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Ingenierie de nanoparticules plasmoniques robustes pour la generation de bulles par laser en vue d'applications biomedicales

NASA Astrophysics Data System (ADS)

Lachaine, Remi

Les chirurgiens generent des bulles dans le corps humain a l'aide d'irradiation laser depuis plusieurs decennies. Ils utilisent ces bulles comme de petits scalpels, leur permettant de faire des incisions precises et localisees. Une des applications de cet outil chirurgical est la perforation cellulaire. Au lieu d'utiliser une aiguille pour perforer la membrane des cellules, il est possible de focaliser des impulsions laser en surface d'une cellule, formant un plasma au point focal du laser et generant une bulle qui perfore la membrane cellulaire. Toutefois, ce procede est assez lent et la perforation massive de cellules in-vivo n'est pas envisageable. Pour accelerer le processus, il est possible d'utiliser des nanoparticules plasmoniques. Ces dernieres agissent comme des nano-antennes qui permettent de concentrer la lumiere sur une echelle nanometrique. La possibilite d'irradier un grand nombre de nanoparticules simultanement a donne un nouvel elan a la generation de bulle comme outil de perforation cellulaire. L'utilisation de nanoparticules dans un contexte biomedical comporte toutefois certains risques. En particulier, la fragmentation de nanoparticules peut augmenter la toxicite du traitement. Dans un cas ideal, il est preferable d'utiliser des nanoparticules qui ne sont pas endommagees par l'irradiation laser. Cette these a pour but de developper une methode d'ingenierie de nanoparticules robustes permettant la generation efficace de bulles a des fins biomedicales. Il est tout d'abord demontre experimentalement que la formation de plasma est bel et bien le mecanisme physique principal menant a la generation de bulles lors de l'irradiation infrarouge (longueur d'onde de 800 nm) et ultrarapide (temps d'impulsion entre 45 fs et 1 ps) de nanoparticules d'or de 100 nm. Pour realiser cette demonstration, une methode pompe-sonde de detection de bulles d'environ 1 mum a ete elaboree. Cette methode a permis de mettre en evidence une difference de taille de 18% entre les bulles generees avec une irradiation de polarisation lineaire par rapport a une polarisation circulaire lorsque la duree d'impulsion etait inferieure a la picoseconde. Pour des impulsions plus longues, il est montre que les tailles de bulles sont independantes de la polarisation des impulsions incidentes. Ce comportement particulier est en accord avec les predictions theoriques qui incluent la formation non-lineaire de plasma et ne peut pas etre explique en considerant uniquement l'absorption des particules. Ensuite, une methode de conception de nanoparticules robustes pour la generation de bulles est elaboree. Cette methode se base sur les proprietes optiques des nanostructures.
Developpement d'une methode de Monte Carlo dependante du temps et application au reacteur de type CANDU-6

NASA Astrophysics Data System (ADS)

Mahjoub, Mehdi

La resolution de l'equation de Boltzmann demeure une etape importante dans la prediction du comportement d'un reacteur nucleaire. Malheureusement, la resolution de cette equation presente toujours un defi pour une geometrie complexe (reacteur) tout comme pour une geometrie simple (cellule). Ainsi, pour predire le comportement d'un reacteur nucleaire,un schema de calcul a deux etapes est necessaire. La premiere etape consiste a obtenir les parametres nucleaires d'une cellule du reacteur apres une etape d'homogeneisation et condensation. La deuxieme etape consiste en un calcul de diffusion pour tout le reacteur en utilisant les resultats de la premiere etape tout en simplifiant la geometrie du reacteur a un ensemble de cellules homogenes le tout entoure de reflecteur. Lors des transitoires (accident), ces deux etapes sont insuffisantes pour pouvoir predire le comportement du reacteur. Comme la resolution de l'equation de Boltzmann dans sa forme dependante du temps presente toujours un defi de taille pour tous types de geometries,un autre schema de calcul est necessaire. Afin de contourner cette difficulte, l'hypothese adiabatique est utilisee. Elle se concretise en un schema de calcul a quatre etapes. La premiere et deuxieme etapes demeurent les memes pour des conditions nominales du reacteur. La troisieme etape se resume a obtenir les nouvelles proprietes nucleaires de la cellule a la suite de la perturbation pour les utiliser, au niveau de la quatrieme etape, dans un nouveau calcul de reacteur et obtenir l'effet de la perturbation sur le reacteur. Ce projet vise a verifier cette hypothese. Ainsi, un nouveau schema de calcul a ete defini. La premiere etape de ce projet a ete de creer un nouveau logiciel capable de resoudre l'equation de Boltzmann dependante du temps par la methode stochastique Monte Carlo dans le but d'obtenir des sections efficaces qui evoluent dans le temps. Ce code a ete utilise pour simuler un accident LOCA dans un reacteur nucleaire de type CANDU-6. Les sections efficaces dependantes du temps ont ete par la suite utilisees dans un calcul de diffusion espace-temps pour un reacteur CANDU-6 subissant un accident de type LOCA affectant la moitie du coeur afin d'observer son comportement durant toutes les phases de la perturbation. Dans la phase de developpement, nous avons choisi de demarrer avec le code OpenMC, developpe au MIT,comme plateforme initiale de developpement. L'introduction et le traitement des neutrons retardes durant la simulation ont presente un grand defi a surmonter. Il est important de noter que le code developpe utilisant la methode Monte Carlo peut etre utilise a grande echelle pour la simulation de tous les types des reacteurs nucleaires si les supports informatiques sont disponibles.
DISCOURS QUI RÉSISTENT À L’OBJECTIVATION : QUE PEUT-ON EN TIRER POUR L’ÉVALUATION?

PubMed Central

Brousselle, Astrid

2013-01-01

Résumé L’évaluateur doit porter attention aux distorsions qu’il contribue à créer lorsqu’il utilise l’entrevue comme méthode de collecte de données. L’évaluation est un exercice politique qui, placé dans un contexte politique, peut favoriser l’émergence de discours de résistance à l’objectivation. À partir des entrevues que nous avons effectuées lors de l’évaluation du processus d’implantation de l’initiative ONUSIDA d’accès aux médicaments au Chili, nous illustrons différentes tactiques que les acteurs utilisent et qui peuvent soit attirer la sympathie de l’évaluateur, soit faire obstacle à son besoin d’information. Nous présentons une méthode d’analyse que l’évaluateur peut utiliser pour redonner du sens aux discours de résistance. PMID:23997421
Relations de Dispersion et Diffusion des Glueballs et des Mesons dans la Theorie de Jauge U(1)(2+1) Compacte

NASA Astrophysics Data System (ADS)

Ahmed, Chaara El Mouez

Nous avons etudie les relations de dispersion et la diffusion des glueballs et des mesons dans le modele U(1)_{2+1} compact. Ce modele a ete souvent utilise comme un simple modele de la chromodynamique quantique (QCD), parce qu'il possede le confinement ainsi que les etats de glueballs. Par contre, sa structure mathematique est beaucoup plus simple que la QCD. Notre methode consiste a diagonaliser l'Hamiltonien de ce modele dans une base appropriee de graphes et sur reseau impulsion, afin de generer les relations de dispersion des glueballs et des mesons. Pour la diffusion, nous avons utilise la methode dependante du temps pour calculer la matrice S et la section efficace de diffusion des glueballs et des mesons. Les divers resultats obtenus semblent etre en accord avec les travaux anterieurs de Hakim, Alessandrini et al., Irving et al., qui eux, utilisent plutot la theorie des perturbations en couplage fort, et travaillent sur un reseau espace-temps.
Modeles numeriques de la stimulation optique de neurones assistee par nanoparticules plasmoniques

NASA Astrophysics Data System (ADS)

Le Hir, Nicolas

La stimulation de neurones par laser emerge depuis plusieurs annees comme une alternative aux techniques plus traditionnelles de stimulation artificielle. Contrairement a celles-ci, la stimulation lumineuse ne necessite pas d'interagir directement avec le tissu organique, comme c'est le cas pour une stimulation par electrodes, et ne necessite pas de manipulation genetique comme c'est le cas pour les methodes optogenetiques. Plus recemment, la stimulation lumineuse de neurones assistee par nanoparticules a emerge comme un complement a la stimulation simplement lumineuse. L'utilisation de nanoparticules complementaires permet d'augmenter la precision spatiale du procede et de diminuer la fluence necessaire pour observer le phenomene. Ceci vient des proprietes d'interaction entre les nanoparticules et le faisceau laser, comme par exemple les proprietes d'absorption des nanoparticules. Deux phenomenes princpaux sont observes. Dans certains cas, il s'agit d'une depolarisation de la membrane, ou d'un potentiel d'action. Dans d'autres experiences, un influx de calcium vers l'interieur du neurone est detecte par une augmentation de la fluorescence d'une proteine sensible a la concentration calcique. Certaines stimulations sont globales, c'est a dire qu'une perturbation se propage a l'ensemble du neurone : c'est le cas d'un potentiel d'action. D'autres sont, au contraire, locales et ne se propagent pas a l'ensemble de la cellule. Si une stimulation lumineuse globale est rendue possible par des techniques relativement bien maitrisees a l'heure actuelle, comme l'optogenetique, une stimulation uniquement locale est plus difficile a realiser. Or, il semblerait que les methodes de stimulation lumineuse assistees par nanoparticules puissent, dans certaines conditions, offrir cette possibilite. Cela serait d'une grande aide pour conduire de nouvelles etudes sur le fonctionnement des neurones, en offrant de nouvelles possibilites experimentales en complement des possibilites actuelles. Cependant, le mecanisme physique a l'origine de la stimulation lumineuse de neurones, ainsi que celui a l'orgine de la stimulation lumineuse assistee par nanoparticules, n'est a ce jour pas totalement compris. Des hypotheses ont ete formulees concernant ce mecanisme : il pourrait etre photothermique, photomecanique, ou encore photochimique. Il se pourrait egalement que plusieurs mecanismes soient a l'oeuvre conjointement, etant donne la variete des observations. La litterature ne converge pas a ce sujet et l'existence d'un mecanisme commun aux differentes situations n'a pas ete demontree.
Conceptual Modeling (CM) for Military Modeling and Simulation (M&S) (Modelisation conceptuelle (MC) pour la modelisation et la simulation (M&S) militaires)

DTIC Science & Technology

2012-07-01

du monde de la modélisation et de la simulation et lui fournir des directives de mise en œuvre ; et fournir des ...définition ; rapports avec les normes ; spécification de procédure de gestion de la MC ; spécification d’artefact de MC. Considérations importantes...utilisant la présente directive comme référence. • Les VV&A (vérification, validation et acceptation) des MC doivent faire partie intégrante du
L’utilisation d’objets comme outils: un développement continu

PubMed Central

Kahrs, Björn Alexander; Lockman, Jeffrey J.

2014-01-01

Le débat autour des origines développementales de la capacité humaine à utiliser des outils de manière souple reste ouvert. Alors que l’approche dominante se focalise sur un changement qualitatif cognitif vers la fin de la première année, la théorie perception-action fournit des indices importants sur la manière dont les comportements exploratoires plus précoces des nourrissons jettent les bases pour l’émergence de cette capacité. En particulier, nous nous intéressons à la manière dont les tentatives des nourrissons de mettre en rapport les objets et les surfaces leur permettent d’apprendre comment les objets peuvent servir d’extension de la main et fournissent l’occasion d’exercer des actions qui seront recrutées plus tard pour l’utilisation d’outils. Dans ce contexte, nous discutons des études comportementales et cinématiques portant sur la manipulation d’objets, qui montrent que les nourrissons font interagir les objets et les surfaces avec discernement et que leur contrôle de la frappe (banging) augmente au cours de leur première année. En conclusion, une perspective perception-action suggère que l’utilisation d’outils émerge de manière plus continue au cours du développement que ce qui a été traditionnellement envisagé. PMID:24511151
Caracterisation des proprietes dielectriques de materiaux composites a base de polyethylene terephtalate recycle =

NASA Astrophysics Data System (ADS)

Mebarki, Fouzia

Cette etude vise a etudier la possibilite d'utiliser des materiaux composites a matrice thermoplastique pour des applications electriques comme les supports des systemes d'allumage dans les moteurs d'automobile. Nous nous interessons plus particulierement aux composites a base de polyethylene terephtalate (PET) recycle. Les isolants classiques comme le PET ne peuvent pas satisfaire toutes les exigences. L'introduction des renforts comme les fibres de verre et le mica peuvent ameliorer les caracteristiques mecaniques de ces materiaux. Toutefois, cette amelioration peut etre accompagnee d'une diminution des proprietes electriques surtout que ces materiaux doivent operer sous contraintes thermiques et electriques tres severes. Afin d'estimer la duree de vie de ces isolants, des essais de vieillissement accelere ont ete effectues a une frequence de 300Hz dans une plage de temperature allant de la temperature ambiante a 140°C. L'etude a haute temperature permettra de determiner la temperature de service des materiaux candidats. Des essais de la rupture dielectrique ont ete realises sur un grand nombre d'echantillon selon la norme ASTM D-149 relative aux mesures de rigidite dielectrique des isolants solides. Ces tests ont permis de deceler les echantillons problematiques et de verifier la qualite de ces isolants solides. Les differentes connaissances acquises lors de cette analyse ont servi a predire les performances des materiaux en service et vont permettre a la compagnie Groupe Lavergne d'apporter des ameliorations au niveau des formulations existantes et par la suite developper un materiau ayant les proprietes electriques et thermiques adequates pour ce type d'application. None None None None
Simulation d'ecoulements internes compressibles laminaires et turbulents par une methode d'elements finis

NASA Astrophysics Data System (ADS)

Rebaine, Ali

1997-08-01

Ce travail consiste en la simulation numerique des ecoulements internes compressibles bidimensionnels laminaires et turbulents. On s'interesse, particulierement, aux ecoulements dans les ejecteurs supersoniques. Les equations de Navier-Stokes sont formulees sous forme conservative et utilisent, comme variables independantes, les variables dites enthalpiques a savoir: la pression statique, la quantite de mouvement et l'enthalpie totale specifique. Une formulation variationnelle stable des equations de Navier-Stokes est utilisee. Elle est base sur la methode SUPG (Streamline Upwinding Petrov Galerkin) et utilise un operateur de capture des forts gradients. Un modele de turbulence, pour la simulation des ecoulements dans les ejecteurs, est mis au point. Il consiste a separer deux regions distinctes: une region proche de la paroi solide, ou le modele de Baldwin et Lomax est utilise et l'autre, loin de la paroi, ou une formulation nouvelle, basee sur le modele de Schlichting pour les jets, est proposee. Une technique de calcul de la viscosite turbulente, sur un maillage non structure, est implementee. La discretisation dans l'espace de la forme variationnelle est faite a l'aide de la methode des elements finis en utilisant une approximation mixte: quadratique pour les composantes de la quantite de mouvement et de la vitesse et lineaire pour le reste des variables. La discretisation temporelle est effectuee par une methode de differences finies en utilisant le schema d'Euler implicite. Le systeme matriciel, resultant de la discretisation spatio-temporelle, est resolu a l'aide de l'algorithme GMRES en utilisant un preconditionneur diagonal. Les validations numeriques ont ete menees sur plusieurs types de tuyeres et ejecteurs. La principale validation consiste en la simulation de l'ecoulement dans l'ejecteur teste au centre de recherche NASA Lewis. Les resultats obtenus sont tres comparables avec ceux des travaux anterieurs et sont nettement superieurs concernant les ecoulements turbulents dans les ejecteurs.
L’investigation de la contusion myocardique pour la fracture sternale à l’urgence

PubMed Central

Audette, Jean-Sébastien; Émond, Marcel; Scott, Hugh; Lortie, Gilles

2014-01-01

Résumé Objectif Décrire la pratique d’acquisition d’un électrocardiogramme (ECG) initial, d’ECG de contrôle ou d’un monitoring équivalent et du dosage des troponines chez les patients avec une fracture sternale évalués au département d’urgence ou par un médecin de première ligne. Type d’étude Étude rétrospective descriptive multicentrique. Contexte Deux centres académiques de traumatologie de la région de Québec au Canada. Participants 54 patients ayant subi une fracture sternale traumatique. Interventions Évaluation de l’acquisition d’ECG initial et à 6 heures post-traumatisme ou un monitoring équivalent ainsi que le dosage des troponines sanguines. Principaux paramètres à l’étude En ce qui concerne l’ECG, les critères de comparaison de qualité furent sélectionnés à partir d’opinions d’experts rapportées dans quatre études. L’utilisation d’un ECG initial et de contrôle 6 heures post-traumatisme ou d’un monitoring cardiaque de 6 heures représente la pratique recommandée par la plupart de ceux-ci pour le diagnostic de la contusion myocardique dans la fracture sternale. L’utilisation des troponines I sanguines, 4 à 8 heures suivant un traumatisme thoracique, a également été proposée par certains auteurs comme méthode de détection efficace des arythmies significatives secondaires à la contusion myocardique. Des analyses descriptives univariées et des tests de chi-carré furent effectués. Une valeur P < ,05 fut considérée significative. Résultats Trente-neuf (72 %) patients ont été évalués initialement avec un ECG, tandis que 18 (33 %) de ces patients ont eu une évaluation par ECG ou monitoring cardiaque après 6 heures à l’urgence. Seize patients (30 %) ont été évalués à l’aide du dosage des troponines I. Deux patients (4 %) ont présenté des anomalies électrocardiographiques et un seul patient (2 %) a présenté des troponines I élevées. Conclusion Les urgentologues doivent augmenter leur utilisation de l’ECG comme outil diagnostic initial et de contrôle pour les patients ayant subi une fracture sternale traumatique afin de détecter la contusion myocardique et l’arythmie. L’utilisation de la troponinémie, de concert avec l’ECG, est également suggérée dans cette population pour l’identification des patients à risque de complications secondaires à leur contusion myocardique.
NMR, symmetry elements, structure and phase transitions in the argyrodite family

NASA Astrophysics Data System (ADS)

Gaudin, E.; Taulelle, F.; Boucher, F.; Evain, M.

1998-02-01

Cu7PSe6 belongs to a family of structures known as the argyrodites. It undergoes two phases transitions. The high temperature phase has been determined by X-ray diffraction. It has a Foverline{4}3m space group. Medium temperature phases have been refined using a non-harmonic technique and the space group proposed is P213. The low temperature phase had an apparent space group of Foverline{4}3m also. Use of X-ray diffraction and NMR together has allowed to determine the space groups of all phases as being respectively Foverline{4}3m, P213 and Pmn21. Positioning of disordered coppers in the structure is therefore possible and the structure can be described by connex polyhedra of PSe3-4 and SeCux-2_x. The phase transitions can be understood by an ordered motion of SeCux-2x polyhedra. If these polyhedra set in motion independently two transitions are to be observed, if they are coupled only one is observed. Cu7PSe6 appartient à une famille de composés connus sous le nom d'argyrodites. Cu7PSe6 possède deux transitions de phase. La structure de haute température a été déterminée par diffraction des rayons X. Elle se décrit par le groupe d'espace Foverline{4}3m. La phase de moyenne température a été raffinée en utilisant une technique non-harmonique et le groupe d'espace proposé est P213. La phase de basse température possède également un groupe d'espace apparent Foverline{4}3m. En utilisant ensemble la diffraction des rayons X et la RMN, il a été possible de déterminer les groupes d'espace de toutes les phases comme étant respectivement Foverline{4}3m, P213 et Pmn21. Placer les atomes de cuivre, désordonnés, dans la structure devient alors possible et la structure peut se décrire comme un ensemble de polyèdres connexes de PSe3-4 et SeCux-2_x. Les transitions de phases se décrivent alors comme des mouvements ordonnés des polyèdres SeCux-2_x. Si ces polyèdres se mettent en mouvement indépendamment, deux transitions de phases sont attendues, si leur mise en mouvement est couplée, une seule est observée.
Le recours aux modeles dans l'enseignement de la biologie au secondaire : Conceptions d'enseignantes et d'enseignants et modes d'utilisation

NASA Astrophysics Data System (ADS)

Varlet, Madeleine

Le recours aux modeles et a la modelisation est mentionne dans la documentation scientifique comme un moyen de favoriser la mise en oeuvre de pratiques d'enseignement-apprentissage constructivistes pour pallier les difficultes d'apprentissage en sciences. L'etude prealable du rapport des enseignantes et des enseignants aux modeles et a la modelisation est alors pertinente pour comprendre leurs pratiques d'enseignement et identifier des elements dont la prise en compte dans les formations initiale et disciplinaire peut contribuer au developpement d'un enseignement constructiviste des sciences. Plusieurs recherches ont porte sur ces conceptions sans faire de distinction selon les matieres enseignees, telles la physique, la chimie ou la biologie, alors que les modeles ne sont pas forcement utilises ou compris de la meme maniere dans ces differentes disciplines. Notre recherche s'est interessee aux conceptions d'enseignantes et d'enseignants de biologie au secondaire au sujet des modeles scientifiques, de quelques formes de representations de ces modeles ainsi que de leurs modes d'utilisation en classe. Les resultats, que nous avons obtenus au moyen d'une serie d'entrevues semi-dirigees, indiquent que globalement leurs conceptions au sujet des modeles sont compatibles avec celle scientifiquement admise, mais varient quant aux formes de representations des modeles. L'examen de ces conceptions temoigne d'une connaissance limitee des modeles et variable selon la matiere enseignee. Le niveau d'etudes, la formation prealable, l'experience en enseignement et un possible cloisonnement des matieres pourraient expliquer les differentes conceptions identifiees. En outre, des difficultes temporelles, conceptuelles et techniques peuvent freiner leurs tentatives de modelisation avec les eleves. Toutefois, nos resultats accreditent l'hypothese que les conceptions des enseignantes et des enseignants eux-memes au sujet des modeles, de leurs formes de representation et de leur approche constructiviste en enseignement representent les plus grands obstacles a la construction des modeles en classe. Mots-cles : Modeles et modelisation, biologie, conceptions, modes d'utilisation, constructivisme, enseignement, secondaire.
The Role of Scientific Communication Skills in Trainees' Intention to Pursue Biomedical Research Careers: A Social Cognitive Analysis.

PubMed

Cameron, Carrie; Lee, Hwa Young; Anderson, Cheryl; Byars-Winston, Angela; Baldwin, Constance D; Chang, Shine

2015-01-01

Scientific communication (SciComm) skills are indispensable for success in biomedical research, but many trainees may not have fully considered the necessity of regular writing and speaking for research career progression. Our purpose was to investigate the relationship between SciComm skill acquisition and research trainees' intentions to remain in research careers. We used social cognitive career theory (SCCT) to test a model of the relationship of SciComm skills to SciComm-related cognitive variables in explaining career intentions. A sample of 510 graduate students and postdoctoral fellows at major academic health science centers in the Texas Medical Center, Houston, Texas, were surveyed online. Results suggested that interest in performing SciComm tasks, SciComm outcome expectations (SCOEs), and SciComm productivity predicted intention to remain in a research career, while SciComm self-efficacy did not directly predict career intention. SCOEs also predicted interest in performing SciComm tasks. As in other SCCT studies, SciComm self-efficacy predicted SCOEs. We conclude that social cognitive factors of SciComm skill acquisition and SciComm productivity significantly predict biomedical trainees' intentions to pursue research careers whether within or outside academia. While further studies are needed, these findings may lead to evidence-based interventions to help trainees remain in their chosen career paths. © 2015 C. Cameron et al. CBE—Life Sciences Education © 2015 The American Society for Cell Biology. This article is distributed by The American Society for Cell Biology under license from the author(s). It is available to the public under an Attribution–Noncommercial–Share Alike 3.0 Unported Creative Commons License (http://creativecommons.org/licenses/by-nc-sa/3.0).
Use of Data Comm by Flight Crew in High-Density Terminal Areas

NASA Technical Reports Server (NTRS)

Baxley, Brian T.; Norman, Robert M.; Ellis, Kyle K. E.; Latorella, Kara A.; Comstock, James R.; Adams, Cathy A.

2010-01-01

This paper describes a collaborative FAA and NASA experiment using 22 commercial airline pilots to determine the effect of using Datalink Communication (Data Comm) to issue messages in busy, terminal area operations. Four conditions were defined that span current day to future flight deck equipage levels (voice communication only, Data Comm only, Data Comm with Moving Map Display, Data Comm with Moving Map displaying taxi route), and each condition was used to create an arrival and a departure scenario at the Boston Logan Airport. These eight scenarios were repeated twice for a total of 16 scenarios for each of the eleven crews. Quantitative data was collected on subject reaction time and eye tracking information. Questionnaires collected subjective feedback on workload and acceptability to the flight crew for using Data Comm in a busy terminal area. 95% of the Data Comm messages were responded to by the flight crew within one minute; however, post experiment debrief comments revealed almost unanimous consensus that two minutes was a reasonable expectation for crew response. Eye tracking data indicated an insignificant decrease in head-up time for the Pilot Flying when Data Comm was introduced; however, the Pilot Monitoring had significantly less head-up time. Data Comm workload was rated as operationally acceptable by both crew members in all conditions in flight at any altitude above the Final Approach Fix in terms of response time and workload. Results also indicate the use of Data Comm during surface operations was acceptable, the exception being the simultaneous use of voice, Data Comm, and audio chime required for an aircraft to cross an active runway. Many crews reported they believed Data Comm messages would be acceptable after the Final Approach Fix or to cross a runway if the message was not accompanied by a chime and there was not a requirement to immediately respond to the uplink message.
Flight Crew Workload, Acceptability, and Performance When Using Data Comm in a High-Density Terminal Area Simulation

NASA Technical Reports Server (NTRS)

Norman, R. Michael; Baxley, Brian T.; Adams, Cathy A.; Ellis, Kyle K. E.; Latorella, Kara A.; Comstock, James R., Jr.

2013-01-01

This document describes a collaborative FAA/NASA experiment using 22 commercial airline pilots to determine the effect of using Data Comm to issue messages during busy, terminal area operations. Four conditions were defined that span current day to future flight deck equipage: Voice communication only, Data Comm only, Data Comm with Moving Map Display, and Data Comm with Moving Map displaying taxi route. Each condition was used in an arrival and a departure scenario at Boston Logan Airport. Of particular interest was the flight crew response to D-TAXI, the use of Data Comm by Air Traffic Control (ATC) to send taxi instructions. Quantitative data was collected on subject reaction time, flight technical error, operational errors, and eye tracking information. Questionnaires collected subjective feedback on workload, situation awareness, and acceptability to the flight crew for using Data Comm in a busy terminal area. Results showed that 95% of the Data Comm messages were responded to by the flight crew within one minute and 97% of the messages within two minutes. However, post experiment debrief comments revealed almost unanimous consensus that two minutes was a reasonable expectation for crew response. Flight crews reported that Expected D-TAXI messages were useful, and employment of these messages acceptable at all altitude bands evaluated during arrival scenarios. Results also indicate that the use of Data Comm for all evaluated message types in the terminal area was acceptable during surface operations, and during arrivals at any altitude above the Final Approach Fix, in terms of response time, workload, situation awareness, and flight technical performance. The flight crew reported the use of Data Comm as implemented in this experiment as unacceptable in two instances: in clearances to cross an active runway, and D-TAXI messages between the Final Approach Fix and 80 knots during landing roll. Critical cockpit tasks and the urgency of out-the window scan made the additional head down time to respond to Data Comm messages undesirable during these events. However, most crews also stated that Data Comm messages without an accompanying audio chime and no expectation of an immediate response could be acceptable even during these events.
Biostereometrics In Art

NASA Astrophysics Data System (ADS)

Ferenc, Kovats

1986-07-01

Desuis mon enfance je suis un type soidisant visuel. Cette deviation etait toujours profitable pour moi, pour le clinicien , ainsi que pour le rechercheur scientifique.I1 y a trente ans, que dans l'Atlas Radioanatomique du Thorax nous avons deja utilis6 la conception de trois dimensions. Dans les derni6res edition de cet ouvrage nous avons travaille mke avec la guatrieme, le temps facteur. DePuis cette 6poque-la je me suis ori-en-be vers les quatre dimensions, vers les mouvements dans l'espace et le temps. -:tudiant les mouvements,les mouvements ventilatoires mesure par photogrammetrie le tronc humain.En projetant sur la surface du tronc un reseau quadratique, on pent compter de 3oo-400 points d'information, si un carre est 2 This 2 cm. Simultanement on pent ainsi contraler les deplacement relatifs des differents points. Travaillant avec seriophotographie et ces dernieres annees avec Video, nous avons des documents cDntinuellement en trois dimensions sun la position actuelle en espace de notre modele.On pent mesurer, reproduire la position momentan6e du sujet d'une frequence et dans la quantite desiree. Par exemple on peut les reproduire, une a une, comme une sculpture, en domontrant les changements d'un tronc humain pendant les mouvements respiratoires, comme nous avions fait en 1969 avec le sculpteur Istvan Bencsik en realisant nos differents modeles en inspiration et expiration.flais thooriquement on pent construire tant de sculptures qu'on vent entre les deux positions extremes.La methode est tres utilisable pour l'observation des mouvements sportifs on artistiques, comme le ballet par exemple. / Figure 1./ En etudiant en plusieures series la morphometrie des mouvements respiratoires on pent acquerir une certain experience, qui concerne la phase de respiration, on se trouve un corps humain sculpte, dessine on peint. Come le mimique d'un visage explkue toujours l'6tat affectif d'un individu, le corps humain peut expliquer tart des chases entre les mains d'un artiste doue. Liais nous retournerons encore a cet argument. Avec un objet d'art l'artiste registe un seul moment dune serie de mouvements de son sujet, spit en deux dimensions, s'il est peintre on graveur , dessinateur etc., spit en trois dimensions s'il est sculpteur.i:algre cela , il y a beaucoup d'oeuvresd'art dyna-miques, qui donnent l'impression de mouvement.On pent produire cet effetavec la ROMDOSi-tion des mouvements non simultanees , comme par exemple sur les tableaux de XIX 'si8cle representant des concours hyppiques, on les extremit-ees des chevaux sort distandue an maximum en avant et en arriere; c'est un mode de galop inexistant, mais malgr6, qu'il est faux, it suggere la vitesse.
Stabilité et pertes des conducteurs pour régime alternatif

NASA Astrophysics Data System (ADS)

Estop, P.; Lacaze, A.

1994-04-01

Recent progresses obtained on low-T_c superconductors usable at industrial frequencies allow to envisage a new and innovating application as the current limiter. The device conception determines a cryogenic cost due to the dissipated energy in superconducting wires. In order to reduce the losses sufficiently, fine wires with submicromic filaments must be used. In relation to the need to obtain an infaillible protection during the quench, a new type of conductor, has been worked out, tested and validated. The main technical aspects concerning the losses of low-T_c superconductors have been developed on this paper. Les récents progrès obtenus sur les conducteurs supraconducteurs basse température critique utilisables aux fréquences industrielles permettent d'entrevoir une application nouvelle et innovante comme le limiteur de courant. De la conception d'un tel système résulte un coût cryogénique lié à l'énergie dissipée dans les brins supraconducteurs. La réduction des pertes nécessite l'utilisation de brins suffisamment fins et disposant de filaments submicromiques. Concernant le besoin d'obtenir une protection infaillible au moment de la transition, un conducteur d'un concept nouveau a été élaboré, testé et validé. L'article passe en revue les principaux aspects techniques liés à la stabilité et aux pertes dans les conducteurs supraconducteurs basse température critique.
NextGen flight deck data comm: auxiliary synthetic speech - phase I

DOT National Transportation Integrated Search

2012-10-22

Data Comma digital, text-based controller-pilot communication systemis critical to many NextGen improvements. With Data Comm, communication becomes a visual task. Although Data Comm brings many advantages, interacting with a visual display may ...
NextGen flight deck Data Comm : auxiliary synthetic speech phase I

DOT National Transportation Integrated Search

2012-12-31

Data Comma text-based controller-pilot communication systemis critical to many NextGen improvements. With Data Comm, communication becomes a visual task. Interacting with a visual Data Comm display may yield an unsafe increase in head-down time...
Caractérisation expérimentale et modélisation numérique des propriétés spectroscopiques d'absorbants saturables pour le déclenchement passif de laser verre erbium

NASA Astrophysics Data System (ADS)

Girard, S.; Shcherbitsky, V.; Fromager, M.; Aït Ameur, K.; Moncorgé, R.; Ferrand, B.; Montagne, J.

2002-06-01

Une comparaison entre différents absorbants saturables (LMA, MALO, ZnS et ZnSe dopés Col^+ et ZnSe dopé Cr^{2+}) utilisables comme interrupteur optique passif pour déclencher les sources lasers verre erbium à 1.53 μm est présentée. Des expériences de saturation en simple passage sont interprétées en tenant compte de la distribution spatiale et temporelle du laser de pompe. Cette technique permet d'obtenir des sections efficaces de saturation effectives fiables et indépendantes des conditions de mesure sans introduire artificiellement d'absorption dans l'état excité qui, en principe, n'existe pas dans ce type de système contrairement aux études effectuées jusqu'ici sur ces matériaux.

Etude de pratiques d'enseignement relatives a la modelisation en sciences et technologies avec des enseignants du secondaire

NASA Astrophysics Data System (ADS)

Aurousseau, Emmanuelle

Les modeles sont des outils amplement utilises en sciences et technologies (S&T) afin de representer et d’expliquer un phenomene difficilement accessible, voire abstrait. La demarche de modelisation est presentee de maniere explicite dans le programme de formation de l’ecole quebecoise (PFEQ), notamment au 2eme cycle du secondaire (Quebec. Ministere de l'Education du Loisir et du Sport, 2007a). Elle fait ainsi partie des sept demarches auxquelles eleves et enseignants sont censes recourir. Cependant, de nombreuses recherches mettent en avant la difficulte des enseignants a structurer leurs pratiques d’enseignement autour des modeles et de la demarche de modelisation qui sont pourtant reconnus comme indispensables. En effet, les modeles favorisent la conciliation des champs concrets et abstraits entre lesquels le scientifique, meme en herbe, effectue des allers-retours afin de concilier le champ experimental de reference qu’il manipule et observe au champ theorique relie qu’il construit. L’objectif de cette recherche est donc de comprendre comment les modeles et la demarche de modelisation contribuent a faciliter l’articulation du concret et de l’abstrait dans l’enseignement des sciences et des technologies (S&T) au 2eme cycle du secondaire. Pour repondre a cette question, nous avons travaille avec les enseignants dans une perspective collaborative lors de groupes focalises et d’observation en classe. Ces dispositifs ont permis d’examiner les pratiques d’enseignement que quatre enseignants mettent en oeuvre en utilisant des modeles et des demarches de modelisation. L’analyse des pratiques d’enseignement et des ajustements que les enseignants envisagent dans leur pratique nous permet de degager des connaissances a la fois pour la recherche et pour la pratique des enseignants, au regard de l’utilisation des modeles et de la demarche de modelisation en S&T au secondaire.
Commissural NTS lesions enhance the pressor response to central cholinergic and adrenergic activation.

PubMed

Vieira, Alexandre A; De Luca, Laurival A; Colombari, Eduardo; Colombari, Debora S A; Menani, José V

2012-07-11

Electrolytic lesions of the commissural nucleus of the solitary tract (commNTS) in rats enhance the pressor response to bilateral carotid occlusion or to intravenous infusion of hypertonic NaCl without changing baroreflex responses. In an opposite direction, commNTS lesions abolish the pressor responses to peripheral chemoreflex activation. These opposite effects of commNTS lesions apparently result from an impairment of sympathetic activation in one case and in a facilitation of vasopressin secretion in the others. In the present study, we investigated the effects of the electrolytic lesions of the commNTS in the pressor responses that depend on sympathetic activation and vasopressin secretion produced by central cholinergic or adrenergic activation with intracerebroventricular (i.c.v.) injections of carbachol or noradrenaline, respectively, in unanesthetized rats. Male Holtzman rats (280-320 g, n=8-15/group) with acute (1 day) or chronic (21 days) sham or commNTS lesions (1 mA×10 s) and a stainless steel cannula implanted in the lateral ventricle were used. Acute commNTS lesions increased the pressor response to i.c.v. injection of carbachol (0.5 nmol/1μ1) (52 ± 2, vs. sham: 37 ± 2mm Hg) or noradrenaline (80 nmol/1μl) (45 ± 6, vs. sham: 30 ± 3 mm Hg), whereas chronic commNTS lesions did not affect the pressor responses to the same treatments. Lesions of the commNTS impaired chemoreflex responses produced by intravenous KCN, without changing baroreflex responses. The results suggest that commNTS-dependent inhibitory signals are involved in the modulation of the pressor responses to central cholinergic and adrenergic activation, probably limiting vasopressin secretion. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
Stabilisation de l'etat de polarisation d'un laser par la conception et fabrication d'un miroir polarisant fait de couches minces nanostructurees

NASA Astrophysics Data System (ADS)

Doucet, Alexandre

Ce manuscrit presente la conception et la fabrication d'un miroir polarisant fabrique avec la methode de deposition par incidence oblique communement appelee en anglais GLAD (GLancing Angle Deposition). Cette methode de deposition par GLAD permet de changer la nanostructure des revetements avec l'inclinaison et la rotation du substrat par rapport au flux de materiau evapore. Ceci nous permet d'ajuster l'indice de refraction et d'obtenir des revetements birefringents avec un materiau intrinsequement isotrope. Puisque l'indice de refraction peut etre change, les miroirs sont fabriques avec un seul materiau contrairement aux methodes usuelles qui necessite deux materiaux. Les proprietes optiques des echantillons sont mesurees avec l'aide de l'ellipsometrie. Des images avec un microscope electronique a balayage par transmission permettent de verifier Ia structure des revetements deposes. Les miroirs sont utilises comme coupleurs de sortie du resonateur d'un laser avec un milieu actif d'(Yb3+0.1 Y 0.9)3Al5O12, ou plus simplement Yb: YAG, pompe optiquement avec une diode laser. Ces cristaux presentent des proprietes optiques interessantes pour leur utilisation comme milieu actif, mais avec une structure cristalline cubique, ils donnent lieu a des faisceaux polarises aleatoirement. Les miroirs que nous fabriquons permettent d'obtenir une emission polarisee lineairement sans avoir a ajouter d'autres elements au resonateur. Les tests sont faits en regime continu et pulse avec un absorbant saturable de Cr : Y AG. Deux materiaux sont etudies, soit le WO3 et le TiO2, et ils nous permettent d'obtenir une emission polarisee lineairement dans le mode TEM 00 avec un rapport d'extinction de 1000 (30 dB), mais seuls les miroirs de TiO2 permettent une emission pulsee periodique avec une densite de puissance crete pres de 700+/-80 MW/cm2. En etudiant le rapport d'extinction en fonction du temps de pompage, nous remarquons que l'etat de polarisation est beaucoup plus stable que celui obtenu avec un miroir isotrope. Des mesures du spectre d'emission avec un spectrometre de haute resolution permettent de constater le caractere multimode longitudinal en regime continu et une emission monomode longitudinale en regime pulse. None None None None None None None None None None None None None None None None None None None None None None None
CommWalker: correctly evaluating modules in molecular networks in light of annotation bias.

PubMed

Luecken, M D; Page, M J T; Crosby, A J; Mason, S; Reinert, G; Deane, C M

2018-03-15

Detecting novel functional modules in molecular networks is an important step in biological research. In the absence of gold standard functional modules, functional annotations are often used to verify whether detected modules/communities have biological meaning. However, as we show, the uneven distribution of functional annotations means that such evaluation methods favor communities of well-studied proteins. We propose a novel framework for the evaluation of communities as functional modules. Our proposed framework, CommWalker, takes communities as inputs and evaluates them in their local network environment by performing short random walks. We test CommWalker's ability to overcome annotation bias using input communities from four community detection methods on two protein interaction networks. We find that modules accepted by CommWalker are similarly co-expressed as those accepted by current methods. Crucially, CommWalker performs well not only in well-annotated regions, but also in regions otherwise obscured by poor annotation. CommWalker community prioritization both faithfully captures well-validated communities and identifies functional modules that may correspond to more novel biology. The CommWalker algorithm is freely available at opig.stats.ox.ac.uk/resources or as a docker image on the Docker Hub at hub.docker.com/r/lueckenmd/commwalker/. deane@stats.ox.ac.uk. Supplementary data are available at Bioinformatics online.
"Nature cures:" An alternative herbal formulation as a denture cleanser.

PubMed

Sushma, R; Sathe, Tanuja Tanaji; Farias, Anand; Sanyal, Pronob Kumar; Kiran, Shashi

2017-01-01

Candida albicans is one of the microorganisms which harbor the oral cavity, especially in elderly. However, the incidence of existence of this increases in patients using removable dental prosthesis. There is therefore a need to test the anticandidal efficacy of these cost-effective, easily available products to be used as routine denture cleansers. (1) To evaluate antifungal properties of triphala churna on the heat cure denture base material. (2) To evaluate the antifungal effect of chlorhexidine gluconate on the heat cure denture base material. (3) To compare the antifungal effect of triphala churna and chlorhexidine gluconate with a control. (4) To evaluate which among triphala churna and chlorhexidine gluconate has a better antifungal property on the heat cure denture base material. Study population consisted of sixty dentures wearers from those attending the Outpatient Department of Prosthodontics of the School of Dentistry, Krishna Institute of Medical Sciences Deemed University, Karad. Swabs were collected from the dentures before and after the use of triphala and chlorhexidine. The swabs were cultured on Sabouraud dextrose agar and the total Candida counts were determined. Triphala as an antifungal is shown to have more efficacy than the conventional chlorhexidine mouthwash. Résumé Arrière-plan: Candida albicans est l'un des micro-organismes qui abritent la cavité buccale surtout chez les personnes âgées. Cependant, l'incidence de l'existence de cette augmentation chez les patients utilisant des prothèses dentaires amovibles. Il est donc nécessaire de tester l'efficacité anticancédique de ces produits rentables et faciles à utiliser pour être utilisés comme nettoyants de routine pour prothèses dentaires. Buts et Objectifs: (1) Évaluer les propriétés antifongiques de Triphala churna sur le matériau de base de la prothèse thermo-durcissable. (2) Évaluer l'effet antifongique du gluconate de chlorhexidine sur le matériau de base de la prothèse thermo-durcissable. (3) Comparer l'effet antifongique de Triphala churna et du gluconate de chlorhexidine avec un témoin. (4) Évaluer lequel parmi Triphala churna et le gluconate de chlorhexidine a une meilleure propriété antifongique sur le matériel de base de la prothèse de durcissement à chaud. Matériaux et Méthode: La population de l'étude était constituée de soixante porteurs de prothèses dentaires de ceux qui fréquentaient le Département de Prosthodontie de l'École des Sciences Dentaires de l'Institut Krishna des Sciences Médicales de l'Université de Karad. Des prélèvements ont été effectués sur les prothèses avant et après l'utilisation de Triphala et de chlorhexidine. On a cultivé les écouvillons sur de l'agar Sabouraud dextrose et on a déterminé le nombre total de candida. Triphala comme un anti fongique est démontré pour avoir plus d'efficacité que le lavage de la bouche classique chlorhexidine.
Techniques d'inspection par ondes guidees ultrasonores d'assemblages brases dans des reacteurs aeronautiques =

NASA Astrophysics Data System (ADS)

Comot, Pierre

L'industrie aeronautique, cherche a etudier la possibilite d'utiliser de maniere structurelle des joints brases, dans une optique de reduction de poids et de cout. Le developpement d'une methode d'evaluation rapide, fiable et peu couteuse pour evaluer l'integrite structurelle des joints apparait donc indispensable. La resistance mecanique d'un joint brase dependant principalement de la quantite de phase fragile dans sa microstructure. Les ondes guidees ultrasonores permettent de detecter ce type de phase lorsqu'elles sont couplees a une mesure spatio-temporelle. De plus la nature de ce type d'ondes permet l'inspection de joints ayant des formes complexes. Ce memoire se concentre donc sur le developpement d'une technique basee sur l'utilisation d'ondes guidees ultrasonores pour l'inspection de joints brases a recouvrement d'Inconel 625 avec comme metal d'apport du BNi-2. Dans un premiers temps un modele elements finis du joint a ete utilise pour simuler la propagation des ultrasons et optimiser les parametres d'inspection, la simulation a permis egalement de demontrer la faisabilite de la technique pour la detection de la quantite de phase fragile dans ce type de joints. Les parametres optimises sont la forme de signal d'excitation, sa frequence centrale et la direction d'excitation. Les simulations ont montre que l'energie de l'onde ultrasonore transmise a travers le joint aussi bien que celle reflechie, toutes deux extraites des courbes de dispersion, etaient proportionnelles a la quantite de phase fragile presente dans le joint et donc cette methode permet d'identifier la presence ou non d'une phase fragile dans ce type de joint. Ensuite des experimentations ont ete menees sur trois echantillons typiques presentant differentes quantites de phase fragile dans le joint, pour obtenir ce type d'echantillons differents temps de brasage ont ete utilises (1, 60 et 180 min). Pour cela un banc d'essai automatise a ete developpe permettant d'effectuer une analyse similaire a celle utilisee en simulation. Les parametres experimentaux ayant ete choisis en accord avec l'optimisation effectuee lors des simulations et apres une premiere optimisation du procede experimental. Finalement les resultats experimentaux confirment les resultats obtenus en simulation, et demontrent le potentiel de la methode developpee.
Visual Data Comm: A Tool for Visualizing Data Communication in the Multi Sector Planner Study

NASA Technical Reports Server (NTRS)

Lee, Hwasoo Eric

2010-01-01

Data comm is a new technology proposed in future air transport system as a potential tool to provide comprehensive data connectivity. It is a key enabler to manage 4D trajectory digitally, potentially resulting in improved flight times and increased throughput. Future concepts with data comm integration have been tested in a number of human-in-the-loop studies but analyzing the results has proven to be particularly challenging because future traffic environment in which data comm is fully enabled has assumed high traffic density, resulting in data set with large amount of information. This paper describes the motivation, design, current and potential future application of Visual Data Comm (VDC), a tool for visualizing data developed in Java using Processing library which is a tool package designed for interactive visualization programming. This paper includes an example of an application of VDC on data pertaining to the most recent Multi Sector Planner study, conducted at NASA s Airspace Operations Laboratory in 2009, in which VDC was used to visualize and interpret data comm activities
Development of the LaComm 1.0, A French medical communication analysis software: A study assessing its sensitivity to change.

PubMed

Gibon, Anne-Sophie; Durieux, Jean-François; Merckaert, Isabelle; Delvaux, Nicole; Farvacques, Christine; Libert, Yves; Marchal, Serge; Moucheux, Angélique; Slachmuylder, Jean-Louis; Razavi, Darius

2017-02-01

To test and compare the sensitivity to change of a communication analysis software, the LaComm 1.0, to the CRCWEM's using data from a randomized study assessing the efficacy of a communication skills training program designed for nurses. The program assessment included the recording of two-person simulated interviews at baseline and after training or 3 months later. Interview transcripts were analyzed using the CRCWEM and the LaComm 1.0 tools. One hundred and nine oncology nurses (mainly graduated or certified) were included in the study. The CRCWEM detected 5 changes out of 13 expected changes (38%) (e.g., more open directive questions after training) and the LaComm 1.0, 4 changes out of 7 expected changes (57%) (e.g., more empathic statements after training). For open directive question, the effect sizes of the group-by-time changes were slightly different between tools (CRCWEM: Cohen's d=0.97; LaComm 1.0: Cohen's d=0.67). This study shows that the LaComm 1.0 is sensitive to change. The LaComm 1.0 is a valid method to assess training effectiveness in French. The use of the Lacomm 1.0 in future French communication skills training programs will allow comparisons of studies. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Antihypertensive effects of central ablations in spontaneously hypertensive rats.

PubMed

Moreira, Thiago S; Takakura, Ana C; Colombari, Eduardo; Menani, José V

2009-06-01

Commissural nucleus of the solitary tract (commNTS) lesions transitorily (first 5 days) reduce mean arterial pressure (MAP) in spontaneously hypertensive rats (SHR), and lesions of the tissue surrounding the anteroventral third ventricle (AV3V region) chronically reduce MAP in other models of hypertension. In the present study, we investigated the effects of combined AV3V+commNTS electrolytic lesions on MAP and heart rate (HR) in conscious SHR. Baseline MAP and HR were recorded in male SHR before and for the next 40 days after sham or AV3V lesions combined with sham or commNTS lesions. The AV3V lesions produced no change in MAP in SHR, while commNTS lesions reduced MAP acutely (121 +/- 2 to 127 +/- 3 mmHg in the 1st and 5th days, respectively, vs. prelesion: 192 +/- 4 mmHg) but not chronically (from 10 to 40 days). However, combined AV3V+commNTS lesions reduced MAP of SHR chronically (119 +/- 2 to 161 +/- 4 mmHg, in the 1st and 40th day, respectively, vs. prelesion levels: 186 +/- 4 mmHg) or sham-lesioned SHR (187 +/- 4 to 191 +/- 6 mmHg). Sympathetic and angiotensinergic blockade produced less reduction in MAP in SHR with AV3V+commNTS-lesions, and there was no relationship between changes on water and food intake, body weight, or urinary excretion produced by AV3V+commNTS lesions with the changes in MAP. The present findings suggest that in the absence of the commNTS, the AV3V region contributes to the hypertension observed in SHR by mechanisms that appear to involve enhanced angiotensinergic and sympathetic activity.
L'effet des deformations plastiques severes sur les proprietes d'hydruration du magnesium

NASA Astrophysics Data System (ADS)

Lang, Julien

Le travail de recherche effectue durant mon projet de maitrise en physique a l'Universite du Quebec a Trois-Rivieres dans les laboratoires de l'Institut de Recherche sur l'Hydrogene etait de comparer l'effet du laminage a froid de la poudre de MgH2 avec celui du broyage mecanique. Nous avons etudie cette nouvelle technique en utilisant un laminoir vertical concu specialement pour laminer de la poudre. Nous avons lamine la poudre de MgH2 5, 25, 50 et 100 fois. La comparaison de la morphologie de la poudre de MgH 2 telle que recu du manufacturier et broye mecaniquement pendant 30 minutes avec celle de la poudre laminee ete faite a l'aide d'un microscope electronique a balayage. Nous avons par la suite mesure les proprietes de sorption d'hydrogene grace un appareil PCT de type Sievert. Nous avons aussi determine la structure cristalline par diffraction de rayons X. A partir de ces resultats, nous avons constate que le nombre optimal de laminages est de cinq et a les caracteristiques d'absorption/desorption d'hydrogene similaires a un broyage mecanique de 30 minutes. Nous avons aussi utilise les courbes de cinetiques d'absorption et de desorption d'hydrogene pour calculer l'etape limitative dans les reactions de sorption des echantillons lamines. Comme cinq laminages se font en environ 10 secondes, on voit que le laminage a froid est une technique plus interessante industriellement que le broyage mecanique a cause de l'important gain en temps et en energie.
78 FR 61003 - Endangered and Threatened Wildlife and Plants; Endangered Species Status for the Florida Bonneted...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-02

..., pers. comm. 2006a). However, four young were noted in 2004 (S. Trokey, pers. comm. 2006a). The capture... cavity as a roost site in Punta Gorda, was a harem group, based on its sex ratio. Belwood (1981, p. 412... individuals, occupying four houses (J. Birchfield, FWC, pers. comm. 2010; Marks and Marks 2012, pp. 12, A61...
Developpement d'outils quantitatifs pour le suivi par imagerie TEP/TDM de la reponse a la chimiotherapie et de sa toxicite

NASA Astrophysics Data System (ADS)

Croteau, Etienne

L'objectif de ce projet de doctorat est de developper des outils quantitatifs pour le suivi des traitements de chimiotherapie pour le cancer du sein et de leurs effets cardiotoxiques a l'aide de l'imagerie TEP dynamique. L'analyse cinetique en TEP dynamique permet l'evaluation de parametres biologiques in vivo. Cette analyse peut etre utilise pour caracteriser la reponse tumorale a la chimiotherapie et les effets secondaires nefastes qui peuvent en resulter. Le premier article de cette these decrit la mise au point des techniques d'analyse cinetique qui utilisent la fonction d'entree d'un radiotraceur derive de l'image dynamique. Des corrections de contamination radioactive externe (epanchement) et de l'effet de volume partiel ont ete necessaires pour standardiser l'analyse cinetique et la rendre quantitative. Le deuxieme article porte sur l'evaluation d'un nouveau radiotraceur myocardique. Le 11C-acetoacetate, un nouveau radiotraceur base sur un corps cetonique, a ete compare au 11C-acetate, couramment utilise en imagerie cardiaque TEP. L'utilisation de 3H-acetate et 14C-acetoacetate ont permis d'elucider la cinetique de ces traceurs depuis la fonction d'entree et la captation par les mitochondries cardiaques qui reflete la consommation en oxygene, jusqu'a la liberation de leurs principaux metabolites reciproques (3H20 et 14CO2). Le troisieme et dernier article de cette these presente l'integration d'un modele qui evalue la reserve cardiaque de perfusion et de consommation en oxygene. Un modele de cardiomyopathie a ete etabli a l'aide d'un agent chimiotherapeutique contre le cancer du sein, la doxorubicine, reconnu comme etant cardiotoxique. Un protocole de repos/effort a permis d'evaluer la capacite d'augmentation de perfusion et de consommation en oxygene par le coeur. La demonstration d'une reserve cardiaque reduite caracterise la cardiotoxicite. La derniere contribution de cette these porte sur la mise au point de methodes peu invasives pour mesurer la fonction d'entree en modele animal avec l'utilisation de l'artere caudale et un compteur microvolumetrique, la bi-modalite TEP/IRM dynamique avec le Gd-DTPA et l'etablissement d'un modele d'evaluation simultane de cardiotoxicite et reponse tumorale chez la souris. Le developpement d'outils d'analyse TEP dans l'evaluation de la cardiotoxicite lors de traitements du canter du sein permet de mieux comprendre la relation entre les dommages mitochondriaux et la diminution de la fraction d'ejection. Mots cles : Tomographie d'emission par positrons (TEP), analyses cinetiques, IIC-acetate, 11Cacetoacetate, cardiotoxicite.
Fiabilité des structures mécaniques adaptatives: effet de la panne des actionneurs ou des capteurs sur la stabilité

NASA Astrophysics Data System (ADS)

Fall, H.; Charon, W.; Kouta, R.

