence of OA. Functional and clinical tests, collectively referred to as the Delaware Osteoarthritis Profile, were completed by a physical therapist. This profile consisted of measuring height, weight, quadriceps strength and active knee range of motion, while functional mobility was assessed using the Timed Up and Go (TUG) test and the Stair Climbing Task (SCT). Self-perceived functional ability was measured using the activities of daily living subscale of the Knee Outcome Survey (KOS-ADLS). A logistic regression model was used to identify variables predictive of TKA use. Forty subjects (33%) underwent TKA within two years of evaluation. These subjects were significantly older and had significantly slower TUG and SCT times (p < 0.05). Persons that underwent TKA were also significantly weaker, had lower self-reported function and had less knee extension than persons who did not undergo TKA. No differences between groups were seen for BMI, gender, knee flexion ROM and unilateral versus bilateral joint disease. Using backward regression, age, knee extension ROM and KOS-ADLS together significantly predicted whether or not a person would undergo TKA (p

26 CFR 301.7508-1 - Time for performing certain acts postponed by reason of service in a combat zone.

Code of Federal Regulations, 2010 CFR

2010-04-01

... postponed by reason of service in a combat zone. (a) General rule. The period of time that may be... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Time for performing certain acts postponed by reason of service in a combat zone. 301.7508-1 Section 301.7508-1 Internal Revenue INTERNAL REVENUE...

75 FR 76331 - Extension of Public Comment Period and Postponement of Public Hearings for Source Specific...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-08

... determination. EPA is also postponing the open houses and public hearings announced in the Federal Register on... (75 FR 69373) a notice of three sets of open houses and public hearings to be held at three locations in the Four Corners Area on December 6-9, 2010. EPA is postponing the open houses and public hearings...

41 CFR 301-51.203 - What must I do about my advance if my trip is canceled or postponed indefinitely?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false What must I do about my advance if my trip is canceled or postponed indefinitely? 301-51.203 Section 301-51.203 Public Contracts... Receiving Travel Advances § 301-51.203 What must I do about my advance if my trip is canceled or postponed...

26 CFR 1.6072-3 - Income tax due dates postponed in case of China Trade Act corporations.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 26 Internal Revenue 13 2012-04-01 2012-04-01 false Income tax due dates postponed in case of China... and Other Documents § 1.6072-3 Income tax due dates postponed in case of China Trade Act corporations..., 1956, the income tax return of any corporation organized under the China Trade Act of 1922 (15 U.S.C...

26 CFR 1.6072-3 - Income tax due dates postponed in case of China Trade Act corporations.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 26 Internal Revenue 13 2014-04-01 2014-04-01 false Income tax due dates postponed in case of China... and Other Documents § 1.6072-3 Income tax due dates postponed in case of China Trade Act corporations..., 1956, the income tax return of any corporation organized under the China Trade Act of 1922 (15 U.S.C...

26 CFR 1.6072-3 - Income tax due dates postponed in case of China Trade Act corporations.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 26 Internal Revenue 13 2013-04-01 2013-04-01 false Income tax due dates postponed in case of China... and Other Documents § 1.6072-3 Income tax due dates postponed in case of China Trade Act corporations..., 1956, the income tax return of any corporation organized under the China Trade Act of 1922 (15 U.S.C...

26 CFR 1.6072-3 - Income tax due dates postponed in case of China Trade Act corporations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 13 2010-04-01 2010-04-01 false Income tax due dates postponed in case of China... Documents § 1.6072-3 Income tax due dates postponed in case of China Trade Act corporations. (a) With... tax return of any corporation organized under the China Trade Act of 1922 (15 U.S.C. ch. 4), as...

26 CFR 1.6072-3 - Income tax due dates postponed in case of China Trade Act corporations.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 13 2011-04-01 2011-04-01 false Income tax due dates postponed in case of China... and Other Documents § 1.6072-3 Income tax due dates postponed in case of China Trade Act corporations..., 1956, the income tax return of any corporation organized under the China Trade Act of 1922 (15 U.S.C...

The Role of Discrimination in Care Postponement Among Trans-Feminine Individuals in the U.S. National Transgender Discrimination Survey.

PubMed

Glick, Jennifer L; Theall, Katherine P; Andrinopoulos, Katherine M; Kendall, Carl

2018-04-01

This study examines the associations between discrimination experiences (types and locations) and care postponement among trans-feminine individuals in the United States. This secondary, cross-sectional study utilized a subset of the data from the National Transgender Discrimination Survey (n = 2248), specifically for trans-feminine individuals. In this analysis, we examined the relationship between discrimination and primary care postponement. Twenty-six percent (26.25%) of the study sample reported delaying preventive care due to fear of discrimination; 23.98%-46.66% of respondents reported past experiences of discrimination (setting dependent). Discrimination in health and non-health settings and different types of discrimination-being denied services, verbally harassed, or physically assaulted-were all significantly associated with delaying care; respondents reporting discrimination were up to 20 times more likely to postpone care. While discrimination at a health location had the strongest association with care postponement (adjusted odds ratio = 9.65, confidence interval = 7.60-12.24), discrimination in all non-health-related locations was also important. Individuals reporting discrimination in greater numbers of locations and multiple types of discrimination were more likely to postpone care. To promote preventive care-seeking, these results affirm the importance of interventions that promote discrimination-free environments for gender minorities.

Are We Rational or Not? The Exploration of Voter Choices during the 2016 Presidential and Legislative Elections in Taiwan

PubMed Central

Lee, I-Ching; Chen, Eva E.; Yen, Nai-Shing; Tsai, Chia-Hung; Cheng, Hsu-Po

2017-01-01

The decisions voters make—and whether those decisions are rational—have profound implications on the functionality of a democratic society. In this study, we delineated two criteria in evaluating voter rationality and weigh evidence of voter rationality versus irrationality. Furthermore, we compared models in two different elections in Taiwan to explore the reasons behind the irrational choices voters can make. Survey questions and an implicit association test (IAT) were administered prior to both elections among 197 voters in Taipei. These voters then reported their actual votes post-election. Model testing suggests that voters often are rational, but are more likely to make irrational choices in more important elections. Our findings indicate that voters generally aim to be diligent and to optimize their choices, even if they make less rational choices in the end. Further implications regarding elections and human rationality are discussed. PMID:29075215

A Study of Global Health Elective Outcomes

PubMed Central

Russ, Christiana M.; Tran, Tony; Silverman, Melanie; Palfrey, Judith

2017-01-01

Background and Objectives: To identify the effects of global health electives over a decade in a pediatric residency program. Methods: This was an anonymous email survey of the Boston Combined Residency alumni funded for global health electives from 2002 to 2011. A test for trend in binomial proportions and logistic regression were used to document associations between elective and participant characteristics and the effects of the electives. Qualitative data were also analyzed. Results: Of the 104 alumni with available email addresses, 69 (66%) responded, describing 94 electives. Elective products included 27 curricula developed, 11 conference presentations, and 7 academic publications. Thirty-two (46%) alumni continued global health work. Previous experience, previous travel to the site, number of global electives, and cumulative global elective time were associated with postresidency work in global health or with the underserved. Conclusions: Resident global electives resulted in significant scholarship and teaching and contributed to long-term career trajectories. PMID:28229096

Ford-Class Aircraft Carrier: Congress Should Consider Revising Cost Cap Legislation to Include All Construction Costs

DTIC Science & Technology

2014-11-01

thus increasing the likelihood of additional testing delays. For example, testing of the ship’s fire sprinklers was delayed because construction of...not deploy as scheduled or will deploy without fully tested systems . The Navy is implementing steps to achieve the $11.5 billion congressional cost...cap, by postponing installation of some systems until after ship delivery, and deferring an estimated $200 million - $250 million in previously

Processing bottlenecks in dual-task performance: structural limitation or strategic postponement?

NASA Technical Reports Server (NTRS)

Ruthruff, E.; Pashler, H. E.; Klaassen, A.

2001-01-01

Recent evidence indicates that a central bottleneck causes much of the slowing that occurs when two tasks are performed at the same time. This bottleneck might reflect a structural limitation inherent in the cognitive architecture. Alternatively, the bottleneck might reflect strategic (i.e., voluntary) postponement, induced by instructions to emphasize one task over the other. To distinguish structural limitations from strategic postponement, we examine a new paradigm in which subjects are told to place equal emphasis on both tasks and to emit both responses at about the same time. An experiment using this paradigm demonstrated patterns of interference that cannot easily be attributed to strategic postponement, preparation effects, or conflicts in response production. The data conform closely to the predictions of structural central bottleneck models.

AIDS bills remain in limbo as lawmakers ponder Clinton's fate.

PubMed

1998-10-02

Due to the distractions caused by the possible presidential impeachment and by the upcoming re-election campaigns of current lawmakers, Congress may postpone the approval of funding for key legislation that affects a number of HIV prevention, research, and care programs. The current status of several bills is presented. The House and Senate versions of the Labor/Health and Human Services bill show discrepancies regarding the amount of money that should be allocated to the Ryan White CARE Act, to the Centers for Disease Control and Prevention (CDC) programs, and to research at the National Institutes of Health. Another bill debates whether there should be an increase in funding for the Housing Opportunities for People with AIDS program, which is part of the Veterans Affairs/Housing and Urban Development appropriations bill. Two other bills that are being discussed include a bill that may bar the use of government funds for needle-exchange programs (H.R. 3717 and H.R. 4380) and the Ricky Ray Hemophilia Relief Fund Act, which may allow compensation for hemophiliacs that contracted HIV through contaminated blood-clotting medicines.

Could the outcome of the 2016 US elections have been predicted from past voting patterns?

NASA Astrophysics Data System (ADS)

Schmitz, Peter M. U.; Holloway, Jennifer P.; Dudeni-Tlhone, Nontembeko; Ntlangu, Mbulelo B.; Koen, Renee

2018-05-01

In South Africa, a team of analysts has for some years been using statistical techniques to predict election outcomes during election nights in South Africa. The prediction method involves using statistical clusters based on past voting patterns to predict final election outcomes, using a small number of released vote counts. With the US presidential elections in November 2016 hitting the global media headlines during the time period directly after successful predictions were done for the South African elections, the team decided to investigate adapting their meth-od to forecast the final outcome in the US elections. In particular, it was felt that the time zone differences between states would affect the time at which results are released and thereby provide a window of opportunity for doing election night prediction using only the early results from the eastern side of the US. Testing the method on the US presidential elections would have two advantages: it would determine whether the core methodology could be generalised, and whether it would work to include a stronger spatial element in the modelling, since the early results released would be spatially biased due to time zone differences. This paper presents a high-level view of the overall methodology and how it was adapted to predict the results of the US presidential elections. A discussion on the clustering of spatial units within the US is also provided and the spatial distribution of results together with the Electoral College prediction results from both a `test-run' and the final 2016 presidential elections are given and analysed.

Impact of the clinical ultrasound elective course on retention of anatomical knowledge by second-year medical students in preparation for board exams.

PubMed

Kondrashov, Peter; Johnson, Jane C; Boehm, Karl; Rice, Daris; Kondrashova, Tatyana

2015-03-01

Ultrasound has been integrated into a gross anatomy course taught during the first year at an osteopathic medical school. A clinical ultrasound elective course was developed to continue ultrasound training during the second year of medical school. The purpose of this study was to evaluate the impact of this elective course on the understanding of normal anatomy by second-year students. An anatomy exam was administered to students enrolled in the clinical ultrasound elective course before the start of the course and after its conclusion. Wilcoxon signed ranks tests were used to determine whether exam scores changed from the pre-test to the post-test. Scores from two classes of second-year students were analyzed. Students who took the elective course showed significant improvement in the overall anatomy exam score between the pre-test and post-test (P < 0.001). Scores for exam questions pertaining to the heart, abdomen, upper extremity, and lower extremity also significantly improved from the pretest to post-test (P < 0.001), but scores for the neck and eye showed no significant improvement. The clinical ultrasound elective course offered during the second year of medical school provided students with an important review of key anatomical concepts while preparing them for board exams. Our results suggested that more emphasis should be placed on head and neck ultrasound to improve student performance in those areas. Musculoskeletal, abdominal, and heart ultrasound labs were more successful for retaining relevant anatomical information. © 2014 Wiley Periodicals, Inc.

Radiology in Medical Education: A Pediatric Radiology Elective as a Template for Other Radiology Courses.

PubMed

Hilmes, Melissa A; Hyatt, Eddie; Penrod, Cody H; Fleming, Amy E; Singh, Sudha P

2016-03-01

Traditionally, the pediatric radiology elective for medical students and pediatric residents constituted a morning teaching session focused mainly on radiography and fluoroscopy. A more structured elective was desired to broaden the exposure to more imaging modalities, create a more uniform educational experience, and include assessment tools. In 2012, an introductory e-mail and formal syllabus, including required reading assignments, were sent to participants before the start date. A rotating weekly schedule was expanded to include cross-sectional imaging (ultrasound, CT, MR) and nuclear medicine. The schedule could accommodate specific goals of the pediatric resident or medical student, as requested. Starting in 2013, an online pre-test and post-test were developed, as well as an online end-of-rotation survey specific to the pediatric radiology elective. Taking the Image Gently pledge was required. A scavenger hunt tool, cue cards, and electronic modules were added. Pre-test and post-test scores, averaged over 2 years, showed improvement in radiology knowledge, with scores increasing by 27% for medical students and 21% for pediatric residents. Surveys at the end of the elective were overwhelmingly positive, with constructive criticism and complimentary comments. We have successfully created an elective experience in radiology that dedicates time to education while preserving the workflow of radiologists. We have developed tools to provide a customized experience with many self-directed learning opportunities. Our tools and techniques are easily translatable to a general or adult radiology elective. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

7 CFR 91.17 - Postponing a laboratory service.

Code of Federal Regulations, 2010 CFR

2010-01-01

... scientist determines that it is not possible to accurately analyze or make a laboratory determination of a... replacement, or for any other substantial reason, the scientist may postpone laboratory service for such...

7 CFR 91.17 - Postponing a laboratory service.

Code of Federal Regulations, 2011 CFR

2011-01-01

... scientist determines that it is not possible to accurately analyze or make a laboratory determination of a... replacement, or for any other substantial reason, the scientist may postpone laboratory service for such...

Science Advisory Panel Meeting on PBPK Modeling Postponed

EPA Pesticide Factsheets

EPA is postponing the Federal Insecticide, Fungicide, and Rodenticide Act Scientific Advisory Panel (SAP) meeting scheduled for October 24-27, 2017 due to the unavailability of experts for the peer review panel.

75 FR 36066 - Sunshine Act Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-24

... hearing to receive presentations on the following topic: Voting System Pre-Election Logic and Accuracy... voting system pre- election logic and accuracy testing and post-election audit grants may send a request... mail): Grants: Logic/Accuracy/Audits. Please note that these comments will be made available to the...

[The current view of surgical treatment of diverticular disease].

PubMed

Zonca, P; Jacobi, C A; Meyer, G P

2009-10-01

The aim of our prospective dynamic cohort trial is the evaluation of indication for surgery for diverticular disease and the evaluation of morbidity and mortality. All patients operated for diverticular disease and its complications were involved in the study. The conservatively treated patients were not involved. 104 patients with diverticular disease and its complication were operated from August 2007 till July 2008.46 men and 58 women at average age of 63.9 (31-85) years were in this group. 78 patients were electively operated in noninflammatory stage of diverticular disease. 3 patients of them had colovesical or enterocolical fistulas. An elective laparoscopic colon sigmoid resection was performed by 74 patients and a laparoscopic left hemicolectomy was performed by 4 patients. An end-to-end stapled colorectal suture was performed by all patients. An excision of fistula from urinary bladder and a segment resection of small bowel were performed in the case of fistula presence. In connection with previously repeated diverticulitis attacks or after previous surgeries, adhesiolysis was performed by 23 patients. 26 patients were operated for acute complication of diverticular disease. 24 patients of this group were operated for acute diverticulitis and 2 patients for diverticular bleeding. 23 colon sigmoideum resections, 2 left hemicolectomies, and once ileocecal resection were performed. The primary bowel suture was performed by 20 patients and Hartmaruts operation was performed by 4 patients. The indication for surgery follows the classification according to Hansen and Stock. The abdominal postoperative complications (wound infection, anastomotic leak, prolongated bowel atonia, and others) occurred by elective operated group in 9% and by acute operated group in 26.9%. The overall abdominal postoperative complications occurred in all the involved patients in 13.4%. The extraabdominal postoperative complications (urinary infection or retention, cardiopulmonary complications, trombosis/embolia, postoperative qualitative conscious disorder, renal insufficiency, and others) occurred by elective group in 19.6% and by acute operated group in 50%. Overall extraabdominal postoperative complications occurred in all involved patients in 26.90%. The mortality was 0%. The conversion rate in elective group was 3.8% (3 pts.). An anastomosis leak occurred once (1%) by elective operated patient. An acute reoperation with resection according to Hartmann was performed. A small bowel loop perforation by coincidental adhesiolysis occurred once. A small bowel defect was identified and sutured by early laparoscopic reoperation. The conversion rate in acute group was 23.1% (6 pts.). The colonoscopy was necessary on 3rd day by 1 patient after left hemicolectomy for splenic flexure bleeding. This examination revealed bleeding from diverticulum in hepatic flexure. An endoscopic treatment was performed. An abscess in small pelvis occurred by this patient (12th postoperative day) and open drainage was performed. There was no anastomosis leak in group with acutely operated patients. The usage of standard classification is suitable for operation's indication for diverticular disease and its complications. It helps to determine the type and operation's strategy. The acute complicated diveticulitis has high morbidity and mortality. The early indication of selected patients with diverticular disease for elective colon sigmoideum resection protects against possible complication in the case of next attack of diverticulitis. It concerns the patients with recidivated uncomplicated and complicated forms of disease as well. The primary conservative treatment with percutaneous CT navigated drainage allows a postponed elective surgery. The primary resection with suture is better than the two stage surgery. The primary laparoscopic resection is safe procedure in almost all the cases. The primary suture can be safely performed in all elective cases for uncomplicated diverticulitis, chronic fistulas, obstruction, for primarily conservatively treated stages Hinchey I and II and possibly for all the selected patients with Hinchey III and IV stages with MPI lower as 21.

Targeted Next Generation Sequencing with ThyroSeq v2.1 for Indeterminate Thyroid Nodules in Clinical Practice.

PubMed

Witt, Robert L

2016-12-01

To determine if patients elect molecular testing over diagnostic surgery or repeat fine needle aspiration for indeterminate thyroid nodules. Can ThyroSeq v2.1 molecular testing reduce diagnostic thyroid surgery and rule out cancer? Retrospective review Setting: Single institution, single-practice surgeon. Fifteen month retrospective review of indeterminate thyroid nodules that went on to ThyroSeq v2.1 testing. 286 patients met American Thyroid Association guideline criteria for surgeon- performed, ultrasound-guided fine needle aspiration for a thyroid nodule with on-site cytopathology. The indeterminate (Bethesda III or IV) fine needle aspiration cytology rate was 9.1 percent. Prevalence of malignancy in indeterminate nodules was 19 percent. 26/26 (100 percent) patients with indeterminate thyroid nodules elected molecular testing. 16 patients had no mutation, 9 had one or more mutations, and I had no result. 16 of 25 (64 percent) patients with no mutation elected not to undergo diagnostic surgery for indeterminate thyroid nodules. Patients demonstrated a strong preference for molecular testing instead of diagnostic thyroid surgery for indeterminate thyroid nodules. All patients in this series, 25/25 (100 percent) with indeterminate thyroid nodules elected molecular testing instead of repeat biopsy or diagnostic thyroid surgery. 16 of 25 (64 percent) patients tested had no mutation. All 16/16 (100 percent) patients with no mutation on ThyroSeq "rule out" testing elected active surveillance rather than surgery or biopsy, reducing diagnostic surgery. The risk of malignancy among mutation negative patients was not definitively established. There are a number of factors currently that may mute the power of "rule in" testing.

New Empirical Evidence on the Effect of Educational Tracking on Social Inequalities in Reading Achievement

ERIC Educational Resources Information Center

Lavrijsen, Jeroen; Nicaise, Ides

2015-01-01

One of the major imperatives behind the comprehensivisation of secondary education was the belief that postponing the age at which students are tracked in different educational routes would mitigate the effect of social background on educational outcomes. Comparative investigations of large-scale international student achievement tests in…

Astronaut Richard Gordon walks away from Pad 19 following postponement

NASA Image and Video Library

1966-09-10

S66-50775 (10 Sept. 1966) --- Astronaut Richard F. Gordon Jr., pilot, walks away from Pad 19 following postponement of the Gemini-11 spaceflight. The mission was rescheduled for Sept. 12, 1966. Photo credit: NASA

Can oral vitamin K before elective surgery substitute for preoperative heparin bridging in patients on vitamin K antagonists?

PubMed

Steib, A; Barre, J; Mertes, M; Morel, M H; Nathan, N; Ozier, Y; Treger, M; Samama, C M

2010-03-01

After a vitamin K antagonist (VKA) overdose, 1-2 mg of oral vitamin K can lower the International Normalized Ratio (INR) to the therapeutic range. To establish whether oral vitamin K can substitute for heparin bridging and decrease the INR to < or = 1.5 before elective surgery. Patients on long-term VKAs were randomized either to heparin bridging after the last VKA dose on day -5 before surgery (group H) or to VKA treatment until day -2, followed by 1 mg of oral vitamin K on the day before surgery (group K). Blood clotting variables were assessed on days -5/-2, 1 and 0, and postoperatively. If the target INR was not achieved 2 h before incision, surgery was deferred or performed after injection of prothrombin complex concentrate (PCC). In 30 of 94 included patients, baseline INR was outside the chosen range (18, INR < 2; 12, INR > 3.5), leaving 34 eligible patients in group H and 30 in group K. The groups were balanced in terms of body mass index, VKA treatment duration and indication, scheduled surgery, preoperative and postoperative hemoglobin, and blood loss. The INR was significantly higher in group K on days -1 and 0 than in group H. An INR < or = 1.5 was not achieved in 20 group K patients (66%). Surgery was postponed or performed after PCC injection in 12 of these 20 patients. Oral vitamin K (1 mg) cannot substitute for heparin bridging before surgery. In addition, one-third of patients on VKAs were exposed to a risk of bleeding (overdose) or thrombosis (underdose), thus highlighting the need for new oral anticoagulants.

Elections and Deforestation

NASA Astrophysics Data System (ADS)

Sanford, L.

2017-12-01

When do politicians' re-election strategies cause serious environmental damage? This paper focuses on a case of deforestation, and argues that the protection of forested areas is a long-term public good while their destruction provides short-term, private goods for local voters and elected officials. Politicians give voters access to forested areas for commercial use of timber and small-scale farming in exchange for electoral support. I test the theory that competitive elections are associated with higher rates of deforestation using remote sensed satellite data of forest cover and data on national elections cross-nationally. The findings suggest that rates of forest cover loss are 50% higher in anocracies during election years, and more than double the average rate in years when there are competitive elections in anocracies and democracies. This suggests that democratic elections can be an important source of environmental damage, such as deforestation, contrary to the conventional wisdom that democratization improves environmental protection.

75 FR 22562 - Federal Advisory Committee; Advisory Council on Dependents' Education (ACDE); Postponed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-29

..., 2010, in Wiesbaden, Germany, has been postponed due to unprecedented and unpredictable ash cloud.... FOR FURTHER INFORMATION CONTACT: Ms. Leesa Rompre, at (703) 588-3128, or at [email protected]hq.dodea.edu...

Screening for HIV infection by health professionals in India.

PubMed

Kurien, M; Thomas, K; Ahuja, R C; Patel, A; Shyla, P R; Wig, N; Mangalani, M; Sathyanathan; Kasthuri, A; Vyas, B; Brogen, A; Brojen, A; Sudarsanam, T D; Chaturvedi, A; Abraham, O C; Tharyan, P; Selvaraj, K G; Mathew, J

2007-01-01

Stigma and discrimination, particularly in access to healthcare, remains a major problem for people Infected with HIV in most parts of India. We did a multicentre study (n = 10) with a cross-sectional survey design using a standardized, interviewer-administered questionnaire. A total of 2200 healthcare providers participated. The knowledge, attitude and practice (KAP) related to HIV service delivery were very poor with a mean overall KAP score of only 49.7% (CI: 49.1-50.3). Only 5%, 5% and 1% of the participants scored more than 75% separately for the dimensions of knowledge, attitude and practice, respectively. Only 24.4% and 36.7% of responders knew that HIV screening was not recommended prior to surgery and pre-employment check-up. Many doctors (19.4%) had refused treatment to people living with HIV/AIDS (PLHA) at least some of the time and nearly half (47.2%) identified and labelled them; 23.9% isolated them in separate care areas and 13.3% postponed or changed treatment based on the patient's HIV status. Screening for HIV prior to elective surgery was done by 67% of providers. While 64.7% of responders were aware of the existence of national guidelines on and recommendations for HIV testing, only 38.4% had read the policy document. There is a growing need to provide care, support and treatment to a large number of PLHA. The capacity of healthcare providers must be urgently built up so as to improve their knowledge of and attitude to HIV to enable them to deliver evidence-based and compassionate care to PLHA in various healthcare settings.

76 FR 34139 - Northeast Corridor Safety Committee; Meeting Postponement

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-10

.... 2] Northeast Corridor Safety Committee; Meeting Postponement AGENCY: Federal Railroad Administration... announced the first meeting of the Northeast Corridor Safety Committee, a Federal Advisory Committee... future date. DATES: The meeting of the Northeast Corridor Safety Committee scheduled to commence on...

Reflections on fertility and postponed parenthood-interviews with highly educated women and men without children in Sweden.

PubMed

Eriksson, Carola; Larsson, Margareta; Skoog Svanberg, Agneta; Tydén, Tanja

2013-05-01

Different reasons influence the current low birth-rate and the postponement of the birth of the first child throughout Europe. The aim of this study was to explore how highly educated women and men in Sweden reflect on fertility and postponed parenthood. We interviewed women (n = 22) and men (n = 18) who had started their professional careers and still had no children. Data were analysed with qualitative content analysis. Fertility was perceived as an unconsidered capacity, sometimes unpredictable, and different for women and men, but nevertheless taken for granted. The participants were of the opinion that fertility could be restored by assisted reproductive technologies or replaced by alternatives to a biological child. Postponed parenthood was described as an adaptation to societal changes and current discourses about parenthood as well as a consequence of a contemporary lifestyle with many competing priorities. Highly educated young women and men in contemporary Sweden have competing priorities when planning and setting goals for their lives, and having children is one of them. They describe fertility as an imperceptible and retrievable capacity and postponed parenthood as a rational adaptation to changes in society. These findings suggest that increased information about the limitations of human reproduction is needed, but also that societal support for younger parents is of utmost importance.

KSC-02pd1738

NASA Image and Video Library

2002-11-15

KENNEDY SPACE CENTER, FLA. -- Robotic arm experts get ready for ultrasound testing on Endeavour's robotic arm. A scrape of the honeycomb shell around the arm occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

KSC-02pd1737

NASA Image and Video Library

2002-11-15

KENNEDY SPACE CENTER, FLA. -- Robotic arm experts get ready for ultrasound testing on Endeavour's robotic arm. A scrape of the honeycomb shell around the arm occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

Association between the Medical College Admission Test scores and Alpha Omega Alpha Medical Honors Society membership.

PubMed

Gauer, Jacqueline L; Jackson, J Brooks

2017-01-01

Medical schools worldwide are faced with the challenge of selecting from among many qualified applicants. One factor that might help admissions committees identify future exceptional medical students is scores on standardized entrance exams. The purpose of this study was to determine the association between scores on the most commonly used standardized medical school entrance exam in the USA, the Medical College Admission Test (MCAT), and election to the US medical honors society, Alpha Omega Alpha (AOA). MCAT scores and AOA membership data were analyzed for all the students pursuing Doctor of Medicine degrees at the University of Minnesota Medical School and who graduated between 2012-2016 (n=1,309). An independent-samples t -test found a significant difference (t=6.132, p <0.001) in MCAT scores between those who were elected to AOA (n=179) and those who were not (n=1,130). On average, students who were elected to AOA had composite MCAT scores of 1.65 points higher than those who were not. Percentages of students elected to AOA gradually but inconsistently increased with MCAT score. No student who scored <27 on the MCAT was elected to AOA. Among students with MCAT scores at the 99th percentile or above (scores of ≥38), 13 of 48 (27.1%) were elected to AOA. Election to AOA during medical school was significantly associated with higher MCAT scores. Admissions committees should carefully consider the role of standardized entrance exam scores, in the context of a holistic review, when selecting for exceptional medical students.

Association between the Medical College Admission Test scores and Alpha Omega Alpha Medical Honors Society membership

PubMed Central

Gauer, Jacqueline L; Jackson, J Brooks

2017-01-01

Introduction Medical schools worldwide are faced with the challenge of selecting from among many qualified applicants. One factor that might help admissions committees identify future exceptional medical students is scores on standardized entrance exams. The purpose of this study was to determine the association between scores on the most commonly used standardized medical school entrance exam in the USA, the Medical College Admission Test (MCAT), and election to the US medical honors society, Alpha Omega Alpha (AOA). Method MCAT scores and AOA membership data were analyzed for all the students pursuing Doctor of Medicine degrees at the University of Minnesota Medical School and who graduated between 2012–2016 (n=1,309). Results An independent-samples t-test found a significant difference (t=6.132, p<0.001) in MCAT scores between those who were elected to AOA (n=179) and those who were not (n=1,130). On average, students who were elected to AOA had composite MCAT scores of 1.65 points higher than those who were not. Percentages of students elected to AOA gradually but inconsistently increased with MCAT score. No student who scored <27 on the MCAT was elected to AOA. Among students with MCAT scores at the 99th percentile or above (scores of ≥38), 13 of 48 (27.1%) were elected to AOA. Discussion Election to AOA during medical school was significantly associated with higher MCAT scores. Admissions committees should carefully consider the role of standardized entrance exam scores, in the context of a holistic review, when selecting for exceptional medical students. PMID:28979178

Housing instability and food insecurity as barriers to health care among low-income Americans.

PubMed

Kushel, Margot B; Gupta, Reena; Gee, Lauren; Haas, Jennifer S

2006-01-01

Homelessness and hunger are associated with poor health outcomes. Housing instability and food insecurity describe less severe problems securing housing and food. To determine the association between housing instability and food insecurity and access to ambulatory health care and rates of acute health care utilization. Secondary data analysis of the National Survey of American Families. 16,651 low-income adults. Self-reported measures of past-year access: (1) not having a usual source of care, (2) postponing needed medical care, or (3) postponing medication; and past-year utilization: (1) not having an ambulatory care visit, (2) having emergency department (ED) visits, or (3) inpatient hospitalization. 23.6% of subjects had housing instability and 42.7% had food insecurity. In multivariate logistic regression models, housing instability was independently associated with not having a usual source of care (adjusted odds ratio [AOR] 1.31, 95% confidence interval [CI] 1.08 to 1.59), postponing needed medical care (AOR 1.84, 95% CI 1.46 to 2.31) and postponing medications (AOR 2.16, 95% CI 1.70 to 2.74), increased ED use (AOR: 1.43, 95% CI 1.20 to 1.70), and hospitalizations (AOR 1.30, 95% CI 1.01 to 1.67). Food insecurity was independently associated with postponing needed medical care (AOR 1.74, 95% CI 1.38 to 2.21) and postponing medications (AOR 2.15, 95% CI 1.62 to 2.85), increased ED use (AOR 1.39, 95% CI 1.17 to 1.66), and hospitalizations (AOR 1.42, 95% CI 1.09 to 1.85). Housing instability and food insecurity are associated with poor access to ambulatory care and high rates of acute care. These competing life demands may lead to delays in seeking care and predispose to acute care.

Statistical detection of systematic election irregularities

PubMed Central

Klimek, Peter; Yegorov, Yuri; Hanel, Rudolf; Thurner, Stefan

2012-01-01

Democratic societies are built around the principle of free and fair elections, and that each citizen’s vote should count equally. National elections can be regarded as large-scale social experiments, where people are grouped into usually large numbers of electoral districts and vote according to their preferences. The large number of samples implies statistical consequences for the polling results, which can be used to identify election irregularities. Using a suitable data representation, we find that vote distributions of elections with alleged fraud show a kurtosis substantially exceeding the kurtosis of normal elections, depending on the level of data aggregation. As an example, we show that reported irregularities in recent Russian elections are, indeed, well-explained by systematic ballot stuffing. We develop a parametric model quantifying the extent to which fraudulent mechanisms are present. We formulate a parametric test detecting these statistical properties in election results. Remarkably, this technique produces robust outcomes with respect to the resolution of the data and therefore, allows for cross-country comparisons. PMID:23010929

Statistical detection of systematic election irregularities.

PubMed

Klimek, Peter; Yegorov, Yuri; Hanel, Rudolf; Thurner, Stefan

2012-10-09

Democratic societies are built around the principle of free and fair elections, and that each citizen's vote should count equally. National elections can be regarded as large-scale social experiments, where people are grouped into usually large numbers of electoral districts and vote according to their preferences. The large number of samples implies statistical consequences for the polling results, which can be used to identify election irregularities. Using a suitable data representation, we find that vote distributions of elections with alleged fraud show a kurtosis substantially exceeding the kurtosis of normal elections, depending on the level of data aggregation. As an example, we show that reported irregularities in recent Russian elections are, indeed, well-explained by systematic ballot stuffing. We develop a parametric model quantifying the extent to which fraudulent mechanisms are present. We formulate a parametric test detecting these statistical properties in election results. Remarkably, this technique produces robust outcomes with respect to the resolution of the data and therefore, allows for cross-country comparisons.

Timing of quizzes during learning: Effects on motivation and retention.

PubMed

Healy, Alice F; Jones, Matt; Lalchandani, Lakshmi A; Tack, Lindsay Anderson

2017-06-01

This article investigates how the timing of quizzes given during learning impacts retention of studied material. We investigated the hypothesis that interspersing quizzes among study blocks increases student engagement, thus improving learning. Participants learned 8 artificial facts about each of 8 plant categories, with the categories blocked during learning. Quizzes about 4 of the 8 facts from each category occurred either immediately after studying the facts for that category (standard) or after studying the facts from all 8 categories (postponed). In Experiment 1, participants were given tests shortly after learning and several days later, including both the initially quizzed and unquizzed facts. Test performance was better in the standard than in the postponed condition, especially for categories learned later in the sequence. This result held even for the facts not quizzed during learning, suggesting that the advantage cannot be due to any direct testing effects. Instead the results support the hypothesis that interrupting learning with quiz questions is beneficial because it can enhance learner engagement. Experiment 2 provided further support for this hypothesis, based on participants' retrospective ratings of their task engagement during the learning phase. These findings have practical implications for when to introduce quizzes in the classroom. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

32 CFR 274.8 - Bids-revocations-rejections-postponements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 2 2011-07-01 2011-07-01 false Bids-revocations-rejections-postponements. 274.8 Section 274.8 National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) MISCELLANEOUS REGULATIONS GOVERNING COMPETITIVE BIDDING ON U.S. GOVERNMENT GUARANTEED MILITARY...

32 CFR 274.8 - Bids-revocations-rejections-postponements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 2 2010-07-01 2010-07-01 false Bids-revocations-rejections-postponements. 274.8 Section 274.8 National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) MISCELLANEOUS REGULATIONS GOVERNING COMPETITIVE BIDDING ON U.S. GOVERNMENT GUARANTEED MILITARY...

75 FR 1755 - Prestressed Concrete Steel Wire Strand From the People's Republic of China: Postponement of Final...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-13

... DEPARTMENT OF COMMERCE International Trade Administration [A-570-945] Prestressed Concrete Steel Wire Strand From the People's Republic of China: Postponement of Final Determination AGENCY: Import Administration, International Trade Administration, Department of Commerce. DATES: Effective Date: January 13...

46 CFR 560.9 - Postponement, discontinuance, or suspension of action.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 9 2011-10-01 2011-10-01 false Postponement, discontinuance, or suspension of action. 560.9 Section 560.9 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS RESTRICTIVE FOREIGN MARITIME PRACTICES ACTIONS TO ADDRESS CONDITIONS UNDULY IMPAIRING ACCESS OF U.S.-FLAG...

75 FR 5766 - Certain Steel Grating from the People's Republic of China: Postponement of Final Determination

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-04

... DEPARTMENT OF COMMERCE International Trade Administration [A-570-947] Certain Steel Grating from the People's Republic of China: Postponement of Final Determination AGENCY: Import Administration, International Trade Administration, Department of Commerce. DATES: Effective Date: February 4, 2010. FOR FURTHER...

78 FR 56865 - Certain Oil Country Tubular Goods From India and Turkey: Postponement of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-16

... Country Tubular Goods From India and Turkey: Postponement of Preliminary Determination in the... (202) 482-0189 (Turkey), AD/CVD Operations, Import Administration, International Trade Administration... the countervailing duty investigations of certain oil country tubular goods from India and Turkey.\\1...

Reflections on fertility and postponed parenthood—interviews with highly educated women and men without children in Sweden

PubMed Central

Eriksson, Carola; Skoog Svanberg, Agneta; Tydén, Tanja

2013-01-01

Background Different reasons influence the current low birth-rate and the postponement of the birth of the first child throughout Europe. The aim of this study was to explore how highly educated women and men in Sweden reflect on fertility and postponed parenthood. Methods We interviewed women (n = 22) and men (n = 18) who had started their professional careers and still had no children. Data were analysed with qualitative content analysis. Results Fertility was perceived as an unconsidered capacity, sometimes unpredictable, and different for women and men, but nevertheless taken for granted. The participants were of the opinion that fertility could be restored by assisted reproductive technologies or replaced by alternatives to a biological child. Postponed parenthood was described as an adaptation to societal changes and current discourses about parenthood as well as a consequence of a contemporary lifestyle with many competing priorities. Conclusion Highly educated young women and men in contemporary Sweden have competing priorities when planning and setting goals for their lives, and having children is one of them. They describe fertility as an imperceptible and retrievable capacity and postponed parenthood as a rational adaptation to changes in society. These findings suggest that increased information about the limitations of human reproduction is needed, but also that societal support for younger parents is of utmost importance. PMID:23305524

Perspectives on the management of antiplatelet therapy in patients with coronary artery disease requiring cardiac and noncardiac surgery.

PubMed

Franchi, Francesco; Rollini, Fabiana; Angiolillo, Dominick J

2014-11-01

To provide an updated overview on the management of antiplatelet therapy in patients with coronary stents undergoing cardiac and noncardiac surgery. Surgical procedures are frequently performed in patients with coronary stents and are associated with an increased risk of ischemic and bleeding complications in the perioperative period. Given the lack of well-designed prospective randomized trials, guidelines recommendations are currently derived from observational studies and expert consensus. Defining the optimal balance between the risk of thrombotic events following discontinuation of antiplatelet therapy and the risk of hemorrhagic complications of having a surgical procedure while on antiplatelet therapy is pivotal. Elective surgery should be postponed for at least 4 weeks after bare metal stent implantation and 6-12 months after drug-eluting stent. If this is not possible, aspirin should be continued in the perioperative period, although the management of P2Y₁₂ inhibitors should be individualized according to the individual patient and type of surgery. In the absence of well-defined recommendations deriving from prospective randomized clinical trials, the perioperative management of antiplatelet therapy should be based on the balance between the specific thrombotic and hemorrhagic risks that characterize each patient and each surgical procedure.

77 FR 59624 - Gastrointestinal Drugs Advisory Committee; Notice of Postponement of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-28

... FURTHER INFORMATION CONTACT: Cindy Hong, Center for Drug Evaluation and Research, Food and Drug... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2012-N-0001] Gastrointestinal Drugs Advisory Committee; Notice of Postponement of Meeting AGENCY: Food and Drug Administration...

77 FR 47628 - Eagle Mountain Pumped Storage Hydroelectric Project; Eagle Crest Energy; Notice of Meeting...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-09

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [P-13123-002-CA] Eagle Mountain Pumped Storage Hydroelectric Project; Eagle Crest Energy; Notice of Meeting Postponement On July 17, 2012, the...), on the Eagle Mountain Pumped Storage Hydroelectric Project. However, the meeting has been postponed...

19 CFR 201.14 - Computation of time, additional hearings, postponements, continuances, and extensions of time.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 19 Customs Duties 3 2014-04-01 2014-04-01 false Computation of time, additional hearings, postponements, continuances, and extensions of time. 201.14 Section 201.14 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION GENERAL RULES OF GENERAL APPLICATION Initiation and Conduct of Investigations...

19 CFR 201.14 - Computation of time, additional hearings, postponements, continuances, and extensions of time.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 19 Customs Duties 3 2013-04-01 2013-04-01 false Computation of time, additional hearings, postponements, continuances, and extensions of time. 201.14 Section 201.14 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION GENERAL RULES OF GENERAL APPLICATION Initiation and Conduct of Investigations...

78 FR 75332 - Grain-Oriented Electrical Steel From the People's Republic of China: Postponement of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-11

... Steel From the People's Republic of China: Postponement of Preliminary Determination in the... Compliance, International Trade Administration, Department of Commerce, 14th Street and Constitution Avenue... electrical steel (GOES) from the People's Republic of China (PRC).\\1\\ Currently, the preliminary...

77 FR 65361 - Xanthan Gum From Austria and the People's Republic of China: Postponement of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-26

... Austria and the People's Republic of China: Postponement of Preliminary Determinations of Antidumping Duty...: October 26, 2012. FOR FURTHER INFORMATION CONTACT: Karine Gziryan (Austria) or Brandon Farlander (People's... of initiation of antidumping duty investigations of xanthan gum from Austria and the People's...

19 CFR 210.6 - Computation of time, additional hearings, postponements, continuances, and extensions of time.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 19 Customs Duties 3 2010-04-01 2010-04-01 false Computation of time, additional hearings, postponements, continuances, and extensions of time. 210.6 Section 210.6 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT...

78 FR 71565 - Steel Threaded Rod from India: Postponement of Preliminary Determination of Antidumping Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-29

... India: Postponement of Preliminary Determination of Antidumping Duty Investigation AGENCY: Enforcement... antidumping duty investigation of steel threaded rod from India.\\1\\ The notice of initiation stated that the... Steel Threaded Rod From India and Thailand: Initiation of Antidumping Duty Investigations, 78 FR 44526...

46 CFR 565.12 - Stay, postponement, discontinuance or suspension of action.

Code of Federal Regulations, 2011 CFR

2011-10-01

... suspension of action. The Commission may, on its own motion or upon petition, postpone, discontinue, or suspend any and all actions taken by it under the provisions of this part. The Commission shall... action. 565.12 Section 565.12 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS...

46 CFR 565.12 - Stay, postponement, discontinuance or suspension of action.

Code of Federal Regulations, 2010 CFR

2010-10-01

... suspension of action. The Commission may, on its own motion or upon petition, postpone, discontinue, or suspend any and all actions taken by it under the provisions of this part. The Commission shall... action. 565.12 Section 565.12 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS...

Postponed feeding does not substantially reduce production expense during pond rearing of hybrid catfish fry

USDA-ARS?s Scientific Manuscript database

Production variables of hybrid catfish (ChannelCatfish Ictalurus punctatus×BlueCatfish I. furcatus) reared in nursery ponds and then stocked were compared between fish fed immediately after stocking (standard industry practice) and fish forwhich feedingwas postponed after stocking. Ponds (0.04 ha) w...

78 FR 50378 - Diffusion-Annealed, Nickel-Plated Flat-Rolled Steel Products From Japan: Postponement of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-19

...-Plated Flat-Rolled Steel Products From Japan: Postponement of Preliminary Determination of Antidumping... investigation of diffusion-annealed, nickel-plated flat-rolled steel products from Japan. See Diffusion- Annealed, Nickel-Plated Flat-Rolled Steel Products From Japan: Initiation of Antidumping Duty Investigation...

77 FR 73428 - Hardwood and Decorative Plywood From the People's Republic of China: Postponement of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-10

... DEPARTMENT OF COMMERCE International Trade Administration [C-570-987] Hardwood and Decorative Plywood From the People's Republic of China: Postponement of Preliminary Determination in the Countervailing Duty Investigation AGENCY: Import Administration, International Trade Administration, Department of Commerce. FOR FURTHER INFORMATION CONTACT:...

Investing in American Jobs and Closing Tax Loopholes Act of 2010

THOMAS, 111th Congress

Rep. Levin, Sander M. [D-MI-12

2010-07-28

House - 07/29/2010 POSTPONED PROCEEDINGS - Pursuant to clause 2c of rule 19, the Chair postponed further proccedings on H.R. 5893 until a time to be announced. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

76 FR 52334 - Arthritis Advisory Committee; Notice of Postponement of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-22

...: Philip A. Bautista, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2011-N-0002] Arthritis Advisory Committee; Notice of Postponement of Meeting AGENCY: Food and Drug Administration, HHS...

78 FR 73838 - Steel Concrete Reinforcing Bar From Turkey: Postponement of Preliminary Determination in the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-09

... Bar From Turkey: Postponement of Preliminary Determination in the Countervailing Duty Investigation... countervailing duty investigation on steel concrete reinforcing bar from Turkey.\\1\\ The original signature date... Reinforcing Bar from Turkey: Initiation of Countervailing Duty Investigations, 78 FR 60831 (October 2, 2013...

Aerials of Orion on Launch Pad 37 from Helicopter

NASA Image and Video Library

2014-12-04

This helicopter view of the Kennedy Space Center Visitor Complex shows the thousands of vehicles parked where guests gather to see the launch of the Orion Flight Test. The liftoff was postponed because of an issue related to fill and drain valves on the Delta IV Heavy rocket that teams could not troubleshoot by the time the launch window expired.

Scrape on Endeavour's robotic arm during oxygen leak repairs

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- Robotic arm experts get ready for ultrasound testing on Endeavour's robotic arm. A scrape of the honeycomb shell around the arm occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

KSC-2014-4703

NASA Image and Video Library

2014-12-04

CAPE CANAVERAL, Fla. -- In the Kennedy Space Center’s Press Site auditorium, Dan Collins, United Launch Alliance chief operating officer spoke to members of the news media about the postponement of the Orion Flight Test launch due to an issue related to fill and drain valves on the Delta IV Heavy rocket. For more information, visit www.nasa.gov/orion Photo credit: NASA/Frankie Martin

The Relationship of Science Self-Efficacy and Gender to Ninth Grade Students' Intentions To Enroll in Elective Science Courses.

ERIC Educational Resources Information Center

Tippins, Deborah J.

The selection of elective science courses during high school is believed to act as a filter to future participation in science. This study investigated the research hypothesis that science self-efficacy and gender may be related to ninth grade student intentions to take elective science courses during high school. In this study, the Test of…

Family intentions and personal considerations on postponing childbearing in childless cohabiting and single women aged 35-43 seeking fertility assessment and counselling.

PubMed

Birch Petersen, K; Hvidman, H W; Sylvest, R; Pinborg, A; Larsen, E C; Macklon, K T; Andersen, A Nyboe; Schmidt, L

2015-11-01

What characterizes childless women aged 35 years and above seeking fertility assessment and counselling in relation to their reproduction and are there significant differences between single and cohabiting women? Despite the women's advanced age and knowledge of the age-related decline in fecundity, 70% of the single women sought fertility assessment and counselling to gain knowledge regarding the possibility of postponing pregnancy. Recent studies have indicated an increasing demand for ovarian reserve testing in women without any known fertility problem to obtain knowledge on their reproductive lifespan and pro-fertility advice. Women postpone their first pregnancy, and maternal age at first birth has increased in western societies over the past two to four decades. Postponed childbearing implies a higher rate of involuntary childlessness, smaller families than desired and declining fertility rates. Baseline data from a cross-sectional cohort study of 340 women aged 35-43 years examined at the Fertility Assessment and Counselling (FAC) Clinic at Copenhagen University Hospital from 2011 to 2014. The FAC Clinic was initiated to provide individual fertility assessment and counselling. Eligible women were childless and at least 35 years of age. All completed a web-based questionnaire before and after the consultation including socio-demographic, reproductive, medical, lifestyle and behavioural factors. Consultation by a fertility specialist included transvaginal ultrasound, full reproductive history and AMH measurement. The study comprised 140 cohabiting and 200 single women. The majority (82%) were well-educated and in employment. Their mean age was 37.4 years. Nonetheless, the main reasons for attending were to obtain knowledge regarding the possibility of postponing pregnancy (63%) and a concern about their fecundity (52%). The majority in both groups (60%) wished for two or more children. The women listed their ideal age at birth of first child and last child as 33 (±4.7) years and 39 (±3.5) years, respectively. Of the single women, 70% would accept use of sperm donation compared with 25% of the cohabiting women (P < 0.001). In general, 45% considered oocyte vitrification for social reasons, yet only 15% were positive towards oocyte donation. The two groups were comparable regarding lifestyle factors, number of previous sexual partners, pregnancies, and ovarian reserve parameters. The women in the present study were conscious of the risk of infertility with increasing age and attended the FAC Clinic due to a concern about their remaining reproductive lifespan, which in combination with their high educational level could impair the generalizability to the background population. The results indicate that in general women overestimate their own reproductive capacity and underestimate the risk of future childlessness with the continuous postponement of pregnancies. © The Author 2015. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

75 FR 11847 - Certain Magnesia Carbon Bricks From the People's Republic of China: Preliminary Determination of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-12

... if, in the event of an affirmative preliminary determination, a request for such postponement is made... the event of a negative preliminary determination, a request for such postponement is made by the... Mayeton, respectively, requested that in the event of an affirmative preliminary determination in this...

7 CFR 273.16 - Disqualification for intentional Program violation.

Code of Federal Regulations, 2014 CFR

2014-01-01

... postponed, the above time limits shall be extended for as many days as the hearing is postponed. (v) The... hearing; (B) The charge(s) against the individual; (C) A summary of the evidence, and how and where the... pursued in cases where appropriate. This agreement shall also include information on how, and under what...

7 CFR 273.16 - Disqualification for intentional Program violation.

Code of Federal Regulations, 2013 CFR

2013-01-01

... postponed, the above time limits shall be extended for as many days as the hearing is postponed. (v) The... hearing; (B) The charge(s) against the individual; (C) A summary of the evidence, and how and where the... pursued in cases where appropriate. This agreement shall also include information on how, and under what...

76 FR 55391 - Notice of Postponement of Release of Draft NTP Monograph on Potential Developmental Effects of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-07

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Postponement of Release of Draft NTP Monograph on Potential Developmental Effects of Cancer Chemotherapy During Pregnancy and Panel Meeting To Peer... NTP Monograph on Potential Developmental Effects of Cancer Chemotherapy during Pregnancy and the peer...

77 FR 36256 - Circular Welded Carbon-Quality Steel Pipe From India: Postponement of Final Determination of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-18

...-Quality Steel Pipe From India: Postponement of Final Determination of Antidumping Duty Investigation...- quality steel pipe from India.\\1\\ On June 1, 2012, the Department published its preliminary determination... is currently due on August 6, 2012. \\1\\ See Circular Welded Carbon-Quality Steel Pipe from India, the...

77 FR 14002 - Steel Wire Garment Hangers From the Socialist Republic of Vietnam: Notice of Postponement of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-08

... DEPARTMENT OF COMMERCE International Trade Administration [C-552-813] Steel Wire Garment Hangers From the Socialist Republic of Vietnam: Notice of Postponement of Preliminary Determination in the... investigation of steel wire garment hangers from the Socialist Republic of Vietnam. See Steel Wire Garment...

Discriminated Timeout Avoidance in Pigeons: The Roles of Added Stimuli

ERIC Educational Resources Information Center

DeFulio, Anthony; Hackenberg, Timothy D.

2007-01-01

Two experiments examined pigeons' postponement of a signaled extinction period, or timeout (TO), from an ongoing schedule of response-dependent food delivery. A concurrent-operant procedure was used in which responses on one (food) key produced food according to a variable-interval schedule and responses on a second (postponement) key delayed the…

34 CFR 101.42 - Extension of time or postponement.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 1 2010-07-01 2010-07-01 false Extension of time or postponement. 101.42 Section 101.42 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS... set forth the reasons for the application. Applications may be granted upon a showing of good cause by...

78 FR 34991 - Hardwood and Decorative Plywood From the People's Republic of China: Correction of Postponement...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-11

... DEPARTMENT OF COMMERCE International Trade Administration [A-570-986; C-570-987] Hardwood and Decorative Plywood From the People's Republic of China: Correction of Postponement of Final Determination of Antidumping Duty Investigation and Countervailing Duty Investigations and Extension of Provisional Measures AGENCY: Import Administration,...

76 FR 17406 - Postponement of Public Hearing on the Draft Environmental Impact Statement for the Mountaineer...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-29

... DEPARTMENT OF ENERGY Postponement of Public Hearing on the Draft Environmental Impact Statement for the Mountaineer Commercial Scale Carbon Capture and Storage Project, Mason County, WV AGENCY: U.S... Carbon Capture and Storage Project (DOE/EIS-0445D) for public review and comment in a Federal Register...

76 FR 39377 - Notice of Intent To Suspend the July Sheep and Goat Survey, and Postpone the Renewal of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-06

... Service, USDA. ACTION: Notice of suspension of data collection and publication. SUMMARY: This notice... two periodic data collections (Census of Aquaculture and the Tenure, Ownership and Transition of... to indefinitely postpone the renewal of two periodic data collections. Abstract: The primary...

76 FR 52313 - Certain Steel Nails From the United Arab Emirates: Postponement of Preliminary Determination of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-22

... United Arab Emirates: Postponement of Preliminary Determination of Antidumping Duty Investigation AGENCY... antidumping duty investigation on nails from the United Arab Emirates. See Certain Steel Nails From the United Arab Emirates: Initiation of Antidumping Duty Investigation, 76 FR 23559 (April 27, 2011). The notice...

Compressible Analysis of Bénard Convection of Magneto Rotatory Couple-Stress Fluid

NASA Astrophysics Data System (ADS)

Mehta, C. B.; Singh, M.

2018-02-01

Thermal Instability (Benard's Convection) in the presence of uniform rotation and uniform magnetic field (separately) is studied. Using the linearized stability theory and normal mode analyses the dispersion relation is obtained in each case. In the case of rotatory Benard's stationary convection compressibility and rotation postpone the onset of convection whereas the couple-stress have duel character onset of convection depending on rotation parameter. While in the absence of rotation couple-stress always postpones the onset of convection. On the other hand, magnetic field on thermal instability problem on couple-stress fluid for stationary convection couple-stress parameter and magnetic field postpones the onset of convection. The effect of compressibility also postpones the onset of convection in both cases as rotation and magnetic field. Graphs have been plotted by giving numerical values to the parameters to depict the stationary characteristics. Further, the magnetic field and rotation are found to introduce oscillatory modes which were non-existent in their absence and then the principle of exchange of stability is valid. The sufficient conditions for non-existence of overstability are also obtained.

Out-of-Pocket Payments and Subjective Unmet Need of Healthcare.

PubMed

Schokkaert, Erik; Steel, Jonas; Van de Voorde, Carine

2017-10-01

We present a critical review of the literature that discusses the link between the level of out-of-pocket payments in developed countries and the share of people in these countries reporting that they postpone or forgo healthcare for financial reasons. We discuss the pros and cons of measuring access problems with this subjective variable. Whereas the quantitative findings in terms of numbers of people postponing care must be interpreted with utmost caution, the picture for the vulnerable groups in society is reasonably robust and unsurprising: people with low incomes and high morbidity and incomplete (or non-existent) insurance coverage are most likely to postpone or forgo healthcare for financial reasons. It is more surprising that people with high incomes and generous insurance coverage also report that they postpone care. We focus on some policy-relevant issues that call for further research: the subtle interactions between financial and non-financial factors, the possibility of differentiation of out-of-pocket payments between patients and between healthcare services, and the normative debate around accessibility and affordability.

Isotope shortage triggers delays for patients

NASA Astrophysics Data System (ADS)

Gould, Paula

2009-07-01

An unplanned shutdown of a nuclear reactor in Canada is disrupting the supply of medical isotopes across North America and forcing some hospitals to cancel or postpone patients' tests. The closure of the National Research Universal (NRU) reactor in Chalk River, Ontario, has also embarrassed Canadian officials, including a senior government minister who was forced to apologize after calling the isotope shortage a "sexy" career challenge.

[Effects of recent upper respiratory-tract infections on incidence of the perioperative respiratory adverse events in children: a prospective cohort study].

PubMed

Li, C Q; Wang, D X; Cheng, T; Zheng, X Y

2017-10-18

To investigate the effects of the recent upper respiratory tract infections (URI) on the incidence of perioperative respiratory adverse events in children scheduled to undergo general anesthesia and elective surgery. In the study, 232 children undergoing general anesthesia with laryngeal mask airway (LMA) for elective ophthalmic surgeries at Peking University First Hospital, Beijing, China, from Nov. 1, 2015 to May 10, 2016 were enrolled. On the day of the surgery, the parents of the children were preoperatively asked to fill out a questionnaire regarding the baseline characteristics and medical history of the children, including gender, age, height, weight, history of URI within the last 2 weeks before anesthesia, history of premature, long-term passive smoking exposure, habitual sleep snoring, and history of asthma. In addition, all adverse respiratory events throughout the perioperative periods (oxygen desaturation, cough, copious secretions, laryngospasm and bronchospasm) as well as peri-operative variables (number of attempts to insert the LMA successfully, anesthesia duration and so on) were recorded. Multivariate Logistic regression analysis was applied to identify independent risk factors of perioperative respiratory adverse events. Among the 232 children included in the study, 28.0% (65/232) presented with a history of a recent URI within the last 2 weeks before anesthesia. The presence of the recent URI increased the incidence of oxygen desaturation (23.1% vs.12.0%, P=0.034), copious secretions (15.4% vs. 6.6%, P=0.036) and any of all the adverse respiratory events (32.3% vs. 18.6%, P=0.024). Multivariate Logistic regression analysis identified two independent risk factors of perioperative adverse respiratory events: a history of URI within the last 2 weeks before general anesthesia (OR=2.021, 95%CI: 1.023-3.994, P=0.043) and habitual sleep snoring (OR=3.660, 95%CI: 1.517-8.832, P=0.004). A history of a recent URI within 2 weeks before general anesthesia was associated with a higher incidence of oxygen desaturation, copious secretions and the overall respiratory adverse events. For the children with recent URI, we recommend the general anesthesia and elective surgery should be postponed for at least 2 weeks after the URI.

77 FR 46401 - Large Residential Washers From Mexico: Preliminary Determination of Sales at Less Than Fair Value...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-03

... events have occurred.\\1\\ \\1\\ See Large Residential Washers From the Republic of Korea and Mexico... if, in the event of an affirmative preliminary determination, a request for such postponement is made... the event of a negative preliminary determination, a request for such postponement is made by the...

75 FR 27643 - Prevention of Significant Deterioration (PSD) and Nonattainment New Source Review (NSR): Aggregation

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-18

... (APA) section 705 until the proceeding for judicial review of this rule is completed or EPA completes... section 705 of the APA, ``an agency * * * may postpone the effective date of [an] action taken by it... and Delay of Effective Date Pursuant to section 705 of the APA, the EPA hereby postpones the...

14 CFR Appendix B to Subpart 1214... - Occupancy Fee Schedule

Code of Federal Regulations, 2010 CFR

2010-01-01

... occupancy fee will be zero. For a postponed or cancelled shared flight, the occupancy fee will be computed... which is less than zero, the occupancy fee will be reset to zero. For a postponed or cancelled shared flight one year or less, but more than six months before launch, the user shall reimburse NASA an...

76 FR 47150 - Galvanized Steel Wire From the People's Republic of China and Mexico: Postponement of Preliminary...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-04

... Wire From the People's Republic of China and Mexico: Postponement of Preliminary Determinations of... wire from the People's Republic of China (PRC) and Mexico. The period of investigation (POI) for the... is January 1, 2010, through December 31, 2010. See Galvanized Steel Wire From the People's Republic...

20 CFR 30.315 - May a claimant postpone a hearing?

Code of Federal Regulations, 2010 CFR

2010-04-01

... and Final Decisions on Claims § 30.315 May a claimant postpone a hearing? (a) The FAB will entertain... made at the time that the hearing is requested. Scheduling is at the discretion of the FAB, and is not... (b) of this section, unless the FAB reviewer can reschedule the hearing on the same docket (that is...

75 FR 7297 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Order Approving...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-18

... To Amend the Postponement Fee and Hearing Session Fee Rules of the Codes of Arbitration Procedure for... of the fee waiver provision of the postponement rule and to codify the hearing session fee for an unspecified damages claim heard by one arbitrator. The proposed rule change was published for comment in the...

Human, free-operant avoidance of “time out” from monetary reinforcement1

PubMed Central

Baron, Alan; Kaufman, Arnold

1966-01-01

To assess the aversive effects of withdrawing monetary reinforcement, human subjects were exposed to a free-operant avoidance procedure in which periods of no reinforcement occurred if the subject failed to respond, and each response postponed withdrawal of reinforcement. Avoidance behavior was developed either through specific instructions about the consequence of responding or through preliminary escape-avoidance training. In all cases, rates of response were found to be a positively accelerated function of decreases in the duration by which responding postponed reinforcement withdrawal. The findings with respect to the function relating avoidance behavior to the interval of postponement were viewed as similar to those obtained when shock is used as the aversive event in free-operant avoidance conditioning. PMID:5964512

Waiting time of inpatients before elective surgical procedures at a State Government Teaching Hospital in India.

PubMed

Ray, Shreyasi; Kirtania, Jyotirmay

2017-01-01

Abundant published literature exists addressing the issues of outpatient waiting lists before surgery. However, there is no published literature on inpatient waiting time before elective surgical procedures. This study aims to measure the inpatient waiting time, identify the factors that affect the inpatient waiting time, and recommend the ways of reducing the waiting time of inpatients before elective surgical procedures, at a state government teaching hospital in India. Descriptive research methods and quality control tools were used for this prospective observational study. Descriptive statistics, Shapiro-Wilk test of normality, Wilcoxon-Mann-Whitney Test, and Kruskal-Wallis test were used. Pareto charts were used to highlight the most important modifiable factors among the set of factors causing increased waiting time. We also applied the M/M/c model (Erlang - A model) of queue theory to analyze the traffic intensity and system congestion. The median waiting time of inpatients before elective surgery was 12 days (interquartile range = 11.5 days). The waiting time was influenced significantly (P < 0.05) by the patient's age, physical status, and the financial status. The surgical specialty, blood product booking and procurement, cross-specialty consultation before surgery, and Intensive Care Unit booking were the other important factors. Modifiable and nonmodifiable factors affecting the inpatient waiting time of surgical patients were identified. Control measures that can reduce the waiting time of inpatients before elective surgery were identified.

2012 NCME Election of Board of Directors Candidate Biographies (in Alphabetical Order According to Position)

ERIC Educational Resources Information Center

Educational Measurement: Issues and Practice, 2012

2012-01-01

This article profiles the candidates for the 2012 NCME election of board of directors. This includes the candidates for the office of the vice president and positions representing testing organizations and members at-large.

Improving the medical school-residency transition.

PubMed

Morgan, Helen; Skinner, Bethany; Marzano, David; Fitzgerald, James; Curran, Diana; Hammoud, Maya

2017-10-01

In response to calls to improve the continuum between undergraduate and graduate medical education, many medical schools are creating electives designed to prepare students for residency training. There is a need for data that link improvements from these residency preparation courses to residency itself. Data is needed that links improvements from these residency preparation courses to residency OBJECTIVE: To examine senior medical student performance on the Association of Professors of Gynecology and Obstetrics (APGO) Preparation for Residency Knowledge Assessment before and after an obstetrics and gynaecology residency preparation elective, and to determine whether the knowledge improvements persisted to the start of the residency. All 13 students enrolled in the course completed the APGO knowledge assessment on the first and last day of the elective. Three months later, the students were asked to re-take the assessment immediately prior to the start of their residency. There was improvement in mean scores from the pre-test score of 66.4 per cent to the post-test score of 77.4 per cent. At the time of the pre-test, three of the 13 students (23%) had passing scores (70% or greater), and at the time of the post-test, 11 of the 13 (85%) had passing scores. Nine of the 13 students (69%) completed the APGO knowledge assessment immediately prior to the start of their residency. Those nine students had a mean pre-residency score of 76.4 per cent. Eight of the nine students (89%) passed the pre-residency test. Our data support the value of residency preparation electives for improving knowledge, and suggest that senior medical school electives can help to bridge the continuum between undergraduate and graduate medical education. © 2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Evidence of improved knowledge and skills after an elective rotation in a hospice and palliative care program for internal medicine residents.

PubMed

von Gunten, Charles F; Twaddle, Martha; Preodor, Michael; Neely, Kathy Johnson; Martinez, Jeanne; Lyons, John

2005-01-01

There is compelling evidence that residents training in primary care need education in palliative care. Evidence for effective curricula is needed. The objective of this study was to test whether a clinical elective improves measures of knowledge and skill. Residents from three categorical training programs in internal medicine were recruited to an elective including clinical experiences in an acute hospital palliative care consultation service, on an acute hospice and palliative care unit, and in-home hospice care. A 25-question pre- and post-test and a videotaped interview with a standardized patient were used to assess communication skills and measure outcomes. Residents demonstrated a 10 percent improvement in knowledge after the four-week elective (p < 0.05). All residents demonstrated basic competency in communication skills at the end of the rotation. These results indicate that clinical rotation shows promise as an educational intervention to improve palliative care knowledge and skills in primary care residents. An important limitation of the study is that it is an elective; further studies with a required rotation and/or a control group are needed to confirm the findings.

Postponing Marriage: The Influence of Schooling, Working, and Work Plans for Young Women.

ERIC Educational Resources Information Center

Cherlin, Andrew

The paper examines trends of postponement of marriage among women in their early twenties. Data for the study were taken from a national longitudinal study of 5,159 women (ages 14 to 24) who were interviewed from 1968 to 1975. The author specifically examined the young women for three characteristics: current employment status, level of education,…

78 FR 24744 - Postponement Notice of Open Special Meeting of the Sub-Saharan Africa Advisory Committee of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-26

... EXPORT-IMPORT BANK Postponement Notice of Open Special Meeting of the Sub-Saharan Africa Advisory Committee of the Export-Import Bank of the United States (Ex-Im Bank) SUMMARY: The Sub-Saharan Africa Advisory Committee was established by Public Law 105-121, November 26, 1997, to advise the Board of...

Assessing the Role of Effort Reduction in the Reinforcing Efficacy of Timeout from Avoidance

ERIC Educational Resources Information Center

Galuska, Chad M.; Mikorski, Jeff; Perone, Michael

2012-01-01

Rats responded on concurrent schedules of shock-postponement or deletion (avoidance) and timeout from avoidance. In Experiment 1, 3 rats' responses on one lever postponed shocks for 20 s and responses on a second lever produced a 1-min timeout according to a variable-interval 45-s schedule. Across conditions, a warning signal (white noise) was…

Postponed Parenthood: A Growing Canadian Family Pattern.

ERIC Educational Resources Information Center

Schlesinger, Benjamin; Schlesinger, Rachel

Postponed parenthood is a growing family pattern in Canada. To examine this trend, an exploratory study of 46 couples who were delayed parents was conducted in Toronto. The members of each couple had worked at least 5 years prior to the birth of their first child after the mother was age 30. Responses by both husbands and wives to a questionnaire…

Choice of Study Discipline and the Postponement of Motherhood in Europe: The Impact of Expected Earnings, Gender Composition, and Family Attitudes

PubMed Central

VAN BAVEL, JAN

2010-01-01

Theory suggests that the field of study may be at least as consequential for fertility behavior as the duration and level of education. Yet, this qualitative dimension of educational achievement has been largely neglected in demographic studies. This article analyzes the mechanisms relating the field of study with the postponement of motherhood by European college-graduate women aged 20–40. The second round of the European Social Survey is used to assess the impact of four features of study disciplines that are identified as key to reproductive decision making: the expected starting wage, the steepness of the earning profile, attitudes toward gendered family roles, and gender composition. The results indicate that the postponement of motherhood is relatively limited among graduates from study disciplines in which stereotypical attitudes about family roles prevail and in which a large share of the graduates are female. Both the level of the starting wage and the steepness of the earning profile are found to be associated with greater postponement. These results are robust to controlling for the partnership situation and the age at entry into the labor market. PMID:20608105

Choice of study discipline and the postponement of motherhood in Europe: the impact of expected earnings, gender composition, and family attitudes.

PubMed

Van Bavel, Jan

2010-05-01

Theory suggests that the field of study may be at least as consequential for fertility behavior as the duration and level of education. Yet, this qualitative dimension of educational achievement has been largely neglected in demographic studies. This article analyzes the mechanisms relating the field of study with the postponement of motherhood by European college-graduate women aged 20-40. The second round of the European Social Survey is used to assess the impact of four features of study disciplines that are identified as key to reproductive decision making: the expected starting wage, the steepness of the earning profile, attitudes toward gendered family roles, and gender composition. The results indicate that the postponement of motherhood is relatively limited among graduates from study disciplines in which stereotypical attitudes about family roles prevail and in which a large share of the graduates are female. Both the level of the starting wage and the steepness of the earning profile are found to be associated with greater postponement. These results are robust to controlling for the partnership situation and the age at entry into the labor market.

Development of the ultrasonography learning model for undergraduate medical students: A case study of the Faculty of Medicine, Burapha University.

PubMed

Limchareon, Sornsupha; Asawaworarit, Nattawat; Klinwichit, Wethaka; Dinchuthai, Pakaphun

2016-08-01

Ultrasound technology is generally considered to be reliable and widely used by physicians today. Therefore, given the efficacy and popularity of the technology, the need for quality ultrasound education is evident. Ultrasound training for undergraduate medical students has been increasingly incorporated into school curriculums, but the teaching methods can vary significantly among medical schools. Among many different choices, one effective teaching model was proposed which added hands-on ultrasound experience on live patients that was supervised by radiologists in the last clinical year. A 2-week radiology elective course was offered for 6(th)-year medical students at Burapha University Hospital, Chonburi, Thailand in the academic year 2014. Fourteen medical students participated in the elective course. Additionally, students who chose radiology as their elective were provided an ultrasound experience on live patients in real-life clinical settings. All 6(th)-year medical students then completed a 25-ultrasound image quiz, and completed a questionnaire at the end of the academic year. The ultrasound test scores were compared between the elective and nonelective students. The students' background characteristics were determined by a grade point average and the ultrasound experience was determined by the number of scans. These were collected, and analyzed to establish their relationship with the ultrasound test scores. The students' opinions were also surveyed. Fourteen medical students participated in the elective course. The ultrasound test scores in the elective group were significantly higher than those in the nonelective group (p=0.013). The students' background characteristics and ultrasound experience had no significant relationship with the ultrasound test scores. By adding hands-on ultrasound experience using live patients proctored by radiologists for final year medical students, in the space of 2 weeks, an effective ultrasound learning model for undergraduate medical students can be provided. This model should be considered in the curricular design. Copyright © 2016. Published by Elsevier Taiwan LLC.

Metrinome: Continuous Monitoring and Security Validation of Distributed Systems

DTIC Science & Technology

2014-03-01

Integration into the SDLC ( Software Development Life Cycle), Retrieved Nov 06 2013, https://www.owasp.org/ images/f/f6/Integration_into_the_SDLC.ppt [2...assessment as part of the software development life cycle, current approaches suffer from a number of shortcomings that limit their application in...with assessing security and correct functionality. Second, integrated and end-to-end testing and experimentation is often postponed until software

KSC-02pd1733

NASA Image and Video Library

2002-11-14

KENNEDY SPACE CENTER, FLA. -- One of a team of robotic experts prepares the site scraped on the robotic arm for removal. The scrape occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

77 FR 64851 - Announcement Date Postponed for the Grand Prize Winner Announcement for the America COMPETES...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-23

...On March 22, 2012, the Department of Veterans Affairs (VA) published a notice in the Federal Register (77 FR 16895) to announce the launch of VA's Project REACH Homelessness Mobile App Contest, authorized under section 105 of the America COMPETES Reauthorization Act of 2011. Project REACH leadership has decided to postpone announcement of the Grand Prize Winner until no later than 11 p.m. on December 31, 2012. Postponing the announcement will provide participants with a greater opportunity to receive recognition for their dedication and efforts to end Veteran homelessness. This notice serves as an update to the original notice affecting only the announcement date for the Grand Prize Winner. All rules and requirements outlined in the March 22, 2012, Federal Register notice will remain in effect.

The Global Financial Crisis: Analysis and Policy Implications

DTIC Science & Technology

2009-07-02

Nationalization of banks, insurance companies, and other financial institutions, as well as government capital injections and loans to private corporations ...months, a postponement of corporate tax increases, government guarantees for loans to small and midsize businesses, spending on public works, including...added tax (VAT), or sales tax, for 13 months, a postponement of corporate tax increases, and government guarantees for loans to small and midsize

Postponing Second Teen Births in the 1990s: Longitudinal Analyses of National Data.

ERIC Educational Resources Information Center

Manlove, Jennifer; Mariner, Carrie; Romano, Angela

A sample of high school-age mothers was followed from 1988 to 1994 in order to examine factors associated with having a second teen birth or closely spaced second teen birth. Factors associated with postponing a second teen birth included characteristics measured prior to the first birth, at the time of the first birth, and after the first birth.…

Testing for voter rigging in small polling stations

PubMed Central

Jimenez, Raúl; Hidalgo, Manuel; Klimek, Peter

2017-01-01

Nowadays, a large number of countries combine formal democratic institutions with authoritarian practices. Although in these countries the ruling elites may receive considerable voter support, they often use several manipulation tools to control election outcomes. A common practice of these regimes is the coercion and mobilization of large numbers of voters. This electoral irregularity is known as voter rigging, distinguishing it from vote rigging, which involves ballot stuffing or stealing. We develop a statistical test to quantify the extent to which the results of a particular election display traces of voter rigging. Our key hypothesis is that small polling stations are more susceptible to voter rigging because it is easier to identify opposing individuals, there are fewer eyewitnesses, and interested parties might reasonably expect fewer visits from election observers. We devise a general statistical method for testing whether voting behavior in small polling stations is significantly different from the behavior in their neighbor stations in a way that is consistent with the widespread occurrence of voter rigging. On the basis of a comparative analysis, the method enables third parties to conclude that an explanation other than simple variability is needed to explain geographic heterogeneities in vote preferences. We analyze 21 elections in 10 countries and find significant statistical anomalies compatible with voter rigging in Russia from 2007 to 2011, in Venezuela from 2006 to 2013, and in Uganda in 2011. Particularly disturbing is the case of Venezuela, where the smallest polling stations were decisive to the outcome of the 2013 presidential elections. PMID:28695193

Testing for voter rigging in small polling stations.

PubMed

Jimenez, Raúl; Hidalgo, Manuel; Klimek, Peter

2017-06-01

Nowadays, a large number of countries combine formal democratic institutions with authoritarian practices. Although in these countries the ruling elites may receive considerable voter support, they often use several manipulation tools to control election outcomes. A common practice of these regimes is the coercion and mobilization of large numbers of voters. This electoral irregularity is known as voter rigging, distinguishing it from vote rigging, which involves ballot stuffing or stealing. We develop a statistical test to quantify the extent to which the results of a particular election display traces of voter rigging. Our key hypothesis is that small polling stations are more susceptible to voter rigging because it is easier to identify opposing individuals, there are fewer eyewitnesses, and interested parties might reasonably expect fewer visits from election observers. We devise a general statistical method for testing whether voting behavior in small polling stations is significantly different from the behavior in their neighbor stations in a way that is consistent with the widespread occurrence of voter rigging. On the basis of a comparative analysis, the method enables third parties to conclude that an explanation other than simple variability is needed to explain geographic heterogeneities in vote preferences. We analyze 21 elections in 10 countries and find significant statistical anomalies compatible with voter rigging in Russia from 2007 to 2011, in Venezuela from 2006 to 2013, and in Uganda in 2011. Particularly disturbing is the case of Venezuela, where the smallest polling stations were decisive to the outcome of the 2013 presidential elections.

Late-Term Elective Abortion and Susceptibility to Posttraumatic Stress Symptoms

PubMed Central

Coleman, Priscilla K.; Coyle, Catherine T.; Rue, Vincent M.

2010-01-01

The primary aim of this study was to compare the experience of an early abortion (1st trimester) to a late abortion (2nd and 3rd trimester) relative to Posttraumatic Stress Disorder (PTSD) symptoms after controlling for socio-demographic and personal history variables. Online surveys were completed by 374 women who experienced either a 1st trimester abortion (up to 12 weeks gestation) or a 2nd or 3rd trimester abortion (13 weeks gestation or beyond). Most respondents (81%) were U.S. citizens. Later abortions were associated with higher Intrusion subscale scores and with a greater likelihood of reporting disturbing dreams, reliving of the abortion, and trouble falling asleep. Reporting the pregnancy was desired by one's partner, experiencing pressure to abort, having left the partner prior to the abortion, not disclosing the abortion to the partner, and physical health concerns were more common among women who received later abortions. Social reasons for the abortion were linked with significantly higher PTSD total and subscale scores for the full sample. Women who postpone their abortions may need more active professional intervention before securing an abortion based on the increased risks identified herein. More research with diverse samples employing additional measures of mental illness is needed. PMID:21490737

Is presence of bacteria in preoperative microscopic urinalysis of the patients scheduled for cardiac surgery a reason for cancellation of elective operation?