2002-12-01

Ces dernières décennies, des activités significatives dans le monde étaient dirigées autour du contrôle actif. Le but de ces recherches était essentiellement d'améliorer les performances, la fiabilité et la sécurité des systèmes. Notamment dans le cas des structures soumises à des vibrations aléatoires. D'importants travaux ont été consacré à l'utilisation des “matériaux intelligents” comme capteurs et actionneurs. Cette article propose l'analyse de la fiabilité des systèmes mécaniques en étudiant les pannes des actionneurs ou des capteurs. L'effet de ces pannes sur la stabilité et la performance du système y est démontré. Les méthodologies de conception y sont rappelées. Des exemples numériques sont fournis à travers le contrôle d'un panneau sous chargement dynamique pour illustrer la méthode proposée.
Implementing Electronic Data Interchange to Provide In-Transit Visibility

DTIC Science & Technology

2000-06-01

As a source system for GTN, DTTS-E will interface with GTN to provide satellite-tracking data from the QualComm Regional Dispatch/Monitor Station...DTTS-E data (subject to data quality constraints and the extent of the QualComm Satellite Tracking application) provides the location of organic...vehicle assets equipped with the European QualComm Satellite Tracking transponders. GATES = Global Air Transportation Execution System (AMC) A
Therapeutic Role of Bmi-1 Inhibitors in Eliminating Prostate Tumor Stem Cells

DTIC Science & Technology

2014-10-01

15 Preprint of Bansal et al., Nature Comm., in revision. (Manuscript, supplemental material and...established, treatment with C-209 resulted in a significant antitumor activity (See Figs. 7 of Bansal et al., Nature Comm. manuscript in revision that is...combination therapy. (See Fig. 7e-g of Bansal et al., Nature Comm. manuscript in revision that is attached in the Appendix). Task #5. We selected
Detecting aberrant opioid behavior in the emergency department: a prospective study using the screener and Opioid Assessment for Patients with Pain-Revised (SOAPP®-R), Current Opioid Misuse Measure (COMM)™, and provider gestalt.

PubMed

Varney, Shawn M; Perez, Crystal A; Araña, Allyson A; Carey, Katherine R; Ganem, Victoria J; Zarzabal, Lee A; Ramos, Rosemarie G; Bebarta, Vikhyat S

2018-03-03

Emergency department (ED) providers have limited time to evaluate patients at risk for opioid misuse. A validated tool to assess the risk for aberrant opioid behavior may mitigate adverse sequelae associated with prescription opioid misuse. We sought to determine if SOAPP-R, COMM, and provider gestalt were able to identify patients at risk for prescription opioid misuse as determined by pharmacy records at 12 months. We conducted a prospective observational study of adult patients in a high volume US ED. Patients completed the SOAPP-R and COMM, and treating EM providers evaluated patients' opioid misuse risk. We performed variable-centered, person-centered, and hierarchical cluster analyses to determine whether provider gestalt, SOAPP-R, or COMM, or a combination, predicted higher misuse risk. The primary outcome was the number of opioid prescriptions at 12 months according to pharmacy records. For 169 patients (mean age 43 years, 51% female, 73% white), correlation analysis showed a strong relationship between SOAPP-R and COMM with predicting the number of opioid prescriptions dispensed at 12 months. Provider scores estimating opioid misuse were not related to SOAPP-R and only weakly associated with COMM. In our adjusted regression models, provider gestalt and SOAPP-R uniquely predicted opioid prescriptions at 6 and 12 months. Using designated cutoff scores, only SOAPP-R detected a difference in the number of opioid prescriptions. Cluster analysis revealed that provider gestalt, SOAPP-R, and COMM scores jointly predicted opioid prescriptions. Provider gestalt and self-report instruments uniquely predicted the number of opioid prescriptions in ED patients. A combination of gestalt and self-assessment scores can be used to identify at-risk patients who otherwise miss the cutoff scores for SOAPP-R and COMM.
Data Comm Flight Deck Human-in-the-Loop Simulation

NASA Technical Reports Server (NTRS)

Lozito, Sandra; Martin, Lynne Hazel; Sharma, Shivanjli; Kaneshige, John T.; Dulchinos, Victoria

2012-01-01

This presentation discusses an upcoming simulation for data comm in the terminal area. The purpose of the presentation is to provide the REDAC committee with a summary of some of the work in Data Comm that is being sponsored by the FAA. The focus of the simulation is upon flight crew human performance variables, such as crew procedures, timing and errors. The simulation is scheduled to be conducted in Sept 2012.
Utilisation d'images aeroportees a tres haute resolution spatiale pour l'estimation de la vigueur des peuplements forestiers du nord-ouest du Nouveau-Brunswick

NASA Astrophysics Data System (ADS)

Louis, Ognel Pierre

Le but de cette etude est de developper un outil permettant d'estimer le niveau de risque de perte de vigueur des peuplements forestiers de la region de Gounamitz au nord-ouest du Nouveau-Brunswick via des donnees d'inventaires forestiers et des donnees de teledetection. Pour ce faire, un marteloscope de 100m x 100m et 20 parcelles d'echantillonnages ont ete delimites. A l'interieur de ces derniers, le niveau de risque de perte de vigueur des arbres ayant un DHP superieur ou egal a 9 cm a ete determine. Afin de caracteriser le risque de perte de vigueur des arbres, leurs positions spatiales ont ete repertoriees a partir d'un GPS en tenant compte des defauts au niveau des tiges. Pour mener a bien ce travail, les indices de vegetation et de textures et les bandes spectrales de l'image aeroportee ont ete extraits et consideres comme variables independantes. Le niveau de risque de perte de vigueur obtenu par espece d'arbre a travers les inventaires forestiers a ete considere comme variable dependante. En vue d'obtenir la superficie des peuplements forestiers de la region d'etude, une classification dirigee des images a partir de l'algorithme maximum de vraisemblance a ete effectuee. Le niveau de risque de perte de vigueur par type d'arbre a ensuite ete estime a l'aide des reseaux de neurones en utilisant un reseau dit perceptron multicouches. Il s'agit d'un modele de reseau de neurones compose de : 11 neurones sur la couche d'entree, correspondant aux variables independantes, 35 neurones sur la couche cachee et 4 neurones sur la couche de sortie. La prediction a partir des reseaux de neurones produit une matrice de confusion qui permet d'obtenir des mesures quantitatives d'estimation, notamment un pourcentage de classification globale de 91,7% pour la prediction du risque de perte de vigueur du peuplement de resineux et de 89,7% pour celui du peuplement de feuillus. L'evaluation de la performance des reseaux de neurones fournit une valeur de MSE globale de 0,04, et une RMSE (Mean Square Error) globale de 0,20 pour le peuplement de feuillus. Quant au peuplement de resineux, une valeur de MSE (Mean Square Error) globale de 0,05 et une valeur de RMSE globale de 0,22 ont ete obtenues. Pour la validation des resultats, le niveau de risque de perte de vigueur predit a ete compare avec le risque de perte de vigueur de reference. Les resultats obtenus donnent un coefficient de determination de 0,98 pour le peuplement de feuillus et 0,93 pour le peuplement de resineux.
Driving Skills Training for Older Adults: An Assessment of DriveSharp.

PubMed

Johnston, Katherine A; Borkenhagen, David; Scialfa, Charles T

2015-12-01

RÉSUMÉ Les procédures de formation cognitive informatique visent à augmenter la sécurité en améliorant les compétences relatives à la conduite, comme la vitesse-de-traitement et le Useful Field of View. L'étude actuelle a évalué l'efficacité du DriveSharp dans la formation des conducteurs âgés dans un cadre de classe réaliste. Les participants (n = 24) ont assisté à 10 heures de cours de DriveSharp pendant 5 semaines. Les séances pré- et post-test ont evalués améliorations sur un essai dynamique de la perception du risque, Trails A et Trails B. Un groupe de contrôle (n = 18) a terminé seulement les séances pré- et post-test. En classe, les temps de formation étaient plus bas que prévus. L'amélioration des participants aux jeux ont stabilisée après la première évaluation, et le groupe de DriveSharp n'a pas démontré une amélioration significative des performances sur les tests, par rapport au groupe de contrôle. Parmi plusieurs questions relatives à la facilité d'utilisation, les plus problématiques étaient le malentendudes objectifs de la tâche et la différence entre la formation et l'évaluation. Il y a plusieurs implications pour ceux qui utilisent DriveSharp pour améliorer la sécurité des conducteurs âgés.
Détermination de la vitesse de coupe en usinage à l'aide des réseaux de neurones

NASA Astrophysics Data System (ADS)

Amor, Noureddine; Noureddine, Ali; Kherfane, Riad Lakhdar

2018-02-01

En usinage par enlèvement de copeaux, il est nécessaire de connaître des éléments tels que la géométrie à obtenir, la matière à usiner, le type d'opération, la machine-outil, l'outil de coupe, la profondeur de passe, l'avance, la vitesse de coupe. Ces trois derniers éléments quantifiables sont déterminés à l'aide de tables, abaques, logiciel informatique dédié, ou système CFAO, offrant une large gamme de choix mais manquant de transparence et de flexibilité. La contribution de cet article est d'appliquer les techniques d'intelligence artificielle basées sur les réseaux de neurones artificiels (RNA) au développement d'un système de décision pour le choix des paramètres de coupe. Pour modéliser la vitesse de coupe, nous utilisons un RNA avec un algorithme de rétro-propagation. Des valeurs expérimentales provenant d'un abaque source serviront à construire et établir le RNA pour estimer la valeur de la vitesse de coupe, utilisant comme données un certain nombre de paramètres d'influence. La validité des résultats obtenus montre que cette méthode peut être appliquée avec succès et que son utilisation dans le domaine de l'usinage peut contribuer à optimiser les conditions de coupe par un choix plus précis et plus rapide de la vitesse de coupe.

ComM is a hexameric helicase that promotes branch migration during natural transformation in diverse Gram-negative species.

PubMed

Nero, Thomas M; Dalia, Triana N; Wang, Joseph Che-Yen; Kysela, David T; Bochman, Matthew L; Dalia, Ankur B

2018-05-02

Acquisition of foreign DNA by natural transformation is an important mechanism of adaptation and evolution in diverse microbial species. Here, we characterize the mechanism of ComM, a broadly conserved AAA+ protein previously implicated in homologous recombination of transforming DNA (tDNA) in naturally competent Gram-negative bacterial species. In vivo, we found that ComM was required for efficient comigration of linked genetic markers in Vibrio cholerae and Acinetobacter baylyi, which is consistent with a role in branch migration. Also, ComM was particularly important for integration of tDNA with increased sequence heterology, suggesting that its activity promotes the acquisition of novel DNA sequences. In vitro, we showed that purified ComM binds ssDNA, oligomerizes into a hexameric ring, and has bidirectional helicase and branch migration activity. Based on these data, we propose a model for tDNA integration during natural transformation. This study provides mechanistic insight into the enigmatic steps involved in tDNA integration and uncovers the function of a protein required for this conserved mechanism of horizontal gene transfer.
CommServer: A Communications Manager For Remote Data Sites

NASA Astrophysics Data System (ADS)

Irving, K.; Kane, D. L.

2012-12-01

CommServer is a software system that manages making connections to remote data-gathering stations, providing a simple network interface to client applications. The client requests a connection to a site by name, and the server establishes the connection, providing a bidirectional channel between the client and the target site if successful. CommServer was developed to manage networks of FreeWave serial data radios with multiple data sites, repeaters, and network-accessed base stations, and has been in continuous operational use for several years. Support for Iridium modems using RUDICS will be added soon, and no changes to the application interface are anticipated. CommServer is implemented on Linux using programs written in bash shell, Python, Perl, AWK, under a set of conventions we refer to as ThinObject.
Modular Multi-Function Multi-Band Airborne Radio System (MFBARS). Volume II. Detailed Report.

DTIC Science & Technology

1981-06-01

Three Platforms in a Field of Hyperbolic LOP’s.......................... 187 76 Comparison, MFBARS Versus Baseline .......... 190 77 Program Flow Chart...configure, from a set of common modules, a given total CNI capability on specific platforms for a given mission " the ability to take advantage of...X Comm/Nav GPS L-Band; Spread Spectrum Nay X X SEEK TALK UHF Spread; Spectrum Comm X X SINCGARS VHF; Freq. Hop Comm (some platforms ) AFSATCOM UHF
Mars Comm/Nav MicroSat Network Using the Multi-Mission Bus Launched Piggyback by Ariane 5

NASA Technical Reports Server (NTRS)

Hastrup, R. C.; Cesarone, R. J.; Morabito, D. D.

1999-01-01

Recently, NASA's Jet Propulsion Laboratory completed a Mars Exploration Program Architecture Definition Study with strong international participation. The recommendations of this study include establishment of a low cost in-situ communications and navigation satellite network to provide enabling and enhancing support for the international exploration of Mars. This would be the first step toward establishing a "virtual presence throughout the solar system" as called for in NASA's Strategic Plan. Response to the proposed comm/nav satellite network has been very favorably received, as reflected by the inclusion of a line item in NASA's budget submittal to Congress, which provides funding for implementation of the network with first launch in the 2003 opportunity. Funding has already been provided for a phase A study being conducted this year. This paper presents the planned implementation of the comm/nav network, which will utilize microsats based on a multi-mission spacecraft bus being designed for launch by the Ariane 5 as a secondary payload. A companion paper at this conference, entitled "The Multi-Purpose Mars Micro-Mission System Design Utilizing Ariane 5 Piggyback Launch", describes the multimission bus design. This paper addresses the application of the multi-mission bus to the comm/nav microsat mission. Following an introduction, which provides the background that has led to the proposed comm/nav network, the paper discusses the projected user needs with emphasis on the various possible robotic missions (landers, rovers, ascent vehicles, balloons, aircraft, etc.) progressing toward eventual piloted missions. Next, the paper describes the concept for an evolving network of comm/nav microsats and the expected capability to satisfy the user needs. Results of communications and navigation performance analysis are summarized for attractive satellite constellation configurations. The important comm/nav microsat functional requirements on the multi-mission spacecraft bus are described with discussion of the mission-system tradeoffs for the driving requirements. The functional design of the in-situ communications / navigation package, which constitutes the payload of the microsat, is also described. The paper also includes discussion of technologies which are of specific importance to the implementation of the comm/nav microsat network.
Consortium for Algal Biofuel Commercialization (CAB-COMM) Final Report

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

Mayfield, Stephen P.

The Consortium for Algal Biofuel Commercialization (CAB-Comm) was established in 2010 to conduct research to enable commercial viability of alternative liquid fuels produced from algal biomass. The main objective of CAB-Comm was to dramatically improve the viability of algae as a source of liquid fuels to meet US energy needs, by addressing several significant barriers to economic viability. To achieve this goal, CAB-Comm took a diverse set of approaches on three key aspects of the algal biofuels value chain: crop protection; nutrient utilization and recycling; and the development of genetic tools. These projects have been undertaken as collaboration between sixmore » academic institutions and two industrial partners: University of California, San Diego; Scripps Institution of Oceanography; University of Nebraska, Lincoln; Rutgers University; University of California, Davis; Johns Hopkins University; Sapphire Energy; and Life Technologies.« less
Microgenerateurs electriques a base d'oscillateurs thermiques

NASA Astrophysics Data System (ADS)

Leveille, Etienne

Dans un contexte de developpement durable et d'automatisation de notre environnement, l'utilisation de capteurs sans-fil distribues est croissante. Hors l'usage et le remplacement de piles s'avere couteux. La consommation energetique de plus en plus faible de l'electronique rend l'extraction energetique de l'energie ambiante envisageable. La chaleur residuelle est une source d'energie interessante puisqu'elle est la forme finale de la majeure partie de l'energie utilisee par l'humain. Cependant, a petite echelle, seuls les elements thermoelectriques sont disponibles. Les presents travaux s'interessent donc a explorer et comparer des mecanismes de generation alternatifs. Puisque la majorite des mecanismes de transduction alternatifs sont dynamiques, leur utilisation requiert une transformation de l'energie thermique continue en oscillations. Les mecanismes etudies ont donc tous en commun de posseder un oscillateur thermique en plus d'un mecanisme de transduction vers la forme d'energie electrique. Parmi les divers mecanismes identifies, deux sont etudies en details pour comprendre leurs comportements ainsi que connaitre leur efficacite et leur puissance potentielle. Le premier generateur etudie theoriquement est base sur le changement de ferromagnetisme d'une masse suspendue par des ressorts au-dessus d'un aimant. Les comportements du modele developpe correspondent aux comportements reportes dans la litterature. Deux parametres de conception principaux ont ete identifies, permettant un controle de la frequence, de la plage de temperatures d'operation. De plus le mecanisme peut operer avec de faibles differences de temperature et des temperatures proches de l'ambiant, ouvrant la porte a des applications utilisant la chaleur du corps humain. L'utilisation de materiau pyroelectrique comme mecanisme de transduction pourrait offrir des densites de puissance electrique envisageables de l'ordre de 1mW/cm3. Le second generateur etudie experimentalement est base sur l'evaporation explosive d'un liquide surchauffe en absence de sites de nucleation. Un premier prototype a permis de demontrer, pour la premiere fois, le fonctionnement d'un tel cycle. Une etude de l'effet de la temperature de la source de chaleur et de l'effet du debit de liquide montre qu'une zone d'operation ideale est presente. La puissance de sortie maximale mesuree est de l'ordre de 1.6muW. Des ameliorations sont proposees pour faire croitre cette puissance de deux ordres de grandeur. Finalement, l'utilisation du pompage capillaire pour rendre le systeme autonome est demontre, mais reste sensible aux variations de conditions. Finalement, l'etude des dispositifs montre que les microgenerateurs a base d'oscillateurs thermiques peuvent presenter un interet, par rapport aux elements thermoelectriques, dans les applications ou les temperatures sont faibles ou incertaines. Cependant, ces mecanismes souffrent d'une tres faible efficacite causee par les multiples transformations energetiques a faible couplage. Mots-cles : microgenerateur, oscillateur thermique, cycle thermodynamique, thermoelectricite, microsystemes electromecaniques, MEMS
Improvement of turkey breast meat quality and cooked gel functionality using hot-boning, quarter sectioning, crust-freeze-air-chilling and cold-batter-mincing technologies.

PubMed

Lee, H C; Erasmus, M A; Swanson, J C; Hong, H G; Kang, I

2016-01-01

The effect of rapid carcass chilling on breast meat quality was evaluated using commercial (COMM) and random-bred (RB) turkeys. Immediately after slaughter, 48 turkeys from COMM or RB line were randomly subjected to one of four chilling methods: 1) water-immersion chilling (WIC) of the carcasses at 0°C ice slurry, 2) WIC after temperature abuse (TA) of the carcasses at 40°C for 30 min (TA-WIC), 3) hot-boning, quarter sectioning, and crust-freeze-air-chilling (HB-(1)/4CFAC) of breast fillets at -12°C, and 4) HB-(1)/4CFAC of fillets after TA of carcasses (TA-HB-(1)/4CFAC). The TA increased carcass and fillet temperatures by ∼1.3 and ∼4.1°C, respectively, regardless of turkey line, whereas HB-(1)/4CFAC of fillets required 28 and 33% of carcass chilling time for COMM and RB, respectively. During chilling, COMM breast pH rapidly reduced from 6.04 to 5.82, resulting in a significantly lower pH than RB after chilling (P < 0.05), whereas COMM R-value sharply increased from 1.17 to 1.43, causing no difference from RB (P > 0.05). Significantly higher L* value and cooking yield (P < 0.05) were seen in the samples of TA and WIC than those of no TA and HB-(1)/4CFAC, respectively, with no difference observed between COMM and RB fillets (P > 0.05). Higher values of hardness, gumminess, and chewiness were found for RB, no TA, and HB-(1)/4CFAC gels than COMM, TA, and WIC, respectively. These results generally indicated that protein quality and textural properties of turkey fillets were improved, regardless of strains or temperature abuse, using HB-(1)/4CFAC technology. © 2015 Poultry Science Association Inc.
The PD COMM trial: a protocol for the process evaluation of a randomised trial assessing the effectiveness of two types of SLT for people with Parkinson's disease.

PubMed

Masterson-Algar, Patricia; Burton, Christopher R; Brady, Marian C; Nicoll, Avril; Clarke, Carl E; Rick, Caroline; Hughes, Max; Au, Pui; Smith, Christina H; Sackley, Catherine M

2017-08-29

The PD COMM trial is a phase III multi-centre randomised controlled trial whose aim is to evaluate the effectiveness and cost-effectiveness of two approaches to speech and language therapy (SLT) compared with no SLT intervention (control) for people with Parkinson's disease who have self-reported or carer-reported problems with their speech or voice. Our protocol describes the process evaluation embedded within the outcome evaluation whose aim is to evaluate what happened at the time of the PD COMM intervention implementation and to provide findings that will assist in the interpretation of the PD COMM trial results. Furthermore, the aim of the PD COMM process evaluation is to investigate intervention complexity within a theoretical model of how the trialled interventions might work best and why. Drawing from the Normalization Process Theory and frameworks for implementation fidelity, a mixed method design will be used to address process evaluation research questions. Therapists' and participants' perceptions and experiences will be investigated via in-depth interviews. Critical incident reports, baseline survey data from therapists, treatment record forms and home practice diaries also will be collected at relevant time points throughout the running of the PD COMM trial. Process evaluation data will be analysed independently of the outcome evaluation before the two sets of data are then combined. To date, there are a limited number of published process evaluation protocols, and few are linked to trials investigating rehabilitation therapies. Providing a strong theoretical framework underpinning design choices and being tailored to meet the complex characteristics of the trialled interventions, our process evaluation has the potential to provide valuable insight into which components of the interventions being delivered in PD COMM worked best (and what did not), how they worked well and why. ISRCTN Registry, ISRCTN12421382 . Registered on 18 April 2016.
Rainforest Pharmacopeia in Madagascar Provides High Value for Current Local and Prospective Global Uses

PubMed Central

Golden, Christopher D.; Rasolofoniaina, B. J. Rodolph; Anjaranirina, E. J. Gasta; Nicolas, Lilien; Ravaoliny, Laurent; Kremen, Claire

2012-01-01

Botanical diversity provides value to humans through carbon sequestration, air and water purification, and the provisioning of wild foods and ethnomedicines. Here we calculate the value of botanical ethnomedicines in a rainforest region of Madagascar, the Makira Protected Area, using a substitution method that combines replacement costs and choice modeling. The Makira watershed may comprise approximately 0.8% of global botanical diversity and possesses enormous value both in its ability to provision botanical ethnomedicines to local people and as a source of potentially novel pharmaceutical drugs for society as a whole. Approximately 241 locally-recognized species are used as ethnomedicines, including 113 agricultural or weed species. We equated each ethnomedicinal treatment to the monetary value of a comparable pharmaceutical treatment adjusted by personal preferences in perceived efficacy (rather than from known or assumed medicinal equivalency). The benefit value of these botanical ethnomedicines per individual is $5.40–7.90 per year when using the value of highly subsidized Malagasy pharmaceuticals and $100.60–287.40 when using the value of American pharmaceuticals. Using local pharmaceuticals as substitutes, the value per household is $30.24–44.30 per year, equivalent to 43–63% of median annual household income, demonstrating their local importance. Using the value of American pharmaceuticals, the amount is equivalent to 22–63% of the median annual health care expenditures for American adults under 45 in 2006. The potential for developing novel biomedicines from the Makira watershed’s unique flora ranges in untapped benefit value from $0.3–5.7 billion for American pharmaceutical companies, non-inclusive of the importance of providing novel medicines and improved healthcare to society. This study provides evidence of the tremendous current local and prospective global value of botanical ethnomedicines and furthers arguments for the conservation of tropical forests for sustainable use. Botanique de la diversité apporte de la valeur à l’homme par la séquestration du carbone, de l’air et de purification de l’eau, et le provisionnement des aliments sauvages et ethnomedicines. Ici, nous calculons la valeur de ethnomedicines botaniques dans une région de forêt de Madagascar, la zone protégée de Makira, en utilisant une méthode de substitution qui combine les coûts de remplacement et la modélisation des choix. Le bassin versant de Makira peut comprendre environ 0,8% de la diversité botanique mondiale et possède une valeur énorme à la fois dans sa capacité à fournir ethnomedicines botaniques à la population locale et en tant que source de nouveaux médicaments potentiellement pharmaceutiques pour la société dans son ensemble. Environ 241 espèces localement reconnus sont utilisés comme ethnomedicines, y compris 113 espèces d’agricoles ou de mauvaises herbes. Nous assimilé chaque traitement ethnomédicales à la valeur monétaire d’un traitement comparable pharmaceutique ajusté en fonction des préférences personnelles en matière d’efficacité perçue (plutôt que de l’équivalence médicament connu ou supposé). La valeur de l’avantage de ces ethnomedicines botaniques par individu est de $5,40 à 7.90 par année lors de l’utilisation de la valeur des produits pharmaceutiques malgaches fortement subventionnés et de $100,60 à 287,40 lors de l’utilisation de la valeur des produits pharmaceutiques américains. Utilisation de produits pharmaceutiques locales comme des substituts, la valeur par ménage est de $30.24 à 44.30 par an, équivalent à 43–63% du revenu médian des ménages annuelle, ce qui démontre leur importance locale. Utilisation de la valeur des produits pharmaceutiques américaines, le montant est équivalent à 22–63% de la médiane des dépenses annuelles de soins de santé pour les adultes américains de moins de 45 en 2006. Le potentiel de développement de nouveaux biomédicaments des fourneaux dans le bassin versant de la flore Makira unqiue de la valeur des avantages inexploité de $0,3 à 5,7 milliards pour les sociétés pharmaceutiques américaines, non compris l’importance de fournir de nouveaux médicaments et de soins de santé amélioré à la société. Cette étude fournit une preuve de l’énorme valeur actuelle globale locale et prospective de ethnomedicines botaniques et des arguments fait avancer pour la conservation des forêts tropicales pour l’utilisation durable. PMID:22848447
Méthodes de type éléments finis pour le calcul des champs électriques et magnétiques en électroencéphalographie et magnétoencéphalographie

NASA Astrophysics Data System (ADS)

Guérin, Christophe; Marin, Gildas; Garnero, Line; Meunier, Gérard

1997-12-01

So as to compute the electric potential and the flux density generated by the electrical activity of the brain, numerical methods based on the Finite Element Method have been developed. These methods, which can treat realistic head models and can take into account anisotropy of conductivity, for instance in the skull, are presented. Then two numerical examples are described: a spherical model and a realistic head model. Afin de calculer le potentiel électrique et l'induction créés par l'activité électrique du cerveau, nous avons développé des méthodes utilisant la Méthode des Éléments Finis. Ces méthodes, qui peuvent s'appliquer à des modèles réalistes de tête et qui permettent de tenir compte de la conductivité anisotrope de certains tissus comme l'os, sont présentées. Puis deux exemples numériques sont décrits : un modèle de sphères concentriques et un modèle réaliste de tête.
Algorithmes et architectures pour ordinateurs quantiques supraconducteurs

NASA Astrophysics Data System (ADS)

Blais, Alexandre

Depuis sa formulation, la theorie de l'information a ete basee, implicitement, sur les lois de la physique classique. Une telle formulation est toutefois incomplete puisqu'elle ne tient pas compte de la realite quantique. Au cours des vingt dernieres annees, l'expansion de la theorie de l'information englobant les effets purement quantiques a connu un interet grandissant. La realisation d'un systeme de traitement de l'information quantique, un ordinateur quantique, presente toutefois de nombreux defis. Dans ce document, on s'interesse a differents aspects concernant ces defis. On commence par presenter des concepts algorithmiques comme l'optimisation de calculs quantiques et le calcul quantique geometrique. Par la suite, on s'interesse au design et a differents aspects de l'utilisation de qubits bases sur les jonctions Josephson. En particulier, un nouveau design de qubit supraconducteur est suggere. On presente aussi une approche originale pour l'interaction entre qubits. Cette approche est tres generale puisqu'elle peut etre appliquee a differents designs de qubits. Finalement, on s'interesse a la lecture des qubits supraconducteurs de flux. Le detecteur suggere ici a l'avantage de pouvoir etre decouple du qubit lorsqu'il n'y a pas de mesure en cours.
NextGen Flight Deck Data Comm : Auxiliary Synthetic Speech Phase II

DOT National Transportation Integrated Search

2015-07-01

Data Comma text-based controller-pilot communication systemis expected to yield several NextGen safety and efficiency benefits. With Data Comm, communication becomes a visual task, and may potentially increase head-down time on the flight deck ...
Selection of optimal oligonucleotide probes for microarrays usingmultiple criteria, global alignment and parameter estimation.

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

Li, Xingyuan; He, Zhili; Zhou, Jizhong

2005-10-30

The oligonucleotide specificity for microarray hybridizationcan be predicted by its sequence identity to non-targets, continuousstretch to non-targets, and/or binding free energy to non-targets. Mostcurrently available programs only use one or two of these criteria, whichmay choose 'false' specific oligonucleotides or miss 'true' optimalprobes in a considerable proportion. We have developed a software tool,called CommOligo using new algorithms and all three criteria forselection of optimal oligonucleotide probes. A series of filters,including sequence identity, free energy, continuous stretch, GC content,self-annealing, distance to the 3'-untranslated region (3'-UTR) andmelting temperature (Tm), are used to check each possibleoligonucleotide. A sequence identity is calculated based onmore » gapped globalalignments. A traversal algorithm is used to generate alignments for freeenergy calculation. The optimal Tm interval is determined based on probecandidates that have passed all other filters. Final probes are pickedusing a combination of user-configurable piece-wise linear functions andan iterative process. The thresholds for identity, stretch and freeenergy filters are automatically determined from experimental data by anaccessory software tool, CommOligo_PE (CommOligo Parameter Estimator).The program was used to design probes for both whole-genome and highlyhomologous sequence data. CommOligo and CommOligo_PE are freely availableto academic users upon request.« less
The Impact of Data Communications Messages in the Terminal Area on Flight Crew Workload and Eye Scanning

NASA Technical Reports Server (NTRS)

Comstock, James R., Jr.; Baxley, Brian T.; Norman, Robert M.; Ellis, Kyle K. E.; Adams, Cathy A.; Latorella, Kara A.; Lynn, William A.

2010-01-01

This paper, to accompany a discussion panel, describes a collaborative FAA and NASA research study to determine the effect Data Communications (Data Comm) messages have on flight crew workload and eye scanning behavior in busy terminal area operations. In the Next Generation Air Transportation System Concept of Operations, for the period 2017-2022, the FAA envisions Data Comm between controllers and the flight crew to become the primary means of communicating non-time critical information. Four research conditions were defined that span current day to future equipage levels (Voice with Paper map, Data Comm with Paper map, Data Comm with Moving Map Display with ownship position displayed, Data Comm with Moving Map, ownship and taxi route displayed), and were used to create arrival and departure scenarios at Boston Logan Airport. Preliminary results for workload, situation awareness, and pilot head-up time are presented here. Questionnaire data indicated that pilot acceptability, workload, and situation awareness ratings were favorable for all of the conditions tested. Pilots did indicate that there were times during final approach and landing when they would prefer not to hear the message chime, and would not be able to make a quick response due to high priority tasks in the cockpit.
Technique distribuee de gestion de la charge sur le reseau electrique et ring-tree: Un nouveau systeme de communication P2P

NASA Astrophysics Data System (ADS)

Ayoub, Simon

Le reseau de distribution et de transport de l'electricite se modernise dans plusieurs pays dont le Canada. La nouvelle generation de ce reseau que l'on appelle smart grid, permet entre autre l'automatisation de la production, de la distribution et de la gestion de la charge chez les clients. D'un autre cote, des appareils domestiques intelligents munis d'une interface de communication pour des applications du smart grid commencent a apparaitre sur le marche. Ces appareils intelligents pourraient creer une communaute virtuelle pour optimiser leurs consommations d'une facon distribuee. La gestion distribuee de ces charges intelligentes necessite la communication entre un grand nombre d'equipements electriques. Ceci represente un defi important a relever surtout si on ne veut pas augmenter le cout de l'infrastructure et de la maintenance. Lors de cette these deux systemes distincts ont ete concus : un systeme de communication peer-to-peer, appele Ring-Tree, permettant la communication entre un nombre important de noeuds (jusqu'a de l'ordre de grandeur du million) tel que des appareils electriques communicants et une technique distribuee de gestion de la charge sur le reseau electrique. Le systeme de communication Ring-Tree inclut une nouvelle topologie reseau qui n'a jamais ete definie ou exploitee auparavant. Il inclut egalement des algorithmes pour la creation, l'exploitation et la maintenance de ce reseau. Il est suffisamment simple pour etre mis en oeuvre sur des controleurs associes aux dispositifs tels que des chauffe-eaux, chauffage a accumulation, bornes de recharges electriques, etc. Il n'utilise pas un serveur centralise (ou tres peu, seulement lorsqu'un noeud veut rejoindre le reseau). Il offre une solution distribuee qui peut etre mise en oeuvre sans deploiement d'une infrastructure autre que les controleurs sur les dispositifs vises. Finalement, un temps de reponse de quelques secondes pour atteindre 1'ensemble du reseau peut etre obtenu, ce qui est suffisant pour les besoins des applications visees. Les protocoles de communication s'appuient sur un protocole de transport qui peut etre un de ceux utilises sur l'Internet comme TCP ou UDP. Pour valider le fonctionnement de de la technique de controle distribuee et le systeme de communiction Ring-Tree, un simulateur a ete developpe; un modele de chauffe-eau, comme exemple de charge, a ete integre au simulateur. La simulation d'une communaute de chauffe-eaux intelligents a montre que la technique de gestion de la charge combinee avec du stockage d'energie sous forme thermique permet d'obtenir, sans affecter le confort de l'utilisateur, des profils de consommation varies dont un profil de consommation uniforme qui represente un facteur de charge de 100%. Mots-cles : Algorithme Distribue, Demand Response, Gestion de la Charge Electrique, M2M (Machine-to-Machine), P2P (Peer-to-Peer), Reseau Electrique Intelligent, Ring-Tree, Smart Grid
Etude energetique et modelisation d'un Systeme Hybride Eolien-Diesel avec stockage d'Air Comprime (SHEDAC)

NASA Astrophysics Data System (ADS)

Martinez, Nicolas

Actuellement le Canada et plus specialement le Quebec, comptent une multitude de sites isoles dont !'electrification est assuree essentiellement par des generatrices diesel a cause, principalement, de l'eloignement du reseau central de disuibution electrique. Bien que consideree comme une source fiable et continue, 1 'utilisation des generatrices diesel devient de plus en plus problematique d'un point de vue energetique, economique et environnemental. Dans le but d'y resoudre et de proposer une methode d'approvisionnement plus performante, mains onereuse et plus respectueuse de l'environnement, l'usage des energies renouvelables est devenu indispensable. Differents travaux ont alors demontre que le couplage de ces energies avec des generauices diesel, formant des systemes hybrides, semble etre une des meilleures solutions. Parmi elles, le systeme hybride eolien-diesel avec stockage par air comprime (SHEDAC) se presente comme une configuration optimale pour 1 'electrification des sites isoles. En effet, differentes etudes ont permis de mettre en avant l'efficacite du stockage par air comprime, par rapport a d'autres technologies de stockage, en complement d'un systeme hybride eolien-diesel. Plus precisement, ce systeme se compose de sous-systemes qui sont: des eoliennes, des generatrices diesel et une chaine de compression et de stockage d'air comprime qui est ensuite utilisee pour suralimenter les generatrices. Ce processus permet ainsi de reduire Ia consommation en carburant tout en agrandissant la part d'energie renouvelable dans Ia production electrique. A ce jour, divers travaux de recherche ont pennis de demontrer I' efficacite d 'un tel systeme et de presenter une variete de configurations possibles. A travers ce memoire, un logiciel de dimensionnement energetique y est elabore dans le but d'unifom1iser !'approche energetique de cette technologie. Cet outil se veut etre une innovation dans le domaine puisqu'il est actuellement impossible de dimensionner un SHEDAC avec les outils existants. Un etat de l'art specifique associe a une validation des resultats a ete realise dans le but de proposer un logiciel fiable et performant. Dans une logique visant !'implantation d'un SHEDAC sur un site isole du Nord-du-Quebec, le logiciel developpe a ete, ensuite, utilise pour realiser une etude energetique permettant d' en degager la solution optimale a mettre en place. Enfin, a l' aide des outils et des resultats obtenus precedemment, !'elaboration de nouvelles strategies d'operation est presentee dans le but de demontrer comment le systeme pourrait etre optimise afm de repondre a differentes contraintes techniques. Le contenu de ce memoire est presente sous forme de trois articles originaux, soumis a des joumaux scientifiques avec cornite de lecture, et d'un chapitre specifique presentant les nouvelles strategies d 'operation. Ils relatent des travaux decrits dans le paragraphe precedent et permettent d'en deduire un usage concluant et pertinent du SHEDAC dans un site isole nordique.
Ground-Ground Data Communication-Assisted Planning and Coordination: Shorter Verbal Communications

NASA Technical Reports Server (NTRS)

Kessell, Angela Mary; Lee, Paul U.; Smith, Nancy M.; Lee, Hwasoo Eric

2010-01-01

A human-in-the-loop simulation was conducted to investigate the operational feasibility, technical requirements, and potential improvement in airspace efficiency of adding a Multi-Sector Planner position. A subset of the data from that simulation is analyzed here to determine the impact, if any, of ground-ground data communication (Data Comm) on verbal communication and coordination for multi-sector air traffic management. The results suggest that the use of Data Comm significantly decreases the duration of individual verbal communications. The results also suggest that the use of Data Comm, as instantiated in the current simulation, does not obviate the need for accompanying voice calls.
CompGC: Efficient Offline/Online Semi-Honest Two-Party Computation

DTIC Science & Technology

2017-02-03

κ ∈ N : Pr [ ExptprivA,S(κ) = 1 ] ≤ 1 2 + µ(κ) 4.1. Component-Based Secure Two-Party Compu- tation We now briefly describe how to use component-based...number of classes and “F” is the number of features. Specs. Naive CompGC Bost et al. [BPTG15] Data Set N D Time Time* Comm. Time Time* Comm. Time Comm...Rounds Nursery 4 4 40 0.3 40 0.01 2085 21.6 15 ECG 6 4 40 0.4 40 0.1 8816 29.1 22 (c) Decision tree classifier. “ N ” is the number of internal nodes in
DataComm in Flight Deck Surface Trajectory-Based Operations

NASA Technical Reports Server (NTRS)

Bakowski, Deborah L.; Foyle, David C.; Hooey, Becky L.; Meyer, Glenn R.; Wolter, Cynthia A.

2012-01-01

The purpose of this pilot-in-the-loop aircraft taxi simulation was to evaluate a NextGen concept for surface trajectory-based operations (STBO) in which air traffic control (ATC) issued taxi clearances with a required time of arrival (RTA) by Data Communications (DataComm). Flight deck avionics, driven by an error-nulling algorithm, displayed the speed needed to meet the RTA. To ensure robustness of the algorithm, the ability of 10 two-pilot crews to meet the RTA was tested in nine experimental trials representing a range of realistic conditions including a taxi route change, an RTA change, a departure clearance change, and a crossing traffic hold scenario. In some trials, these DataComm taxi clearances or clearance modifications were accompanied by 'preview' information, in which the airport map display showed a preview of the proposed route changes, including the necessary speed to meet the RTA. Overall, the results of this study show that with the aid of the RTA speed algorithm, pilots were able to meet their RTAs with very little time error in all of the robustness-testing scenarios. Results indicated that when taxi clearance changes were issued by DataComm only, pilots required longer notification distances than with voice communication. However, when the DataComm was accompanied by graphical preview, the notification distance required by pilots was equivalent to that for voice.
DataComm in Flight Deck Surface Trajectory-Based Operations. Chapter 20

NASA Technical Reports Server (NTRS)

Bakowski, Deborah L.; Foyle, David C.; Hooey, Becky L.; Meyer, Glenn R.; Wolter, Cynthia A.

2012-01-01

The purpose of this pilot-in-the-loop aircraft taxi simulation was to evaluate a NextGen concept for surface trajectory-based operations (STBO) in which air traffic control (ATC) issued taxi clearances with a required time of arrival (RTA) by Data Communications (DataComm). Flight deck avionics, driven by an error-nulling algorithm, displayed the speed needed to meet the RTA. To ensure robustness of the algorithm, the ability of 10 two-pilot crews to meet the RTA was tested in nine experimental trials representing a range of realistic conditions including a taxi route change, an RTA change, a departure clearance change, and a crossing traffic hold scenario. In some trials, these DataComm taxi clearances or clearance modifications were accompanied by preview information, in which the airport map display showed a preview of the proposed route changes, including the necessary speed to meet the RTA. Overall, the results of this study show that with the aid of the RTA speed algorithm, pilots were able to meet their RTAs with very little time error in all of the robustness-testing scenarios. Results indicated that when taxi clearance changes were issued by DataComm only, pilots required longer notification distances than with voice communication. However, when the DataComm was accompanied by graphical preview, the notification distance required by pilots was equivalent to that for voice.

Adoption and Usage of mHealth Technology on Quality and Experience of Care Provided by Frontline Workers: Observations From Rural India.

PubMed

Kaphle, Sangya; Chaturvedi, Sharad; Chaudhuri, Indrajit; Krishnan, Ram; Lesh, Neal

2015-05-28

mHealth apps are deployed with the aim of improving access, quality, and experience of health care. It is possible that any mHealth intervention can yield differential impacts for different types of users. Mediating and determining factors, including personal and socioeconomic factors, affect technology adoption, the way health workers leverage and use the technology, and subsequently the quality and experience of care they provide. To develop a framework to assess whether mHealth platforms affect the quality and experience of care provided by frontline workers, and whether these effects on quality and experience are different depending on the level of technology adoption and individual characteristics of the health worker. Literacy, education, age, and previous mobile experience are identified as individual factors that affect technology adoption and use, as well as factors that affect the quality and experience of care directly and via the technology. Formative research was conducted with 15 community health workers (CHWs) using CommCare, an mHealth app for maternal and newborn care, in Bihar, India. CHWs were first classified on the level of CommCare adoption using data from CommCareHQ and were then shadowed on home visits to evaluate their levels of technology proficiency, and the quality and experience of care provided. Regression techniques were employed to test the relationships. Out of all the CHWs, 2 of them refused to participate in the home visits, however, we did have information on their levels of technology adoption and background characteristics, which were included in the analysis as relevant. Level of technology adoption was important for both quality and experience of care. The quality score for high users of CommCare was higher by 33.4% (P=.04), on average, compared to low users of CommCare. Those who scored higher on CommCare proficiency also provided significantly higher quality and experience of care, where an additional point in CommCare proficiency score increased the quality score by around half a point (0.541, P=.07), and experience score by around a third of a point (0.308, P=.03). Age affected CommCare user type negatively, with an increase in age increasing the likelihood of belonging to a lower category of CommCare adoption (-0.105, P=.08). Other individual characteristics did not affect adoption or the predicted values estimating the relationship between adoption and quality and experience of care, although illiteracy was able to affect the relationship negatively. mHealth technology adoption by frontline workers can positively impact the quality and experience of care they provide. Individual characteristics, especially literacy and age, can be important elements affecting technology adoption and the way users leverage the technology for their work. Our formative study provides informed hypotheses and methods for further research.
Adoption and Usage of mHealth Technology on Quality and Experience of Care Provided by Frontline Workers: Observations From Rural India

PubMed Central

Chaturvedi, Sharad; Chaudhuri, Indrajit; Krishnan, Ram; Lesh, Neal

2015-01-01

Background mHealth apps are deployed with the aim of improving access, quality, and experience of health care. It is possible that any mHealth intervention can yield differential impacts for different types of users. Mediating and determining factors, including personal and socioeconomic factors, affect technology adoption, the way health workers leverage and use the technology, and subsequently the quality and experience of care they provide. Objective To develop a framework to assess whether mHealth platforms affect the quality and experience of care provided by frontline workers, and whether these effects on quality and experience are different depending on the level of technology adoption and individual characteristics of the health worker. Literacy, education, age, and previous mobile experience are identified as individual factors that affect technology adoption and use, as well as factors that affect the quality and experience of care directly and via the technology. Methods Formative research was conducted with 15 community health workers (CHWs) using CommCare, an mHealth app for maternal and newborn care, in Bihar, India. CHWs were first classified on the level of CommCare adoption using data from CommCareHQ and were then shadowed on home visits to evaluate their levels of technology proficiency, and the quality and experience of care provided. Regression techniques were employed to test the relationships. Out of all the CHWs, 2 of them refused to participate in the home visits, however, we did have information on their levels of technology adoption and background characteristics, which were included in the analysis as relevant. Results Level of technology adoption was important for both quality and experience of care. The quality score for high users of CommCare was higher by 33.4% (P=.04), on average, compared to low users of CommCare. Those who scored higher on CommCare proficiency also provided significantly higher quality and experience of care, where an additional point in CommCare proficiency score increased the quality score by around half a point (0.541, P=.07), and experience score by around a third of a point (0.308, P=.03). Age affected CommCare user type negatively, with an increase in age increasing the likelihood of belonging to a lower category of CommCare adoption (-0.105, P=.08). Other individual characteristics did not affect adoption or the predicted values estimating the relationship between adoption and quality and experience of care, although illiteracy was able to affect the relationship negatively. Conclusions mHealth technology adoption by frontline workers can positively impact the quality and experience of care they provide. Individual characteristics, especially literacy and age, can be important elements affecting technology adoption and the way users leverage the technology for their work. Our formative study provides informed hypotheses and methods for further research. PMID:26023001
ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: COMM ENGINEERING, USA ENVIRONMENTAL VAPOR RECOVERY UNIT (EVRU)

EPA Science Inventory

This report documents the testing of a new technology that recovers and utilizes vapors from crude oil storage tanks employed in the oil production and processing industry. The COMM Engineering, USA Environmental Vapor Recovery Unit (EVRU) is a non-mechanical eductor, or jet pump...
Developpement d'un catalyseur nickel-alumine efficace pour le reformage de diesel a la vapeur d'eau et etude du systeme reactionnel

NASA Astrophysics Data System (ADS)

Fauteux-Lefebvre, Clemence

Le developpement de sources d'energie alternatives fiables et efficaces est aujourd'hui une necessite. L' interet dans le reformage d'hydrocarbures liquides est ainsi croissant puisqu'il s'agit d'une voie pour l'alimentation des piles a combustible. Les piles a combustible ont une efficacite pour la conversion d'energie en electricite plus grande que celle des moteurs a combustion et font ainsi partie de la recherche de solution en efficacite energetique. Ces piles consomment de l'hydrogene comme combustible pour produire de l'electricite, d'ou l'interet pour le reformage. En effet, cette reaction permet de produire de l'hydrogene et du monoxyde de carbone (un autre combustible des piles a combustible a electrolyte solide) a partir d'hydrocarbure liquide, notamment le diesel. Les piles pourraient donc etre integrees avec une unite de reformage leur fournissant directement le combustible necessaire a partir de diesel. Dans ce projet de recherche, un nouveau catalyseur de nickel sous forme de spinelle nickel-alumine (spinelle NiAl2O4 sur support d'alumine et de zircone stabilisee avec yttria) a ete developpe et teste en laboratoire pour du reformage de propane, d'hydrocarbures liquides et de diesel, a la vapeur d'eau. Par ailleurs, une methode d'ajout des reactifs novatrice a ete utilisee afin de diminuer la pyrolyse precedant le reformage, en utilisant une emulsion. Les resultats de reformage d'hydrocarbures purs ont montre des concentrations tres pres de l'equilibre thermodynamique et une activite constante sans desactivation du catalyseur ni formation de carbone, et ce avec des ratios H2O/C de moins de 2.5 et des temperatures d'operation variant entre 630 °C et 750 °C. Lors de tests effectues en utilisant du diesel fossile, a 705°C, avec un debit volumique des reactifs de plus de 50 000 cm3gcat-1h-1 et un ratio H2O/C de moins de 2.5, l'activite a ete maintenue pendant plus de 15 heures, malgre une operation en cycles. L'analyse du catalyseur apres cette utilisation n'a montre aucun carbone significatif sur la surface.- En comparaison, un catalyseur de nickel metallique sur support d'Al2O3 et YSZ a ete utilise dans des conditions similaires. Il y a eu desactivation du catalyseur et obstruction du reacteur par du carbone apres trois heures d'operation. L'analyse de ce catalyseur a permis de verifier qu'il etait recouvert de carbone en filament. L'analyse du systeme reactionnel a montre que la reaction est controlee par la reaction de. surface et non par le transfert de masse. Par ailleurs, les analyses des catalyseurs de spinelle ont demontre qu'il n'y avait pas de modification de sa forme chimique ni de reduction du spinelle en nickel metallique apres l'utilisation. Mots cles : Reformage a la vapeur, diesel, hydrocarbure liquide, catalyseur, spinelle nickel-alumine, equilibre thermodynamique
75 FR 4344 - Foreign-Trade Zone 22-Chicago, IL Application for Temporary/Interim Manufacturing Authority LG...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-27

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [Docket T-1-2010] Foreign-Trade Zone 22--Chicago, IL Application for Temporary/ Interim Manufacturing Authority LG Electronics MobileComm USA, Inc... Electronics MobileComm USA, Inc. (LGEMU) facility, located in Bolingbrook, Illinois. The application was filed...
75 FR 4343 - Foreign-Trade Zone 22-Chicago, IL; Application for Manufacturing Authority; LG Electronics...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-27

... DEPARTMENT OF COMMERCE Foreign-Trade Zones Board [Docket 3-2010] Foreign-Trade Zone 22--Chicago, IL; Application for Manufacturing Authority; LG Electronics MobileComm USA, Inc. (Cell Phone Kitting... authority on behalf of LG Electronics MobileComm USA, Inc. (LGEMU), located in Bolingbrook, Illinois. The...
Baltimore Community Schools: Promise & Progress

ERIC Educational Resources Information Center

Durham, Rachel E.; Connolly, Faith

2016-01-01

This report documents the interim progress of the Baltimore Community School (CommSch) strategy by examining outcomes for the 2014-15 school year. Results show that CommSch parents more often reported being connected with community resources by school staff compared to parents at other schools. They also were more likely to report that school…
2005 Unmanned Maritime Vehicle (UMV) Test and Evaluation Conference

DTIC Science & Technology

2005-06-16

it can adapt and reshape itself until the requirements are met. This isn’t commander Cicada – just the Cicada that was handy and happened to be...Comms vs. Speed Results Mode Transition to Comms Chain Swarming Autonomy Benefits 1,000,000,000,000 Cicadas Can’t Be Wrong! Thank you! robert.chalmers
Methodologies nouvelles pour la realisation d'essais dans la soufflerie Price-Paidoussis

NASA Astrophysics Data System (ADS)

Flores Salinas, Manuel

Le present memoire en genie de la production automatisee vise a decrire le travail effectue dans la soufflerie Price-Paidoussis du laboratoire LARCASE pour trouver les methodologies experimentales et les procedures de tests, qui seront utilisees avec les modeles d'ailes actuellement au laboratoire. Les methodologies et procedures presentees ici vont permettre de preparer les tests en soufflerie du projet MDO-505 Architectures et technologies deformables pour l'amelioration des performances des ailes, qui se derouleront durant l'annee 2015. D'abord, un bref historique des souffleries subsoniques sera fait. Les differentes sections de la soufflerie Price-Paidoussis seront decrites en mettant l'emphase sur leur influence dans la qualite de l'ecoulement qui se retrouve dans la chambre d'essai. Ensuite, une introduction a la pression, a sa mesure lors de tests en soufflerie et les instruments utilises pour les tests en soufflerie au laboratoire LARCASE sera presente, en particulier le capteur piezoelectrique XCQ-062. Une attention particuliere sera portee au mode de fonctionnement, a son installation, a la mesure et a la detection des frequences et aux sources d'erreurs lorsqu'on utilise des capteurs de haute precision comme la serie XCQ-062 du fournisseur Kulite. Finalement, les procedures et les methodologies elaborees pour les tests dans la soufflerie Price-Paidoussis seront utilisees sur quatre types d'ailes differentes. L'article New methodology for wind tunnel calibration using neural networks - EGD approch portant sur une nouvelle facon de predire les caracteristiques de l'ecoulement a l'interieur de la soufflerie Price-Paidoussis se trouve dans l'annexe 2 de ce document. Cet article porte sur la creation d'un reseau de neurones multicouche et sur l'entrainement des neurones, Ensuite, une comparaison des resultats du reseau de neurones a ete fait avec des valeurs simules avec le logiciel Fluent.
Electrotechnical prospects for superconducting applications

NASA Astrophysics Data System (ADS)

Brunet, Y.; Renard, M.

After a review of the classical limitations, due to iron and copper losses, we give the necessary superconducting properties, needed to achieve significant progresses, either in the size, or in the efficiency of electrotechnical plants. The successive achievement in SC will be explained, in relation with the physics of usual SC, and the needed properties for technology. The problems encountered in electrotechnics by decreasing interest are : networks losses and stability, storage of energy production, transformation and protection. In each case, SC solutions may be found or at least imagined. We shall review the limitations estimated in each case, generally by extrapolation of small scale experiments, with 4 K SC, and try to see what are the modifications which may be obtained by the use of high Tc SC. Special attention will be paid to energy storage and electrical machinery and the interest of completely superconducting plants will be shown. Une fois précisées les limitations actuelles des matériels électriques imposées essentiellement par l'utilisation de matériaux comme le fer ou le cuivre, nous détaillons les caractéristiques des supraconducteurs susceptibles d'améliorer les performances des installations électrotechniques. Les progrès successifs des conducteurs supraconducteurs sont expliqués en tenant compte de leur impact technologique. Les problèmes rencontrés en électrotechnique sont : les pertes et la stabilité des réseaux, le stockage et la production de l'énergie. Dans chaque cas des solutions supraconductrices existent ou peuvent être imaginées. Nous examinons notamment pour les machines électriques et le stockage de l'énergie, les solutions qui existent ou sont en cours de développement avec des supraconducteurs à basse température (˜ 4 K) et quelles sont les modifications apportées par l'utilisation de supraconducteurs à haut Tc.
Projets et développemepts en cryoélectrotechnique

NASA Astrophysics Data System (ADS)

Tixador, P.; Laumond, Y.