PubMed

Soltanzadeh, Mansoor; Ebadi, Ahmad

2013-01-01

In some hospitals, urinalysis is done routinely for all patients scheduled for cardiac surgery. Occasionally pyuria or bacteria is reported in the microscopic urinalysis of these patients that are clinically asymptomatic for urinary tract infections. WE WERE SEEKING ANSWER TO THIS QUESTION: is the presence of a different number of bacteria in preoperative microscopic urinalysis of asymptomatic patients scheduled for cardiac surgery indicative of potential postoperative complications and as a result, a good reason to postpone the operation? We conducted a retrospective cross-sectional study based on the review of the medical records of 1165 patients who underwent open-heart surgery. One hundered and fifty one patients were eligible in our established criteria. There were no significant difference between their demographic characteristics and the same number of randomly selected patients with normal urinalysis who had underwent open-heart surgery. In the bacteriuria group, two patients, and in the control group, three patients had an infection at the operation sites in the post-operative period, which was not a significant finding between two groups (P = 0.503). We recommend that in the absence of symptoms of urinary tract infection, urinalysis is not necessary and not cost beneficial in the preoperative evaluation of patients scheduled for open-heart surgery.

Contralateral prophylactic mastectomy rate and predictive factors among patients with breast cancer who underwent multigene panel testing for hereditary cancer.

PubMed

Elsayegh, Nisreen; Webster, Rachel D; Gutierrez Barrera, Angelica M; Lin, Heather; Kuerer, Henry M; Litton, Jennifer K; Bedrosian, Isabelle; Arun, Banu K

2018-05-07

Although multigene panel testing is increasingly common in patients with cancer, the relationship between its use among breast cancer patients with non-BRCA mutations or variants of uncertain significance (VUS) and disease management decisions has not been well described. This study evaluated the rate and predictive factors of CPM patients who underwent multigene panel testing. Three hundred and fourteen patients with breast cancer who underwent multigene panel testing between 2014 and 2017 were included in the analysis. Of the 314 patients, 70 elected CPM. Election of CPM by gene status was as follows: BRCA carriers (42.3%), non-BRCA carriers (30.1%), and VUS (10.6%). CPM election rates did not differ between non-BRCA carriers and BRCA carriers (P = 0.6205). Among non-BRCA carriers, negative hormone receptor status was associated with CPM (P = 0.0115). For those with a VUS, hormone receptor status was not associated with CPM (P = 0.1879). Although the rate of CPM between BRCA carriers and non-BRCA carriers was not significantly different, the predictors of CPM were different in each group. Our analyses shed the light on the increasing use of CPM among patients who are non-BRCA carriers as well those with a VUS. Our study elucidates the differing predictive factors of CPM election among BRCA carriers, non-BRCA carries, and those with a VUS. Our findings reveal the need for providers to be cognizant that non-BRCA genes and VUS drive women to elect CPM despite the lack of data for contralateral breast cancer risk associated with these genes. © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

Orion Post Scrub Press Conference

NASA Image and Video Library

2014-12-04

In the Kennedy Space Center’s Press Site auditorium, agency and industry leaders spoke to members of the news media about the postponement of the Orion Flight Test launch due to an issue related to fill and drain valves on the Delta IV Heavy rocket. From left are: Brandi Dean of NASA Public Affairs, Mark Geyer, NASA's Orion program manager, Mike Hawes, Lockheed Martin Orion Program manager, and Dan Collins, United Launch Alliance chief operating officer.

KSC-02pd1728

NASA Image and Video Library

2002-11-14

KENNEDY SPACE CENTER, FLA. -- The site being identified in the photo is the scrape on the surface of the honeycomb shell on Endeavour's robotic arm. The scrape occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

Alternatives for randomization in lifestyle intervention studies in cancer patients were not better than conventional randomization.

PubMed

Velthuis, Miranda J; May, Anne M; Monninkhof, Evelyn M; van der Wall, Elsken; Peeters, Petra H M

2012-03-01

Assessing effects of lifestyle interventions in cancer patients has some specific challenges. Although randomization is urgently needed for evidence-based knowledge, sometimes it is difficult to apply conventional randomization (i.e., consent preceding randomization and intervention) in daily settings. Randomization before seeking consent was proposed by Zelen, and additional modifications were proposed since. We discuss four alternatives for conventional randomization: single and double randomized consent design, two-stage randomized consent design, and the design with consent to postponed information. We considered these designs when designing a study to assess the impact of physical activity on cancer-related fatigue and quality of life. We tested the modified Zelen design with consent to postponed information in a pilot. The design was chosen to prevent drop out of participants in the control group because of disappointment about the allocation. The result was a low overall participation rate most likely because of perceived lack of information by eligible patients and a relatively high dropout in the intervention group. We conclude that the alternatives were not better than conventional randomization. Copyright © 2012 Elsevier Inc. All rights reserved.

To postpone the precipitation of manganese oxides in the degradation of tetrachloroethylene by controlling the permanganate concentration.

PubMed

Yang, Weiwei; Qiu, Zhaofu; Zhao, Zhexuan; Lu, Shuguang; Sui, Qian; Gu, Xiaogang

2017-01-01

Controlled-release permanganate (CRP) is a relatively new technology used to treat contaminated groundwater. This study tested the encapsulation of permanganate using stearic acid to realize controlled-release properties. Batch experiments were conducted to investigate the performance of manganese oxides (MnO 2 ) in the reaction between CRP and the contaminant of interest: tetrachloroethylene (PCE). The results showed that higher ionic strengths (I = 0.1 mol/L) cause earlier precipitation of MnO 2 colloids. Using CRP to degrade PCE could decrease the amount of MnO 2 colloids produced and postpone precipitation compared to raw potassium permanganate (KMnO 4 ) under high ionic strength conditions by controlling the KMnO 4 concentration in the solution. The amount of MnO 2 colloids produced and the time of precipitation depended more on the CRP grain size than on the CRP mass ratio. Controlling the KMnO 4 concentration used in the reaction could control the formation of MnO 2 precipitates in the premise of guarantee the removal rate of PCE.

Establishing a field epidemiology elective for medical students in Kenya: a strategy for increasing public health awareness and workforce capacity.

PubMed

Arvelo, Wences; Gura, Zeinab; Amwayi, Samuel; Wiersma, Petra; Omolo, Jared; Becknell, Steven; Jones, Donna; Ongore, Dismas; Dicker, Richard

2015-03-01

Medical students have limited exposure to field epidemiology, even though will assume public health roles after graduation. We established a 10-week elective in field epidemiology during medical school. Students attended one-week didactic sessions on epidemiology, and nine weeks in field placement sites. We administered pre- and post-tests to evaluate the training. We enrolled 34 students in 2011 and 2012. In 2011, we enrolled five of 24 applicants from a class of 280 medical students. In 2012, we enrolled 18 of 81 applicants from a class of 360 students; plus 11 who participated in the didactic sessions only. Among the 34 students who completed the didactic sessions, 74% were male, and their median age was 24 years (range: 22-26). The median pre-test score was 64% (range: 47-88%) and the median post-test score was 82% (range: 72-100%). Successful completion of the field projects was 100%. Six (30%) students were not aware of public health as a career option before this elective, 56% rated the field experience as outstanding, and 100% reported it increased their understanding of epidemiology. Implementing an elective in field epidemiology within the medical training is a highly acceptable strategy to increase awareness for public health among medical students. Published by Elsevier Ltd.

KSC-07pd3633

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- Space shuttle Atlantis' external tank and solid rocket boosters will be the subject of a tanking test with the Time Domain Reflectometry, or TDR, test equipment whose wiring is being calibrated Dec. 14. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the ECO system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

7 CFR 457.112 - Hybrid sorghum seed crop insurance provisions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... seed test. Insurable interest. Your share of the financial loss that occurs in the event seed... by the price election you select and subtracting any minimum guaranteed payment, not to exceed the... value to dollars by multiplying it by the price election you selected. Approved yield. In lieu of the...

Early Election Returns and the Voting Behavior of Adolescent Voters

ERIC Educational Resources Information Center

Mann, Leon; And Others

1971-01-01

High school students participated in a field experiment that tested the effects of exposure to early election returns in a nonpartisan referendum. Students in the brighter classes changed their vote less frequently, but when they changed their preferences they showed a greater bandwagon effect. Students in the classes of lower academic achievement…

26 CFR 56.4911-10 - Members of a limited affiliated group of organizations.

Code of Federal Regulations, 2010 CFR

2010-04-01

.... Thus, as modified by this section, the regulations under sections 501(h) and 4911 apply to electing... 501(h) and 4911 to controlling member organizations (within the meaning of paragraph (c) of this...) Grass roots expenditures. A controlling member organization for which the expenditure test election is...

26 CFR 56.4911-10 - Members of a limited affiliated group of organizations.

Code of Federal Regulations, 2011 CFR

2011-04-01

.... Thus, as modified by this section, the regulations under sections 501(h) and 4911 apply to electing... 501(h) and 4911 to controlling member organizations (within the meaning of paragraph (c) of this...) Grass roots expenditures. A controlling member organization for which the expenditure test election is...

26 CFR 56.4911-10 - Members of a limited affiliated group of organizations.

Code of Federal Regulations, 2014 CFR

2014-04-01

.... Thus, as modified by this section, the regulations under sections 501(h) and 4911 apply to electing... 501(h) and 4911 to controlling member organizations (within the meaning of paragraph (c) of this... controlling member organization that has the expenditure test election in effect for its taxable year. This...

26 CFR 56.4911-10 - Members of a limited affiliated group of organizations.

Code of Federal Regulations, 2012 CFR

2012-04-01

.... Thus, as modified by this section, the regulations under sections 501(h) and 4911 apply to electing... 501(h) and 4911 to controlling member organizations (within the meaning of paragraph (c) of this... controlling member organization that has the expenditure test election in effect for its taxable year. This...

26 CFR 56.4911-10 - Members of a limited affiliated group of organizations.

Code of Federal Regulations, 2013 CFR

2013-04-01

.... Thus, as modified by this section, the regulations under sections 501(h) and 4911 apply to electing... 501(h) and 4911 to controlling member organizations (within the meaning of paragraph (c) of this... controlling member organization that has the expenditure test election in effect for its taxable year. This...

Effects of `Environmental Chemistry' Elective Course Via Technology-Embedded Scientific Inquiry Model on Some Variables

NASA Astrophysics Data System (ADS)

Çalik, Muammer; Özsevgeç, Tuncay; Ebenezer, Jazlin; Artun, Hüseyin; Küçük, Zeynel

2014-06-01

The purpose of this study is to examine the effects of `environmental chemistry' elective course via Technology-Embedded Scientific Inquiry (TESI) model on senior science student teachers' (SSSTs) conceptions of environmental chemistry concepts/issues, attitudes toward chemistry, and technological pedagogical content knowledge (TPACK) levels. Within one group pre-test-post-test design, the study was conducted with 117 SSSTs (68 females and 49 males—aged 21-23 years) enrolled in an `environmental chemistry' elective course in the spring semester of 2011-2012 academic-years. Instruments for data collection comprised of Environmental Chemistry Conceptual Understanding Questionnaire, TPACK survey, and Chemistry Attitudes and Experiences Questionnaire. Significant increases in the SSSTs' conceptions of environmental chemistry concepts/issues, attitudes toward chemistry, and TPACK levels are attributed to the SSSTs learning how to use the innovative technologies in the contexts of the `environmental chemistry' elective course and teaching practicum. The study implies that the TESI model may serve a useful purpose in experimental science courses that use the innovative technologies. However, to generalize feasibility of the TESI model, it should be evaluated with SSSTs in diverse learning contexts.

The Effect of Educational Modules Strategy on the Direct and Postponed Study's Achievement of Seventh Primary Grade Students in Science, in Comparison with the Conventional Approach

ERIC Educational Resources Information Center

Alelaimat, Abeer Rashed; Ghoneem, Khowla Abd Al Raheem

2012-01-01

This study aimed at revealing the effect of educational modules strategy on the direct and postponed study's achievement of seventh primary grade students in science, in comparison with the conventional approach. The sample of the study consists of (174) male and female students randomly chosen from schools in the city of Mafraq, students are…

Scrape on Endeavour's robotic arm during oxygen leak repairs

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- One of a team of robotic experts prepares the site scraped on the robotic arm for removal. The scrape occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

KSC-02pd1731

NASA Image and Video Library

2002-11-14

KENNEDY SPACE CENTER, FLA. -- One of a team of robotic experts looks at the site of the scrape on the surface of the the robotic arm's honeycomb shell. The scrape occurred while work platforms were being installed to gain access to repair the oxygen leak in Endeavour's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

KSC-02pd1730

NASA Image and Video Library

2002-11-14

KENNEDY SPACE CENTER, FLA. -- One of a team of robotic experts looks at the site of the scrape on the surface of the the robotic arm's honeycomb shell. The scrape occurred while work platforms were being installed to gain access to repair the oxygen leak in Endeavour's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

KSC-02pd1729

NASA Image and Video Library

2002-11-14

KENNEDY SPACE CENTER, FLA. -- Workers in Endeavour's payload bay look at the site of the scrape on the surface of the honeycomb shell on the robotic arm that occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

KSC-02pd1732

NASA Image and Video Library

2002-11-14

KENNEDY SPACE CENTER, FLA. -- One of a team of robotic experts looks at the site of the scrape on the surface of the honeycomb shell on the robotic arm that occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

Using "Big Data" Versus Alternative Measures of Aggregate Data to Predict the U.S. 2016 Presidential Election.

PubMed

Ma-Kellams, Christine; Bishop, Brianna; Zhang, Mei Fong; Villagrana, Brian

2017-01-01

To what extent could "Big Data" predict the results of the 2016 U.S. presidential election better than more conventional sources of aggregate measures? To test this idea, the present research used Google search trends versus other forms of state-level data (i.e., both behavioral measures like the incidence of hate crimes, hate groups, and police brutality and implicit measures like Implicit Association Test (IAT) data) to predict each state's popular vote for the 2016 presidential election. Results demonstrate that, when taken in isolation, zero-order correlations reveal that prevalence of hate groups, prevalence of hate crimes, Google searches for racially charged terms (i.e., related to White supremacy groups, racial slurs, and the Nazi movement), and political conservatism were all significant predictors of popular support for Trump. However, subsequent hierarchical regression analyses show that when these predictors are considered simultaneously, only Google search data for historical White supremacy terms (e.g., "Adolf Hitler") uniquely predicted election outcomes earlier and beyond political conservatism. Thus, Big Data, in the form of Google search, emerged as a more potent predictor of political behavior than other aggregate measures, including implicit attitudes and behavioral measures of racial bias. Implications for the role of racial bias in the 2016 presidential election in particular and the utility of Google search data more generally are discussed.

A multiple choice testing program coupled with a year-long elective experience is associated with improved performance on the internal medicine in-training examination.

PubMed

Mathis, Bradley R; Warm, Eric J; Schauer, Daniel P; Holmboe, Eric; Rouan, Gregory W

2011-11-01

The Internal Medicine In-Training Exam (IM-ITE) assesses the content knowledge of internal medicine trainees. Many programs use the IM-ITE to counsel residents, to create individual remediation plans, and to make fundamental programmatic and curricular modifications. To assess the association between a multiple-choice testing program administered during 12 consecutive months of ambulatory and inpatient elective experience and IM-ITE percentile scores in third post-graduate year (PGY-3) categorical residents. Retrospective cohort study. One hundred and four categorical internal medicine residents. Forty-five residents in the 2008 and 2009 classes participated in the study group, and the 59 residents in the three classes that preceded the use of the testing program, 2005-2007, served as controls. A comprehensive, elective rotation specific, multiple-choice testing program and a separate board review program, both administered during a continuous long-block elective experience during the twelve months between the second post-graduate year (PGY-2) and PGY-3 in-training examinations. We analyzed the change in median individual percent correct and percentile scores between the PGY-1 and PGY-2 IM-ITE and between the PGY-2 and PGY-3 IM-ITE in both control and study cohorts. For our main outcome measure, we compared the change in median individual percentile rank between the control and study cohorts between the PGY-2 and the PGY-3 IM-ITE testing opportunities. After experiencing the educational intervention, the study group demonstrated a significant increase in median individual IM-ITE percentile score between PGY-2 and PGY-3 examinations of 8.5 percentile points (p < 0.01). This is significantly better than the increase of 1.0 percentile point seen in the control group between its PGY-2 and PGY-3 examination (p < 0.01). A comprehensive multiple-choice testing program aimed at PGY-2 residents during a 12-month continuous long-block elective experience is associated with improved PGY-3 IM-ITE performance.

AIDS vaccines that allow HIV-1 to infect and escape immunologic control: a mathematic analysis of mass vaccination.

PubMed

van Ballegooijen, Marijn; Bogaards, Johannes A; Weverling, Gerrit-Jan; Boerlijst, Maarten C; Goudsmit, Jaap

2003-10-01

Cytotoxic T lymphocyte (CTL)-based HIV vaccine concepts shown to reduce viremia and postpone disease but not to prevent infection in monkeys are currently in human phase 1 trials. To evaluate the potential efficacy of vaccines that cannot prevent HIV-1 to infect and escape immunologic control, we designed a mathematic model that correlates the level of viremia to both infectiousness and disease progression. We speculate that vaccinees will have a virologic set point and disease progression rates comparable to untreated HIV-1-infected individuals with the best prognosis. Our model (illustrated with R0 = 3) shows that a sexually active population can ultimately be reduced to 26% of its initial size as a result of AIDS-related mortality in the absence of treatment or vaccination. Start of vaccination when HIV-1 prevalence is still low might postpone the peak incidence of infection and the dramatic decline in population size by up to 22 years. In conclusion, CTL-based vaccines that do not prevent HIV-1 infection but do postpone the time to onset of AIDS have considerable potential to curb the spread of HIV-1 and to postpone high AIDS-related mortality on a population level. The number of long-term survivors is substantially increased only when vaccination is initiated early in an AIDS epidemic, however.

Changing Course on School Reform: Strategic Organizing around the New York City Mayoral Election

ERIC Educational Resources Information Center

Easton, Billy

2014-01-01

New York City's new mayor, Bill de Blasio, represents a dramatic shift from his predecessor Michael Bloomberg in the area of education. Bloomberg was a national trendsetter on market reforms focused on privatization, testing, and competition. De Blasio was elected on an agenda of classroom investments, student supports, parent and community…

KSC-07pd3624

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- On Launch Pad 39A, a technician checks test wiring spliced into an electrical harness in space shuttle Atlantis' aft main engine compartment connected with the engine cut-off, or ECO, system. The test wiring leads to the interior of the mobile launcher platform where the Time Domain Reflectometry, or TDR, test equipment will be located to test the sensor system. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the ECO system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

KSC-07pd3623

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- On Launch Pad 39A, a technician checks test wiring spliced into an electrical harness in space shuttle Atlantis' aft main engine compartment connected with the engine cut-off, or ECO, system. The test wiring leads to the interior of the mobile launcher platform where the Time Domain Reflectometry, or TDR, test equipment will be located to test the sensor system. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the ECO system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

KSC-07pd3630

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- On Launch Pad 39A, a technician checks cables and wires that will be used in the Time Domain Reflectometry, or TDR, test on engine cut-off sensors, or ECO, in space shuttle Atlantis' external tank. The test equipment -- blue monitor at left-- will be used to validate the circuit on the test wiring before hooking it up to the test box. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the ECO system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

KSC-07pd3625

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- On Launch Pad 39A, a technician checks test wiring spliced into an electrical harness in space shuttle Atlantis' aft main engine compartment connected with the engine cut-off, or ECO, system. The test wiring leads to the interior of the mobile launcher platform where the Time Domain Reflectometry, or TDR, test equipment will be located to test the sensor system. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the ECO system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

Scrape on Endeavour's robotic arm during oxygen leak repairs

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- One of a team of robotic experts looks at the site of the scrape on the surface of the honeycomb shell on the robotic arm that occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

Scrape on Endeavour's robotic arm during oxygen leak repairs

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- Workers in Endeavour's payload bay look at the site of the scrape on the surface of the honeycomb shell on the robotic arm that occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

Scrape on Endeavour's robotic arm during oxygen leak repairs

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- The site being identified in the photo is the scrape on the surface of the honeycomb shell on Endeavour's robotic arm. The scrape occurred while work platforms were being installed to gain access to repair the oxygen leak in the Shuttle's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

Scrape on Endeavour's robotic arm during oxygen leak repairs

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- One of a team of robotic experts looks at the site of the scrape on the surface of the the robotic arm's honeycomb shell. The scrape occurred while work platforms were being installed to gain access to repair the oxygen leak in Endeavour's mid-body. The site will be cut out and ultrasound testing will be done on the structure underneath. Launch of Endeavour on mission STS-113 has been postponed until no earlier than Nov. 22.

KSC-2014-4701

NASA Image and Video Library

2014-12-04

CAPE CANAVERAL, Fla. -- In the Kennedy Space Center’s Press Site auditorium, agency and industry leaders spoke to members of the news media about the postponement of the Orion Flight Test launch due to an issue related to fill and drain valves on the Delta IV Heavy rocket. From left are: Brandi Dean of NASA Public Affairs, Mark Geyer, NASA's Orion program manager, Mike Hawes, Lockheed Martin Orion Program manager, and Dan Collins, United Launch Alliance chief operating officer. For more information, visit www.nasa.gov/orion Photo credit: NASA/Frankie Martin

Establishing a field epidemiology elective for medical students in Kenya: A strategy for increasing public health awareness and workforce capacity

PubMed Central

Arvelo, Wences; Gura, Zeinab; Amwayi, Samuel; Wiersma, Petra; Omolo, Jared; Becknell, Steven; Jones, Donna; Ongore, Dismas; Dicker, Richard

2017-01-01

Medical students have limited exposure to field epidemiology, even though will assume public health roles after graduation. We established a 10-week elective in field epidemiology during medical school. Students attended one-week didactic sessions on epidemiology, and nine weeks in field placement sites. We administered pre-and post-tests to evaluate the training. We enrolled 34 students in 2011 and 2012. In 2011, we enrolled five of 24 applicants from a class of 280 medical students. In 2012, we enrolled 18 of 81 applicants from a class of 360 students; plus 11 who participated in the didactic sessions only. Among the 34 students who completed the didactic sessions, 74% were male, and their median age was 24 years (range: 22–26). The median pre-test score was 64% (range: 47–88%) and the median post-test score was 82% (range: 72–100%). Successful completion of the field projects was 100%. Six (30%) students were not aware of public health as a career option before this elective, 56% rated the field experience as outstanding, and 100% reported it increased their understanding of epidemiology. Implementing an elective in field epidemiology within the medical training is a highly acceptable strategy to increase awareness for public health among medical students. PMID:25700921

Agenda Diversity: A Comparison of American and Filipino Editorials on the 1986 Filipino Election and Revolution.

ERIC Educational Resources Information Center

Culbertson, Hugh M.

Editorials in four prestigious American papers and two Filipino dailies addressing the 1986 election and revolution in the Philippines were compared for differences. Four hypotheses were tested: (1) that in treatment of the Philippines, editorials in the U.S. national prestige press would place more emphasis than do those in the Filipino…

STS-99 Mission Specialist Mohri waves before DEPARTing from PAFB

NASA Technical Reports Server (NTRS)

2000-01-01

STS-99 Mission Specialist Mamoru Mohri of Japan waves before his departure from Patrick Air Force Base and return to Houston. With the postponement of the launch of STS-99 on Jan. 31, the crew have an opportunity for more training and time with their families. During the launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch mid- to late next week pending availability of the Eastern Range. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety.

STS-99 Mission Specialist Thiele and Commander Kregel DEPART from SLF

NASA Technical Reports Server (NTRS)

2000-01-01

STS-99 Mission Specialist Gerhard Thiele (foreground) and Commander Kevin Kregel make their way to the runway at the Shuttle Landing Facility for a return flight to Houston. During the Jan. 31 launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch mid- to late next week pending availability of the Eastern Range. The postponed launch gives the crew an opportunity for more training and time with their families. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety.

KSC-00pp0149

NASA Image and Video Library

2000-02-02

STS-99 Mission Specialist Mamoru Mohri of Japan waves before his departure from Patrick Air Force Base and return to Houston. With the postponement of the launch of STS-99 on Jan. 31, the crew have an opportunity for more training and time with their families. During the launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto late next week pending availability of the Eastern Range. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

KSC-00pp0148

NASA Image and Video Library

2000-02-02

STS-99 Mission Specialist Mamoru Mohri of Japan and his wife, Akiko, wave before their departure from Patrick Air Force Base and return to Houston. With the postponement of the launch of STS-99 on Jan. 31, the crew have an opportunity for more training and time with their families. During the launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto late next week pending availability of the Eastern Range. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

KSC00pp0149

NASA Image and Video Library

2000-02-02

STS-99 Mission Specialist Mamoru Mohri of Japan waves before his departure from Patrick Air Force Base and return to Houston. With the postponement of the launch of STS-99 on Jan. 31, the crew have an opportunity for more training and time with their families. During the launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto late next week pending availability of the Eastern Range. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

KSC00pp0148

NASA Image and Video Library

2000-02-02

STS-99 Mission Specialist Mamoru Mohri of Japan and his wife, Akiko, wave before their departure from Patrick Air Force Base and return to Houston. With the postponement of the launch of STS-99 on Jan. 31, the crew have an opportunity for more training and time with their families. During the launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto late next week pending availability of the Eastern Range. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

KSC00pp0145

NASA Image and Video Library

2000-02-02

STS-99 Mission Specialist Gerhard Thiele (foreground) and Commander Kevin Kregel make their way to the runway at the Shuttle Landing Facility for a return flight to Houston. During the Jan. 31 launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto late next week pending availability of the Eastern Range. The postponed launch gives the crew an opportunity for more training and time with their families. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

KSC-00pp0145

NASA Image and Video Library

2000-02-02

STS-99 Mission Specialist Gerhard Thiele (foreground) and Commander Kevin Kregel make their way to the runway at the Shuttle Landing Facility for a return flight to Houston. During the Jan. 31 launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto late next week pending availability of the Eastern Range. The postponed launch gives the crew an opportunity for more training and time with their families. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

Network Signal Processor No. 2 after removal from Columbia

NASA Technical Reports Server (NTRS)

1998-01-01

Two USA employees, Tim Seymour (at left) and Danny Brown (at right), look at the network signal processor (NSP) that was responsible for postponement of the launch of STS-90 on Apr. 16. The Space Shuttle Columbia's liftoff from Launch Pad 39B was postponed 24 hours due to difficulty with NSP No. 2 on the orbiter. This device formats data and voice communications between the ground and the Space Shuttle. The unit, which is located in the orbiter's mid-deck, was removed and replaced on Apr. 16. Mission managers first noticed the problem at about 3 a.m. during normal communications systems activation prior to tanking operations. As a result, work to load the external tank with the cryogenic propellants did not begin and launch postponement was made official at about 8:15 a.m. STS-90 is slated to be the launch of Neurolab, a nearly 17-day mission to examine the effects of spaceflight on the brain, spinal cord, peripheral nerves and sensory organs in the human body.

KSC-98pc485

NASA Image and Video Library

1998-04-16

KENNEDY SPACE CENTER, FLA. -- Two USA employees, Tim Seymour (at left) and Danny Brown (at right), look at the network signal processor (NSP) that was responsible for postponement of the launch of STS-90 on Apr. 16. The Space Shuttle Columbia's liftoff from Launch Pad 39B was postponed 24 hours due to difficulty with NSP No. 2 on the orbiter. This device formats data and voice communications between the ground and the Space Shuttle. The unit, which is located in the orbiter's mid-deck, was removed and replaced on Apr. 16. Mission managers first noticed the problem at about 3 a.m. during normal communications systems activation prior to tanking operations. As a result, work to load the external tank with the cryogenic propellants did not begin and launch postponement was made official at about 8:15 a.m. STS-90 is slated to be the launch of Neurolab, a nearly 17-day mission to examine the effects of spaceflight on the brain, spinal cord, peripheral nerves and sensory organs in the human body.

Mass transfer of pediatric tertiary care hospital inpatients to a new location in under 12 hours: lessons learned and implications for disaster preparedness.

PubMed

Fuzak, Julia K; Elkon, Benjamin D; Hampers, Louis C; Polage, Kathleen J; Milton, Jerrod D; Powers, Linda K; Percell-de'Shong, Karen; Wathen, Joseph E

2010-07-01

To report an experience with large-scale rapid transportation of hospitalized children, highlighting elements applicable to a disaster event. This was a retrospective study of the relocation of an entire pediatric inpatient population. Mitigation steps included postponement of elective procedures, implementation of planned discharges, and transfer of selected patients to satellite hospitals. Drills and simulations were used to estimate travel times and develop contingency plans. A transfer queue was modified as necessary to account for changing acuity. The Hospital Incident Command System was used. Thirteen critical care teams, 5 general crews, 2 vans, and 4 other vehicles transferred a total of 111 patients 8.5 miles in 11.6 hours. Patients were transferred along parallel (vs series) circuits, allowing simultaneous movement of patients from different areas. Sixty-four patients (including 32 infants) were considered critically ill; 24 of these patients required ventilator support, 3 required inhaled nitric oxide, 30 required continuous infusions, and 4 had an external ventricular drain. There were no adverse outcomes. Mass inpatient pediatric transfers can be managed rapidly and safely with parallel transfers. Preexisting agreements with regional pediatric teams are imperative. Disaster preparedness concepts, including preplanning, evacuation priorities, recovery analysis, and prevention/mitigation, can be applied to this event. Copyright (c) 2010 Mosby, Inc. All rights reserved.

Everolimus Alleviates Obstructive Hydrocephalus due to Subependymal Giant Cell Astrocytomas.

PubMed

Moavero, Romina; Carai, Andrea; Mastronuzzi, Angela; Marciano, Sara; Graziola, Federica; Vigevano, Federico; Curatolo, Paolo

2017-03-01

Subependymal giant cell astrocytomas (SEGAs) are low-grade tumors affecting up to 20% of patients with tuberous sclerosis complex (TSC). Early neurosurgical resection has been the only standard treatment until few years ago when a better understanding of the molecular pathogenesis of TSC led to the use of mammalian target of rapamycin (mTOR) inhibitors. Surgical resection of SEGAs is still considered as the first line treatment in individuals with symptomatic hydrocephalus and intratumoral hemorrhage. We describe four patients with symptomatic or asymptomatic hydrocephalus who were successfully treated with the mTOR inhibitor everolimus. We collected the clinical data of four consecutive patients presenting with symptomatic or asymptomatic hydrocephalus due to a growth of subependymal giant cell atrocytomas and who could not undergo surgery for different reasons. All patients experienced a clinically significant response to everolimus and an early shrinkage of the SEGA with improvement in ventricular dilatation. Everolimus was well tolerated by all individuals. Our clinical series demonstrate a possible expanding indication for mTOR inhibition in TSC, which can be considered in patients with asymptomatic hydrocephalus or even when the symptoms already appeared. It offers a significant therapeutic alternative to individuals that once would have undergone immediate surgery. Everolimus might also allow postponement of a neurosurgical resection, making it elective with an overall lower risk. Copyright © 2016 Elsevier Inc. All rights reserved.

A model of political voting behaviours across different countries

NASA Astrophysics Data System (ADS)

Rowden, Jessica; Lloyd, David J. B.; Gilbert, Nigel

2014-11-01

This paper analyses, models mathematically, and compares national voting behaviours across seven democratic countries that have a long term election history, focusing on re-election rates, leaders’ reputation with voters and the importance of friends’ and family influence. Based on the data, we build a Markov model to test and explore national voting behaviour, showing voters are only influenced by the most recent past election. The seven countries can be divided into those in which there is a high probability that leaders will be re-elected and those in which incumbents have relatively less success. A simple stochastic phenomenological dynamical model of electoral districts in which voters may be influenced by social neighbours, political parties and political leaders is then created to explore differences in voter behaviours in the countries. This model supports the thesis that an unsuccessful leader has a greater negative influence on individual voters than a successful leader, while also highlighting that increasing the influence on voters of social neighbours leads to a decrease in the average re-election rate of leaders, but raises the average amount of time the dominant party is in charge.

A Pharmacy Elective Course on Creative Thinking, Innovation, and TED Talks.

PubMed

Cain, Jeff

2016-12-25

Objective. To implement and assess an elective course designed to enhance student creative thinking and presentation skills. Design. A two-credit elective course was developed that incorporated creative-thinking exercises, article discussions pertaining to creativity, TED Talk (TED Conferences, New York, NY) analyses, and presentation design and delivery exercises. Assessment. Assessment instruments included pre- and post-course Torrance Tests of Creative Thinking (TTCT). A scoring rubric was developed and used to evaluate a final mock TED Talk presented to faculty and students. Course evaluations were also used to assess student experiences in the course. Students' TTCT verbal creativity scores increased significantly ( p <0.05) during the course and their mock TED Talk mean scores (135±6.4) out of 150 were rated highly. Conclusion. The outcomes from this elective course confirmed that pharmacy students could develop and present an original "idea worth sharing" using the TED Talk format.

A Pharmacy Elective Course on Creative Thinking, Innovation, and TED Talks

PubMed Central

2016-01-01

Objective. To implement and assess an elective course designed to enhance student creative thinking and presentation skills. Design. A two-credit elective course was developed that incorporated creative-thinking exercises, article discussions pertaining to creativity, TED Talk (TED Conferences, New York, NY) analyses, and presentation design and delivery exercises. Assessment. Assessment instruments included pre- and post-course Torrance Tests of Creative Thinking (TTCT). A scoring rubric was developed and used to evaluate a final mock TED Talk presented to faculty and students. Course evaluations were also used to assess student experiences in the course. Students’ TTCT verbal creativity scores increased significantly (p<0.05) during the course and their mock TED Talk mean scores (135±6.4) out of 150 were rated highly. Conclusion. The outcomes from this elective course confirmed that pharmacy students could develop and present an original “idea worth sharing” using the TED Talk format. PMID:28179719

Oocyte vitrification as an efficient option for elective fertility preservation.

PubMed

Cobo, Ana; García-Velasco, Juan A; Coello, Aila; Domingo, Javier; Pellicer, Antonio; Remohí, José

2016-03-01

To provide a detailed description of the current oocyte vitrification status as a means of elective fertility preservation (EFP). Retrospective observational multicenter study. Private university-affiliated center. A total of 1,468 women who underwent EFP because of age or having associated a medical condition other than cancer (January 2007 to April 2015). None. Survival and cumulative live birth rate (CLBR) per consumed oocyte. Mean age was higher with EFP due to age versus having an associated medical reason (37.7 y [95% confidence interval (CI) 36.5-37.9] vs. 35.7 y [95% CI 34.9-36.3]). In total, 137 patients (9.3%) returned to use their oocytes. Overall survival rate was 85.2% (95% CI 83.2-87.2). Live birth rate per patient was higher in women ≤35 years old than ≥36 years old (50% [95% CI 32.7-67.3] vs. 22.9% [95% CI 14.9-30.9]). CLBR was higher and increased faster in younger women. The gain in CLBR was sharp from 5 (15.4%, 95% CI -4.2 to 35.0) to 8 oocytes (40.8%, 95% CI 13.2-68.4), with an 8.4% gain per additional oocyte, in the ≤35-year-old group. The increase was slower with 10-15 oocytes, reaching a plateau CLBR of 85.2%. A milder increase (4.9% gain) was observed in the ≥36-year-old group (from 5.1% [95% CI -0.6 to 10.7] to 19.9% [95% CI 8.7-31.1] when 5-8 oocytes were consumed), reaching the plateau with 11 oocytes (CLBR 35.6%). Forty babies were born. At least 8-10 metaphase II oocytes are necessary to achieve reasonable success. Numbers should be individualized in women >36 years old. We suggest encouraging women who are motivated exclusively by a desire to postpone childbearing because of age, to come at younger ages to increase success possibilities. Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Development of Ground Test System For RKX-200EB

NASA Astrophysics Data System (ADS)

Yudhi Irwanto, Herma

2018-04-01

After being postponed for seven years, the development of RKX-200EB now restarts by initiating a ground test, preceding the real flight test. The series of the development starts from simulation test using the real vehicle and its components, focusing on a flight sequence test using hardware in the loop simulation. The result of the simulation shows that the autonomous control system in development is able to control the X tail fin vehicle, since take off using booster, separating booster-sustainer, making flight maneuver using sustainer with average cruise speed of 1000 km/h, and doing bank to maneuver up to ±40 deg heading to the target. The simulation result also shows that the presence of sustainer in vehicle control can expand the distance range by 162% (12.6 km) from its ballistic range using only a booster.

Can singular examples change implicit attitudes in the real-world?

PubMed Central

Roos, Leslie E.; Lebrecht, Sophie; Tanaka, James W.; Tarr, Michael J.

2013-01-01

Implicit attitudes about social groups persist independently of explicit beliefs and can influence not only social behavior, but also medical and legal practices. Although examples presented in the laboratory can alter such implicit attitudes, it is unclear whether the same influence is exerted by real-world exemplars. Following the 2008 US election, Plant et al. reported that the Implicit Association Test or “IAT” revealed a decrease in negative implicit attitudes toward African-Americans. However, a large-scale study also employing the IAT found little evidence for a change in implicit attitudes pre- and post-election. Here we present evidence that the 2008 US election may have facilitated at least a temporary change in implicit racial attitudes in the US. Our results rely on the Affective Lexical Priming Score or “ALPS” and pre- and post-election measurements for both US and non-US participants. US students who, pre-election, exhibited negative associations with black faces, post-election showed positive associations with black faces. Canadian students pre- and post-election did not show a similar shift. To account for these findings, we posit that the socio-cognitive processes underlying ALPS are different from those underlying the IAT. Acknowledging that we cannot form a causal link between an intervening real-world event and laboratory-measured implicit attitudes, we speculate that our findings may be driven by the fact that the 2008 election campaign included extremely positive media coverage of President Obama and prominently featured his face in association with positive words—similar to the structure of ALPS. Even so, our real-world finding adds to the literature demonstrating the malleability of implicit attitudes and has implications for how we understand the socio-cognitive mechanisms underlying stereotypes. PMID:24046756

The timing of drug funding announcements relative to elections: a case study involving dementia medications.

PubMed

Gill, Sudeep S; Gupta, Neeraj; Bell, Chaim M; Rochon, Paula A; Austin, Peter C; Laupacis, Andreas

2013-01-01

Following initial regulatory approval of prescription drugs, many factors may influence insurers and health systems when they decide whether to add these drugs to their formularies. The role of political pressures on drug funding announcements has received relatively little attention, and elections represent an especially powerful form of political pressure. We examined the temporal relationship between decisions to add one class of drugs to publicly funded formularies in Canada's ten provinces and elections in these jurisdictions. Dates of provincial formulary listings for cholinesterase inhibitors, which are drugs used to treat Alzheimer's disease and related dementias, were compared to the dates of provincial elections. Medical journal articles, media reports, and proceedings from provincial legislatures were reviewed to assemble information on the chronology of events. We tested whether there was a statistically significant increase in the probability of drug funding announcements within the 60-day intervals preceding provincial elections. Decisions to fund the cholinesterase inhibitors were made over a nine-year span from 1999 to 2007 in the ten provinces. In four of ten provinces, the drugs were added to formularies in a time period closely preceding a provincial election (P = 0.032); funding announcements in these provinces were made between 2 and 47 days prior to elections. Statements made in provincial legislatures highlight the key role of political pressures in these funding announcements. Impending elections appeared to affect the timing of drug funding announcements in this case study. Despite an established structure for evidence-based decision-making, drug funding remains a complex process open to influence from many sources. Awareness of such influences is critical to maintain effective drug policy and public health decision-making.

Abdominal girth and vertebral column length aid in predicting intrathecal hyperbaric bupivacaine dose for elective cesarean section

PubMed Central

Wei, Chang-Na; Zhou, Qing-He; Wang, Li-Zhong

2017-01-01

Abstract Currently, there is no consensus on how to determine the optimal dose of intrathecal bupivacaine for an individual undergoing an elective cesarean section. In this study, we developed a regression equation between intrathecal 0.5% hyperbaric bupivacaine volume and abdominal girth and vertebral column length, to determine a suitable block level (T5) for elective cesarean section patients. In phase I, we analyzed 374 parturients undergoing an elective cesarean section that received a suitable dose of intrathecal 0.5% hyperbaric bupivacaine after a combined spinal-epidural (CSE) was performed at the L3/4 interspace. Parturients with T5 blockade to pinprick were selected for establishing the regression equation between 0.5% hyperbaric bupivacaine volume and vertebral column length and abdominal girth. Six parturient and neonatal variables, intrathecal 0.5% hyperbaric bupivacaine volume, and spinal anesthesia spread were recorded. Bivariate line correlation analyses, multiple line regression analyses, and 2-tailed t tests or chi-square test were performed, as appropriate. In phase II, another 200 parturients with CSE for elective cesarean section were enrolled to verify the accuracy of the regression equation. In phase I, a total of 143 parturients were selected to establish the following regression equation: YT5 = 0.074X1 − 0.022X2 − 0.017 (YT5 = 0.5% hyperbaric bupivacaine volume for T5 block level; X1 = vertebral column length; and X2 = abdominal girth). In phase II, a total of 189 participants were enrolled in the study to verify the accuracy of the regression equation, and 155 parturients with T5 blockade were deemed eligible, which accounted for 82.01% of all participants. This study evaluated parturients with T5 blockade to pinprick after a CSE for elective cesarean section to establish a regression equation between parturient vertebral column length and abdominal girth and 0.5% hyperbaric intrathecal bupivacaine volume. This equation can accurately predict the suitable intrathecal hyperbaric bupivacaine dose for elective cesarean section. PMID:28834913

Abdominal girth and vertebral column length aid in predicting intrathecal hyperbaric bupivacaine dose for elective cesarean section.

PubMed

Wei, Chang-Na; Zhou, Qing-He; Wang, Li-Zhong

2017-08-01

Currently, there is no consensus on how to determine the optimal dose of intrathecal bupivacaine for an individual undergoing an elective cesarean section. In this study, we developed a regression equation between intrathecal 0.5% hyperbaric bupivacaine volume and abdominal girth and vertebral column length, to determine a suitable block level (T5) for elective cesarean section patients.In phase I, we analyzed 374 parturients undergoing an elective cesarean section that received a suitable dose of intrathecal 0.5% hyperbaric bupivacaine after a combined spinal-epidural (CSE) was performed at the L3/4 interspace. Parturients with T5 blockade to pinprick were selected for establishing the regression equation between 0.5% hyperbaric bupivacaine volume and vertebral column length and abdominal girth. Six parturient and neonatal variables, intrathecal 0.5% hyperbaric bupivacaine volume, and spinal anesthesia spread were recorded. Bivariate line correlation analyses, multiple line regression analyses, and 2-tailed t tests or chi-square test were performed, as appropriate. In phase II, another 200 parturients with CSE for elective cesarean section were enrolled to verify the accuracy of the regression equation.In phase I, a total of 143 parturients were selected to establish the following regression equation: YT5 = 0.074X1 - 0.022X2 - 0.017 (YT5 = 0.5% hyperbaric bupivacaine volume for T5 block level; X1 = vertebral column length; and X2 = abdominal girth). In phase II, a total of 189 participants were enrolled in the study to verify the accuracy of the regression equation, and 155 parturients with T5 blockade were deemed eligible, which accounted for 82.01% of all participants.This study evaluated parturients with T5 blockade to pinprick after a CSE for elective cesarean section to establish a regression equation between parturient vertebral column length and abdominal girth and 0.5% hyperbaric intrathecal bupivacaine volume. This equation can accurately predict the suitable intrathecal hyperbaric bupivacaine dose for elective cesarean section.

Success of elective cholecystectomy treatment plans after emergency department visit.

PubMed

Bingener, Juliane; Thomsen, Kristine M; McConico, Andrea; Hess, Erik P; Habermann, Elizabeth B

2015-01-01

Differentiation between patients with acute cholecystitis and patients with severe biliary colic can be challenging. Patients with undiagnosed acute cholecystitis can incur repeat emergency department (ED) visits, which is resource intensive. Billing records from 2000-2013 of all adults who visited the ED in the 30 d preceding their cholecystectomy were analyzed. Patients who were discharged from the ED and underwent elective cholecystectomy were compared with those who were discharged and returned to the ED within 30 d. T-tests, chi-square tests, and multivariable analysis were used as appropriate. From 2000-2013, 3138 patients (34%) presented to the ED within 30 d before surgery, 63% were women, mean age 51 y, and of those 1625 were directly admitted from the ED for cholecystectomy, whereas 1513 patients left the ED to return for an elective cholecystectomy. Patients who were discharged were younger (mean age 49 versus 54 y, P < 0.001) and had shorter ED stays (5.9 versus 7.2 h, P < 0.001) than the patients admitted immediately. Of the discharged patients, 303 (20%) returned to the ED within 30 d to undergo urgent cholecystectomy. Compared with patients with successful elective cholecystectomy after the ED visit, those who failed the pathway were more likely to have an American Society of Anesthesiologists score ≥3 and were <40 or ≥60 compared with the successful group. One in five patients failed the elective cholecystectomy pathway after ED discharge, leading to additional patient distress and use of resources. Further risk factor assessment may help design efficient care pathways. Copyright © 2015 Elsevier Inc. All rights reserved.

Mate and Dart: An Instrument Package for Characterizing Solar Energy and Atmospheric Dust on Mars

NASA Technical Reports Server (NTRS)

Landis, Geoffrey A.; Jenkins, Phillip; Scheiman, David; Baraona, Cosmo

2000-01-01

The MATE (Mars Array Technology Experiment) and DART (Dust Accumulation and Removal Test) instruments were developed to fly as part of the Mars ISPP Precursor (MIP) experiment on the (now postponed) Mars-2001 Surveyor Lander. MATE characterizes the solar energy reaching the surface of Mars, and measures the performance and degradation of solar cells under Martian conditions. DART characterizes the dust environment of Mars, measures the effect of settled dust on solar arrays, and investigates methods to mitigate power loss due to dust accumulation.

[Comparison between lymphocytic infiltration in early spontaneous abortions and in elective abortions with signs of disruption at the chorio-decidual interface].

PubMed

Caliendo, L

2007-12-01

The aim of the study was to compare lymphocytic infiltrations in early spontaneous abortions with those with signs of disruption at the chorio-decidual interface in elective abortions. Determinations were performed on preparations received at the Anatomy-Pathology Services of Ospedale San Paolo, Savona (Italy) in 2005. Immunohistochemistry studies were performed using antisera CD3, CD4 and CD14 with a DAB detection kit on a Ventana BenchMark automated slide staining system. The material was grouped into three classes: early spontaneous abortions (class 1); elective abortions with signs of disruption at the chorio-decidual interface (class 2); elective abortions without such signs (class 3). Preparations from classes 1 and 2 shared a similar picture of lymphocytic activation and the presence of macrophagic elements. The test results demonstrated that the proportion of the T cell population increased with the rise in CD8+ lymphocytes in both class 1 and class 2 preparations. The results indicate that T-cell-mediated immune activation may the cause or one of the causes of spontaneous abortion and that the effects of disruption at the chorio-decidual interface observed in elective abortion provide a clue to initial signs of loss of pregnancy. From the discovery of a population without evident signs of active abortion (elective abortion with a disturbed chorio-decidual interface) but with evidence of initial lymphocytic activation compared with that devoid of such signs (elective abortion) one can conjecture that lymphocytic activation is a major factor in the process leading to early spontaneous abortion.

KSC-07pd3642

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- In the cryogenic test bed facility at NASA's Kennedy Space Center, technicians monitor readings during a test exposing Time Domain Reflectometry, or TDR, instrumentation to "wet" super-cold temperatures for identifying the signature of a cryogenic environment and calibrating the TDR equipment. The equipment will be used at the launch pad to test a procedure identical to a tanking test on space shuttle Atlantis' external tank planned for Dec. 18. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the engine cut-off, or ECO, sensor system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

STS-99 Mission Specialist Mohri and his wife get ready to DEPART from PAFB

NASA Technical Reports Server (NTRS)

2000-01-01

STS-99 Mission Specialist Mamoru Mohri of Japan and his wife, Akiko, wave before their departure from Patrick Air Force Base and return to Houston. With the postponement of the launch of STS-99 on Jan. 31, the crew have an opportunity for more training and time with their families. During the launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch mid- to late next week pending availability of the Eastern Range. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety.

KSC00pp0146

NASA Image and Video Library

2000-02-02

On the runway at the Shuttle Landing Facility, STS-99 crew members Pilot Dominic Gorie, Mission Specialist Janice Voss, Commander Kevin Kregel and Mission Specialist Gerhard Thiele discuss departure plans to Houston. Kregel and Gorie will be piloting T-38 jets with Voss and Thiele as passengers. During the Jan. 31 launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto latenext week pending availability of the Eastern Range. The postponed launch gives the crew an opportunity for more training and time with their families. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

KSC00pp0147

NASA Image and Video Library

2000-02-02

On the runway at the Shuttle Landing Facility, STS-99 crew members Mission Specialists Gerhard Thiele and Janice Voss, Commander Kevin Kregel and Pilot Dominic Gorie briefly talk to the media about their imminent departure to Houston. Kregel and Gorie will be piloting T-38 jets with Voss and Thiele as passengers. During the Jan. 31 launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto late next week pending availability of the Eastern Range. The postponed launch gives the crew an opportunity for more training and time with their families. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

KSC-00pp0147

NASA Image and Video Library

2000-02-02

On the runway at the Shuttle Landing Facility, STS-99 crew members Mission Specialists Gerhard Thiele and Janice Voss, Commander Kevin Kregel and Pilot Dominic Gorie briefly talk to the media about their imminent departure to Houston. Kregel and Gorie will be piloting T-38 jets with Voss and Thiele as passengers. During the Jan. 31 launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto late next week pending availability of the Eastern Range. The postponed launch gives the crew an opportunity for more training and time with their families. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

KSC-00pp0146

NASA Image and Video Library

2000-02-02

On the runway at the Shuttle Landing Facility, STS-99 crew members Pilot Dominic Gorie, Mission Specialist Janice Voss, Commander Kevin Kregel and Mission Specialist Gerhard Thiele discuss departure plans to Houston. Kregel and Gorie will be piloting T-38 jets with Voss and Thiele as passengers. During the Jan. 31 launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch midto latenext week pending availability of the Eastern Range. The postponed launch gives the crew an opportunity for more training and time with their families. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety

Clinical skills center attending: an innovative senior medical school elective.

PubMed

Moseley, Thomas H; Cantrell, Mary J; Deloney, Linda A

2002-11-01

Although residents are expected to assume teaching responsibilities, the traditional medical school curriculum does not formally prepare students for the teaching role. In 1999 an elective was developed to provide senior medical students with opportunities to acquire instructional and leadership skills by participating in clinical education activities as a clinical skills center attending. This elective also allowed the senior student to explore academic medicine as a potential career choice. During the four-week elective, a senior student acted as an attending in the clinical skills center (CSC), a state-of-the-art facility that is designed and equipped for teaching and testing medical skills. (The CSC has ten fully operational patient examining rooms for student-patient interaction, and each room is equipped with dual cameras and two-way audio response capability.) The participating student spent approximately 40 hours per week teaching clinical skills to freshmen, sophomore, and junior medical students and assisting with testing activities for the Colleges of Medicine, Pharmacy, and Nursing. A specific requirement for full credit was writing an objective standardized clinical examination (OSCE) case. The case format required development of a checklist for minimal competencies of the examinee and suggested techniques for evaluating those competencies. Another specific requirement was that the senior student participate in the training of standardized patients to portray one or more OSCE cases. Other activities were tailored to meet the needs of the senior student and/or users of the CSC. Two course co-directors provided guidance for all students. Evaluation was on a "pass/fail" basis. There were no written or oral exams. The purpose of the elective was achieved through individual research and completion of the assigned activities. This elective was first offered to senior medical students at during 1999-2000. Each student participated in an average of ten teaching sessions or assessments. To date, six senior students, five women and one man, have completed the elective. These students entered family medicine, pediatrics, internal medicine, psychiatry, and surgery residencies. Participants were asked to rate the elective using a five-point Likert-type scale with 5 signifying "strong agreement." The response rate was 67%. These students felt the requirements were adequate (4.75) and said they would recommend it to other senior students (4.75). They agreed that the objectives were clear and attainable (4.5) and that it better prepared them to teach as resident (4.25). Areas of weakness identified were the elective's ability to increase the student's understanding of medical education (3.75) and meet the student's expectations (4.0). The organization of the elective (4.0) could be improved as well. Most participants were interested in academic medicine before (4.25) and after (4.75) the experience. We plan to follow these students over time to see what careers they eventually pursue. Although our experience is limited and the student population is small, we believe the elective is an effective method for developing teaching skills and helping the upper-level medical student who is interested in education to better understand the nature and function of academic clinical medicine.

KSC-07pd3643

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- In the cryogenic test bed facility at NASA's Kennedy Space Center, Time Domain Reflectometry, or TDR, instrumentation is being exposed to "wet" super-cold temperatures for identifying the signature of a cryogenic environment and calibrating the TDR equipment. The equipment will be used at the launch pad to test a procedure identical to a tanking test on space shuttle Atlantis' external tank planned for Dec. 18. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the engine cut-off, or ECO, sensor system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

KSC-07pd3639

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- In the cryogenic test bed facility at NASA's Kennedy Space Center, Time Domain Reflectometry, or TDR, instrumentation is being exposed to "wet" super-cold temperatures for identifying the signature of a cryogenic environment and calibrating the TDR equipment. The equipment will be used at the launch pad to test a procedure identical to a tanking test on space shuttle Atlantis' external tank planned for Dec. 18. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the engine cut-off, or ECO, sensor system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

KSC-07pd3640

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- In the cryogenic test bed facility at NASA's Kennedy Space Center, Time Domain Reflectometry, or TDR, instrumentation is being exposed to "wet" super-cold temperatures for identifying the signature of a cryogenic environment and calibrating the TDR equipment. The equipment will be used at the launch pad to test a procedure identical to a tanking test on space shuttle Atlantis' external tank planned for Dec. 18. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the engine cut-off, or ECO, sensor system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

KSC-07pd3641

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- In the cryogenic test bed facility at NASA's Kennedy Space Center, Time Domain Reflectometry, or TDR, instrumentation is being exposed to "wet" super-cold temperatures for identifying the signature of a cryogenic environment and calibrating the TDR equipment. The equipment will be used at the launch pad to test a procedure identical to a tanking test on space shuttle Atlantis' external tank planned for Dec. 18. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the engine cut-off, or ECO, sensor system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

KSC-07pd3629

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- On Launch Pad 39A, a technician prepares a cable from an electrical harness in space shuttle Atlantis' aft main engine compartment connected with the engine cut-off, or ECO, system leading into the tail mast. The test wiring leads from the tail mast to the interior of the mobile launcher platform where the Time Domain Reflectometry, or TDR, test equipment will be located to test the sensor system. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the ECO system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

KSC-07pd3628

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- On Launch Pad 39A, cables lead from an electrical harness in space shuttle Atlantis' aft main engine compartment connected with the engine cut-off, or ECO, system into the tail mast. The test wiring leads from the tail mast to the interior of the mobile launcher platform where the Time Domain Reflectometry, or TDR, test equipment will be located to test the sensor system. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the ECO system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

KSC-07pd3627

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- On Launch Pad 39A, cables lead from an electrical harness in space shuttle Atlantis' aft main engine compartment connected with the engine cut-off, or ECO, system into the tail mast. The test wiring leads from the tail mast to the interior of the mobile launcher platform where the Time Domain Reflectometry, or TDR, test equipment will be located to test the sensor system. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the ECO system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

Equiosmolar Solutions of Hypertonic Saline and Mannitol Do Not Impair Blood Coagulation During Elective Intracranial Surgery.

PubMed

Hernández-Palazón, Joaquín; Fuentes-García, Diego; Doménech-Asensi, Paloma; Piqueras-Pérez, Claudio; Falcón-Araña, Luis; Burguillos-López, Sebastián

2017-01-01

The authors investigated the effect of equiosmolar, equivolemic solutions of 3% hypertonic saline (HS) and 20% mannitol on blood coagulation assessed by rotational thromboelastometry (ROTEM) and standard coagulation tests during elective craniotomy. In a prospective, randomized, double-blind trial, 40 patients undergoing elective craniotomy were randomized to receive 5 mL/kg of either 20% mannitol or 3% HS for intraoperative brain relaxation. Fibrinogen, activated partial thromboplastin time, prothrombin time, hemoglobin, hematocrit, and platelet count were simultaneously measured intraoperatively with ROTEM for EXTEM, INTEM, and FIBTEM analysis. ROTEM parameters were: clotting time (CT), clot formation time (CFT), maximum clot firmness (MCF), and α-angle. No significant differences between groups were found in ROTEM variables CT, CFT, MCF, α-angle (EXTEM and INTEM), and MCF (FIBTEM) nor standard coagulation tests. ROTEM parameters did not show changes after administration of hyperosmolar solutions relating to basal values, except for an increase of CFT EXTEM (118±28 vs. 128±26 s) and decrease of CT INTEM (160±18 vs. 148±15 s) with values within normal range. Significant decreases from baseline levels were observed for hematocrit (-7%), platelet count (-10%), and fibrinogen (-13%) after HS infusion, and hematocrit (-9%), platelet count (-13%), and fibrinogen (-9%) after mannitol infusion, but remaining normal. The use of 5 mL/kg of equiosmolar solutions of 3% HS and 20% mannitol applied to reach a brain relaxation during elective craniotomy does not induce coagulation impairment as evidenced by ROTEM and standard coagulation tests.

Delivering direct acting antiviral therapy for hepatitis C to highly marginalised and current drug injecting populations in a targeted primary health care setting.

PubMed

Read, Phillip; Lothian, Rebecca; Chronister, Karen; Gilliver, Rosie; Kearley, John; Dore, Gregory J; van Beek, Ingrid

2017-09-01

The Kirketon Road Centre (KRC) is a community-based public health facility in Sydney, Australia, that provides healthcare to people who inject drugs (PWID), including hepatitis C virus (HCV) treatment. From March 2016, the Australian Government has provided access to direct-acting antivirals (DAA) for adults with chronic HCV, without liver disease stage or drug and alcohol use restrictions. The aim of this study was to report DAA treatment outcomes among highly marginalised PWID treated at KRC. All individuals initiating DAA treatment at KRC and due for sustained virological response (SVR12) testing by end 2016 were included. Demographic, drug use behaviour, clinical parameters, adherence support and HCV treatment outcomes, including SVR12 were recorded. Factors associated with SVR12, loss-to-follow-up (LTFU) and delayed SVR12 testing (>SVR16) were assessed by multivariate analysis. SVR12 was assessed by intention-to-treat (ITT) and modified ITT, the latter excluding individuals with an end-of-treatment response (ETR) but no SVR12 assessment, or who postponed their SVR12 date due to treatment interruption. A total of 72 individuals commencing DAAs were included, of whom 67% were male, 30% homeless, and 32% Aboriginal. All had a lifetime history of injecting drug use, with 75% having injected within the last six months, and 44% injecting at least weekly; 25% were also enrolled in opioid substitution therapy. Twenty-five (35%) individuals elected to receive an enhanced adherence-support package. Fifty-nine of 72 (82%) individuals due for SVR12 attended for testing, of whom 59/59 (100%) achieved SVR, providing an ITT SVR of 82%. A further six individuals had undetectable HCV RNA at ETR, but no SVR12 assessment, and one interrupted treatment, providing a mITT SVR of 91%. Homelessness was associated with delayed SVR12 testing (OR 24.9 95%CI 2.9-212.8, p=0.003). There was no association between LTFU and frequency of drug injection, last drug injected, or planned treatment duration. This study confirms that PWID can be successfully treated for HCV in a real-world setting using an integrated primary health care model. It also demonstrates feasibility to upscale DAA therapy in high-risk PWID populations, with potential individual and population-level public health benefits. Enhanced efforts are required to optimise post-treatment follow-up. Copyright © 2017 Elsevier B.V. All rights reserved.

Value of fundamentals of laparoscopic surgery training in a fourth-year medical school advanced surgical skills elective.

PubMed

Edelman, David A; Mattos, Mark A; Bouwman, David L

2012-10-01

Few data are available describing the benefits of initiating fundamentals of laparoscopic surgery (FLS) training during medical school. We hypothesized that an intense 1-month surgical skills elective that included FLS task training for fourth-year medical students (MS4s) would result in performance levels indistinguishable from graduating chief residents (PGY5) who had received clinical skill training and access to self-guided FLS curriculum. From July 2007 through June 2011, 114 MS4s participated in a 1-month advanced surgical skills elective. The curriculum for the elective included cadaver dissections, patient management presentations, and surgical skill training (open surgical skills and basic laparoscopic skills modules performed on FLS trainers and virtual reality laparoscopic simulators). From June 2009 through June 2011, 21 PGY5s graduated who had never received formalized FLS skills training. These residents were tested on FLS by a certified proctor and the results recorded. The performance outcome measure was task completion time. Unpaired Student's t-test was used to compare the performance measures for each group. All PGY5s achieved FLS certification on their first attempt and completed enough cases for graduation. The MS4 group showed significantly better performance than the PGY5 group in the peg transfer and circle cut (P < 0.05). No difference was seen in the knot tying tasks between the two groups (P > 0.05) Incorporating FLS training into a 1 month-long medical school surgery elective enabled MS4s to achieve FLS performance similar to, or better than, the performance achieved by PGY5 surgery residents. We support the integration of FLS skills task training as a standard part of the skills training curriculum for medical students. Copyright © 2012 Elsevier Inc. All rights reserved.

[Effects of postponing nitrogen application on photosynthetic characteristics and grain yield of winter wheat subjected to water stress after heading stage].

PubMed

Yang, Ming-da; Ma, Shou-chen; Yang, Shen-jiao; Zhang, Su-yu; Guan, Xiao-kang; Li, Xue-mei; Wang, Tong-chao; Li, Chun-xi

2015-11-01

A pot culture experiment was conducted to study the effects of postponing nitrogen (N) application on photosynthetic characteristics and grain yield of winter wheat subjected to water stress after heading stage. Equal in the total N rate in winter wheat growth season, N application was split before sowing, and/or at jointing and /or at anthesis at the ratio of 10:0:0 (N1), 6:4:0 (N2) and 4:3:3 (N3), combined with unfavorable water condition (either waterlogged or drought) with the sufficient water condition as control. The results showed that, under each of the water condition, both N2 and N3 treatments significantly improved the leaf photosynthetic rate and the SPAD value of flag leaf compared with N1 treatment during grain filling stage, and also the crop ear number, grain number per spike and above-ground biomass were increased. Although postponing nitrogen application increased water consumption, both grain yield and water use efficiency were increased. Compared with sufficient water supply, drought stress and waterlogging stress significantly reduced the photosynthetic rate of flag leaves at anthesis and grain filling stages, ear number, 1000-grain mass and yield under all of the N application patterns. The decline of photosynthetic rate under either drought stress or waterlogging stress was much less in N2 and N3 than in N1 treatments, just the same as the grain yield. The results indicated that postponing nitrogen application could regulate winter wheat yield as well as its components to alleviate the damages, caused by unfavorable water stress by increasing flag leaf SPAD and maintaining flag leaf photosynthetic rate after anthesis, and promoting above-ground dry matter accumulation.

Assessing the impact of heart failure specialist services on patient populations.

PubMed

Lyratzopoulos, Georgios; Cook, Gary A; McElduff, Patrick; Havely, Daniel; Edwards, Richard; Heller, Richard F

2004-05-24

The assessment of the impact of healthcare interventions may help commissioners of healthcare services to make optimal decisions. This can be particularly the case if the impact assessment relates to specific patient populations and uses timely local data. We examined the potential impact on readmissions and mortality of specialist heart failure services capable of delivering treatments such as b-blockers and Nurse-Led Educational Intervention (N-LEI). Statistical modelling of prevented or postponed events among previously hospitalised patients, using estimates of: treatment uptake and contraindications (based on local audit data); treatment effectiveness and intolerance (based on literature); and annual number of hospitalization per patient and annual risk of death (based on routine data). Optimal treatment uptake among eligible but untreated patients would over one year prevent or postpone 11% of all expected readmissions and 18% of all expected deaths for spironolactone, 13% of all expected readmisisons and 22% of all expected deaths for b-blockers (carvedilol) and 20% of all expected readmissions and an uncertain number of deaths for N-LEI. Optimal combined treatment uptake for all three interventions during one year among all eligible but untreated patients would prevent or postpone 37% of all expected readmissions and a minimum of 36% of all expected deaths. In a population of previously hospitalised patients with low previous uptake of b-blockers and no uptake of N-LEI, optimal combined uptake of interventions through specialist heart failure services can potentially help prevent or postpone approximately four times as many readmissions and a minimum of twice as many deaths compared with simply optimising uptake of spironolactone (not necessarily requiring specialist services). Examination of the impact of different heart failure interventions can inform rational planning of relevant healthcare services.

Brain Magnetic Resonance Immediately Prior To Surgery In Single Ventricles and Surgical Postponement

PubMed Central

Fogel, Mark A.; Pawlowski, Tom; Schwab, Peter J.; Nicolson, Susan C.; Montenegro, Lisa M.; Berenstein, Laura Diaz; Spray, Thomas L.; Gaynor, J William; Fuller, Stephanie; Keller, Marc S.; Harris, Matthew A.; Whitehead, Kevin K.; Vossough, Arastoo; Licht, Daniel J.

2014-01-01

Background Single ventricle patients undergoing surgical reconstruction experience a high rate of brain injury; incidental findings on pre-operative brain scans may result in safety considerations involving hemorrhage extension during cardiopulmonary bypass that result in surgical postponement. Methods Single ventricle patients were studied with brain scans immediately preoperatively as part of a National Institute of Health study and were reviewed by neuroradiology immediately prior to cardiopulmonary bypass. Results One hundred and thirty four consecutive subjects recruited into the project were studied: 33 prior to stage I (3.7±1.8 days), 34 prior to bidirectional Glenn (5.8±3.5 months) and 67 prior to Fontan (3.3±1.1 years). Six (4.5%) surgeries were postponed because of concerning imaging findings on brain MRI; 2 prior to stage I, 3 prior to bidirectional Glenn and 1 prior to Fontan. Five were due to unexpected incidental findings of acute intracranial hemorrhage and one due to diffuse cerebellar cytotoxic edema; none who proceeded to surgery had these lesions. Prematurity as well as genetic syndromes were not present in any with postponed surgery. Four of 4 prior to bidirectional Glenn/Fontan with surgical delays had hypoplastic left heart syndrome compared with 44/97 who did not (P=0.048). After observation and follow up, all eventually had successful surgeries with bypass. Conclusion Preoperative brain MRI performed in children with single ventricles disclosed injuries in 4.5% leading to surgical delay; hemorrhagic lesions were most common and raised concerns for extension during surgery. The true risk of progression and need for delay of surgery due to heparinization associated with these lesions remains uncertain. PMID:25149046

Does postponement of first pregnancy increase gender differences in sickness absence? A register based analysis of Norwegian employees in 1993-2007.

PubMed

Ariansen, Anja M S; Mykletun, Arnstein

2014-01-01

From 1970-2012, the average age at first delivery increased from 23.2-28.5 in Norway. Postponement of first pregnancy increases risks of medical complications both during and after pregnancy. Sickness absence during pregnancy has over the last two decades increased considerably more than in non-pregnant women. The aim of this paper is twofold: Firstly to investigate if postponement of pregnancy is related to increased sickness absence and thus contributing to the increased gender difference in sickness absence; and secondly, to estimate how much of the increased gender difference in sickness absence that can be accounted for by increased sickness absence amongst pregnant women. We employed registry-data to analyse sickness absence among all Norwegian employees with income equivalent to full-time work in the period 1993-2007. After control for age, education, and income, pregnant women's sickness absence (age 20-44) increased on average 0.94 percentage points each year, compared to 0.29 in non-pregnant women and 0.14 in men. In pregnant women aged 20-24, sickness absence during pregnancy increased by 0.96 percent points per calendar year, compared to 0.60 in age-group 30-34. Sickness absence during pregnancy accounted for 25% of the increased gender gap in sickness absence, accounting for changes in education, income and age. Postponement of first pregnancy does not explain the increase in pregnant women's sickness absence during the period 1993-2007 as both the highest level and increase in sickness absence is seen in the younger women. Reasons are poorly understood, but still important as it accounts for 25% of the increased gender gap in sickness absence.

Does Postponement of First Pregnancy Increase Gender Differences in Sickness Absence? A Register Based Analysis of Norwegian Employees in 1993–2007

PubMed Central

Ariansen, Anja M. S.; Mykletun, Arnstein

2014-01-01

Background From 1970–2012, the average age at first delivery increased from 23.2–28.5 in Norway. Postponement of first pregnancy increases risks of medical complications both during and after pregnancy. Sickness absence during pregnancy has over the last two decades increased considerably more than in non-pregnant women. The aim of this paper is twofold: Firstly to investigate if postponement of pregnancy is related to increased sickness absence and thus contributing to the increased gender difference in sickness absence; and secondly, to estimate how much of the increased gender difference in sickness absence that can be accounted for by increased sickness absence amongst pregnant women. Methods We employed registry-data to analyse sickness absence among all Norwegian employees with income equivalent to full-time work in the period 1993–2007. Results After control for age, education, and income, pregnant women's sickness absence (age 20–44) increased on average 0.94 percentage points each year, compared to 0.29 in non-pregnant women and 0.14 in men. In pregnant women aged 20–24, sickness absence during pregnancy increased by 0.96 percent points per calendar year, compared to 0.60 in age-group 30–34. Sickness absence during pregnancy accounted for 25% of the increased gender gap in sickness absence, accounting for changes in education, income and age. Conclusions Postponement of first pregnancy does not explain the increase in pregnant women's sickness absence during the period 1993–2007 as both the highest level and increase in sickness absence is seen in the younger women. Reasons are poorly understood, but still important as it accounts for 25% of the increased gender gap in sickness absence. PMID:24667483

Custody and prison deaths autopsied in Istanbul between 2010 and 2012.

PubMed

Ünal, Volkan; Özgün Ünal, Esra; Çetinkaya, Zafer; İmalı, Murat; Gürler, Selçuk; Koç, Sermet

2016-04-01

The occurred death of a convict in prison, police custody cell or in a hospital always attracts public attention and can be considered as a complex phenomenon. The aim of this study is to evaluate the data obtained from autopsies performed to the custody and prison deaths in Istanbul and to discuss the possible solutions by comparing with the literature. It is also aimed to discuss the postponement of the sentence and presidential amnesty facts in Turkey. Deaths of inmates, which occurred in hospitals, prisons, prison medical rooms, police vans and police custody cells between 2010 and 2012 in Istanbul, Turkey were included in the study. Totally 125 cases were found and 98.4% of them were male. Natural deaths accounted for a great majority of deaths (83.2%). The most common natural cause was cardiovascular diseases. Unnatural deaths accounted for 15.2% of the deaths. Death reason cannot be determined for 1.6% of the cases. More than half of the cases (56%) were died at the hospital, 34.4% were died at the prison, 4% of them at the police van, 3.2% were died under police custody and 2.4% were died at the prison medical room. Moreover, twelve of these cases had applied to Third Specialization Board previously for postponement of the sentence or Presidential amnesty. Totally five of these cases found suitable for postponement of the sentence. Prison conditions should be improved, prisoners with chronic diseases should be examined periodically and if appropriate their sentences should be postponed until they heal. Copyright © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Factors associated with biopsy site identification, postponement of surgery, and patient confidence in a dermatologic surgery practice.

PubMed

Zhang, Junqian; Rosen, Alex; Orenstein, Lauren; Van Voorhees, Abby; Miller, Christopher J; Sobanko, Joseph F; Shin, Thuzar M; Etzkorn, Jeremy R

2016-06-01

Biopsy site identification is critical to avoid wrong-site surgery and may impact patient-centered outcomes. We sought to evaluate risk factors for biopsy site misidentification, postponement of surgery, and patient confidence in surgical site selection and to assess the near-miss rate for wrong-site surgeries. This was a prospective observational cohort study. Near-miss wrong-site surgeries were detected and averted in 1.3% (3 of 239) of patients with biopsy site photographs. Risk factors for biopsy site misidentification by patients were 6 weeks or longer between biopsy and surgery (odds ratio [OR] 2.19, 95% confidence interval [CI] 1.12-4.27; P = .028) and patient inability to see biopsy site (OR 3.95, 95% CI 1.50-10.37; P = .002). Risk factors for physician misidentification were 6 or more weeks between biopsy and surgery (OR 3.68, 95% CI 1.40-9.66; P = .007) and biopsy specimens from multiple sites (OR 4.39, 95% CI 1.67-11.54; P = .003). Postponement of surgery was associated with absence of a biopsy site photograph (OR 12.5, 95% CI 2.79-62.21; P < .001). Patient confidence in surgical site identification was associated with the presence of a biopsy site photograph (OR 5.48, 95% CI 1.96-15.30; P = .001). This was a single-site observational study. Biopsy site photography is associated with reduced rates of postponed surgeries and improved rates of patient confidence in surgical site selection. Risk factors for biopsy site misidentification should be considered before definitive treatment. Copyright © 2015 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Technical memo, project 0-6132 : task 6 - test sections in the districts.

DOT National Transportation Integrated Search

2011-01-01

This Tech Memo provides a summary of the Lab Test, Distress Survey, and Construction Reports : for the RAP Test Sections in Laredo District. Based on extensive lab testing by TTI, the District : elected to use the TTI mix-design (5.0% PG 64-22 + Crus...

How to interpret a small increase in AUC with an additional risk prediction marker: decision analysis comes through.

PubMed

Baker, Stuart G; Schuit, Ewoud; Steyerberg, Ewout W; Pencina, Michael J; Vickers, Andrew; Vickers, Andew; Moons, Karel G M; Mol, Ben W J; Lindeman, Karen S

2014-09-28

An important question in the evaluation of an additional risk prediction marker is how to interpret a small increase in the area under the receiver operating characteristic curve (AUC). Many researchers believe that a change in AUC is a poor metric because it increases only slightly with the addition of a marker with a large odds ratio. Because it is not possible on purely statistical grounds to choose between the odds ratio and AUC, we invoke decision analysis, which incorporates costs and benefits. For example, a timely estimate of the risk of later non-elective operative delivery can help a woman in labor decide if she wants an early elective cesarean section to avoid greater complications from possible later non-elective operative delivery. A basic risk prediction model for later non-elective operative delivery involves only antepartum markers. Because adding intrapartum markers to this risk prediction model increases AUC by 0.02, we questioned whether this small improvement is worthwhile. A key decision-analytic quantity is the risk threshold, here the risk of later non-elective operative delivery at which a patient would be indifferent between an early elective cesarean section and usual care. For a range of risk thresholds, we found that an increase in the net benefit of risk prediction requires collecting intrapartum marker data on 68 to 124 women for every correct prediction of later non-elective operative delivery. Because data collection is non-invasive, this test tradeoff of 68 to 124 is clinically acceptable, indicating the value of adding intrapartum markers to the risk prediction model. Copyright © 2014 John Wiley & Sons, Ltd.

Severe Acute Pancreatitis with Complicating Colonic Fistula Successfully Closed Using the Over-the-Scope Clip System

PubMed Central

Ito, Ken; Igarashi, Yoshinori; Mimura, Takahiko; Kishimoto, Yui; Kamata, Itaru; Kobayashi, Shunsuke; Yoshimoto, Kensuke; Okano, Naoki

2013-01-01

A 44-year-old man presenting to our hospital emergency room with abdominal pain was hospitalized for hyperlipidemic acute pancreatitis. A pig-tail catheter was placed percutaneously to drain an abscess on day 22. Although the abscess improved gradually and good clinical progress was seen, pancreatic duct disruption was strongly suspected and endoscopic retrograde cholangiopancreatography was performed on day 90. An endoscopic nasopancreatic drainage tube was placed, but even with concurrent use of a somatostatin analogue, treatment was ineffective. Surgical treatment was elected, but was subsequently postponed as the abscess culture was positive for extended-spectrum β-lactamase-producing Escherichia coli and methicillin-resistant Staphylococcus aureus. Drainage tubography showed a small fistula of the colon at the splenic flexure on day 140. Colonoscopy was performed on day 148. After indigo carmine had been injected, a fistula into the splenic flexure of the colon showed blue staining. The over-the-scope clip (OTSC) system was used to seal the fistula and complete closure was shown. A liquid diet was started on day 159 and was smoothly upgraded to a full diet. Following removal of the pancreatic stent on day 180, drainage volume immediately decreased and the percutaneous drain was removed. On day 189, computed tomography showed no exacerbation of the abscess and the patient was discharged on day 194. This case of colonic fistula caused by severe acute pancreatitis was successfully treated using the OTSC system, avoiding the need for an open procedure. PMID:23904844

A Stochastic Simulator of a Blood Product Donation Environment with Demand Spikes and Supply Shocks

PubMed Central

An, Ming-Wen; Reich, Nicholas G.; Crawford, Stephen O.; Brookmeyer, Ron; Louis, Thomas A.; Nelson, Kenrad E.