1991-02-01

The use of superconductivity in electrical engineering is reviewed. It deals with low T_c superconductors as only applications under development are considered. The article describes first the " classical " uses under constant or slow varying magnetic field: coils for Superconducting Magnetic Energy Storage, they are expected as a power system stabilizer and not only as a energy storage system. The present status of superconducting field a.c. generators is reviewed and the different programs over the world are described: in Germany (KWU/Siemens), in UDSSR, and in Japan where the program Super GM is led by the Engineering Research Association for Superconductive Generation Equipment and Materials. After a description of ultra-fine multifilamentary wires for 50-60 Hz use their applications are reviewed: electrical machines, above all fully superconducting a.c. generators, transformers and limiters based on the superconducting-normal transition above the critical current. Les diverses applications de la supraconductivité en électrotechnique ou courants forts sont passées en revue. Comme il s'agit de développements en cours, seule la supraconductivité à basse température est considérée. Les applications " classiques " des supraconducteurs sont abordées en premier. Ce sont les bobines de stockage (S.M.E.S.), qui peuvent fonctionner également en régulateur, les alternateurs à inducteur supraconducteur (SC) avec les programmes japonais (super GM), allemand (KWU Siemens) et soviétique, sans oublier la lévitation magnétique... Ensuite, après un bref rappel sur les multifilamentaires ultrafins utilisables aux fréquences industrielles apparus en 1983, l'article considère les applications de ces nouveaux conducteurs SC : machines électriques avec les alternateurs entièrement supraconducteurs surtout, transformateurs et enfin limiteurs qui utilisent le phénomène original de la transition supra/normal pour limiter les surintensités.
An Analysis of Manpower Requirements for the United States Marine Corps Tiers II and III Unmanned Aerial Systems Family of Systems Program

DTIC Science & Technology

2007-06-01

Organizational Automotive Mechanic ( MVM ) 1141 Electrician (EL) 0651 Data Network Specialist (COMM) 6072 Aircraft Support Equipment (SE)/hydraulic/Pneumatic...units reside, is cultural and not structural. Table 8. UAV Outsourcing Manpower Requirements MVO MVM EL COMM AVSE AVORD TOTALS PCS-1 0 0 0 0
Frozen Egg Products for Air Force Missile Sites

DTIC Science & Technology

1974-01-01

Freeze at -29*C (.20*F) and store at -18’C (0*F). Reheating: Air convection oven: Place frozen slices on cooky sheet and heat in oven (204°C, 400°F...Residual 40 .1028 French toast (comm.) Scrambled eggs (comm. ) French toast (sour dough ) Western egg &ham, dry minced onion 6 mo. Puffy omelet
2006 Combat Vehicles Conference

DTIC Science & Technology

2006-10-25

stressed or worn out beyond economic repair due to combat operations by repairing, rebuilding, or procuring replacement equipment. These...lives Vehicle Hardening Logistics Solutions for the Warfighter • Unique and economical surge capability • Support in coordination with op tempo...Speed, • Diagnostics Indicators – DECU Health Check Indicator, Utility Bus Comm Failure, 1553 Bus Comm Failure; MPU Critical Failure, Cautions and
Development and validation of the Current Opioid Misuse Measure.

PubMed

Butler, Stephen F; Budman, Simon H; Fernandez, Kathrine C; Houle, Brian; Benoit, Christine; Katz, Nathaniel; Jamison, Robert N

2007-07-01

Clinicians recognize the importance of monitoring aberrant medication-related behaviors of chronic pain patients while being prescribed opioid therapy. The purpose of this study was to develop and validate the Current Opioid Misuse Measure (COMM) for those pain patients already on long-term opioid therapy. An initial pool of 177 items was developed with input from 26 pain management and addiction specialists. Concept mapping identified six primary concepts underlying medication misuse, which were used to develop an initial item pool. Twenty-two pain and addiction specialists rated the items on importance and relevance, resulting in selection of a 40-item alpha COMM. Final item selection was based on empirical evaluation of items with patients taking opioids for chronic, noncancer pain (N=227). One-week test-retest reliability was examined with 55 participants. All participants were administered the alpha version of the COMM, the Prescription Drug Use Questionnaire (PDUQ) interview, and submitted a urine sample for toxicology screening. Physician ratings of patient aberrant behaviors were also obtained. Of the 40 items, 17 items appeared to adequately measure aberrant behavior, demonstrating excellent internal consistency and test-retest reliability. Cutoff scores were examined using ROC curve analysis and reasonable sensitivity and specificity were established. To evaluate the COMM's ability to capture change in patient status, it was tested on a subset of patients (N=86) that were followed and reassessed three months later. The COMM was found to have promise as a brief, self-report measure of current aberrant drug-related behavior. Further cross-validation and replication of these preliminary results is pending.
The Strategic Nature of the Tactical Satellite. Part 2

DTIC Science & Technology

2006-08-13

hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and...constellation orbiting at 100 NM. The curves represent data for three mission types: SIGINT (solid), comm/BFT (dashed), and imagery (dotted). Two panes...persistent constellation orbiting at 500 km. The curves represent data for three mission types: SIGINT (solid), comm/BFT (dashed), and imagery (dotted
Evaluation des Connaissances-Attitudes-Pratiques des populations des districts sanitaires de Benoye, Laoukassy, Moundou et N’Djaména Sud sur la rage canine au Tchad

PubMed Central

Mindekem, Rolande; Lechenne, Monique; Alfaroukh, Idriss Oumar; Moto, Daugla Doumagoum; Zinsstag, Jakob; Ouedraogo, Laurent Tinoaga; Salifou, Sahidou

2017-01-01

Introduction La rage canine demeure une préoccupation en Afrique comme au Tchad. La présente étude vise à évaluer les Connaissances-Attitudes-Pratiques des populations pour la prise en charge appropriée des personnes exposées et une lutte efficace. Méthodes C’était une étude transversale descriptive réalisée en juillet et septembre dans quatre districts sanitaires au Tchad en 2015. Les données ont été collectées à l’aide d’un questionnaire auprès des ménages recrutés suivant un sondage aléatoire à 3 degrés. Résultats C’était 2428 personnes enquêtées avec un niveau maximum primaire (54,12%). L’âge moyen était de 36 ± 13,50 ans. Ils étaient cultivateurs (35,17%), commerçants (18,04%), ménagères (12,81%). La rage était définie comme une maladie transmise du chien à l’homme (41,43%), une altération du cerveau (41,27%), une sous-alimentation (10,26%). Le chat était faiblement connu réservoir (13,84%) et vecteur (19,77%) ainsi que la griffure comme moyen de transmission (4,61%) et la vaccination du chat comme mesure préventive (0,49%). Les premiers soins en cas de morsure à domicile étaient les pratiques traditionnelles (47,69%), le lavage des plaies (19,48%) ou aucune action entreprise (20,43%). Les ménages consultaient la santé humaine (78,50%), la santé animale (5,35%) et les guérisseurs traditionnels (27%). Conclusion La communication en rapport avec des premiers soins à la maison en cas de morsure, la connaissance du chat comme réservoir et vecteur, celle de la griffure comme moyen de transmission et la promotion de la consultation des services vétérinaires en cas de morsure sont nécessaires. PMID:28761600
Problématique de l'utilisation des Moustiquaires Imprégnées d'insecticide à Longue Durée (MILD) chez les enfants de moins de 5 ans en République Démocratique du Congo

PubMed Central

Philippe, Cilundika Mulenga; Odile, Nyota Nsenga; Numbi, Oscar Luboya

2016-01-01

Introduction Le paludisme est une maladie parasitaire à transmission vectorielle qui constitue un problème majeur de santé publique dans les pays tropicaux, particulièrement les pays de l'Afrique Subsaharienne. La présente étude avait pour objectif d'identifier le niveau d'utilisation de la MILD chez les enfants de moins de 5 ans dans la zone de santé de Mumbunda. Méthodes L’étude, de type transversal, a été mené du 25 au 27 octobre 2013 et a porté sur un échantillon de 410 ménages tirés au hasard et ayant au moins un enfant de moins de 5 ans. Résultats Parmi les ménages qui avaient déclaré possédaient la MILD 13,1% (n=54) des répondant avaient déclaré les utilisé chez les enfants de moins de 5ans et 80,2% pour tout le monde. Dans 22,0% des cas, les répondants ont évoqué le manque d'argent comme motif de la non possession de la MILD. Les répondants savaient déclarer à 79,8% avoir utilisé la MILD pour se protéger contre la malaria et à 66,3% pour se protéger contre les piqures des moustiques. La MILD a été étalée à l'ombre pendant 24h avant d’être utilisée pour la première fois par 77,9% des ménages. Les répondants avaient déclaré à 15,3% (n=63) avoir reçu les conseils par les médias pour l'usage de la moustiquaire. Et le personnel médical était la source la plus importante pour expliquer le mode d'emploi de la MILD pour 51,2% des ménages. Conclusion La réussite pour faire reculer le paludisme doit nécessairement passer par la prévention, le suivi et l’évaluation de l'utilisation des moustiquaires imprégnées au niveau de la zone de santé de Mumbunda. PMID:27222690
Simulating economic effects of disruptions in the telecommunications infrastructure.

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

Cox, Roger Gary; Barton, Dianne Catherine; Reinert, Rhonda K.

2004-01-01

CommAspen is a new agent-based model for simulating the interdependent effects of market decisions and disruptions in the telecommunications infrastructure on other critical infrastructures in the U.S. economy such as banking and finance, and electric power. CommAspen extends and modifies the capabilities of Aspen-EE, an agent-based model previously developed by Sandia National Laboratories to analyze the interdependencies between the electric power system and other critical infrastructures. CommAspen has been tested on a series of scenarios in which the communications network has been disrupted, due to congestion and outages. Analysis of the scenario results indicates that communications networks simulated by themore » model behave as their counterparts do in the real world. Results also show that the model could be used to analyze the economic impact of communications congestion and outages.« less
A Review of Communications Satellites and Related Spacecraft for Factors Influencing Mission Success. Volume 2

DTIC Science & Technology

1975-11-17

and control (subsystem) COMM., comm AEC Atomic Energy Commission comsat AFB Air Force Base COMSTAR ACE A-hr aerospace ground equipment ampere...array TDA Satellite Assembly Building TDAL Space and Missile Systems Organization (U.S. Air Force) TDM THIR satellite communications system TI...Satellite Control Facility (U.S. Air Force) TIROS selective chopper radiometer TLM, T/M surface composition mapping radiometer TOS TRUST

Nonlinear Optics Technology. Volume 2. Phase Conjugated Optical Communication Link. Phase 3

DTIC Science & Technology

1991-01-12

who performed the mission analysis, Mr. Larry A. Dozal whose laboratory assistance was vital to both the comm link experiments and mechanical design of...further the understanding of FWM PC comm link physics and to determine design requirements for a fieldable system. The system model demonstrated that...neterodyne receiver using photorefractive iaterial was also designed , fabricated, and characterized. The efficiency o heterodyne mixing of an aberrated
Formulation, caracterisation, modelisation et prevision du comportement thermomecanique des pieces plastiques et composites de fibres de bois : Application aux engrenages =

NASA Astrophysics Data System (ADS)

Mijiyawa, Faycal

Cette etude permet d'adapter des materiaux composites thermoplastiques a fibres de bois aux engrenages, de fabriquer de nouvelles generations d'engrenages et de predire le comportement thermique de ces engrenages. Apres une large revue de la litterature sur les materiaux thermoplastiques (polyethylene et polypropylene) renforces par les fibres de bois (bouleau et tremble), sur la formulation et l'etude du comportement thermomecanique des engrenages en plastique-composite; une relation a ete etablie avec notre presente these de doctorat. En effet, beaucoup d'etudes sur la formulation et la caracterisation des materiaux composites a fibres de bois ont ete deja realisees, mais aucune ne s'est interessee a la fabrication des engrenages. Les differentes techniques de formulation tirees de la litterature ont facilite l'obtention d'un materiau composite ayant presque les memes proprietes que les materiaux plastiques (nylon, acetal...) utilises dans la conception des engrenages. La formulation des materiaux thermoplastiques renforces par les fibres de bois a ete effectuee au Centre de recherche en materiaux lignocellulosiques (CRML) de l'Universite du Quebec a Trois-Rivieres (UQTR), en collaboration avec le departement de Genie Mecanique, en melangeant les composites avec deux rouleaux sur une machine de type Thermotron-C.W. Brabender (modele T-303, Allemand) ; puis des pieces ont ete fabriquees par thermocompression. Les thermoplastiques utilises dans le cadre de cette these sont le polypropylene (PP) et le polyethylene haute densite (HDPE), avec comme renfort des fibres de bouleau et de tremble. A cause de l'incompatibilite entre la fibre de bois et le thermoplastique, un traitement chimique a l'aide d'un agent de couplage a ete realise pour augmenter les proprietes mecaniques des materiaux composites. Pour les composites polypropylene/bois : (1) Les modules elastiques et les contraintes a la rupture en traction des composites PP/bouleau et PP/tremble evoluent lineairement en fonction du taux de fibres, avec ou sans agent de couplage (Maleate de polypropylene MAPP). De plus, l'adherence entre les fibres de bois et le plastique est amelioree en utilisant seulement 3 % MAPP, entrainant donc une augmentation de la contrainte maximale bien qu'aucun effet significatif ne soit observe sur le module d'elasticite. (2) Les resultats obtenus montrent que, en general, les proprietes en traction des composites polypropylene/bouleau, polypropylene/tremble et polypropylene/bouleau/ tremble sont tres semblables. Les composites plastique-bois (WPCs), en particulier ceux contenant 30 % et 40 % de fibres, ont des modules elastiques plus eleves que certains plastiques utilises dans l'application des engrenages (ex. Nylon). Pour les composites polyethylene/bois, avec 3%Maleate de polyethylene (MAPE): (1) Tests de traction : le module elastique passe de 1.34 GPa a 4.19 GPa pour le composite HDPE/bouleau, alors qu'il passe de 1.34 GPa a 3.86 GPa pour le composite HDPE/tremble. La contrainte maximale passe de 22 MPa a 42.65 MPa pour le composite HDPE/bouleau, alors qu'elle passe de 22 MPa a 43.48 MPa pour le composite HDPE/tremble. (2) Tests de flexion : le module elastique passe de 1.04 GPa a 3.47 GPa pour le composite HDPE/bouleau et a 3.64 GPa pour le composite HDPE/tremble. La contrainte maximale passe de 23.90 MPa a 66.70 MPa pour le composite HDPE/bouleau, alors qu'elle passe a 59.51 MPa pour le composite HDPE/tremble. (3) Le coefficient de Poisson determine par impulsion acoustique est autour de 0.35 pour tous les composites HDPE/bois. (4) Le test de degradation thermique TGA nous revele que les materiaux composites presentent une stabilite thermique intermediaire entre les fibres de bois et la matrice HDPE. (5) Le test de mouillabilite (angle de contact) revele que l'ajout de fibres de bois ne diminue pas de facon significative les angles de contact avec de l'eau parce que les fibres de bois (bouleau ou tremble) semblent etre enveloppees par la matrice sur la surface des composites, comme le montrent des images prises au microscope electronique a balayage MEB. (6) Le modele de Lavengoof-Goettler predit mieux le module elastique du composite thermoplastique/bois. (7) Le HDPE renforce par 40 % de bouleau est mieux adapte pour la fabrication des engrenages, car le retrait est moins important lors du refroidissement au moulage. La simulation numerique semble mieux predire la temperature d'equilibre a la vitesse de 500 tr/min; alors qu'a 1000 tr/min, on remarque une divergence du modele. (Abstract shortened by ProQuest.). None None None None None None None None
Oil Spill Response Technology Initiation Decision Report to the Pollution Abatement Ashore Program

DTIC Science & Technology

2007-12-01

Canada, Mexico ITAC – International Boats/Helos – VHF Trailers /Tracks – Internet, phones, 800 mHz Handhelds, VHF Patching – connect to other...EPA Trailer w/ com antenna Lisa, START (Superfund Tech Assessment + Response Team) Contractor, Emerg Response Team Bob, Fields unit, using...NMCI access – can’t work for response + satellite comms tested VOIP & internet + participation by City of Chicago – Trailer brought to get comms to
Studies in Aromatic and Amine Nitration.

DTIC Science & Technology

1980-05-20

of Commerce, May 1978. 4. J. Hoggett , R. Moodie, F. Penton, and K. Schofield, Nitration and Aromatic Reactivity (Cambridge University Press, 1971). 5...Moodie, K. Schofield, and G. Tobin, J. Chem. Soc., Chem. Comm., 180 (1978); (b) J. Hoggett , R. Moodie, and K. Schofield, Chem. Comm. 605 (1969). 10. (a) S...W. Benson, Thermochemical Kinetics (John Wiley and Sons, Inc., New York, 1968); (b) G. Charlot, D. Bezier, and J. Courtot, Selected Constants--Oxydo
VibeComm: radio-free wireless communication for smart devices using vibration.

PubMed

Hwang, Inhwan; Cho, Jungchan; Oh, Songhwai

2014-11-10

This paper proposes VibeComm, a novel communication method for smart devices using a built-in vibrator and accelerometer. The proposed approach is ideal for low-rate off-line communication, and its communication medium is an object on which smart devices are placed, such as tables and desks. When more than two smart devices are placed on an object and one device wants to transmit a message to the other devices, the transmitting device generates a sequence of vibrations. The vibrations are propagated through the object on which the devices are placed. The receiving devices analyze their accelerometer readings to decode incoming messages. The proposed method can be the alternative communication method when general types of radio communication methods are not available. VibeComm is implemented on Android smartphones, and a comprehensive set of experiments is conducted to show its feasibility.
Nano-crystalline hydroxyapatite bio-mineral for the treatment of strontium from aqueous solutions.

PubMed

Handley-Sidhu, Stephanie; Renshaw, Joanna C; Yong, Ping; Kerley, Robert; Macaskie, Lynne E

2011-01-01

Hydroxyapatites were analysed using electron microscopy, X-ray diffraction (XRD) and X-ray fluorescence (XRF) analysis. Examination of a bacterially produced hydroxyapatite (Bio-HA) by scanning electron microscopy showed agglomerated nano-sized particles; XRD analysis confirmed that the Bio-HA was hydroxyapatite, with an organic matter content of 7.6%; XRF analysis gave a Ca/P ratio of 1.55, also indicative of HA. The size of the Bio-HA crystals was calculated as ~25 nm from XRD data using the Scherrer equation, whereas Comm-HA powder size was measured as ≤ 50 μm. The nano-crystalline Bio-HA was ~7 times more efficient in removing Sr(2+) from synthetic groundwater than Comm-HA. Dissolution of HA as indicated by the release of phosphate into the solution phase was higher in the Comm-HA than the Bio-HA, indicating a more stable biomaterial which has a potential for the remediation of contaminated sites.
Commande optimale minimisant la consommation d'energie d'un drone utilise comme relai de communication

NASA Astrophysics Data System (ADS)

Mechirgui, Monia

The purpose of this project is to implement an optimal control regulator, particularly the linear quadratic regulator in order to control the position of an unmanned aerial vehicle known as a quadrotor. This type of UAV has a symmetrical and simple structure. Thus, its control is relatively easy compared to conventional helicopters. Optimal control can be proven to be an ideal controller to reconcile between the tracking performance and energy consumption. In practice, the linearity requirements are not met, but some elaborations of the linear quadratic regulator have been used in many nonlinear applications with good results. The linear quadratic controller used in this thesis is presented in two forms: simple and adapted to the state of charge of the battery. Based on the traditional structure of the linear quadratic regulator, we introduced a new criterion which relies on the state of charge of the battery, in order to optimize energy consumption. This command is intended to be used to monitor and maintain the desired trajectory during several maneuvers while minimizing energy consumption. Both simple and adapted, linear quadratic controller are implemented in Simulink in discrete time. The model simulates the dynamics and control of a quadrotor. Performance and stability of the system are analyzed with several tests, from the simply hover to the complex trajectories in closed loop.
La prise en charge des morsures de chien chez les enfants

PubMed Central

Sabhaney, Vikram; Goldman, Ran D.

2012-01-01

Résumé Question Une fillette de 4 ans jouait avec le chien de ses voisins. Le chien s’est excité et a mordu la jeune fille à l’avant-bras, y laissant une plaie punctiforme. À cause cette blessure, elle s’est présentée à mon bureau. Devrais-je la traiter avec des antibiotiques? Quel antibiotique faut-il utiliser et pendant combien de temps? Réponse L’administration d’antibiotiques prophylactiques est indiquée lorsqu’on a procédé à une suture primitive de la morsure, que la plaie est de gravité modérée à sévère, qu’elle est punctiforme (particulièrement s’il y a eu pénétration de l’os, de la gaine tendineuse ou de l’articulation), pour les morsures au visage, aux mains, aux pieds ou aux parties génitales ou lorsque les victimes sont immunodéprimées ou souffrent d’asplénisme. L’antibiotique de première intention est l’amoxicilline-clavulanate. La prophylaxie appropriée antitétanique et contre la rage devrait faire partie des soins chez un patient qui a été mordu par un chien, tout comme le débridement local et le nettoyage complet de la plaie.
75 FR 35338 - Implementation of Regulations Required Under Title XI of the Food, Conservation and Energy Act of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-22

...\\ Capitol Packing Company v. United States, 350 F.2d 67, 76 (10th Cir. 1965); see also Spencer Livestock Comm'n Co. v USDA, 841 F.2d 1451, 1454 (9th Cir. 1988). \\25\\ See, e.g., Spencer, 841 F.2d at 1455... (emphasis added). \\29\\ Id. at 5213. \\30\\ See, e.g., Stafford, 258 U.S. at 513-14; Spencer Livestock Comm'n...
The Mobile Internet -The Next Big Thing. Electrons & Photons: You Need Both! (BRIEFING CHARTS)

DTIC Science & Technology

2007-03-05

Links Network Centric Warfighting Comms Wired & Wireless Links 20th Century 21th Century The Military Comms Problem Network Centric Operationst t i ti...Small Unit Operations TEL Underwater Vehicles & Towed Arrays RC-135V Rivet Joint Tier II+ UAV Global Hawk E-2C Hawkeye Networked Manned and Unmanned...RF Front-End Solutions ● >20 DARPA/MTO RF Programs across the spectrum - RF & Mixed Signal Electronics - Analog & Digital Photonics Enables Network
La création et l’implantation réussie d’un outil de remédiation en résidence de médecine familiale

PubMed Central

Sanche, Gilbert; Béland, Normand; Audétat, Marie-Claude

2011-01-01

Résumé Problème à l’étude Comme dans la majorité des programmes de formation médicale post-graduée, environ 10% des résidents du programme de résidence en médecine familiale de l’Université de Montréal éprouvent des difficultés considérables dans la construction de leurs compétences. Objectif du programme Afin de mieux soutenir les enseignants du programme dans le diagnostic de ces difficultés ainsi que dans la conception, la planification et le suivi d’une stratégie de remédiation, le Comité d’évaluation du programme de résidence a conçu un outil constitué d’un plan type de remédiation et d’un guide de rédaction de ce plan. Description du programme L’outil de remédiation est constitué de 2 documents. Le premier est un plan type de remédiation constitué d’une partie contractuelle suivie de 4 sections: diagnostic pédagogique, intentions de remédiation, moyens de remédiation et évaluation de la remédiation, avec un bilan intermédiaire et un bilan final. Le deuxième est un guide de rédaction et de systématisation d’un plan de remédiation. Conclusion L’accueil favorable qu’a reçu l’outil et l’utilisation qui en a été faite durant l’année de son implantation témoignent du succès des processus que nous avions adoptés. L’appui de la faculté, le mécanisme de «co-construction» de l’outil, de même que la formation et le soutien aux utilisateurs sont des facteurs qui expliquent ce succès. Un projet de recherche est en route pour documenter l’impact qu’aura l’utilisation de cet outil dans notre programme de résidence. PMID:22170208
Mise à jour sur l’utilisation clinique de la buprénorphine

PubMed Central

Ducharme, Simon; Fraser, Ronald; Gill, Kathryn

2012-01-01

Résumé Objectif Examiner les données scientifiques actuelles sur la buprénorphine-naloxone pour le traitement des troubles liés aux opioïdes, en insistant sur le contexte des soins primaires. Qualité des données On a fait une recension dans MEDLINE et la base de données Cochrane des synthèses critiques. Les données probantes sont surtout de niveau I. Message principal La buprénorphine est un agoniste partiel des récepteurs μ des opioïdes et un antagoniste des récepteurs κ des opioïdes ayant une longue demi-vie et un potentiel moins grand que la méthadone d’entraîner un usage abusif. Pour une désintoxication, la buprénorphine est au moins équivalente à la méthadone et supérieure à la clonidine. Comme thérapie de substitution, la buprénorphine est clairement supérieure au placebo. La méthadone comporte de légers avantages en ce qui a trait à la rétention en thérapie, mais une approche par étape en utilisant initialement la buprénorphine-naloxone est aussi efficace. Il est possible, sécuritaire et efficace de recourir à la buprénorphine en milieu de soins primaires. On peut obtenir l’autorisation de prescrire de la buprénorphine après avoir suivi une formation en ligne. Conclusion La buprénorphine est un agent sécuritaire et efficace pour la désintoxication en cas de dépendance aux opioïdes. Elle peut servir d’agent de première intention dans les programmes de thérapie de substitution, en raison de son potentiel plus faible d’usage abusif en comparaison d’autres opioïdes. Son efficacité en milieux de soins primaires en fait un outil thérapeutique utile pour les médecins de famille.
Effects of Escherichia coli challenge and transport stress on hematology and serum chemistry values of three genetic lines of turkeys.

PubMed

Huff, G R; Huff, W E; Rath, N C; Anthony, N B; Nestor, K E

2008-11-01

Three lines of turkeys were compared for response to an Escherichia coli challenge followed by transport stress (transport). The turkey lines were a slow-growing line selected for increased egg production (egg line), a fast-growing line selected for increased 16-wk BW (F line), and a commercial line (Comm line). Birds were challenged at 14 wk of age with an air sac injection of 5,000 to 10,000 cfu of E. coli. At 8 d postchallenge, birds were subjected to a transport stress procedure that included 12 h of holding time in a transport vehicle. The following morning all birds (n = 10 to 19 birds/line) were bled. Whole blood was analyzed using the Cell-Dyn 3500 blood analysis system (Abbott Diagnostics), and serum chemistry was measured using the Express Plus analyzer (Ciba-Corning Diagnostics Corp.). Transport significantly decreased the levels of hematocrit, hemoglobin, mean cell volume, mean corpuscular hemoglobin, glucose, triglycerides, cholesterol, phosphorus, iron, albumin, and alkaline phosphatase (AP) and increased the levels of uric acid, blood urea nitrogen, alanine aminotransferase, aspartate aminotransferase, and creatine kinase. Line differences were variable, but the levels of both iron and AP were least in the fastest-growing Comm line birds and greatest in the slowest-growing egg-line birds with intermediate values in the F line. Iron and AP were also the only parameters influenced by sex, with males having greater levels of both compared with females. The creatine kinase levels were more than 6-fold greater in transported Comm line birds, and iron levels of transported Comm males were 3-fold less than controls. Previously, the growth rate of these lines was positively correlated with increased heterophil to lymphocyte ratios and susceptibility to colibacillosis. The differences seen in the Comm line for these commonly measured blood parameters suggest that they may be useful for profiling flocks to determine their response to transport stress and feed withdrawal.
"Cuz They Care about the People Who Goes There": The Multiple Roles of a Community-Based Youth Center in Providing "Youth (Comm)Unity" for Low-Income Chinese American Youth

ERIC Educational Resources Information Center

Wong, Nga-Wing Anjela

2010-01-01

This article will explore the role of "CYC," a community-based youth center, in providing a sense of what I call "Youth (Comm)Unity" for Chinese American youth from low-income immigrant families. While CYC combines the youths' home and school worlds, it is also distinct from these worlds by forming a new and hybrid culture/space. In doing so, I…
An Impact Assessment Model for Distributed Adaptive Security Situation Assessment

DTIC Science & Technology

2005-01-01

the cargo manifest can be either a 56K modem-based TCP/IP connection (the oval labeled internet) or a 40K wireless modem connection ( cell phone ) that...via a UDP connection on the 40K wireless modem ( cell phone ). For each resource, either alternative may be used to achieve the same goal, but some...Manifests Comm-in Comp- power Comm- out JTF Internet (TCP-IP) Cell phone (TCP-IP) Internet (UDP) Cell phone (UDP) Manual Computer 4
L'ethique de l'environnement comme dimension transversale de l'education en sciences et en technologies: Proposition d'un modele educationnel

NASA Astrophysics Data System (ADS)

Chavez, Milagros

Cette these presente la trajectoire et les resultats d'une recherche dont l'objectif global est de developper un modele educationnel integrant l'ethique de l'environnement comme dimension transversale de l'education en sciences et en technologies. Face au paradigme positiviste toujours dominant dans l'enseignement des sciences, il a semble utile d'ouvrir un espace de reflexion et de proposer, sous forme d'un modele formel, une orientation pedagogique qui soit plus en resonance avec quelques-unes des preoccupations fondamentales de notre epoque: en particulier celle qui concerne la relation de humain avec son environnement et plus specifiquement, le role de la science dans le faconnement d'une telle relation, par sa contribution a la transformation des conditions de vie, au point de compromettre les equilibres naturels. En fonction de cette problematique generale, les objectifs de la recherche sont les suivants: (1) definir les elements paradigmatiques, theoriques et axiologiques du modele educationnel a construire et (2) definir ses composantes strategiques. De caractere theorico-speculatif, cette recherche a adopte la demarche de l'anasynthese, en la situant dans la perspective critique de la recherche en education. Le cadre theorique de cette these s'est construit autour de quatre concepts pivots: modele educationnel, education en sciences et en technologies, transversalite educative et ethique de l'environnement. Ces concepts ont ete clarifies a partir d'un corpus textuel, puis, sur cette base, des choix theoriques ont ete faits, a partir desquels un prototype du modele a ete elabore. Ce prototype a ensuite ete soumis a une double validation (par des experts et par une mise a l'essai), dans le but d'y apporter des ameliorations et, a partir de la, de construire un modele optimal. Ce dernier comporte deux dimensions: theorico-axiologique et strategique. La premiere s'appuie sur une conception de l'education en sciences et en technologies comme appropriation d'un patrimoine culturel, dans une perspective critique et emancipatrice. Dans cette optique, l'ethique de l'environnement intervient comme processus reflexif et existentiel de notre relation a l'environnement, susceptible d'etre integre comme dimension transversale de la dynamique educative. A cet effet, la dimension strategique du modele suggere une approche transversale de type existentiel, une strategie globale de type dialogique et des strategies pedagogiques specifiques dont des strategies d'apprentissage et des strategies d'evaluation. La realisation de ce modele a mis en relief certaines perspectives interessantes. Par exemple (1) la necessite de croiser la dimension cognitive des processus educatifs en sciences et en technologies avec d'autres dimensions de l'etre humain (affective, ethique, existentielle, sociale, spirituelle, etc.); (2) une vision de l'education en sciences et en technologies comme acte de liberte fondamentale qui consiste a s'approprier de facon critique un certain patrimoine culturel; (3) une vision de l'ethique de l'environnement comme processus de reflexion qui nous confronte a des questions existentielles de base.
Utilizing the ISS Mission as a Testbed to Develop Cognitive Communications Systems

NASA Technical Reports Server (NTRS)

Jackson, Dan

2016-01-01

The ISS provides an excellent opportunity for pioneering artificial intelligence software to meet the challenges of real-time communications (comm) link management. This opportunity empowers the ISS Program to forge a testbed for developing cognitive communications systems for the benefit of the ISS mission, manned Low Earth Orbit (LEO) science programs and future planetary exploration programs. In November, 1998, the Flight Operations Directorate (FOD) started the ISS Antenna Manager (IAM) project to develop a single processor supporting multiple comm satellite tracking for two different antenna systems. Further, the processor was developed to be highly adaptable as it supported the ISS mission through all assembly stages. The ISS mission mandated communications specialists with complete knowledge of when the ISS was about to lose or gain comm link service. The current specialty mandated cognizance of large sun-tracking solar arrays and thermal management panels in addition to the highly-dynamic satellite service schedules and rise/set tables. This mission requirement makes the ISS the ideal communications management analogue for future LEO space station and long-duration planetary exploration missions. Future missions, with their precision-pointed, dynamic, laser-based comm links, require complete autonomy for managing high-data rate communications systems. Development of cognitive communications management systems that permit any crew member or payload science specialist, regardless of experience level, to control communications is one of the greater benefits the ISS can offer new space exploration programs. The IAM project met a new mission requirement never previously levied against US space-born communications systems management: process and display the orientation of large solar arrays and thermal control panels based on real-time joint angle telemetry. However, IAM leaves the actual communications availability assessment to human judgment, which introduces unwanted variability because each specialist has a different core of experience with comm link performance. Because the ISS utilizes two different frequency bands, dynamic structure can be occasionally translucent at one frequency while it can completely interdict service at the other frequency. The impact of articulating structure on the comm link can depend on its orientation at the time it impinges on the link. It can become easy for a human specialist to cross-associate experience at one frequency with experience at the other frequency. Additionally, the specialist's experience is incremental, occurring one nine-hour shift at a time. Only the IAM processor experiences the complete 24x7x365 communications link performance for both communications links but, it has no "learning capability." If the IAM processor could be endowed with a cognitive ability to remember past structure-induced comm link outages, based on its knowledge of the ISS position, attitude, communications gear, array joint angles and tracking accuracy, it could convey such experience to the human operator. It could also use its learned communications link behaviors to accurately convey the availability of future communications sessions. Further, the tool could remember how accurately or inaccurately it predicted availability and correct future predictions based on past performance. The IAM tool could learn frequency-specific impacts due to spacecraft structures and pass that information along as "experience." Such development would provide a single artificial intelligence processor that could provide two different experience bases. If it also "knew" the satellite service schedule, it could distinguish structure blockage from schedule or planet blockage and then quickly switch to another satellite. Alternatively, just as a human operator could judge, a cognizant comm system based on the IAM model could "know" that the blockage is not going to last very long and continue tracking a comm satellite, waiting for it to track away from structure. Ultimately, once this capability was fully developed and tested in the Mission Control Center, it could be transferred on-orbit to support development of operations concepts that include more advanced cognitive communications systems. Future applications of this capability are easily foreseen because even more dynamic satellite constellations with more nodes and greater capability are coming. Currently, the ISS fully employs a 300 million bit-per-second (Mbps) return link for harvesting payload science. In the coming eighteen months, it will step up to 600 Mbps. Already there is talk of a 1.2 billion bit-per-second (Gbps) upgrade for the ISS and laser comm links have already been tested from the ISS. Every data rate upgrade mandates more complicated and sensitive communications equipment which implies greater expertise invested in the human operator. Future on-orbit cognizant comm systems will be needed to meet greater performance demands aboard larger, far more complicated spacecraft. In the LEO environment, the old-style one-satellite-per-spacecraft operations concept will give way to a new concept of a single customer spacecraft simultaneously using multiple comm satellites. Much more highly-dynamic manned LEO missions with decades of crew members potentially increase the demand for communications link performance. A cognizant on-board communications system will meet advanced communications demands from future LEO missions and future planetary missions. The ISS has fledgling components of future exploration programs, both LEO and planetary. Further, the Flight Operations Directorate, through the IAM project, has already begun to develop a communications management system that attempts to solve advanced problems ideally represented by dynamic structure impacting scheduled satellite service. With an earnest project to integrate artificial intelligence into the IAM processor, the ISS Program could develop a cognizant communications system that could be adapted and transferred to future on-orbit avionics designs.
Utilizing the ISS Mission as a Testbed to Develop Cognitive Communications Systems

NASA Technical Reports Server (NTRS)

Jackson, Dan

2016-01-01

The ISS provides an excellent opportunity for pioneering artificial intelligence software to meet the challenges of real-time communications (comm) link management. This opportunity empowers the ISS Program to forge a testbed for developing cognitive communications systems for the benefit of the ISS mission, manned Low Earth Orbit (LEO) science programs and future planetary exploration programs. In November, 1998, the Flight Operations Directorate (FOD) started the ISS Antenna Manager (IAM) project to develop a single processor supporting multiple comm satellite tracking for two different antenna systems. Further, the processor was developed to be highly adaptable as it supported the ISS mission through all assembly stages. The ISS mission mandated communications specialists with complete knowledge of when the ISS was about to lose or gain comm link service. The current specialty mandated cognizance of large sun-tracking solar arrays and thermal management panels in addition to the highly-dynamic satellite service schedules and rise/set tables. This mission requirement makes the ISS the ideal communications management analogue for future LEO space station and long-duration planetary exploration missions. Future missions, with their precision-pointed, dynamic, laser-based comm links, require complete autonomy for managing high-data rate communications systems. Development of cognitive communications management systems that permit any crew member or payload science specialist, regardless of experience level, to control communications is one of the greater benefits the ISS can offer new space exploration programs. The IAM project met a new mission requirement never previously levied against US space-born communications systems management: process and display the orientation of large solar arrays and thermal control panels based on real-time joint angle telemetry. However, IAM leaves the actual communications availability assessment to human judgement, which introduces unwanted variability because each specialist has a different core of experience with comm link performance. Because the ISS utilizes two different frequency bands, dynamic structure can be occasionally translucent at one frequency while it can completely interdict service at the other frequency. The impact of articulating structure on the comm link can depend on its orientation at the time it impinges on the link. It can become easy for a human specialist to cross-associate experience at one frequency with experience at the other frequency. Additionally, the specialist's experience is incremental, occurring one nine-hour shift at a time. Only the IAM processor experiences the complete 24x7x365 communications link performance for both communications links but, it has no "learning capability." If the IAM processor could be endowed with a cognitive ability to remember past structure-induced comm link outages, based on its knowledge of the ISS position, attitude, communications gear, array joint angles and tracking accuracy, it could convey such experience to the human operator. It could also use its learned communications link behaviors to accurately convey the availability of future communications sessions. Further, the tool could remember how accurately or inaccurately it predicted availability and correct future predictions based on past performance. The IAM tool could learn frequency-specific impacts due to spacecraft structures and pass that information along as "experience." Such development would provide a single artificial intelligence processor that could provide two different experience bases. If it also "knew" the satellite service schedule, it could distinguish structure blockage from schedule or planet blockage and then quickly switch to another satellite. Alternatively, just as a human operator could judge, a cognizant comm system based on the IAM model could "know" that the blockage is not going to last very long and continue tracking a comm satellite, waiting for it to track away from structure. Ultimately, once this capability was fully developed and tested in the Mission Control Center, it could be transferred on-orbit to support development of operations concepts that include more advanced cognitive communications systems. Future applications of this capability are easily foreseen because even more dynamic satellite constellations with more nodes and greater capability are coming. Currently, the ISS fully employs its high-data-rate return link for harvesting payload science. In the coming months, it will double that data rate and is forecast to fully utilize that capability. Already there is talk of an upgrade that quadruples the current data rate allocated to ISS payload science before the end of its mission and laser comm links have already been tested from the ISS. Every data rate upgrade mandates more complicated and sensitive communications equipment which implies greater expertise invested in the human operator. Future on-orbit cognizant comm systems will be needed to meet greater performance demands aboard larger, far more complicated spacecraft. In the LEO environment, the old-style one-satellite-per-spacecraft operations concept will give way to a new concept of a single customer spacecraft simultaneously using multiple comm satellites. Much more highly-dynamic manned LEO missions with decades of crew members potentially increase the demand for communications link performance. A cognizant on-board communications system will meet advanced communications demands from future LEO missions and future planetary missions. The ISS has fledgling components of future exploration programs, both LEO and planetary. Further, the Flight Operations Directorate, through the IAM project, has already begun to develop a communications management system that attempts to solve advanced problems ideally represented by dynamic structure impacting scheduled satellite service. With an earnest project to integrate artificial intelligence into the IAM processor, the ISS Program could develop a cognizant communications system that could be adapted and transferred to future on-orbit avionics designs.
Linking Training Course Support to Fleet Platforms: An Equipment-Based Approach.

DTIC Science & Technology

1981-01-01

6408 ZDB:ZT-2154T CAT:AP NEC 1: NEC 2: REQUIREMENT SPONSOR:OP-120E RESOURCE SPONSOR:OP-Ol COURSE TITLE - BE/E-ET-COMM 4YO ACTIVITY ADDRESS...CAT:AP NEC 1: NEC 2: REQUIREMENT SPONSOR:OP-120E RESOURCE SPONSOR:OP-01 COURSE TITLE - BE/E-ET-RAD 4YO ACTIVITY ADDRESS- SERVSCOLCOM SAN DIEGO FIND...0454S CAT:AP NEC 1: NEC 2: REQUIREMENT SPONSOR:OP-120E RESOURCE SPONSOR:OP-O1 COURSE TITLE - BE/E-ET-COMM 4YO ACTIVITY ADDRESS- SERVSCOLCOM GREAT LAKES
Viscoélasticité et diffusion dépolarisée de la lumière dans les liquides

NASA Astrophysics Data System (ADS)

Quentrec, B.

The spectra of the depolarized light scattering in the liquids are related to the viscoelastic properties of the medium, which in turn reflect the local order. Their interpretation requires a theory which generalizes hydrodynamics. In this paper are reviewed the different theories allowing this generalization independently of the fact they use the formalism of Zwanzig-Mori or the non-equilibrium thermodynamics. A special place is given to the theory developed by the author which appears as the most general one. The comparison with the experimental results confirms the necessity of such a complex theory. Les spectres de diffusion dépolarisée de la lumière dans les liquides sont liés aux propriétés viscoélastiques du milieu, qui reflètent à leur tour l'ordre local. Leur interprétation demande une théorie généralisant l'hydrodynamique. Dans cet article sont passées en revue les différentes théories permettant cette généralisation, qu'elles utilisent le formalisme de Zwanzig-Mori ou la thermodynamique hors d'équilibre. Une place à part est faite à celle développée par l'auteur qui apparaît comme la plus générale. La comparaison avec les résultats expérimentaux confirme la nécessité d'une théorie aussi complexe.

L’évaluation systématique des instruments pour mesurer la douleur chez les personnes âgées ayant des capacités réduites à communiquer*

PubMed Central

Aubin, Michèle; Giguère, Anik; Hadjistavropoulos, Thomas; Verreault, René

2007-01-01

La douleur chronique est souvent sous-détectée et insuffisamment traitée dans les milieux de soins de longue durée. Les outils d’autorapport (ou autoévaluation) de la douleur, comme l’échelle visuelle analogique, n’ont été validés que partiellement chez les populations âgées, en raison de la prévalence élevée de déficits visuels, auditifs, moteurs et cognitifs que l’on y trouve. Des outils d’observation des patients ont été développés pour pallier ces difficultés d’utilisation des échelles d’autorapport de la douleur. Le présent projet vise l’identification de ces échelles et leur évaluation sur la base de la validité de contenu (12 questions), de la validité de construit (12 questions), de la fiabilité (13 questions) et de l’utilité clinique (10 questions). Parmi les 24 instruments recensés, plusieurs apparaissent prometteurs pour évaluer la douleur chez les personnes âgées atteintes de démence sévère. Des efforts additionnels de validation sont cependant requis avant leur intégration à la pratique régulière en soins de longue durée. PMID:17717611
Magnétochiralité et résonances stochastiques dans les lasers

NASA Astrophysics Data System (ADS)

Bonnet, C.; Bretenaker, F.; Brunel, M.; Chauvat, D.; Emile, O.; Lai, N. D.; Le Floch, A.; Ropars, G.; Ruchon, T.; Singh, K.; Thépot, J.-Y.; Vallet, M.

2002-06-01

Les états propres d'un laser constituent un outil de choix pour étudier les différents rôles joués par le bruit dans un système. D'une part, si on veut isoler un effet petit difficilement accessible par les méthodes classiques, ces états propres permettent de réaliser des mesures différentielles de haute précision, à condition de pouvoir éliminer les bruits mécaniques, optiques, électroniques. A titre d'exemple, nous avons utilisé les états propageant et contrapropageant d'un laser ionique en anneau pour mesurer une interaction fondamentale faible: la biréfringence magnétochirale. Cette "biréfringence" se manifeste en effet par une petite variation d'indice selon le sens de parcours de l'anneau, de l'ordre de Δ n.10^{-11}, indépendante de la polarisation. A l'opposé, les deux états propres d'un laser du type Fabry-Perot constituent un système idéal pour explorer les résonances stochastiques à deux dimensions. Les résonances stochastiques par inhibition et par rotation sont isolées en présence de bruits blancs gaussiens tant pour les bruits optiques que magnétiques. L'utilisation possible de l'émission spontanée comme bruit actif est démontrée.
Results of a Multi-level Intervention to Prevent and Control Childhood Obesity among Latino Children: The Aventuras Para Niños Study

PubMed Central

Crespo, Noe C.; Elder, John P.; Ayala, Guadalupe X.; Campbell, Nadia R.; Arredondo, Elva M.; Slymen, Donald J.; Baquero, Barbara; Sallis, James F.; McKenzie, Thomas L.

2014-01-01

Background Community-based behavioral interventions are needed to reduce the burden of childhood obesity. Purpose This study evaluated the impact of a multi-level promotora-based (Community Health Advisor) intervention to promote healthy eating and physical activity (PA) and prevent excess weight gain among Latino children. Methods Thirteen elementary schools were randomized to one of four intervention conditions: individual and family level (Fam-only), school and community level (Comm-only), combined Fam+Comm intervention, or a measurement-only condition. Participants were 808 Latino parents and their children enrolled in kindergarten through 2nd grade. Measures included parent and child BMI and a self-administered parent survey that assessed several parent and child behaviors. Results There were no intervention effects on children's BMI z-score. The Fam-only and Fam+Comm interventions changed several obesity-related child behaviors and these were mediated by changes in parenting variables. Discussion A promotora-based behavioral intervention was efficacious at changing parental factors and child obesity-related health behaviors. PMID:22215470
Utilisation de l'essai comete et du biomarqueur gamma-H2AX pour detecter les dommages induits a l'ADN cellulaire par le 5-bromodeoxyuridine post-irradiation

NASA Astrophysics Data System (ADS)

La Madeleine, Carole

Ce memoire est presente a la Faculte de medecine et des sciences de la sante de l'Universite de Sherbrooke en vue de l'obtention du grade de maitre es sciences (M.Sc.) en radiobiologie (2009). Un jury a revise les informations contenues dans ce memoire. Il etait compose de professeurs de la Faculte de medecine et des sciences de la sante soit : Darel Hunting PhD, directeur de recherche (departement de medecine nucleaire et radiobiologie), Leon Sanche PhD, directeur de recherche (departement de medecine nucleaire et radiobiologie), Richard Wagner PhD, membre du programme (departement de medecine nucleaire et radiobiologie) et Guylain Boissonneault PhD, membre exterieur au programme (departement de biochimie). Le 5-bromodeoxyuridine (BrdU), un analogue halogene de la thymidine reconnu depuis les annees 60 comme etant un excellent radiosensibilisateur. L'hypothese la plus repandue au sujet de l'effet radio sensibilisant du BrdU est qu'il augmente le nombre de cassures simple et double brin lorsqu'il est incorpore dans l'ADN de la cellule et expose aux radiations ionisantes. Toutefois, de nouvelles recherches semblent remettre en question les observations precedentes. Ces dernieres etudes ont confirme que le BrdU est un bon radiosensibilisateur, car il augmente les dommages radio-induits dans l'ADN. Mais, c'est en etant incorpore dans une region simple brin que le BrdU radiosensibilise l'ADN. Ces recherches ont egalement revele pour la premiere fois un nouveau type de dommages produits lors de l'irradiation de l'ADN contenant du BrdU : les dimeres interbrins. Le but de ces travaux de recherche est de determiner si la presence de bromodeoxyuridine dans l'ADN augmente l'induction de bris simple et / ou double brin chez les cellules irradiees en utilisant de nouvelles techniques plus sensibles et specifiques que celles utilisees auparavant. Pour ce faire, les essais cometes et la detection des foci H2AX phosphorylee pourraient permettre d'etablir les effets engendres par le BrdU au niveau cellulaire. Notre hypothese (basee sur des resultats preliminaires effectues dans notre laboratoire) est que l'irradiation de l'ADN cellulaire en presence de BrdU augmentera le nombre de bris simple brin sans toutefois augmenter le nombre de bris double brin. Les resultats presentes dans ce memoire semblent corroborer cette hypothese. Les nouvelles methodes d'analyse, soient l'essai comete et la detection des foci gamma-H2AX remettent en question ce qui a ete dit sur le BrdU au sujet de l'induction des cassures double brin depuis plusieurs annees. L'ensemble de ces nouveaux resultats effectue a l'aide de cellules ayant incorporees du BrdU sont en correlation avec de precedents resultats obtenus dans notre laboratoire sur des oligonucleotides bromes. Ils reaffirment que l'irradiation combinee au BrdU augmente l'induction de bris simple brin mais pas de bris double brin. L'investigation approfondie des mecanismes d'action non elucides du BrdU au niveau cellulaire et son utilisation a des moments strategiques pendant le traitement de radiotherapie pourraient accroitre son efficacite a des fins d'utilisation clinique. Mots cles : 5-bromodeoxyuridine, dimeres interbrins, dommage a l'ADN, essai comete, H2AX, radiosensibilisateur, radiotherapie
Conception, elaboration et mise a l'essai d'un simulateur interactif permettant une approche modelisante: Application aux lois de la genetique mendelienne

NASA Astrophysics Data System (ADS)

Lasri, Abdel-Halim

Dans cette recherche-developpement, nous avons concu, developpe et mis a l'essai un simulateur interactif pour favoriser l'apprentissage des lois probabilistes impliqees dans la genetique mendelienne. Cet environnement informatise devra permettre aux etudiants de mener des experiences simulees, utilisant les statistiques et les probebilites comme outils mathematiques pour modeliser le phenomene de la transmission des caracteres hereditaires. L'approche didactique est essentiellement orientee vers l'utilisation des methodes quantitatives impliquees dans l'experimentation des facteurs hereditaires. En incorporant au simulateur le principe de la "Lunette cognitive" de Nonnon (1986), l'etudiant fut place dans une situation ou il a pu synchroniser la perception de la representation iconique (concrete) et symbolique (abstraite) des lois probabilistes de Mendel. A l'aide de cet environnement, nous avons amene l'etudiant a identifier le(s) caractere(s) hereditaire(s) des parents a croiser, a predire les frequences phenotypiques probables de la descendance issue du croisement, a observer les resultats statistiques et leur fluctuation au niveau de l'histogramme des frequences, a comparer ces resultats aux predictions anticipees, a interpreter les donnees et a selectionner en consequence d'autres experiences a realiser. Les etapes de l'approche inductive sont privilegiees du debut a la fin des activites proposees. L'elaboration, du simulateur et des documents d'accompagnement, a ete concue a partir d'une vingtaine de principes directeurs et d'un modele d'action. Ces principes directeurs et le modele d'action decoulent de considerations theoriques psychologiques, didactiques et technologiques. La recherche decrit la structure des differentes parties composant le simulateur. L'architecture de celui-ci est construite autour d'une unite centrale, la "Principale", dont les liens et les ramifications avec les autres unites confere a l'ensemble du simulateur sa souplesse et sa facilite d'utilisation. Le simulateur "Genetique", a l'etat de prototype, et la documentation qui lui est afferente ont ete soumis a deux mises a l'essai: l'une fonctionnelle, l'autre empirique. La mise a l'essai fonctionnelle, menee aupres d'un groupe d'enseignants experts, a permis d'identifier les lacunes du materiel elabore afin de lui apporter les reajustements qui s'imposaient. La mise a l'essai empirique, conduite par un groupe de onze (11) etudiants de niveau secondaire, avait pour but, d'une part, de tester la facilite d'utilisation du simulateur "Genetique" ainsi que les documents d'accompagnement et, d'autre part, de verifier si les participants retiraient des avantages pedagogiques de cet environnement. Trois techniques furent exploitees pour recolter les donnees de la mise a l'essai empirique. L'analyse des resultats a permis de faire un retour critique sur les productions concretes de cette recherche et d'apporter les modifications necessaires tant au simulateur qu'aux documents d'accompagnement. Cette analyse a permis egalement de conclure que notre simulateur interactif favorise une approche inductive permettant aux etudiants de s'approprier les lois probabilistes de Mendel. Enfin, la conclusion degage des pistes de recherches destinees aux etudes ulterieures, plus particulierement celles qui s'interessent a developper des simulateurs, afin d'integrer a ceux-ci des representations concretes et abstraites presentees en temps reel. Les disquettes du simulateur "Genetique" et les documents d'accompagnement sont annexes a la presente recherche.
Pertinence de l'implantation de la filiere granule de bois pour le Quebec

NASA Astrophysics Data System (ADS)

Tremblay, Stephan

Les spécialistes avancent que le marché mondial de l'énergie en forte demande et en offre limitée nécessitera bientôt toutes les formes d'énergie disponibles. Le granulé de bois est une forme de bioénergie principalement utilisée pour le chauffage des bâtiments et pourrait être davantage considéré dans l'offre énergétique du Québec. Comme le Québec est un territoire où il fait froid et donc susceptible de pouvoir se tourner vers cette forme d'énergie, l'objectif de ce mémoire est d'en analyser les avantages. Pour ce faire, nous commencerons par démontrer la croissance des besoins énergétiques sur les plans national et international et dresser un portrait des différentes formes d'énergies consommées au Québec. Puisque la majorité des Québécois chauffent leurs bâtiments à l'hydroélectricité, nous analyserons à travers le plan d'approvisionnement d'Hydro-Québec le portrait de la production et de la consommation de cette forme d'énergie renouvelable. Cela nous permettra de constater le défi face à la gestion de surplus importants, sauf pendant la période hivernale, et ce faisant, l'obligation de la société d'État d'utiliser davantage ses centrales au gaz ou de se tourner vers l'importation de l'électricité. Dans la même lignée, un regard sera porté sur les perspectives d'utilisation de l'hydroélectricité sur les plans de la production d'aluminium, de l'exportation et de l'utilisation dans l'électrification des transports au Québec. Cette analyse se fera dans l'objectif de s'interroger sur la pertinence d'utiliser cette source d'énergie dans le chauffage plutôt que dans des secteurs plus créateurs de richesse. Nous poserons ensuite l'hypothèse que le granulé de bois pourrait être un bon substitut à une autre forme d'énergie utilisée dans le chauffage, soit le mazout. Avant de dresser un portrait de ce combustible fossile, nous ferons celui de la production et de la consommation de granulés sur les plans régional, québécois, canadien, européen et mondial. Cela nous amènera par la suite à comparer les deux formes d'énergie sous les angles de l'économie et des émissions de gaz à effet de serre (GES). Après cette comparaison théorique, a suivi une comparaison réelle faite à partir des résultats d'une expérience terrain où cinq maisons chauffant au mazout ont été converties aux granulés de bois. Cela nous a permis de constater d'une part la véracité de nos comparaisons théoriques, mais aussi d'évaluer les différentes techniques relatives au fait de passer d'une forme d'énergie liquide (le mazout) à une forme solide (le granulé).
Parasitémie asymptomatique chez les enfants de moins de 5 ans, enfants en âge scolaire et prise en charge des épisodes fébriles dans les ménages de Lubumbashi, République Démocratique du Congo

PubMed Central

Mukomena, Sompwe Eric; Philipe, Cilundika Mulenga; Désiré, Mashinda Kulimba; Pascal, Lutumba Tshindele; Ali, Mapatano Mala; Oscar, Luboya Numbi

2016-01-01

Introduction longtemps négligé, le paludisme asymptomatique est actuellement reconnu comme potentielle menace et frein au contrôle du paludisme. En RD Congo, la prévalence de cette parasitémie est peu documentée. L'objectif de cette étude était de déterminer la prévalence de la parasitémie asymptomatique aussi bien chez les enfants de moins de 5 ans que ceux âgés de plus de cinq ans aux regards des interventions de masse en cours (MILDS). Méthodes il s'agit d'une étude transversale menée chez les écoliers et chez les enfants de moins de cinq ans dans les ménages de Lubumbashi. Les écoles, les écoliers et les enfants de moins de 5 ans avaient été sélectionnés aléatoirement. Les frottis, gouttes épaisses et les tests rapides avaient été prélevés et lues. Résultats sur 350 écoliers examinés, 43 soit une prévalence de 12,3%, IC 95% (9,14-16,04) avaient une goutte épaisse positive. Dans tous les 43 cas, seul le Plasmodium falciparum a été identifié.314 ménages, soit 90,5% ont déclaré avoir recouru aux antipaludéens pour soigner la fièvre de leurs enfants à domicile. Plus d'1/3 des enfants dans les ménages, soit 39,9% des interviewés avait avoué avoir recouru aux antipyrétiques pour soulager la fièvre de leurs enfants, 19,7% à la quinine et seulement moins de 2% aux ACT à base de Lumefantrine. En considérant l'utilisation des TDR, la prévalence due à la parasitémie asymptomatique est de 3% IC 95% (2,075-4,44), mais quand on considère la microscopie comme le gold standard, cette prévalence est de 1,9%, IC 95% (1,13-3,01). Conclusion le paludisme asymptomatique n'est pas exempt de toute conséquence sur la santé, il est donc important de mener des enquêtes pareilles pour identifier les nouvelles stratégies de contrôle du paludisme. PMID:27642433
Caracterisation des revetements par projection thermique a haute vitesse obtenus a partir de differentes poudres de wc-10co-4cr pour des applications en aeronautique =

NASA Astrophysics Data System (ADS)

Quintero Malpica, Alfonso

Les revetements par projection thermique HVOF (High Velocity Oxy-Fuel) sont communement utilises dans l'industrie aeronautique, notamment au sein du partenaire industriel du projet (Tecnickrome Aeronautique Inc), comme des remplacants pour les revetements produits par l'electrodeposition du chrome dur due aux problemes environnementaux. Ce projet avait pour but de trouver une poudre alternative a celle qui est actuellement utilisee pour la production des revetements de type WC-10Co-4Cr obtenus avec la technologie de projection thermique a haute vitesse HVOF et en utilisant le systeme de projection HVOF-JET KOTERTM III. Dans un premier temps, cinq poudres incluant celle de reference, ayant des distributions granulometriques differentes, ont ete projetees dans le but d'identifier quelles poudres pouvaient etre utilisees avec le systeme de projection HVOF-JET KOTERTM III en gardant des parametres similaires (debit d'hydrogene, debit d'oxygene, debit de poudre et distance de projection) que pour la poudre de reference. Les revetements obtenus a partir des poudres etudiees ont ete evalues selon les criteres d'acceptation des revetements sollicites par les principaux manufacturiers des trains d'atterrissage. Les tests ont porte sur l'epaisseur, l'adhesion, la microstructure, la microdurete, les contraintes residuelles et la rugosite. A partir des resultats obtenus, seulement deux poudres ont rencontre toutes les proprietes demandees par les specifications aeronautiques. L'influence de la variation de la distance de projection sur la qualite des revetements a ete etudiee. Cinq distances (100, 125, 150, 175 et 200 mm) ont ete choisies pour faire la projection des deux poudres selectionnees. Les revetements obtenus ont montre de proprietes des revetements similaires (epaisseur, adhesion, microstructure, microdurete, contraintes residuelles et rugosite). Il a ete trouve que la distance de projection est un parametre indirect du systeme de projection HVOF-JET KOTERTM III et qu'autant la vitesse que la temperature des particules semblent mieux determiner les proprietes du revetement, en particulier, les niveaux de contraintes residuelles finales dans les revetements. Lorsque les revetements sont produits a de courtes distances de projection, les particules arrivent avec plus grande vitesse et temperature ce qui resulte dans de plus grandes temperatures du substrat et plus grande energie d'impact, resultant dans de plus grandes contraintes residuelles de compression dans les revetements.
ShopComm: Community-Supported Online Shopping for Older Adults.