2011-01-01

The availability of an adequate blood supply is a critical public health need. An influenza epidemic or another crisis affecting population mobility could create a critical donor shortage, which could profoundly impact blood availability. We developed a simulation model for the blood supply environment in the United States to assess the likely impact on blood availability of factors such as an epidemic. We developed a simulator of a multi-state model with transitions among states. Weekly numbers of blood units donated and needed were generated by negative binomial stochastic processes. The simulator allows exploration of the blood system under certain conditions of supply and demand rates, and can be used for planning purposes to prepare for sudden changes in the public's health. The simulator incorporates three donor groups (first-time, sporadic, and regular), immigration and emigration, deferral period, and adjustment factors for recruitment. We illustrate possible uses of the simulator by specifying input values for an -week flu epidemic, resulting in a moderate supply shock and demand spike (for example, from postponed elective surgeries), and different recruitment strategies. The input values are based in part on data from a regional blood center of the American Red Cross during –. Our results from these scenarios suggest that the key to alleviating deficit effects of a system shock may be appropriate timing and duration of recruitment efforts, in turn depending critically on anticipating shocks and rapidly implementing recruitment efforts. PMID:21814550

A stochastic simulator of a blood product donation environment with demand spikes and supply shocks.

PubMed

An, Ming-Wen; Reich, Nicholas G; Crawford, Stephen O; Brookmeyer, Ron; Louis, Thomas A; Nelson, Kenrad E

2011-01-01

The availability of an adequate blood supply is a critical public health need. An influenza epidemic or another crisis affecting population mobility could create a critical donor shortage, which could profoundly impact blood availability. We developed a simulation model for the blood supply environment in the United States to assess the likely impact on blood availability of factors such as an epidemic. We developed a simulator of a multi-state model with transitions among states. Weekly numbers of blood units donated and needed were generated by negative binomial stochastic processes. The simulator allows exploration of the blood system under certain conditions of supply and demand rates, and can be used for planning purposes to prepare for sudden changes in the public's health. The simulator incorporates three donor groups (first-time, sporadic, and regular), immigration and emigration, deferral period, and adjustment factors for recruitment. We illustrate possible uses of the simulator by specifying input values for an 8-week flu epidemic, resulting in a moderate supply shock and demand spike (for example, from postponed elective surgeries), and different recruitment strategies. The input values are based in part on data from a regional blood center of the American Red Cross during 1996-2005. Our results from these scenarios suggest that the key to alleviating deficit effects of a system shock may be appropriate timing and duration of recruitment efforts, in turn depending critically on anticipating shocks and rapidly implementing recruitment efforts.

Cancellation of scheduled procedures as a mechanism to generate hospital bed surge capacity-a pilot study.

PubMed

Soremekun, Olan A; Zane, Richard D; Walls, Andrew; Allen, Matthew B; Seefeld, Kimberly J; Pallin, Daniel J

2011-06-01

The ability to generate hospital beds in response to a mass-casualty incident is an essential component of public health preparedness. Although many acute care hospitals' emergency response plans include some provision for delaying or cancelling elective procedures in the event of an inpatient surge, no standardized method for implementing and quantifying the impact of this strategy exists in the literature. The aim of this study was to develop a methodology to prospectively emergency plan for implementing a strategy of delaying procedures and quantifying the potential impact of this strategy on creating hospital bed capacity. This is a pilot study. A categorization methodology was devised and applied retrospectively to all scheduled procedures during four one-week periods chosen by convenience. The categorization scheme grouped procedures into four categories: (A) procedures with no impact on inpatient capacity; (B) procedures that could be delayed indefinitely; (C) procedures that could be delayed by one week; and (D) procedures that could not be delayed. The categorization scheme was applied by two research assistants and an emergency medicine resident. All three raters categorized the first 100 cases to allow for calculation of inter-rater reliability. Maximal hospital bed capacity was defined as the 95th percentile weekday occupancy, as this is more representative of functional bed capacity than is the number of licensed beds. The main outcome was the number of hospital beds that could be created by postponing procedures in categories B and C. Maximal hospital bed capacity was 816 beds. Mean occupancy during weekdays was 759 versus 694 on weekends. By postponing Group B and C procedures, a mean of 60 beds (51 general medical/surgical and nine intensive care unit (ICU)) could be created on weekdays, and four beds (three general medical/surgical and one ICU) on weekends. This represents 7.3% and 0.49% of maximal hospital bed capacity and ICU capacity, respectively. In the event that sustained surge is needed, delaying all category B and C procedures for one week would lead to the generation of 1,235 hospital-bed days. Inter-rater reliability was high (kappa = 0.74) indicating good agreement between all three raters. For the institution studied, the strategy of delaying scheduled procedures could generate inpatient capacity with maximal impact during weekdays and little impact on weekends. Future research is needed to validate the categorization scheme and increase the ability to predict inpatient surge capacity across various hospital types and sizes.

STS-121: Discovery Launch Postponement MMT Briefing

NASA Technical Reports Server (NTRS)

2006-01-01

Bruce Buckingham from NASA Public Affairs introduces the panel who consist of: John Shannon, MMT chairman JSC; Mike Leinbach, NASA Launch Director; and 1st Lieutenant Kaleb Nordren, USAF 45th Weather Squadron. An opening statement is given from John Shannon on the postponement of the launch due to thunderstorms. Mike Leinbach also elaborates on the weather and talks about scrubbing two hours early, draining the vehicle, and reloading the hydrogen for the fuel cells for a possible launch attempt on Tuesday morning. Norden gives his weather forecast for Tuesday and Wednesday. Questions from the media on launch attempts, weather, and the cost of the scrub are addressed.

Research on axial thrust of the waterjet pump based on CFD under cavitation conditions

NASA Astrophysics Data System (ADS)

Shen, Z. H.; Pan, Z. Y.

2015-01-01

Based on RANS equations, performance of a contra-rotating axial-flow waterjet pump without hydrodynamic cavitation state had been obtained combined with shear stress transport turbulence model. Its cavitation hydrodynamic performance was calculated and analysed with mixture homogeneous flow cavitation model based on Rayleigh-Plesset equations. The results shows that the cavitation causes axial thrust of waterjet pump to drop. Furthermore, axial thrust and head cavitation characteristic curve is similar. However, the drop point of the axial thrust is postponed by 5.1% comparing with one of head, and the critical point of the axial thrust is postponed by 2.6%.

Definitive studies on pole-top resuscitation. Final report

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

Gordon, A.S.; Ridolpho, P.F.; Cole, J.E.

1983-02-01

This report summarizes the history of the application of cardiopulmonary resuscitation to the electric shock victim located at the top of a utility pole. This dramatic and urgent situation requires that rescue be attempted with procedures which are thoroughly understood and effective. Questions related to the use of resuscitation and precordial thump at the pole top were subjected to experimental testing, both in animals and in humans. Results of this study clearly demonstrate the advantages of postponing resuscitation until the victim has been lowered to the ground. The author concludes with seven recommendations for emergency treatment at the scene.

Pediatric ambulatory anesthesia.

PubMed

August, David A; Everett, Lucinda L

2014-06-01

Pediatric patients often undergo anesthesia for ambulatory procedures. This article discusses several common preoperative dilemmas, including whether to postpone anesthesia when a child has an upper respiratory infection, whether to test young women for pregnancy, which children require overnight admission for apnea monitoring, and the effectiveness of nonpharmacological techniques for reducing anxiety. Medication issues covered include the risks of anesthetic agents in children with undiagnosed weakness, the use of remifentanil for tracheal intubation, and perioperative dosing of rectal acetaminophen. The relative merits of caudal and dorsal penile nerve block for pain after circumcision are also discussed. Copyright © 2014 Elsevier Inc. All rights reserved.

Assessing Medical Student Knowledge of Imaging Modality Selection Before and After a General Radiology Elective: A Comparison of MS-IIs, MS-IIIs, and MS-IVs.

PubMed

Gispen, Fiona E; Magid, Donna

2016-05-01

Correct selection of imaging tests is essential f or clinicians but until recently has been largely neglected in medical education. How and when students acquire such non-interpretive skills are unknown. This study will assess student knowledge of imaging test selection before and after a general radiology elective. Between 2008 and 2015, an unannounced 13-item test was administered to second, third, and fourth-year students on the first and last days of the Johns Hopkins School of Medicine radiology elective. Scores (0–13) were based on the American College of Radiology Appropriateness Criteria. Pre- and posttest means were compared using paired samples t tests. Whether performance on the pretest and posttest differed by class year was assessed using analysis of variance and Kruskal-Wallis, respectively, and whether year was associated with posttest score after controlling for pretest score was assessed using analysis of covariance. Posttest means were significantly higher than pretest means for students in all years (P values <.0001). Pretest scores differed by year (F(2, 360) = 66.85, P <.0001): fourth-year students scored highest (mean = 9.96 of 13) and second-year students scored lowest (mean = 7.01 of 13). Posttest scores did not differ (χ2(2, 270) = 0.348, P = .841). Year in school had no independent effect on posttest score (F(2, 239) = 0.45, P = .637). Knowledge of modality selection increases with clinical training, but room for improvement remains. A general radiology elective increases this knowledge. Second-year students improve most, suggesting that taking radiology early is efficient, but further research to evaluate retention of this knowledge is needed. Medical student education in radiology must increasingly recognize and address non-interpretive skills and intelligent imaging utilization.

Pediatric surgical capacity building - a pathway to improving access to pediatric surgical care in Haiti.

PubMed

Kaseje, Neema; Jenny, Hillary; Jeudy, Andre Patrick; MacLee, Jean Louis; Meara, John G; Ford, Henri R

2018-02-01

Lack of human resources is a major barrier to accessing pediatric surgical care globally. Our aim was to establish a model for pediatric surgical training of general surgery residents in a resource constrained region. A pediatric surgical program with a pediatric surgical rotation for general surgery residents in a tertiary hospital in Haiti in 2015 was established. We conducted twice daily patient rounds, ran an outpatient clinic, and provided emergent and elective pediatric surgical care, with tasks progressively given to residents until they could run clinic and perform the most common elective and emergent procedures. We conducted baseline and post-intervention knowledge exams and dedicated 1 day a week to teaching and research activities. We measured the following outcomes: number of residents that completed the rotation, mean pre and post intervention test scores, patient volume in clinic and operating room, postoperative outcomes, resident ability to perform most common elective and emergent procedures, and resident participation in research. Nine out of 9 residents completed the rotation; 987 patients were seen in outpatient clinic, and 564 procedures were performed in children <15years old. There was a 50% increase in volume of pediatric cases and a 100% increase in procedures performed in children <4years old. Postoperative outcomes were: 0% mortality for elective cases and 18% mortality for emergent cases, 3% complication rate for elective cases and 6% complication rate for emergent cases. Outcomes did not change with increased responsibility given to residents. All senior residents (n=4) could perform the most common elective and emergent procedures without changes in mortality and complication rates. Increases in mean pre and post intervention test scores were 12% (PGY1), 24% (PGY2), and 10% (PGY3). 75% of senior residents participated in research activities as first or second authors. Establishing a program in pediatric surgery with capacity building of general surgery residents for pediatric surgical care provision is feasible in a resource constrained setting without negative effects on patient outcomes. This model can be applied in other resource constrained settings to increase human resources for global pediatric surgical care provision. III. Copyright © 2017 Elsevier Inc. All rights reserved.

Incidence and patterns of surgical glove perforations: experience from Addis Ababa, Ethiopia.

PubMed

Bekele, Abebe; Makonnen, Nardos; Tesfaye, Lidya; Taye, Mulat

2017-03-20

Surgical glove perforation is a common event. The operating staff is not aware of the perforation until the procedure is complete, sometimes in as high as 70% of the incidences. Data from Ethiopia indicates that the surgical workforce suffers from a very surgery related accidents, however there is paucity of data regarding surgical glove perforation. The main objective is to describe the incidence and patterns of surgical glove perforation during surgical procedures and to compare the rates between emergency and elective surgeries at one of the main hospitals in Addis Ababa Ethiopia. This is a prospective study, performed at the Minilik II referral hospital, Addis Ababa. All surgical gloves worn during all major surgical procedures (Emergency and Elective) from June 1-July 20, 2016 were collected and used for the study. Standardised visual and hydro insufflation techniques were used to test the gloves for perforations. Parameters recorded included type of procedure performed, number of perforations, localisation of perforation and the roles of the surgical team. A total of 2634 gloves were tested, 1588 from elective and 1026 from emergency procedures. The total rate of perforation in emergency procedures was 41.4%, while perforation in elective surgeries was 30.0%. A statistically significant difference (P < 0.05) was found in between emergency and elective surgeries. There were a very high rate of perforations of gloves among first surgeons 40.6% and scrub nurses 38.8% during elective procedures and among first surgeons (60.14%), and second assistants (53.0%) during emergency surgeries. Only 0.4% of inner gloves were perforated. The left hand, the left index finger and thumb were the most commonly perforated parts of the glove. Glove perforation rate was low among consultant surgeons than residents. Our reported perforation rate is higher than most publications, and this shows that the surgical workforce in Ethiopia is under a clear and present threat. Measures such as double gloving seems to have effectively prevented cutaneous blood exposure and thus should become a routine for all surgical procedures. Manufacturing related defects and faults in glove quality may also be contributing factors.

Event construal and temporal distance in natural language.

PubMed

Bhatia, Sudeep; Walasek, Lukasz

2016-07-01

Construal level theory proposes that events that are temporally proximate are represented more concretely than events that are temporally distant. We tested this prediction using two large natural language text corpora. In study 1 we examined posts on Twitter that referenced the future, and found that tweets mentioning temporally proximate dates used more concrete words than those mentioning distant dates. In study 2 we obtained all New York Times articles that referenced U.S. presidential elections between 1987 and 2007. We found that the concreteness of the words in these articles increased with the temporal proximity to their corresponding election. Additionally the reduction in concreteness after the election was much greater than the increase in concreteness leading up to the election, though both changes in concreteness were well described by an exponential function. We replicated this finding with New York Times articles referencing US public holidays. Overall, our results provide strong support for the predictions of construal level theory, and additionally illustrate how large natural language datasets can be used to inform psychological theory. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

Reducing elective general surgery cancellations at a Canadian hospital

PubMed Central

Azari-Rad, Solmaz; Yontef, Alanna L.; Aleman, Dionne M.; Urbach, David R.

2013-01-01

Background In Canadian hospitals, which are typically financed by global annual budgets, overuse of operating rooms is a financial risk that is frequently managed by cancelling elective surgical procedures. It is uncertain how different scheduling rules affect the rate of elective surgery cancellations. Methods We used discrete event simulation modelling to represent perioperative processes at a hospital in Toronto, Canada. We tested the effects of the following 3 scenarios on the number of surgical cancellations: scheduling surgeons’ operating days based on their patients’ average length of stay in hospital, sequencing surgical procedures by average duration and variance, and increasing the number of post-surgical ward beds. Results The number of elective cancellations was reduced by scheduling surgeons whose patients had shorter average lengths of stay in hospital earlier in the week, sequencing shorter surgeries and those with less variance in duration earlier in the day, and by adding up to 2 additional beds to the postsurgical ward. Conclusion Discrete event simulation modelling can be used to develop strategies for improving efficiency in operating rooms. PMID:23351498

SMS texts on corruption help Ugandan voters hold elected councillors accountable at the polls.

PubMed

Buntaine, Mark T; Jablonski, Ryan; Nielson, Daniel L; Pickering, Paula M

2018-06-11

Many politicians manipulate information to prevent voters from holding them accountable; however, mobile text messages may make it easier for nongovernmental organizations to credibly share information on official corruption that is difficult for politicians to counter directly. We test the potential for texts on budget management to improve democratic accountability by conducting a large ( n = 16,083) randomized controlled trial during the 2016 Ugandan district elections. In cooperation with a local partner, we compiled, simplified, and text-messaged official information on irregularities in local government budgets. Verified recipients of messages that described more irregularities than expected reported voting for incumbent councillors 6% less often; verified recipients of messages conveying fewer irregularities than expected reported voting for incumbent councillors 5% more often. The messages had no observable effect on votes for incumbent council chairs, potentially due to voters' greater reliance on other sources of information for higher profile elections. These mixed results suggest that text messages on budget corruption help voters hold some politicians accountable in settings where elections are not free and fair. Copyright © 2018 the Author(s). Published by PNAS.

Multicentered Study Evaluating Pharmacy Students' Perception of Palliative Care and Clinical Reasoning Using Script Concordance Testing.

PubMed

Atayee, Rabia S; Lockman, Kashelle; Brock, Cara; Abazia, Daniel T; Brooks, Tracy L; Pawasauskas, Jayne; Edmonds, Kyle P; Herndon, Christopher M

2018-01-01

As the role of the pharmacist on the transdisciplinary palliative care team grows, the need for adequate instruction on palliative care and clinical reasoning skills in schools of pharmacy grows accordingly. This study evaluates second- and third-year pharmacy students from 6 accredited schools of pharmacy that participated in surveys before and after the delivery of a didactic palliative care elective. The survey collected student demographics, perceptions of the importance of and student skill level in palliative care topics. The script concordance test (SCT) was used to assess clinical decision-making skills on patient cases. Student scores on the SCT were compared to those of a reference panel of experts. A total of 89 students completed the pre-/postsurveys and were included in data analysis. There was no statistically significant difference in student perceived importance of palliative care skills before and after the elective. Students from all 6 institutions showed significant increase in confidence in their palliative care skills at the end of the course. There was also a significant improvement across all institutions in clinical reasoning skills in most of the SCT questions used to assess these skills. Students choosing an elective in palliative care likely do so because they already have an understanding of the importance of these topics in their future practice settings. Delivery of a palliative care elective in the pharmacy curriculum significantly increases both student confidence in their palliative care skills and their clinical reasoning skills in these areas.

Efficacy and safety of a very-low-protein diet when postponing dialysis in the elderly: a prospective randomized multicenter controlled study.

PubMed

Brunori, Giuliano; Viola, Battista F; Parrinello, Giovanni; De Biase, Vincenzo; Como, Giovanna; Franco, Vincenzo; Garibotto, Giacomo; Zubani, Roberto; Cancarini, Giovanni C

2007-05-01

A supplemented very-low-protein diet (sVLPD) seems to be safe when postponing dialysis therapy. Prospective multicenter randomized controlled study designed to assess the noninferiority of diet versus dialysis in 1-year mortality assessed by using intention-to-treat and per-protocol analysis. Italian uremic patients without diabetes older than 70 years with glomerular filtration rate of 5 to 7 mL/min (0.08 to 0.12 mL/s). Randomization to an sVLPD (diet group) or dialysis. The sVLPD is a vegan diet (35 kcal; proteins, 0.3 g/kg body weight daily) supplemented with keto-analogues, amino acids, and vitamins. Patients following an sVLPD started dialysis therapy in the case of malnutrition, intractable fluid overload, hyperkalemia, or appearance of uremic symptoms. Mortality, hospitalization, and metabolic markers. 56 patients were randomly assigned to each group, median follow-up was 26.5 months (interquartile range, 40), and patients in the diet group spent a median of 10.7 months (interquartile range, 11) following an sVLPD. Forty patients in the diet group started dialysis treatment because of either fluid overload or hyperkalemia. There were 31 deaths (55%) in the dialysis group and 28 deaths (50%) in the diet group. One-year observed survival rates at intention to treat were 83.7% (95% confidence interval [CI], 74.5 to 94.0) in the dialysis group versus 87.3% (95% CI, 78.9 to 96.5) in the diet group (log-rank test for noninferiority, P < 0.001; for superiority, P = 0.6): the difference in survival was -3.6% (95% CI, -17 to +10; P = 0.002). The hazard ratio for hospitalization was 1.50 for the dialysis group (95% CI, 1.11 to 2.01; P < 0.01). The unblinded nature of the study, exclusion of patients with diabetes, and incomplete enrollment. An sVLPD was effective and safe when postponing dialysis treatment in elderly patients without diabetes.

STS-99 M.S. Thiele and Voss, Pilot Gorie and Commander Kregel before DEPARTure

NASA Technical Reports Server (NTRS)

2000-01-01

On the runway at the Shuttle Landing Facility, STS-99 crew members Pilot Dominic Gorie, Mission Specialist Janice Voss, Commander Kevin Kregel and Mission Specialist Gerhard Thiele discuss departure plans to Houston. Kregel and Gorie will be piloting T-38 jets with Voss and Thiele as passengers. During the Jan. 31 launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch mid- to late- next week pending availability of the Eastern Range. The postponed launch gives the crew an opportunity for more training and time with their families. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety.

STS-99 M.S. Thiele and Voss, Pilot Gorie and Commander Kregel before DEPARTure

NASA Technical Reports Server (NTRS)

2000-01-01

On the runway at the Shuttle Landing Facility, STS-99 crew members Mission Specialists Gerhard Thiele and Janice Voss, Commander Kevin Kregel and Pilot Dominic Gorie briefly talk to the media about their imminent departure to Houston. Kregel and Gorie will be piloting T-38 jets with Voss and Thiele as passengers. During the Jan. 31 launch countdown, Endeavour's enhanced master events controller (E-MEC) No. 2 failed a standard preflight test. Launch was postponed and Shuttle managers decided to replace the E-MEC located in the orbiter's aft compartment. Launch controllers will be in a position to begin the STS-99 countdown the morning of Feb. 6 and ready to support a launch mid- to late next week pending availability of the Eastern Range. The postponed launch gives the crew an opportunity for more training and time with their families. Known as the Shuttle Radar Topography Mission, it will chart a new course to produce unrivaled 3-D images of the Earth's surface, using two antennae and a 200-foot-long section of space station-derived mast protruding from the payload bay. The result could be close to 1 trillion measurements of the Earth's topography. Besides contributing to the production of better maps, these measurements could lead to improved water drainage modeling, more realistic flight simulators, better locations for cell phone towers, and enhanced navigation safety.

The effects of food presentation at regular or irregular times on the development of activity-based anorexia in rats.

PubMed

Pérez-Padilla, Angeles; Magalhães, Paula; Pellón, Ricardo

2010-05-01

Activity-based anorexia occurs when food availability is restricted to 1h of the day and a wheel is freely available to the rest of the time. Under such conditions rats run excessively and stop eating even during periods in which food is available. A defining characteristic of the excessive activity is that there is a peak of running in the anticipation of food availability. The present study was designed to test whether the occurrence of the food period at different times of the light phase of the light-dark cycle (from 08:00 to 20:00h) could impede or postpone the normal development of activity anorexia. We compared the effect of presenting the food at a fixed time of the light period with presenting it on a variable schedule. Far from impeding or postponing the development of activity-based anorexia, presenting food at irregular times resulted in a pronounced body-weight loss, a low food intake and an increase in locomotor activity. Animals ran excessively, with a peak at the start of the dark period, and again when lights were turned on in the experimental room (running in the anticipation of food). Both fixed and variable schedules of food availability resulted in the development of activity-based anorexia in rats. Copyright (c) 2009 Elsevier B.V. All rights reserved.

Risk and reproductive decisions: British Pakistani couples’ responses to genetic counselling

PubMed Central

Shaw, Alison

2011-01-01

How far does ethnicity/culture/religion mediate couples’ responses to genetic risk? This paper examines the responses of 51 British Pakistani couples referred to a genetics clinic in southern England to counselling about recurrence risks for genetic problems in children. It is based on fieldwork conducted between 2000 and 2004 that combined participant observation of genetics consultations with interviews in respondents’ homes. Interviews were conducted with 62 adults in connection with these 51 cases, of which 32 were followed through two or more clinical consultations and 12 through more than one pregnancy. Risk responses were categorized as: taking the risk; postponing; exploring risk management or dismissing the risk as irrelevant to current circumstances. Responses were cross-referenced for associations with the severity of the condition, number of affected and unaffected children, availability of a prenatal test, age, gender, and migration history. I found that most couples were initially risk-takers who already had an unaffected child or children. Couples caring for living children with severe conditions were more likely to postpone. However, the risk responses of 15 couples changed over time, most towards and some away from risk management, reflecting changes in couples’ appreciation of the severity of the condition and their subsequent reproductive experiences. The study highlights the diversity and dynamism of responses within one ethnic group and challenges stereotypes about cultural and religious responses to genetic risk. PMID:21641705

KSC-06pd0219

NASA Image and Video Library

2006-02-07

KENNEDY SPACE CENTER, FLA. - Pilot Steve Fossett talks to the media about the reason the takeoff of the Virgin Atlantic GlobalFlyer was postponed. Behind Fossett is Sir Richard Branson, chairman and founder of Virgin Atlantic. Behind both is the GlobalFlyer aircraft. Fossett will pilot the GlobalFlyer on a record-breaking attempt by flying solo, non-stop without refueling, to surpass the current record for the longest flight of any aircraft. Fossett was expected to take off from the KSC SLF before the takeoff was postponed due to the fuel leak that appeared in the last moments of loading. The next planned takeoff attempt is 7 a.m. Feb. 8 from the SLF. Photo credit: NASA/Kim Shiflett

32 CFR 901.5 - Academic examination requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Level 1 (Standard) Mathematics or Level II (Intensive) Mathematics. (Level 1 recommended for candidates without advanced high school mathematics.) (b) ACT. Candidates who elect to use the ACT tests must take the complete battery of tests: English, mathematics, social studies, and natural sciences. ...

GIS tool for California state legislature electoral history

NASA Astrophysics Data System (ADS)

Artham, Swathi

The California State Legislature contains two bodies consisting of the lower house, the California State Assembly, with eighty members, and the upper house, the California State Senate, with forty members. Elections are held for every two years for both Senate and Assembly. The terms of the Senators are staggered so that half the membership is elected every two years, whereas all the Assembly members are elected every two years. The electoral district boundaries vary after every 10-year census. My main objective is to provide a summary of both California State Senate and California State Assembly election results in a single GIS tool, from the years 1970 to 2012. This tool provides information about different trends in the California State Senate and State Assembly elections along the years. This tool was designed to help students, and teachers to interactively learn about the California State Legislature elections. Users can view the election results by selecting a particular year for Senate or Assembly, which results in adding a new layer on the map with a coloring scheme for better understanding of change of parties; red for Republicans, blue for Democrats and green for Independents. Users can click on any district shown on the map using a hotlink tool to see the electoral trends for the districts for the past years. This application provides a powerful Stored Query Language (SQL) query option to enter queries and get election results in the form of tables with various fields. This data can be further used to aid other analysis as per user requirements. This tool also provides various visual statistics using graphs and tables for voter turnout, number of candidates won by each party, number of seats changed from one party to another. It also features a color matrix table that helps users to see trends in California State Senate and Assembly. Every two-year election results are shown in the form of graphs and tables for better understanding by the user. The tool provides two quiz options for users who are willing to test the knowledge they gained using the tool. This tool was developed in JAVA swing and AWT, Map Objects Java Objects (MOJO), Apache Derby, DBF Explorer, HTML5, CSS3 and JavaScript.

Implementing a hybrid web-based curriculum for an elective medical student clerkship in a busy surgical intensive care unit (ICU): effect on test and satisfaction scores.

PubMed

Kumar, Avinash B; Hata, J Steven; Bayman, Emine O; Krishnan, Sundar

2013-01-01

To determine whether a hybrid traditional and web-based curriculum improves test scores and enrollment among senior medical students in an elective critical care rotation. Retrospective study in a surgical ICU at a major academic center. One hundred twenty-one fourth year medical students completing an elective ICU clerkship between 2007 and 2010. Pre-test and post-test during a 4-week rotation. We implemented a hybrid curriculum that involved both traditional teaching methods and a new online core curriculum that incorporating audio, video, and text using screen capture technology. The curriculum was hosted on a secure online portal called ICON (Desire2Learn Inc., Ontario, Canada). The core curriculum covered topics that were considered essential to meet the didactic objectives of the rotation. MEASUREMENTS AND EVALUATIONS: A pre-test was administered online on day 1 of the rotation. A post-test was administered on the second to last day of the rotation. Both tests were composed of 20 questions randomly chosen from a question bank of 100 questions. The tests are managed (administering, grading, and reporting) exclusively online. One hundred twenty-one medical students have successfully completed the clerkship since implementing the new curriculum. Each group of students showed an improvement in the mean post-test score by at least 17%+ to 10%. The satisfaction scores of the clerkship improved consistently from 2007 and is currently rated at 4.31 ± 0.85 (on a 5-point scale). The rotation is in the top 25(th) percentile of all clinical clerkships offered at the University of Iowa. A systematically implemented hybrid web-based critical care curriculum can improve knowledge based test scores and overall clerkship satisfaction scores in a busy surgical ICU. Copyright © 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

The unfolding story of the second demographic transition.

PubMed

Lesthaeghe, Ron

2010-01-01

This article presents a narrative of the unfolding of the Second Demographic Transition (SDT) since the theory was first formulated in 1986. The first part recapitulates the foundations of the theory, and documents the spread of the SDT to the point that it now covers most European populations. Also for Europe, it focuses on the relationship between the SDT and the growing heterogeneity in period fertility levels. It is shown that the current positive relationship between SDT and TFR levels is not a violation of the SDT theory, but the outcome of a "split correlation" with different sub-narratives concerning the onset of fertility postponement and the degree of subsequent recuperation in two parts of Europe. The second part of the article addresses the issue of whether the SDT has spread or is currently spreading in industrialized Asian countries. Evidence gathered for Japan, South Korea, Hong Kong, Singapore, and Taiwan is presented. That evidence pertains to both the macro-level (national trends in postponement of marriage and parenthood, rise of cohabitation) and the micro-level (connections between individual values orientations and postponement of parenthood). Strong similarities are found with SDT patterns in Southern Europe, except for the fact that parenthood is still very rare among Asian cohabiting partners.

External validation of Vascular Study Group of New England risk predictive model of mortality after elective abdominal aorta aneurysm repair in the Vascular Quality Initiative and comparison against established models.

PubMed

Eslami, Mohammad H; Rybin, Denis V; Doros, Gheorghe; Siracuse, Jeffrey J; Farber, Alik

2018-01-01

The purpose of this study is to externally validate a recently reported Vascular Study Group of New England (VSGNE) risk predictive model of postoperative mortality after elective abdominal aortic aneurysm (AAA) repair and to compare its predictive ability across different patients' risk categories and against the established risk predictive models using the Vascular Quality Initiative (VQI) AAA sample. The VQI AAA database (2010-2015) was queried for patients who underwent elective AAA repair. The VSGNE cases were excluded from the VQI sample. The external validation of a recently published VSGNE AAA risk predictive model, which includes only preoperative variables (age, gender, history of coronary artery disease, chronic obstructive pulmonary disease, cerebrovascular disease, creatinine levels, and aneurysm size) and planned type of repair, was performed using the VQI elective AAA repair sample. The predictive value of the model was assessed via the C-statistic. Hosmer-Lemeshow method was used to assess calibration and goodness of fit. This model was then compared with the Medicare, Vascular Governance Northwest model, and Glasgow Aneurysm Score for predicting mortality in VQI sample. The Vuong test was performed to compare the model fit between the models. Model discrimination was assessed in different risk group VQI quintiles. Data from 4431 cases from the VSGNE sample with the overall mortality rate of 1.4% was used to develop the model. The internally validated VSGNE model showed a very high discriminating ability in predicting mortality (C = 0.822) and good model fit (Hosmer-Lemeshow P = .309) among the VSGNE elective AAA repair sample. External validation on 16,989 VQI cases with an overall 0.9% mortality rate showed very robust predictive ability of mortality (C = 0.802). Vuong tests yielded a significant fit difference favoring the VSGNE over then Medicare model (C = 0.780), Vascular Governance Northwest (0.774), and Glasgow Aneurysm Score (0.639). Across the 5 risk quintiles, the VSGNE model predicted observed mortality significantly with great accuracy. This simple VSGNE AAA risk predictive model showed very high discriminative ability in predicting mortality after elective AAA repair among a large external independent sample of AAA cases performed by a diverse array of physicians nationwide. The risk score based on this simple VSGNE model can reliably stratify patients according to their risk of mortality after elective AAA repair better than other established models. Copyright © 2017 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

Maintenance of safety behaviors via response-produced stimuli.

PubMed

Angelakis, Ioannis; Austin, Jennifer L

2015-11-01

Animal studies suggest that safety behaviors may be maintained by internally or externally produced safety signals, which function as positive reinforcers. We designed two experiments to test this phenomenon with humans. Participants played a computerized game in which they could earn or lose treasures by clicking on a map. In baseline, losses could be postponed by pressing a pedal that also produced a blue bar at the bottom of the screen. During test conditions, no losses were programmed, and pedal presses turned the bar from yellow to blue (Test 1) or blue to yellow (Test 2). In Experiment 2, new participants were exposed to the same conditions but were given information about the safety of the test environment. In both experiments, participants engaged in high rates of pedal pressing when presses were followed by blue bars, suggesting the bar functioned as a safety signal. We discuss how these findings may relate to safety behaviors commonly observed in certain mental health disorders. © The Author(s) 2015.

BASIC RADIATION PROTECTION EDUCATION AND TRAINING FOR MEDICAL PROFESSIONALS; GEORGIAN EXPERIENCE AND FUTURE PERSPECTIVE.

PubMed

Todua, F; Nadareishvili, D; Ormotsadze, G; Sanikidze, T

2016-06-01

The level of knowledge provided by the Tbilisi State Medical University (TSMU) standard curriculum modules in 'Medical physics' and 'Radiation risk estimates' was assessed as was the learning outcome of modern standards elective course in 'Radiation protection'. Two groups of medical students were examined: Group 1: 5 y students, participants in elective course 'Radiobiology and radiogenic health risk' and Group 2: 1-2 y students, participants in winter and summer schools. Students were tested before and after training courses with the same tests questionnaire. The results of the tests showed the necessity for improvement of the educational curriculum. The changes needed are the inclusion of a basic radiobiological course in the curricula of the faculty of medicine and expansion of the medical physics course through a more detailed presentation of medical imaging methods. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Development and implementation of an herbal and natural product elective in undergraduate medical education.

PubMed

Karpa, Kelly

2012-05-22

Medical students have consistently expressed interest in learning about alternative healing modalities, especially herbal and natural products. To fill this void in medical education at our institution, a novel elective was developed and implemented for fourth year medical students. This herbal/natural product course uses guest lecturers, classroom presentations, and active learning mechanisms that include experiential rotations, case-based learning, and team-based learning to increase student knowledge of herbal/natural product safety and efficacy. Knowledge outcomes were evaluated via administration of a pre- and post-course test (paired student t-test). End-of-course evaluations (Likert-type questions and narrative responses) were used to assess student opinion of knowledge and skills imparted by the elective and overall course content (mean, standard deviation). Over three academic years, 23 students have enrolled in this elective. More than 60% of participants have been female and nearly half of the students (43%) have pursued residencies in primary care. Completion of the course significantly increased student knowledge of common herbal/natural product mechanisms, uses, adverse effects, and drug-interactions as determined by a pre- and post-course knowledge assessment (45%±10% versus 78%±6%; p<0.0001). The course was highly rated by enrollees (overall course quality, 4.6 of 5.0±0.48) who appreciated the variety of activities to which they were exposed and the open classroom discussions that resulted. While students tended to view some alternative medical systems with skepticism, they still believed it was valuable to learn what these modalities encompass. Development and implementation of a herbal/natural product elective that engages undergraduate medical students through active learning mechanisms and critical analysis of the literature has proven effective in increasing knowledge outcomes and is deemed to be a valuable curricular addition by student participants. In the future, it will be of interest to explore mechanisms for expanding the course to reach a larger number of students within the time, financial, and logistical constraints that currently exist.

When Life Got in the Way: How Danish and Norwegian Immigrant Women in Sweden Reason about Cervical Screening and Why They Postpone Attendance.

PubMed

Azerkan, Fatima; Widmark, Catarina; Sparén, Pär; Weiderpass, Elisabete; Tillgren, Per; Faxelid, Elisabeth

2015-01-01

Danish and Norwegian immigrant women in Sweden have an increased risk of cervical cancer compared to Swedish-born women. In addition, Danish and Norwegian immigrant women follow the national recommendations for attendance at cervical screening to much lesser extent than Swedish-born women. The aim of this study was to explore how Danish and Norwegian immigrant women in Sweden reason about attending cervical screening, focusing on women's perceptions as to why they and their compatriots do not attend. Eight focus group discussions (FGDs) were conducted with Danish and Norwegian immigrant women living in Stockholm. The women were between 26 and 66 years of age at the time of the FGDs, and were aged between <1 and 48 years old when they immigrated to Sweden. A FGD guide was used, which included questions related to cervical screening, and obstacles and motivators to attend cervical screening. The FGDs were tape recorded and transcribed, and the results analysed according to the principles of qualitative content analysis. The main theme was "Women have a comprehensive rationale for postponing cervical screening, yet do not view themselves as non-attenders". Investigation of women's rationale for non-attendance after being invited to cervical screening revealed some complex reasons related to immigration itself, including competing needs, organisational and structural factors and differences in mentality, but also reasons stemming from other factors. Postponing attendance at cervical screening was the category that linked all these factors as the reasons to why women did not attend to cervical screening according to the recommendations of the authorities. The rationale used to postpone cervical screening, in combination with the fact that women do not consider themselves to be non-attenders, indicates that they have not actively taken a stance against cervical screening, and reveals an opportunity to motivate these women to attend.

When Life Got in the Way: How Danish and Norwegian Immigrant Women in Sweden Reason about Cervical Screening and Why They Postpone Attendance

PubMed Central

Azerkan, Fatima; Widmark, Catarina; Sparén, Pär; Weiderpass, Elisabete; Tillgren, Per; Faxelid, Elisabeth

2015-01-01

Introduction Danish and Norwegian immigrant women in Sweden have an increased risk of cervical cancer compared to Swedish-born women. In addition, Danish and Norwegian immigrant women follow the national recommendations for attendance at cervical screening to much lesser extent than Swedish-born women. The aim of this study was to explore how Danish and Norwegian immigrant women in Sweden reason about attending cervical screening, focusing on women’s perceptions as to why they and their compatriots do not attend. Methods Eight focus group discussions (FGDs) were conducted with Danish and Norwegian immigrant women living in Stockholm. The women were between 26 and 66 years of age at the time of the FGDs, and were aged between <1 and 48 years old when they immigrated to Sweden. A FGD guide was used, which included questions related to cervical screening, and obstacles and motivators to attend cervical screening. The FGDs were tape recorded and transcribed, and the results analysed according to the principles of qualitative content analysis. Results The main theme was “Women have a comprehensive rationale for postponing cervical screening, yet do not view themselves as non-attenders”. Investigation of women’s rationale for non-attendance after being invited to cervical screening revealed some complex reasons related to immigration itself, including competing needs, organisational and structural factors and differences in mentality, but also reasons stemming from other factors. Postponing attendance at cervical screening was the category that linked all these factors as the reasons to why women did not attend to cervical screening according to the recommendations of the authorities. Conclusions The rationale used to postpone cervical screening, in combination with the fact that women do not consider themselves to be non-attenders, indicates that they have not actively taken a stance against cervical screening, and reveals an opportunity to motivate these women to attend. PMID:26158449

26 CFR 15.1-1 - Elections to deduct.

Code of Federal Regulations, 2010 CFR

2010-04-01

.... (2) Election to deduct under section 615—(i) General rule. The election to deduct exploration... 26 Internal Revenue 14 2010-04-01 2010-04-01 false Elections to deduct. 15.1-1 Section 15.1-1... Elections to deduct. (a) Manner of making election—(1) Election to deduct under section 617(a). The election...