PubMed

Gorkovenko, Katerina; Tigwell, Garreth W; Norrie, Christopher S; Waite, Miriam; Herron, Daniel

2017-01-01

The United Kingdom has an ageing population whose members experience significant life transitions as they grow older, for example, losing mobility due to deteriorating health. For these adults, digital technology has the potential to sustain their independence and improve their quality of life. However older adults can be reluctant to use digital solutions. In this paper, we review a local charity providing a grocery shopping service for older adults who are unable to go themselves. We explore how older adults perceive the benefits and drawbacks of both physical and digital shopping. Using these insights, we designed ShopComm to enable and support older adults with mobility impairments to shop online.
Utilisation of rheumatology care services in Germany: the case of physical therapy and self-help groups.

PubMed

Thieme, Holm; Borgetto, Bernhard

2012-01-01

Physical Therapy (PT) and self-help groups (SHG) are important components of health care in rheumatic diseases. The utilisation of PT and SHG by patients with rheumatic diseases may be influenced by several factors. The aim of this study is to summarize the evidence on PT and SHG utilisation of patients with rheumatic diseases in Germany. We systematically searched the MEDLINE-database for studies that evaluated the utilisation and factors that possibly influence the utilisation of PT and SHG. Eight studies were found for PT-utilisation and one for SHG-utilisation. Between 25 and 59 percent of patients with rheumatic diseases received PT services. Several individual and contextual factors that may influence the utilisation could be identified. In conclusion, evidence exists for wide variations in the utilisation of PT services and an underuse of such services among patients with rheumatic diseases in Germany. By contrast, little evidence exists on the utilisation of SHG.
Aspects épidémiologiques des traumatismes du rachis: à propos de 139 cas

PubMed Central

Bemora, Joseph Synèse; Rakotondraibe, Willy Francis; Ramarokoto, Mijoro; Ratovondrainy, Willy; Andriamamonjy, Clément

2017-01-01

Les traumatismes du rachis représentent une des lésions les plus fréquemment observées, chez les victimes d’accidents de circulation, d’accident de sportifs, domestique et du travail. Il s’agissait d’une étude rétrospective de 3 ans portant sur 139 cas de traumatismes du rachis hospitalisés et pris en charge dans le service de neurochirurgie du CHUJRA Madagascar. A travers cette étude, 25,17% des traumatisés étaient entre 21 et 30 ans avec une nette prédominance masculine de 69,78% (sexe ratio 2,3). L’étiologie était dominéepar la chute dans 33,09% des cas avec des facteurs de risque dont prise d’alcool (8,63%). Le traumatisme entrait dans le cadre d’un polytraumatisme dont un traumatisme crânien dans 34,63%. Les patients étaient admis dans le service 1 à 5h après le traumatisme dans 31,65% en utilisant comme moyen de transport une voiture personnelle dans 36,69%. Pendant l’hospitalisation 20 patients ont signé une décharge et 6,34% des patients sont décédés. Les traumatismes du rachis posent un problème de santé publique avec une prise en charge lourde surtout pour les patients déficitaires à vie. Devant tout traumatisme du rachis, il faut rechercher systématiquement une lésion crânienne. PMID:28450995
Polarization studies on zinc in hydrochloric acid solution containing some organic solvents

NASA Astrophysics Data System (ADS)

Mohamed, A. K.

1999-05-01

The corrosion behaviour of zinc metal in some organic solvents was tested electrochemically using galvanometric polarization measurements. The results showed that the studied organic solvents act as mixed type inhibitors. The inhibition was assumed to occur via physical adsorption of the inhibitor molecules fitting a Temkin's isotherm. The inhibition eficiency of the solvents increase in the order: glycerol>ethylene glycol>DMSO>dioxane. This order is not affected by the variation in temperature in the range 35-55 circC. The increase in temperature was found to increase the corrosion in absence and in presence of inhibitors. Some thermodynamic parameters for adsorption were also computed and discussed. Le comportement de corrosion du zinc métallique dans certains solvants organiques a été testé électrochimiquement en utilisant les mesures de polarisation galvanométrique. Les résultats ont montré que les solvants organiques étudiés agissent comme des inhibiteurs de type mixte. L'inhibition semble se produire par l'adsorption physique des molécules inhibitrices selon une isotherme de Temkin. L'efficacité d'inhibition des solvants augmente dans l'ordre suivant : glycérol>éthylène glycol>DMSO>dioxane. Cet ordre n'est pas affecté par une variation de température dans l'intervalle compris entre 35 et 55 circC. La corrosion augmente avec la température, en absence ou en présence d'inhibiteurs. Certains paramètres thermodynamiques d'adsorption ont été calculés et discutés.
Etude de la transmission sonore a travers un protecteur de type "coquilles" : modelisation numerique et validation experimentale

NASA Astrophysics Data System (ADS)

Boyer, Sylvain

On estime que sur les 3,7 millions des travailleurs au Quebec, plus de 500 000 sont exposes quotidiennement a des niveaux de bruits pouvant causer des lesions de l'appareil auditif. Lorsqu'il n'est pas possible de diminuer le niveau de bruit environnant, en modifiant les sources de bruits, ou en limitant la propagation du son, le port de protecteurs auditifs individualises, telles que les coquilles, demeure l'ultime solution. Bien que vue comme une solution a court terme, elle est communement employee, du fait de son caractere peu dispendieux, de sa facilite d'implantation et de son adaptabilite a la plupart des operations en environnement bruyant. Cependant les protecteurs auditifs peuvent etre a la fois inadaptes aux travailleurs et a leur environnement et inconfortables ce qui limite leur temps de port, reduisant leur protection effective. Afin de palier a ces difficultes, un projet de recherche sur la protection auditive intitule : " Developpement d'outils et de methodes pour ameliorer et mieux evaluer la protection auditive individuelle des travailleur ", a ete mis sur pied en 2010, associant l'Ecole de technologie superieure (ETS) et l'Institut de recherche Robert-Sauve en sante et en securite du travail (IRSST). S'inscrivant dans ce programme de recherche, le present travail de doctorat s'interesse specifiquement a la protection auditive au moyen de protecteurs auditifs " passifs " de type coquille, dont l'usage presente trois problematiques specifiques presentees dans les paragraphes suivants. La premiere problematique specifique concerne l'inconfort cause par exemple par la pression statique induite par la force de serrage de l'arceau, qui peut reduire le temps de port recommande pour limiter l'exposition au bruit. Il convient alors de pouvoir donner a l'utilisateur un protecteur confortable, adapte a son environnement de travail et a son activite. La seconde problematique specifique est l'evaluation de la protection reelle apportee par le protecteur. La methode des seuils auditifs REAT (Real Ear Attenuation Threshold) aussi vu comme un "golden standard" est utilise pour quantifier la reduction du bruit mais surestime generalement la performance des protecteurs. Les techniques de mesure terrains, telles que la F-MIRE (Field Measurement in Real Ear) peuvent etre a l'avenir de meilleurs outils pour evaluer l'attenuation individuelle. Si ces techniques existent pour des bouchons d'oreilles, elles doivent etre adaptees et ameliorees pour le cas des coquilles, en determinant l'emplacement optimal des capteurs acoustiques et les facteurs de compensation individuels qui lient la mesure microphonique a la mesure qui aurait ete prise au tympan. La troisieme problematique specifique est l'optimisation de l'attenuation des coquilles pour les adapter a l'individu et a son environnement de travail. En effet, le design des coquilles est generalement base sur des concepts empiriques et des methodes essais/erreurs sur des prototypes. La piste des outils predictifs a ete tres peu etudiee jusqu'a present et meriterait d'etre approfondie. L'utilisation du prototypage virtuel, permettrait a la fois d'optimiser le design avant production, d'accelerer la phase de developpement produit et d'en reduire les couts. L'objectif general de cette these est de repondre a ces differentes problematiques par le developpement d'un modele de l'attenuation sonore d'un protecteur auditif de type coquille. A cause de la complexite de la geometrie de ces protecteurs, la methode principale de modelisation retenue a priori est la methode des elements finis (FEM). Pour atteindre cet objectif general, trois objectifs specifiques ont ete etablis et sont presentes dans les trois paragraphes suivants. (Abstract shortened by ProQuest.).
Organochlorine poisoning of herons

USGS Publications Warehouse

Ohlendorf, Harry M.; Swineford, Douglas M.; Locke, Louis N.; Southern, William E.

1979-01-01

Over a period of years interested individuals have submitted many dead or moribund herons of various species to our laboratory to learn whether the birds had been affected by diseases or organochlorine poisoning. Residue concentrations in carcasses of birds and mammals are considered the best measure of sublethal exposure, whereas residues in brains are best to use for diagnosing death by most organochlorine chemicals (see Heinz et al. 1979 for review). Residue concentrations in brains that are diagnostic of organochlorine poisoning for birds have been determined in the laboratory for DDT and its metabolites (L.F. Stickel et al. 1966; W.H. Stickel et al. 1970; Stickel and Stickel 1970; W.H. Stickel, pers. comm.); dieldrin (W.H. Stickel et al. 1969; W.H. Stickel, pers. comm.); heptachlor, chlordane, and oxychlordane (L.F. Stickel et al. 1979; W.H. Stickel, pers. comm.); endrin (W.H. Stickel et al. 1979); Aroclor 1254 (W.H. Stickel 1975; W.H. Stickel, pers. comm.); and mirex (W.H. Stickel et al. 1973). This subject is discussed in further detail by Heinz et al. (1979). The purpose of the present paper is to document the occurrence and concentration of organochlorine residues in the brains of herons from various areas in the United States. By comparing these residue concentrations with laboratory-determined diagnostic lethal levels, we conclude that some herons were killed by organochlorine poisoning; others were at least seriously endangered by the residues they carried. Complete results of carcass analyses for these and other herons, as well as further details on residues in brains, will be reported elsewhere (H.M. Ohlendorf, D.M. Swineford, and L.N. Locke, unpublished manuscript). Overall, we analyzed carcasses or brains of more than 70 herons found dead or moribund and 36 others taken in planned collections. Residue levels in carcasses of many herons were not high enough to warrant analysis of brains. In the present paper we compare carcass and brain residues of dieldrin in 23 herons of which both carcass and brain were analyzed.
Electronic data capture in a rural African setting: evaluating experiences with different systems in Malawi.

PubMed

King, Carina; Hall, Jenny; Banda, Masford; Beard, James; Bird, Jon; Kazembe, Peter; Fottrell, Ed

2014-01-01

As hardware for electronic data capture (EDC), such as smartphones or tablets, becomes cheaper and more widely available, the potential for using such hardware as data capture tools in routine healthcare and research is increasing. We aim to highlight the advantages and disadvantages of four EDC systems being used simultaneously in rural Malawi: two for Android devices (CommCare and ODK Collect), one for PALM and Windows OS (Pendragon), and a custom-built application for Android (Mobile InterVA--MIVA). We report on the personal field and development experience of fieldworkers, project managers, and EDC system developers. Fieldworkers preferred using EDC to paper-based systems, although some struggled with the technology at first. Highlighted features include in-built skip patterns for all systems, and specifically the 'case' function that CommCare offers. MIVA as a standalone app required considerably more time and expertise than the other systems to create and could not be customised for our specific research needs; however, it facilitates standardised routine data collection. CommCare and ODK Collect both have user-friendly web-interfaces for form development and good technical support. CommCare requires Internet to build an application and download it to a device, whereas all steps can be done offline with ODK Collect, a desirable feature in low connectivity settings. Pendragon required more complex programming of logic, using a Microsoft Access application, and generally had less technical support. Start-up costs varied between systems, and all were considered more expensive than setting up a paper-based system; however running costs were generally low and therefore thought to be cost-effective over the course of our projects. EDC offers many opportunities for efficient data collection, but brings some issues requiring consideration when designing a study; the decision of which hardware and software to use should be informed by the aim of data collection, budget, and local circumstances.
Electronic data capture in a rural African setting: evaluating experiences with different systems in Malawi

PubMed Central

King, Carina; Hall, Jenny; Banda, Masford; Beard, James; Bird, Jon; Kazembe, Peter; Fottrell, Ed

2014-01-01

Background As hardware for electronic data capture (EDC), such as smartphones or tablets, becomes cheaper and more widely available, the potential for using such hardware as data capture tools in routine healthcare and research is increasing. Objective We aim to highlight the advantages and disadvantages of four EDC systems being used simultaneously in rural Malawi: two for Android devices (CommCare and ODK Collect), one for PALM and Windows OS (Pendragon), and a custom-built application for Android (Mobile InterVA – MIVA). Design We report on the personal field and development experience of fieldworkers, project managers, and EDC system developers. Results Fieldworkers preferred using EDC to paper-based systems, although some struggled with the technology at first. Highlighted features include in-built skip patterns for all systems, and specifically the ‘case’ function that CommCare offers. MIVA as a standalone app required considerably more time and expertise than the other systems to create and could not be customised for our specific research needs; however, it facilitates standardised routine data collection. CommCare and ODK Collect both have user-friendly web-interfaces for form development and good technical support. CommCare requires Internet to build an application and download it to a device, whereas all steps can be done offline with ODK Collect, a desirable feature in low connectivity settings. Pendragon required more complex programming of logic, using a Microsoft Access application, and generally had less technical support. Start-up costs varied between systems, and all were considered more expensive than setting up a paper-based system; however running costs were generally low and therefore thought to be cost-effective over the course of our projects. Conclusions EDC offers many opportunities for efficient data collection, but brings some issues requiring consideration when designing a study; the decision of which hardware and software to use should be informed by the aim of data collection, budget, and local circumstances. PMID:25363364
Visual Odometry for Autonomous Deep-Space Navigation

NASA Technical Reports Server (NTRS)

Robinson, Shane; Pedrotty, Sam

2016-01-01

Visual Odometry fills two critical needs shared by all future exploration architectures considered by NASA: Autonomous Rendezvous and Docking (AR&D), and autonomous navigation during loss of comm. To do this, a camera is combined with cutting-edge algorithms (called Visual Odometry) into a unit that provides accurate relative pose between the camera and the object in the imagery. Recent simulation analyses have demonstrated the ability of this new technology to reliably, accurately, and quickly compute a relative pose. This project advances this technology by both preparing the system to process flight imagery and creating an activity to capture said imagery. This technology can provide a pioneering optical navigation platform capable of supporting a wide variety of future missions scenarios: deep space rendezvous, asteroid exploration, loss-of-comm.
Utilisation of antihyperglycaemic drugs in ten European countries: different developments and different levels.

PubMed

Melander, A; Folino-Gallo, P; Walley, T; Schwabe, U; Groop, P-H; Klaukka, T; Vallano, A; Laporte, J-R; Gallego, M R; Schiappa, M; Røder, M; Kampmann, J P; de Swaef, A; Aberg, M; Månsson, N-O; Lindblad, U

2006-09-01

The aim of this study was to compare developments in the utilisation of antihyperglycaemic drugs (AHGDs) in ten European countries. Data on the yearly utilisation of insulin and oral AHGDs were collected from public registers in Denmark, Finland, Norway, Sweden, Belgium, England, Germany, Italy, Portugal and Spain, and were expressed as defined daily doses per 1,000 inhabitants per day. Total AGHD utilisation increased everywhere, but at different rates and levels. Insulin utilisation doubled in England and Germany, but hardly changed in Belgium, Portugal or Italy. Sulfonylurea utilisation doubled in Spain, England and Denmark but was reduced in Germany and Sweden. Metformin utilisation increased greatly everywhere. There were two- to three-fold differences in AHGD utilisation even between neighbouring countries. In Finland, there were more users of both insulin (+120%) and oral AHGDs (+80%) than in Denmark, and the daily oral AHGD doses were higher. In Denmark and Sweden, AHGD utilisation was equal in subjects aged <45 years, but in those >or=45 years of age, both insulin and oral AHGD utilisation were twice as high in Sweden. The ubiquitous increase in AHGD utilisation, particularly metformin, seems logical, considering the increasing prevalence of type 2 diabetes and the results of the UK Prospective Diabetes Study. However, the large differences even between neighbouring countries are more difficult to explain, and suggest different habits and attitudes in terms of screening and management of type 2 diabetes.
Apport maternel chez la balane tropicale : Plasticite de l'allocation de la ressource trophique pour la production larvaire en conditions de limitation nutritionnelle et de stress environnemental

NASA Astrophysics Data System (ADS)

Freuchet, Florian

Dans le milieu marin, l'abondance du recrutement depend des processus qui vont affecter les adultes et le stock de larves. Sous l'influence de signaux fiables de la qualite de l'habitat, la mere peut augmenter (effet maternel anticipatoire, 'anticipatory mother effects', AME) ou reduire (effet maternel egoiste, 'selfish maternai effects', SME) la condition physiologique de la progeniture. Dans les zones tropicales, generalement plus oligotrophes, la ressource nutritive et la temperature sont deux composantes importantes pouvant limiter le recrutement. Les effets de l'apport nutritionnel et du stress thermique sur la production de larves et sur la stategie maternelle adoptee ont ete testes dans cette etude. Nous avons cible la balane Chthamalus bisinuatus (Pilsbry) comme modele biologique car el1e domine les zones intertidales superieures le long des cotes rocheuses du Sud-Est du Bresil (region tropicale). Les hypotheses de depart stipulaient que l'apport nutritionnel permet aux adultes de produire des larves de qualite elevee et que le stress thermique genere une ponte precoce, produisant des larves de faible qualite. Afin de tester ces hypotheses, des populations de C. bisinuatus ont ete elevees selon quatre groupes experimentaux differents, en combinant des niveaux d'apport nutritionnel (eleve et faible) et de stress thermique (stresse et non stresse). Des mesures de survie et de conditions physiologiques des adultes et des larves ont permis d'identifier les reponses parentales pouvant etre avantageuses dans un environnement tropical hostile. L'analyse des profils en acides gras a ete la methode utilisee pour evaluer la qualite physiologique des adultes et de larves. Les resultats du traitement alimentaire (fort ou faible apport nutritif), ne montrent aucune difference dans l'accumulation de lipides neutres, la taille des nauplii, l'effort de reproduction ou le temps de survie des nauplii en condition de jeune. Il semble que la faible ressource nutritive est compensee par les meres qui adoptent un modele AME qui se traduit par l'anticipation du milieu par les meres afin de produire des larves au phenotype approprie. A l'ajout d'un stress thermique, on observe des diminutions de 47% de la production de larves et celles-ci etaient 18 microm plus petites. Les meres semblent utiliser un modele SME caracterise par une diminution de la performance des larves. Suite a ces resultats, nous emettons l'hypothese qu'en zone subtropicale, comme sur les cotes de l'etat de Sao Paulo, l'elevation de la temperature subie par les balanes n'est, a priori, pas dommageable pour leur organisme si eIle est combinee a un apport nutritif suffisant.
Gender and the utilisation of health services in the Ashanti Region, Ghana.

PubMed

Buor, Daniel

2004-09-01

The survey seeks to structure a model for gender-based health services utilisation for the Ashanti Region of Ghana, and in addition, recommend intervention measures to ensure gender equity in the utilisation of health services. A sample size of 650 covered over 3108 houses, and the main research instruments were the questionnaire and formal interview. A multiple regression model is used for the analysis of the relationship between the complex independent variables and utilisation by gender. Results show that although females have a greater need for health services than males, they do not utilise health services as much. Secondly, whereas quality of service, health status, service cost and education have greater effect on male utilisation than females, distance and income have higher impact on female utilisation. It is recommended that, to ensure equity in health care utilisation, females be empowered through increased access to formal education and sustainable income opportunities. The introduction of a national health insurance scheme is also recommended to ensure adequate access by both sexes.

Insuffisance rénale aigüe: présentation rare d’une maladie d’Addison

PubMed Central

Salhi, Houda

2016-01-01

La maladie d’Addison est une pathologie rare, qui se manifeste fréquemment par des signes cliniques non spécifiques. Ce qui peut causer un retard diagnostic et thérapeutique. Cette maladie peut se présenter comme un tableau d’insuffisance rénale aigue. Nous rapportons le cas d’un patient présentant une maladie d’Addison qui a été pris en charge initialement comme une insuffisance rénale aigue secondaire à un myélome multiple et dont le diagnostic a été redressé par la suite. Le patient s’est spectaculairement amélioré après mis en place de traitement par réhydratation par voie intraveineuse; hydrocortisone injectable. PMID:27800088
An analysis of partial efficiencies of energy utilisation of different macronutrients by barramundi (Lates calcarifer) shows that starch restricts protein utilisation in carnivorous fish.

PubMed

Glencross, Brett D; Blyth, David; Bourne, Nicholas; Cheers, Susan; Irvin, Simon; Wade, Nicholas M

2017-02-01

This study examined the effect of including different dietary proportions of starch, protein and lipid, in diets balanced for digestible energy, on the utilisation efficiencies of dietary energy by barramundi (Lates calcarifer). Each diet was fed at one of three ration levels (satiety, 80 % of initial satiety and 60 % of initial satiety) for a 42-d period. Fish performance measures (weight gain, feed intake and feed conversion ratio) were all affected by dietary energy source. The efficiency of energy utilisation was significantly reduced in fish fed the starch diet relative to the other diets, but there were no significant effects between the other macronutrients. This reduction in efficiency of utilisation was derived from a multifactorial change in both protein and lipid utilisation. The rate of protein utilisation deteriorated as the amount of starch included in the diet increased. Lipid utilisation was most dramatically affected by inclusion levels of lipid in the diet, with diets low in lipid producing component lipid utilisation rates well above 1·3, which indicates substantial lipid synthesis from other energy sources. However, the energetic cost of lipid gain was as low as 0·65 kJ per kJ of lipid deposited, indicating that barramundi very efficiently store energy in the form of lipid, particularly from dietary starch energy. This study defines how the utilisation efficiency of dietary digestible energy by barramundi is influenced by the macronutrient source providing that energy, and that the inclusion of starch causes problems with protein utilisation in this species.
Structure post-flambée pour la locomotion d'un microrobot intratubulaire: comparaison modèle-expérience de l'effort de serrage dans le tube

NASA Astrophysics Data System (ADS)

Libersa, C.; Arsicault, M.; Lallemand, J.-P.

2002-12-01

Ces travaux entrent dans le cadre des études nécessaires à la mise au point d'une structure déformable actionnée par fils en alliage à mémoire de forme. L'application visée est son utilisation comme module de locomotion d'un microrobot intratubulaire autonome de type “ lombric ”. Un module est constitué d'un cadre élastique carré forcé en post-flambement sur un squelette rigide, de manière à obtenir deux configurations symétriques d'équilibre stable correspondant au premier mode de flambage. Le passage d'un état d'équilibre à l'autre est obtenu par la contraction de fils AMF éduqués disposés sur le cadre post-flambé. Un assemblage par juxtaposition de cinq modules identiques compose le corps du microrobot. Suivant un cycle de locomotion adéquat, chacun de ces actionneurs “ tout ou rien ” permet la prise d'appui sur les parois du tube ou l'allongement local nécessaire à l'avance du microrobot. Nous présentons ici les résultats obtenus lors d'un chargement transversal d'un module, et en particulier les courbes reliant l'effort de réaction et le déplacement du point en contact avec le tube. L'influence du serrage subit par le module sur le maintien du microrobot dans un tube vertical est déterminée. Les résultats expérimentaux obtenus sont comparés avec les résultats numériques.
Youth Supervision While Mothers Work: A Daily Diary Study of Maternal Worry.

PubMed

Blocklin, Michelle K; Crouter, Ann C; McHale, Susan M

2012-01-01

Using data from a daily diary study of hourly hotel employees in the U.S. and their children, this study examined links between youth supervision arrangements and maternal worry while at work, examining both differences between individuals and day-to-day variation within individuals. Multilevel model analyses revealed both between- and within-person effects linking youth supervision to maternal worry. Mothers' partner status functioned as moderator, and maternal knowledge also emerged as a protective factor when youth were in self-care, highlighting a potential target for future work-family interventions, particularly those for hourly employees with limited access to family-friendly workplace policies.En utilisant les données d'une étude de journal quotidien des employés horaires de l'hôtel aux États-Unis et leurs enfants, cette étude a examiné les liens entre les modalités de supervision des jeunes et l'inquiétude maternelle pendant le travail, en examinant à la fois les différences inter individus et la variation intra individus au jour le jour. Analyses multi-niveaux ont révélé à la fois des effets inter et intra reliant la supervision des jeunes à l'inquiétude maternelle. Statut de partenaire des mères a fonctionné en tant que modérateur, et la connaissance maternelle est également apparue comme un facteur de protection lorsque les jeunes ont pris soins d'eux-mêmes, soulignant une cible potentielle pour des interventions de conciliation travail-famille, en particulier ceux conçus pour des employés horaires avec un accès limité à des politiques favorables à la famille.
Electromagnetic processes at low momentum transfer : a review for users

NASA Astrophysics Data System (ADS)

Parizet, M. J.; Borie, E.; Grossetête, B.; Isabelle, D. B.; Proriol, J.

Electromagnetic processes at low momentum transfer are often sources of background in many experiments. To be removed these effects must be calculated by the experimentalist, who must have a good knowledge of the validity of the theoretical formulas that he must use. Then we thought that it will be useful to prepare this review whose presentation is such that it should allow everyone to appreciate the accuracy of formulas that he must use in very complex situations. In this paper, we examine the problem related to bremsstrahlung, pair production and radiative corrections. The first part is devoted to kinematic and to the methods used to establish the corresponding cross sections. Les phénomènes électromagnétiques à faible transfert d'impulsion interviennent dans de nombreuses expériences comme des phénomènes parasites. Pour les éliminer, l'expérimentateur doit les calculer, mais il connait généralement mal la validité des formules théoriques qu'il doit alors utiliser. Il nous a donc paru utile de faire une revue dont la présentation doit permettre à chacun d'apprécier la précision des formules qu'il doit appliquer dans des situations très souvent complexes. Dans cet article, nous faisons le point, tant pour la théorie que pour l'expérience, en ce qui concerne : le rayonnement de freinage, la production de paires et les corrections radiatives. La première partie est consacrée à la cinématique des processus appréciés et aux méthodes permettant d'établir les sections efficaces correspondantes.
Les médicaments à libération prolongée pour les enfants et les adolescents ayant un trouble de déficit de l’attention avec hyperactivité

PubMed Central

Feldman, M; Bélanger, S

2009-01-01

Le trouble de déficit de l’attention avec hyperactivité (TDAH) touche un enfant canadien sur 20 et s’associe à un dossier scolaire et à un registre d’emploi défavorables, à des taux élevés de blessures et de consommation de drogues ou d’alcool, à des relations interpersonnelles médiocres, à de mauvaises issues en santé mentale et à une qualité de vie insatisfaisante. Des essais contrôlés démontrent que les médica-ments sont efficaces pour traiter les symptômes de TDAH tandis que des études d’observation indiquent qu’ils s’associent à de meilleures issues sociales et de santé. De nombreuses familles, ainsi que leur médecin traitant, préfèrent les médicaments à libération prolongée (LP) contre le TDAH aux médicaments à libération immédiate (LI) et à action brève. Toutefois, les préparations à LP sont souvent inabor-dables pour les familles, dont un nombre disproportionné fait partie de la strate à faible statut socioéconomique. Le présent document de principes vise à proposer une évaluation critique des données probantes sur l’efficacité relative des médicaments à LP par rapport aux médicaments à LI ainsi que des recommandations au sujet de leur utilisation convenable dans le traitement du TDAH. Lorsque les médicaments sont indiqués, il faut envisager d’utiliser des préparations à LP comme traitement de première intention contre le TDAH parce qu’elles sont plus efficaces et moins susceptibles d’être détournées. Les futures recherches et les analyses coûts-avantages doivent tenir compte à la fois de l’efficacité de médicaments dans des études contrôlées et de leur efficacité clinique en situation réelle ainsi que du potentiel de détournement et de mésusage de ces médicaments. L’industrie, les sociétés d’assurance et le gouvernement doivent collaborer pour rendre ces médicaments accessibles à tous les enfants et adolescents ayant un TDAH.
PubMed

Belaid, Loubna; Cloos, Patrick; Ridde, Valéry

2017-04-20

Cette étude vise à décrire la mobilisation des représentations ethnoculturelles par des agents et des gestionnaires de santé pour expliquer l'échec partiel d'une politique de santé maternelle et discuter des conséquences potentielles de ces représentations sur l'accès aux soins de santé des populations.MÉTHODES : Il s'agit d'une recherche qualitative de type socio-anthropologique mobilisant des entretiens approfondis, des discussions informelles, des observations non participantes menées dans les centres de santé et une analyse documentaire. Les entretiens ont été menés auprès de 16 agents de santé et de 10 gestionnaires. Les entretiens ont été enregistrés sous support numérique et transcrits. L'étude s'est déroulée dans le district sanitaire de Djibo au Burkina Faso.RÉSULTATS : L'identification ethnique, les coutumes relatives à l'accouchement (pudeur, discrétion, présence féminine), le statut social des femmes (le faible pouvoir décisionnel), le nomadisme et l'organisation sociale des populations et leurs résistances au changement sont érigés comme des obstacles « culturels » à la politique de santé. L'usage largement répandu de ces représentations par les agents et les gestionnaires de santé contribue à réprimander les populations et à masquer les facteurs structurels qui ont pourtant une influence plus importante sur l'utilisation des services de santé maternelle. Cette recherche met en lumière le danger de l'usage excessif des représentations ethnoculturelles teintées de culturalisme dans les pratiques et les politiques de santé publique en véhiculant des stéréotypes à l'égard de certains groupes de population. Pour comprendre le succès ou l'échec des politiques sanitaires, il demeure important de considérer la qualité du contact avec le système de santé, les facteurs structurels notamment les capacités des ménages à faire face aux dépenses des soins de santé et des distances entre les villages et les centres de santé. Ces éléments permettraient de mieux comprendre les disparités constatées à l'égard des indicateurs d'utilisation des services de santé.
La stimulation magnétique transcrânienne (SMT) dans la recherche fondamentale et clinique en neuroscience

PubMed Central

Valero-Cabré, Antoni; Pascual-Leone, Alvaro; Coubard, Olivier A.

2011-01-01

Introduction Les méthodes de stimulation cérébrale non invasives telles que la Stimulation Magnétique Transcrânienne (SMT) sont largement utilisées pour établir des inférences causales sur les relations entre cerveau et comportement. Des applications cliniques basées sur la SMT ont également été développées pour traiter des affections neurologiques ou psychiatriques comme la dépression, la dystonie, la douleur, les acouphènes ou les séquelles d’accident vasculaire cérébral. État des connaissances La SMT fonctionne en induisant de manière non invasive et de manière focale des courants électriques dans des régions corticales, modulant ainsi leur niveau d’activité de façon variable suivant la fréquence, le nombre d’impulsions, les intervalles et la durée de stimulation utilisés. S’agissant du cortex moteur, on sait par exemple que les patterns d’impulsions de SMT à basse fréquence ou ceux délivrées de manière continue tendent à déprimer l’activité locale, tandis que la SMT à haute fréquence et discontinus tend à la potentialiser. Outre ses effets locaux, la SMT peut aussi avoir des effets à distance sur les régions cérébrales, véhiculés par les connections anatomiques et qui dépendent de l’efficacité et du signe de ces connexions. Perspectives Dans le domaine de la recherche fondamentale et des applications thérapeutiques, l’utilisation efficace de la SMT requiert, cependant, la compréhension approfondie de ses principes opérationnels, de ses risques, de ses potentialités et de ses limites. Dans cet article, nous présentons les principes par lesquels opèrent les méthodes de stimulation cérébrale non invasive, et en particulier la SMT. Conclusion À l’issue de sa lecture, le lecteur sera en mesure de discuter de façon critique les études scientifiques et cliniques utilisant la SMT, ainsi que de concevoir des applications SMT suivant une hypothèse a priori dans le domaine de la recherche en neuroscience fondamentale et/ou clinique. PMID:21420698
Evaluation d'une approche pedagogique respectant les facons d'apprendre des filles en sciences et en TIC en 9e annee au Nouveau-Brunswick

NASA Astrophysics Data System (ADS)

Lirette-Pitre, Nicole T.

2009-07-01

La reussite scolaire des filles les amene de plus en plus a poursuivre une formation postsecondaire et a exercer des professions qui demandent un haut niveau de connaissances et d'expertise scientifique. Toutefois, les filles demeurent toujours tres peu nombreuses a envisager une carriere en sciences (chimie et physique), en ingenierie ou en TIC (technologie d'information et de la communication), soit une carriere reliee a la nouvelle economie. Pour plusieurs filles, les sciences et les TIC ne sont pas des matieres scolaires qu'elles trouvent interessantes meme si elles y reussissent tres bien. Ces filles admettent que leurs experiences d'apprentissage en sciences et en TIC ne leur ont pas permis de developper un interet ni de se sentir confiante en leurs habiletes a reussir dans ces matieres. Par consequent, peu de filles choisissent de poursuivre leurs etudes postsecondaires dans ces disciplines. La theorie sociocognitive du choix carriere a ete choisie comme modele theorique pour mieux comprendre quelles variables entrent en jeu lorsque les filles choisissent leur carriere. Notre etude a pour objet la conception et l'evaluation de l'efficacite d'un materiel pedagogique concu specifiquement pour ameliorer les experiences d'apprentissage en sciences et en TIC des filles de 9e annee au Nouveau-Brunswick. L'approche pedagogique privilegiee dans notre materiel a mis en oeuvre des strategies pedagogiques issues des meilleures pratiques que nous avons identifiees et qui visaient particulierement l'augmentation du sentiment d'auto-efficacite et de l'interet des filles pour ces disciplines. Ce materiel disponible par Internet a l'adresse http://www.umoncton.ca/lirettn/scientic est directement en lien avec le programme d'etudes en sciences de la nature de 9e annee du Nouveau-Brunswick. L'evaluation de l'efficacite de notre materiel pedagogique a ete faite selon deux grandes etapes methodologiques: 1) l'evaluation de l'utilisabilite et de la convivialite du materiel et 2) l'evaluation de l'effet du materiel en fonction de diverses variables reliees a l'interet et au sentiment d'auto-efficacite des filles en sciences et en TIC. Cette recherche s'est inscrite dans un paradigme pragmatique de recherche. Le pragmatisme a guide nos choix en ce qui a trait au modele de recherche et des techniques utilisees. Cette recherche a associe a la fois des techniques qualitatives et quantitatives, particulierement en ce qui concerne la collecte et l'analyse de donnees. Les donnees recueillies dans la premiere etape de l'evaluation de l'utilisabilite et de la convivialite du materiel par les enseignantes et les enseignants de sciences et les filles ont revele que le materiel concu est tres utilisable et convivial. Toutefois quelques petites ameliorations seront apportees a une version subsequente afin de faciliter davantage la navigation. Quant a l'evaluation des effets du materiel concu sur les variables reliees au sentiment d'auto-efficacite et aux interets lors de l'etape quasi experimentale, nos donnees qualitatives ont indique que ce materiel a eu des effets positifs sur le sentiment d'auto-efficacite et sur les interets des filles qui l'ont utilise. Toutefois, nos donnees quantitatives n'ont pas permis d'inferer un lien causal direct entre l'utilisation du materiel et l'augmentation du sentiment d'auto-efficacite et des interets des filles en sciences et en TIC. A la lumiere des resultats obtenus, nous avons conclu que le materiel a eu les effets escomptes. Donc, nous recommandons la creation et l'utilisation de materiel de ce genre dans toutes les classes de sciences de la 6e annee a la 12e annee au Nouveau-Brunswick.
A comme... (A as in...).

ERIC Educational Resources Information Center

Diaz, Olga; And Others

1979-01-01

Contains four suggested vocabulary learning activities, concentrating on (1) partitive expressions in street names, (2) sports vocabulary, (3) slang expressions, and (4) the many meanings of the words "jouer" and "jeu." (AM)
Utilisation of cancer screening services by disabled women in Chile

PubMed Central

Rotarou, Elena S.

2017-01-01

Background Research has shown that women with disabilities face additional challenges in accessing and using healthcare services compared to non-disabled women. However, relatively little is known about the utilisation of cancer screening services for women with disabilities. This study addresses this gap by examining the utilisation of the Papanicolaou test and mammography for disabled women in Chile. Methods We used cross-sectional data, taken from a 2015 nationally-representative survey. Initially, we employed logistic regressions to test for differences in utilisation rates for the Papanicolaou test (66,281 observations) and the mammogram (35,294 observations) between disabled and non-disabled women. Next, logistic regressions were used to investigate the demographic, socioeconomic, and health-related factors affecting utilisation rates for cancer screening services for disabled women (sample sizes: 5,823 observations for the Papanicolaou test and 5,731 observations for the mammogram). Results Disabled women were less likely to undergo screening tests than non-disabled women. For the Papanicolaou test and mammography, the multivariable regression models showed that living in rural areas, having higher education, being affiliated with a private health insurance company, giving a good health self-assessment score, and being under medical treatment for other illnesses were associated with higher utilisation rates. On the other hand, being single, inactive with regard to employment, and having a better income were linked with lower utilisation. While utilisation rates for both disabled and non-disabled women have increased since 2006, the utilisation disparity has slightly increased. Conclusions This study shows the influence of various factors in the utilisation rates of preventive cancer screening services for disabled women. To develop effective initiatives targeting inequalities in the utilisation of cancer screening tests, it is important to move beyond an exclusively single-disease approach and acknowledge the complexity of the patient population. PMID:28459874
Utilisation of cancer screening services by disabled women in Chile.

PubMed

Sakellariou, Dikaios; Rotarou, Elena S

2017-01-01

Research has shown that women with disabilities face additional challenges in accessing and using healthcare services compared to non-disabled women. However, relatively little is known about the utilisation of cancer screening services for women with disabilities. This study addresses this gap by examining the utilisation of the Papanicolaou test and mammography for disabled women in Chile. We used cross-sectional data, taken from a 2015 nationally-representative survey. Initially, we employed logistic regressions to test for differences in utilisation rates for the Papanicolaou test (66,281 observations) and the mammogram (35,294 observations) between disabled and non-disabled women. Next, logistic regressions were used to investigate the demographic, socioeconomic, and health-related factors affecting utilisation rates for cancer screening services for disabled women (sample sizes: 5,823 observations for the Papanicolaou test and 5,731 observations for the mammogram). Disabled women were less likely to undergo screening tests than non-disabled women. For the Papanicolaou test and mammography, the multivariable regression models showed that living in rural areas, having higher education, being affiliated with a private health insurance company, giving a good health self-assessment score, and being under medical treatment for other illnesses were associated with higher utilisation rates. On the other hand, being single, inactive with regard to employment, and having a better income were linked with lower utilisation. While utilisation rates for both disabled and non-disabled women have increased since 2006, the utilisation disparity has slightly increased. This study shows the influence of various factors in the utilisation rates of preventive cancer screening services for disabled women. To develop effective initiatives targeting inequalities in the utilisation of cancer screening tests, it is important to move beyond an exclusively single-disease approach and acknowledge the complexity of the patient population.
Trends, determinants and inequities of 4+ ANC utilisation in Bangladesh.

PubMed

Rahman, Aminur; Nisha, Monjura Khatun; Begum, Tahmina; Ahmed, Sayem; Alam, Nurul; Anwar, Iqbal

2017-01-13

The objectives of this study are to document the trend on utilisation of four or more (4 + ) antenatal care (ANC) over the last 22 years period and to explore the determinants and inequity of 4 + ANC utilisation as reported by the last two Bangladesh Demographic and Health surveys (BDHS) (2011 and 2014). The data related to ANC have been extracted from the BDHS data set which is available online as an open source. STATA 13 software was used for organising and analysing the data. The outcome variable considered for this study was utilisation of 4 + ANC. Trends of 4 + ANC were measured in percentage and predictors for 4 + ANC were measured through bivariate and multivariable analysis. The concentration index was estimated for assessing inequity in 4 + ANC utilisation. Utilisation of 4 + ANC has increased by about 26% between the year 1994 and 2014. Higher level of education, residing in urban region and richest wealth quintile were found to be significant predictors. The utilisation of 4 + ANC has decreased with increasing parity and maternal age. The inequity indices showed consistent inequities in 4 + ANC utilisation, and such inequities were increased between 2011 and 2014. In Bangladesh, the utilisation of any ANC rose steadily between 1994 and 2014, but progress in terms of 4 + ANC utilisation was much slower as the expectation was to achieve the national set target (50%: 4 + ANC utilisation) by 2016. Socio-economic inequities were observed in groups that failed to attend a 4 + ANC visit. Policymakers should pay special attention to increase the 4 + ANC coverage where this study can facilitate to identify the target groups whom need to be intervened on priority basis.
Screening for current opioid misuse and associated risk factors among patients with chronic nonalcoholic pancreatitis pain.

PubMed

Barth, Kelly S; Balliet, Wendy; Pelic, Christine M; Madan, Alok; Malcolm, Robert; Adams, David; Morgan, Katherine; Owczarski, Stefanie; Borckardt, Jeffrey J

2014-08-01

The objective of this study is to assess clinical variables that may be associated with risk for opioid misuse in individuals with chronic pancreatitis. This study utilized a descriptive, quasi-experimental, cross sectional design. Three hundred seven individuals with nonalcoholic chronic pancreatitis engaged in chronic opioid therapy for pain presented to an outpatient specialty clinic at an academic medical center. Participants completed the Current Opioid Misuse Measure (COMM), Brief Pain Inventory (BPI), Short Form (SF)-12 Quality of Life Measure, Center for Epidemiological Studies 10-item Depression Scale (CESD), and a single item asking about current alcohol use. Mean scores on the CESD, COMM, BPI, SF-12, and factors associated with opioid misuse measures from regression analyses were the outcome measures. Mean scores on the CESD, COMM, BPI pain-on-average item, and the SF-12 physical and psychological quality of life factors (t scores) were 11.2 (standard deviation [SD] = 6.7), 8.5 (SD = 7.3), 4.8 (SD = 2.8), 39.7 (SD = 7.0), and 45 (SD = 9.0), respectively. Descriptive analyses revealed that 55% of participants scored above the clinical cutoff for depression on the CESD, and 39% scored above the cutoff for opioid misuse concerns on the COMM. Regression analyses identified several factors associated with higher opioid misuse measure scores, including increased depressive symptoms from the CESD (β = 0.38, P < 0.0001), increased pain rating at the time of the office visit (β = 0.16, P = 0.03), impairment of psychological quality of life (β = -0.27, P = 0.001) and endorsement of alcohol use (β = 0.16, P = 0.03). These factors accounted for 37% of the variance in current opioid misuse scores. Depression, quality of life, pain intensity and alcohol use may be good candidate variables for prospective studies to determine clinical risk factors for opioid misuse among patients with pancreatitis. Wiley Periodicals, Inc.
Application of UV-visible absorption spectroscopy combined with two-dimensional correlation for insight into DOM fractions from native halophyte soils in a larger estuarine delta.

PubMed

Wei, Huaibin; Yu, Huibin; Pan, Hongwei; Gao, Hongjie

2018-05-01

UV-visible absorption spectroscopy combined with principal component analysis (PCA) and two-dimensional correlation (2D correlation) is used to trace components of dissolved organic matter (DOM) extracted from soils in a larger estuarine delta and to investigate spatial variations of DOM fractions. Soil samples of different depths were collected from native halophyte soils along a saline gradient, i.e., Suaeda salsa Comm. (SSC), Chenopodium album Comm. (CAC), Phragmites australis Comm. (PAC), and Artemisia selengensis Comm. (ASC). Molecular weights of DOM within the SSC soil profile were the lowest, followed by the CAC, PAC, and ASC soil profiles. Humification degree of DOM within the ASC soil profile was the highest, followed by the PAC, SSC, and CAC soil profiles. DOM within the soil profiles mainly contained phenolic, carboxylic, microbial products, and aromatic and alkyl groups through the PCA, which presented the significant differentiation among the four native halophyte soil profiles. The 2D UV correlation spectra of DOM within the SSC soil profile indicated that the variations of the phenolic groups were the largest, followed by the carboxylic groups, microbial products, and humified organic materials according to the band changing order of 285 → 365 → 425 → 520 nm. The 2D UV correlation spectra of DOM within the CAC soil profiles determined that the decreasing order of the variations was phenolic groups > carboxylic groups > microbial products according the band changing order of 285 → 365 → 425 nm. The 2D UV correlation spectra of DOM within the PAC soil profile proved that the variations of the phenolic groups were larger than those of the carboxylic groups according to the band changing order of 285 → 365 nm. The 2D UV correlation spectra of DOM within the ASC soil profile demonstrated that the variations of the phenolic groups were larger than those of the other DOM fractions according to the broad cross-peak at 285/365-700 nm.
Testing Proficiency in Interpersonal Communication

ERIC Educational Resources Information Center

Byers, Burton H.

1973-01-01

Discusses several hypotheses about the measurement of speech-communication proficiency which are being tested at the University of Hawaii and a testing instrument entitled Dy Comm'' (dyadic communication) which emerged from this research. (DD)
Maternal health services utilisation by Kenyan adolescent mothers: Analysis of the Demographic Health Survey 2014.

PubMed

Banke-Thomas, Aduragbemi; Banke-Thomas, Oluwasola; Kivuvani, Mwikali; Ameh, Charles Anawo

2017-06-01

Kenya has one of the highest adolescent fertility rates in East-Africa, estimated at 106 births per 1000 females aged 15-19years. In addition to promoting safe sexual behaviour, utilisation of maternal health services (MHS) is essential to prevent poor outcomes of pregnancy and childbirth. To ensure optimum planning, particularly in the context of the Sustainable Development Goals, this study assesses the current service utilisation patterns of Kenyan adolescent mothers and the factors that affect this utilisation. Using data from the recently published 2014 Kenya Demographic Health Survey, we collected demographic and utilisation data of all three MHSs (antenatal care (ANC), skilled birth attendance (SBA) and postnatal care (PNC)) of adolescent mothers aged 15-19years. We then conducted bivariate and multivariate analyses to test associations between selected demographic and service utilisation variables. Our findings showed that half of Kenyan adolescent mothers have had their first birth by the age of 16. MHS utilisation rates amongst Kenyan adolescent mothers were 93%, 65%, 92% for ANC, SBA and PNC respectively. Mother's education, religion, ethnicity, place of residence, wealth quintile, mass media exposure, and geographical region were significant predictors for both ANC and SBA utilisation. Education level of partner was significant for ANC utilisation while parity was significant for both SBA and PNC. Adolescent MHS utilisation is not optimum in Kenya. More work that includes affordable care provision, cultural re-orientation, targeted mass-media campaigns and male involvement in care need to be done with emphasis on the most disadvantaged areas. Copyright © 2017 Elsevier B.V. All rights reserved.
MOVES sensitivity study

DOT National Transportation Integrated Search

2012-01-01

Purpose: : To determine ranking of important parameters and the overall sensitivity to values of variables in MOVES : To allow a greater understanding of the MOVES modeling process for users : Continued support by FHWA to transportation modeling comm...
Synthesis of work-zone performance measures.

DOT National Transportation Integrated Search

2013-09-01

The main objective of this synthesis was to identify and summarize how agencies collect, analyze, and report different work-zone : traffic-performance measures, which include exposure, mobility, and safety measures. The researchers also examined comm...
Screening for Addictive Disorders Within a Workers’ Compensation Clinic: An Exploratory Study

PubMed Central

Parhami, Iman; Hyman, Mark; Siani, Aaron; Lin, Stephanie; Collard, Michael; Garcia, Johnny; Casaus, Laurie; Tsuang, John; Fong, Timothy W.

2012-01-01

We conducted a cross-sectional study investigating the extent of addictive disorders within a workers’ compensation (WC) clinic. We also examined the feasibility of substance abuse screening within the same clinic. In 2009, 100 patients were asked to complete the World Health Organization’s Alcohol, Smoking, Substance Involvement Screening Test (WHO-ASSIST) and the Current Opioid Misuse Measure (COMM). According to the WHO-ASSIST, we found that 46% of WC patients required intervention for at least one substance-related disorder (25% tobacco, 23% sedatives, 8% opioids), and according to the COMM, 46% screened positive for prescription opioid misuse. Importantly, the addition of this screening was brief, economical, and well accepted by patients. Further research should analyze the costs and benefits of detection and intervention of substance-related disorders in this setting. PMID:22066751

An object oriented fully 3D tomography visual toolkit.

PubMed

Agostinelli, S; Paoli, G

2001-04-01

In this paper we present a modern object oriented component object model (COMM) C + + toolkit dedicated to fully 3D cone-beam tomography. The toolkit allows the display and visual manipulation of analytical phantoms, projection sets and volumetric data through a standard Windows graphical user interface. Data input/output is performed using proprietary file formats but import/export of industry standard file formats, including raw binary, Windows bitmap and AVI, ACR/NEMA DICOMM 3 and NCSA HDF is available. At the time of writing built-in implemented data manipulators include a basic phantom ray-tracer and a Matrox Genesis frame grabbing facility. A COMM plug-in interface is provided for user-defined custom backprojector algorithms: a simple Feldkamp ActiveX control, including source code, is provided as an example; our fast Feldkamp plug-in is also available.
Prediction of Traffic Complexity and Controller Workload in Mixed Equipage NextGen Environments

NASA Technical Reports Server (NTRS)

Lee, Paul U.; Prevot, Thomas

2012-01-01

Controller workload is a key factor in limiting en route air traffic capacity. Past efforts to quantify and predict workload have resulted in identifying objective metrics that correlate well with subjective workload ratings during current air traffic control operations. Although these metrics provide a reasonable statistical fit to existing data, they do not provide a good mechanism for estimating controller workload for future air traffic concepts and environments that make different assumptions about automation, enabling technologies, and controller tasks. One such future environment is characterized by en route airspace with a mixture of aircraft equipped with and without Data Communications (Data Comm). In this environment, aircraft with Data Comm will impact controller workload less than aircraft requiring voice communication, altering the close correlation between aircraft count and controller workload that exists in current air traffic operations. This paper outlines a new trajectory-based complexity (TBX) calculation that was presented to controllers during a human-in-the-loop simulation. The results showed that TBX accurately estimated the workload in a mixed Data Comm equipage environment and the resulting complexity values were understood and readily interpreted by the controllers. The complexity was represented as a "modified aircraft account" that weighted different complexity factors and summed them in such a way that the controllers could effectively treat them as aircraft count. The factors were also relatively easy to tune without an extensive data set. The results showed that the TBX approach is well suited for presenting traffic complexity in future air traffic environments.
Outpatient echocardiography in the evaluation of innocent murmurs in children: utilisation benchmarking.

PubMed

Frias, Patricio A; Oster, Matthew; Daley, Patricia A; Boris, Jeffrey R

2016-03-01

We sought to benchmark the utilisation of echocardiography in the outpatient evaluation of heart murmurs by evaluating two large paediatric cardiology centres. Although criteria exist for appropriate use of echocardiography, there are no benchmarking data demonstrating its utilisation. We performed a retrospective cohort study of outpatients aged between 0 and 18 years at the Sibley Heart Center Cardiology and the Children's Hospital of Philadelphia Division of Cardiology, given a sole diagnosis of "innocent murmur" from 1 July, 2007 to 31 October, 2010. Using internal claims data, we compared the utilisation of echocardiography according to centre, patient age, and physician years of service. Of 23,114 eligible patients (Sibley Heart Center Cardiology: 12,815, Children's Hospital of Philadelphia Division of Cardiology: 10,299), 43.1% (Sibley Heart Center Cardiology: 45.2%, Children's Hospital of Philadelphia Division of Cardiology: 40.4%; p1-5 years had the lowest utilisation (32.7%). In two large paediatric cardiology practices, the overall utilisation of echocardiography by physicians with a sole diagnosis of innocent murmur was similar. There was significant and similar variability in utilisation by provider at both centres. Although these data serve as initial benchmarking, the variability in utilisation highlights the importance of appropriate use criteria.
Integrated nuclear data utilisation system for innovative reactors.

PubMed

Yamano, N; Hasegawa, A; Kato, K; Igashira, M

2005-01-01

A five-year research and development project on an integrated nuclear data utilisation system was initiated in 2002, for developing innovative nuclear energy systems such as accelerator-driven systems. The integrated nuclear data utilisation system will be constructed as a modular code system, which consists of two sub-systems: the nuclear data search and plotting sub-system, and the nuclear data processing and utilisation sub-system. The system will be operated with a graphical user interface in order to enable easy utilisation through the Internet by both nuclear design engineers and nuclear data evaluators. This paper presents an overview of the integrated nuclear data utilisation system, describes the development of a prototype system to examine the operability of the user interface and discusses specifications of the two sub-systems.
Guide for Maintaining Pedestrian Facilities for Enhanced Safety.

DOT National Transportation Integrated Search

2013-10-01

A Guide for Maintaining Pedestrian Facilities for Enhanced Safety provides guidance for maintaining pedestrian facilities with the primary goal of increasing safety and mobility. The Guide addresses the needs for pedestrian facility maintenance; comm...
Speech Schopper

ScienceCinema

None

2017-12-09

Le DG H.Schopper prend congÃ© de ses directeurs et collÃ¨gues qui partent et remercie aussi les restants pour leur service; d'autres orateurs comme p.ex. Mons.Ullmann ainsi qu'un allemand prennent la parole.
Floodwater utilisation values of wetland services - a case study in Northeastern China

NASA Astrophysics Data System (ADS)

Lü, S. B.; Xu, S. G.; Feng, F.

2012-02-01

Water plays a significant role in wetlands. Floodwater utilisation in wetlands brings a wide range of wetland services, from goods production and water regulation to animal protection and aesthetics related to water supply in wetlands. In this study, the floodwater utilisation values of wetland services were estimated within the Momoge wetland and Xianghai wetland in western Jilin province of northeastern China. From 2003 to 2008, the floodwater diverted from the Nenjiang and Tao'er River is 381 million m3, which translates into a monetary value of approximately 1.35 billion RMB in 2008 (RMB: Chinese Currency, RMB 6.80 = US 1), and the ratio of economic value, eco-environmental value, and social value is 1:12:2. Besides the monetary value of the water itself, excessive floodwater utilisation may bring losses to wetlands; the threshold floodwater utilisation volumes in wetlands are discussed. Floodwater utilisation can alleviate water shortages in wetlands, and the evaluation of floodwater utilisation in wetland services in monetary terms is a guide for the effective use of the floodwater resources and for the conservation of wetlands.
Carbon nano structures: Production and characterization

NASA Astrophysics Data System (ADS)

Beig Agha, Rosa

L'objectif de ce memoire est de preparer et de caracteriser des nanostructures de carbone (CNS -- Carbon Nanostructures, en licence a l'Institut de recherche sur l'hydrogene, Quebec, Canada), un carbone avec un plus grand degre de graphitisation et une meilleure porosite. Le Chapitre 1 est une description generale des PEMFCs (PEMFC -- Polymer Electrolyte Membrane Fuel Cell) et plus particulierement des CNS comme support de catalyseurs, leur synthese et purification. Le Chapitre 2 decrit plus en details la methode de synthese et la purification des CNS, la theorie de formation des nanostructures et les differentes techniques de caracterisation que nous avons utilises telles que la diffraction aux rayons-X (XRD -- X-ray diffraction), la microscopie electronique a transmission (TEM -- transmission electron microscope ), la spectroscopie Raman, les isothermes d'adsorption d'azote a 77 K (analyse BET, t-plot, DFT), l'intrusion au mercure, et l'analyse thermogravimetrique (TGA -- thermogravimetric analysis). Le Chapitre 3 presente les resultats obtenus a chaque etape de la synthese des CNS et avec des echantillons produits a l'aide d'un broyeur de type SPEXRTM (SPEX/CertiPrep 8000D) et d'un broyeur de type planetaire (Fritsch Pulverisette 5). La difference essentielle entre ces deux types de broyeur est la facon avec laquelle les materiaux sont broyes. Le broyeur de type SPEX secoue le creuset contenant les materiaux et des billes d'acier selon 3 axes produisant ainsi des impacts de tres grande energie. Le broyeur planetaire quant a lui fait tourner et deplace le creuset contenant les materiaux et des billes d'acier selon 2 axes (plan). Les materiaux sont donc broyes differemment et l'objectif est de voir si les CNS produits ont les memes structures et proprietes. Lors de nos travaux nous avons ete confrontes a un probleme majeur. Nous n'arrivions pas a reproduire les CNS dont la methode de synthese a originellement ete developpee dans les laboratoires de l'Institut de recherche sur l'hydrogene (IRH). Nos echantillons presentaient toujours une grande quantite de carbure de fer au detriment de la formation de nanostructures de carbone. Apres plusieurs mois de recherche nous avons constate que les metaux de base, soit le fer et le cobalt, etaient contamines. Neanmoins, ces recherches nous ont enseigne beaucoup et les resultats sont presentes aux Appendices I a III. Le carbone de depart est du charbon active commercial (CNS201) qui a ete prealablement chauffe a 1,000°C sous vide pendant 90 minutes pour se debarrasser de toute humidite et autres impuretes. En premiere etape, dans un creuset d'acier durci du CNS201 pretraite fut melange a une certaine quantite de Fe et de Co (99.9 % purs). Des proportions typiques sont 50 pd. %, 44 pd. %, et 6 pd. % pour le C, le Fe, et le Co respectivement. Pour les echantillons prepares avec le broyeur SPEX, trois a six billes en acier durci furent utilisees pour le broyage, de masse relative echantillon/poudre de 35 a 1. Pour les echantillons prepares avec le broyeur planetaire, trente-six billes en acier durci furent utilisees pour le broyage, de masse relative echantillon/poudre de 10 a 1. L'hydrogene fut alors introduit dans le creuset pour les deux types de broyeur a une pression de 1.4 MPa, et l'echantillon fut broye pendant 12 h pour le SPEX et 24 h pour le planetaire. Le broyeur SPEX a un rendement de transfert d'energie mecanique plus grand qu'un broyeur planetaire, mais il a le desavantage de contaminer davantage l'echantillon en Fe par attrition. Cependant, ceci peut etre neglige vu que le Fe etait un des catalyseurs metalliques ajoutes au creuset. En deuxieme etape, l'echantillon broye est transfere sous gaz inerte (argon) dans un tube en quartz, qui est alors chauffe a 700°C pendant 90 minutes. Des mesures de patrons de diffraction a rayons-X sur poudre furent faites pour caracteriser les changements structurels des CNS lors des etapes de synthese. Ces mesures furent prises avec un diffractometre Bruker D8 FOCUS utilisant le rayonnement Cu Ka (lambda = 1.54054 A) et une geometrie Theta/2Theta. La Figure 3.1 montre le patron de diffraction de rayon-X du charbon active utilise comme precurseur pour produire les CNS. Le charbon active est prechauffe a haute temperature (1,000°C) pendant 1 h pour enlever l'humidite. La Figure 3.2 montre les patrons de diffraction de rayons-X des echantillons SPEX et planetaire apres broyage de 12 h et 24 h, respectivement. Les structures de charbon ne sont pas encore bien definies, mais un pic a 2theta ≈ 20°-30° correspond aux petites cristallites a caractere turbostatique et un pic correspondant au fer et au carbure de fer apparait a 2theta ≈ 45°. (Abstract shortened by UMI.)
WHAT'S THE C IN CBAT

EPA Science Inventory

Community Based Environmental Protection (CBEP) has the intention of making environmental protection spring from the needs and values of the community of interest. Real community involvement in protecting the environment requires a process in which the environmental needs of comm...
Microsoft PowerPoint - Walter Coke Comm May 19 Karen correction presentation [Compatibility Mode

EPA Pesticide Factsheets

Contains slides from a presentation to Collegeville, Harriman Park, and Fairmont neighborhoods in North Birmingham, Alabama updating the community on the environmental sampling and next steps on the Walter Coke cleanup site.
Promoting Community Health Resources: Preferred Communication Strategies

USDA-ARS?s Scientific Manuscript database

Background: Community health promotion efforts involve communicating resource information to priority populations. Which communication strategies are most effective is largely unknown for specific populations. Objective: A random-dialed telephone survey was conducted to assess health resource comm...
Scintillation-Hardened GPS Receiver

NASA Technical Reports Server (NTRS)

Stephens, Donald R.

2015-01-01

CommLargo, Inc., has developed a scintillation-hardened Global Positioning System (GPS) receiver that improves reliability for low-orbit missions and complies with NASA's Space Telecommunications Radio System (STRS) architecture standards. A software-defined radio (SDR) implementation allows a single hardware element to function as either a conventional radio or as a GPS receiver, providing backup and redundancy for platforms such as the International Space Station (ISS) and high-value remote sensing platforms. The innovation's flexible SDR implementation reduces cost, weight, and power requirements. Scintillation hardening improves mission reliability and variability. In Phase I, CommLargo refactored an open-source GPS software package with Kalman filter-based tracking loops to improve performance during scintillation and also demonstrated improved navigation during a geomagnetic storm. In Phase II, the company generated a new field-programmable gate array (FPGA)-based GPS waveform to demonstrate on NASA's Space Communication and Navigation (SCaN) test bed.
A DAFT DL_POLY distributed memory adaptation of the Smoothed Particle Mesh Ewald method

NASA Astrophysics Data System (ADS)

Bush, I. J.; Todorov, I. T.; Smith, W.

2006-09-01

The Smoothed Particle Mesh Ewald method [U. Essmann, L. Perera, M.L. Berkowtz, T. Darden, H. Lee, L.G. Pedersen, J. Chem. Phys. 103 (1995) 8577] for calculating long ranged forces in molecular simulation has been adapted for the parallel molecular dynamics code DL_POLY_3 [I.T. Todorov, W. Smith, Philos. Trans. Roy. Soc. London 362 (2004) 1835], making use of a novel 3D Fast Fourier Transform (DAFT) [I.J. Bush, The Daresbury Advanced Fourier transform, Daresbury Laboratory, 1999] that perfectly matches the Domain Decomposition (DD) parallelisation strategy [W. Smith, Comput. Phys. Comm. 62 (1991) 229; M.R.S. Pinches, D. Tildesley, W. Smith, Mol. Sim. 6 (1991) 51; D. Rapaport, Comput. Phys. Comm. 62 (1991) 217] of the DL_POLY_3 code. In this article we describe software adaptations undertaken to import this functionality and provide a review of its performance.
DOE Office of Scientific and Technical Information (OSTI.GOV)

Katti, Amogh; Di Fatta, Giuseppe; Naughton III, Thomas J

Future extreme-scale high-performance computing systems will be required to work under frequent component failures. The MPI Forum's User Level Failure Mitigation proposal has introduced an operation, MPI_Comm_shrink, to synchronize the alive processes on the list of failed processes, so that applications can continue to execute even in the presence of failures by adopting algorithm-based fault tolerance techniques. This MPI_Comm_shrink operation requires a fault tolerant failure detection and consensus algorithm. This paper presents and compares two novel failure detection and consensus algorithms. The proposed algorithms are based on Gossip protocols and are inherently fault-tolerant and scalable. The proposed algorithms were implementedmore » and tested using the Extreme-scale Simulator. The results show that in both algorithms the number of Gossip cycles to achieve global consensus scales logarithmically with system size. The second algorithm also shows better scalability in terms of memory and network bandwidth usage and a perfect synchronization in achieving global consensus.« less
Does charging different user fees for primary and secondary care affect first-contacts with primary healthcare? A systematic review

PubMed Central

Hone, Thomas; Lee, John Tayu; Majeed, Azeem; Conteh, Lesong; Millett, Christopher

2017-01-01

Abstract Policy-makers are increasingly considering charging users different fees between primary and secondary care (differential user charges) to encourage utilisation of primary health care in health systems with limited gate keeping. A systematic review was conducted to evaluate the impact of introducing differential user charges on service utilisation. We reviewed studies published in MEDLINE, EMBASE, the Cochrane library, EconLIT, HMIC, and WHO library databases from January 1990 until June 2015. We extracted data from the studies meeting defined eligibility criteria and assessed study quality using an established checklist. We synthesized evidence narratively. Eight studies from six countries met our eligibility criteria. The overall study quality was low, with diversity in populations, interventions, settings, and methods. Five studies examined the introduction of or increase in user charges for secondary care, with four showing decreased secondary care utilisation, and three showing increased primary care utilisation. One study identified an increase in primary care utilisation after primary care user charges were reduced. The introduction of a non-referral charge in secondary care was associated with lower primary care utilisation in one study. One study compared user charges across insurance plans, associating higher charges in secondary care with higher utilisation in both primary and secondary care. Overall, the impact of introducing differential user-charges on primary care utilisation remains uncertain. Further research is required to understand their impact as a demand side intervention, including implications for health system costs and on utilisation among low-income patients. PMID:28453713
The utilisation of health research in policy-making: concepts, examples and methods of assessment

PubMed Central

Hanney, Stephen R; Gonzalez-Block, Miguel A; Buxton, Martin J; Kogan, Maurice

2003-01-01

The importance of health research utilisation in policy-making, and of understanding the mechanisms involved, is increasingly recognised. Recent reports calling for more resources to improve health in developing countries, and global pressures for accountability, draw greater attention to research-informed policy-making. Key utilisation issues have been described for at least twenty years, but the growing focus on health research systems creates additional dimensions. The utilisation of health research in policy-making should contribute to policies that may eventually lead to desired outcomes, including health gains. In this article, exploration of these issues is combined with a review of various forms of policy-making. When this is linked to analysis of different types of health research, it assists in building a comprehensive account of the diverse meanings of research utilisation. Previous studies report methods and conceptual frameworks that have been applied, if with varying degrees of success, to record utilisation in policy-making. These studies reveal various examples of research impact within a general picture of underutilisation. Factors potentially enhancing utilisation can be identified by exploration of: priority setting; activities of the health research system at the interface between research and policy-making; and the role of the recipients, or 'receptors', of health research. An interfaces and receptors model provides a framework for analysis. Recommendations about possible methods for assessing health research utilisation follow identification of the purposes of such assessments. Our conclusion is that research utilisation can be better understood, and enhanced, by developing assessment methods informed by conceptual analysis and review of previous studies. PMID:12646071
Factors affecting Japanese retirees' healthcare service utilisation in Malaysia: a qualitative study

PubMed Central

Kohno, Ayako; Nik Farid, Nik Daliana; Musa, Ghazali; Abdul Aziz, Norlaili; Nakayama, Takeo; Dahlui, Maznah

2016-01-01

Objective While living overseas in another culture, retirees need to adapt to a new environment but often this causes difficulties, particularly among those elderly who require healthcare services. This study examines factors affecting healthcare service utilisation among Japanese retirees in Malaysia. Design We conducted 6 focus group discussions with Japanese retirees and interviewed 8 relevant medical services providers in-depth. Guided by the Andersen Healthcare Utilisation Model, we managed and analysed the data, using QSR NVivo 10 software and the directed content analysis method. Setting We interviewed participants at Japan Clubs and their offices. Participants 30 Japanese retirees who live in Kuala Lumpur and Ipoh, and 8 medical services providers. Results We identified health beliefs, medical symptoms and health insurance as the 3 most important themes, respectively, representing the 3 dimensions within the Andersen Healthcare Utilisation Model. Additionally, language barriers, voluntary health repatriation to Japan and psychological support were unique themes that influence healthcare service utilisation among Japanese retirees. Conclusions The healthcare service utilisation among Japanese retirees in Malaysia could be partially explained by the Andersen Healthcare Utilisation Model, together with some factors that were unique findings to this study. Healthcare service utilisation among Japanese retirees in Malaysia could be improved by alleviating negative health beliefs through awareness programmes for Japanese retirees about the healthcare systems and cultural aspects of medical care in Malaysia. PMID:27006344
SpaceOps 2012 Plus 2: Social Tools to Simplify ISS Flight Control Communications and Log Keeping

NASA Technical Reports Server (NTRS)

Cowart, Hugh S.; Scott, David W.

2014-01-01

A paper written for the SpaceOps 2012 Conference (Simplify ISS Flight Control Communications and Log Keeping via Social Tools and Techniques) identified three innovative concepts for real time flight control communications tools based on social mechanisms: a) Console Log Tool (CoLT) - A log keeping application at Marshall Space Flight Center's (MSFC) Payload Operations Integration Center (POIC) that provides "anywhere" access, comment and notifications features similar to those found in Social Networking Systems (SNS), b) Cross-Log Communication via Social Techniques - A concept from Johnsson Space Center's (JSC) Mission Control Center Houston (MCC-H) that would use microblogging's @tag and #tag protocols to make information/requests visible and/or discoverable in logs owned by @Destination addressees, and c) Communications Dashboard (CommDash) - A MSFC concept for a Facebook-like interface to visually integrate and manage basic console log content, text chat streams analogous to voice loops, text chat streams dedicated to particular conversations, generic and position-specific status displays/streams, and a graphically based hailing display. CoLT was deployed operationally at nearly the same time as SpaceOps 2012, the Cross- Log Communications idea is currently waiting for a champion to carry it forward, and CommDash was approved as a NASA Iinformation Technoloby (IT) Labs project. This paper discusses lessons learned from two years of actual CoLT operations, updates CommDash prototype development status, and discusses potential for using Cross-Log Communications in both MCC-H and/or POIC environments, and considers other ways for synergizing console applcations.
Press conference

ScienceCinema

None

2017-12-09

ExposÃ©s de plusieurs intervenants de la direction et du conseil, comme le Prof.Ramsey, prÃ©sident du conseil sur l'adhÃ©sion rÃ©cente de la Finlande et le "boom" scientifique des pays de l'est.
77 FR 40082 - Certain Gaming and Entertainment Consoles, Related Software, and Components Thereof...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-06

... Commission remands for the ALJ to (1) apply the Commission's opinion in Certain Electronic Devices With Image Processing Systems, Components Thereof, and Associated Software, Inv. No. 337-TA-724, Comm'n Op. (Dec. 21...

TEXACO GASIFICATION PROCESS - INNOVATIVE TECHNOLOGY EVALUATION REPORT

EPA Science Inventory

This report summarizes the evaluation of the Texaco Gasification Process (TGP) conducted under the U.S. Environmental Protection Agency (EPA) Superfund Innovative Technology Evaluation (SITE) Program. The Texaco Gasification Process was developed by Texaco Inc. The TGP is a comm...
A comme... (A as in ...).

ERIC Educational Resources Information Center

Zeller, L.; And Others

1979-01-01

Four essays provide practical guidelines for (1) conducting an analysis of supplementary pedagogical materials prior to their use; (2) playing a French card game; (3) using French horoscope columns in the classroom; and (4) teaching idiomatic expressions containing animal terms. (AM)
National Ridesharing Demonstration Program : Employer and Community-Based Rideshare Promotion in Cincinnati, Ohio

DOT National Transportation Integrated Search

1985-01-01

The Cincinnati ridesharing demonstration project (Project Rideshare) began in May 1980 to promote carpooling, vanpooling, and transit usage through the three-state area of greater Cincinnati. Key elements of the demonstration included employer-, comm...
A globally networked hybrid approach to public health capacity training for maternal health professionals in low and middle income countries.

PubMed

McIntosh, Scott; Pérez-Ramos, José G; David, Tamala; Demment, Margaret M; Avendaño, Esteban; Ossip, Deborah J; De Ver Dye, Timothy

2017-01-01

MundoComm is a current NIH-funded project for sustainable public health capacity building in community engagement and technological advances aimed at improving maternal health issues. Two to four teams are selected annually, each consisting of three healthcare professionals and one technical person from specific low and middle income countries (LMICs) including Costa Rica, Dominican Republic, Honduras, and other LMICs. MundoComm is a course with three parts: in-person workshops, online modules, and mentored community engagement development. Two annual 1-week on-site "short courses" convened in Costa Rica are supplemented with six monthly online training modules using the Moodle® online platform for e-learning, and mentored project development. The year-long course comprises over 20 topics divided into the six modules - each module further segmented into 4 week-long assignments, with readings and assigned tasks covering different aspects of community-engaged interventions. The content is peer reviewed by experts in the respective fields from University of Rochester, UCIMED in Costa Rica, and faculty from Costa Rica and the Dominican Republic who maintain regular contact with the trainees to mentor learning and project progress. The purpose of this paper is to report the first year results of the MundoComm project. Both quantitative and qualitative feedback (using online data capturing forms) assess baseline and post-training knowledge and skills in public health project strategies. The course currently has one team each in Costa Rica, the Dominican Republic, and Honduras for a total of 12 trainees. The course and modules include best practices in information and communication technologies (ICTs), ethical reviews, community engagement, evidence-based community interventions, and e-Health strategies. To maximize successful and culturally appropriate training approaches, the multi-media didactic presentations, flexible distance learning strategies, and the use of tablets for offline data collection are offered to trainees, and then feedback from trainees and other lessons learned aid in the refinement of subsequent curricular improvements. Through remark and discussion, the authors report on 1) the feasibility of using a globally networked learning environment (GNLE) plus workshop approach to public health capacity training and 2) the capacity of LMIC teams to complete the MundoComm trainings and produce ICT-based interventions to address a maternal health issue in their respective regions.
Price and utilisation differences for statins between four countries.

PubMed

Thai, Loc Phuoc; Vitry, Agnes Isabelle; Moss, John Robert

2018-02-01

Australia, England, France and New Zealand use different policies to regulate their medicines market, which can impact on utilisation and price. To compare the prices and utilisation of statins in Australia, England, France and New Zealand from 2011 to 2013. Utilisation of statins in the four countries was compared using Defined Daily Doses (DDD) per 1000 inhabitants per year. Pairwise Laspeyres and Paasche index comparisons were conducted comparing the price and utilisation of statins. The results showed that the price of statins in New Zealand was the cheapest. The price of statins in Australia was most expensive in 2011 and 2012 but France was more expensive in 2013. There were large differences between the Laspeyres index and Paasche index when comparing the price and utilisation of England with Australia and France. The policies that regulate the New Zealand and England medicines markets were more effective in reducing the price of expensive statins. The relative utilisation of cheaper statins was greatest in England and had a large effect on the differences between the two index results. The pricing policies in Australia have been only partly effective in reducing the price of statins compared to other countries.
Does charging different user fees for primary and secondary care affect first-contacts with primary healthcare? A systematic review.

PubMed

Hone, Thomas; Lee, John Tayu; Majeed, Azeem; Conteh, Lesong; Millett, Christopher

2017-06-01

Policy-makers are increasingly considering charging users different fees between primary and secondary care (differential user charges) to encourage utilisation of primary health care in health systems with limited gate keeping. A systematic review was conducted to evaluate the impact of introducing differential user charges on service utilisation. We reviewed studies published in MEDLINE, EMBASE, the Cochrane library, EconLIT, HMIC, and WHO library databases from January 1990 until June 2015. We extracted data from the studies meeting defined eligibility criteria and assessed study quality using an established checklist. We synthesized evidence narratively. Eight studies from six countries met our eligibility criteria. The overall study quality was low, with diversity in populations, interventions, settings, and methods. Five studies examined the introduction of or increase in user charges for secondary care, with four showing decreased secondary care utilisation, and three showing increased primary care utilisation. One study identified an increase in primary care utilisation after primary care user charges were reduced. The introduction of a non-referral charge in secondary care was associated with lower primary care utilisation in one study. One study compared user charges across insurance plans, associating higher charges in secondary care with higher utilisation in both primary and secondary care. Overall, the impact of introducing differential user-charges on primary care utilisation remains uncertain. Further research is required to understand their impact as a demand side intervention, including implications for health system costs and on utilisation among low-income patients. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
Factors that influence utilisation of HIV/AIDS prevention methods among university students residing at a selected university campus.

PubMed

Ndabarora, Eléazar; Mchunu, Gugu

2014-01-01

Various studies have reported that university students, who are mostly young people, rarely use existing HIV/AIDS preventive methods. Although studies have shown that young university students have a high degree of knowledge about HIV/AIDS and HIV modes of transmission, they are still not utilising the existing HIV prevention methods and still engage in risky sexual practices favourable to HIV. Some variables, such as awareness of existing HIV/AIDS prevention methods, have been associated with utilisation of such methods. The study aimed to explore factors that influence use of existing HIV/AIDS prevention methods among university students residing in a selected campus, using the Health Belief Model (HBM) as a theoretical framework. A quantitative research approach and an exploratory-descriptive design were used to describe perceived factors that influence utilisation by university students of HIV/AIDS prevention methods. A total of 335 students completed online and manual questionnaires. Study findings showed that the factors which influenced utilisation of HIV/AIDS prevention methods were mainly determined by awareness of the existing university-based HIV/AIDS prevention strategies. Most utilised prevention methods were voluntary counselling and testing services and free condoms. Perceived susceptibility and perceived threat of HIV/AIDS score was also found to correlate with HIV risk index score. Perceived susceptibility and perceived threat of HIV/AIDS showed correlation with self-efficacy on condoms and their utilisation. Most HBM variables were not predictors of utilisation of HIV/AIDS prevention methods among students. Intervention aiming to improve the utilisation of HIV/AIDS prevention methods among students at the selected university should focus on removing identified barriers, promoting HIV/AIDS prevention services and providing appropriate resources to implement such programmes.
Factors affecting Japanese retirees' healthcare service utilisation in Malaysia: a qualitative study.

PubMed

Kohno, Ayako; Nik Farid, Nik Daliana; Musa, Ghazali; Abdul Aziz, Norlaili; Nakayama, Takeo; Dahlui, Maznah

2016-03-22

While living overseas in another culture, retirees need to adapt to a new environment but often this causes difficulties, particularly among those elderly who require healthcare services. This study examines factors affecting healthcare service utilisation among Japanese retirees in Malaysia. We conducted 6 focus group discussions with Japanese retirees and interviewed 8 relevant medical services providers in-depth. Guided by the Andersen Healthcare Utilisation Model, we managed and analysed the data, using QSR NVivo 10 software and the directed content analysis method. We interviewed participants at Japan Clubs and their offices. 30 Japanese retirees who live in Kuala Lumpur and Ipoh, and 8 medical services providers. We identified health beliefs, medical symptoms and health insurance as the 3 most important themes, respectively, representing the 3 dimensions within the Andersen Healthcare Utilisation Model. Additionally, language barriers, voluntary health repatriation to Japan and psychological support were unique themes that influence healthcare service utilisation among Japanese retirees. The healthcare service utilisation among Japanese retirees in Malaysia could be partially explained by the Andersen Healthcare Utilisation Model, together with some factors that were unique findings to this study. Healthcare service utilisation among Japanese retirees in Malaysia could be improved by alleviating negative health beliefs through awareness programmes for Japanese retirees about the healthcare systems and cultural aspects of medical care in Malaysia. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Using a Reverse Auction to Promote Household Level Stormwater Control

EPA Science Inventory

Phase Two of the US Environmental Protection Agency’s (USEPA) National Pollution Discharge Elimination System (NPDES) stormwater regulations requires communities smaller than 100,000 residents to meet new criteria for stormwater runoff reduction. In many cases these smaller comm...
Remediation System Evaluation, Comm. Bay/South Tacoma Channel, Well 12A Superfund Site

EPA Pesticide Factsheets

The first operable unit (OU1) of the Commencement Bay/South Tacoma Channel Superfund Site addressessoil and groundwater contamination associated with the Time Oil property that was first discovered inpublic supply Well 12A in 1981.
Definition of experiments and instruments for a communication/navigation research laboratory. Volume 3: Laboratory descriptions

NASA Technical Reports Server (NTRS)

1972-01-01

The following study objectives are covered: (1) identification of major laboratory equipment; (2) systems and operations analysis in support of the laboratory design; and (3) conceptual design of the comm/nav research laboratory.
Reliability Evaluation of Computer Systems

DTIC Science & Technology

1979-04-01

detection mechanisms. The model rrvided values for the system availa bility, mean time before failure (VITBF) , and the proportion of time that the 4 system...Stanford University Comm~iuter Science 311, (also Electrical Engineering 482), Advanced Computer Organization. Graduate course in computer architeture
Flooding and Clostridium difficile infection: a case-crossover analysis

EPA Science Inventory

Clostridium difficile is a bacterium that can spread by water. It often causes acute gastrointestinal illness in older adults who are hospttalized and/or receiving antibiotics; however, community associated infections affecting otherwise healthy individuals have become more comm...
Developing and Validating a Synthetic Teammate

DTIC Science & Technology

2010-01-31

reveals the stability of team coordination dynamics, the Hurst exponent , was also analyzed to determine if there was a coordination stability...difference between communication groups. An independent samples Mest on the average Hurst exponents across teams revealed that text-comm teams were, on
REFUSE OF FERMENTATION BRINES IN THE CUCUMBER PICKLING INDUSTRY

EPA Science Inventory

The project evaluated on a commercial scale the technological and economic feasibility of recycling spent cucumber fermentation brine. Two brine treatment procedures, heat treatment and chemical treatment, were used. The results showed that brine recycling was practical on a comm...
Essentials for sustainable urban transport in Brazil's large metropolitan areas.

DOT National Transportation Integrated Search

1996-08-01

This paper describes four main pillars for sound development and long-term sustainability of the urban transport sector in large metropolitan areas, and suggests how they can be introduced. These pillars are: a) a Regional Transport Coordination Comm...
Etude des phenomenes dynamiques ultrarapides et des caracteristiques impulsionnelles d'emission terahertz du supraconducteur YBCO

NASA Astrophysics Data System (ADS)

Savard, Stephane

Les premieres etudes d'antennes a base de supraconducteurs a haute temperature critique emettant une impulsion electromagnetique dont le contenu en frequence se situe dans le domaine terahertz remontent a 1996. Une antenne supraconductrice est formee d'un micro-pont d'une couche mince supraconductrice sur lequel un courant continu est applique. Un faisceau laser dans le visible est focalise sur le micro-pont et place le supraconducteur dans un etat hors-equilibre ou des paires sont brisees. Grace a la relaxation des quasiparticules en surplus et eventuellement de la reformation des paires supraconductrices, nous pouvons etudier la nature de la supraconductivite. L'analyse de la cinetique temporelle du champ electromagnetique emis par une telle antenne terahertz supraconductrice s'est averee utile pour decrire qualitativement les caracteristiques de celle-ci en fonction des parametres d'operation tels que le courant applique, la temperature et la puissance d'excitation. La comprehension de l'etat hors-equilibre est la cle pour comprendre le fonctionnement des antennes terahertz supraconductrices a haute temperature critique. Dans le but de comprendre ultimement cet etat hors-equilibre, nous avions besoin d'une methode et d'un modele pour extraire de facon plus systematique les proprietes intrinseques du materiau qui compose l'antenne terahertz a partir des caracteristiques d'emission de celle-ci. Nous avons developpe une procedure pour calibrer le spectrometre dans le domaine temporel en utilisant des antennes terahertz de GaAs bombarde aux protons H+ comme emetteur et detecteur. Une fois le montage calibre, nous y avons insere une antenne emettrice dipolaire de YBa 2Cu3O7-delta . Un modele avec des fonctions exponentielles de montee et de descente du signal est utilise pour lisser le spectre du champ electromagnetique de l'antenne de YBa 2Cu3O7-delta, ce qui nous permet d'extraire les proprietes intrinseques de ce dernier. Pour confirmer la validite du modele choisi, nous avons mesure les proprietes intrinseques du meme echantillon de YBa2Cu3O7- delta avec la technique pompe-visible et sonde-terahertz donnant, elle aussi, acces aux temps caracteristiques regissant l'evolution hors-equilibre de ce materiau. Dans le meilleur scenario, ces temps caracteristiques devraient correspondre a ceux evalues grace a la modelisation des antennes. Un bon controle des parametres de croissance des couches minces supraconductrices et de fabrication du dispositif nous a permis de realiser des antennes d'emission terahertz possedant d'excellentes caracteristiques en terme de largeur de bande d'emission (typiquement 3 THz) exploitables pour des applications de spectroscopie resolue dans le domaine temporel. Le modele developpe et retenu pour le lissage du spectre terahertz decrit bien les caracteristiques de l'antenne supraconductrice pour tous les parametres d'operation. Toutefois, le lien avec la technique pompe-sonde lors de la comparaison des proprietes intrinseques n'est pas direct malgre que les deux techniques montrent que le temps de relaxation des porteurs augmente pres de la temperature critique. Les donnees en pompe-sonde indiquent que la mesure du temps de relaxation depend de la frequence de la sonde, ce qui complique la correspondance des proprietes intrinseques entre les deux techniques. De meme, le temps de relaxation extrait a partir du spectre de l'antenne terahertz augmente en s'approchant de la temperature critique (T c) de YBa2Cu 3O7-delta. Le comportement en temperature du temps de relaxation correspond a une loi de puissance qui est fonction de l'inverse du gap supraconducteur avec un exposant 5 soit 1/Delta 5(T). Le travail presente dans cette these permet de mieux decrire les caracteristiques des antennes supraconductrices a haute temperature critique et de les relier aux proprietes intrinseques du materiau qui les compose. De plus, cette these presente les parametres a ajuster comme le courant applique, la puissance de la pompe, la temperature d'operation, etc, afin d'optimiser l'emission et les performances de ces antennes supraconductrices entre autres pour maximiser leur etendue en frequence dans une perspective d'application en spectroscopie terahertz. Cependant, plusieurs des resultats obtenus soulevent la difficulte de decrire l'etat hors-equilibre et la necessite de developper une theorie pour le supraconducteur YBa2 Cu3O7-delta
Une alternative au cobalt pour la synthese de nanotubes de carbone monoparoi par plasma inductif thermique

NASA Astrophysics Data System (ADS)

Carrier, Jean-Francois

Les nanotubes de carbone de type monoparoi (C-SWNT) sont une classe recente de nanomateriaux qui ont fait leur apparition en 1991. L'interet qu'on leur accorde provient des nombreuses proprietes d'avant-plan qu'ils possedent. Leur resistance mecanique serait des plus rigide, tout comme ils peuvent conduire l'electricite et la chaleur d'une maniere inegalee. Non moins, les C-SWNT promettent de devenir une nouvelle classe de plateforme moleculaire, en servant de site d'attache pour des groupements reactifs. Les promesses de ce type particulier de nanomateriau sont nombreuses, la question aujourd'hui est de comment les realiser. La technologie de synthese par plasma inductif thermique se situe avantageusement pour la qualite de ses produits, sa productivite et les faibles couts d'operation. Par contre, des recherches recentes ont permis de mettre en lumiere des risques d'expositions reliees a l'utilisation du cobalt, comme catalyseur de synthese; son elimination ou bien son remplacement est devenu une preoccupation importante. Quatre recettes alternatives ont ete mises a l'essai afin de trouver une alternative plus securitaire a la recette de base; un melange catalytique ternaire, compose de nickel, de cobalt et d'oxyde d'yttrium. La premiere consiste essentiellement a remplacer la proportion massique de cobalt par du nickel, qui etait deja present dans la recette de base. Les trois options suivantes contiennent de nouveaux catalyseurs, en remplacement au Co, qui sont apparus dans plusieurs recherches scientifiques au courant des dernieres annees: le dioxyde de zircone (ZrO2), dioxyde de manganese (MnO2) et le molybdene (Mo). La methode utilisee consiste a vaporiser la matiere premiere, sous forme solide, dans un reacteur plasma a haute frequence (3 MHz) a paroi refroidi. Apres le passage dans le plasma, le systeme traverse une section dite de "croissance", isolee thermiquement a l'aide de graphite, afin de maintenir une certaine plage de temperature favorable a la synthese de C-SWNT. Le produit final est par la suite recolte sur des filtres metalliques poreux, une fois le systeme mis a l'arret. Dans un premier temps, une analyse thermodynamique, calculee avec le logiciel Fact-Sage, a permis de mettre en lumiere l'etat des differentes produits et reactifs, tout au long de leur passage dans le systeme. Elle a permis de reveler la similitude de composition de la phase liquide du melange catalytique ternaire de base, avec celui du melange binaire, avec nickel et oxyde d'yttrium. Par la suite, une analyse du bilan d'energie, a l'aide d'un systeme d'acquisition de donnees, a permis de determiner que les conditions operatoires des cinq echantillons mis a l'essai etaient similaires. Au total, le produit final a ete caracterise a l'aide de six methodes de caracterisations differentes : l'analyse thermogravimetrique, la diffraction de rayons X, la microscopie electronique a balayage a haute resolution (HRSEM), la microscopie electronique a transmission (MET), la spectroscopie RAMAN, ainsi que la mesure de la surface specifique (BET). Les resultats de ces analyses ont permis de constater, de facon coherente, que le melange a base de molybdene etait celui qui produisait la moins bonne qualite de produit. Ensuite, en ordre croissant, s'en suivait du melange a base de MnO2 et de ZrO2. Le melange de reference, a base de cobalt, est au deuxieme rang en matiere de qualite. La palme revient au melange binaire, dont la proportion est double en nickel. Les resultats de ce travail de recherche permettent d'affirmer qu'il existe une alternative performante au cobalt pour effectuer la synthese de nanotubes de carbone monoparoi, par plasma inductif thermique. Cette alternative est l'utilisation d'un melange catalytique binaire a base de nickel et d'oxyde d'yttrium. Il est suggere que les performances plus faibles des recettes alternatives, moins performantes, pourraient etre expliquees par le profil thermique fixe du reacteur. Ceci pourrait favoriser certains melanges, au detriment des autres, qui possedent des proprietes thermodynamiques differentes. Le montage, l'equipement, ainsi que les parametres d'operations, pourraient etre modifies en fonction de ces catalyseurs afin d'optimiser la synthese. Mots cles : nanotubes de carbone mono paroi, plasma inductif thermique, cobalt, nickel, dioxyde de zirconium, dioxyde de manganese, molybdene, trioxyde d'yttrium et noir de carbone
Lignes directrices canadiennes sur l’utilisation sécuritaire et efficace des opioïdes pour la douleur chronique non cancéreuse

PubMed Central

Kahan, Meldon; Mailis-Gagnon, Angela; Wilson, Lynn; Srivastava, Anita

2011-01-01

Résumé Objectif Présenter aux médecins de famille un résumé clinique pratique des lignes directrices canadiennes sur l’utilisation sécuritaire et efficace des opioïdes pour la douleur chronique non cancéreuse, produites par le National Opioid Use Guideline Group. Qualité des données Pour produire les lignes directrices, les chercheurs ont effectué une synthèse critique de la littérature médicale sur l’efficacité et l’innocuité des opioïdes pour la douleur chronique non cancéreuse et ont rédigé une série de recommandations. Un panel de 49 cliniciens experts de toutes les régions du Canada ont passé en revue l’ébauche et ont atteint un consensus sur 24 recommandations. Message principal Il est recommandé de faire un dépistage du risque de dépendance avant de prescrire des opioïdes. On recommande des opioïdes faibles (codéine et tramadol) pour une douleur de légère à modérée qui n’a pas répondu aux traitements de première intention. On peut essayer l’oxycodone, l’hydromorphone et la morphine chez les patients qui n’ont pas eu de soulagement avec des opioïdes plus faibles. Une faible dose initiale et une lente hausse du titrage sont recommandées, ainsi qu’une étroite surveillance du patient qu’on a d’abord renseigné. Les médecins doivent surveiller l’apparition de complications comme l’apnée du sommeil. La dose optimale est celle qui améliore le fonctionnement ou atténue les cotes d’évaluation de la douleur d’au moins 30 %. Pour la grande majorité des patients, la dose optimale sera bien en deçà de l’équivalent de 200 mg de morphine par jour. On recommande le sevrage progressif pour les patients qui n’ont pas répondu à un essai d’opioïdes adéquat. Conclusion Les opioïdes jouent un rôle important dans la prise en charge de la douleur chronique non cancéreuse, mais il faut en prescrire avec prudence pour limiter les dommages potentiels. Les nouvelles lignes directrices canadiennes offrent des conseils dont les médecins avaient grand besoin pour les aider à en arriver à un juste équilibre entre le contrôle optimal de la douleur et la sécurité.
Recovery Plan for Laurel Wilt of Avocado

USDA-ARS?s Scientific Manuscript database

Laurel wilt kills American members of the Lauraceae plant family, including avocado (Persea americana). The disease threatens commercial avocado production in Florida, as well as the National Germplasm Repository for avocado in Miami (USDA-ARS). Elsewhere in the US, major (California) and minor comm...

GENERATING SOPHISTICATED SPATIAL SURROGATES USING THE MIMS SPATIAL ALLOCATOR

EPA Science Inventory

The Multimedia Integrated Modeling System (MIMS) Spatial Allocator is open-source software for generating spatial surrogates for emissions modeling, changing the map projection of Shapefiles, and performing other types of spatial allocation that does not require the use of a comm...
A comme... ("A" as in...).

ERIC Educational Resources Information Center

Foucher, Bernard; And Others

1981-01-01

Discusses the pedagogical implications, for a French class, of the following: (1) a puzzle-like game for text reconstruction; (2) use of gossip-column letters in advanced classes; (3) use of radio news and newspaper titles; and (4) classroom space utilization favoring spontaneous communication. (AMH)
CLIMATE IMPACTS ON REGIONAL WATER

EPA Science Inventory

The New England region (including the 6 New England
states plus upstate New York) offers a very diverse geography,
matched by an equally diverse economy and human
population. Livelihoods throughout the region are based
on service industries that depend heavily on comm...
Design of maintainable drains for earth retaining structures : final report and design guide.

DOT National Transportation Integrated Search

2017-04-01

Poor drainage is by far the most common cause of poor performance for earth retention systems. Poor performance includes burdensome serviceability problems that can progress to outright failure of the earth retention system if not addressed. : A comm...
Laccase-mediator catalyzed conversion of model lignin compounds

USDA-ARS?s Scientific Manuscript database

Identifying suitable reaction conditions remains an important task in the development of practical enzyme catalysts. Laccases play an important role in the biological break down of lignin and have great potential in the deconstruction of lignocellulosic feedstocks. We examined 16 laccases, both comm...
Mysterious quantum Cheshire cat: an illusion

NASA Astrophysics Data System (ADS)

Michielsen, K.; Lippert, Th.; De Raedt, H.

2015-09-01

We provide a mystery-free explanation for the experimentally observed facts in the neutron interferometry quantum Cheshire cat experiment of Denkmayr et al. [Nat. Comm. 5, 4492, 2014] in terms of a discrete-event simulation model, demonstrating that the quantum Cheshire cat is an illusion.
Health service utilisation amongst urban Aboriginal and Torres Strait Islander children aged younger than 5 years registered with a primary health-care service in South-East Queensland.

PubMed

Hall, Kerry K; Chang, Anne B; Anderson, Jennie; Arnold, Daniel; Otim, Michael; O'Grady, Kerry-Ann F

2018-06-01

The majority of Australia's Aboriginal and/or Torres Strait Islander children live in urban areas; however, little is known about their health service use. We aimed to describe health service utilisation amongst a cohort of urban Aboriginal and/or Torres Strait Islander children aged <5 years. We analysed health service utilisation data collected in an ongoing prospective cohort study of children aged <5 years registered with an Aboriginal-owned and operated primary health-care service. Enrolled children were followed monthly for 12 months, with data on health service utilisation collected at baseline and at each monthly follow-up. Health service utilisation rates, overall and by service provider and reason for presentation, were calculated and reported as incidence rates per 100 child-months with the corresponding 95% confidence intervals (CIs). Between February 2013 and November 2015, 180 children were enrolled, and 1541 child-months of observation were available for analysis. The overall incidence of health service utilisation was 52.5 per 100 child-months (95% CI 48.7-56.5); 81% of encounters were with general practitioners. Presentation rates were the highest for acute respiratory illnesses (30.7/100 child-months, 95% CI 27.8-33.9). In this community, acute respiratory illnesses are predominant causes of health service utilisation in young children. The health-care utilisation profile of these children presents important opportunities for health promotion and intervention. © 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
The experiences of culturally and linguistically diverse family caregivers in utilising dementia services in Australia

PubMed Central

2013-01-01

Background Older people from culturally and linguistically diverse groups are underrepresented in residential aged care but overrepresented in community aged care in Australia. However, little is known about culturally and linguistically diverse family caregivers in utilising dementia services in Australia because previous studies mainly focused on the majority cultural group. Experiences of caregivers from culturally and linguistically diverse groups who are eligible to utilise dementia services in Australia are needed in order to optimize the utilisation of dementia services for these caregivers. Methods The aim of the study was to explore the experiences of family caregivers from Chinese, Greek, Italian and Vietnamese groups in utilising dementia services. Gadamer's philosophical hermeneutics was used to interpret the experiences of the participants. Focus group discussions and in-depth individual interviews were used to collect data. Data collection was conducted over a six month period in 2011. In total, 46 family caregivers who were caring for 39 persons with dementia participated. Results Four themes were revealed: (1) negotiating services for the person with dementia; (2) the impact of acculturation on service utilisation; (3) the characteristics of satisfactory services; and (4) negative experiences in utilising services. The present study revealed that the participation of caregivers from culturally and linguistically diverse groups in planning and managing dementia services ranged markedly from limited participation to full participation. Conclusions The findings of this study suggest that caregivers from culturally and linguistically diverse groups need to be fully prepared so they can participate in the utilisation of dementia services available to them in Australia. PMID:24148155
The experiences of culturally and linguistically diverse family caregivers in utilising dementia services in Australia.

PubMed

Xiao, Lily Dongxia; De Bellis, Anita; Habel, Lesley; Kyriazopoulos, Helena

2013-10-22

Older people from culturally and linguistically diverse groups are underrepresented in residential aged care but overrepresented in community aged care in Australia. However, little is known about culturally and linguistically diverse family caregivers in utilising dementia services in Australia because previous studies mainly focused on the majority cultural group. Experiences of caregivers from culturally and linguistically diverse groups who are eligible to utilise dementia services in Australia are needed in order to optimize the utilisation of dementia services for these caregivers. The aim of the study was to explore the experiences of family caregivers from Chinese, Greek, Italian and Vietnamese groups in utilising dementia services. Gadamer's philosophical hermeneutics was used to interpret the experiences of the participants. Focus group discussions and in-depth individual interviews were used to collect data. Data collection was conducted over a six month period in 2011. In total, 46 family caregivers who were caring for 39 persons with dementia participated. Four themes were revealed: (1) negotiating services for the person with dementia; (2) the impact of acculturation on service utilisation; (3) the characteristics of satisfactory services; and (4) negative experiences in utilising services. The present study revealed that the participation of caregivers from culturally and linguistically diverse groups in planning and managing dementia services ranged markedly from limited participation to full participation. The findings of this study suggest that caregivers from culturally and linguistically diverse groups need to be fully prepared so they can participate in the utilisation of dementia services available to them in Australia.
A Riemann-Hilbert approach to asymptotic questions for orthogonal polynomials

NASA Astrophysics Data System (ADS)

Deift, P.; Kriecherbauer, T.; McLaughlin, K. T.-R.; Venakides, S.; Zhou, X.

2001-08-01

A few years ago the authors introduced a new approach to study asymptotic questions for orthogonal polynomials. In this paper we give an overview of our method and review the results which have been obtained in Deift et al. (Internat. Math. Res. Notices (1997) 759, Comm. Pure Appl. Math. 52 (1999) 1491, 1335), Deift (Orthogonal Polynomials and Random Matrices: A Riemann-Hilbert Approach, Courant Lecture Notes, Vol. 3, New York University, 1999), Kriecherbauer and McLaughlin (Internat. Math. Res. Notices (1999) 299) and Baik et al. (J. Amer. Math. Soc. 12 (1999) 1119). We mainly consider orthogonal polynomials with respect to weights on the real line which are either (1) Freud-type weights d[alpha](x)=e-Q(x) dx (Q polynomial or Q(x)=x[beta], [beta]>0), or (2) varying weights d[alpha]n(x)=e-nV(x) dx (V analytic, limx-->[infinity] V(x)/logx=[infinity]). We obtain Plancherel-Rotach-type asymptotics in the entire complex plane as well as asymptotic formulae with error estimates for the leading coefficients, for the recurrence coefficients, and for the zeros of the orthogonal polynomials. Our proof starts from an observation of Fokas et al. (Comm. Math. Phys. 142 (1991) 313) that the orthogonal polynomials can be determined as solutions of certain matrix valued Riemann-Hilbert problems. We analyze the Riemann-Hilbert problems by a steepest descent type method introduced by Deift and Zhou (Ann. Math. 137 (1993) 295) and further developed in Deift and Zhou (Comm. Pure Appl. Math. 48 (1995) 277) and Deift et al. (Proc. Nat. Acad. Sci. USA 95 (1998) 450). A crucial step in our analysis is the use of the well-known equilibrium measure which describes the asymptotic distribution of the zeros of the orthogonal polynomials.
Evaluation d’une grille de supervision des laboratoires des leishmanioses cutanées au Maroc

PubMed Central

El Mansouri, Bouchra; Amarir, Fatima; Hajli, Yamina; Fellah, Hajiba; Sebti, Faiza; Delouane, Bouchra; Sadak, Abderrahim; Adlaoui, El Bachir; Rhajaoui, Mohammed

2017-01-01

Introduction Afin d’évaluer une grille de contrôle standardisée de laboratoire de diagnostic des leishmanioses, comme nouveau outil de supervision. Méthodes Un essai pilote a été pratiqué sur sept laboratoires provinciaux, appartenant à quatre provinces au Maroc, en suivant l’évolution de leurs performances tous les deux ans, entre l’année 2006 et 2014. Cette étude détaille la situation des laboratoires provinciaux avant et après la mise en œuvre de la grille de supervision. Au total vingt et une grille sont analysées. Résultats En 2006, les résultats ont montré clairement une insuffisance des performances des laboratoires: besoin en formation (41.6%), personnel pratiquant le prélèvement cutané (25%), pénurie en matériels et réactifs (65%), gestions documentaire et local non conformes (85%). Différentes actions correctives ont été menées par le Laboratoire National de Référence des Leishmanioses (LNRL) durant la période d’étude. En 2014, le LNRL a enregistré une nette amélioration des performances des laboratoires. Les besoins en matière de formation, qualité du prélèvement, dotation en matériels et réactifs ont été comblés et une coordination efficace s’est établie entre le LNRL et les laboratoires provinciaux. Conclusion Ceci montre l'efficacité de la grille comme outil de supervision de grande qualité, et comme pierre angulaire de tout progrès qui doit être obtenu dans les programmes de lutte contre les leishmanioses. PMID:29187922
Improving Adherence to Smoking Cessation Treatment: Smoking Outcomes in a Web-based Randomized Trial.

PubMed

Graham, Amanda L; Papandonatos, George D; Cha, Sarah; Erar, Bahar; Amato, Michael S

2018-03-15

Partial adherence in Internet smoking cessation interventions presents treatment and evaluation challenges. Increasing adherence may improve outcomes. To present smoking outcomes from an Internet randomized trial of two strategies to encourage adherence to tobacco dependence treatment components: (i) a social network (SN) strategy to integrate smokers into an online community and (ii) free nicotine replacement therapy (NRT). In addition to intent-to-treat analyses, we used novel statistical methods to distinguish the impact of treatment assignment from treatment utilization. A total of 5,290 current smokers on a cessation website (WEB) were randomized to WEB, WEB + SN, WEB + NRT, or WEB + SN + NRT. The main outcome was 30-day point prevalence abstinence at 3 and 9 months post-randomization. Adherence measures included self-reported medication use (meds), and website metrics of skills training (sk) and community use (comm). Inverse Probability of Retention Weighting and Inverse Probability of Treatment Weighting jointly addressed dropout and treatment selection. Propensity weights were used to calculate Average Treatment effects on the Treated. Treatment assignment analyses showed no effects on abstinence for either adherence strategy. Abstinence rates were 25.7%-32.2% among participants that used all three treatment components (sk+comm +meds).Treatment utilization analyses revealed that among such participants, sk+comm+meds yielded large percentage point increases in 3-month abstinence rates over sk alone across arms: WEB = 20.6 (95% CI = 10.8, 30.4), WEB + SN = 19.2 (95% CI = 11.1, 27.3), WEB + NRT = 13.1 (95% CI = 4.1, 22.0), and WEB + SN + NRT = 20.0 (95% CI = 12.2, 27.7). Novel propensity weighting approaches can serve as a model for establishing efficacy of Internet interventions and yield important insights about mechanisms. NCT01544153.
Psychiatric history and psychologic adjustment as risk factors for aberrant drug-related behavior among patients with chronic pain.