Clinical balance tests, proprioceptive system and adolescent idiopathic scoliosis.

PubMed

Le Berre, Morgane; Guyot, Marc-Alexandre; Agnani, Olivier; Bourdeauducq, Isabelle; Versyp, Marie-Christine; Donze, Cécile; Thévenon, André; Catanzariti, Jean-Francois

2017-06-01

Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spinal column of unknown etiology. Multiple factors could be involved, including neurosensory pathways and, potentially, an elective disorder of dynamic proprioception. The purpose of this study was to determine whether routine balance tests could be used to demonstrate an elective alteration of dynamic proprioception in AIS. This was a multicentre case-control study based on prospectively collected clinical data, in three hospitals pediatric, with spine consultation, from January 2013 through April 2015. From an original population of 547 adolescents, inclusion and non-inclusion criteria indentified 114 adolescents with right thoracic AIS (mean age 14.5 ± 1.9 years, Cobb angle 35.7 ± 15.3°) and 81 matched adolescents without scoliosis (mean age 14.1 ± 1.9 years). Participants performed three routine clinical balance tests to assess the static and dynamic proprioception: the Fukuda-Utenberger stepping test (angle of rotation in degrees and distance of displacement in cm) to assess dynamic balance; the sharpened Romberg test and the unipedal stance test (eyes closed) to assess static balance. There was no significant difference between AIS subjects and controls for the static tests, but there was a significant difference for the dynamic test for both measures: distance of displacement (p < 0.01) and angle of rotation (p < 0.0001). This result confirms our initial these: the dynamic proprioception is altered electively in AIS. These findings confirm recent AIS studies. Our results might be related to immature central integration of dynamic proprioceptive input leading to a poorly adapted motor response, particularly for postural control of the, in AIS. These balance tests can be performed in routine practice. Their validity as a biomarker for screening and monitoring purposes should be assessed.

KSC-07pd3634

NASA Image and Video Library

2007-12-14

KENNEDY SPACE CENTER, FLA. -- On Launch Pad 39A, technicians identify an area on space shuttle Atlantis' external tank that might be cut out if tests prove the need to get to the pass-through wiring associated with the engine cut-off, or ECO, sensor system. The shuttle's planned launches on Dec. 6 and Dec. 9 were postponed because of false readings from the part of the ECO system that monitors the liquid hydrogen section of the tank. The liftoff date from NASA's Kennedy Space Center, Florida, is now targeted for Jan. 10, depending on the resolution of the problem in the fuel sensor system. Photo credit: NASA/Kim Shiflett

5 CFR 891.201 - Election.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIRED FEDERAL EMPLOYEES HEALTH BENEFITS Election and Change of Election § 891.201 Election. (a) The original... election. For any other retired employee receiving compensation, changes of election made under this...

New utility for an old tool: can a simple gait speed test predict ambulatory surgical discharge outcomes?

PubMed

Odonkor, Charles A; Schonberger, Robert B; Dai, Feng; Shelley, Kirk H; Silverman, David G; Barash, Paul G

2013-10-01

The primary aims of this study were to design prediction models based on a functional marker (preoperative gait speed) to predict readiness for home discharge time of 90 mins or less and to identify those at risk for unplanned admissions after elective ambulatory surgery. This prospective observational cohort study evaluated all patients scheduled for elective ambulatory surgery. Home discharge readiness and unplanned admissions were the primary outcomes. Independent variables included preoperative gait speed, heart rate, and total anesthesia time. The relationship between all predictors and each primary outcome was determined in separate multivariable logistic regression models. After adjustment for covariates, gait speed with adjusted odds ratio of 3.71 (95% confidence interval, 1.21-11.26), P = 0.02, was independently associated with early home discharge readiness of 90 mins or less. Importantly, gait speed dichotomized as greater or less than 1 m/sec predicted unplanned admissions, with odds ratio of 0.35 (95% confidence interval, 0.16-0.76, P = 0.008) for those with speeds 1 m/sec or greater in comparison with those with speeds less than 1 m/sec. In a separate model, history of cardiac surgery with adjusted odds ratio of 7.5 (95% confidence interval, 2.34-24.41; P = 0.001) was independently associated with unplanned admissions after elective ambulatory surgery, when other covariates were held constant. This study demonstrates the use of novel prediction models based on gait speed testing to predict early home discharge and to identify those patients at risk for unplanned admissions after elective ambulatory surgery.

Postponing aging and prolonging life expectancy with the knowledge-based economy.

PubMed

Kristjuhan, Ulo

2012-04-01

People are interested in the aging phenomenon and hope that scientists are doing as much as they can to solve the mysteries of aging. However, this is not the case. A lot of knowledge is produced for local interests in curing specific disorders; aging is studied much less. Today's economy is undergoing a transition to a knowledge-based economy. Knowledge of aging should be integrated into the economies of contemporary societies. Aging research and intervention can ensure better health, primarily among middle-aged and older people, and prolong life. There are many reasons why postponing aging and rejuvenation research is not as widespread as it should be. Developed countries should create economic stimuli for such studies and intervention.

KSC-06pd0220

NASA Image and Video Library

2006-02-07

KENNEDY SPACE CENTER, FLA. - Pilot Steve Fossett (far right), Sir Richard Branson (center) and Jon Karkow (far left) talk to the media about the reason the takeoff of the Virgin Atlantic GlobalFlyer was postponed. Branson is chairman and founder of Virgin Atlantic. Karkow, with Scaled Composites, is chief engineer for the GlobalFlyer. Fossett will pilot the GlobalFlyer on a record-breaking attempt by flying solo, non-stop without refueling, to surpass the current record for the longest flight of any aircraft. Fossett was expected to take off from the KSC SLF before the takeoff was postponed due to the fuel leak that appeared in the last moments of loading. The next planned takeoff attempt is 7 a.m. Feb. 8 from the SLF. Photo credit: NASA/Kim Shiflett

Prospective Quality of Life Outcomes for Low-Risk Prostate Cancer: Active Surveillance versus Radical Prostatectomy

PubMed Central

Jeldres, Claudio; Cullen, Jennifer; Hurwitz, Lauren M.; Wolff, Erika M.; Levie, Katherine; Odem-Davis, Katherine; Johnston, Richard B.; Pham, Khanh N.; Rosner, Inger L; Brand, Timothy C.; L’Esperance, James O.; Sterbis, Joseph R.; Etzioni, Ruth B.; Porter, Christopher R.

2015-01-01

Background For low-risk prostate cancer (PCa), active surveillance (AS) may confer comparable oncological outcomes to radical prostatectomy (RP). Health-related quality of life (HRQoL) outcomes are important to consider, yet few studies have examined HRQoL for patients managed with AS. This study compared longitudinal HRQoL in a prospective, racially diverse, and contemporary cohort of patients who underwent RP or AS for low-risk PCa. Methods Beginning in 2007, HRQoL data from validated questionnaires (EPIC and SF-36) were collected by the Center for Prostate Disease Research in a multi-center national database. Patients aged ≤75 that were diagnosed with low-risk PCa and elected RP or AS for initial disease management were followed for three years. Mean scores were estimated using generalized estimating equations, adjusting for baseline HRQoL, demographic and clinical patient characteristics. Results Of the patients with low-risk PCa, 228 underwent RP and 77 underwent AS. Multivariable analysis revealed that RP patients had significantly worse sexual function, sexual bother, and urinary function at all time points compared to patients on AS. Differences in mental health between groups were below the threshold for clinical significance at one year. Conclusions This study found no differences in mental health outcomes but worse urinary and sexual HRQoL for RP patients compared to AS patients for up to three years. These data offer support for management of low risk PCa with AS as a means for postponing the morbidity associated with RP without concomitant mental health declines. PMID:25845467

Evaluating the feasibility and uptake of a community-led HIV testing and multi-disease health campaign in rural Uganda

PubMed Central

Kabami, Jane; Chamie, Gabriel; Kwarisiima, Dalsone; Biira, Edith; Ssebutinde, Peter; Petersen, Maya; Charlebois, Edwin D.; Kamya, Moses R.; Havlir, Diane V.; Clark, Tamara D.

2017-01-01

Abstract Introduction: Multi-disease community health campaigns can be effective for population-wide HIV testing in a research setting (SEARCH: NCT01864603). We sought to evaluate feasibility and uptake of a community-led health campaign (CLHC) planned and implemented by village leaders and local clinic workers in Uganda. Methods: Over five months in 2014, locally elected village leaders and Ministry of Health (MoH) clinic staff in a rural parish in Uganda planned a census followed by a CLHC, after training by two SEARCH trial consultants and by leaders from a neighbouring parish that had previously participated in a SEARCH health campaign. We defined feasibility as: (1) elected leaders’ participation in training and implementation of pre-campaign census and mobilization activities; (2) implementation of all campaign activities by MoH-funded, local clinic staff; and (3) community participation in the campaign, including point-of-care screening for HIV, malaria, hypertension and diabetes, and same-day referral for male circumcision and family planning (FP). Costing of all salaries and supplies was conducted. Results: Elected leaders from all eight villages in the parish participated in CLHC training. They and local clinic staff met monthly to select and plan CLHC services. Village leaders then leveraged existing volunteer health teams to perform a door-to-door census, enumerating 5,202 parish residents over 2 weeks. 2,753 (53%) residents participated in the 6-day CLHC. Of 1,584 adult participants, 1,474 (93%) tested for HIV: 105/1,474 (7.1%) tested HIV positive. 27% (751/2,753) of participants reported fever and underwent malaria rapid diagnostic testing: 5.3% (40/751) tested positive. Among adults screened, 19% (271/1,452) were hypertensive, and 3% (18/637) had a random blood sugar >11.1 mmol/L. Of 805 men and boys (>10 years), 91 (11%) accepted same-day clinic referral and underwent medical circumcision. Of 900 women offered same-day long-term FP referrals, 25 accepted. The CLHC cost, including census, mobilization and testing services, was $23,597 ($8.57/participant). Conclusions: Elected village leaders successfully planned and conducted a 6-day multi-disease health campaign with service provision by local clinic staff that reached over half of a rural Ugandan community. These data suggest it is feasible for local leaders and clinics to adopt a multi-disease health campaign approach to scale-up HIV testing in rural Africa. PMID:28406269

29 CFR 452.103 - Primary elections.

Code of Federal Regulations, 2010 CFR

2010-07-01

... fifteen-day election notice requirement applies to any runoff election which may be held after an... election advises the members of the possibility of a runoff election and specifies such details as the time and place of such runoff election as may be necessary. ...

40 CFR 60.47c - Emission monitoring for particulate matter.

Code of Federal Regulations, 2010 CFR

2010-07-01

... that elects not to install a COMS shall conduct a performance test using Method 9 of appendix A-4 of... operator shall conduct subsequent Method 9 of appendix A-4 of this part performance tests using the... performance test results. (i) If no visible emissions are observed, a subsequent Method 9 of appendix A-4 of...

11 CFR 9002.5 - Fund.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 11 Federal Elections 1 2011-01-01 2011-01-01 false Fund. 9002.5 Section 9002.5 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING DEFINITIONS § 9002.5 Fund. Fund means the Presidential Election Campaign Fund established by 26 U.S.C. 9006(a). ...

11 CFR 9002.5 - Fund.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Fund. 9002.5 Section 9002.5 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING DEFINITIONS § 9002.5 Fund. Fund means the Presidential Election Campaign Fund established by 26 U.S.C. 9006(a). ...

Are elected health boards an effective mechanism for public participation in health service governance?

PubMed Central

Gauld, Robin

2010-01-01

Abstract Background  There is growing interest in the idea of elected members on health service governing boards as a means to induce public participation in planning and decision making, yet studies of elected boards are limited. Whether elected boards are an effective mechanism for public participation remains unclear. Setting and participants  This article discusses the experiences of New Zealand where, since 2001, there have been three sets of elections for District Health Boards. Information on candidates and election results is presented along with data gathered via post‐election voter surveys. The article also considers the broader regulatory context within which the elected boards must operate. Discussion and conclusions  The New Zealand experience illustrates that elected health boards may not be an effective mechanism for public participation. Voter turnout has declined since the inaugural elections of 2001, and non‐voters form the majority. Reasons for not voting include failure to receive voting papers, a lack of interest, or no knowledge of elections. The elections have also failed to produce minority representation, while the capacity for elected members to represent their communities is subject to constraints. On the upside, elections have enabled public involvement in various dimensions of participation, including oversight and processes of governance. New Zealand’s mixed performance suggests that elected boards may need to be complemented with other participatory channels, if increased public participation is the goal. PMID:20579118

Are elected health boards an effective mechanism for public participation in health service governance?

PubMed

Gauld, Robin

2010-12-01

There is growing interest in the idea of elected members on health service governing boards as a means to induce public participation in planning and decision making, yet studies of elected boards are limited. Whether elected boards are an effective mechanism for public participation remains unclear. This article discusses the experiences of New Zealand where, since 2001, there have been three sets of elections for District Health Boards. Information on candidates and election results is presented along with data gathered via post-election voter surveys. The article also considers the broader regulatory context within which the elected boards must operate. The New Zealand experience illustrates that elected health boards may not be an effective mechanism for public participation. Voter turnout has declined since the inaugural elections of 2001, and non-voters form the majority. Reasons for not voting include failure to receive voting papers, a lack of interest, or no knowledge of elections. The elections have also failed to produce minority representation, while the capacity for elected members to represent their communities is subject to constraints. On the upside, elections have enabled public involvement in various dimensions of participation, including oversight and processes of governance. New Zealand's mixed performance suggests that elected boards may need to be complemented with other participatory channels, if increased public participation is the goal. © 2010 Blackwell Publishing Ltd.

26 CFR 1.4-2 - Elections.

Code of Federal Regulations, 2010 CFR

2010-04-01

... INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY INCOME TAX INCOME TAXES Normal Taxes and Surtaxes § 1.4-2 Elections. (a) Making of election. The election to pay the optional tax imposed under section 3... tax under section 3 as an election to take the standard deduction, and for treating an election to...

32 CFR 901.5 - Academic examination requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... without advanced high school mathematics.) (b) ACT. Candidates who elect to use the ACT tests must take... AND SCHOOLS APPOINTMENT TO THE UNITED STATES AIR FORCE ACADEMY Appointment Policies and Requirements...

32 CFR 901.5 - Academic examination requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... without advanced high school mathematics.) (b) ACT. Candidates who elect to use the ACT tests must take... AND SCHOOLS APPOINTMENT TO THE UNITED STATES AIR FORCE ACADEMY Appointment Policies and Requirements...

32 CFR 901.5 - Academic examination requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... without advanced high school mathematics.) (b) ACT. Candidates who elect to use the ACT tests must take... AND SCHOOLS APPOINTMENT TO THE UNITED STATES AIR FORCE ACADEMY Appointment Policies and Requirements...

32 CFR 901.5 - Academic examination requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... without advanced high school mathematics.) (b) ACT. Candidates who elect to use the ACT tests must take... AND SCHOOLS APPOINTMENT TO THE UNITED STATES AIR FORCE ACADEMY Appointment Policies and Requirements...

14 CFR 120.1 - Applicability.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AND OPERATORS FOR COMPENSATION OR HIRE: CERTIFICATION AND OPERATIONS DRUG AND ALCOHOL TESTING PROGRAM... part 135 of this chapter, all air traffic control facilities not operated by the FAA or by or under... implement a drug and alcohol testing program under this part. (d) All contractors who elect to implement a...

40 CFR 63.1207 - What are the performance testing requirements?

Code of Federal Regulations, 2011 CFR

2011-07-01

... incinerators, cement kilns, and lightweight aggregate kilns, you must commence the initial comprehensive... performance test operating conditions, as provided by paragraph (g)(1)(iii) of this section; (xiii) For cement... preheater or preheater/precalciner cement kilns with dual stacks, if you elect to use the emissions...

14 CFR 120.1 - Applicability.

Code of Federal Regulations, 2010 CFR

2010-01-01

... AND OPERATORS FOR COMPENSATION OR HIRE: CERTIFICATION AND OPERATIONS DRUG AND ALCOHOL TESTING PROGRAM... part 135 of this chapter, all air traffic control facilities not operated by the FAA or by or under... implement a drug and alcohol testing program under this part. (d) All contractors who elect to implement a...

5 CFR 839.621 - Can I cancel my FERS election if I was in the wrong retirement plan at the time I elected FERS...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Can I cancel my FERS election if I was in the wrong retirement plan at the time I elected FERS coverage and I have an election opportunity under... ERRONEOUS RETIREMENT COVERAGE CORRECTIONS ACT Making an Election Fers Elections § 839.621 Can I cancel my...

78 FR 51189 - Filing Dates for the Alabama Special Elections in the 1st Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-20

... 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Congressional District vacated by Representative Jo Bonner. There are three possible special elections, but only... Election, the top two vote-getters will participate in a Special Runoff Election. General Election...

4 CFR 28.116 - Conduct of elections.

Code of Federal Regulations, 2010 CFR

2010-01-01

... collective bargaining agent, or withdraw such a designation; (3) Order a runoff or an additional election, if... runoff election may be held. (i) Runoff election. The Board may order a runoff election where one or more... employees eligible to vote, but none has gained a majority of the votes cast. The runoff election will be...

77 FR 56208 - Filing Dates for the Kentucky Special Election in the 4th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-12

... FEDERAL ELECTION COMMISSION [Notice 2012-06] Filing Dates for the Kentucky Special Election in the 4th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Kentucky has scheduled a general election on November 6, 2012, to fill the U.S...

Active listening: The key of successful communication in hospital managers.

PubMed

Jahromi, Vahid Kohpeima; Tabatabaee, Seyed Saeed; Abdar, Zahra Esmaeili; Rajabi, Mahboobeh

2016-03-01

One of the important causes of medical errors and unintentional harm to patients is ineffective communication. The important part of this skill, in case it has been forgotten, is listening. The objective of this study was to determine whether managers in hospitals listen actively. This study was conducted between May and June 2014 among three levels of managers at teaching hospitals in Kerman, Iran. Active Listening skill among hospital managers was measured by self-made Active Listening Skill Scale (ALSS), which consists of the key elements of active listening and has five subscales, i.e., Avoiding Interruption, Maintaining Interest, Postponing Evaluation, Organizing Information, and Showing Interest. The data were analyzed by IBM-SPSS software, version 20, and the Pearson product-moment correlation coefficient, the chi-squared test, and multiple linear regressions. The mean score of active listening in hospital managers was 2.32 out of 3.The highest score (2.27) was obtained by the first-level managers, and the top managers got the lowest score (2.16). Hospital mangers were best in showing interest and worst in avoiding interruptions. The area of employment was a significant predictor of avoiding interruption and the managers' gender was a strong predictor of skill in maintaining interest (p < 0.05). The type of management and education can predict postponing evaluation, and the length of employment can predict showing interest (p < 0.05). There is a necessity for the development of strategies to create more awareness among the hospital managers concerning their active listening skills.

Risk and reproductive decisions: British Pakistani couples' responses to genetic counselling.

PubMed

Shaw, Alison

2011-07-01

How far does ethnicity/culture/religion mediate couples' responses to genetic risk? This paper examines the responses of 51 British Pakistani couples referred to a genetics clinic in southern England to counselling about recurrence risks for genetic problems in children. It is based on fieldwork conducted between 2000 and 2004 that combined participant observation of genetics consultations with interviews in respondents' homes. Interviews were conducted with 62 adults in connection with these 51 cases, of which 32 were followed through two or more clinical consultations and 12 through more than one pregnancy. Risk responses were categorized as: taking the risk; postponing; exploring risk management or dismissing the risk as irrelevant to current circumstances. Responses were cross-referenced for associations with the severity of the condition, number of affected and unaffected children, availability of a prenatal test, age, gender, and migration history. I found that most couples were initially risk-takers who already had an unaffected child or children. Couples caring for living children with severe conditions were more likely to postpone. However, the risk responses of 15 couples changed over time, most towards and some away from risk management, reflecting changes in couples' appreciation of the severity of the condition and their subsequent reproductive experiences. The study highlights the diversity and dynamism of responses within one ethnic group and challenges stereotypes about cultural and religious responses to genetic risk. Copyright © 2011 Elsevier Ltd. All rights reserved.

Will metformin postpone high-fat diet promotion of TRAMP mouse prostate cancer development and progression?

PubMed

Xu, Hua; Hu, Meng-Bo; Bai, Pei-de; Zhu, Wen-Hui; Ding, Qiang; Jiang, Hao-Wen

2014-12-01

We aimed to examine the effect of high-fat diet (HFD) on prostate cancer (PCa) development and progression and to investigate whether metformin would postpone PCa development and progression promoted by HFD. TRAMP mice were randomly divided into three groups: normal diet group, HFD group and metformin-HFD (Met-HFD) group. Mortality rate and tumor formation rate were examined. TRAMP mice were sacrificed and sampled on the 20th, 24(th), and 28th week, respectively. Serum levels of insulin and IGF-1 were tested by ELISA. Prostate tissue of TRAMP mice was used for HE staining. A total of 17 deaths of TRAMP mice were observed, including 3 (10 %) from the normal diet group, 10 (33.33 %) from the HFD group, and 4 (13.33 %) from Met-HFD group. The mortality rate of TRAMP mice from HFD group was significantly higher than that of normal diet group (P = 0.028), and metformin could moderately decrease the mortality rate by 60.01 % (P = 0.067). Tumor formation rates were not significantly different among the three groups. Levels of glucose, insulin, and IGF-1 tended to increase with TRAMP mice's age in HFD group. TRAMP mice from HFD group had higher serum insulin and IGF-1 levels. A moderate decrease in IGF-1 was also seen in Met-HFD group. HFD could promote TRAMP mouse PCa development and progression and metformin had moderate effect of reducing PCa mortality rate with a decrease in serum IGF-1 level.

Postponing sexual debut among university youth: how do men and women differ in their perceptions, values and non-penetrative sexual practices?

PubMed

Yasmine, Rola; El Salibi, Noura; El Kak, Faysal; Ghandour, Lilian

2015-01-01

This study aimed to investigate gender differences in reasoning influencing the postponing of sexual debut among university youth in Lebanon. Findings aimed to develop understandings that might help inform future research on, and programme implementation of, young people's reproductive and sexual health. A cross-sectional survey of sexuality and sexual practices, attitudes and perceptions was conducted among private university students in Lebanon using a secure online method. Of 1838 participating students, 48.7% indicated they had never engaged in oral, anal or vaginal sex (i.e., penetrative sexual activity) during their lifetime (n =  895). Common socio-cultural concerns regarding sexual initiation included: gaining a bad reputation (47%), social rejection (58%), religion (70%) and parental disapproval (61%). Women were four times more concerned than men regarding loss of reputation and self-respect, six times more so regarding parental disapproval and three times more likely to be concerned with societal disapproval. Intrapersonal concerns included fear of contradicting one's own beliefs (67%), feeling guilty afterwards (62%) and losing self-respect (55%). Women were four times more likely to feel loss of self-respect and six times more likely to think sex was disgusting. Underlying reasons for postponing sexual intercourse are linked to adopted fears and social pressures that are internalised, and reinforce existing gender inequalities and reaffirm discriminatory gender norms.

7 CFR 52.15 - Postponing inspection service.

Code of Federal Regulations, 2010 CFR

2010-01-01

... MARKETING ACT OF 1946 PROCESSED FRUITS AND VEGETABLES, PROCESSED PRODUCTS THEREOF, AND CERTAIN OTHER PROCESSED FOOD PRODUCTS 1 Regulations Governing Inspection and Certification Inspection Service § 52.15...

11 CFR 102.9 - Accounting for contributions and expenditures (2 U.S.C. 432(c)).

Code of Federal Regulations, 2010 CFR

2010-01-01

... (2 U.S.C. 432(c)). 102.9 Section 102.9 Federal Elections FEDERAL ELECTION COMMISSION GENERAL... general election pursuant to 11 CFR 110.1(b) prior to the date of the primary election, such candidate or... received for the primary election and contributions received for the general election. Acceptable...

26 CFR 1.1335-1 - Elective method; time and manner of making election and effect thereof.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Elective method; time and manner of making election and effect thereof. (a) In general. If the taxpayer... election and effect thereof. 1.1335-1 Section 1.1335-1 Internal Revenue INTERNAL REVENUE SERVICE... election to all taxable years of the taxpayer beginning after December 31, 1941. Thus, the taxpayer need...

78 FR 7781 - Filing Dates for the South Carolina Special Elections in the 1st Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-04

... in the 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates... Primary Election, the top two vote-getters will participate in a Special Runoff Election. General Election... participating in the South Carolina Special Primary and Special General Elections shall file a 12-day Pre...

26 CFR 1.1291-10 - Deemed sale election.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 26 Internal Revenue 11 2013-04-01 2013-04-01 false Deemed sale election. 1.1291-10 Section 1.1291... Deemed sale election. (a) Deemed sale election. This section provides rules for making the election under section 1291(d)(2)(A) (deemed sale election). Under that section, a shareholder (as defined in § 1.1291-9...

26 CFR 1.1291-10 - Deemed sale election.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 26 Internal Revenue 11 2012-04-01 2012-04-01 false Deemed sale election. 1.1291-10 Section 1.1291... Deemed sale election. (a) Deemed sale election. This section provides rules for making the election under section 1291(d)(2)(A) (deemed sale election). Under that section, a shareholder (as defined in § 1.1291-9...

42 CFR 422.62 - Election of coverage under an MA plan.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 3 2013-10-01 2013-10-01 false Election of coverage under an MA plan. 422.62... Enrollment § 422.62 Election of coverage under an MA plan. (a) General: Coverage election periods—(1) Initial coverage election period for MA. The initial coverage election period is the period during which a newly MA...

42 CFR 422.62 - Election of coverage under an MA plan.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Election of coverage under an MA plan. 422.62... § 422.62 Election of coverage under an MA plan. (a) General: Coverage election periods—(1) Initial coverage election period for MA. The initial coverage election period is the period during which a newly MA...

42 CFR 422.62 - Election of coverage under an MA plan.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 3 2011-10-01 2011-10-01 false Election of coverage under an MA plan. 422.62... § 422.62 Election of coverage under an MA plan. (a) General: Coverage election periods—(1) Initial coverage election period for MA. The initial coverage election period is the period during which a newly MA...

42 CFR 422.62 - Election of coverage under an MA plan.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 3 2014-10-01 2014-10-01 false Election of coverage under an MA plan. 422.62... Enrollment § 422.62 Election of coverage under an MA plan. (a) General: Coverage election periods—(1) Initial coverage election period for MA. The initial coverage election period is the period during which a newly MA...

42 CFR 422.62 - Election of coverage under an MA plan.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 3 2012-10-01 2012-10-01 false Election of coverage under an MA plan. 422.62... Enrollment § 422.62 Election of coverage under an MA plan. (a) General: Coverage election periods—(1) Initial coverage election period for MA. The initial coverage election period is the period during which a newly MA...

26 CFR 12.4 - Election of Class Life Asset Depreciation Range System (ADR).

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 14 2011-04-01 2010-04-01 true Election of Class Life Asset Depreciation Range... Election of Class Life Asset Depreciation Range System (ADR). (a) Elections filed before February 1, 1972... election will be treated as an election under the Class Life Asset Depreciation Range System (ADR) as...

75 FR 12544 - Filing Dates for the Hawaii Special Election In the 1st Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-16

... FEDERAL ELECTION COMMISSION [Notice 2010-07] Filing Dates for the Hawaii Special Election In the... special election. SUMMARY: Hawaii has scheduled a Special General Election on May 22, 2010, to fill the U... campaign committees of candidates who participate in the Hawaii Special General Election shall file a 12...

26 CFR 12.4 - Election of Class Life Asset Depreciation Range System (ADR).

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 14 2010-04-01 2010-04-01 false Election of Class Life Asset Depreciation Range... Election of Class Life Asset Depreciation Range System (ADR). (a) Elections filed before February 1, 1972... election will be treated as an election under the Class Life Asset Depreciation Range System (ADR) as...

Do heads of government age more quickly? Observational study comparing mortality between elected leaders and runners-up in national elections of 17 countries

PubMed Central

Olenski, Andrew R; Abola, Matthew V

2015-01-01

Objectives To determine whether being elected to head of government is associated with accelerated mortality by studying survival differences between people elected to office and unelected runner-up candidates who never served. Design Observational study. Setting Historical survival data on elected and runner-up candidates in parliamentary or presidential elections in Australia, Austria, Canada, Denmark, Finland, France, Germany, Greece, Ireland, Italy, New Zealand, Norway, Poland, Spain, Sweden, United Kingdom, and United States, from 1722 to 2015. Participants Elected and runner-up political candidates. Main outcome measure Observed number of years alive after each candidate’s last election, relative to what would be expected for an average person of the same age and sex as the candidate during the year of the election, based on historical French and British life tables. Observed post-election life years were compared between elected candidates and runners-up, adjusting for life expectancy at time of election. A Cox proportional hazards model (adjusted for candidate’s life expectancy at the time of election) considered years until death (or years until end of study period for those not yet deceased by 9 September 2015) for elected candidates versus runners-up. Results The sample included 540 candidates: 279 winners and 261 runners-up who never served. A total of 380 candidates were deceased by 9 September 2015. Candidates who served as a head of government lived 4.4 (95% confidence interval 2.1 to 6.6) fewer years after their last election than did candidates who never served (17.8 v 13.4 years after last election; adjusted difference 2.7 (0.6 to 4.8) years). In Cox proportional hazards analysis, which considered all candidates (alive or deceased), the mortality hazard for elected candidates relative to runners-up was 1.23 (1.00 to 1.52). Conclusions Election to head of government is associated with a substantial increase in mortality risk compared with candidates in national elections who never served. PMID:26666894

Do heads of government age more quickly? Observational study comparing mortality between elected leaders and runners-up in national elections of 17 countries.

PubMed

Olenski, Andrew R; Abola, Matthew V; Jena, Anupam B

2015-12-14

To determine whether being elected to head of government is associated with accelerated mortality by studying survival differences between people elected to office and unelected runner-up candidates who never served. Observational study. Historical survival data on elected and runner-up candidates in parliamentary or presidential elections in Australia, Austria, Canada, Denmark, Finland, France, Germany, Greece, Ireland, Italy, New Zealand, Norway, Poland, Spain, Sweden, United Kingdom, and United States, from 1722 to 2015. Elected and runner-up political candidates. Observed number of years alive after each candidate's last election, relative to what would be expected for an average person of the same age and sex as the candidate during the year of the election, based on historical French and British life tables. Observed post-election life years were compared between elected candidates and runners-up, adjusting for life expectancy at time of election. A Cox proportional hazards model (adjusted for candidate's life expectancy at the time of election) considered years until death (or years until end of study period for those not yet deceased by 9 September 2015) for elected candidates versus runners-up. The sample included 540 candidates: 279 winners and 261 runners-up who never served. A total of 380 candidates were deceased by 9 September 2015. Candidates who served as a head of government lived 4.4 (95% confidence interval 2.1 to 6.6) fewer years after their last election than did candidates who never served (17.8 v 13.4 years after last election; adjusted difference 2.7 (0.6 to 4.8) years). In Cox proportional hazards analysis, which considered all candidates (alive or deceased), the mortality hazard for elected candidates relative to runners-up was 1.23 (1.00 to 1.52). Election to head of government is associated with a substantial increase in mortality risk compared with candidates in national elections who never served. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

40 CFR 81.302 - Alaska.

Code of Federal Regulations, 2011 CFR

2011-07-01

... District Northwest Arctic Borough Southeast Fairbanks Election District Upper Yukon Election District Yukon... Election District Northwest Arctic Borough Southeast Fairbanks Election District Upper Yukon Election... Nome Census Area North Slope Borough Northwest Arctic Borough Southeast Fairbanks Census Area Yukon...

Paediatric conference.

PubMed

1999-04-01

The venue for the postponed RCN Children in A&E (Within the RCN A&E Nursing Association) Annual Conference, Saturday, April 24 1999 will be The Education Centre, Birmingham Children's Hospital, Steelhouse Lane, Birmingham.

KSC-06pd0221

NASA Image and Video Library

2006-02-07

KENNEDY SPACE CENTER, FLA. - (From left, backs to the camera) Pilot Steve Fossett, Sir Richard Branson and Jon Karkow talk with the media about the reason the takeoff of the Virgin Atlantic GlobalFlyer was postponed. Branson is chairman and founder of Virgin Atlantic. Karkow, with Scaled Composites, is chief engineer for the GlobalFlyer. Fossett will pilot the GlobalFlyer on a record-breaking attempt by flying solo, non-stop without refueling, to surpass the current record for the longest flight of any aircraft. Fossett was expected to take off from the KSC SLF before the takeoff was postponed due to the fuel leak that appeared in the last moments of loading. The next planned takeoff attempt is 7 a.m. Feb. 8 from the SLF. Photo credit: NASA/Kim Shiflett

11 CFR 9002.14 - Secretary.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 11 Federal Elections 1 2012-01-01 2012-01-01 false Secretary. 9002.14 Section 9002.14 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING DEFINITIONS § 9002.14 Secretary. Secretary means the Secretary of the Treasury. ...

11 CFR 9002.14 - Secretary.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 11 Federal Elections 1 2011-01-01 2011-01-01 false Secretary. 9002.14 Section 9002.14 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING DEFINITIONS § 9002.14 Secretary. Secretary means the Secretary of the Treasury. ...

11 CFR 9002.14 - Secretary.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 11 Federal Elections 1 2014-01-01 2014-01-01 false Secretary. 9002.14 Section 9002.14 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING DEFINITIONS § 9002.14 Secretary. Secretary means the Secretary of the Treasury. ...

11 CFR 9002.14 - Secretary.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Secretary. 9002.14 Section 9002.14 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING DEFINITIONS § 9002.14 Secretary. Secretary means the Secretary of the Treasury. ...

11 CFR 9002.14 - Secretary.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 11 Federal Elections 1 2013-01-01 2012-01-01 true Secretary. 9002.14 Section 9002.14 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING DEFINITIONS § 9002.14 Secretary. Secretary means the Secretary of the Treasury. ...

26 CFR 1.861-9 - Allocation and apportionment of interest expense.

Code of Federal Regulations, 2010 CFR

2010-04-01

... of such an election, other than in conjunction with an election to use the fair market value method... further guidance, see § 1.861-9T(a) through (f)(3)(i). (f)(3)(ii) Manner of election. The election shall... corporate shareholders. (ii) Manner of election. The election to use the asset method described in § 1.861...

11 CFR 9004.2 - Pre-election payments for minor and new party candidates.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Pre-election payments for minor and new party... § 9004.2 Pre-election payments for minor and new party candidates. (a) Candidate of a minor party in the preceding election. An eligible candidate of a minor party is entitled to pre-election payments: (1) If he...

11 CFR 9004.2 - Pre-election payments for minor and new party candidates.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 11 Federal Elections 1 2011-01-01 2011-01-01 false Pre-election payments for minor and new party... § 9004.2 Pre-election payments for minor and new party candidates. (a) Candidate of a minor party in the preceding election. An eligible candidate of a minor party is entitled to pre-election payments: (1) If he...

29 CFR 452.30 - Run-off elections.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 2 2011-07-01 2011-07-01 false Run-off elections. 452.30 Section 452.30 Labor Regulations... OF 1959 Frequency and Kinds of Elections § 452.30 Run-off elections. A run-off election must meet the... example, if the run-off is to be held at the same meeting as the original election, the original notice of...

Dissemination of Election Returns Information: The News Election Service during Election 1980.

ERIC Educational Resources Information Center

Garrison, Bruce

In 1964, the Associated Press, ABC News, CBS News, NBC News, and United Press International formed a consortium called the News Election Service (NES) that was designed to collect one set of election returns for the entire United States. A study was made of NES operations during the presidential election year of 1980 to determine (1) the nature of…

29 CFR 452.30 - Run-off elections.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 2 2010-07-01 2010-07-01 false Run-off elections. 452.30 Section 452.30 Labor Regulations... OF 1959 Frequency and Kinds of Elections § 452.30 Run-off elections. A run-off election must meet the... example, if the run-off is to be held at the same meeting as the original election, the original notice of...

Evaluating compliance with institutional preoperative testing guidelines for minimal-risk patients undergoing elective surgery.

PubMed

Siriussawakul, Arunotai; Nimmannit, Akarin; Rattana-arpa, Sirirat; Chatrattanakulchai, Siritda; Saengtawan, Puttachard; Wangdee, Aungsumat

2013-01-01

Few investigations preoperatively are important for low-risk patients. This study was designed to determine the level of compliance with preoperative investigation guidelines for ASA I patients undergoing elective surgery. Secondary objectives included the following: to identify common inappropriate investigations, to evaluate the impact of abnormal testing on patient management, to determine factors affecting noncompliant tests, and to estimate unnecessary expenditure. This retrospective study was conducted on adult patients over a one-year period. The institute's guidelines recommend tests according to the patients' age groups: a complete blood count (CBC) for those patients aged 18-45; CBC, chest radiograph (CXR) and electrocardiography (ECG) for those aged 46-60; and CBC, CXR, ECG, electrolytes, blood glucose, blood urea nitrogen (BUN), and creatinine (Cr) for patients aged 61-65. The medical records of 1,496 patients were reviewed. Compliant testing was found in only 12.1% (95% CI, 10.5-13.9). BUN and Cr testings were the most frequently overprescribed tests. Overinvestigations tended to be performed on major surgery and younger patients. Overall, overinvestigation incurred an estimated cost of US 200,000 dollars during the study period. The need to utilize the institution's preoperative guidelines should be emphasized in order to decrease unnecessary testing and the consequential financial burden.

Effect of high up front charges on access to surgery for poor patients at a public hospital in New Mexico.

PubMed

Kaufman, Will; Chavez, Augustine S; Skipper, Betty; Kaufman, Arthur

2006-06-23

A public hospital in New Mexico required collection of 50% of estimated costs prior to elective surgeries for self-pay patients. This study assesses the impact of this policy on access to elective surgical procedures. Chi-square tests determined if there was a statistically significant difference between the number of self-pay and insured patient cancellations for financial reasons. A multivariate binomial regression model was used to calculate risk ratios and confidence limits for effects of race/ethnicity, and insurance status, controlling for gender, on these cancellations. Of the 667 cancellations, there were 99 self-pay and 568 insured patients. Cancellations for financial reasons occurred in 55.6% of self-pay and 9.3% of insured patients (p < 0.0001). Inability to pay 50% up front accounted for 76.4% of self-pay patient cancellations for financial reasons. Self-pay, non-Hispanic whites and minority race/ethnicities were 8.76 and 8.61 times more likely to cancel for financial reasons, respectively, than insured non-Hispanic whites. Self-pay patients, regardless of race/ethnicity, have elective surgical procedures cancelled for financial reasons significantly more often than insured patients. The hospital's 50% up-front payment policy represents a significant financial barrier to accessing elective surgical procedures for self-pay patients.