PubMed

Wasan, Ajay D; Butler, Stephen F; Budman, Simon H; Benoit, Christine; Fernandez, Kathrine; Jamison, Robert N

2007-05-01

To investigate the role of psychiatric history and psychologic adjustment on aberrant drug-related behavior among patients prescribed opioids for noncancer pain. Two hundred twenty-eight patients prescribed opioids for chronic pain were classified as either high or low on psychiatric morbidity on the basis of their responses on the psychiatric subscale of the Prescription Drug Use Questionnaire (PDUQ). They also completed the Brief Pain Inventory (BPI), Screener and Opioid Assessment for Pain Patients (SOAPP), and the Current Medication Misuse Measure (COMM). Patients were followed for 5 months and submitted a urine toxicology screen, and their treating physician completed the Prescription Opioid Therapy Questionnaire (POTQ). On the basis of the results from the SOAPP, COMM, POTQ, and urine screens, patients were classified as positive or negative on the Drug Misuse Index (DMI). One hundred and three (N=103) of the patients (45%) were classified in the low psychiatric group (Low Psych) whereas 55% (N=125) were classified in the high psychiatric morbidity group (High Psych). High Psych patients were significantly younger than Low Psych patients and had been taking opioids longer (P<0.05). The High Psych group showed significantly higher SOAPP and COMM scores than the Low Psych patients (P<0.001), had a greater frequency of abnormal urine toxicology screens (P<0.01), and significantly higher scores on the DMI (P<0.001). A consistent association was found between psychiatric morbidity and prescription opioid misuse in chronic pain patients. Psychiatric factors, such as a history of mood disorder, psychologic problems, and psychosocial stressors, may place patients at risk for misuse of prescription opioids. Future studies to elucidate the risk of medication misuse and aberrant drug behavior among this patient population are needed.
Utilisation of a community-based health facility in a low-income urban community in Ibadan, Nigeria

PubMed Central

Asuzu, Michael C.

2015-01-01

Background Primary healthcare is established to ensure that people have access to health services through facilities located in their community. However, utilisation of health facilities in Nigeria remains low in many communities. Aim To assess the utilisation of community-based health facility (CBHF) amongst adults in Ibadan, Nigeria Settings A low-income community in Ibadan North West Local Government Area of Oyo State. Methods A cross-sectional survey was conducted using a simple random sampling technique to select one adult per household in all 586 houses in the community. A semi-structured interviewer-administered questionnaire was used to collect information on respondents' sociodemographic characteristics, knowledge and utilisation of the CBHF. Data analysis included descriptive statistics and association testing using the Chi-square test at p = 0.05. Results The mean age of the respondents was 46.5 ± 16.0 years; 46.0% were men and 81.0% married; 26% had no formal education and 38.0% had secondary-level education and above; traders constituted 52.0% of the sample; and 85.2% were of low socioeconomic standing; 90% had patronised the CBHF. The main reasons for non-utilisation were preference for general hospitals (13.8%) and self-medication (12.1%). Respondents who had secondary education and above, were in a higher socioeconomic class, who had good knowledge of the facility and were satisfied with care, utilised the CBHF three months significantly more than their counterparts prior to the study (p < 0.05). However, only satisfaction with care was found to be a significant predictor of utilisation of the CBHF. Conclusion The utilisation of the CBHF amongst adults in the study setting is high, driven mostly by satisfaction with the care received previously. Self-medication, promoted by uncontrolled access to drugs through pharmacies and patent medicine stores, threatens this high utilisation. PMID:26245600
Laurel wilt: A global threat to avocado production

USDA-ARS?s Scientific Manuscript database

Laurel wilt kills American members of the Lauraceae plant family, including avocado (Persea americana). The disease threatens commercial avocado production in Florida, as well as the National Germplasm Repository for avocado in Miami (USDA-ARS). Elsewhere in the US, major (California) and minor comm...
Role of the adverse outcome pathway framework in the validation of predictive biomarkers

EPA Science Inventory

Gene expression, enzyme activities, changes in endogenous metabolite or hormone titers, altered histology, etc. are widely used as biomarkers, but rarely, if ever, used for regulatory decision-making or to define management objectives. The disconnect between the measurements comm...
Evaluating Louisiana new deck continuity detail for precast prestressed concrete girder bridges : research project capsule.

DOT National Transportation Integrated Search

2014-08-01

The goal of everyone in the transportation community is to build bridges : that are economic, easy to construct, and durable. Therefore, accelerating : bridge construction through the use of precast concrete or prefabricated : steel girders is a comm...
A Simplified Ecological Footprint At A Regional Scale

EPA Science Inventory

We calculated an Ecological Footprint Analysis (EFA) at a regional scale. EFA captures the human impact on the environmental system by identifying the amount of biologically productive land necessary to support a person’s level of consumption and waste generation. EFA is a comm...
A comme... (A as in...).

ERIC Educational Resources Information Center

Helouber, J. A.; And Others

1979-01-01

The four parts in this section present: (1) an advertisement based on the literary style of Emile Zola; (2) exercises designed to practice expressions of similarity and difference; (3) the transcript of a discussion on the problem of swamps; and (4) variations on the shopkeeper-customer dialogue. (AM)
Technical Communications in Urban Operations (Les communications techniques en operations urbaines)

DTIC Science & Technology

2010-09-01

SCUTI – Scuola Trasmissioni ed Informatica dell’Esercito Italiano Via dei Genieri, 287, 00143-Roma Cecchignola Email: Mario.DiStefano@selex...comms.com Lt. Fabrizio LAMBIASE SCUTI – Scuola Trasmissioni ed Informatica dell’Esercito Italiano Via dei Genieri, 287, 00143 Roma Cecchignola

A comme... (A as in...).

ERIC Educational Resources Information Center

Rolle, Rosalba; And Others

1981-01-01

Contains five articles concerning: (1) exploitation of commercials to enhance comprehension and oral/written expression; (2) a game involving matching picture and text in advertisements; (3) a vocabulary-development game used in teacher training; (4) comprehension and analysis of literary texts in intermediate classes; and (5) techniques for…
The Isprs Benchmark on Indoor Modelling

NASA Astrophysics Data System (ADS)

Khoshelham, K.; Díaz Vilariño, L.; Peter, M.; Kang, Z.; Acharya, D.

2017-09-01

Automated generation of 3D indoor models from point cloud data has been a topic of intensive research in recent years. While results on various datasets have been reported in literature, a comparison of the performance of different methods has not been possible due to the lack of benchmark datasets and a common evaluation framework. The ISPRS benchmark on indoor modelling aims to address this issue by providing a public benchmark dataset and an evaluation framework for performance comparison of indoor modelling methods. In this paper, we present the benchmark dataset comprising several point clouds of indoor environments captured by different sensors. We also discuss the evaluation and comparison of indoor modelling methods based on manually created reference models and appropriate quality evaluation criteria. The benchmark dataset is available for download at: http://www2.isprs.org/commissions/comm4/wg5/benchmark-on-indoor-modelling.html.
DOE Office of Scientific and Technical Information (OSTI.GOV)

Katti, Amogh; Di Fatta, Giuseppe; Naughton, Thomas

Future extreme-scale high-performance computing systems will be required to work under frequent component failures. The MPI Forum s User Level Failure Mitigation proposal has introduced an operation, MPI Comm shrink, to synchronize the alive processes on the list of failed processes, so that applications can continue to execute even in the presence of failures by adopting algorithm-based fault tolerance techniques. This MPI Comm shrink operation requires a failure detection and consensus algorithm. This paper presents three novel failure detection and consensus algorithms using Gossiping. The proposed algorithms were implemented and tested using the Extreme-scale Simulator. The results show that inmore » all algorithms the number of Gossip cycles to achieve global consensus scales logarithmically with system size. The second algorithm also shows better scalability in terms of memory and network bandwidth usage and a perfect synchronization in achieving global consensus. The third approach is a three-phase distributed failure detection and consensus algorithm and provides consistency guarantees even in very large and extreme-scale systems while at the same time being memory and bandwidth efficient.« less
Diffraction des neutrons : principe, dispositifs expérimentaux et applications

NASA Astrophysics Data System (ADS)

Muller, C.

2003-02-01

La diffraction de neutrons, sur monocristal ou sur échantillon polycristallin (ou poudre), est une technique très largement utilisée, en science des matériaux comme en biologie, lorsque l'on souhaite déterminer la structure cristalline d'un composé ou d'une molécule. Toutefois, le degré de précision de la détermination structurale est très corrélé au choix de l'instrument utilisé. Il s'en suit que la question “comment choisir l'instrument le mieux adapté au composé et à la problématique ?" apparaît comme fondamentale. L'objectif de ce cours est de tenter de répondre à cette question en décrivant brièvement les caractéristiques instrumentales de différents diffractomètres, en exposant les avantages spécifiques des expériences de diffraction de neutrons et en donnant quelques exemples d'application.
The clinical obesity maintenance model: an integration of psychological constructs including mood, emotional regulation, disordered overeating, habitual cluster behaviours, health literacy and cognitive function.

PubMed

Raman, Jayanthi; Smith, Evelyn; Hay, Phillipa

2013-01-01

Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM). It is argued that psychological variables, that of habitual cluster Behaviors, emotional dysregulation, mood, and health literacy, interact with executive functioning and impact on the overeating/binge eating behaviors of obese individuals. Second, cognizant of this model, it is argued that the focus of obesity management should be extended to include a broader range of maintaining mechanisms, including but not limited to cognitive deficits. Finally, a discussion on potential future directions in research and practice using the COMM is provided.
Nutrient utilisation and particulate organic matter changes during summer in the upper mixed layer (Ross Sea, Antarctica)

NASA Astrophysics Data System (ADS)

Catalano, G.; Povero, P.; Fabiano, M.; Benedetti, F.; Goffart, A.

1997-01-01

The relationships among vertical stability, estimated nutrient utilisation and particulate organic matter in the Ross Sea are analysed from data collected during two cruises in the summers of 1987-1988 and 1989-1990. In the upper mixed layer (UML), identified through the vertical stability E( Z(UML)), nutrient consumption is calculated as the difference between the "diluted" nutrient value and the mean calculated from the integrated value in the UML. The nutrient utilisation ratio and E( Z(UML)) are linearly related for E( Z(UML))≤25, whereas for values > 25, the distribution pattern is more scattered and independent of E( Z(UML)). For E( Z(UML))≥25, utilisation values were ≥4, 0.4 and 10 mmol m -3 for nitrate, phosphate and silicate, respectively. Significant relationships between nutrient depletion and both particulate organic carbon (POC) and particulate protein/particulate carbohydrate ratios (PPRT/PCHO) are found. The analysis of particulate matter distribution vs nutrient utilisation shows that the stations could be divided into two groups having different characteristics. The first group includes coastal stations, where high nutrient utilisation, POC and PPRT/PCHO are typical of areas with high production. In the second group (pelagic stations), nutrient utilisation, POC and PPRT/PCHO are lower. The vertical stability can be used to discriminate among the factors that influence primary production.
Social determinants of dental health services utilisation of Greek adults.

PubMed

Pavi, E; Karampli, E; Zavras, D; Dardavesis, T; Kyriopoulos, J

2010-09-01

To identify the determinants of dental care utilisation among Greek adults, with a particular emphasis on socio-economic determinants. Data were collected through a national survey on health and health care services utilisation of a sample of 4,003 Greek adults stratified by geographic region, age and gender. A purpose made questionnaire was used during face-to-face interviews. A 2-stage model was developed to assess the impact of independent variables on dental utilisation likelihood and frequency. 39.6% (1,562) of Greek adults reported having visited a dentist within the last year. Among dental attenders, 32.6% reported prevention as the reason for visit. Statistically significant differences in dental care utilisation were observed in relation to demographic, socioeconomic and lifestyle factors. Logistic regression analysis showed that gender, age, income, education, place of residence, private insurance coverage and self-rated oral health are important determinants of dental services utilisation. Mean number of dental visits within previous year was 1.6. Results from Poisson regression analysis indicated that lower income level correlates to lower number of dental visits, while having visited for treatment (rather than for prevention) correlated to higher number of dental visits. Greek adults do not exhibit satisfactory dental visiting behaviour. Extent of care sought is associated with need for treatment rather than preventive reasons. The findings confirm the existence of socioeconomic inequalities in dental services utilisation among Greek adults.
Utilization of physiotherapy in the continuum of stroke care at a tertiary hospital in Ibadan, Nigeria.

PubMed

Olaleye, Olubukola Adebisi; Lawal, Zainab Iyabo

2017-03-01

To investigate the pattern of referral for and utilisation of physiotherapy in the continuum of stroke care at a tertiary hospital in Ibadan, Nigeria. Referral notes and medical records of patients admitted in the University College Hospital, Ibadan with a clinical diagnosis of stroke between January, 2009 and December, 2013 were retrospectively reviewed. Information on age, sex, type of stroke, length of hospital stay, referral for physiotherapy and utilisation of physiotherapy were retrieved. Data were summarised using descriptive statistics and analysed using Chi-square test. A total of 783 patients with stroke were admitted in the hospital during the period under study. The in-patient mortality rate was 37.2%. The mean Length of Hospital Stay (LoHS) was 16.17±12.34 days. Referral rate for physiotherapy was high (75.8%) and the mean time from admission to referral for physiotherapy was three days. Majority of patients referred utilised physiotherapy (63.4%) and mean number of physiotherapy sessions received during in-patient care was 8.69±6.45. There was a significant association between LoHS and utilisation of in-patientphysiotherapy (p=0.02). The referral rate of stroke patients for physiotherapy was relatively high. Utilisation of in-patient physiotherapy reduced length of hospital stay among patients with stroke. Utilisation of out-patient physiotherapy was low. Strategies to enhance out-patient utilisation should be explored.
Factors associated with postnatal care utilisation in Rwanda: A secondary analysis of 2010 Demographic and Health Survey data.

PubMed

Rwabufigiri, Bernard N; Mukamurigo, Judith; Thomson, Dana R; Hedt-Gautier, Bethany L; Semasaka, Jean Paul S

2016-05-31

Postnatal care (PNC) in the first seven days is important for preventing morbidity and mortality in mothers and new-borns. Sub-Saharan African countries, which account for 62 % of maternal deaths globally, have made major efforts to increase PNC utilisation, but utilisation rates remains low even in countries like Rwanda where PNC services are universally available for free. This study identifies key socio-economic and demographic factors associated with PNC utilisation in Rwanda to inform improved PNC policies and programs. This is a secondary analysis of the 2010 Demographic and Health Survey, a national multi-stage, cross-sectional survey. In bivariate analysis, we used chi-square tests to identify demographic and socio-economic factors associated with PNC utilisation at α = 0.1. Pearson's R statistic (r > 0.5) was used to identify collinear covariates, and to choose which covariate was more strongly associated with PNC utilisation. Manual backward stepwise logistic regression was performed on the remaining covariates to identify key factors associated with PNC utilisation at α = 0.05. All analyses were performed in Stata 13 adjusting for sampling weights, clustering, and stratification. Of the 2,748 women with a live birth in the last two years who answered question about PNC utilisation, 353 (12.8 %) returned for PNC services within seven days after birth. Three factors were positively associated with PNC use: delivering at a health facility (OR: 2.97; 95 % CI: 2.28-3.87), being married but not involved with one's own health care decision-making (OR: 1.69; 95 % CI: 1.17, 2.44) compared to being married and involved; and being in the second (OR: 1.46; 95 % CI: 1.01-2.09) or richest wealth quintile (OR: 2.04; 95 % CI: 1.27-3.29) compared to the poorest. Mother's older age at delivery was negatively associated with PNC use (20-29 - OR: 0.51, 95 % CI: 0.29-0.87; 30-39 - OR: 0.47, 95 % CI: 0.27-0.83; 40-49 - OR: 0.32, 95 % CI: 0.16-0.64). Low PNC utilisation in Rwanda appears to be a universal problem though older age and poverty are further barriers to PNC utilisation. A recent change in the provision of BCG vaccination to new-borns might promote widespread PNC utilisation. We further recommend targeted campaigns to older mothers and poorest mothers, focusing on perceptions of health system quality, cultural beliefs, and pregnancy risks.
Contextual and individual factors associated with dental services utilisation by Brazilian adults: A multilevel analysis

PubMed Central

2018-01-01

Background Inequalities in the utilisation of dental services in Brazil are remarkable. The aim of this study was to evaluate the association of contextual and individual factors with the utilisation of dental services by Brazilian adults using the Andersen’s behavioural model. Methods Individual-level data from 27,017 adults residents in the State capitals who were interviewed in the 2013 Brazilian National Health Survey were pooled with contextual city-level data. The outcomes were non-utilisation of dental services and last dental visit over 12 months ago. Individual predisposing variables were age, sex, race/skin colour, schooling and social network. Individual enabling variables included income, health insurance and registration in primary health care. Individual need variables were self-perceived dental health and self-reported missing teeth. Multilevel logistic regression models were performed to estimate odds ratio (OR) and 95% confidence intervals (95% CIs) of the association of contextual and individual predisposing, enabling and need-related variables with dental services outcomes. Results Predisposing (OR = 0.89; 95% CI 0.81–0.97) and enabling (OR = 0.90; 95% CI 0.85–0.96) contextual factors were associated with non-utilisation of dental services. Individual predisposing (sex, race/skin colour, schooling), enabling (income, health insurance) and need (self-perceived oral health, missing teeth) were associated with non-utilisation of dental services and last dental visit over 12 months ago. The latter was also associated with other individual predisposing (age, social network) and need (eating difficulties due to oral problems) characteristics. Conclusions Individual and contextual determinants influenced dental services utilisation in Brazilian adults. These factors should be on the policy agenda and considered in the organisation of health services aiming to reduce oral health inequalities related to access and utilisation of dental services. PMID:29420660
Contextual and individual factors associated with dental services utilisation by Brazilian adults: A multilevel analysis.

PubMed

Herkrath, Fernando José; Vettore, Mario Vianna; Werneck, Guilherme Loureiro

2018-01-01

Inequalities in the utilisation of dental services in Brazil are remarkable. The aim of this study was to evaluate the association of contextual and individual factors with the utilisation of dental services by Brazilian adults using the Andersen's behavioural model. Individual-level data from 27,017 adults residents in the State capitals who were interviewed in the 2013 Brazilian National Health Survey were pooled with contextual city-level data. The outcomes were non-utilisation of dental services and last dental visit over 12 months ago. Individual predisposing variables were age, sex, race/skin colour, schooling and social network. Individual enabling variables included income, health insurance and registration in primary health care. Individual need variables were self-perceived dental health and self-reported missing teeth. Multilevel logistic regression models were performed to estimate odds ratio (OR) and 95% confidence intervals (95% CIs) of the association of contextual and individual predisposing, enabling and need-related variables with dental services outcomes. Predisposing (OR = 0.89; 95% CI 0.81-0.97) and enabling (OR = 0.90; 95% CI 0.85-0.96) contextual factors were associated with non-utilisation of dental services. Individual predisposing (sex, race/skin colour, schooling), enabling (income, health insurance) and need (self-perceived oral health, missing teeth) were associated with non-utilisation of dental services and last dental visit over 12 months ago. The latter was also associated with other individual predisposing (age, social network) and need (eating difficulties due to oral problems) characteristics. Individual and contextual determinants influenced dental services utilisation in Brazilian adults. These factors should be on the policy agenda and considered in the organisation of health services aiming to reduce oral health inequalities related to access and utilisation of dental services.
Inequalities in utilisation of general practitioner and specialist services in 9 European countries.

PubMed

Stirbu, Irina; Kunst, Anton E; Mielck, Andreas; Mackenbach, Johan P

2011-10-31

The aim of this study is to describe the magnitude of educational inequalities in utilisation of general practitioner (GP) and specialist services in 9 European countries. In addition to West European countries, we have included 3 Eastern European countries: Hungary, Estonia and Latvia. To cover the gap in knowledge we pay a special attention to the magnitude of inequalities among patients with chronic conditions. Data on the use of GP and specialist services were derived from national health surveys of Belgium, Estonia, France, Germany, Hungary, Ireland, Latvia, the Netherlands and Norway. For each country and education level we calculated the absolute prevalence and relative inequalities in utilisation of GP and specialist services. In order to account for the need for care, the results were adjusted by the measure of self-assessed health. People with lower education used GP services equally often in most countries (except Belgium and Germany) compared with those with a higher level of education. At the same time people with a higher education used specialist care services significantly more often in all countries, except in the Netherlands. The general pattern of educational inequalities in utilisation of specialist care was similar for both men and women. Inequalities in utilisation of specialist care were equally large in Eastern European and in Western European countries, except for Latvia where the inequalities were somewhat larger. Similarly, large inequalities were found in the utilisation of specialist care among patients with chronic diseases, diabetes, and hypertension. We found large inequalities in the utilisation of specialist care. These inequalities were not compensated by utilisation of GP services. Of particular concern is the presence of inequalities among patients with a high need for specialist care, such as those with chronic diseases. © 2011 Stirbu et al; licensee BioMed Central Ltd.
Next Generation Sequencing: A useful tool for detection of sugarcane viruses in quarantine programs

USDA-ARS?s Scientific Manuscript database

The international exchange of sugarcane germplasm includes the risk of introducing potentially devastating pathogens that may threaten production. The USDA-APHIS Plant Germplasm Quarantine Program (PGQP) imports and tests sugarcane accessions that are used in research, variety development, and comme...
"Going the Extra Mile in Downscaling: Why Downscaling is not jut "Plug-and-Play"

EPA Science Inventory

This presentation provides an example of doing additional work for preprocessing global climate model data for use in regional climate modeling simulations with the Weather Research and Forecasting (WRF) model. In this presentation, results from 15 months of downscaling the Comm...
Risk and safety in the transport sector : a state-of-the-art review of current knowledge

DOT National Transportation Integrated Search

2003-01-01

This publication provides a summary of the different knowledge reviews. The objective of the publication is to give researchers an insight into the problem areas and to demonstrate the level of knowledge in different central areas. The programme comm...
77 FR 2342 - Fifth Meeting: RTCA, Next Gen Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-17

... University, Florida NextGen Test Bed, 557 Innovation Way, Daytona Beach, FL 32114. FOR FURTHER INFORMATION... Capabilities to Identified Metroplexes--a recommendation derived from a mapping of integrated capabilities to... specific capabilities. Lunch Break Review and Approve Recommendations for Submission to FAA DataComm...
Partial Ordering and Stochastic Resonance in Discrete Memoryless Channels

DTIC Science & Technology

2012-05-01

Methods for Underwater Wireless Sensor Networks”, which is to analyze and develop noncoherent communication methods at the physical layer for target...Capacity Behavior for Simple Models of Optical Fiber Communication,” 8 th International conf. on Communications, COMM 2010, Bucharest, pp.1-6, July 2010
Cardiovascular responses to millet pounding activity among women in a rural community in Northeastern Nigeria.

PubMed

Oyeyemi, Adetoyeje Y; Jajimaji, Fati; Oyeyemi, Adewale L; Jabbo, Abdul-Hameed A

2017-01-01

Pounding food items in a wooden mortal is a common home chore in many communities in African and Asian countries. However, no empirical data exist on energy expenditure during this activity, and whether the activity can be considered a light, moderate, or vigorous intensity physical activity is unknown. This study was aimed at gaining insights into energy expenditure during millet pounding through cardiovascular responses to millet pounding activity, and to explore possible differences in response between women who pound millet as their occupation (habitual millet pounders) and those who pound millet only for their own home cooking but not as a job (nonhabitual pounders). A total of forty apparently healthy women performed millet pounding activity in standing position for 15 min durations, and their cardiovascular parameters including heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressures (DBPs), and rated perceived exertion (RPE) at rest, and immediately after pounding activity were assessed. Significant increases in the subjects' cardiovascular parameters in the range of 7-12, 1-5, and 19-21 point values above the resting levels for SBP, DBP, and HR, respectively, were observed. Significantly higher SBP was also observed for the habitual pounders than the values for the nonhabitual pounders, whereas RPE was significantly higher for the nonhabitual pounders than for the habitual pounders in response to pounding. This study suggests that millet pounding substantially stresses the cardiovascular system sufficiently to place the activity within the moderate intensity category. Further studies on energy cost of this house chore, using instrumentation that is capable of direct measure of oxygen consumption, is warranted. Résumé Contexte: Le fait de battre des aliments dans un mortier en bois est une corvée à domicile fréquente dans de nombreuses communautés des pays d'Afrique et d'Asie. cependant, Il n'existe pas de données empiriques sur la dépense énergétique au cours de cette activité et si l'activité peut être considérée comme une activité légère, modérée ou vigoureuse Intensité est inconnue. Objectif: La présente étude visait à mieux comprendre les dépenses énergétiques au cours de la Les réponses cardiovasculaires à l'activité battue du mil, et d'explorer les différences possibles dans la réponse entre les femmes qui pound millet comme leur (Millet pounders habituels) et ceux qui pound millet seulement pour leur propre cuisine à la maison, mais pas comme un emploi (pounders nonhabituel). Méthodes: Un total de quarante femmes apparemment saines ont effectué une activité de pilage du mil en position debout pendant 15 min de durée, et leurs Les paramètres cardiovasculaires, y compris la fréquence cardiaque (FC), la pression artérielle systolique (PAS) et les pressions artérielles diastoliques (PAD) (RPE) au repos, et immédiatement après l'activité de pilonnage ont été évalués. Résultats: Augmentation significative des taux de On a observé des paramètres situés dans la plage des valeurs de 7-12, 1-5 et 19-21 points au-dessus des niveaux de repos pour la PAS, la PAD et la HR respectivement. On a également observé une PAS significativement plus élevée pour les pounders habituels que pour les pounders non habituels, alors que la PPE était Significativement plus élevé pour les pounders non habituels que pour les pounders habituels en réponse à pounding. Cette étude suggère Que le broyage du millet souligne sensiblement suffisamment le système cardiovasculaire pour placer l'activité dans la catégorie d'intensité modérée. D'autres études sur le coût de l'énergie de cette corvée maison, en utilisant une instrumentation qui est capable de mesure directe de la consommation d'oxygène, est justifiée.
Utilisation of joint movement range in arboreal primates compared with human subjects: an evolutionary frame for primary osteoarthritis.

PubMed Central

Alexander, C J

1994-01-01

OBJECTIVE--To determine whether an arboreal lifestyle required full use of movement ranges underutilised in nine joint groups in humans, because under-utilisation of available movement range may be associated with susceptibility to primary osteoarthritis. METHODS--Utilisation of the nine joint groups was studied in two species of primate exercising in a simulated arboreal environment, using 'focal animal' observation techniques supplemented by telephoto photography and by review of archival material from other sources. Fifteen apes were observed over a total observation period of 20.2 man-hours and 152 films were analysed for utilisation of movement range. RESULTS--With one exception, all the movement ranges reported to be under-utilised in humans were fully utilised by the apes in climbing activities. The exception, metacarpophalangeal extension, was an essential component of the chimpanzee ground progression mode of knuckle walking. CONCLUSIONS--The underused movement range in several human joints is explicable as residual capacity from a semiarboreal lifestyle. If the correlation with primary osteoarthritis is confirmed, it suggests that the disease may reflect a disparity between inherited capacity and current need. The significance of the result lies in its implication that primary osteoarthritis may be preventable. Images PMID:7826133
Utilisation of joint movement range in arboreal primates compared with human subjects: an evolutionary frame for primary osteoarthritis.

PubMed

Alexander, C J

1994-11-01

To determine whether an arboreal lifestyle required full use of movement ranges underutilised in nine joint groups in humans, because under-utilisation of available movement range may be associated with susceptibility to primary osteoarthritis. Utilisation of the nine joint groups was studied in two species of primate exercising in a simulated arboreal environment, using 'focal animal' observation techniques supplemented by telephoto photography and by review of archival material from other sources. Fifteen apes were observed over a total observation period of 20.2 man-hours and 152 films were analysed for utilisation of movement range. With one exception, all the movement ranges reported to be under-utilised in humans were fully utilised by the apes in climbing activities. The exception, metacarpophalangeal extension, was an essential component of the chimpanzee ground progression mode of knuckle walking. The underused movement range in several human joints is explicable as residual capacity from a semiarboreal lifestyle. If the correlation with primary osteoarthritis is confirmed, it suggests that the disease may reflect a disparity between inherited capacity and current need. The significance of the result lies in its implication that primary osteoarthritis may be preventable.

Interactions between electrons, mesoscopic Josephson effect and asymmetric current fluctuations

NASA Astrophysics Data System (ADS)

Huard, B.

2006-07-01

This article discusses three experiments on the properties of electronic transport at the mesoscopic scale. The first one allowed to measure the energy exchange rate between electrons in a metal contaminated by a very weak concentration of magnetic impurities. The role played by magnetic impurities in the Kondo regime on those energy exchanges is quantitatively investigated, and the global measured exchange rate is larger than expected. The second experiment is a measurement of the current-phase relation in a system made of two superconductors linked through a single atom. We thus provide quantitative support for the recent description of the mesoscopic Josephson effect. The last experiment is a measurement of the asymmetry of the current fluctuations in a mesoscopic conductor, using a Josephson junction as a threshold detector. Cet ouvrage décrit trois expériences portant sur les propriétés du transport électronique à l'échelle mésoscopique. La première a permis de mesurer le taux d'échange d'énergie entre électrons dans un métal contenant une très faible concentration d'impuretés magnétiques. Nous avons validé la description quantitative du rôle des impuretés magnétiques dans le régime Kondo sur ces échanges énergétiques et aussi montré que le taux global d'échange est plus fort que prévu. La seconde expérience est une mesure de la relation courant-phase dans un système constitué de deux supraconducteurs couplés par un seul atome. Elle nous a permis de conforter quantitativement la récente description de l'effet Josephson mésoscopique. La dernière expérience est unemesure de l'asymétrie des fluctuations du courant dans un conducteur mésoscopique en utilisant une Jonction Josephson comme détecteur de seuil.
Des ballons pour demain

NASA Astrophysics Data System (ADS)

Régipa, R.

A partir d'une théorie sur la détermination des formes et des contraintes globales d'un ballon de révolution, ou s'en rapprochant, une nouvelle famille de ballons a été définie. Les ballons actuels, dits de ``forme naturelle'', sont calculés en général pour une tension circonférencielle nulle. Ainsi, pour une mission donnée, la tension longitudinale et la forme de l'enveloppe sont strictement imposées. Les ballons de la nouvelle génération sont globalement cylindriques et leurs pôles sont réunis par un câble axial, chargé de transmettre une partie des efforts depuis le crochet (pôle inférieur), directement au pôle supérieur. De plus, la zone latérale cylindrique est soumise à un faible champ de tensions circonférencielles. Ainsi, deux paramètres permettent de faire évoluer la distribution des tensions et la forme de l'enveloppe: - la tension du câble de liaison entre pôles (ou la longueur de ce câble) - la tension circonférencielle moyenne désirée (ou le rayon du ballon). On peut donc calculer et réaliser: - soit des ballons de forme adaptée, comme les ballons à fond plat pour le bon fonctionnement des montgolfières infrarouge (projet MIR); - soit des ballons optimisés pour une bonne répartition des contraintes et une meilleure utilisation des matériaux d'enveloppe, pour l'ensemble des programmes stratosphériques. Il s'ensuit une économie sensible des coûts de fabrication, une fiabilité accrue du fonctionnement de ces ballons et une rendement opérationnel bien supérieur, permettant entre autres, d'envisager des vols à très haute altitude en matériaux très légers.
Nouvelle approche à la prise en charge des condylomes

PubMed Central

Lopaschuk, Catharine C.

2013-01-01

Résumé Objectif Faire le résumé des anciens et des nouveaux moyens de traitement des verrues génitales ou condylomes et déterminer comment les utiliser de manière appropriée. Sources des données Une recherche documentaire a été effectuée dans les bases de données suivantes: MEDLINE, PubMed, EMBASE, base de données des synthèses systématiques et registre central des études contrôlées de la Collaboration Cochrane (en anglais), ACP Journal Club et Trip. Les bibliographies des articles extraits ont aussi été examinées. Les études cliniques, les articles de révision qualitative, les rapports consensuels et les guides de pratique clinique ont été retenus. Message principal Les verrues symptomatiques sont présentes chez au moins 1 % des personnes âgées entre 15 et 49 ans et on estime que jusqu’à 50 % des gens sont infectés par le virus du papillome humain à un moment donné de leur vie. L’imiquimod et la podophyllotoxine sont 2 nouveaux traitements pour les verrues génitales externes qui sont moins douloureux et peuvent être appliqués par les patients à la maison. De plus, il a été démontré que le vaccin quadrivalent contre le virus du papillome humain est efficace pour prévenir les condylomes et le cancer du col. Les plus anciennes méthodes thérapeutiques ont aussi leur place dans certaines situations, comme les verrues intravaginales, urétrales, anales ou récalcitrantes ou encore pour les patientes enceintes. Conclusion Les nouveaux traitements des verrues génitales externes peuvent réduire la douleur causée par la thérapie et le nombre de visites au cabinet. Les autres méthodes thérapeutiques demeurent utiles dans certaines situations.
Lait humain provenant d’une banque de dons ou acheté en ligne?

PubMed Central

St-Onge, Maude; Chaudhry, Shahnaz; Koren, Gideon

2015-01-01

Résumé Question Une de mes patientes m’a demandé si elle pourrait se procurer du lait humain par Internet pour allaiter son nourrisson s’il le fallait. L’usage de lait humain provenant d’une banque de dons est-il plus sécuritaire que son achat en ligne? Réponse L’Organisation mondiale de la Santé et l’American Academy of Pediatrics recommandent d’utiliser des dons de lait humain comme choix à privilégier lorsque le lait maternel n’est pas disponible. Cependant, la Société canadienne de pédiatrie n’approuve pas le partage de lait humain non traité. Le lait humain entreposé dans les banques de lait diffère de celui qu’on peut se procurer par Internet en raison du processus rigoureux de sélection des donneuses, des fréquentes inspections de la qualité, des procédés de transport règlementés et du processus de pasteurisation conforme aux directives établies par l’Agence canadienne d’inspection des aliments. La plupart des échantillons achetés en ligne contiennent des bactéries à gram négatif ou comptent au total plus de 104 unités formant colonies de bactéries aérobiques par millilitre; ils renferment aussi en moyenne au décompte total plus de bactéries aérobiques, de bactéries à gram négatif, de coliformes et de Staphylococcus spp que les échantillons des banques de lait. La croissance de la plupart des espèces de bactéries est associée au nombre de jours en transit, ce qui porte à croire que les conditions de collecte, d’entreposage et de transport sont médiocres pour le lait acheté en ligne.
CONTAMINANT SENSITIVITY OF THREATENED AND ENDANGERED FISHES COMPARED TO STANDARD SURROGATE SPECIES

EPA Science Inventory

Section 7 of the Endangered Species Act requires Federal agencies to insure that any action authorized, funded or carried out by them is not likely to jeopardize the continued existence of listed species or modify their critical habitat. The wide use of pesticides and other comm...
Start with the seed: Native crops, indigenous knowledge, and community seed systems prerequisites for food sovereignty

USDA-ARS?s Scientific Manuscript database

The dynamic conservation and sustainable utilization of native crop genetic resources are crucial for food sovereignty of Native American communities. Indigenous knowledge of crop diversity when linked to food traditions, local practices and social norms provide the basis for building sovereign comm...
Essential oils as fumigants for bed bugs (Hemiptera: Cimicidae)

USDA-ARS?s Scientific Manuscript database

In Petri dish assays, fumigation of a pyrethroid-susceptible strain of bed bugs Cimex lectularius L. (Hemiptera: Cimicidae) with various essential oils resulted in mortality that approached or equaled 100%, after 5 days. However, when bed bugs were exposed to the same essential oils in sealed, comme...
Dietary Arsenic Toxicity in Subadult Rainbow Trout: Growth Effects, Nutrient Absorption, and Tissue Bioaccumulation

EPA Science Inventory

Dietary arsenic toxicity in subadult (~200 g.) rainbow trout was evaluated in a 70 day test using arsenic-spiked pellet diets containing 50, 104 and 162 ppm arsenite. All organisms in all treatments survived the exposure. Dose dependent effects on percent weight gain, with comm...
THE DISTRIBUTION, SOLID-PHASE SPECIATION, AND DESORPTION/DISSOLUTION OF AS IN IRON-BASED DRINKING WATER TREATMENT MEDIA 1

EPA Science Inventory

Arsenic concentrations (Total Recoverable As by EPA Method 3051, soluble, Toxicity Characteristic Leaching Procedure extractable) and solid-phase speciation (by X-ray Absorption Near-Edge Spectroscopy-XANES) were assessed as a function of depth through Fe-media beds for two comme...
La politique scientifique comme mise en espace-temps de la recherche= Science Policy as Placed in the Space-Time Relationship of Research.

ERIC Educational Resources Information Center

Turmel, Andre

1986-01-01

The language used by scientists to discuss their work and the social logic underlying scientific research is examined, and viewed from the perspective and as an extension of the space-time continuum that scientists study. (Author/MSE)
Disease evaluations and agronomic traits of advanced peanut breeding lines in 2017

USDA-ARS?s Scientific Manuscript database

Disease evaluations of advanced peanut breeding lines are conducted annually to compare the agronomic traits (crop value, yield, seed grade and characteristics) and disease resistance in cultivars that are currently available or close to being released for the Southwest. In 2017, a total of 19 comm...
Using NMR-based metabolomics to monitor the biochemical composition of agricultural soils: a pilot study

USDA-ARS?s Scientific Manuscript database

NMR-based metabolomics plays a major role studying complex living systems. However, very few studies describe the application of this technique to the evaluation of soil metabolome. Here, we introduce a protocol for analyzing the biochemical compounds from agricultural soils where the microbial comm...
State of Alaska

Science.gov Websites

Alaska Railroad Alaska Maps Alaska Travel Safety Information Alaska Fish and Game Alaska Facts & Month Services How Do I? Education Health Jobs Safety How Do I? Apply for a Permanent Fund Dividend File Information More Dept. of Commerce, Comm... More Dept. of Labor & Workforce Dev. Safety 511 - Traveler
Heat Stress in Feedlot Cattle.

USDA-ARS?s Scientific Manuscript database

The objective of this study was to determine if supplementing the diet of near-finished beef cattle with a yeast product would mitigate the negative impact of a controlled HS on the physiological and endocrine responses. Crossbred beef heifers (n=111; BW=281.07 kg) were divided into 2 pens in a comm...
Differential iron distribution in seeds of two closely related legume species

USDA-ARS?s Scientific Manuscript database

The World Health Organization states that the lack of micronutrients such as zinc and iron represents a major threat to the health and development of populations around the world. Iron deficiency affects over 2 billion people, in particular children and pregnant women in developing countries. A comm...
Landscape corridors can increase invasion by an exotic species and reduce diversity of native species

USDA-ARS?s Scientific Manuscript database

Although corridors have become commonplace in conservation to mitigate negative effects of habitat fragmentation, concerns persist that they may facilitate spread of invasive species. In a large-scale experiment, we measured effects of corridors on invasive fire ants, Solenopsis invicta, and on comm...
Selective oxidation of lignin model compounds – a combinatorial application of the laccase-mediator system

USDA-ARS?s Scientific Manuscript database

Identifying suitable reaction conditions remains an important task in the development of practical enzyme catalysts. Laccases play an important role in the biological break down of lignin and have great potential in the deconstruction of lignocellulosic feedstocks. We examined 16 laccases, both comm...
Effect of new auxin herbicide formulations on control of herbicide resistant weeds and on microbial activities in the rhizosphere

USDA-ARS?s Scientific Manuscript database

Widespread distribution of glyphosate-resistant weeds in soybean-growing areas across Mississippi has economically affected soybean planting and follow-up crop management operations. New multiple herbicide-resistant crop (including soybean) technologies with associated formulations will soon be comm...
THE DISTRIBUTION, SOLID-PHASE SPECIATION, AND DESORPTION/DISSOLUTION OF AS IN IRON-BASED DRINKING WATER TREATMENT MEDIA - JOURNAL

EPA Science Inventory

Arsenic concentrations (Total Recoverable As by EPA Method 3051, soluble, Toxicity Characteristic Leaching Procedure extractable) and solid-phase speciation (by X-ray Absorption Near-Edge Spectroscopy-XANES) were assessed as a function of depth through Fe-media beds for two comme...
SciComm: No One Expects the Game of Twenty Questions!

USDA-ARS?s Scientific Manuscript database

Scientific communication requires knowing your audience and understanding how to converse with them in a way that is natural and mutually respectful. This can be especially difficult when talking about controversial subjects such as climate change. However, these topics are often some of the most im...

77 FR 74181 - Notice of Commission Staff Attendance

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-13

... Commission's staff may attend the following meeting related to the transmission planning activities of ISO... information, see: http://www.iso-ne.com/committees/comm_wkgrps/index.html The discussions at the meeting described above may address matters at issue in the following proceedings: Docket No. ER13-193-000, ISO New...
Next-Generation Bioacoustic Analysis Software

DTIC Science & Technology

2015-09-30

estimated to miss 38% of sperm whales that are on a ship’s trackline ( Barlow and Rankin 2004), and more at greater distances from the trackline. Other...scanning (J. Barlow , pers. comm). Acoustic methods, in contrast to visual ones, function well in darkness, fog, high sea states, and other inclement
THE SUPERFUND INNOVATIVE TECHNOLOGY EVALUATION PROGRAM: PROGRESS AND ACCOMPLISHMENTS - FISCAL YEAR 1990 A FOURTH REPORT TO CONGRESS

EPA Science Inventory

The SITE Program was the first major program for demonstrating and evaluating fullscale innovative treatment technologies at hazardous waste sites. Having concluded its fourth year, the SITE Program is recognized as a leading advocate of innovative technology development and comm...
Late blight-resistant tuber-bearing Solanum species in field and laboratory trials

USDA-ARS?s Scientific Manuscript database

Late blight, caused by Phytophthora infestans, is the most disastrous and widespread disease of potato. One of the most effective means of controlling late blight is through the use of resistant cultivars, but newly developed resistant cultivars often lose their resistance after a few years of comm...
Freeze tolerance of perennial ryegrass and implications for future species distribution.

USDA-ARS?s Scientific Manuscript database

Winter hardiness is one of the factors limiting the use of the palatable and productive cool-season forage grass Lolium perenne L, perennial ryegrass, in the northeastern United States. We performed a screening study to compare freeze tolerance, one component of winter hardiness, among thirteen comm...
The Influence of Human and Environmental Exposure Factors on Personal NO2 Exposures

EPA Science Inventory

The US Environmental Protection Agency’s (US EPA) Detroit Exposure and Aerosol Research Study (DEARS) deployed a total of over 2000 nitrogen dioxide, NO₂, passive monitors during 3 years of field data collections. These 24-h based personal, residential outdoor and comm...
Buyers Guide: Communications Software--Overview; Ratings Digest; Reviews; Benchmarks.

ERIC Educational Resources Information Center

Lockwood, Russ; And Others

1988-01-01

Contains articles which review communications software. Includes "Crosstalk Mark 4,""ProComm,""Freeway Advanced,""Windows InTalk,""Relay Silver," and "Smartcom III." Compares in terms of text proprietary, MCI upload, Test ASCII, Spreadsheet Proprietary, Text XMODEM, Spreadsheet XMODEM, MCI Download, Documentation, Support and Service, ease of use,…
OPTIMIZATION OF HIGH-SPEED GC/TOFMS FOR METHOD TO-14 ANALYSIS

EPA Science Inventory

A fast GC/MS system (FGCMS) consisting of a high-speed gas chromatograph equipped with a narrow bandwidth injection accessory and a time-of-flight mass spectrometer detector is being optimized for analysis of Method TO-14 target compounds. The system consists entirely of comm...
The Image of Public Relations in Mass Comm Texts.

ERIC Educational Resources Information Center

Cline, Carolyn

1982-01-01

Compared public relations sections in 12 introductory mass communication texts and found a confusion about the relationship of advertising and public relations, a lack of historical background, and an antipublic relations stance. Journal available from Communication Research Associates, 7100 Baltimore Blvd., Suite 500, College Park, MD 20740; sc…
Evaluation of vaccine competition using HVT vector vaccines

USDA-ARS?s Scientific Manuscript database

Turkey herpesvirus (HVT) has been widely used as a vaccine for Marek’s disease (MD) since the 1970s. Because HVT is a safe vaccine that is poorly sensitive to interference from maternally derived antibodies, it has seen rising use as a vector for vaccines developed for protection against other comm...
The smartphone in the memory clinic: A study of patient and care partner's utilisation habits.

PubMed

Benge, Jared F; Dinh, Kara L; Logue, Erin; Phenis, Richard; Dasse, Michelle N; Scullin, Michael K

2018-04-16

Smartphones have potential as cognitive aids for adults with cognitive impairments. However, little is known about how patients and their care partners utilise smartphones in their day-to-day lives. We collected self-reported smartphone utilisation data from patients referred for neuropsychological evaluations (N = 53), their care partners (N = 44), and an Amazon Mechanical Turk control sample (N = 204). Patient participants were less likely to own a smartphone than controls, with increasing age associated with less utilisation of smartphone features in all groups. Of the patients who owned smartphones, spontaneous use of cognitive aid features (e.g., reminders and calendars) occurred on only a monthly-to-weekly basis; by comparison, patients reported utilising social/general features (e.g., email and internet) on a weekly-to-daily basis. Individuals referred for geriatric cognitive disorder evaluations were less likely to own and use smartphones than individuals referred for other reasons. Care partners reported using their smartphones more frequently than control group adults, with 55% of care partners endorsing utilising their device in caring for the patient. Building upon existing smartphone use habits to increase the use of cognitive aid features may be a feasible intervention for some patients, and including care partners in such interventions is encouraged.
Socioeconomic inequalities in health care utilisation in Norway: the population-based HUNT3 survey.

PubMed

Vikum, Eirik; Krokstad, Steinar; Westin, Steinar

2012-08-22

In this study we investigated the distribution of self-reported health care utilisation by education and household income in a county population in Norway, in a universal public health care system based on ideals of equal access for all according to need, and not according to wealth. The study included 24,147 women and 20,608 men aged 20 years and above in the third Nord-Trøndelag Health Survey (HUNT 3) of 2006-2008. Income-related horizontal inequity was estimated through concentration indexes, and inequity by both education and income was estimated as risk ratios through conventional regression. We found no overall pro-rich or pro-educated socioeconomic gradient in needs-adjusted utilisation of general practitioner or inpatient care. However, we found overall pro-rich and pro-educated inequity in utilisation of both private medical specialists and hospital outpatient care. For these services there were large differences in levels of inequity between younger and older men and women. In contrast with recent studies from Norway, we found pro-rich and pro-educated social inequalities in utilisation of hospital outpatient services and not only private medical specialists. Utilisation of general practitioner and inpatient services, which have low access threshold or are free of charge, we found to be equitable.
Impact of Nutritional Status and Sleep Quality on Hospital Utilisation in the Oldest Old with Heart Failure.

PubMed

Selan, S; Hellström, A; Fagerström, C

2016-02-01

To describe three-year trends in nutritional status and sleep quality and their impact on hospital utilisation in the oldest old (80 +) with heart failure (HF). Single-centred longitudinal observational study. South-eastern Sweden. 90 elderly (80+) with objectively verified HF. Baseline data from the Mini Nutritional Assessment (MNA) and on sleep quality were collected through structured interviews following the HF diagnosis (n=90) and at a three-year follow-up (n=41). Data on hospital utilisation during the three years following the HF diagnosis were also collected. Nineteen percent of the participants were found to have impaired nutritional status, a condition that increased hospital utilisation by four bed days per year. A majority (85%) had impaired sleep quality, but no impact on hospital utilisation was found. Nutritional status and sleep quality were stable over the three-year period. In the oldest old with HF, impaired nutritional status and impaired sleep quality are already common at HF diagnosis. Impaired nutritional status increases hospital utilisation significantly. Therefore, it is of supreme importance to systematically evaluate nutritional status and sleep quality in the oldest old when they are diagnosed with HF, as well as to take action if impairments are present.
Trends of CT utilisation in an emergency department in Taiwan: a 5-year retrospective study

PubMed Central

Hu, Sung-Yuan; Hsieh, Ming-Shun; Lin, Meng-Yu; Hsu, Chiann-Yi; Lin, Tzu-Chieh; How, Chorng-Kuang; Wang, Chen-Yu; Tsai, Jeffrey Che-Hung; Wu, Yu-Hui; Chang, Yan-Zin

2016-01-01

Objectives To investigate the association between the trends of CT utilisation in an emergency department (ED) and changes in clinical imaging practice and patients' disposition. Setting A hospital-based retrospective observational study of a public 1520-bed referral medical centre in Taiwan. Participants Adult ED visits (aged ≥18 years) during 2009–2013, with or without receiving CT, were enrolled as the study participants. Main outcome measures For all enrolled ED visits, we retrospectively analysed: (1) demographic characteristics, (2) triage categories, (3) whether CT was performed and the type of CT scan, (4) further ED disposition, (5) ED cost and (6) ED length of stay. Results In all, 269 239 adult ED visits (148 613 male patients and 120 626 female patients) were collected during the 5-year study period, comprising 38 609 CT scans. CT utilisation increased from 11.10% in 2009 to 17.70% in 2013 (trend test, p<0.001). Four in 5 types of CT scan (head, chest, abdomen and miscellaneous) were increasingly utilised during the study period. Also, CT was increasingly ordered annually in all age groups. Although ED CT utilisation rates increased markedly, the annual ED visits did not actually increase. Moreover, the subsequent admission rate, after receiving ED CT, declined (59.9% in 2009 to 48.2% in 2013). Conclusions ED CT utilisation rates increased significantly during 2009–2013. Emergency physicians may be using CT for non-emergent studies in the ED. Further investigation is needed to determine whether increasing CT utilisation is efficient and cost-effective. PMID:27279477
COPD: Health Care Utilisation Patterns with Different Disease Management Interventions.

PubMed

Luk, Edwin K; Hutchinson, Anastasia F; Tacey, Mark; Irving, Louis; Khan, Fary

2017-08-01

The management of COPD is a significant and costly issue worldwide, with acute healthcare utilisation consisting of admissions and outpatient attendances being a major contributor to the cost. Pulmonary rehabilitation (PR) and integrated disease management (IDM) are often offered. Whilst there is strong evidence of physical and quality of life outcomes following IDM and PR, few studies have looked into healthcare utilisation. The aims of this study were to confirm whether IDM and PR reduce acute healthcare utilisation and to identify factors which contribute to acute health care utilisation or increased mortality. This was a retrospective cohort study of patients with COPD who were referred to IDM over a 10-year period. Patients were also offered an 8-week PR program. Data collected were matched with the hospital dataset to obtain information on inpatient, ED and outpatient attendances. 517 patients were enrolled to IDM. 315 (61%) also commenced PR and 220 (43%) completed PR. Patients who were referred to PR were younger and had less comorbidities (p < 0.001). Both groups (IDM only and IDM + PR referred) had reductions in healthcare utilisation but the IDM-only group had greater reductions. A survival benefit (HR 0.68, 95% CI 0.50-0.92) was seen in those who were PR completers compared to patients who received IDM only. Patients with COPD who successfully complete PR in addition to participating in IDM have improved survival. IDM alone was effective in the reduction of healthcare utilisation; however, the addition of PR did not reduce healthcare usage further.
Estimation of an optimal chemotherapy utilisation rate for cancer: setting an evidence-based benchmark for quality cancer care.

PubMed

Jacob, S A; Ng, W L; Do, V

2015-02-01

There is wide variation in the proportion of newly diagnosed cancer patients who receive chemotherapy, indicating the need for a benchmark rate of chemotherapy utilisation. This study describes an evidence-based model that estimates the proportion of new cancer patients in whom chemotherapy is indicated at least once (defined as the optimal chemotherapy utilisation rate). The optimal chemotherapy utilisation rate can act as a benchmark for measuring and improving the quality of care. Models of optimal chemotherapy utilisation were constructed for each cancer site based on indications for chemotherapy identified from evidence-based treatment guidelines. Data on the proportion of patient- and tumour-related attributes for which chemotherapy was indicated were obtained, using population-based data where possible. Treatment indications and epidemiological data were merged to calculate the optimal chemotherapy utilisation rate. Monte Carlo simulations and sensitivity analyses were used to assess the effect of controversial chemotherapy indications and variations in epidemiological data on our model. Chemotherapy is indicated at least once in 49.1% (95% confidence interval 48.8-49.6%) of all new cancer patients in Australia. The optimal chemotherapy utilisation rates for individual tumour sites ranged from a low of 13% in thyroid cancers to a high of 94% in myeloma. The optimal chemotherapy utilisation rate can serve as a benchmark for planning chemotherapy services on a population basis. The model can be used to evaluate service delivery by comparing the benchmark rate with patterns of care data. The overall estimate for other countries can be obtained by substituting the relevant distribution of cancer types. It can also be used to predict future chemotherapy workload and can be easily modified to take into account future changes in cancer incidence, presentation stage or chemotherapy indications. Copyright © 2014 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
Evaluation de l'intergiciel de communication DDS pour son utilisation dans le domaine avionique

NASA Astrophysics Data System (ADS)

Levesque-Landry, Kevin

Les aeronefs modernes doivent combler de plus en plus de fonctionnalites afin de satisfaire les besoins de la clientele. De ce fait, les besoins en communications des systemes avioniques sont grandissants. De plus, la portabilite et la reutilisabilite des applications sont des defis d'actualite dans le domaine avionique. De ce fait, ce projet de recherche vise a faire une evaluation de la technologie d'intergiciel de service de distribution de donnees (DDS) pour son utilisation dans le domaine avionique. Cette technologie permettrait de reduire la complexite des communications et faciliter la portabilite et reutilisabilite des applications grâce a son interface standardisee. Dans ce projet de recherche, la norme DDS est tout d'abord etudiee pour cibler les fonctionnalites qui sont utiles au domaine avionique. Les differentes polices de qualite de services sont ainsi etudiees et denotent la flexibilite de la technologie DDS. Un intergiciel DDS est egalement evalue dans un environnement de laboratoire afin de mesurer l'impact de l'utilisation de cette technologie sur les performances de latence ainsi que sur l'utilisation de la bande passante. Les resultats montrent une faible augmentation de la latence moyenne lorsque l'intergiciel DDS est utilise. L'intergiciel DDS est egalement utilise dans une etude de cas avec un AFCS (automatic flight control system) afin de quantifier les effets de son utilisation sur une application avionique. Les resultats montrent que l'utilisation de l'intergiciel DDS n'empeche pas l'AFCS d'atteindre la stabilite, mais qu'elle ralentit l'atteinte de cette derniere. Finalement, une etude de cas est effectuee afin de valider que la technologie DDS peut etre utilisee pour construire des systemes redondants. Les resultats montrent que l'intergiciel DDS permet de faire de la redondance de reserve sans avoir un impact visible sur les performances du systeme redondant.
Communiquer en milieu interculturel (Communicating in an Intercultural Environment).

ERIC Educational Resources Information Center

Yanaprasart, Patchareerat, Ed.