Making Connections through Visual Arts

ERIC Educational Resources Information Center

Ebner, Aviva

2006-01-01

The push for academic electives has grown over the years for many reasons. The pressure for high test scores has forced schools to focus on literacy and core content areas. The competition for entrance to four-year universities has grown, too. However, in the race to improve academic offerings and raise test scores, some schools have neglected to…

11 CFR 9007.7 - Administrative record.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Administrative record. 9007.7 Section 9007.7 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION... properly subject to privileges such as an attorney-client privilege, or items constituting attorney work...

Masked Ballot Voting for Receipt-Free Online Elections

NASA Astrophysics Data System (ADS)

Wen, Roland; Buckland, Richard

To prevent bribery and coercion attacks on voters, current online election schemes rely on strong physical assumptions during the election. We introduce Masked Ballot, an online voting scheme that mitigates these attacks while using a more practical assumption: untappable channels are available but only before the election. During the election voters cast ballots over completely public channels without relying on untappable channels, anonymous channels or trusted devices. Masked Ballot performs only the voting part of an election and is designed to integrate with counting schemes that compute the final election result.

Variance in elective surgery for chronic pancreatitis.

PubMed

Shah, Nehal S; Siriwardena, Ajith K

2009-01-08

Evidence to guide selection of optimal surgical treatment for patients with painful chronic pancreatitis is limited. Baseline assessment data are limited and thus patients in different centres may be presenting at different stages of their illness. This study undertakes a systematic overview of reports of elective surgical intervention in chronic pancreatitis with particular reference to reporting of quality of life and baseline assessment and relation between disease and type of procedure. A computerised search of the PubMed, Embase and Cochrane databases was undertaken for the period January 1997 to March 2007 yielding 46 manuscripts providing data on 4,626 patients undergoing elective surgery for chronic pancreatitis. The median number of patients per study was 71 (range: 4-484). The median period for recruitment of patients was 10 years (range: 2-36 years). An externally validated quality of life questionnaire is reported in 8 (17.4%) of 46 manuscripts covering 441 (9.5%) of 4,626 patients. Formal comparison of pre-operative and post-operative pain scores was provided in 15 (32.6%) of manuscripts. Only seven (15.2%) reports provide a formal rationale or indication for selection of the type of elective surgical procedure for a stated disease variant and these papers cover 481 (10.4%) patients. In conclusion, this study demonstrates that there is a lack of standardization between units of the criteria for operative intervention in painful chronic pancreatitis. At a minimum, formal quality of life testing using a validated system should be undertaken in all patients prior to elective surgery for painful chronic pancreatitis.

De Novo Upper Extremity Lymphedema After Elective Hand Surgery in Breast Cancer Survivors.

PubMed

Baltzer, Heather L; Harvey, Jamison; Fox, Paige M; Moran, Steven L

2017-07-01

The safety of elective hand surgery in breast cancer (BC) survivors is controversial because of concerns of developing upper extremity lymphedema. This study aimed to evaluate the risk of developing lymphedema after elective hand surgery among patients that underwent ipsilateral axillary lymph node dissection (ALND), sentinel lymph node biopsy (SLNB), and/or radiation therapy (RT). A retrospective cohort of BC patients treated with ALND, SLNB, and/or RT was identified (1997-2012). Patients with subsequent ipsilateral elective hand surgery were included if greater than 1 year of follow-up and no preexisting lymphedema. The primary outcome was lymphedema after hand surgery. Comparisons between patients with and without lymphedema were made to identify potential lymphedema risk factors. Dichotomous and continuous variables were compared with Fisher exact and Student t tests, respectively. The analysis included 103 patients, of which 4 (3.8%) had documented lymphedema after hand surgery. Lymphedema developed early and was self-limited. Lymphedema was not related to age and type of hand surgery. Tourniquet time was longer in the nonlymphedema group. The lymphedema group all received adjuvant chemotherapy and RT with either ALND or SLNB. Patients with lymphedema had a shorter interval between hand surgery and completion of BC surgery (2.1 vs 6.2 years) and RT (2.0 vs 3.3 years). Lymphedema is uncommon after elective hand surgery among survivors and was not associated with tourniquet use. The combination of adjuvant therapies and axillary procedures and a short temporal relationship of these to hand surgery may increase lymphedema risk.

Tire-pavement and environmental traffic noise research study.

DOT National Transportation Integrated Search

2012-06-01

In response to an interest in traffic noise, particularly tirepavement noise, CDOT elected to conduct tirepavement : noise research. Following a rigid set of testing protocols, data was collected on highway traffic : noise characteristics along wi...

77 FR 20387 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Comment...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-04

... waste incinerators, hazardous waste cement kilns, hazardous waste lightweight aggregate kilns, hazardous..., notification if the owner or operator elects to comply with alternative requirements, initial performance tests...

78 FR 10170 - Filing Dates for the Massachusetts Senate Special Elections

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-13

... FEDERAL ELECTION COMMISSION [Notice 2013-06] Filing Dates for the Massachusetts Senate Special Elections AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY... for the closing date for each report.) All principal campaign committees of candidates participating...

Impact of an Elective Course in Community and Ambulatory Care Pharmacy Practices on Student Perception of Patient Care

PubMed Central

Maguire, Michelle; Bennett, Marialice S.

2015-01-01

Objective. To determine the impact of an elective course on students’ perception of opportunities and of their preparedness for patient care in community and ambulatory pharmacy settings. Design. Each course meeting included a lecture and discussion to introduce concepts and active-learning activities to apply concepts to patient care or practice development in a community or ambulatory pharmacy setting. Assessment. A survey was administered to students before and after the course. Descriptive statistics were used to assess student responses to survey questions, and Wilcoxon signed rank tests were used to analyze the improvement in student responses with an alpha level set at 0.05. Students felt more prepared to provide patient care, develop or improve a clinical service, and effectively communicate recommendations to other health care providers after course completion. Conclusion. This elective course equipped students with the skills necessary to increase their confidence in providing patient care services in community and ambulatory settings. PMID:27168617

48 CFR 14.402-3 - Postponement of openings.

Code of Federal Regulations, 2010 CFR

2010-10-01

....g., flood, fire, accident, weather conditions, strikes, or Government equipment blackout or... preclude amendment of the solicitation as prescribed in 14.208, the time specified for opening of bids will...

48 CFR 14.402-3 - Postponement of openings.

Code of Federal Regulations, 2014 CFR

2014-10-01

....g., flood, fire, accident, weather conditions, strikes, or Government equipment blackout or... preclude amendment of the solicitation as prescribed in 14.208, the time specified for opening of bids will...

75 FR 49931 - Filing Dates for the Illinois Senate Special Election

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-16

... FEDERAL ELECTION COMMISSION [Notice 2010--16] Filing Dates for the Illinois Senate Special Election AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY... date for each report). Note that these reports are in addition to the campaign committee's quarterly...

11 CFR 9006.2 - Filing dates.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Filing dates. 9006.2 Section 9006.2 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING REPORTS AND RECORDKEEPING § 9006.2 Filing dates. The reports required to be filed under 11 CFR 9006.1...

11 CFR 9002.7 - Minor party.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 11 Federal Elections 1 2011-01-01 2011-01-01 false Minor party. 9002.7 Section 9002.7 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING DEFINITIONS § 9002.7 Minor party. Minor party means a political party whose candidate for the office of...

11 CFR 9002.7 - Minor party.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Minor party. 9002.7 Section 9002.7 Federal Elections FEDERAL ELECTION COMMISSION PRESIDENTIAL ELECTION CAMPAIGN FUND: GENERAL ELECTION FINANCING DEFINITIONS § 9002.7 Minor party. Minor party means a political party whose candidate for the office of...

[Recent developments on the European ban on animal experiments for cosmetics].

PubMed

Ruhdel, I W

2001-01-01

For the second time the European Commission has postponed the sales ban on cosmetics products that have been developed and tested in animal experiments now until 2002. In the meantime the Commission wants to adopt the Seventh Amendment of the EU Cosmetics Directive. In its draft the Commission proposes to scrap the sales ban and replace it with an animal testing ban. This change would avoid possible conflicts with the WTO, however, from the animal welfare point of view would result in animal testing moving into third countries instead of avoiding them. This is because cosmetics products tested on animals outside the EU could be sold in the EU without any restrictions. As a consequence this measure would take the pressure from authorities and industry to further develop and adopt alternative methods. Other proposed measures are not acceptable from the animal welfare point of view, e.g. because they contradict Directive 86/609 and would result in a delay of the application of validated alternative methods. The Deutscher Tierschutzbund therefore still demands an immediate and complete sales ban in connection with an animal testing ban within the EU.

[Cephalic phase of insulin secretion and the variety of the food in rat feed].

PubMed

Louis-Sylvestre, J; Le Magnen, J

1983-01-01

Immunologically reactive insulin levels were determined in freely-moving normal rats offered three different test-meals. In test I, they were offered their normal diet for 4.5 min. In test II, they first ate the same diet for the same amount of time, then a cookie for 6 min, and finally they had free access to lard. In test III, the normal diet was followed by a synthetic sweetener and then by vaseline. It was shown that in a varied meal (tests II and III), the ingestion of each new food was immediately followed by a peak of insulin secretion superimposed on normal postprandial hyperinsulinemia. This resulted in an overall increase in insulinemia over the 15-min period measured. It is well known that in a varied meal more food is consumed. Thus, it may be that when a varied meal is offered, final satiety is postponed. This could be due to sensorially-triggered peaks of insulin secretion which would explain why the "cafeteria diet" induces hyperphagia and obesity.

Health risks encountered by Dutch medical students during an elective in the tropics and the quality and comprehensiveness of pre-and post-travel care.

PubMed

Sharafeldin, Elhadi; Soonawala, Darius; Vandenbroucke, Jan P; Hack, Evelien; Visser, Leo G

2010-12-02

Clinical and research electives abroad offer medical students many unique experiences. However, participating in an unfamiliar health-care setting combined with limited medical experience may place students at risk of illness. To improve pre-and post-travel care, we assessed the health risks and the quality and comprehensiveness of pre-and post-travel care in a cohort of Dutch medical students returning form an elective abroad. All medical students who had performed an elective in the tropics between July 2006 and December 2008 were sent an informative email asking them to complete a web-based questionnaire. 180 of 242 (74%) students completed the questionnaire. Regarding the risk of bloodborne viral infection: 67% of all students and 32% of junior students engaged in procedures that constitute a risk of exposure to bloodborne viral infection, often in countries with high HIV prevalence rates. None of nine students who experienced possible or certain mucosal or percutaneous exposure to potentially infectious body fluids reported the exposure at the time it occurred and none used PEP. Regarding other health risks: 8 of 40 (20%) students stopped using mefloquine due to adverse effects. This left a sizeable proportion unprotected in countries that are hyperendemic for malaria. Post-travel screening for schistosomiasis, tuberculosis (tuberculin skin test) and carriage of methicillin-resistant Staphylococcus aureus (MRSA) encompassed approximately half of all students who should have been screened. Based on the results of this study we have adopted an integral set of measures to reduce the health risks associated with an elective abroad. The pre and post-travel consult has been centralized and standardized as well as the distribution of PEP. In addition we have developed a mandatory module on Global Health for all medical students planning an elective abroad.

Health risks encountered by Dutch medical students during an elective in the tropics and the quality and comprehensiveness of pre-and post-travel care

PubMed Central

2010-01-01

Background Clinical and research electives abroad offer medical students many unique experiences. However, participating in an unfamiliar health-care setting combined with limited medical experience may place students at risk of illness. To improve pre-and post-travel care, we assessed the health risks and the quality and comprehensiveness of pre-and post-travel care in a cohort of Dutch medical students returning form an elective abroad. Methods All medical students who had performed an elective in the tropics between July 2006 and December 2008 were sent an informative email asking them to complete a web-based questionnaire. Results 180 of 242 (74%) students completed the questionnaire. Regarding the risk of bloodborne viral infection: 67% of all students and 32% of junior students engaged in procedures that constitute a risk of exposure to bloodborne viral infection, often in countries with high HIV prevalence rates. None of nine students who experienced possible or certain mucosal or percutaneous exposure to potentially infectious body fluids reported the exposure at the time it occurred and none used PEP. Regarding other health risks: 8 of 40 (20%) students stopped using mefloquine due to adverse effects. This left a sizeable proportion unprotected in countries that are hyperendemic for malaria. Post-travel screening for schistosomiasis, tuberculosis (tuberculin skin test) and carriage of methicillin-resistant Staphylococcus aureus (MRSA) encompassed approximately half of all students who should have been screened. Conclusions Based on the results of this study we have adopted an integral set of measures to reduce the health risks associated with an elective abroad. The pre and post-travel consult has been centralized and standardized as well as the distribution of PEP. In addition we have developed a mandatory module on Global Health for all medical students planning an elective abroad. PMID:21126347

5 CFR 733.101 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... includes a primary, special, runoff, or general election. Employee means: Any individual (other than the... election to any elective office whether or not the person is elected. An individual is deemed to be a...'s nomination or election. Campaign means all acts done by a candidate and his or her adherents to...

29 CFR 452.23 - Frequency of elections.

Code of Federal Regulations, 2010 CFR

2010-07-01

... STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Frequency and Kinds of Elections § 452.23 Frequency of elections. The Act requires... 29 Labor 2 2010-07-01 2010-07-01 false Frequency of elections. 452.23 Section 452.23 Labor...

11 CFR 102.5 - Organizations financing political activity in connection with Federal and non-Federal elections...

Code of Federal Regulations, 2010 CFR

2010-01-01

...: Accounts and accounting. 102.5 Section 102.5 Federal Elections FEDERAL ELECTION COMMISSION GENERAL... connection with non-Federal elections. Administrative expenses for State, district, and local party... 11 Federal Elections 1 2010-01-01 2010-01-01 false Organizations financing political activity in...

5 CFR 2422.28 - Runoff elections.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Runoff elections. 2422.28 Section 2422.28... FEDERAL LABOR RELATIONS AUTHORITY REPRESENTATION PROCEEDINGS § 2422.28 Runoff elections. (a) When a runoff may be held. A runoff election is required in an election involving at least three (3) choices, one of...

11 CFR 9428.6 - Chief state election official.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 11 Federal Elections 1 2011-01-01 2011-01-01 false Chief state election official. 9428.6 Section 9428.6 Federal Elections ELECTION ASSISTANCE COMMISSION NATIONAL VOTER REGISTRATION ACT (42 U.S.C... constitution or statutory citations, including but not limited to the specific state requirements, if any...

11 CFR 9428.6 - Chief state election official.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 11 Federal Elections 1 2014-01-01 2014-01-01 false Chief state election official. 9428.6 Section 9428.6 Federal Elections ELECTION ASSISTANCE COMMISSION NATIONAL VOTER REGISTRATION ACT (42 U.S.C... constitution or statutory citations, including but not limited to the specific state requirements, if any...

11 CFR 9428.6 - Chief state election official.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Chief state election official. 9428.6 Section 9428.6 Federal Elections ELECTION ASSISTANCE COMMISSION NATIONAL VOTER REGISTRATION ACT (42 U.S.C... constitution or statutory citations, including but not limited to the specific state requirements, if any...

5 CFR 891.202 - Change of election.

Code of Federal Regulations, 2010 CFR

2010-01-01

... (CONTINUED) RETIRED FEDERAL EMPLOYEES HEALTH BENEFITS Election and Change of Election § 891.202 Change of election. (a) When used in this section, “month” includes the 4-week period for which a retired employee... private health benefits plan for all persons covered by the election but the retired employee making the...

5 CFR 891.201 - Election.

Code of Federal Regulations, 2010 CFR

2010-01-01

... FEDERAL EMPLOYEES HEALTH BENEFITS Election and Change of Election § 891.201 Election. (a) The original period for election by each eligible retired employee was during the months of March and April 1961... failure is determined by the retirement office to be for cause beyond the control of the retired employee...

75 FR 44964 - Filing Dates for the West Virginia Senate Special Election

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-30

... FEDERAL ELECTION COMMISSION [Notice 2010-15] Filing Dates for the West Virginia Senate Special Election AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY... Report on December 2, 2010. (See chart below for the closing date for each report). All principal...

78 FR 78345 - Proposed Information Collection-2014 Election Administration and Voting Survey; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-26

... Voting Survey; Comment Request AGENCY: U.S. Election Assistance Commission (EAC). ACTION: Notice. SUMMARY... Survey) to the Director of the Office of Management and Budget for approval. The 2014 Election Administration and Voting Survey (Survey) asks election officials questions concerning voting and election...

Teaching about Presidential Elections. ERIC Digest.

ERIC Educational Resources Information Center

Vontz, Thomas S.; Nixon, William A.

Although elections are an annual theme in many social studies classrooms, presidential election years prompt increased interest among students in the electoral process and offer an opportunity to teach about a national election as it happens. This ERIC Digest describes the legal requirements and traditions of U.S. presidential elections, processes…

The European System for Electing University Presidents and University Governance

ERIC Educational Resources Information Center

Ma, Huaide

2014-01-01

The system of electing university presidents in Spain, Switzerland, Italy, and the United Kingdom has distinctive characteristics. Almost all university presidents are elected by teachers and students, either directly or indirectly through elections with government approval of the appointment a mere formality. Principles of these elections include…

75 FR 1614 - Submission for OMB Review-2010 Election Administration and Voting Survey; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-12

... EAC (including your address and phone number) at U.S. Election Assistance Commission, 1225 New York... ELECTION ASSISTANCE COMMISSION Submission for OMB Review--2010 Election Administration and Voting... voters; (c) Number of new registrations in jurisdictions with Same Day Registration or Election Day...

26 CFR 701.9006-1 - Presidential Election Campaign Fund.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 20 2010-04-01 2010-04-01 false Presidential Election Campaign Fund. 701.9006-1...) INTERNAL REVENUE PRACTICE PRESIDENTIAL ELECTION CAMPAIGN FUND § 701.9006-1 Presidential Election Campaign Fund. (a) Transfer of amounts to the Presidential Election Campaign Fund. The Secretary shall determine...

Elective ventilation for organ donation: law, policy and public ethics.

PubMed

Coggon, John

2013-03-01

This paper examines questions concerning elective ventilation, contextualised within English law and policy. It presents the general debate with reference both to the Exeter Protocol on elective ventilation, and the considerable developments in legal principle since the time that that protocol was declared to be unlawful. I distinguish different aspects of what might be labelled elective ventilation policies under the following four headings: 'basic elective ventilation'; 'epistemically complex elective ventilation'; 'practically complex elective ventilation'; and 'epistemically and practically complex elective ventilation'. I give a legal analysis of each. In concluding remarks on their potential practical viability, I emphasise the importance not just of ascertaining the legal and ethical acceptability of these and other forms of elective ventilation, but also of assessing their professional and political acceptability. This importance relates both to the successful implementation of the individual practices, and to guarding against possible harmful effects in the wider efforts to increase the rates of posthumous organ donation.

Young adults' psychological and physiological reactions to the 2016 U.S. presidential election.

PubMed

Hoyt, Lindsay T; Zeiders, Katharine H; Chaku, Natasha; Toomey, Russell B; Nair, Rajni L

2018-06-01

Elections present unique opportunities to study how sociopolitical events influence individual processes. The current study examined 286 young adults' mood and diurnal cortisol responses to the 2016 U.S. presidential election in real-time: two days before the election, election night, and two days after the election of Donald Trump, with the goal of understanding whether (and the extent to which) the election influenced young adults' affective and biological states. Utilizing piecewise trajectory analyses, we observed high, and increasing, negative affect leading up to the election across all participants. Young adults who had negative perceptions of Trump's ability to fulfill the role of president and/or were part of a non-dominant social group (i.e., women, ethnic/racial minority young adults) reported increased signs of stress before the election and on election night. After the election, we observed a general "recovery" in self-reported mood; however, diurnal cortisol indicators suggested that there was an increase in biological stress among some groups. Overall, findings underscore the role of macro-level factors in individuals' health and well-being via more proximal attitudes and physiological functioning. Copyright © 2018 Elsevier Ltd. All rights reserved.

Black Perceptions of the Mayor: An Empirical Test.

ERIC Educational Resources Information Center

Foster, Lorn S.

1978-01-01

During the past ten years Blacks have increased their participation in the urban political process. In a few urban areas, such as Newark and Detroit, Blacks constitute an electoral majority and have elected Black mayors. (Author/RLV)

Effects of receipt of Social Security retirement benefits on older women's employment.

PubMed

Gillen, Martie; Heath, Claudia J

2017-01-01

Labor force participation of women has declined since 1999; however, labor force participation of women 62+ has increased. The 2000-2006 waves of Health and Retirement Study (HRS) data, the initial years of the continuing upward trajectory, were used to test the effects of receipt of Social Security retirement benefits on older women's employment. The models tested: (a) the effect of receipt of Social Security retirement benefits on whether employed; and (b) for women receiving Social Security retirement benefits, the effect of age elected receipt of benefits on whether employed. Both models included the effects of human capital characteristics and income sources. Receipt of Social Security benefits, pension income, and current age reduced the likelihood of employment; while educational level, good to excellent health, and nonmarried marital status increased the likelihood of employment. The older the woman was when she elected Social Security benefits, the more likely she was to be employed.

75 FR 34450 - Filing Dates for the Indiana Special Election in the 3rd Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-17

... 3rd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Indiana has scheduled a Special General Election on November 2, 2010, to fill.... Committees required to file reports in connection with the Special General Election on November 2, 2010...

75 FR 10483 - Filing Dates for the Pennsylvania Special Election in the 12th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-08

... in the 12th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Pennsylvania has scheduled a Special General Election on May 18... John P. Murtha. Committees required to file reports in connection with the Special General Election on...

76 FR 17124 - Filing Dates for the California Special Election in the 36th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-28

... the 36th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: California has scheduled a special general election on May 17, 2011, to... committees of candidates who participate in the California Special General and Special Runoff Elections shall...

76 FR 29750 - Filing Dates for the Nevada Special Election in the 2nd Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-23

... 2nd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Nevada has scheduled a Special General Election on September 13, 2011, to fill... Heller. Committees required to file reports in connection with the Special General Election on September...

76 FR 45797 - Filing Dates for the New York Special Election in the 9th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-01

... 9th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: New York has scheduled a Special General Election on September 13, 2011, to.... Committees required to file reports in connection with the Special General Election on September 13, 2011...

Internet: Teaching about the 1996 Elections with the World Wide Web.

ERIC Educational Resources Information Center

Risinger, C. Frederick

1996-01-01

Briefly explores a number of World Wide Web sites devoted to providing information about the 1996 elections. Evaluates web sites maintained by the Atlantic Monthly, Congressional Quarterly, CNN, and MTV. While most sites cover the national election, at least one, ElectNet, focuses on state and local elections. (MJP)

29 CFR 452.26 - Elections in local labor organizations.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 2 2011-07-01 2011-07-01 false Elections in local labor organizations. 452.26 Section 452... REPORTING AND DISCLOSURE ACT OF 1959 Frequency and Kinds of Elections § 452.26 Elections in local labor organizations. Local labor organizations must conduct their regular elections of officers by secret ballot among...

25 CFR 81.23 - Posting and certifying election results.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Posting and certifying election results. 81.23 Section 81... REORGANIZATION UNDER A FEDERAL STATUTE § 81.23 Posting and certifying election results. (a) The results of the... appropriate public places determined by the election board. (b) The election board shall certify the results...

25 CFR 81.23 - Posting and certifying election results.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Posting and certifying election results. 81.23 Section 81... REORGANIZATION UNDER A FEDERAL STATUTE § 81.23 Posting and certifying election results. (a) The results of the... appropriate public places determined by the election board. (b) The election board shall certify the results...

25 CFR 81.23 - Posting and certifying election results.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true Posting and certifying election results. 81.23 Section 81... REORGANIZATION UNDER A FEDERAL STATUTE § 81.23 Posting and certifying election results. (a) The results of the... appropriate public places determined by the election board. (b) The election board shall certify the results...

25 CFR 81.22 - Contesting of election results.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Contesting of election results. 81.22 Section 81.22... A FEDERAL STATUTE § 81.22 Contesting of election results. Any qualified voter, within three days following the posting of the results of an election, may challenge the election results by filing with the...

25 CFR 81.22 - Contesting of election results.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true Contesting of election results. 81.22 Section 81.22... A FEDERAL STATUTE § 81.22 Contesting of election results. Any qualified voter, within three days following the posting of the results of an election, may challenge the election results by filing with the...

25 CFR 81.22 - Contesting of election results.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Contesting of election results. 81.22 Section 81.22... A FEDERAL STATUTE § 81.22 Contesting of election results. Any qualified voter, within three days following the posting of the results of an election, may challenge the election results by filing with the...

25 CFR 81.22 - Contesting of election results.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false Contesting of election results. 81.22 Section 81.22... A FEDERAL STATUTE § 81.22 Contesting of election results. Any qualified voter, within three days following the posting of the results of an election, may challenge the election results by filing with the...

25 CFR 81.22 - Contesting of election results.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Contesting of election results. 81.22 Section 81.22... A FEDERAL STATUTE § 81.22 Contesting of election results. Any qualified voter, within three days following the posting of the results of an election, may challenge the election results by filing with the...

25 CFR 81.23 - Posting and certifying election results.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Posting and certifying election results. 81.23 Section 81... REORGANIZATION UNDER A FEDERAL STATUTE § 81.23 Posting and certifying election results. (a) The results of the... appropriate public places determined by the election board. (b) The election board shall certify the results...

25 CFR 81.23 - Posting and certifying election results.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false Posting and certifying election results. 81.23 Section 81... REORGANIZATION UNDER A FEDERAL STATUTE § 81.23 Posting and certifying election results. (a) The results of the... appropriate public places determined by the election board. (b) The election board shall certify the results...

5 CFR 842.605 - Election of insurable interest rate.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Election of insurable interest rate. 842... Election of insurable interest rate. (a) At the time of retirement, an employee or Member in good health and who is applying for a non-disability annuity may elect an insurable interest rate. An election...

5 CFR 842.605 - Election of insurable interest rate.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Election of insurable interest rate. 842... Election of insurable interest rate. (a) At the time of retirement, an employee or Member in good health and who is applying for a non-disability annuity may elect an insurable interest rate. An election...

5 CFR 842.605 - Election of insurable interest rate.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Election of insurable interest rate. 842... Election of insurable interest rate. (a) At the time of retirement, an employee or Member in good health and who is applying for a non-disability annuity may elect an insurable interest rate. An election...

26 CFR 1.338(i)-1 - Effective/applicability date.

Code of Federal Regulations, 2014 CFR

2014-04-01

... target election for retroactive application—(i) Availability of election. New target may make an... 10, 2006 for which a section 338 election is made, provided that new target's first taxable year and... section 338(h)(10) election is made (or a section 338 election for a foreign target), new target may make...

26 CFR 1.1361-4 - Effect of QSub election.

Code of Federal Regulations, 2014 CFR

2014-04-01

... paragraph (a)(2) of this section occurs immediately after the deemed asset purchase by the new target... election. An S corporation that makes a qualified stock purchase of a target may make an election under... QSub election with respect to the target. If an S corporation makes an election under section 338 with...

26 CFR 1.338(i)-1 - Effective/applicability date.

Code of Federal Regulations, 2012 CFR

2012-04-01

... target election for retroactive application—(i) Availability of election. New target may make an... 10, 2006 for which a section 338 election is made, provided that new target's first taxable year and... section 338(h)(10) election is made (or a section 338 election for a foreign target), new target may make...

26 CFR 1.1361-4 - Effect of QSub election.

Code of Federal Regulations, 2013 CFR

2013-04-01

... paragraph (a)(2) of this section occurs immediately after the deemed asset purchase by the new target... election. An S corporation that makes a qualified stock purchase of a target may make an election under... QSub election with respect to the target. If an S corporation makes an election under section 338 with...

26 CFR 1.338(i)-1 - Effective/applicability date.

Code of Federal Regulations, 2013 CFR

2013-04-01

... target election for retroactive application—(i) Availability of election. New target may make an... 10, 2006 for which a section 338 election is made, provided that new target's first taxable year and... section 338(h)(10) election is made (or a section 338 election for a foreign target), new target may make...

29 CFR 44.2 - Election cycle and tenure of representatives.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Election cycle and tenure of representatives. 44.2 Section... REPRESENTATIVES FOR CONSULTATIONS WITH DEPARTMENT OF LABOR § 44.2 Election cycle and tenure of representatives. (a) Election cycle. The States located within each Federal region, as defined in this paragraph, shall elect...

21 CFR 520.1341 - Megestrol acetate tablets.

Code of Federal Regulations, 2011 CFR

2011-04-01

... the postponement of estrus and the alleviation of false pregnancy. (2) It is administered orally... false pregnancy, 1 milligram per pound of body weight per day for 8 days. (3) Full dosage regimen must...

49 CFR 1152.28 - Public use procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... for Public Use, and Trail Use § 1152.28 Public use procedures. (a)(1) If the Board finds that the... for public purposes. This period will run concurrently with any other postponements. Jurisdiction to...

49 CFR 1152.28 - Public use procedures.

Code of Federal Regulations, 2011 CFR

2011-10-01

... for Public Use, and Trail Use § 1152.28 Public use procedures. (a)(1) If the Board finds that the... for public purposes. This period will run concurrently with any other postponements. Jurisdiction to...

42 CFR 460.100 - Emergency care.

Code of Federal Regulations, 2010 CFR

2010-10-01

... (including severe pain) such that a prudent layperson, with an average knowledge of health and medicine... severe to postpone treatment until they return to the service area, but their life or function is not in...

28 CFR 2.101 - Probable cause hearing and determination.

Code of Federal Regulations, 2010 CFR

2010-07-01

... who have given information upon which revocation may be based) at a postponed probable cause hearing... attendance, unless good cause is found for not allowing confrontation. Whenever a probable cause hearing is...

The causes and outcomes of cancellation of orthopaedic surgeries at the obafemi awolowo university teaching hospital complex ile-ife, Nigeria.

PubMed

Oluwadiya, K S; Olasinde, A A; Olakulehin, O A; Olatoke, S A; Oginni, L M; Ako, F

2007-03-01

Cancellation of cases on the scheduled day of surgery leads to an inefficient utilisation of scarce hospital and patient's resources. Identifying the causes of such cancellations will assist in taking steps to avoid them. This is a retrospective study spanning 10 years. Record was taken of all patients who had orthopaedic surgery at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife Nigeria. The age, sex, type of operation, whether or not the surgery was ever postponed or cancelled, the duration and reasons for such postponements and the duration of admission were collated and analysed. Five hundred and fifty two (40.8%) of the 1,353 orthopaedic patients scheduled for surgery experienced cancellation. The most common reasons were attributable to the hospital (48.7%) mainly due to infrastructural breakdown (28.7%) and procedural lapses by hospital personnel (20.0%). Self cancellation by patient (37.8%) followed and was mainly due to financial constraints (25.6%). Upper respiratory tract infections were responsible for the cancellation in 8.6%. These delays were responsible for more than 30% of the duration of admission in 93 (16.8%) patients. The incidence of postponement of cases on the scheduled day of surgery is still high. Most of the causes are preventable. Better infrastructural facilities, enhanced interdepartmental communication and improved attitude to work would reduce the rate and thus enhance utilisation of theatre space.

Long-term studies of dopamine agonists.

PubMed

Hubble, Jean P

2002-02-26

Dopamine agonists have long been used as adjunctive therapy for the treatment of Parkinson's disease (PD). In more recent years these drugs have also been proved safe and effective as initial therapy in lieu of levodopa in the treatment of PD. Long-term levodopa therapy is associated with motor complications, including fluctuating response patterns and dyskinesia. By initially introducing a dopamine agonist as symptomatic drug therapy, it may be possible to postpone the use of levodopa and delay or prevent the development of motor complications. Recently, four clinical trials have explored this hypothesis by comparing the long-term response and side effects of levodopa with dopamine agonist therapy. The drugs studied have included ropinirole, pramipexole, cabergoline, and pergolide. In each of these projects, the occurrence of motor complications, such as wearing off and dyskinesia, was significantly less in the subjects assigned to initiation of therapy with a dopamine agonist. The addition of levodopa could be postponed by many months or even several years. Therefore, these long-term studies of dopamine agonists support the initiation of a dopamine agonist instead of levodopa in an effort to postpone levodopa-related motor complications. This therapeutic approach may be particularly appropriate in PD patients with a long treatment horizon on the basis of age and general good health. The extension phase of the long-term study comparing pramipexole with levodopa is ongoing, and follow-up information may help to establish the value of this treatment strategy.

Moderate stem-cell telomere shortening rate postpones cancer onset in a stochastic model

NASA Astrophysics Data System (ADS)

Holbek, Simon; Bendtsen, Kristian Moss; Juul, Jeppe

2013-10-01

Mammalian cells are restricted from proliferating indefinitely. Telomeres at the end of each chromosome are shortened at cell division and when they reach a critical length, the cell will enter permanent cell cycle arrest—a state known as senescence. This mechanism is thought to be tumor suppressing, as it helps prevent precancerous cells from dividing uncontrollably. Stem cells express the enzyme telomerase, which elongates the telomeres, thereby postponing senescence. However, unlike germ cells and most types of cancer cells, stem cells only express telomerase at levels insufficient to fully maintain the length of their telomeres, leading to a slow decline in proliferation potential. It is not yet fully understood how this decline influences the risk of cancer and the longevity of the organism. We here develop a stochastic model to explore the role of telomere dynamics in relation to both senescence and cancer. The model describes the accumulation of cancerous mutations in a multicellular organism and creates a coherent theoretical framework for interpreting the results of several recent experiments on telomerase regulation. We demonstrate that the longest average cancer-free lifespan before cancer onset is obtained when stem cells start with relatively long telomeres that are shortened at a steady rate at cell division. Furthermore, the risk of cancer early in life can be reduced by having a short initial telomere length. Finally, our model suggests that evolution will favor a shorter than optimal average cancer-free lifespan in order to postpone cancer onset until late in life.

Lvad pump speed increase is associated with increased peak exercise cardiac output and vo2, postponed anaerobic threshold and improved ventilatory efficiency.

PubMed

Vignati, Carlo; Apostolo, Anna; Cattadori, Gaia; Farina, Stefania; Del Torto, Alberico; Scuri, Silvia; Gerosa, Gino; Bottio, Tomaso; Tarzia, Vincenzo; Bejko, Jonida; Sisillo, Erminio; Nicoli, Flavia; Sciomer, Susanna; Alamanni, Francesco; Paolillo, Stefania; Agostoni, Piergiuseppe

2017-03-01

Peak exercise cardiac output (CO) increase is associated with an increase of peak oxygen uptake (VO 2 ), provided that arteriovenous O 2 difference [Δ(Ca-Cv)O 2 ] does not decrease. At anaerobic threshold, VO 2 , is related to CO. We tested the hypothesis that, in heart failure (HF) patients with left ventricular assistance device (LVAD), an acute increase of CO obtained through changes in LVAD pump speed is associated with peak exercise and anaerobic threshold VO 2 increase. Fifteen of 20 patients bearing LVAD (Jarvik 2000) enrolled in the study successfully performed peak exercise evaluation. All patients had severe HF as shown by clinical evaluation, laboratory tests, echocardiography, spirometry with alveolar-capillary diffusion, and maximal cardiopulmonary exercise testing (CPET). CPETs with non-invasive CO measurements at rest and peak exercise were done on 2days at LVAD pump speed set randomly at 2 and 4. Increasing LVAD pump speed from 2 to 4 increased CO from 3.4±0.9 to 3.8±1.0L/min (ΔCO 0.4±0.6L/min, p=0.04) and from 5.3±1.3 to 5.9±1.4L/min (ΔCO 0.6±0.7L/min, p<0.01) at rest and peak exercise, respectively. Similarly, VO 2 increased from 788±169 to 841±152mL/min (ΔVO 2 52±76mL/min, p=0.01) and from 568±116 to 619±124mL/min (ΔVO 2 69±96mL/min, p=0.02) at peak exercise and at anaerobic threshold, respectively. Δ(Ca-Cv)O 2 did not change significantly, while ventilatory efficiency improved (VE/VCO 2 slope from 39.9±5.4 to 34.9±8.3, ΔVE/VCO 2 -5.0±6.4, p<0.01). In HF, an increase in CO with a higher LVAD pump speed is associated with increased peak VO 2 , postponed anaerobic threshold, and improved ventilatory efficiency. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

40 CFR 1054.310 - How must I select engines for production-line testing?

Code of Federal Regulations, 2010 CFR

2010-07-01

... remedial steps required under § 1054.320. (i) You may elect to test more randomly chosen engines than we... 40 Protection of Environment 32 2010-07-01 2010-07-01 false How must I select engines for... (CONTINUED) AIR POLLUTION CONTROLS CONTROL OF EMISSIONS FROM NEW, SMALL NONROAD SPARK-IGNITION ENGINES AND...

26 CFR 1.46-8 - Requirements for taxpayers electing additional one-percent investment credit (TRASOP's).

Code of Federal Regulations, 2011 CFR

2011-04-01

... issued by the employer. Common stock which meets one of the following tests is “no less favorable”. (i... constructively owned under section 318. (ii) Substantial proportionality test. More than one class of common... one-percent investment credit (TRASOP's). 1.46-8 Section 1.46-8 Internal Revenue INTERNAL REVENUE...

26 CFR 1.46-8 - Requirements for taxpayers electing additional one-percent investment credit (TRASOP's).

Code of Federal Regulations, 2010 CFR

2010-04-01

... issued by the employer. Common stock which meets one of the following tests is “no less favorable”. (i... constructively owned under section 318. (ii) Substantial proportionality test. More than one class of common... one-percent investment credit (TRASOP's). 1.46-8 Section 1.46-8 Internal Revenue INTERNAL REVENUE...

Democratising health care governance? New Zealand's inaugural district health board elections, 2001.

PubMed

Gauld, Robin

2002-01-01

New Zealand's 'district health board' (DHB) system has been under implementation since the 1999 general election. A key factor motivating the change to DHBs is the democratisation of health care governance. A majority of the new DHB members are popularly elected. Previously, hospital board members were government appointees. Inaugural DHB elections were held in October 2001. This article reports on the election results and the wider operating context for DHBs. It notes organisational issues to be considered for the next DHB elections in 2004, and questions the extent to which the elections and DHB governance structure will enhance health care democratisation in New Zealand.

Environmental Impact Statement for the Space Shuttle Program

NASA Technical Reports Server (NTRS)

Malkin, M. S.