2002-01-01

The articles, written in French, in this issue refer to research and intercultural practices with regard to confrontational situations between two or more cultural systems. The titles are as follows: "La culture universitaire comme culture en soi" (The University Culture as a Culture in Its Own Right) (Aline Gohard-Radenkovic);…
Federal Regulations Needing Amendment to Stimulate the Production and Introduction of Electric/Solar Vehicles: A Report to Congress January 1990

DOT National Transportation Integrated Search

1990-01-01

The purpose of this report is to inform the Congress of: 1. the regulations in place which affect electric vehicles EVs) and solar powered vehicles (SPVs), 2. existing regulations which are barriers to EV and SPV production and introduction into comm...
A Study of Bancroftian Filariasis on the Islands of Batan and Rapu Rapu, Philippines

DTIC Science & Technology

1988-06-01

difficult duefrom which cases of elephantiasis were to the mountainous terrain and absence of reported to have originated (pers. comm. Division of Disease...iis in each village exhibited elephantiasis . The local people attributed the cause to walking were infective with third-stage larvae, and in cool

Performance-Enhancing Materials for Future Generation Explosives and Propellants

DTIC Science & Technology

2012-05-25

Benzimidazoles and Oxazolo[4,5-b]pyridines under Solvent-Free Conditions," Cat. Comm., 2007, 8, 1865-1870. Zhang, Z.H., Li, T.S., Li, J.J. "A Highly...Effective Sulfamic Acid/Methanol Catalytic System for the Synthesis of Benzimidazole Derivatives at Room Temperature," Monat, fur Chem., 2007, 138, 89-94
Emerging Patterns in the Global Defense Industry

DTIC Science & Technology

2011-04-30

vehicles developed for reconnaissance, or both reconnaissance and strike. We also attempt to place the rapid growth of UAVs in the U.S. inventory ...ORIGINS • Late 90s: S ecial n u p Operatio s Comm nity interested in man-portable UAV • FY 98-02 Military Operations in Urban Terrain ACTD
78 FR 57921 - Municipal Mortgage & Equity LLC, Prolink Holdings Corp., RPM Technologies, Inc., SARS Corp...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-20

... SECURITIES AND EXCHANGE COMMISSION [File No. 500-1] Municipal Mortgage & Equity LLC, Prolink Holdings Corp., RPM Technologies, Inc., SARS Corp., Secured Digital Storage Corp., Siboney Corp., SiriCOMM... securities of SARS Corp. because it has not filed any periodic reports since the period ended June 30, 2008...
Intentionally Short-Range Communications (ISRC) Exploratory Development Plan

DTIC Science & Technology

1992-06-01

range voice communication links. In the 1980s , NOSC developed a short-range, 2400-bps, computer-to-computer link for the USMC (UV Communications, or UV...Communication Links," Proc. Tact. Comm. Conf. 1, 60. Hislop , A. R. 1982. "A Head-Worn 60 GHz Communicator for Short Range Applications." NOSC TN 1153
Population biology of Verticillium dahliae isolates from lettuce in the Sallinas Valley of Californis.

USDA-ARS?s Scientific Manuscript database

Verticillium dahliae is a soil borne fungus and the primary causal agent of Verticillium wilt, which affects many crops worldwide. Many crops grown in the Salinas Valley (SV) of California, including strawberry and lettuce (Lactuca sativa), are susceptible to V. dahliae and severe outbreaks are comm...
Assessment of soybean breeding lines for resistance to Phomopsis seed decay from field trials in Stoneville, Mississippi

USDA-ARS?s Scientific Manuscript database

Phomopsis seed decay (PSD) is one of the most important seed diseases in soybean. A fungal pathogen, Phomopsis longicolla (syn. Diaporthe longicolla), is the primary causal agent of PSD. Planting PSD-resistant soybean cultivars is the most effective strategy to manage this disease. However, few comm...
76 FR 50051 - Endangered and Threatened Wildlife and Plants; Listing Six Foreign Birds as Endangered Throughout...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-11

... final rule. In some cases, it has been indicated in the citations by ``personal communication'' (pers. comm.), which could indicate either an e-mail or telephone conversation; while in other cases, the... of different plants throughout the season. (2) Comment: One peer reviewer stated that grouse...
PROLONGED FLOODING DECREASED STEM DENSITY, TREE SIZE AND SHIFTED COMPOSITION TOWARDS CLONAL SPECIES IN A CENTRAL FLORIDA HARDWOOD SWAMP

EPA Science Inventory

Human modifications of the landscape often cause changes in regional hydrology that, in turn, can result in the alteration of wetland hydrology. Altering hydrology can lead to hydroperiods that have prolonged or insufficient hydration, which can often cause changes in plant comm...
An Assessment of Potential Mining Impacts on Salmon Ecosystems of Bristol Bay, Alaska (Second External Review Draft)

EPA Science Inventory

[UPDATE] In March 2014, EPA released a response to public comments on the second draft document, "An Assessment of the Potential Mining Impacts on Salmon Ecosystems of Bristol Bay, Alaska" (see downloads). In Jan 2014, EPA released a response to peer review comme...
European Scientific Notes. Volume 36, Number 5,

DTIC Science & Technology

1982-05-31

Comm. 33, 151 11980]). buildings used by the 27,000 students and the Comparison of-i- i rime’a "esults with Mie 1,400 faculty members however, are...be done by excellent facilities, coaching , public support, and con- tinuous competition. In that country, the gaps NEW ABORTION DRUG between men’s and
Cold plasma inactivates salmonella on grape tomatoes in a commercial PET plastic container without affecting quality

USDA-ARS?s Scientific Manuscript database

Introduction: The number of outbreaks of foodborne illnesses associated with the consumption of fresh tomatoes has increased. Little research has been conducted on the effects of direct treatment of cold plasma (CP) on the microbial decontamination and preservation of bulk tomatoes packaged in comme...
The Mass Comm Type: Student Personality Traits, Motivations, and the Choice between News and Strategic Communication Majors

ERIC Educational Resources Information Center

Crawford, Elizabeth Crisp; Fudge, Julie; Hubbard, Glenn T.; Filak, Vincent F.

2013-01-01

A study of news media and strategic communication majors (n = 273) revealed differences in regard to personality indices and impetuses for selecting to pursue degrees. Showing overall agreement in the importance of openness, agreeableness, and conscientiousness, strategic communication students were significantly higher in their ratings of…
The Antiaircraft Journal. Volume 92, Number 5, September-October 1949

DTIC Science & Technology

1949-10-01

philosophical reflections on the subject of po’werand those to whom it should be entrusted. Recall the words of much-studied Machiavelli , than whom...Leavenworth. Kan. Rauch. A. R, Comm. of Basic Phys. Sc.• Res. & Dev. Board, Pentagon. \\Vash. 25. D. C. Rawls . J. W., Jr.. AFF Liaison Off.. Boeing Aircraft
Les phenomenes migratoires et l'urbanisation comme objet d'enseignement: La Mauritanie (The Phenomena of Migration and Urbanization as Subjects of Instruction: Mauritania).

ERIC Educational Resources Information Center

Fahem, Abdel Kader

1993-01-01

Outlines the recent social history of Mauritania, focusing on the effects of sedentarization and rapid urbanization on a primarily nomadic people. Offers an instructional approach for teaching young people about these social phenomena, highlighting particular cognitive and attitudinal objectives. (DMM)
Rôle modeste du citrate comme transporteur d'acétyl-CoA chez l'animal vivant.

PubMed

Rous, S

1971-02-09

2,4-(14) C-Citrate incorporated to a far greater extent than 1,5-(14) C-citrate into liver, carcass or adipose tissue fatty acids of living mice. This finding excludes the possibility that the acetyl units emerge from the mitochondria in the form of citrate.
Science and Society

ScienceCinema

None

2017-12-09

Dans une pÃ©riode d'un mois, 2me confÃ©rence sur le contrÃ´le d'armes. Le confÃ©rencier Drell, amÃ©ricain, parle comme son collÃ¨gue Worden (AUDIO-1985-005) des problÃ¨mes de dÃ©fense stratÃ©gique.
Epidemic failure detection and consensus for extreme parallelism

DOE PAGES

Katti, Amogh; Di Fatta, Giuseppe; Naughton, Thomas; ...

2017-02-01

Future extreme-scale high-performance computing systems will be required to work under frequent component failures. The MPI Forum s User Level Failure Mitigation proposal has introduced an operation, MPI Comm shrink, to synchronize the alive processes on the list of failed processes, so that applications can continue to execute even in the presence of failures by adopting algorithm-based fault tolerance techniques. This MPI Comm shrink operation requires a failure detection and consensus algorithm. This paper presents three novel failure detection and consensus algorithms using Gossiping. The proposed algorithms were implemented and tested using the Extreme-scale Simulator. The results show that inmore » all algorithms the number of Gossip cycles to achieve global consensus scales logarithmically with system size. The second algorithm also shows better scalability in terms of memory and network bandwidth usage and a perfect synchronization in achieving global consensus. The third approach is a three-phase distributed failure detection and consensus algorithm and provides consistency guarantees even in very large and extreme-scale systems while at the same time being memory and bandwidth efficient.« less
Improved sugar co-utilisation by encapsulation of a recombinant Saccharomyces cerevisiae strain in alginate-chitosan capsules

PubMed Central

2014-01-01

Background Two major hurdles for successful production of second-generation bioethanol are the presence of inhibitory compounds in lignocellulosic media, and the fact that Saccharomyces cerevisiae cannot naturally utilise pentoses. There are recombinant yeast strains that address both of these issues, but co-utilisation of glucose and xylose is still an issue that needs to be resolved. A non-recombinant way to increase yeast tolerance to hydrolysates is by encapsulation of the yeast. This can be explained by concentration gradients occuring in the cell pellet inside the capsule. In the current study, we hypothesised that encapsulation might also lead to improved simultaneous utilisation of hexoses and pentoses because of such sugar concentration gradients. Results In silico simulations of encapsulated yeast showed that the presence of concentration gradients of inhibitors can explain the improved inhibitor tolerance of encapsulated yeast. Simulations also showed pronounced concentration gradients of sugars, which resulted in simultaneous xylose and glucose consumption and a steady state xylose consumption rate up to 220-fold higher than that found in suspension culture. To validate the results experimentally, a xylose-utilising S. cerevisiae strain, CEN.PK XXX, was constructed and encapsulated in semi-permeable alginate-chitosan liquid core gel capsules. In defined media, encapsulation not only increased the tolerance of the yeast to inhibitors, but also promoted simultaneous utilisation of glucose and xylose. Encapsulation of the yeast resulted in consumption of at least 50% more xylose compared with suspended cells over 96-hour fermentations in medium containing both sugars. The higher consumption of xylose led to final ethanol titres that were approximately 15% higher. In an inhibitory dilute acid spruce hydrolysate, freely suspended yeast cells consumed the sugars in a sequential manner after a long lag phase, whereas no lag phase was observed for the encapsulated yeast, and glucose, mannose, galactose and xylose were utilised in parallel from the beginning of the cultivation. Conclusions Encapsulation of xylose-fermenting S. cerevisiae leads to improved simultaneous and efficient utilisation of several sugars, which are utilised sequentially by suspended cells. The greatest improvement is obtained in inhibitory media. These findings show that encapsulation is a promising option for production of second-generation bioethanol. PMID:25050138
Trends of CT utilisation in an emergency department in Taiwan: a 5-year retrospective study.

PubMed

Hu, Sung-Yuan; Hsieh, Ming-Shun; Lin, Meng-Yu; Hsu, Chiann-Yi; Lin, Tzu-Chieh; How, Chorng-Kuang; Wang, Chen-Yu; Tsai, Jeffrey Che-Hung; Wu, Yu-Hui; Chang, Yan-Zin

2016-06-08

To investigate the association between the trends of CT utilisation in an emergency department (ED) and changes in clinical imaging practice and patients' disposition. A hospital-based retrospective observational study of a public 1520-bed referral medical centre in Taiwan. Adult ED visits (aged ≥18 years) during 2009-2013, with or without receiving CT, were enrolled as the study participants. For all enrolled ED visits, we retrospectively analysed: (1) demographic characteristics, (2) triage categories, (3) whether CT was performed and the type of CT scan, (4) further ED disposition, (5) ED cost and (6) ED length of stay. In all, 269 239 adult ED visits (148 613 male patients and 120 626 female patients) were collected during the 5-year study period, comprising 38 609 CT scans. CT utilisation increased from 11.10% in 2009 to 17.70% in 2013 (trend test, p<0.001). Four in 5 types of CT scan (head, chest, abdomen and miscellaneous) were increasingly utilised during the study period. Also, CT was increasingly ordered annually in all age groups. Although ED CT utilisation rates increased markedly, the annual ED visits did not actually increase. Moreover, the subsequent admission rate, after receiving ED CT, declined (59.9% in 2009 to 48.2% in 2013). ED CT utilisation rates increased significantly during 2009-2013. Emergency physicians may be using CT for non-emergent studies in the ED. Further investigation is needed to determine whether increasing CT utilisation is efficient and cost-effective. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Determinants of utilisation differences for cancer medicines in Belgium, Scotland and Sweden.

PubMed

Ferrario, Alessandra

2017-12-01

Little comparative evidence is available on utilisation of cancer medicines in different countries and its determinants. The aim of this study was to develop a statistical model to test the correlation between utilisation and possible determinants in selected European countries. A sample of 31 medicines for cancer treatment that obtained EU-wide marketing authorisation between 2000 and 2012 was selected. Annual data on medicines' utilisation covering the in- and out-patient public sectors were obtained from national authorities between 2008 and 2013. Possible determinants of utilisation were extracted from HTA reports and complemented by contacts with key informants. A longitudinal mixed effect model was fitted to test possible determinants of medicines utilisation in Belgium, Scotland and Sweden. In the all-country model, the number of indications reimbursed positively correlated with increased consumption of medicines [one indication 2.6, 95% CI (1.8-3.6); two indications 2.4, 95% CI (1.4-4.3); three indications 4.9, 95% CI (2.2-10.9); all P < 0.01], years since EU-wide marketing authorisation [1.2, 95% CI (1.02-1.4); p < 0.05], price per DDD [0.9, 95% CI (0.998-0.999), P < 0.01], and Prescrire rating [0.5, 95% CI (0.3-0.9), P < 0.05] after adjusting for time and other covariates. In this study, the most important correlates of increased utilisation in a sample of cancer medicines introduced in the past 15 years were: medicines coverage and time since marketing authorisation. Prices had a negative effect on consumption in Belgium and Sweden. The positive impact of financial MEAs in Scotland suggests that the latter may remove the regressive effect of list prices on consumption.

Health services utilisation disparities between English speaking and non-English speaking background Australian infants

PubMed Central

2010-01-01

Background To examine the differences in health services utilisation and the associated risk factors between infants from non-English speaking background (NESB) and English speaking background (ESB) within Australia. Methods We analysed data from a national representative longitudinal study, the Longitudinal Study of Australian Children (LSAC) which started in 2004. We used survey logistic regression coupled with survey multiple linear regression to examine the factors associated with health services utilisation. Results Similar health status was observed between the two groups. In comparison to ESB infants, NESB infants were significantly less likely to use the following health services: maternal and child health centres or help lines (odds ratio [OR] 0.56; 95% confidence intervals [CI], 0.40-0.79); maternal and child health nurse visits (OR 0.68; 95% CI, 0.49-0.95); general practitioners (GPs) (OR 0.58; 95% CI, 0.40-0.83); and hospital outpatient clinics (OR 0.54; 95% CI, 0.31-0.93). Multivariate analysis results showed that the disparities could not be fully explained by the socioeconomic status and language barriers. The association between English proficiency and the service utilised was absent once the NESB was taken into account. Maternal characteristics, family size and income, private health insurance and region of residence were the key factors associated with health services utilisation. Conclusions NESB infants accessed significantly less of the four most frequently used health services compared with ESB infants. Maternal characteristics and family socioeconomic status were linked to health services utilisation. The gaps in health services utilisation between NESB and ESB infants with regard to the use of maternal and child health centres or phone help, maternal and child health nurse visits, GPs and paediatricians require appropriate policy attentions and interventions. PMID:20374663
Utilisation of primary total knee joint replacements across socioeconomic status in the Barwon Statistical Division, Australia, 2006-2007: a cross-sectional study.

PubMed

Brennan, Sharon Lee; Stanford, Tyman; Wluka, Anita E; Page, Richard S; Graves, Stephen E; Kotowicz, Mark A; Nicholson, Geoffrey C; Pasco, Julie A

2012-01-01

There are few Australian data that examine the association between total knee joint replacement (TKR) utilisation and socioeconomic status (SES). This study examined TKR surgeries with a diagnosis of osteoarthritis (OA) performed for residents of Barwon Statistical Division (BSD) for 2006-2007. Cross-sectional. BSD, South-eastern Victoria, Australia All patients who underwent a TKR for OA, 2006-2007, and whose residential postcode was identified as within the BSD of Australia, and for whom SES data were available, were eligible for inclusion. Primary TKR data ascertained from the Australian Orthopaedic Association National Joint Replacement Registry. Residential addresses were matched with the Australian Bureau of Statistics census data, and the Index of Relative Socioeconomic Disadvantage was used to determine SES, categorised into quintiles whereby quintile 1 indicated the most disadvantaged and quintile 5 the least disadvantaged. Age-specific and sex-specific rates of TKR utilisation per 1000 person-years were reported for 10-year age bands. Females accounted for 62.7% of the 691 primary TKR surgeries performed during 2006-2007. The greatest utilisation rates of TKR in males was 7.6 observed in those aged >79 years, and in 10.2 in females observed in those aged 70-79 years. An increase in TKR was observed for males in SES quintile four compared to quintile 1 in which the lowest utilisation which was observed (p=0.04). No differences were observed in females across SES quintiles. Further investigation is warranted on a larger scale to examine the role that SES may play in TKR utilisation, and to determine whether any social disparities in TKR utilisation reflect health system biases or geographic differences.
Modular operation of membrane bioreactors for higher hydraulic capacity utilisation.

PubMed

Veltmann, K; Palmowski, L M; Pinnekamp, J

2011-01-01

Using data from 6 full-scale municipal membrane bioreactors (MBR) in Germany the hydraulic capacity utilisation and specific energy consumption were studied and their connexion shown. The average hydraulic capacity utilisation lies between 14% and 45%. These low values are justified by the necessity to deal with intense rain events and cater for future flow increases. However, this low hydraulic capacity utilisation leads to high specific energy consumption. The optimisation of MBR operation requires a better utilisation of MBR hydraulic capacity, particularly under consideration of the energy-intensive membrane aeration. A first approach to respond to large influent flow fluctuations consists in adjusting the number of operating modules. This is practised by most MBR operators but so far mostly with variable flux and constant membrane aeration. A second approach is the real-time adjustment of membrane aeration in line with flux variations. This adjustment is not permitted under current manufacturers' warranty conditions. A further opportunity is a discontinuous operation, in which filtration takes place over short periods at high flux and energy for membrane aeration is saved during filtration pauses. The integration of a buffer volume is thereby indispensable. Overall a modular design with small units, which can be activated/ inactivated according to the influent flow and always operate under optimum conditions, enables a better utilisation of MBR hydraulic capacity and forms a solid base to reduce MBR energy demand.
African American women's preventative care usage: the role of social support and racial experiences and attitudes.

PubMed

Pullen, Erin; Perry, Brea; Oser, Carrie

2014-09-01

Research suggests that African Americans are less likely to utilise preventative care services than Americans of European descent, and that these patterns may contribute to racial health disparities in the United States. Despite the persistence of inequalities in preventative care utilisation, culturally relevant factors influencing the use of these gateway health services have been understudied among marginalised groups. Using a stratified sample of 205 low-income African American women, this research examines the predictors of receiving a physical exam, with a particular emphasis on how differing levels of social support from friend and family networks and experiences of racial discrimination and cultural mistrust shape utilisation. The findings underscore the importance of traditional predictors of utilisation, including insurance status and having a usual physician. However, they also indicate that supportive ties to friendship networks are associated with higher predicted rates of having an annual physical exam, while social support from family and sentiments of cultural mistrust are associated with lower rates of utilisation. Broadly, the findings indicate that even as traditional predictors of help-seeking become less relevant, it will be critical to explore how variations in discrimination experiences and social relationships across marginalised groups drive patterns of preventative care utilisation. © 2014 The Authors. Sociology of Health & Illness © 2014 Foundation for the Sociology of Health & Illness/John Wiley & Sons Ltd.
Metabolic specialisation on preferred prey and constraints in the utilisation of alternative prey in an ant-eating spider.

PubMed

Líznarová, Eva; Pekár, Stano

2016-10-01

Trophic specialists are expected to possess adaptations that increase the efficiency of handling preferred prey. Such adaptations may constrain the ability to utilise alternative prey. Here we tested whether the ant-eating spider Euryopis episinoides possesses metabolic specialisations with increased efficiency in utilising preferred prey and decreased efficiency in utilising alternative prey. In addition, we investigated the contribution of genetic variation via maternal effects. We reared E. episinoides spiders from the first instar on two different diets, either ants (preferred prey) or fruit flies (alternative prey). Spider survival rate and increases in body mass were significantly higher on the ant diet. The total development time did not differ between diet groups, nor did the number of egg sacs per female or the incubation period. However, the number of eggs per egg sac and hatching success were higher on the ant diet. There was a genetic variation in several offspring traits. Our data support the hypothesis that stenophagous ant-eating E. episinoides have a metabolic specialisation on ant utilisation indicated by higher efficiency in utilising ants than fruit flies. While most individuals of E. episinoides were able to capture fruit flies, only very few spiders were able to develop and reproduce on a pure fruit fly diet, suggesting the existence of within-species genetic variation regarding the tolerance to alternative prey. Copyright © 2016 Elsevier GmbH. All rights reserved.
Identifying and Prioritizing Gaps in Neuroendocrine Tumor Research: A Modified Delphi Process With Patients and Health Care Providers to Set the Research Action Plan for the Newly Formed Commonwealth Neuroendocrine Tumor Collaboration

PubMed Central

Chan, David; Lawrence, Ben; Pavlakis, Nick; Kennecke, Hagen F.; Jackson, Christopher; Law, Calvin; Singh, Simron

2017-01-01

Purpose Neuroendocrine tumors (NETs) are a diverse group of malignancies that pose challenges common to all rare tumors. The Commonwealth Neuroendocrine Tumor Collaboration (CommNETS) was established in 2015 to enhance outcomes for patients with NETs in Canada, Australia, and New Zealand. A modified Delphi process was undertaken involving patients, clinicians, and researchers to identify gaps in NETs research to produce a comprehensive and defensible research action plan. Methods A three-round modified Delphi process was undertaken with larger representation than usual for medical consensus processes. Patient/advocate and health care provider/researcher expert panels undertook Round 1, which canvassed 17 research priorities and 42 potential topics; in Round 2, these priorities were ranked. Round 3 comprised a face-to-face meeting to generate final consensus rankings and formulate the research action plan. Results The Delphi groups consisted of 203 participants in Round 1 (64% health care providers/researchers, 36% patient/advocates; 52% Canadian, 32% Australian, and 17% New Zealander), of whom 132 participated in Round 2. The top eight priorities were biomarker development; peptide receptor radionuclide therapy optimization; trials of new agents in advanced NETs; functional imaging; sequencing therapies for metastatic NETs, including development of validated surrogate end points for studies; pathologic classification; early diagnosis; interventional therapeutics; and curative surgery. Two major areas were ranked significantly higher by patients/advocates: early diagnosis and curative surgery. Six CommNETS working parties were established. Conclusion This modified Delphi process resulted in a well-founded set of research priorities for the newly formed CommNETS collaboration by involving a large, diverse group of stakeholders. This approach to setting a research agenda for a new collaborative group should be adopted to ensure that research plans reflect unmet needs and priorities in the field. PMID:28831446
Regulatory T cells and other lymphocyte subpopulations in patients with melanoma developing interferon-induced thyroiditis during high-dose interferon-α2b treatment.

PubMed

Soldevila, Berta; Alonso, Núria; Martínez-Arconada, Maria J; Granada, Maria L; Boada, Aram; Vallejos, Virginia; Fraile, Manuel; Fernández-Sanmartín, Marco A; Pujol-Borrell, Ricardo; Puig-Domingo, Manel; Sanmartí, Anna; Martínez-Cáceres, Eva M

2013-04-01

One of the side effects of interferon-alpha therapy is interferon-induced thyroiditis (IIT). The role of lymphocyte subpopulations in IIT melanoma patients remains to be defined. Our objective was to assess different peripheral blood lymphocyte subpopulations, mainly regulatory T cells (Tregs), in melanoma patients who developed IIT. From 30 melanoma patients receiving high-dose interferon (HDI)-alpha 2b (IFN-α2b) treatment, those who developed IIT (IIT patients) were selected and compared with patients who did not develop IIT (Co-MM) and healthy controls (Co-H). Peripheral blood mononuclear cells were obtained before treatment (BT), mid-treatment (MT), end of treatment (ET), 24 weeks post-treatment and at appearance of IIT (TT). Nine patients developed IIT (30%): four Hashimoto's thyroiditis and five destructive thyroiditis. An increase in Tregs was observed in both melanoma groups during HDI treatment. A decrease in CD3(+) , NKT lymphocyte subpopulations and Bcl2 expression on B cells was also observed in both groups. However, no changes were observed in the percentage of CD4(+) , CD8(+) , CD3(+) γδ(+) , CD19(+) , transitional B cells (CD24(high) CD38(high) CD19(+) CD27(-) ), natural killer (NK), invariant NKT (iNKT) lymphocytes and Th1/Th2 balance when BT was compared with ET. At TT, IIT patients had a higher Tregs percentage than Co-MM (P = 0·012) and Co-H (P = 0·004), a higher iNKT percentage than Co-MM (P = 0·011), a higher transitional B cells percentage than Co-H (P = 0·015), a lower CD3(+) percentage than Co-H (P = 0·001) and a lower Bcl2 expression on B cells than Co-H (P < 0·001). Our results point to the immunomodulatory effects of IFN-α on different lymphocyte subpopulations and a possible role of Tregs in melanoma patients who developed IIT. © 2012 Blackwell Publishing Ltd.
Identifying and Prioritizing Gaps in Neuroendocrine Tumor Research: A Modified Delphi Process With Patients and Health Care Providers to Set the Research Action Plan for the Newly Formed Commonwealth Neuroendocrine Tumor Collaboration.

PubMed

Segelov, Eva; Chan, David; Lawrence, Ben; Pavlakis, Nick; Kennecke, Hagen F; Jackson, Christopher; Law, Calvin; Singh, Simron

2017-08-01

Neuroendocrine tumors (NETs) are a diverse group of malignancies that pose challenges common to all rare tumors. The Commonwealth Neuroendocrine Tumor Collaboration (CommNETS) was established in 2015 to enhance outcomes for patients with NETs in Canada, Australia, and New Zealand. A modified Delphi process was undertaken involving patients, clinicians, and researchers to identify gaps in NETs research to produce a comprehensive and defensible research action plan. A three-round modified Delphi process was undertaken with larger representation than usual for medical consensus processes. Patient/advocate and health care provider/researcher expert panels undertook Round 1, which canvassed 17 research priorities and 42 potential topics; in Round 2, these priorities were ranked. Round 3 comprised a face-to-face meeting to generate final consensus rankings and formulate the research action plan. The Delphi groups consisted of 203 participants in Round 1 (64% health care providers/researchers, 36% patient/advocates; 52% Canadian, 32% Australian, and 17% New Zealander), of whom 132 participated in Round 2. The top eight priorities were biomarker development; peptide receptor radionuclide therapy optimization; trials of new agents in advanced NETs; functional imaging; sequencing therapies for metastatic NETs, including development of validated surrogate end points for studies; pathologic classification; early diagnosis; interventional therapeutics; and curative surgery. Two major areas were ranked significantly higher by patients/advocates: early diagnosis and curative surgery. Six CommNETS working parties were established. This modified Delphi process resulted in a well-founded set of research priorities for the newly formed CommNETS collaboration by involving a large, diverse group of stakeholders. This approach to setting a research agenda for a new collaborative group should be adopted to ensure that research plans reflect unmet needs and priorities in the field.
Stoichiometric modelling of assimilatory and dissimilatory biomass utilisation in a microbial community

PubMed Central

Hunt, Kristopher A.; Jennings, Ryan deM.; Inskeep, William P.; Carlson, Ross P.

2017-01-01

Summary Assimilatory and dissimilatory utilisation of autotroph biomass by heterotrophs is a fundamental mechanism for the transfer of nutrients and energy across trophic levels. Metagenome data from a tractable, thermoacidophilic microbial community in Yellowstone National Park was used to build an in silico model to study heterotrophic utilisation of autotroph biomass using elementary flux mode analysis and flux balance analysis. Assimilatory and dissimilatory biomass utilisation was investigated using 29 forms of biomass-derived dissolved organic carbon (DOC) including individual monomer pools, individual macromolecular pools and aggregate biomass. The simulations identified ecologically competitive strategies for utilizing DOC under conditions of varying electron donor, electron acceptor or enzyme limitation. The simulated growth environment affected which form of DOC was the most competitive use of nutrients; for instance, oxygen limitation favoured utilisation of less reduced and fermentable DOC while carbon-limited environments favoured more reduced DOC. Additionally, metabolism was studied considering two encompassing metabolic strategies: simultaneous versus sequential use of DOC. Results of this study bound the transfer of nutrients and energy through microbial food webs, providing a quantitative foundation relevant to most microbial ecosystems. PMID:27387069
Étude théorique et expérimentale du transfert du dioctyl phtalate à partir d'un disque de PVC plastifié plongé dans une huile comestible

NASA Astrophysics Data System (ADS)

Djilani, S.-E.; Toubal, A. A.; Messadi, D.

1998-10-01

When polymer and liquid are contacted with each other, as in packaging, some mass exchanges may occur, which constitute a major drawback when the liquid is a foodstuff or blood. However, these mass transfers in the polymers can appear as very interesting from the industrial point of view, if one is able to use and control them. It is then necessary to have a good knowledge of these transfer processes which are controlled by diffusion. Dioctyl phthalate (DOP) migration into an edible oil was studied under worst conditions: high plasticization level (50% by weight) and temperature(30 circC). The quantitative analysis of DOP in a such complex liquid medium and in the PVC itself was made easy by the use of the radioactive tracer technique. A simplified mathematical model, obtained by neglecting the oil transport in the PVC, was evaluated. This model based on the research of a finite differences explicit solution allows to reproduce for the DOP, the concentration profiles in the polymer and the kinetics of transfer in the oil, with a P-value ≥ 0.001. La mise en contact polymère-liquide se traduit généralement par des échanges de matière entre les 2 milieux considérés, ce qui constitue un inconvénient majeur lorsque le liquide est un aliment ou le sang. Cependant, ces transferts de matière dans les polymères peuvent apparaître comme très intéressants sur le plan industriel, si l'on est capable de les utiliser et de les contrôler. Il est donc nécessaire d'avoir une bonne connaissance de ces processus de transfert qui sont contrôlés par diffusion. Nous avons étudié la migration du dioctyl phtalate (DOP) dans une huile comestible en nous plaçant dans les conditions les plus défavorables: taux de plastification (50% en poids) et température (30°C) élevés. L'analyse quantitative du DOP dans un milieu liquide aussi complexe et dans le PVC lui- même a été facilitée par l'utilisation de la technique des traceurs radioactifs. Un modèle mathématique simplifié en négligeant le transport de l'huile dans la masse de PVC a été testé. Ce modèle basé sur la recherche d'une solution aux différence finies explicite permet au seuil de 0,1% de reproduire pour le DOP, les profils de concentration dans le polymère et les cinétiques de transfert dans l'huile.
Mesure de haute resolution de la fonction de distribution radiale du silicium amorphe pur

NASA Astrophysics Data System (ADS)

Laaziri, Khalid

1999-11-01

Cette these porte sur l'etude de la structure du silicium amorphe prepare par irradiation ionique. Elle presente des mesures de diffraction de rayons X sur de la poudre de silicium cristallin, du silicium amorphe relaxe et non relaxe, ainsi que tous les developpements mathematiques et physiques necessaires pour extraire la fonction de distribution radiale correspondant a chaque echantillon. Au Chapitre I, nous presentons une methode de fabrication de membranes minces de silicium amorphe pur. Il y a deux etapes majeures lors du processus de fabrication: l'implantation ionique, afin de creer une couche amorphe de plusieurs microns et l'attaque chimique, pour enlever le reste du materiau cristallin. Nous avons caracterise premierement les membranes de silicium amorphe par spectroscopie Raman pour verifier qu'il ne reste plus de trace de materiau cristallin dans les films amorphes. Une deuxieme caracterisation par detection de recul elastique (ERD-TOF) sur ces memes membranes a montre qu'il y a moins de 0.1% atomique de contaminants tels que l'oxygene, le carbone, et l'hydrogene. Au Chapitre II, nous proposons une nouvelle methode de correction de la contribution inelastique "Compton" des spectres de diffusion totale afin d'extraire les pics de diffusion elastique, responsable de la diffraction de Bragg. L'article presente tout d'abord une description simplifiee d'une theorie sur la diffusion inelastique dite "Impulse Approximation" (IA) qui permet de calculer des profils de Compton en fonction de l'energie et de l'angle de diffusion 2theta. Ces profils sont utilises comme fonction de lissage de la diffusion Compton experimentale. Pour lisser les pics de diffusion elastique, nous avons utilise une fonction pic de nature asymetrique. Aux Chapitre III, nous exposons de maniere detaillee les resultats des experiences de diffraction de rayons X sur les membranes de silicium amorphe et la poudre de silicium cristallin que nous avons preparees. Nous abordons aussi les differentes etapes experimentales, d'analyse ainsi que les methodes de determination et de filtrage des transformees de Fourier des donnees de diffraction. Une comparaison des fonctions de distribution radiale du silicium amorphe relaxe et non relaxe indique que la relaxation structurelle dans le silicium amorphe est probablement due en grande partie a une annihilation des defauts plutot qu'a une reorganisation atomique globale du reseau de silicium amorphe. La deduction de la coordination des pics correspondants au premiers voisins atomiques par lissage de fonctions gaussienne indique que la coordination du silicium amorphe relaxe est de 3.88, celle du non-relaxe est de 3.79, alors que la mesure de reference sur la poudre de silicium cristallin donne une valeur de 4 tel que prevu. La sous-coordination du silicium amorphe expliquerait pourquoi sa densite est inferieure a celle du silicium cristallin. (Abstract shortened by UMI.)
Association between secure patient–clinician email and clinical services utilisation in a US integrated health system: a retrospective cohort study

PubMed Central

Meng, Di; Palen, Ted E; Tsai, Joanne; McLeod, Melanie; Garrido, Terhilda; Qian, Heather

2015-01-01

Objective To assess associations between secure patient–clinician email use and clinical services utilisation over time. Design Retrospective cohort study between July 2010 and December 2013. Controlling for a utilisation surge around first secure email use, we analysed difference of differences between propensity score-matched groups of secure patient–clinician email users and non-users for utilisation 1–12 months before and 7–18 months after first email (users) or a randomly assigned index date (non-users). Setting US integrated healthcare delivery system. Participants 9345 adults with first secure email use between July 2011 and July 2012 and continuous enrolment for ≥30 months and 9345 adults without secure email use between July 2010 and July 2012 matched to users on demographics, health status, and baseline utilisation. Primary Outcome Measures Rates of office visits, patient-initiated phone calls, scheduled telephone visits, after-hours clinic visits, emergency department visits, and hospitalisations. Results After controlling for multiple factors, no statistically significant differences in utilisation between secure email users and non-users occurred. Utilisation transiently increased by 88–237% around first email use. Annual rates of patient-initiated phone calls decreased among secure email users, 0.2 fewer calls per person (95% CI −0.3 to −0.1), from a mean of 4.1 calls per person 1–12 months before first use to a mean of 3.8 calls per person 7–18 months after first use. Rates of patient-initiated phone calls also decreased among non-users, 0.1 fewer calls per person (95% CI −0.2 to 0.0), from a mean of 4.2 calls per person 1–12 months before the index date to mean of 4.1 calls per person 7–18 months after the index date. Conclusions Compared with non-users, patient use of secure email with clinicians was not associated with statistically significant differences in clinical services utilisation 7–18 months after first use. PMID:26553841
Factors influencing utilisation of maternal health services by adolescent mothers in Low-and middle-income countries: a systematic review.

PubMed

Banke-Thomas, Oluwasola Eniola; Banke-Thomas, Aduragbemi Oluwabusayo; Ameh, Charles Anawo

2017-02-16

Adolescent mothers aged 15-19 years are known to have greater risks of maternal morbidity and mortality compared with women aged 20-24 years, mostly due to their unique biological, sociological and economic status. Nowhere Is the burden of disease greater than in low-and middle-income countries (LMICs). Understanding factors that influence adolescent utilisation of essential maternal health services (MHS) would be critical in improving their outcomes. We systematically reviewed the literature for articles published until December 2015 to understand how adolescent MHS utilisation has been assessed in LMICs and factors affecting service utilisation by adolescent mothers. Following data extraction, we reported on the geographical distribution and characteristics of the included studies and used thematic summaries to summarise our key findings across three key themes: factors affecting MHS utilisation considered by researcher(s), factors assessed as statistically significant, and other findings on MHS utilisation. Our findings show that there has been minimal research in this study area. 14 studies, adjudged as medium to high quality met our inclusion criteria. Studies have been published in many LMICs, with the first published in 2006. Thirteen studies used secondary data for assessment, data which was more than 5 years old at time of analysis. Ten studies included only married adolescent mothers. While factors such as wealth quintile, media exposure and rural/urban residence were commonly adjudged as significant, education of the adolescent mother and her partner were the commonest significant factors that influenced MHS utilisation. Use of antenatal care also predicted use of skilled birth attendance and use of both predicted use of postnatal care. However, there may be some context-specific factors that need to be considered. Our findings strengthen the need to lay emphasis on improving girl child education and removing financial barriers to their access to MHS. Opportunities that have adolescents engaging with health providers also need to be seized. These will be critical in improving adolescent MHS utilisation. However, policy and programmatic choices need to be based on recent, relevant and robust datasets. Innovative approaches that leverage new media to generate context-specific dis-aggregated data may provide a way forward.
Association between secure patient-clinician email and clinical services utilisation in a US integrated health system: a retrospective cohort study.

PubMed

Meng, Di; Palen, Ted E; Tsai, Joanne; McLeod, Melanie; Garrido, Terhilda; Qian, Heather

2015-11-09

To assess associations between secure patient-clinician email use and clinical services utilisation over time. Retrospective cohort study between July 2010 and December 2013. Controlling for a utilisation surge around first secure email use, we analysed difference of differences between propensity score-matched groups of secure patient-clinician email users and non-users for utilisation 1-12 months before and 7-18 months after first email (users) or a randomly assigned index date (non-users). US integrated healthcare delivery system. 9345 adults with first secure email use between July 2011 and July 2012 and continuous enrolment for ≥30 months and 9345 adults without secure email use between July 2010 and July 2012 matched to users on demographics, health status, and baseline utilisation. Rates of office visits, patient-initiated phone calls, scheduled telephone visits, after-hours clinic visits, emergency department visits, and hospitalisations. After controlling for multiple factors, no statistically significant differences in utilisation between secure email users and non-users occurred. Utilisation transiently increased by 88-237% around first email use. Annual rates of patient-initiated phone calls decreased among secure email users, 0.2 fewer calls per person (95% CI -0.3 to -0.1), from a mean of 4.1 calls per person 1-12 months before first use to a mean of 3.8 calls per person 7-18 months after first use. Rates of patient-initiated phone calls also decreased among non-users, 0.1 fewer calls per person (95% CI -0.2 to 0.0), from a mean of 4.2 calls per person 1-12 months before the index date to mean of 4.1 calls per person 7-18 months after the index date. Compared with non-users, patient use of secure email with clinicians was not associated with statistically significant differences in clinical services utilisation 7-18 months after first use. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
When You Can’t Beat ’em, Join ’em: Leveraging ComplexityScience for Innovative Solutions

DTIC Science & Technology

2017-08-21

chemical reactions : • Belousov-Zhabotinskii reaction ... Engineering (ARE) Technical Interchange Meeting by: Dr. Josef Schaff, NAVAIR 4.5 DISTRIBUTION STATEMENT A • Commander’s intent: Networked Navy & the intent...Physics undergrad, software engineering jobs in comms, video games, robotics • Started NAWCAD (NADC) as a computer scientist / engineer
75 FR 23654 - Endangered and Threatened Wildlife and Plants; 90-Day Finding on a Petition to List Hermes Copper...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-04

... in our files, a personal communication (cited ``D. Faulkner, V. Marquez-Waller pers. comm. on 4/16/08... frequency may result in altered vegetation structure or type conversion throughout the range (Keeley and... require mature R. crocea to complete their lifecycle; therefore, increased fire frequency may reduce...
77 FR 13393 - Endangered and Threatened Wildlife and Plants; Revised Endangered Status, Revised Critical...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-06

... Business Park. More information on four translocated occurrences is discussed in the Geographic Range and.... The ESL was designed as an implementing tool for the City of San Diego Subarea Plan (City of San Diego... 2007, pers. comm.). At least four occurrences of M. viminea are believed to have been extirpated since...
Sports Business Unit Meets Cross-Curricular Learning Goals: Grades 9-12

ERIC Educational Resources Information Center

Curriculum Review, 2006

2006-01-01

A new online learning tool called the eCommSports Kit links a seven-step sports marketing curriculum with a school team to give students real-life experience in developing and executing a plan to boost game attendance. The kit, available through http://www.ecommsports.com, takes teens on a cross-curricular journey through conducting business…
Greenhouse gas emissions associated with direct energy inputs for a warmwater low-salinity recirculating aquaculture systems

USDA-ARS?s Scientific Manuscript database

Greenhouse gases (GHGs) are gases that trap heat in the atmosphere. These gases include carbon dioxide (CO2), methane (CH3), nitrous oxide (N2O), and fluorinated gases. Some of these gases occur naturally and some are created by human activities which can increase their concentrations. The most comm...
Joint FCRC Utah-Nevada MX Missile System.

DTIC Science & Technology

1980-09-22

FOUR CORN ]EIRS REGIONAL COMM4ISSIlON 2350 A.amno, .S. ,E., Suite 303 Albuquer(ue , New Mexico 871.06 NEVADA MX LOCAL OVFRSTG[IT COZMl’CVLEE Lincoln...coordinators have i had i .ny imiee, in gs anl traveled jointlIy to prosent a unified Utah fosition tLo regi•(liOna 1 anid federal agencies - A cob

Potential of common bean to enhance dietary iron availability in humans: Germplasm diversity and QTL analysis

USDA-ARS?s Scientific Manuscript database

We are interested in the improvement of iron nutritional status of humans living in developing world countries where iron deficiency anemia is quite severe. We also wish to promote the use of plant-based food sources to improve human iron status, and thus are focusing on staple food crops like comm...
76 FR 4416 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-25

... Discontinuance or Modification of a Railroad Signal System Pursuant to Title 49 Code of Federal Regulations (CFR... Administration (FRA) seeking approval for the discontinuance or modification of the signal system. [Docket Number...--Signal/Comm./TCO, 1400 Douglas Street, Mail Stop 0910, Omaha, Nebraska 68179. The Union Pacific Railroad...
75 FR 29805 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-27

... Discontinuance or Modification of a Railroad Signal System or Relief Pursuant to title 49 Code of Federal... Administration (FRA) seeking approval for the discontinuance or modification of the signal system, or relief as... Trump, AVP Engineering--Signal/Comm/TCO, 1400 Douglas Street, STOP 0910, Omaha, Nebraska 68179. The...
77 FR 30819 - Endangered and Threatened Wildlife and Plants; Final Rule To Remove the Morelet's Crocodile From...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-23

... may vary by habitat, nutrition, etc. Our Response: We revised that section to reflect this correction..., nutrition, and other environmental factors (Rainwater 2011, pers. comm.) A growth rate of 0.63 inches (in... crocodile comprised the eastern coastal plain of Mexico, most of the Yucatan Peninsula, Belize, and northern...
Mass Comm Pact: The Concept of Covenant Between Media and Public.

ERIC Educational Resources Information Center

De Mott, John

In every advanced culture, there exists some kind of understanding between a profession and the people it serves. In the case of mass communication, such an understanding is for the most part an informal compact whose terms are understood more or less tacitly. As the terms of this agreement are renegotiated from time to time--disagreements…
75 FR 8321 - Notice of Attendance at Nepool Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-24

... meeting information, see http://www.iso-ne.com/committees/comm_wkgrps/index.html . The discussions at each.... ER07-397, ISO New England Inc. and the New England Power Pool Participants Committee Docket No. ER08-633, ISO New England Inc. Docket No. ER08-830, ISO New England Inc. Docket No. ER08-1209, ISO New...
Learning to Liaise and Elide "Comme il Faut": Evidence from Bilingual Children

ERIC Educational Resources Information Center

Nicoladis, Elena; Paradis, Johanne

2011-01-01

Liaison and elision in French are phonological phenomena that apply across word boundaries. French-speaking children make errors in contexts where liaison/elision typically occurs in adult speech. In this study, we asked if acquisition of French liaison/elision can be explained in a constructivist framework. We tested if children's liaison/elision…
La notion de development de communautes responsables comme source d'inspiration pour la recherche en education relative en environnement (The Idea of Responsible Community Development as a Source of Inspiration for Research in Education Relative to the Environment).

ERIC Educational Resources Information Center

Chouinard, Omer; Pruneau, Diane; Boubacar, Djibo

1999-01-01

Explores how experiments in both community development and in community economic development that are based on cooperative education provide fertile ground for research in environmental education. (Author/CCM)
78 FR 59 - Endangered and Threatened Wildlife and Plants; Listing the Honduran Emerald Hummingbird

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-02

...-owned land and is often planted with non-native grasses for cattle foraging (Perez and Thorn 2012, pers... invasive grass species ( http://www.birdlist.org/cam/honduras/hn_ecosystems.htm , accessed May 22, 2012... private landowners in order to plant pasture grass for grazing cattle (Hyman 2012 pers. comm.). In the...
A First-cut Concept Map: The Irregular Adversary (Insurgent)

DTIC Science & Technology

2012-12-01

conceptuel des AANE aidera le spécialiste du renseignement militaire à brosser pour le commandant un tableau plus global des AANE dans leur...Crandall et al. (2006), « il est sage de toujours considérer les schémas conceptuels comme des représentations « vivantes » plutôt que des « produits
75 FR 17667 - Endangered and Threatened Wildlife and Plants; 12-Month Finding on a Petition to Reclassify the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-07

...). Allozyme studies have demonstrated that wakasagi and delta smelt are genetically distinct and presumably..., survey methods have been modified to minimize potential impacts to delta smelt (K. Souza 2009, pers. comm.). Based on the low number of delta smelt collected in sampling surveys and the modified methods employed...
Hadfield and Marshburn during HRCS Ku Comm Unit 2 Installation

NASA Image and Video Library

2013-04-02

ISS035-E-013783 (2 April 2013) --- In the U.S. lab Destiny on the International Space Station, Expedition 35 Commander Chris Hadfield (right) and Flight Engineer Tom Marshburn remove the Video Baseband Signal Processor (VBSP) in order to replace it with a new Ku communication unit and its associated data and Ethernet cabling.
Hadfield and Marshburn during HRCS Ku Comm Unit 2 Installation

NASA Image and Video Library

2013-04-02

ISS035-E-013790 (2 April 2013) --- In the U.S. lab Destiny on the International Space Station, Expedition 35 Commander Chris Hadfield (background) and Flight Engineer Tom Marshburn remove the Video Baseband Signal Processor (VBSP) in order to replace it with a new Ku communication unit and its associated data and Ethernet cabling.
Time utilisation trends of supported employment services by persons with mental disability in South Africa.

PubMed

Van Niekerk, Lana; Coetzee, Zelda; Engelbrecht, Madri; Hajwani, Zerina; Terreblanche, Santie

2015-01-01

This paper reports on the second phase of a two-phased study that was undertaken to determine the feasibility of supported employment (SE) as a strategy with which to facilitate the employment of persons with disability in competitive work contexts. The study population comprised people with mental disabilities receiving SE in the Western Cape Province, South Africa. To describe the components of SE utilised by persons with mental disability (i.e. psychiatric or intellectual disability) in terms of type and time utilisation patterns over 12 months. Criterion sampling, a form of purposive sampling, was used to identify 29 study participants - 19 with intellectual disability and 10 with psychiatric disability. Data collection commenced for each participant when a work placement had been identified and preparation for such ensued. Data was collected prospectively for a period of 12 months. SE service components utilised by participants were captured using a data capture sheet that was developed for this purpose. Time utilisation indicated a steep downwards trend for both cohorts. The decrease in utilisation of SE service components over a period of one year was more pronounced in the psychiatric disability (PD) cohort, who utilized almost half the total SE services in the first month. SE services can be considered as a viable option for return to work in resource-constrained environments. Providers of SE services will need to modify approaches in order to meet contextual realities.
Utilisation of Used Palm Oil as an Alternative Fuel in Thailand

NASA Astrophysics Data System (ADS)

Permchart, W.; Tanatvanit, S.

2007-10-01

This paper summarises the overview of the current situation of alternative energies in Thailand. The utilisation of bio-diesel as an alternative energy in two economic sectors (i.e. transport and industrial sectors), which have the largest energy consumption in the country, is mainly presented because it has seemed to be the most promising project among various energy conservation projects of the Thai government. Actually, there is another bio-fuel project, namely, the ethanol project for blending with gasoline to produce gasohol (E10) used in gasoline engines, which has been developed and already become to an important policy for energy conservation of the country. Due to much more large number of diesel has been utilised, the bio-diesel project has been the first priority one to solve the petroleum crisis problems. However, it is remarked that the utilisation of bio-diesel as an alternative fuel seems to be unsatisfactory because of various reasons. Some issues in terms of both government policies and technical problems have not been clearly addressed. Therefore, this paper not only presents the utilisation of bio-diesel in these two sectors but also discusses the production processes, characterisations and some experimental testing results of bio-diesel.
ICT and OTs: a model of information and communication technology acceptance and utilisation by occupational therapists.

PubMed

Schaper, Louise K; Pervan, Graham P

2007-06-01

There is evidence to suggest that health professionals are reluctant to accept and utilise information and communication technologies (ICT) and concern is growing within health informatics research that this is contributing to the lag in adoption and utilisation of ICT across the health sector. Technology acceptance research within the field of information systems has been limited in its application to health and there is a concurrent need to develop and gain empirical support for models of technology acceptance within health and to examine acceptance and utilisation issues amongst health professionals to improve the success of information system implementation in this arena. This paper outlines a project that examines ICT acceptance and utilisation by Australian occupational therapists. It describes the theoretical basis behind the development of a research model and the methodology being employed to empirically validate the model using substantial quantitative, qualitative and longitudinal data. Preliminary results from Phase II of the study are presented. The theoretical significance of this work is that it uses a thoroughly constructed research model, with potentially the largest sample size ever tested, to extend technology acceptance research into the health sector.
[Day hospitals--predictors for utilisation and quality expectations from the perspective of family caregivers of dementia patients].

PubMed

Donath, Carolin; Bleich, Stefan; Grässel, Elmar

2009-05-01

To relieve the burden on family caregivers of dementia patients, the utilisation of day hospitals should be increased. Therefore, the predictive variables for utilisation as well as family caregivers' views regarding the quality of day hospitals must be investigated. The cross-sectional study was carried out as an anonymous, written survey of family caregivers of dementia patients in four regions of Germany. Quantitative and qualitative data from 404 family caregivers was analysed using binary logistic regression analysis and qualitative content analysis, respectively. In addition, 11 day hospital managers were interviewed concerning their quality concepts. The only significant predictor for the utilisation of day hospitals is the estimate of how helpful this support is for the family caregiver's situation. Those who have already had experiences with a day hospital expressed a wish for medical and psychiatric care by "well-trained" staff and a reasonable form of occupation for the dementia patient. In order to increase utilisation, family caregivers must be convinced of the advantages of using day hospitals. A day hospital that combines both activating occupational therapy and medical care by well-trained staff is what family caregivers wish most for their care-receivers.
Determinants of utilisation of intrapartum obstetric care services in Cambodia, and gaps in coverage.

PubMed

Chomat, Anne Marie; Grundy, John; Oum, Sophal; Bermudez, Odilia I

2011-01-01

Facility delivery and skilled birth attendance are two of the most effective strategies for decreasing maternal mortality. The objectives of this study were to further define utilisation of these services in Cambodia and to uncover socio-economic or location-specific coverage gaps that may exist. We performed a cross-sectional analysis of the 2005 Cambodia Demographic Health Survey (CDHS) to determine prevalence, and determinants, of service utilisation. Out of 6069 women aged 15-49 years, 77% delivered at home, three-fourths without a skilled birth attendant. Poverty, lower education and rural residence were associated with the highest likelihood of poor utilisation of services. Discussion. While there has been an overall increase in facility deliveries and skilled birth attendance since 2000, improvements have been spread unevenly across the population, benefiting mostly urban, wealthier and better educated women. While recent financing initiatives and health system developments appear to have further increased service utilisation since 2005, the extent of their reach to the most vulnerable populations, and their ultimate impact on maternal mortality reduction, remain to be elucidated. Further expanding successful initiatives, particularly among vulnerable populations, is essential. Longitudinal evaluation of ongoing strategies and their impact remains critical.
Inverse problem in hydrogeology

NASA Astrophysics Data System (ADS)

Carrera, Jesús; Alcolea, Andrés; Medina, Agustín; Hidalgo, Juan; Slooten, Luit J.