1978-01-01

Test firings and launches will release air pollutants causing a temporary localized small degradation in air quality near the tests or launch site. Areas adjacent to the site will also be subjected to moderate sound levels of predominantly low frequencies for short durations. During the launch phase, hydrogen chloride will be introduced into the stratosphere causing a small decrease in ozone. Temporary perturbations to the ionosphere will occur during orbital maneuvers and entry will have no significant effect on communication or radio wave propagation. As the Orbiter descends, a low magnitude sonic beam will be produced along the groundtrack with maximum overpressures occurring near the landing site. The overpressures will be infrequent, will vary in location and are of sufficiently low energy to be considered a momentary annoyance, if noticed at all. Major alternatives considered are discontinuation or postponement of the program, use of alternate propellants and neutralization of the ground cloud.

Understanding unmet need: history, theory, and measurement.

PubMed

Bradley, Sarah E K; Casterline, John B

2014-06-01

During the past two decades, estimates of unmet need have become an influential measure for assessing population policies and programs. This article recounts the evolution of the concept of unmet need, describes how demographic survey data have been used to generate estimates of its prevalence, and tests the sensitivity of these estimates to various assumptions in the unmet need algorithm. The algorithm uses a complex set of assumptions to identify women: who are sexually active, who are infecund, whose most recent pregnancy was unwanted, who wish to postpone their next birth, and who are postpartum amenorrheic. The sensitivity tests suggest that defensible alternative criteria for identifying four out of five of these subgroups of women would increase the estimated prevalence of unmet need. The exception is identification of married women who are sexually active; more accurate measurement of this subgroup would reduce the estimated prevalence of unmet need in most settings. © 2013 The Population Council, Inc.

Changes in subjective well-being following the U.S. Presidential election of 2016.

PubMed

Lench, Heather C; Levine, Linda J; Perez, Kenneth A; Carpenter, Zari Koelbel; Carlson, Steven J; Tibbett, Tom

2018-03-01

This investigation examined predictors of changes over time in subjective well-being (SWB) after the 2016 United States presidential election. Two indicators of SWB-general happiness and life satisfaction-were assessed three weeks before the election, the week of the election, three weeks later, and six months later. Partisanship predicted both indicators of SWB, with Trump supporters experiencing improved SWB after the election, Clinton supporters experiencing worsened SWB after the election, and those who viewed both candidates as bad also experiencing worsened SWB after the election. The impact of the election on SWB decreased over time, with all participants returning to baseline life satisfaction six months after the election. Trump supporters and those who viewed both candidates as bad for the country also returned to baseline general happiness six months after the election. Clinton supporters, in contrast, remained below baseline levels of general happiness six months after the election. Moral and political values, and exposure to media inconsistent with those values, predicted lasting change in subjective well-being. National events can affect how people perceive the overall quality of their lives and these effects are exacerbated when moral and political values are involved. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

25 CFR 81.10 - District Election Boards.

Code of Federal Regulations, 2013 CFR

2013-04-01

... FEDERAL STATUTE § 81.10 District Election Boards. (a) Where voting districts have been established by the tribal constitution, ordinance, resolution, or by the election board, the election board shall appoint...

75 FR 62131 - Filing Dates for the New York Special Election in the 29th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-07

... 29th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: New York has scheduled a Special General Election on November 2, 2010, to fill.... Committees required to file reports in connection with the Special General Election on November 2, 2010...

78 FR 53454 - Filing Dates for the Louisiana Special Elections in the 5th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-29

... the 5th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Louisiana has scheduled a Special General Election on October 19, 2013, to fill... Special General and Special Runoff Elections shall file a 12-day Pre-General Report on October 7, 2013; a...

26 CFR 1.856-8 - Revocation or termination of election.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 9 2010-04-01 2010-04-01 false Revocation or termination of election. 1.856-8... election. (a) Revocation of an election to be a real estate investment trust. A corporation, trust, or association that has made an election under section 856(c)(1) to be a real estate investment trust may revoke...

75 FR 17742 - Filing Dates for the Georgia Special Election in the 9th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-07

... 9th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Georgia has scheduled a special general election on May 11, 2010, to fill the U... participate in the Georgia Special General and Special Runoff Elections shall file a 12-day Pre-General Report...

76 FR 16419 - Filing Dates for the New York Special Election in the 26th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-23

... 26th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: New York has scheduled a Special General Election on May 24, 2011, to fill the.... Committees required to file reports in connection with the Special General Election on May 24, 2011, shall...

26 CFR 1.169-4 - Time and manner of making elections.

Code of Federal Regulations, 2010 CFR

2010-04-01

...-4 Time and manner of making elections. (a) Election of amortization—(1) In general. Under section 169(b), an election by the taxpayer to take an amortization deduction with respect to a certified... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Time and manner of making elections. 1.169-4...

78 FR 9916 - Filing Dates for the Missouri Special Election in the 8th Congressional District

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-12

... 8th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Missouri has scheduled a Special General Election on June 4, 2013, to fill the.... Committees required to file reports in connection with the Special General Election on June 4, 2013, shall...

25 CFR 90.43 - Canvass of election returns.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false Canvass of election returns. 90.43 Section 90.43 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR TRIBAL GOVERNMENT ELECTION OF OFFICERS OF THE OSAGE TRIBE Elections § 90.43 Canvass of election returns. (a) Immediately after the polls are closed at 8 p.m...

Cardiovascular Events During General Elections In Bayamon, Puerto Rico

PubMed Central

Pérez-Mercado, Arnaldo E.; Maldonado-Martínez, Gerónimo; del Rio, José Rivera; Mellado, Robert F. Hunter

2013-01-01

Emotional stress has been linked to acute coronary events. We examined whether the emotional response to elections in Puerto Rico induced a similar response. Methods We reviewed records at HIMA San Pablo Hospital (HIMASP) and Ramon Ruiz Arnau University Hospital (HURRA) in Bayamón and identified patients admitted with ICD-9 codes 410, 411, and 413 or corresponding diagnoses during a period surrounding the general elections and compared them with the same time period in non-election years. Results Cardiovascular events accounted for 3.24% of election-year admissions vs. 5.51% during non-election years in HURRA (p=0.036, N=37), while accounting for 2.86% of election-year admissions in HIMASP vs. 3.27% during non-election years (non-significant). Discussion There was a trend towards a lower rate of admission for cardiovascular events during general elections in both hospitals, reaching statistical significance at HURRA. Further study may elucidate reasons for this behavior and determine whether similar trends hold true in other populations. PMID:23875518

Using Elicited Choice Probabilities in Hypothetical Elections to Study Decisions to Vote

PubMed Central

Delavande, Adeline; Manski, Charles F.

2015-01-01

This paper demonstrates the feasibility and usefulness of survey research asking respondents to report voting probabilities in hypothetical election scenarios. Posing scenarios enriches the data available for studies of voting decisions, as a researcher can pose many more and varied scenarios than the elections that persons actually face. Multiple scenarios were presented to over 4,000 participants in the American Life Panel (ALP). Each described a hypothetical presidential election, giving characteristics measuring candidate preference, closeness of the election, and the time cost of voting. Persons were asked the probability that they would vote in this election and were willing and able to respond. We analyzed the data through direct study of the variation of voting probabilities with election characteristics and through estimation of a random utility model of voting. Voting time and election closeness were notable determinants of decisions to vote, but not candidate preference. Most findings were corroborated through estimation of a model fit to ALP data on respondents' actual voting behavior in the 2012 election. PMID:25705068

Zika Virus Infection Among U.S. Pregnant Travelers - August 2015-February 2016.

PubMed

Meaney-Delman, Dana; Hills, Susan L; Williams, Charnetta; Galang, Romeo R; Iyengar, Preetha; Hennenfent, Andrew K; Rabe, Ingrid B; Panella, Amanda; Oduyebo, Titilope; Honein, Margaret A; Zaki, Sherif; Lindsey, Nicole; Lehman, Jennifer A; Kwit, Natalie; Bertolli, Jeanne; Ellington, Sascha; Igbinosa, Irogue; Minta, Anna A; Petersen, Emily E; Mead, Paul; Rasmussen, Sonja A; Jamieson, Denise J

2016-03-04

After reports of microcephaly and other adverse pregnancy outcomes in infants of mothers infected with Zika virus during pregnancy, CDC issued a travel alert on January 15, 2016, advising pregnant women to consider postponing travel to areas with active transmission of Zika virus. On January 19, CDC released interim guidelines for U.S. health care providers caring for pregnant women with travel to an affected area, and an update was released on February 5. As of February 17, CDC had received reports of nine pregnant travelers with laboratory-confirmed Zika virus disease; 10 additional reports of Zika virus disease among pregnant women are currently under investigation. No Zika virus-related hospitalizations or deaths among pregnant women were reported. Pregnancy outcomes among the nine confirmed cases included two early pregnancy losses, two elective terminations, and three live births (two apparently healthy infants and one infant with severe microcephaly); two pregnancies (approximately 18 weeks' and 34 weeks' gestation) are continuing without known complications. Confirmed cases of Zika virus infection were reported among women who had traveled to one or more of the following nine areas with ongoing local transmission of Zika virus: American Samoa, Brazil, El Salvador, Guatemala, Haiti, Honduras, Mexico, Puerto Rico, and Samoa. This report summarizes findings from the nine women with confirmed Zika virus infection during pregnancy, including case reports for four women with various clinical outcomes. U.S. health care providers caring for pregnant women with possible Zika virus exposure during pregnancy should follow CDC guidelines for patient evaluation and management. Zika virus disease is a nationally notifiable condition. CDC has developed a voluntary registry to collect information about U.S. pregnant women with confirmed Zika virus infection and their infants. Information about the registry is in preparation and will be available on the CDC website.

13-Foot Diameter Hydrogen Tank Tested in the K-Site Test Chamber

NASA Image and Video Library

1967-09-21

A 13-foot diameter mounted inside the large test chamber at the Cryogenic Propellant Tank, or K-Site, at National Aeronautics and Space Administration’s (NASA) Plum Brook Station. The 25-foot test chamber and 20-foot access door were designed to test liquid hydrogen fuel tanks up to 18 feet in diameter in conditions that simulated launches and spaceflight. Shakers were installed to test the effects of launch vibration on the tanks and their insulation. The K Site chamber was also equipped with cold walls that could be cooled with either liquid nitrogen or liquid hydrogen and vacuum pumps that could reduce pressure levels to 10-8 torr. This 13-foot tank passed its initial acceptance tests in K-Site on August 24, 1966. Delays in the modification of the tank postponed further tests of the tank until May 1967. Four pressure hold tests and expulsion runs were made in May using gaseous hydrogen or gaseous helium at 300R and 520R. In June a straight pipe injector test was run and two pressure effect tests at 35 and 75psi. Propellant slosh tests were successfully run in August. This photograph was taken the day after the program’s final runs on September 12, 1967.

Disaster Preparedness Medical School Elective: Bridging the Gap Between Volunteer Eagerness and Readiness.

PubMed

Patel, Vishnu M; Dahl-Grove, Deanna

2016-07-23

Eager medical students may not be prepared for unanticipated complexities of disaster response. This study aimed to answer 2 questions: does an online disaster preparedness curriculum create a convenient method to educate medical students and motivate them to be better prepared to volunteer? An online disaster preparedness elective was created for medical students. Four modules were created using Softchalk and hosted on the Blackboard Learning Management System. Students completed embedded pre-elective, post-lesson, and post-elective surveys. Fifty-five students completed the elective. When posed with the statement, "I feel prepared for an emergency at the University or the immediate area," 70% stated that they disagreed or strongly disagreed before the elective. Subsequently, only 11% claimed to disagree after the elective. At the conclusion of the elective, 13% of students had prepared a personal emergency kit and 28% had prepared a family communication plan for reunification. Students were surveyed on the statement "I would like to be involved in a community disaster response while continuing my medical training." Ninety-four percent claimed to agree or strongly agree before the elective, and 93% stated the same after elective completion. This disaster preparedness elective was envisioned to be a resource for students. Advantages of online availability are ease of student access and minimal demand on faculty resources. A voluntary, self-paced online elective in disaster preparedness has shown to create a stronger interest in disaster participation in medical students. Student readiness to volunteer improved; however, willingness remained stagnant.

Special Blood Donation Procedures

MedlinePlus

... blood. For example, in the weeks before undergoing elective surgery, a person may donate several units of blood ... rigorous donor screening and testing. In addition, elderly patients may not tolerate donating blood before surgery because they are more likely to have side ...

TROPHIC EFFECT OF LUTEINIZING HORMONE ON THE RAT LEYDIG CELL

EPA Science Inventory

Little is known about the factors controlling Leydig cell growth and differentiation. owever, unique correlations exist between specific testicular compartments and the testosterone-secreting capacity of the testes. elected experimental findings from three common laboratory anima...

Active listening: The key of successful communication in hospital managers

PubMed Central

Jahromi, Vahid Kohpeima; Tabatabaee, Seyed Saeed; Abdar, Zahra Esmaeili; Rajabi, Mahboobeh

2016-01-01

Introduction One of the important causes of medical errors and unintentional harm to patients is ineffective communication. The important part of this skill, in case it has been forgotten, is listening. The objective of this study was to determine whether managers in hospitals listen actively. Methods This study was conducted between May and June 2014 among three levels of managers at teaching hospitals in Kerman, Iran. Active Listening skill among hospital managers was measured by self-made Active Listening Skill Scale (ALSS), which consists of the key elements of active listening and has five subscales, i.e., Avoiding Interruption, Maintaining Interest, Postponing Evaluation, Organizing Information, and Showing Interest. The data were analyzed by IBM-SPSS software, version 20, and the Pearson product-moment correlation coefficient, the chi-squared test, and multiple linear regressions. Results The mean score of active listening in hospital managers was 2.32 out of 3.The highest score (2.27) was obtained by the first-level managers, and the top managers got the lowest score (2.16). Hospital mangers were best in showing interest and worst in avoiding interruptions. The area of employment was a significant predictor of avoiding interruption and the managers’ gender was a strong predictor of skill in maintaining interest (p < 0.05). The type of management and education can predict postponing evaluation, and the length of employment can predict showing interest (p < 0.05). Conclusion There is a necessity for the development of strategies to create more awareness among the hospital managers concerning their active listening skills. PMID:27123221

Conservative Treatment of Ankle Osteoarthritis: Can Platelet-Rich Plasma Effectively Postpone Surgery?

PubMed

Repetto, Ilaria; Biti, Besmir; Cerruti, Paola; Trentini, Roberto; Felli, Lamberto

Osteoarthritis is the most common and disabling of the orthopedic diseases. Currently, the conservative treatment of osteoarthritis is limited to symptomatic treatment, whose goal is to improve function and pain control. Ankle osteoarthritis is relatively uncommon, in contrast to osteoarthritis of the hip and knee, and the therapeutic options (both pharmacologic and surgical) are limited, with surgery providing poorer and less predictable results. The effectiveness of platelet-rich plasma injections for osteoarthritis is still controversial, especially so for ankle arthritis, owing to the lack of evidence in the present data. We retrospectively evaluated the mid- to long-term clinical results (mean follow-up of 17.7 months) for platelet-rich plasma injections in 20 patients (20 ankles) with ankle osteoarthritis. We evaluated the presence of pain using the visual analog scale, function using the Foot and Ankle Disability Index, and subjective satisfaction. The pre- and post-treatment scores, obtained from the clinical records and from telephone interviews during the follow-up period, were compared using the Student t test. We found a strong positive effect for 4 platelet-rich plasma injections (injected once a week) on pain (p = .0001) and function (p = .001), with 80% of patients very satisfied and satisfied, and only 2 patients (10%) required surgery because of early treatment failure. These results suggest that the use of platelet-rich plasma injection is a valid and safe alternative to postpone the need for surgery. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

The ADOPT-LC score: a novel predictive index of in-hospital mortality of cirrhotic patients following surgical procedures, based on a national survey.

PubMed

Sato, Masaya; Tateishi, Ryosuke; Yasunaga, Hideo; Horiguchi, Hiromasa; Matsui, Hiroki; Yoshida, Haruhiko; Fushimi, Kiyohide; Koike, Kazuhiko

2017-03-01

We aimed to develop a model for predicting in-hospital mortality of cirrhotic patients following major surgical procedures using a large sample of patients derived from a Japanese nationwide administrative database. We enrolled 2197 cirrhotic patients who underwent elective (n = 1973) or emergency (n = 224) surgery. We analyzed the risk factors for postoperative mortality and established a scoring system for predicting postoperative mortality in cirrhotic patients using a split-sample method. In-hospital mortality rates following elective or emergency surgery were 4.7% and 20.5%, respectively. In multivariate analysis, patient age, Child-Pugh (CP) class, Charlson Comorbidity Index (CCI), and duration of anesthesia in elective surgery were significantly associated with in-hospital mortality. In emergency surgery, CP class and duration of anesthesia were significant factors. Based on multivariate analysis in the training set (n = 987), the Adequate Operative Treatment for Liver Cirrhosis (ADOPT-LC) score that used patient age, CP class, CCI, and duration of anesthesia to predict in-hospital mortality following elective surgery was developed. This scoring system was validated in the testing set (n = 986) and produced an area under the curve of 0.881. We also developed iOS/Android apps to calculate ADOPT-LC scores to allow easy access to the current evidence in daily clinical practice. Patient age, CP class, CCI, and duration of anesthesia were identified as important risk factors for predicting postoperative mortality in cirrhotic patients. The ADOPT-LC score effectively predicts in-hospital mortality following elective surgery and may assist decisions regarding surgical procedures in cirrhotic patients based on a quantitative risk assessment. © 2016 The Authors Hepatology Research published by John Wiley & Sons Australia, Ltd on behalf of Japan Society of Hepatology.

Critical incidents influencing students' selection of elective science

NASA Astrophysics Data System (ADS)

Essary, Danny Ray

Purpose of the study. The purpose of the study was to investigate the critical incidents that determined high school students' self selection into and out of elective science classes. The Critical Incident Technique was used to gather data. Procedure. Subjects for study were 436 students attending five high schools within the geographical boundaries of a Northeast Texas County. Each student was enrolled in a senior level government/economics course during the spring semester of 1997. Students enrolled and in attendance during data collection procedures were subjects of the study. The subjects recorded 712 usable critical incidents. Incidents were categorized by examiners and a total of eleven incident categories emerged for analysis purposes. Incident frequencies were categorized by sample population, selectors, and nonselectors; subdivided by gender. Findings. The following categories emerged for study; (A) Mentored, (B) Requirements, (C) Personal Interest(s), (D) Level of Difficulty, (E) Time Restraints, (F) Future Concerns, (G) Grades, (H) Teacher, (I) Peer Influence, (J) Challenge, (K) Other Academic Experiences. Data were analyzed qualitatively to answer research questions and quantitatively to test hypotheses. There was an emergence of ten incident categories for nonselectors and an emergence of eleven incident categories for selectors. Of the twelve hypotheses, four failed to be rejected and eight were rejected. Conclusions. Nonselectors and selectors of elective science were influenced by various external factors. Requirements were influential for nonselectors. Nonselectors chose to select the minimum number of science classes necessary for graduation. Selectors were influenced by curriculum requirements, future concerns and mentors. Special programs that required extra science classes were influential in students' decisions to enroll in elective science. Gender differences were not influential for selectors or nonselectors of elective science.

Mortality and Rates of Secondary Intervention After EVAR in an Unselected Population: Influence of Simple Clinical Categories and Implications for Surveillance

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

Hammond, Christopher J., E-mail: christopherhammond@nhs.net; Shah, Asim H.; Snoddon, Andrew

IntroductionPost-EVAR surveillance has a major impact upon patients, carers and healthcare resources. We hypothesised that elective indication, on-IFU anatomy, use of a modern device or normal first CTA, or a combination of these categories, might predict a rate of secondary intervention low enough to alter current surveillance protocols.MethodsPatients undergoing EVAR in our institution between 01.05.2007 and 28.02.2013 were assessed. Data on indication (elective, emergency), anatomy relative to IFU, device, first month CTA result, secondary intervention and mortality were obtained. Kaplan–Meier charts of mortality and freedom from secondary intervention were produced. Statistical analysis was by log-rank test and Cox proportional hazardmore » modelling.Results234 patients underwent EVAR (188 elective, 208 on-IFU). Most implants were Endurant (106) or Talent (98). 151 patients had a normal first CTA. By median follow-up of 38.6 months, 39 patients underwent secondary intervention. A normal first CTA and elective indication were significantly associated with reduced risk of secondary intervention (p < 0.001 and p = 0.042 respectively), but device type and placement on- or off-IFU were not. Elective placement with a normal first CTA was 93 % predictive of freedom from secondary intervention by 32 months post-EVAR. Of nine patients undergoing secondary intervention in this group, eight presented symptomatically.DiscussionIn optimal procedural circumstances with normal post-procedural imaging, only 7 % of patients undergoing EVAR require secondary intervention, a minority of which is driven by surveillance. These data support a change to surveillance more tailored to the individual patient, and highlight the need for further qualitative and quantitative research.« less

28 CFR 2.214 - Probable cause hearing and determination.

Code of Federal Regulations, 2010 CFR

2010-07-01

... adverse witnesses (i.e., witnesses who have given information upon which revocation may be based) at a... confrontation. Whenever a probable cause hearing is postponed to secure the appearance of adverse witnesses (or...

5 CFR 839.622 - Can I cancel my FERS election if my qualifying retirement coverage error was previously corrected...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Can I cancel my FERS election if my qualifying retirement coverage error was previously corrected and I now have an election opportunity under... ERRONEOUS RETIREMENT COVERAGE CORRECTIONS ACT Making an Election Fers Elections § 839.622 Can I cancel my...

26 CFR 1.9002-4 - Election to pay net increase in tax in installments.

Code of Federal Regulations, 2010 CFR

2010-04-01

... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES General Actuarial Valuations § 1.9002-4 Election to pay net increase in tax in installments. (a) Election. If an election is made under section 4(a) of the Act and if... 26 Internal Revenue 13 2010-04-01 2010-04-01 false Election to pay net increase in tax in...

11 CFR 100.24 - Federal election activity (2 U.S.C. 431(20)).

Code of Federal Regulations, 2010 CFR

2010-01-01

...)). 100.24 Section 100.24 Federal Elections FEDERAL ELECTION COMMISSION GENERAL SCOPE AND DEFINITIONS (2 U.S.C. 431) General Definitions § 100.24 Federal election activity (2 U.S.C. 431(20)). (a) As used in... ending on the date of the general election, up to and including the date of any general runoff. (ii) The...

26 CFR 1.754-1 - Time and manner of making election to adjust basis of partnership property.

Code of Federal Regulations, 2010 CFR

2010-04-01

... general. A partnership having an election in effect under this section may revoke such election with the... required to be filed. A partnership which wishes to revoke such an election shall file with the district... 26 Internal Revenue 8 2010-04-01 2010-04-01 false Time and manner of making election to adjust...

42 CFR 422.53 - Eligibility to elect an MA plan for senior housing facility residents.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 3 2012-10-01 2012-10-01 false Eligibility to elect an MA plan for senior housing... Eligibility, Election, and Enrollment § 422.53 Eligibility to elect an MA plan for senior housing facility residents. (a) Basic eligibility requirements. To be eligible to elect an MA senior housing facility plan...

42 CFR 422.53 - Eligibility to elect an MA plan for senior housing facility residents.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 3 2014-10-01 2014-10-01 false Eligibility to elect an MA plan for senior housing... Eligibility, Election, and Enrollment § 422.53 Eligibility to elect an MA plan for senior housing facility residents. (a) Basic eligibility requirements. To be eligible to elect an MA senior housing facility plan...

42 CFR 422.53 - Eligibility to elect an MA plan for senior housing facility residents.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 3 2011-10-01 2011-10-01 false Eligibility to elect an MA plan for senior housing..., Election, and Enrollment § 422.53 Eligibility to elect an MA plan for senior housing facility residents. (a) Basic eligibility requirements. To be eligible to elect an MA senior housing facility plan, the...

42 CFR 422.52 - Eligibility to elect an MA plan for special needs individuals.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 3 2013-10-01 2013-10-01 false Eligibility to elect an MA plan for special needs..., Election, and Enrollment § 422.52 Eligibility to elect an MA plan for special needs individuals. (a) General rule. In order to elect a specialized MA plan for a special needs individual (Special Needs MA...

42 CFR 422.53 - Eligibility to elect an MA plan for senior housing facility residents.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 3 2013-10-01 2013-10-01 false Eligibility to elect an MA plan for senior housing... Eligibility, Election, and Enrollment § 422.53 Eligibility to elect an MA plan for senior housing facility residents. (a) Basic eligibility requirements. To be eligible to elect an MA senior housing facility plan...

42 CFR 422.52 - Eligibility to elect an MA plan for special needs individuals.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 3 2014-10-01 2014-10-01 false Eligibility to elect an MA plan for special needs..., Election, and Enrollment § 422.52 Eligibility to elect an MA plan for special needs individuals. (a) General rule. In order to elect a specialized MA plan for a special needs individual (Special Needs MA...

42 CFR 422.52 - Eligibility to elect an MA plan for special needs individuals.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 3 2012-10-01 2012-10-01 false Eligibility to elect an MA plan for special needs..., Election, and Enrollment § 422.52 Eligibility to elect an MA plan for special needs individuals. (a) General rule. In order to elect a specialized MA plan for a special needs individual (Special Needs MA...

26 CFR 301.9100-7T - Time and manner of making certain elections under the Tax Reform Act of 1986.

Code of Federal Regulations, 2010 CFR

2010-04-01

... inclusion in inventory costs of certain expenses) not apply to any plant or animal produced in any farming....] 1704(b) Election to revoke prior election under Code section 1402(e) (relating to exemption from social...) Election to revoke prior election under Code section 3121(w) (relating to exemption from social security...

26 CFR 1.280H-1T - Limitation on certain amounts paid to employee-owners by personal service corporations electing...

Code of Federal Regulations, 2010 CFR

2010-04-01

... election in effect (an “applicable election year”). For purposes of this section, the term personal service... personal service corporations—(1) In general. If, for any applicable election year, a personal service... allowed as a deduction in an applicable election year under paragraph (b)(1) of this section shall be...

Investing for the Future: Post-Secondary Education Issues and the Canadian Federal Election

ERIC Educational Resources Information Center

Educational Policy Institute (NJ1), 2008

2008-01-01

On October 14, 2008, Canadians will travel to the polls for the 40th Canadian General Election--only two years since the 2006 election which brought the Conservative Government to power. In preparation for the election, the Educational Policy Institute (EPI) is publishing a series of election-related papers, including an overview of the top…

The effect of Malaysia general election on stock market returns.

PubMed

Liew, Venus Khim-Sen; Rowland, Racquel

2016-01-01

During the latest episode of general election held in Malaysia, it is observed that the FBMKLCI index was lifted 62.52 points in a day soon after the announcement of election outcome. Moreover, the index registered a highest gain of 96.29 points in the middle of the intra-day trade. This suggests that investors who had got the right direction could make profitable intra-day trading the next trading day of the general election date. Results from statistical analysis uncover significant before-election-effect and after-election-effect from the most recent general elections held in Malaysia. Different subsets of macroeconomic variables are found to have significant role on stock market return depending on the market situation. Remarkably, when there was close fight between the two major political parties during the 2008 and 2013 election years, political uncertainty showed up its negative and significant role in influencing the stock market return. The major implication of these findings is that while investors may seek abnormal returns before and after the next general election, which is around the corner, they will have to pay attention on the influence of macroeconomic variables and political uncertainty on stock market return during the election year.

Postgraduate education on electro-active polymers at Southern Denmark University

NASA Astrophysics Data System (ADS)

Jones, Richard W.

2009-03-01

A recently introduced elective to the Master's of Science in Mechatronics program at Southern Denmark University, entitled 'Mechatronics: Design and Build' concentrates on some of the interdisciplinary aspects of Mechatronics Engineering. The 'Motion Control of Mechatronic Devices' is the main theme of this elective. Within this 'theme' the modelling, identification and compensation of nonlinear effects such as friction, stiction and hysteresis are considered. One of the most important components of the elective considers 'Smart Materials' and their use for actuation purposes. The theory, modelling and properties of piezoceramics. magneto- and electro- rheological fluids and dielectric electro active polymers (DEAP) are introduced in the 'Smart Materials' component. This paper initially reviews the laboratory experiments that have been developed for the dielectric electro active polymer section of the 'Mechatronics: Design and Build' elective. In lectures the students are introduced to the basic theory and fabrication of tubular actuators, that use DEAP material based on smart compliant electrode technology. In the laboratory the students to (a) carry out a series of experiments to characterise the tubular actuators, and (b) design a closed-loop position controller and test the performance of the controlled actuator for both step changes in desired position and periodic input reference signals. The last part of this contribution reviews some of the DEAP-based demonstration devices that been developed by Danfoss PolyPower A/S using their PolyPowerTM material which utilizes smart compliant electrode technology.

Analysis of the elective curriculum in undergraduate medical education in Croatia.

PubMed

Koceic, Ana; Mestrovic, Anita; Vrdoljak, Luka; Vukojevic, Katarina; Barac-Latas, Vesna; Drenjancevic-Peric, Ines; Biocina-Lukenda, Dolores; Sapunar, Damir; Puljak, Livia

2010-04-01

Elective courses are a significant part of undergraduate medical education throughout the world, but the value provided by these courses and the reasons for choosing particular elective courses have not been studied extensively. The aim of this study was to investigate medical and dental students' experiences of elective courses in undergraduate medical education in Croatia and to gather students' recommendations for the improvement of elective courses. Medical and dental students studying under the Bologna curriculum were given a questionnaire in which they were asked for their opinions of elective courses and their suggestions as to how they might be improved. Data on elective courses were obtained from medical schools' administrative offices. The survey response rate was 92% (834/903). Medical students gave elective courses an average grade of 3.44 out of 5, whereas dental students gave a lower average of 3.15. Students' suggestions for change included introducing more practical work and recognising international student exchanges and attendance at conferences as elective options. A third of students indicated that teachers should be given additional training in leading elective courses. Analysis of the curriculum showed that elective courses in Croatian medical schools are very heterogeneous in terms of their content and the number of credits and assessment methods they involve, and are very conservative in that only structured courses are offered. Students cannot design their own courses or take more elective courses than represent 10% of their total number of credits. Student opinion should be consulted when medical schools venture into the elective curriculum so that students can feel that they are really benefiting from these subjects. Students would welcome new and personally designed strands. Elective courses are a significant part of medical education and therefore their quality and purpose need to be assessed regularly in order to ensure that they meet students' needs.

26 CFR 1.936-7 - Manner of making election under section 936 (h)(5); special election for export sales; revocation...

Code of Federal Regulations, 2014 CFR

2014-04-01

... 26 Internal Revenue 10 2014-04-01 2013-04-01 true Manner of making election under section 936 (h)(5); special election for export sales; revocation of election under section 936(a). 1.936-7 Section... affiliated group incurs no research, development or experimental costs in the product area? A. 4: Yes. In...

26 CFR 1.1298-3 - Deemed sale or deemed dividend election by a U.S. person that is a shareholder of a former PFIC.

Code of Federal Regulations, 2010 CFR

2010-04-01

... its stock in the former PFIC for its fair market value on the termination date, as defined in... sale election, the shareholder's stock with respect to which the election was made under this paragraph... the deemed dividend election, the shareholder's stock with respect to which the election was made...

Early invasive versus non-invasive treatment in patients with non-ST-elevation acute coronary syndrome (FRISC-II): 15 year follow-up of a prospective, randomised, multicentre study.

PubMed

Wallentin, Lars; Lindhagen, Lars; Ärnström, Elisabet; Husted, Steen; Janzon, Magnus; Johnsen, Søren Paaske; Kontny, Frederic; Kempf, Tibor; Levin, Lars-Åke; Lindahl, Bertil; Stridsberg, Mats; Ståhle, Elisabeth; Venge, Per; Wollert, Kai C; Swahn, Eva; Lagerqvist, Bo

2016-10-15

The FRISC-II trial was the first randomised trial to show a reduction in death or myocardial infarction with an early invasive versus a non-invasive treatment strategy in patients with non-ST-elevation acute coronary syndrome. Here we provide a remaining lifetime perspective on the effects on all cardiovascular events during 15 years' follow-up. The FRISC-II prospective, randomised, multicentre trial was done at 58 Scandinavian centres in Sweden, Denmark, and Norway. Between June 17, 1996, and Aug 28, 1998, we randomly assigned (1:1) 2457 patients with non-ST-elevation acute coronary syndrome to an early invasive treatment strategy, aiming for revascularisation within 7 days, or a non-invasive strategy, with invasive procedures at recurrent symptoms or severe exercise-induced ischaemia. Plasma for biomarker analyses was obtained at randomisation. For long-term outcomes, we linked data with national health-care registers. The primary endpoint was a composite of death or myocardial infarction. Outcomes were compared as the average postponement of the next event, including recurrent events, calculated as the area between mean cumulative count-of-events curves. Analyses were done by intention to treat. At a minimum of 15 years' follow-up on Dec 31, 2014, data for survival status and death were available for 2421 (99%) of the initially recruited 2457 patients, and for other events after 2 years for 2182 (89%) patients. During follow-up, the invasive strategy postponed death or next myocardial infarction by a mean of 549 days (95% CI 204-888; p=0·0020) compared with the non-invasive strategy. This effect was larger in non-smokers (mean gain 809 days, 95% CI 402-1175; p interaction =0·0182), patients with elevated troponin T (778 days, 357-1165; p interaction =0·0241), and patients with high concentrations of growth differentiation factor-15 (1356 days, 507-1650; p interaction =0·0210). The difference was mainly driven by postponement of new myocardial infarction, whereas the early difference in mortality alone was not sustained over time. The invasive strategy led to a mean of 1128 days (95% CI 830-1366) postponement of death or next readmission to hospital for ischaemic heart disease, which was consistent in all subgroups (p<0·0001). During 15 years of follow-up, an early invasive treatment strategy postponed the occurrence of death or next myocardial infarction by an average of 18 months, and the next readmission to hospital for ischaemic heart disease by 37 months, compared with a non-invasive strategy in patients with non-ST-elevation acute coronary syndrome. This remaining lifetime perspective supports that an early invasive treatment strategy should be the preferred option in most patients with non-ST-elevation acute coronary syndrome. Swedish Heart-Lung Foundation, Swedish Foundation for Strategic Research, and Uppsala Clinical Research Center. Copyright © 2016 Elsevier Ltd. All rights reserved.

International electives in the final year of German medical school education--a student's perspective.

PubMed

Ebrahimi-Fakhari, Darius; Agrawal, Mridul; Wahlster, Lara

2014-01-01

The final year of medical school has a unique role for introducing students to their future responsibilities and challenges. At many medical schools, electives at an accredited institution abroad are a common part of the student's final year experience. International electives provide an opportunity for a personal and academic experience that will often create new perspectives on clinical medicine and research, medical education and healthcare policy. In this article the authors reflect on their experience as elective students abroad and discuss the contribution of international electives to the constant development and progress of local final year rotations. They identify key areas for improving final year electives and outline essential features for a valuable and successful final year elective.

26 CFR 1.706-1 - Taxable years of partner and partnership.

Code of Federal Regulations, 2010 CFR

2010-04-01

... a taxable year elected under section 444, or establishes a business purpose for such taxable year...: Test 12/31 Year end Interest inpartnership profits Months of deferral for 12/31 year end Interest×deferral Partner A 12/31 .5 0 0 Partner B 11/30 .5 11 5.5 Aggregate deferral 5.5 Test 11/30 Year end...

Relative importance index (RII) in ranking of procrastination factors among university students

NASA Astrophysics Data System (ADS)

Aziz, Nazrina; Zain, Zakiyah; Mafuzi, Raja Muhammad Zahid Raja; Mustapa, Aini Mastura; Najib, Nur Hasibah Mohd; Lah, Nik Fatihah Nik

2016-08-01

Procrastination is the action of delaying or postponing something such as making a decision or starting or completing some tasks or activities. According to previous studies, students who have a strong tendency to procrastinate get low scores in their tests, resulting in poorer academic performance compared to those who do not procrastinate. This study aims to identify the procrastination factors in completing assignments among three groups of undergraduate students. The relative importance of procrastination factors was quantified by the relative importance index (RII) method prior to ranking. A multistage sampling technique was used in selecting the sample. The findings revealed that `too many works in one time' is one of the top three factors contributing to procrastination in all groups.

Rationality, practice variation and person‐centred health policy: a threshold hypothesis

PubMed Central

Hamm, Robert M.; Mayrhofer, Thomas; Hozo, Iztok; Van den Ende, Jef

2015-01-01

Abstract Variation in practice of medicine is one of the major health policy issues of today. Ultimately, it is related to physicians' decision making. Similar patients with similar likelihood of having disease are often managed by different doctors differently: some doctors may elect to observe the patient, others decide to act based on diagnostic testing and yet others may elect to treat without testing. We explain these differences in practice by differences in disease probability thresholds at which physicians decide to act: contextual social and clinical factors and emotions such as regret affect the threshold by influencing the way doctors integrate objective data related to treatment and testing. However, depending on a theoretical construct each of the physician's behaviour can be considered rational. In fact, we showed that the current regulatory policies lead to predictably low thresholds for most decisions in contemporary practice. As a result, we may expect continuing motivation for overuse of treatment and diagnostic tests. We argue that rationality should take into account both formal principles of rationality and human intuitions about good decisions along the lines of Rawls' ‘reflective equilibrium/considered judgment’. In turn, this can help define a threshold model that is empirically testable. PMID:26639018

Probiotics: In Depth

MedlinePlus

... people in this age group. Quality Concerns About Probiotic Products Some probiotic products have been found to contain smaller numbers of ... and practices. Don’t use a complementary health product, such as probiotics, as a reason to postpone seeing your health ...

5 Things to Know About Zika and Pregnancy

MedlinePlus

... considering becoming pregnant — may be worried about the Zika virus. The virus causes a serious birth defect called ... in or must travel to countries where the Zika virus is most active, consider postponing becoming pregnant. A ...

7 CFR 51.16 - Postponing inspection service.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 FRESH FRUITS, VEGETABLES AND OTHER PRODUCTS 1,2 (INSPECTION, CERTIFICATION, AND...

Thermal effects in rapid directional solidification - Linear theory

NASA Technical Reports Server (NTRS)

Huntley, D. A.; Davis, S. H.

1993-01-01

We study the morphological instability of the planar solid/liquid interface for a unidirectionally-solidified dilute binary mixture. We use a model developed by Boettinger et al. (1985, 1986), Aziz (1982), and Jackson et al. (1980), which allows for nonequilibrium effects on the interface through velocity-dependent segregation and attachment kinetics. Two types of instabilities are found in the linear stability analysis: (1) a cellular instability, and (2) an oscillatory instability driven by disequilibrium effects. Merchant and Davis (1990) characterized these instabilities subject to the frozen-temperature approximation (FTA). The present work relaxes the FTA by including the effects of latent heat and the full temperature distribution. Thermal effects slightly postpone the onset of the cellular instability but dramatically postpone the onset of the oscillatory instability; however, the absolute-stability conditions, at which at high speed the cellular and oscillatory instabilities are suppressed, remain unchanged from the FTA.