2005-03-01

The state of the groundwater inverse problem is synthesized. Emphasis is placed on aquifer characterization, where modelers have to deal with conceptual model uncertainty (notably spatial and temporal variability), scale dependence, many types of unknown parameters (transmissivity, recharge, boundary conditions, etc.), nonlinearity, and often low sensitivity of state variables (typically heads and concentrations) to aquifer properties. Because of these difficulties, calibration cannot be separated from the modeling process, as it is sometimes done in other fields. Instead, it should be viewed as one step in the process of understanding aquifer behavior. In fact, it is shown that actual parameter estimation methods do not differ from each other in the essence, though they may differ in the computational details. It is argued that there is ample room for improvement in groundwater inversion: development of user-friendly codes, accommodation of variability through geostatistics, incorporation of geological information and different types of data (temperature, occurrence and concentration of isotopes, age, etc.), proper accounting of uncertainty, etc. Despite this, even with existing codes, automatic calibration facilitates enormously the task of modeling. Therefore, it is contended that its use should become standard practice. L'état du problème inverse des eaux souterraines est synthétisé. L'accent est placé sur la caractérisation de l'aquifère, où les modélisateurs doivent jouer avec l'incertitude des modèles conceptuels (notamment la variabilité spatiale et temporelle), les facteurs d'échelle, plusieurs inconnues sur différents paramètres (transmissivité, recharge, conditions aux limites, etc.), la non linéarité, et souvent la sensibilité de plusieurs variables d'état (charges hydrauliques, concentrations) des propriétés de l'aquifère. A cause de ces difficultés, le calibrage ne peut êtreséparé du processus de modélisation, comme c'est le cas dans d'autres cas de figure. Par ailleurs, il peut être vu comme une des étapes dans le processus de détermination du comportement de l'aquifère. Il est montré que les méthodes d'évaluation des paramètres actuels ne diffèrent pas si ce n'est dans les détails des calculs informatiques. Il est montré qu'il existe une large panoplie de techniques d'inversion : codes de calcul utilisables par tout-un-chacun, accommodation de la variabilité via la géostatistique, incorporation d'informations géologiques et de différents types de données (température, occurrence, concentration en isotopes, âge, etc.), détermination de l'incertitude. Vu ces développements, la calibration automatique facilite énormément la modélisation. Par ailleurs, il est souhaitable que son utilisation devienne une pratique standardisée. Se sintetiza el estado del problema inverso en aguas subterráneas. El énfasis se ubica en la caracterización de acuíferos, donde los modeladores tienen que enfrentar la incertidumbre del modelo conceptual (principalmente variabilidad temporal y espacial), dependencia de escala, muchos tipos de parámetros desconocidos (transmisividad, recarga, condiciones limitantes, etc), no linealidad, y frecuentemente baja sensibilidad de variables de estado (típicamente presiones y concentraciones) a las propiedades del acuífero. Debido a estas dificultades, no puede separarse la calibración de los procesos de modelado, como frecuentemente se hace en otros campos. En su lugar, debe de visualizarse como un paso en el proceso de enten dimiento del comportamiento del acuífero. En realidad, se muestra que los métodos reales de estimación de parámetros no difieren uno del otro en lo esencial, aunque sí pueden diferir en los detalles computacionales. Se discute que existe amplio espacio para la mejora del problema inverso en aguas subterráneas: desarrollo de códigos amigables alusuario, acomodamiento de variabilidad a través de geoestadística, incorporación de información geológica y diferentes tipos de datos (temperatura, presencia y concentración de isótopos, edad, etc), explicación apropiada de incertidumbre, etc. A pesar de esto, aún con los códigos existentes, la calibración automática facilita enormemente la tarea de modelado. Por lo tanto, se sostiene que su uso debería de convertirse en práctica standard.
Antenatal Care Utilisation and Content between Low-Risk and High-Risk Pregnant Women

PubMed Central

Yeoh, Ping Ling; Hornetz, Klaus; Dahlui, Maznah

2016-01-01

Background The purpose of antenatal care is to monitor and improve the wellbeing of the mother and foetus. The World Health Organization recommends risk-oriented strategy that includes: (i) routine care to all women, (ii) additional care for women with moderately severe diseases and complications, (iii) specialised obstetrical and neonatal care for women with severe diseases and complications. Antenatal care is concerned with adequate care in order to be effective. Measurement for adequacy of antenatal care often applies indexes that assess initiation of care and number of visits. In addition, adequacy of care content should also be assessed. Results of studies in developed settings demonstrate that women without risk factors use antenatal services more frequently than recommended. Such over-utilisation is problematic for low-resourced settings. Moreover, studies show that a substantial proportion of high-risk women had utilisation or content of care below the recommended standard. Yet studies in developing countries have seldom included a comparison between low-risk and high-risk women. The purpose of the study was therefore to assess adequacy of care and pregnancy outcomes for the different risk groups. Methods A retrospective study using a multistage sampling technique, at public-funded primary health care clinics was conducted. Antenatal utilisation level was assessed using a modified Adequacy of Prenatal Care Utilisation index that measures the timing for initiation of care and observed-to-expected visits ratio. Adequacy of antenatal care content assessed compliance to routine care based on the local guidelines. Results Intensive or “adequate-plus” antenatal care utilisation as defined by the modified index was noted in over half of the low-risk women. On the other hand, there were 26% of the high-risk women without the expected intensive utilisation. Primary- or non-educated high-risk women were less likely to have a higher antenatal care utilisation level compared with tertiary educated ones (OR = 0.20, P = 0.003). Half of all women had <80% of the recommended antenatal care content. A higher proportion of high-risk than low-risk women scored <80% of the routine care content (p<0.015). The majority of the additional laboratory tests were performed on high-risk women. Provision of antenatal education showed comparatively poor compliance to guidelines, more than half of the antenatal advice topics assessed were rarely provided to the women. High-risk women were associated with a higher prevalence of adverse pregnancy outcome. Conclusions Disproportionate utilisation of antenatal care according to risk level of pregnancy indicates the need for better scheduling of care. The risk-oriented approach often results in a tendency to focus on the risk conditions of the women. Training interventions are recommended to improve communication and to help healthcare professionals understand the priorities of the women. Further studies are required to assess the reason for disproportionate utilisation of antenatal care according to risk level and how delivery of antenatal advice can be improved, reviewing both user and provider perspectives. PMID:27010482

Hospital emergency department utilisation rates among the immigrant population in Barcelona, Spain

PubMed Central

Buron, Andrea; Cots, Francesc; Garcia, Oscar; Vall, Oriol; Castells, Xavier

2008-01-01

Background The recent increase in the number of immigrants of Barcelona represents a challenge for the public healthcare system, the emergency department being the most used healthcare service by this group. However, utilisation rates in our environment have not yet been studied. We aimed to compare emergency department utilisation rates between Spanish-born and foreign-born residents in a public hospital of Barcelona. Methods The study population included all adults residing in the area of study and visiting the emergency department of Hospital del Mar in 2004. The emergency care episodes were selected from the Emergency Department register, and the population figures from the Statistics Department of Barcelona. Emergency care episodes were classified into five large clinical categories. Adjusted rate ratios (RR) of utilisation among foreign-born vs. Spanish-born residents were assessed through negative binomial regression. Results The overall utilisation rate was 382 emergency contacts per 1,000 persons-years. The RR for foreign-born versus Spanish-born residents was 0.62 (95% CI: 0.52; 0.74%). The RR was also significantly below one in surgery (0.51, 95% CI: 0.42; 0.63), traumatology (0.47, 95% CI: 0.38; 0.59), medicine (0.48, 95% CI: 0.38; 0.59) and psychiatry (0.42, 95% CI: 0.18; 0.97). No differences were found in utilisation of gynaecology and minor emergency services. Conclusion The overall lower utilisation rates obtained for foreign-born residents is consistent with previous studies and is probably due to the "healthy immigrant effect". Thus, the population increase due to immigration does not translate directly into a corresponding increase in the number of emergency contacts. The lack of differences in minor and gynaecological emergency care supports the hypothesis that immigrants overcome certain barriers by using the emergency department to access to health services. The issue of healthcare barriers should therefore be addressed, especially among immigrants. PMID:18315871
The use of secure anonymised data linkage to determine changes in healthcare utilisation following severe open tibial fractures.

PubMed

Page, Piers R J; Trickett, Ryan W; Rahman, Shakeel M; Walters, Angharad; Pinder, Leila M; Brooks, Caroline J; Hutchings, Hayley; Pallister, Ian

2015-07-01

Severe open fractures of the lower limbs are complex injuries requiring expert multidisciplinary management in appropriate orthoplastic centres. This study aimed to assess the impact of open fractures on healthcare utilisation and test the null hypotheses that there is no difference in healthcare utilisation between the year before and year after injury, and that there is no difference in healthcare utilisation in the year post-injury between patients admitted directly to an orthoplastic centre in keeping with the joint BOA/BAPRAS standards and those having initial surgery elsewhere. This retrospective cohort study utilising secure anonymised information linkage (SAIL), a novel databank of anonymised nationally pooled health records, recruited patients over 18 years of age sustaining severe open lower limb fractures managed primarily or secondarily at our centre and who had data available in the SAIL databank. 101 patients met inclusion criteria and 90 of these had records in the SAIL databank. The number of days in hospital, number of primary care attendances, number of outpatient attendances and number of emergency department attendances in the years prior and subsequent to injury were recorded. Patients sustaining open fractures had significantly different healthcare utilisation in the year after injury when compared with the year before, in terms of days spent in hospital (23.42 vs. 1.70, p=0.000), outpatient attendances (11.98 vs. 1.05, p=0.000), primary care attendances (29.48 vs. 11.99, p=0.000) and emergency department presentations (0.2 vs. 0.01, p=0.025). Patients admitted directly to orthoplastic centres had significantly fewer operations (1.78 vs. 3.31) and GP attendances (23.6 vs. 33.52) than those transferred in subsequent to initial management in other units. There is a significant increase in healthcare utilisation after open tibial fracture. Adherence to national standards minimises the impact of this on both patients and health services. Copyright © 2015 Elsevier Ltd. All rights reserved.
Utilisation of hepatocellular carcinoma screening in Australians at risk of hepatitis B virus-related carcinoma and prescribed anti-viral therapy.

PubMed

Sheppard-Law, Suzanne; Zablotska-Manos, Iryna; Kermeen, Melissa; Holdaway, Susan; Lee, Alice; George, Jacob; Zekry, Amany; Maher, Lisa

2018-07-01

To investigate hepatocellular carcinoma screening utilisation and factors associated with utilisation among patients prescribed hepatitis B virus anti-viral therapy and at risk of hepatocellular carcinoma. The incidence of hepatocellular carcinoma has increased in Australia over the past three decades with chronic hepatitis B virus infection a major contributor. hepatocellular carcinoma surveillance programs aim to detect cancers early enabling curative treatment options, longer survival and longer times to recurrence. Multi-site cross-sectional survey. An online study questionnaire was administered to eligible participants attending three Sydney tertiary hospitals. Data were grouped into six mutually exclusive hepatocellular carcinoma risk factor categories as per American Association for the Study of Liver Diseases guidelines. All analyses were undertaken in STATA. Logistic regression was used to assess the associations between covariates and screening utilisation. Multivariate models described were assessed using the Hosmer-Lemeshow goodness of fit. Of the 177 participants, 137 (77.4%) self-reported that US had been performed in the last six months. Awareness that screening should be performed and knowing the correct frequency of US screening were independently associated with screening utilisation. Participants who knew that screening should be undertaken were three times more likely to have had pretreatment education or were prescribed hepatitis B virus anti-viral treatment for >4 years. Participants reporting a family history of hepatocellular carcinoma were less likely to know that screening should be undertaken every 6 months. While utilisation of hepatocellular carcinoma surveillance programs was higher in this study than in previous reports, strategies to further improve surveillance remain necessary. Findings from this research form the basis for proposing strategies to improve utilisation of hepatocellular carcinoma screening, inform hepatitis B virus-related clinical practice and for the delivery of care and nursing education to people receiving hepatitis B virus anti-viral therapy and at risk of developing hepatocellular carcinoma. © 2018 John Wiley & Sons Ltd.
Service utilisation by carers of people with dementia in rural Victoria.

PubMed

Ervin, Kaye; Reid, Carol

2015-12-01

To explore the use of community and dementia-specific services by informal carers caring for someone with dementia in a rural setting. Carers of people with dementia were recruited through a variety of rural community services and invited to complete a survey related to the utilisation of community services. A total of 39 carers completed surveys. Despite 84% reporting use of the Aged Care Assessment Service and 61% reporting provision of printed information on the services available, less than half of the carers utilised commonly available support services. Only 46% received financial compensation for their carer role. Rural carers of care recipients with behavioural and psychological symptoms of dementia underutilise community services. Services that may assist with carer stress and depression and services that provide advice on the management of distressing behavioural and psychological symptoms of dementia were utilised by less than half of the carers surveyed. © 2014 AJA Inc.
Prediction of seasonal water-table fluctuations in La Pampa and Buenos Aires, Argentina

NASA Astrophysics Data System (ADS)

Tanco, Raúl; Kruse, Eduardo

2001-07-01

The fluctuation of the water table east of La Pampa province and northwest of Buenos Aires province, Argentina, influences agricultural production in the region because it is closely related to the alternation of dry and wet periods. Sea-surface temperature (SST) anomalies have been used as predictors to forecast atmospheric variables in different regions of the world. The objective of this work is to present a simple model to forecast seasonal rainfall using SST distribution in the Pacific Ocean as a predictor. Once the relationship between precipitation and water-table fluctuations was established, a methodology for the prediction of water-table fluctuations was developed. A good agreement between observed and predicted water-table fluctuations was found when estimating water-table fluctuations in the summer and autumn seasons. Résumé. Les fluctuations de la nappe à l'est de la province de La Pampa et au nord-ouest de la province de Buenos Aires (Argentine) influence la production agricole de la région parce qu'elle est étroitement liée à l'alternance de saisons sèches et humides. Les anomalies de la température de surface de l'océan (SST) ont été utilisées comme prédicteurs pour prévoir les variables atmosphériques dans différentes régions du monde. L'objectif de ce travail est de présenter un modèle simple de prévision des précipitations saisonnières en utilisant comme prédicteur la distribution des SST dans l'Océan Pacifique. Une fois que la relation entre les fluctuations des précipitations et celles de la nappe a été établie, une méthodologie de prédiction des variations de la nappe a été mise au point. Un bon accord entre les variations de la nappe observées et celles prédites a été trouvé pour les estimations des variations de nappe en été et en automne. Resumen. La fluctuación del nivel freático al este de la provincia de La Pampa y al nordeste de la de Buenos Aires (Argentina) repercute en la producción agrícola de la región, ya que está íntimamente relacionada con la alternancia de períodos secos y húmedos. Se ha utilizado las anomalías de la temperatura superficial del mar (TSM) para predecir las variables atmosféricas en diferentes áreas del mundo. El objetivo de este trabajo es presentar un modelo sencillo para pronosticar la precipitación estacional por medio de la distribución de TSM en el Océano Pacífico. Una vez establecida la relación entre la precipitación y las fluctuaciones del nivel freático, se desarrolló una metodología para predecir las fluctuaciones de éste. Se obtuvo un buen ajuste entre las fluctuaciones predichas y observadas del nivel freático en las estaciones de verano y otoño.
Mesures experimentales de l'impact des revetements hydrophobeset superhydrophobes sur la trainee et la portance d'un profil aerodynamique propre et glace

NASA Astrophysics Data System (ADS)

Villeneuve, Eric

Ce projet, realise a la demande du Laboratoire International des Materiaux Antigivre, a pour but de mesurer et definir experimentalement l'impact de revetements hydrophobes sur les coefficients de trainee et de portance d'un profil NACA 0012. Pour ce faire, la balance aerodynamique du LIMA devait tout d'abord etre amelioree afin d'offrir une sensibilite suffisante pour realiser le projet. Plusieurs ameliorations ont ete faites, comme le changement des cellules de charge, la diminution du nombre de cellules de charge, le changement du cadre de la balance, etc. Une fois ces ameliorations terminees, la reproductibilite, l'exactitude et la sensibilite ont ete valides afin de s'assurer de la fiabilite des resultats offerts par la balance. Pour les angles d'attaque etudies avec les revetements, soient -6° et 0°, la balance a une reproductibilite de +/-2,06% a 360 000 de nombre de Reynolds. Pour valider la sensibilite, des essais a -6° et 0° d'angle d'attaque et des nombres de Reynolds de 360 000 et 500 000 ont ete faits avec des papiers sables. Les resultats de ces essais ont permis de, tracer des courbes de tendances du coefficient de trainee du NACA 0012 en fonction de la rugosite de surface et d'etablir la valeur de la sensibilite de la balance a +/-8 mu m. Cinq revetements populaires ont ete choisis pour l'experimentation, soient le Wearlon, le Staclean, le Hirec, le Phasebreak ainsi que le Nusil. Les revetements sont soumis aux memes conditions experimentales que les papiers sables, et une rugosite equivalente est trouvee par extrapolation des resultats. Cependant, les rugosites equivalentes de surfaces different entre -6° et 0°. Les essais avec le Staclean et le Hirec donnent des coefficients de trainee equivalent a ceux avec l'aluminium, alors que le Wearlon, le Nusil et le Phasebreak donnent une augmentation du coefficient de trainee de 13%, 17% et 25% respectivement par rapport a l'aluminium. Pour les coefficients de portance, la balance ne detecte pas l'effet des revetements, ni des papiers sables, sur la force de portance ce qui signifie qu'il entre dans l'insensibilite de la balance. La derniere etape experimentale consistait a mesurer l'impact des revetements sur la formation de la glace ainsi que sur l'evolution des coefficients de trainee et de portance du NACA 0012 en fonction de l'accumulation de glace sur celui-ci. Le Wearlon a ete choisi comme revetement en raison de sa grande popularite. Des essais a -5°C et -20°C ont ete faits et les resultats ont montres que le Wearlon n'apporte pas d'effet benefique au NACA 0012 en conditions d'accumulations de glace. L'augmentation du coefficient de trainee du profil muni du Wearlon debutait plus rapidement que sur l'aluminium et de l'eau gelait legerement plus loin vers l'arriere du profil pendant les essais, ce qui n'est pas souhaitable. Le coefficient de trainee est superieur d'environ 13% pour le Wearlon par rapport a l'aluminium pendant toute l'accumulation de glace, ce qui correspond au meme ecart lorsque la glace n'est pas en cause. Pour le coefficient de portance, les resultats ne peuvent etre utilises pour une raison qui doit etre investiguee.
Hydrochemistry of waters from five cenotes and evaluation of their suitability for drinking-water supplies, northeastern Yucatan, Mexico

NASA Astrophysics Data System (ADS)

Alcocer, Javier; Lugo, Alfonso; Marín, Luis E.; Escobar, Elva

Waters from five cenotes that are currently being used for aquatic recreational activities and that lie along the Cancun-Tulum touristic corridor, Mexico, were evaluated hydrochemically to determine whether the cenotes may be considered as potential drinking-water sources. Several parameters exceed the Mexican Drinking Water Standards (MDWS), but since they do not pose a significant health threat, four of the five cenotes may be used as drinking-water sources. The common contaminants in the Yucatan Peninsula, fecal coliforms and nitrate, are in most cases below the MDWS (0-460 MPN/100ml and 0.31-1.18mg/L, respectively). Although these four cenotes meet the MDWS, a careful groundwater management policy needs to be developed to avoid contamination (fecal and nitrates) and salt-water intrusion. Résumé Les eaux de cinq cénotés, qui sont normalement utilisées pour des activités de plein air, dans la région touristique de Cancun-Tulum (Mexique), ont été soumises à analyses chimiques pour savoir si les cénotés peuvent être considérés comme des sources d'eau potable. Plusieurs paramètres dépassent les normes mexicaines en matière d'eau potable; mais comme ceux-ci ne posent pas de problème réel de santé, quatre des cinq cénotés peuvent être captés pour l'eau potable. Les contaminants habituels dans les eaux de la presqu'île du Yucatan, coliformes fécaux et concentrations élevées en nitrate, sont la plupart du temps au-dessous des normes (respectivement 0 à 460 germes/100ml et 0,31 à 1,18mg/l). Bien que ces quatre cénotés satisfassent aux normes, il est nécessaire de mettre en place des règles précises de l'utilisation de l'eau souterraine, afin d'éviter la contamination par les germes fécaux et par les nitrates, ainsi que l'intrusion marine. Resumen Se analizó hidroquímica y bacteriológicamente el agua de algunos cenotes localizados a lo largo del corredor turístico Cancun-Tulum, que actualmente se utilizan para diversas actividades recreativas, para determinar su potencial de uso como fuente de abastecimiento de agua potable. La mayor parte de los parámetros excedieron los criterios establecidos en la Norma Mexicana para Agua Potable (NMAP), sin embargo, como éstas no representan una riesgo para la salud, el agua de cuatro de los cinco cenotes puede ser emplada como fuente de abastecimiento de agua potable. Los contaminantes comúnes del agua subterránea de la península de Yucatán, coliformes fecales y nitratos, se encuentran en la mayoría de los casos por debajo de la NMAP (0-460 NMP/ 100ml y 0.31-1.18mg/l, respectivamente). A pesar de que estos cuatro cenotes cumplen con la NMAP, es necesario desarrollar una política de manejo adecuada del agua subterránea para evitar la contaminación de este recurso (fecal y por nitratos), así como la intrusión de agua salina.
Additives for Water Mist Fire Suppression Systems: A Review

DTIC Science & Technology

2012-11-01

TM 2012-236; R & D pour la défense Canada – Atlantique; novembre 2012. Introduction : On utilisait les halons comme agents extincteurs dans les... 13 Table 11: Results of fire extinguishment tests on kerosene or heptanes pan fires using water mist and water mist with 2 vol...Forafac® WM. ....................................................... 13 x DRDC Atlantic TM 2012-236 This page intentionally left
Host specificity of the ruminal bacterial community in the dairy cow followng near-total exchange of ruminal contents

USDA-ARS?s Scientific Manuscript database

The purpose of this study was to examine the stability and host specificity of a cow’s ruminal bacterial community following massive challenge with the ruminal microflora from another cow. In each of two experiments, one pair of cows was selected on the basis of differences in ruminal bacterial comm...
Child Soldiers as the Opposing Force (Des Enfants Soldats Comme Adversaires)

DTIC Science & Technology

2011-01-01

12] 2.4.1 Transactional Analysis The ego states of a child, an adult and a parent are described by Sigmund Freud , the founding father of psycho...hunger, thirst, joy or rage, by Freud condensed to the thrifts of ‘eros’ or lust for life and ‘thanatos’, lust for death. So the ego state of the child
A Novel Approach to Investigate Internalization of Escherichia coli O157:H7 in Lettuce and Spinach

USDA-ARS?s Scientific Manuscript database

The chromosomal integration of the green fluorescent protein (gfp) gene was successfully accomplished into four nalidixic acid resistant E. coli strains: two O157:H7 strains from produce outbreaks, 4407 and 5279, one O157:H7 strain from a beef-associated outbreak, 86-24h11, and a non-pathogenic comm...
75 FR 45165 - Investigations Regarding Certifications of Eligibility To Apply for Worker Adjustment Assistance

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-02

......... 07/13/10 07/12/10 74374 TTM Technologies Santa Ana, CA......... 07/13/10 07/12/10 (State/One-Stop............ 07/13/10 07/06/10 Machine Company. (Company) 74377 Sony Pictures Entertainment Culver City, CA... 74379 Mattel Phoenix Technology Phoenix, AZ 07/14/10 07/12/10 Center (Workers). 74380 Wistron Info Comm...
Implementing Communication Studies into General Education: The Basic Course as General Education (Or, How We Made It Work for Us).

ERIC Educational Resources Information Center

Buckrop, Jacquelyn J.

At Ball State University in Indiana, the basic course (COMM 210) focuses communication concepts and skills with the goals of helping students understand basic communication principles, providing them with the opportunity to improve their communication skills, and enhancing their awareness of communication's role in culture. Special emphasis is…
75 FR 26838 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-12

... Discontinuance or Modification of a Railroad Signal System or Relief From the Requirements of Title 49 Code of... approval for the discontinuance or modification of the signal system or relief from the requirements of 49..., Mr. William E. Van Trump, AVP Engineering -- Signal/Comm/TCO, 1400 Douglas Street, STOP 0910, Omaha...
Fiches pratiques: "Comme ils disent..."; Trop d'enfants; Touche pas a mon pote!; Import/export (Practical Ideas: "As They Say..."; Too Many Children; Don't Touch My Pal!).

ERIC Educational Resources Information Center

Bourdet, Jean-Francois; And Others

1993-01-01

Four classroom activities for French instruction are described, including an exercise in contextual grammar, lessons in interpretation of charts and graphs, an exercise in extracting cultural information from text, and practice in calculating in French and applying basic economic concepts. (MSE)
Analysis of molecular variability among the isolated of Verticillium dahliae from diverse host species based on florescene-based amplified fragment length polymorphism.

USDA-ARS?s Scientific Manuscript database

Verticillium dahliae is a soil borne fungus and the primary causal agent of Verticillium wilt, which affects many crops worldwide. Many crops grown in the Salinas Valley (SV) of California, including strawberry and lettuce (Lactuca sativa), are susceptible to V. dahliae and severe outbreaks are comm...
78 FR 14152 - Notice of Intent To Grant Buy America Waiver to Illinois Department of Transportation To Use...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-04

... included in IDOT's waiver request are: (1) An ethernet cable; (2) an omni directional antenna; and (3) a... cables, routers, air filtration system, power supplies, radios, antennae, displays, and sensors, which... from INET-II Radio to Ethernet Switch; (2) a 900 MHz Omni- directional antenna; and (3) a RuggedComm RX...
Using the Internet as a Classroom Information and Image Resource for the Development of a Television Advertising Campaign.

ERIC Educational Resources Information Center

Murray, Michael

This report describes the use of the Internet as an image and information resource in an introductory television and radio production class (COMM 223: Principles of Radio and Television Production) at Western Illinois University. The report states that the class's two lab sections spent the first half of the semester preparing a television…
Amélioration de la brillance d'un OPO nanoseconde par le profilage spatio-temporel du faisceau de pompage

NASA Astrophysics Data System (ADS)

Kermène, V.; Chabanol, M.; Mugnier, A.; Barthélémy, A.

2002-06-01

Nous présentons une nouvelle méthode de pompage pour augmenter la brillance d'un Oscillateur Paramétrique Optique nanoseconde. Cette méthode est basée sur le profilage spatio-temporel du faisceau de pompage conduisant POPO à ce comporter comme une source auto-injectée.
Occurrences of the western skink (Eumeces skiltonianus) in grasslands of western Montana

Treesearch

Yvette K. Ortega; Dean E. Pearson

2001-01-01

The western skink (Eumeces skiltonianus) was recently classified as a Montana Species of Special Concern due to its restricted range in the state (D. P. Hendricks, Montana Natural Heritage Program, Helena, MT, pers. comm.). Records of the western skink in Montana are limited to a few, scattered locations on the western edge of the state (Tanner 1988; Reichel...

Evaluation of methods and plating media for detection of Campylobacter in ceca from 66 different broiler flocks across 11 months

USDA-ARS?s Scientific Manuscript database

The ceca of broilers can be colonized with Campylobacter. Due to high numbers of other bacteria present, detecting Campylobacter in cecal contents can be challenging. On each of 66 sample days from April 2013 through February 2014, a single cecum was collected from the evisceration line in a comme...
A Dozen Years after Open Source's 1998 Birth, It's Time for "OpenTechComm"

ERIC Educational Resources Information Center

Still, Brian

2010-01-01

2008 marked the 10-year Anniversary of the Open Source movement, which has had a substantial impact on not only software production and adoption, but also on the sharing and distribution of information. Technical communication as a discipline has taken some advantage of the movement or its derivative software, but this article argues not as much…
Bacillus velezensis is not a later heterotypic synonym of Bacillus amyloliquefaciens; Bacillus methylotrophicus, Bacillus amyloliquefaciens subsp plantarum and ‘Bacillus oryzicola’ are later heterotypic synonyms of Bacillus

USDA-ARS?s Scientific Manuscript database

The rhizosphere isolated bacteria belonging to the Bacillus amyloliquefaciens subsp. plantarum and Bacillus methylotrophicus clades are an important group of strains that are used as plant growth promoters and antagonists of plant pathogens. These properties have made these strains the focus of comm...
Historical Perspective and Contribution of U.S. Researchers Into the Field of Self-Propagating High-Temperature Synthesis (SHS)/Combustion Synthesis (CS): Personal Reflections

DTIC Science & Technology

2008-07-01

Gas - Solid Systems. Chem. Eng. Comm. 1990, 92, 199. 74. Dimitriou, P.; Puszynski, J. A.; Hlavacek, V. On the Dynamic of Equations Describing...Yu, L. H.; Thadani, N. N.; Meyers, M. A.; Graham, R. A.; Hammetter , W. F. Shock-Induced Chemical Synthesis of Intermetallic Compounds. In
Enzyme-Linked Immunosorbant Assays for Identification of Biological Agents in Sample Unknowns: NATO SIBCA. Exercise 5

DTIC Science & Technology

2004-12-01

avantage comme Brucella spp par ex. De plus, chaque ELISA d’agent devrait &tre test~e avec un agent vivant pour confirmer la sensibilit6 du biotest aux...materiaux vivants . A plus long terme, i1 serait souhaitable d𔄀tudier des solutions de rechange qui seraient plus sensibles aux techniques
Identification of Opinion Leaders in Public Affairs, Educational Matters and Family Planning in the Township of Atteridgeville. Research Finding Comm N-142.

ERIC Educational Resources Information Center

Heath, M. R.; Bekker, S. J.

A study examined opinion leadership among blacks in Atteridgeville, South Africa. Specifically the study sought to identify potential opinion leaders, opinion seekers and opinion avoiders with respect to public affairs, educational and family planning matters in Atteridgeville township, and to construct a profile of such opinion leaders. Subjects,…
Capability Engineering Process (CEP) Foundations - Version 2

DTIC Science & Technology

2006-03-02

R& D /Ops Research, Infrastructure & Organization, Qoncepts, Doctrine & Collective Training, IT Infrastructure , Equipment, Supplies and Services...les investissements strategiques requis pour repondre it une lacune en matiere de capacite. Ce processus est elabore dans la cadre du projet de...ainsi que six (6) buts secondaires servent it positionner Ie PIC comme un processus interne aux activites de planification axee sur les capacites
Breeding red-winged blackbirds in captivity

USGS Publications Warehouse

Know, C.J.; Stickley, A.R.

1974-01-01

Ability to establish and maintain self-sustaining breeding colonies of captive Red-winged Blackbirds (Agelaius phoeniceus) would facilitate long-term studies designed to develop methods for alleviating blackbird depredations as well as provide basic life history data. To be most useful, the colonies should be established in pens near laboratory facilities; this frequently involves putting colonies in unnatural nesting habitat. This paper describes a 5-year effort at Gainesville, Florida, to induce captive Red-wings, most of them taken from the wild as nestlings and then hand-reared in our laboratory, to breed regularly under such conditions. Except for an undocumented report of two young fully reared at the London Zoo in 1913 (Prestwick per. comm.), captive Red-wings have not been induced to breed successfully under avicultural conditions. In 1969, captive Red-wings, wild-trapped as adults, were induced to breed and to rear young successfully in large pens over normal marsh and hayfield nesting habitat in Ohio (Jackson pers. comm.). Earlier, a pair of Red-wings that had been caught as adults and kept together for a year hatched two young in a 40- X 20- X 6-foot cage in Massachusetts (Wetherbee 1960, Wilson Bull. 74: 90), but the nestlings died soon after hatching.
Changes in health care utilisation following a reform involving choice and privatisation in Swedish primary care: a five-year follow-up of GP-visits

PubMed Central

2013-01-01

Background The organisation of Swedish primary health care has changed following introduction of free choice of provider for the population in combination with freedom of establishment for private primary care providers. Our aim was to investigate changes in individual health care utilisation following choice and privatisation in Swedish primary care from an equity perspective, in subgroups defined by age, gender and family income. Methods The study is based on register data years 2007 – 2011 from the Skåne Regional Council (population 1.2 million) regarding individual health care utilisation in the form of visits to general practitioner (GP). Health utilisation data was matched with data about individual’s age, gender and family income provided by Statistics Sweden. Multilevel, logistic regression models were constructed to analyse changes in health utilisation in different subgroups and the probability of a GP-visit before and after reform. Results Health care utilisation in terms of both number of individuals that had visited a GP and number of GP-visits per capita increased in all defined subgroups, but to a varying degree. Multilevel logistic regression showed that individuals of both genders aged above 64 and belonging to a family with an income above median had more advantage of the reform, OR 1.25-1.29. Conclusions Reforms involving choice and privatisation in Swedish primary health care improved access to GP-visits generally, but more so for individuals belonging to a family with income above the median. PMID:24171894
Drug-related stigma and access to care among people who inject drugs in Vietnam.

PubMed

Lan, Chiao-Wen; Lin, Chunqing; Thanh, Duong Cong; Li, Li

2018-03-01

There are considerable challenges faced by people with a history of injecting drug use (PWID) in Vietnam, including drug-related stigma and lack of access to healthcare. Seeking and utilising healthcare, as well as harm reduction programs for PWID, are often hampered by drug-related stigma. This study aimed to examine the impacts of drug-related stigma on access to care and utilisation of harm reduction programs among PWID in Vietnam. A cross-sectional study was conducted in two provinces in Vietnam, Phú Thọ and Vinh Phúc. The study participants completed the survey by using Audio Computer-Assisted Self-Interview between late 2014 and early 2015. Linear multiple regression models and logistic regression models were used to assess the relationship among drug-related stigma, access to care and utilisation of harm reduction programs, including methadone maintenance treatment (MMT) and needle exchange programs (NEP). A total of 900 PWID participated in this study. Drug-related stigma was significantly associated with lower level of access to care, but not with utilisation of MMT or NEP. Older age was positively associated with higher levels of access to care. Levels of education were positively correlated with access to care, as well as utilisation of MMT and NEP. This study underscores the need for future interventions to reduce drug-related stigma in society and in health-care settings to improve PWID's utilisation of care services. Special attention should be paid to younger PWID and those with lower levels of education. © 2017 Australasian Professional Society on Alcohol and other Drugs.
Effect of active shortening on the rate of ATP utilisation by rabbit psoas muscle fibres

PubMed Central

Sun, Y-B; Hilber, K; Irving, M

2001-01-01

The rate of ATP utilisation during active shortening of single skinned fibres from rabbit psoas muscle at 10 °C was measured using an NADH-linked assay. Fibres were immersed in silicone oil and illuminated with 365 nm light. The amounts of NADH and carboxytetramethylrhodamine (CTMR) in the illuminated region of the fibre were measured simultaneously from fluorescence emission at 425–475 and 570–650 nm, respectively. The ratio of these two signals was used to determine the intracellular concentration of NADH, and thus the ATP utilisation, without interference from movements of the fibre with respect to the measuring light beam. The total extra ATP utilisation due to shortening (ΔATP) was determined by extrapolation of the steady isometric rates before and after shortening to the mid-point of the shortening period. ΔATP had a roughly linear dependence on the extent of shortening in the range 1–15% fibre length (L0) at a shortening velocity of 0.4 L0 s−1 from initial sarcomere length 2.7 μm. For shortening of 1%L0, ΔATP was 21 ± 1 μm (mean ±s.e.m., n = 3). The mean rate of ATP utilisation during ramp shortening of 10%L0 had a roughly linear dependence on shortening velocity in the range 0.05–1.2 L0 s−1. During unloaded shortening at 1.2 L0 s−1 the mean rate of ATP utilisation was 1.7 mm s−1, about 9 times the isometric rate. ΔATP was roughly independent of shortening velocity, and was 84 ± 9 μm (mean ±s.e.m., n = 6) for shortening of 10%L0. The implications of these results for mechanical-chemical coupling in muscle are discussed. The total ATP utilisation associated with shortening of 1%L0 is only about 17% of the concentration of the myosin heads in the fibre, suggesting that during isometric contraction either less than 17% of the myosin heads are attached to actin, or that heads can detach without commitment to ATP splitting. The fraction of myosin heads attached to actin during unloaded shortening is estimated from the rate of ATP utilisation to be less than 7%. PMID:11251058
Ethnic disparities in utilisation of maternal health care services in Ghana: evidence from the 2007 Ghana Maternal Health Survey.

PubMed

Ganle, John Kuumuori

2016-01-01

Disparities in utilisation of maternal health care remain a challenge to attainment of the maternal health-related Millennium Development Goals. The objective of this descriptive study was to examine disparities in utilisation of maternal health care among ethnic groups in Ghana. Data from the 2007 Ghana Maternal Health Survey were analysed for disparities in antenatal care (ANC) visit, utilisation of tetanus toxoid immunisation and iron tablets/syrup intake during pregnancy, place of delivery, skilled birth attendance, caesarean section (CS) and post-natal care (PNC) among different ethnic groups. Findings show that the proportion of women who received any form of skilled antenatal, delivery and PNC in the five years (2003-2007) preceding the survey was 96%, 55% and 55%, respectively. Despite the incremental progress Ghana made in improving access to skilled maternal health care services, large gradients of disparities exist. The ethnic difference in utilisation of institutional prenatal care was small; however, fewer births to women from majority ethnic groups such as the Akan (21%) took place at home compared with births to women from minority ethnic groups such as the Ewe (58.8%), Guan (42.7%), Grusi (53.4%), Mole-Dagbani (74.7%) and Gruma (58.8%). The rate of consultation of a skilled health care provider for delivery among the different ethnic groups also ranged from a low of 27% for births to Mole-Dagbani women to a high of 68.8% among births to Akan women. Minority ethnic groups reported lower utilisation levels for most of the components of skilled maternity care in Ghana. However, ethnic disparities in utilisation of all the components of ANC in Ghana were less compared to delivery in health facilities, skilled attendance at birth, use of CS and PNC. Therefore, efforts to promote universal access to skilled maternity care not only should target those sub-populations with significantly low utilisation levels but also must focus on those components of maternal health care such as skilled attendance at delivery that demonstrate the greatest disparities. There is also the need to further explore who continues to remain excluded from receiving needed care, and how to encourage such women, especially minority women, to seek skilled care.
Who benefits from public health financing in Zimbabwe? Towards universal health coverage.

PubMed

Shamu, Shepherd; January, James; Rusakaniko, Simbarashe

2017-09-01

Zimbabwe's public health financing model is mostly hospital-based. Financing generally follows the bigger and higher-level hospitals at the expense of smaller, lower-level ones. While this has tended to perpetuate inequalities, the pattern of healthcare services utilisation and benefits on different levels of care and across different socioeconomic groups remains unclear. The purpose of this study was therefore to assess the utilisation of healthcare services and benefits at different levels of care by different socioeconomic groups. We conducted secondary data analysis of the 2010 National Health Accounts survey, which had 7084 households made up of 26,392 individual observations. Results showed significant utilisation of health services by poorer households at the district level (concentration index of -0.13 [CI:-0.2 to -0.06; p < .05]), but with mission hospitals showing equitable utilisation by both groups. Provincial and higher levels showed greater utilisation by richer households (0.19; CI: 0.1-0.29; p < .05). The overall results showed that richer households benefited significantly more from public health funds than poorer households (0.26; CI: 0.2-0.4; p < .05). Richer households disproportionately benefited from public health subsidies overall, particularly at secondary and tertiary levels, which receive more funding and provide a higher level of care.
Socioeconomic inequalities in dental services utilisation in a Norwegian county: the third Nord-Trondelag Health Survey.

PubMed

Vikum, Eirik; Krokstad, Steinar; Holst, Dorthe; Westin, Steinar

2012-11-01

To assess the level of socioeconomic inequity in dental care utilisation in Norway and enable comparison with recent international comparative studies. We studied dental care utilisation among 17,136 men and 21,414 women in the third Nord-Trøndelag Health Survey (2006-08). Respondents aged 20 years and above were included in the study, and analyses were also performed within subgroups of age and gender (20-39, 40-59, and ≥60 years). Income-related horizontal inequity was estimated by means of concentration indices. Education-related inequity was estimated as relative risks. We found consistent pro-rich income inequity among men and women of all ages. The level of income inequity was highest among men and women ≥60 years, and in this group the income gradient was steepest between the poorest and the middle quintiles. Pro-educated inequity was found exclusively among men and women ≥60 years. General attendance was high (77%). The overall level of income-related inequity in dental services utilisation was low compared to other European countries as reported in two recent international studies of socioeconomic inequalities in dental care utilisation. Pro-rich and pro-educated inequity is a public health challenge mainly in the older part of the population.
Low use of contraceptives among rural women in Maitha, Uttar Pradesh, India.

PubMed

Saroha, Ekta; Altarac, Maja; Sibley, Lynn M

2013-05-01

Low contraceptive utilisation and high fertility in rural Uttar Pradesh (UP), India, is a major concern for the world's second most populous country. The association between reasons for low contraceptive utilisation and maternal factors has been inadequately researched. Data from the 'morbidity and performance assessment' study were analysed to explore reasons for low contraceptive utilisation and their association with maternal factors among 308 women in Maitha, rural UP, India. Chi-square, t-test, ANOVA, and logistic regression analyses were conducted. Majority (84.2%) of the rural women in Maitha, UP, India were not using any contraceptives. Upper caste, literate wives, and wives whose husbands were literate were more likely to use contraceptives. About one-third of the women did not want to use a contraceptive because they wanted another child. Large numbers (65.3%) of women wanted to use contraceptives but were unable to do so due to lack of knowledge (38.9%), fear of side-effects (15.5%), husband/family disapproval (15.5%), inconvenience (10.7%), and other reasons (19.1%). Maternal parity, wives' and husband's literacy were significantly associated with the reasons for low contraceptive utilisation (p < 0.05). Contraceptive utilisation can be Improved by taking into consideration such maternal characteristics. All state subsidised contraceptives should be more widely known, understood and made available.
Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries.

PubMed

Postolovska, Iryna; Helleringer, Stéphane; Kruk, Margaret E; Verguet, Stéphane

2018-01-01

Measles supplementary immunisation activities (SIAs) are an integral component of measles elimination in low-income and middle-income countries (LMICs). Despite their success in increasing vaccination coverage, there are concerns about their negative consequences on routine services. Few studies have conducted quantitative assessments of SIA impact on utilisation of health services. We analysed the impact of SIAs on utilisation of selected maternal and child health services using Demographic and Health Surveys and Multiple Indicator Cluster Surveys from 28 LMICs, where at least one SIA occurred over 2000-2014. Logistic regressions were conducted to investigate the association between SIAs and utilisation of the following services: facility delivery, postnatal care and outpatient sick child care (for fever, diarrhoea, cough). SIAs do not appear to significantly impact utilisation of maternal and child services. We find a reduction in care-seeking for treatment of child cough (OR 0.67; 95% CI 0.48 to 0.95); and a few significant effects at the country level, suggesting the need for further investigation of the idiosyncratic effects of SIAs in each country. The paper contributes to the debate on vertical versus horizontal programmes to ensure universal access to vaccination. Measles SIAs do not seem to affect care-seeking for critical conditions.
Determination of the predictive factors of long-lasting insecticide-treated net ownership and utilisation in the Bamenda Health District of Cameroon.

PubMed

Fokam, Eric B; Kindzeka, Germaine F; Ngimuh, Leonard; Dzi, Kevin T J; Wanji, Samuel

2017-03-16

Malaria is a serious health concern in Africa. In Cameroon, an endemic country where malaria remains a major public health problem, several control measures have been put in place among which the use of insecticide-treated bednets (LLINs/ITNs) is considered one of the core vector control strategies. However, the greatest challenges include ownership and utilisation by individuals and households. Factors such as age, marital status, gender, education and occupation of the household head, household size, knowledge of bednets, socioeconomic status, and environmental factors have been suggested to have an impact on bednet ownership and utilisation in different settings. The present study sought to determine bednet ownership and utilisation rates and to assess the impact of predictive factors on bednet ownership and use in the Bamenda Health District (BHD) of Cameroon. A cross-sectional study involving 384 households was conducted in six health areas in the BHD. A structured and semi-structured questionnaire was used to collect data on demographic and household characteristics as well as information on their bednet ownership and utilisation. Descriptive statistics, bivariate and multivariate logistic regression analysis were performed. Frequency of bednet ownership was relatively high (63.5%) with LLINs being most abundant (91.9%); the majority of households (87.7%) obtained their bednets during the 2011 free distribution campaign. Utilisation was relatively high (69.3%), with negligence (29.3%) and heat discomfort (26.7%) accounting most for non-usage of bednets. Children less than 5 years (63%) and pregnant women (60%) most often used these nets. Households headed by a married couple, those with older household heads, household with smaller size (5-12 persons), and knowledge of bednets (good knowledge) had positive impacts on bednet ownership (p < 0.05). The gender of the household head (males), their educational level, environmental conditions (presence of suitable mosquito breeding sites), bednet number in households (greater number of bednets) and the prioritised groups (children < 5 and pregnant women) had positive impacts on bednet utilisation in households (p < 0.05). There was a negative association between bednet ownership and utilisation by households as bednet ownership was high and utilisation of these nets was low. Marital status and age of household head, household size, and knowledge of bednets had impacts on bednet ownership while gender and educational level of the household head, environmental suitability, the number of bednets and the two prioritised groups had an impact on bednet usage. These factors may be relevant for policy makers and in decision making for the intensification of campaign strategies to ensure more effective subsequent distribution campaigns in the BHD and beyond.
La fragilité

PubMed Central

Lee, Linda; Heckman, George; Molnar, Frank J.

2015-01-01

Résumé Objectif Aider les médecins de famille à mieux reconnaître la fragilité et ses répercussions sur la prise en charge des patients âgés. Sources des données Une recension a été effectuée dans PubMed-MEDLINE de 1990 à 2013 pour trouver des articles rédigés en anglais exclusivement, à l’aide des groupes suivants de mots clés et d’en-têtes MeSH : frail elderly, frail, frailty; aged, geriatrics, geriatric assessment, health services for the aged; primary health care, community health services et family practice. Message principal La fragilité est fréquente, en particulier chez les personnes âgées atteintes de maladies chroniques complexes comme l’insuffisance cardiaque et la bronchopneumopathie chronique obstructive. De nouvelles données probantes démontrent l’importance de la fragilité comme facteur de prédiction d’issues indésirables chez les personnes plus âgées. Quoiqu’on ne s’entende actuellement pas sur les meilleures façons d’évaluer et de diagnostiquer la fragilité en soins primaires, des marqueurs individuels de la fragilité comme la lenteur de la démarche offrent des moyens pratiques prometteurs de dépister la fragilité. La détection de la fragilité en soins primaires peut offrir la possibilité de retarder la progression de la fragilité au moyen d’interventions proactives comme l’exercice. La reconnaissance de l’existence de la fragilité peut orienter un counseling approprié et la prise de mesures préventives anticipatoires pour les patients lorsqu’on envisage des interventions médicales. Elle peut aussi aider à cerner des problèmes concomitants qui contribuent à la fragilité et l’influencent et à en optimiser la prise en charge. Les recherches futures devraient se pencher sur la détermination de moyens pratiques et efficaces pour évaluer et prendre en charge de manière appropriée ces patients vulnérables au niveau des soins primaires. Conclusion En dépit de son importance, on a accordé peu d’attention au concept de la fragilité en médecine familiale. La fragilité peut aisément passer inaperçue parce que ses manifestations sont souvent subtiles, de progression lente et, par conséquent, elle peut être méprise pour un vieillissement normal. La formation des médecins a insisté sur des maladies médicales spécifiques plutôt que sur la vulnérabilité globale. Pour les médecins en soins primaires, la reconnaissance de la fragilité peut les aider à offrir un counseling approprié aux patients et aux membres de leur famille au sujet des risques des interventions médicales.
Is healthcare really equal for all? Assessing the horizontal and vertical equity in healthcare utilisation among older Ghanaians.

PubMed

Dei, Vincent; Sebastian, Miguel San

2018-06-20

There is a lack of focused research on the older population in Ghana and about issues pertaining to their access to healthcare services. Furthermore, information is lacking regarding the fairness in the access to these services. This study aimed to ascertain whether horizontal and vertical equity requirements were being met in the healthcare utilisation among older adults aged 50 years and above. This study was based on a secondary cross-sectional data from the World Health Organization's Study on global AGEing (SAGE) and adult health wave 1 conducted from 2007 to 2008 in Ghana. Data on 4304 older adults aged 50 years-plus were analysed. Bivariate and multivariable analyses were carried out to analyse the association between outpatient/inpatient utilisation and (1) socioeconomic status (SES), controlling for need variables (horizontal equity) and (2) need variables, controlling for SES (vertical equity). Odds ratios with 95% confidence intervals were calculated to analyse the association between relevant variables. Horizontal and vertical inequities were found in the utilisation of outpatient services. Inpatient healthcare utilisation was both horizontally and vertically equitable. Women were found to be more likely to use outpatient services than men but had reduced odds of using inpatient services. Possessing a health insurance was also significantly associated with the use of both inpatient and outpatient services. Whilst equity exists in inpatient care utilisation, more needs to be done to achieve equity in the access to outpatient services. The study reaffirms the need to evaluate both the horizontal and vertical dimensions in the assessment of equity in healthcare access. It provides the basis for further research in bridging the healthcare access inequity gap among older adults in Ghana.
Cost and utilisation of healthcare resources during rehabilitation after ankle fracture are not linked to health insurance, income, gender, or pain: an observational study.

PubMed

Lin, Chung-Wei Christine; Haas, Marion; Moseley, Anne M; Herbert, Robert D; Refshauge, Kathryn M

2008-01-01

What are the costs and utilisation of healthcare resources, their determinants, and quality of life for people attending outpatient physiotherapy after ankle fracture? Longitudinal observational study. Ninety-four adults (2 dropouts) following cast removal after isolated ankle fracture attending outpatient physiotherapy at three hospitals in Sydney, Australia. Costs incurred (direct healthcare costs and out-of-pocket costs) and utilisation of healthcare system resources were measured at 4, 8, 12, 16, 20, and 24 weeks. Quality of life was measured shortly after cast removal and at 4, 12, and 24 weeks. Factors known to influence costs and utilisation in other conditions (private health insurance, income level, gender, and pain) were also measured. The total cost per person was AUD 735 (SD 876) over 24 weeks. Outpatient physiotherapy accounted for the highest costs in both direct healthcare (39%) and out-of-pocket (42%) costs. Less than 20% of participants sought private non-medical care in addition to receiving outpatient physiotherapy. None of the factors investigated had a significant influence on costs and utilisation. Quality of life score improved over the 24 weeks by a mean of 6.1 points out of 45 (95% CI 5.2 to 6.9), with most of the improvement occurring in the domain of independent living. Information on costs and utilisation of healthcare resources can be used to plan health services, eg, the number of physiotherapy sessions required after ankle fracture. Private health insurance, income level, gender, or pain did not influence the costs or the decision behind seeking care over and above publicly-provided physiotherapy.

Measuring change in health care equity using small-area administrative data - evidence from the English NHS 2001-2008.

PubMed

Cookson, Richard; Laudicella, Mauro; Donni, Paolo Li

2012-10-01

This study developed a method for measuring change in socio-economic equity in health care utilisation using small-area level administrative data. Our method provides more detailed information on utilisation than survey data but only examines socio-economic differences between neighbourhoods rather than individuals. The context was the English NHS from 2001 to 2008, a period of accelerated expenditure growth and pro-competition reform. Hospital records for all adults receiving non-emergency hospital care in the English NHS from 2001 to 2008 were aggregated to 32,482 English small areas with mean population about 1500 and combined with other small-area administrative data. Regression models of utilisation were used to examine year-on-year change in the small-area association between deprivation and utilisation, allowing for population size, age-sex composition and disease prevalence including (from 2003 to 2008) cancer, chronic kidney disease, coronary heart disease, diabetes, epilepsy, hypertension, hypothyroidism, stroke, transient ischaemic attack and (from 2006 to 2008) atrial fibrillation, chronic obstructive pulmonary disease, obesity and heart failure. There was no substantial change in small-area associations between deprivation and utilisation for outpatient visits, hip replacement, senile cataract, gastroscopy or coronary revascularisation, though overall non-emergency inpatient admissions rose slightly faster in more deprived areas than elsewhere. Associations between deprivation and disease prevalence changed little during the period, indicating that observed need did not grow faster in more deprived areas than elsewhere. We conclude that there was no substantial deterioration in socio-economic equity in health care utilisation in the English NHS from 2001 to 2008, and if anything, there may have been a slight improvement. Copyright © 2012 Elsevier Ltd. All rights reserved.
What is access to radiation therapy? A conceptual framework and review of influencing factors.

PubMed

Sundaresan, Puma; Stockler, Martin R; Milross, Christopher G

2016-02-01

Optimal radiation therapy (RT) utilisation rates (RURs) have been defined for various cancer indications through extensive work in Australia and overseas. These benchmarks remain unrealised. The gap between optimal RUR and actual RUR has been attributed to inadequacies in 'RT access'. We aimed to develop a conceptual framework for the consideration of 'RT access' by examining the literature for existing constructs and translating it to the context of RT services. We further aimed to use this framework to identify and examine factors influencing 'RT access'. Existing models of health care access were reviewed and used to develop a multi-dimensional conceptual framework for 'RT access'. A review of the literature was then conducted to identify factors reported to affect RT access and utilisation. The electronic databases searched, the host platform and date range of the databases searched were Ovid MEDLINE, 1946 to October 2014 and PsycINFO via OvidSP,1806 to October 2014. The framework developed demonstrates that 'RT access' encompasses opportunity for RT as well as the translation of this opportunity to RT utilisation. Opportunity for RT includes availability, affordability, adequacy (quality) and acceptability of RT services. Several factors at the consumer, referrer and RT service levels affect the translation of this opportunity for RT to actual RT utilisation. 'Access' is a term that is widely used in the context of health service related research, planning and political discussions. It is a multi-faceted concept with many descriptions. We propose a conceptual framework for the consideration of 'RT access' so that factors affecting RT access and utilisation may be identified and examined. Understanding these factors, and quantifying them where possible, will allow objective evaluation of their impact on RT utilisation and guide implementation of strategies to modify their effects.
Withstanding austerity: Equity in health services utilisation in the first stage of the economic recession in Southern Spain.

PubMed

Córdoba-Doña, Juan Antonio; Escolar-Pujolar, Antonio; San Sebastián, Miguel; Gustafsson, Per E

2018-01-01

Scant research is available on the impact of the current economic crisis and austerity policies on inequality in health services utilisation in Europe. This study aimed to describe the trends in horizontal inequity in the use of health services in Andalusia, Spain, during the early years of the Great Recession, and the contribution of demographic, economic and social factors. Consultation with a general practitioner (GP) and specialist, hospitalisation and emergency care were studied through the Andalusian Health Survey 2007 (pre-crisis) and 2011-2012 (crisis), using a composite income index as socioeconomic status (SES) indicator. Horizontal inequity indices (HII) were calculated to take differential healthcare needs into account, and a decomposition analysis of change in inequality between periods was performed. Results showed that before the crisis, the HII was positive (greater access for people with higher SES) for specialist visits but negative (greater access for people with lower SES) in the other three utilisation models. During the crisis no change was observed in inequalities in GP visits, but a pro-poor development was seen for the other types of utilisation, with hospital and emergency care showing significant inequality in favour of low income groups. Overall, the main contributors to pro-poor changes in utilisation were socio-economic variables and poor mental health, due to changes in their elasticities. Our findings show that inequalities in healthcare utilisation largely remained in favour of the less well-off, despite the cuts in welfare benefits and health services provision during the early years of the recession in Andalusia. Further research is needed to monitor the potential impact of such measures in subsequent years.
Withstanding austerity: Equity in health services utilisation in the first stage of the economic recession in Southern Spain

PubMed Central

2018-01-01

Scant research is available on the impact of the current economic crisis and austerity policies on inequality in health services utilisation in Europe. This study aimed to describe the trends in horizontal inequity in the use of health services in Andalusia, Spain, during the early years of the Great Recession, and the contribution of demographic, economic and social factors. Consultation with a general practitioner (GP) and specialist, hospitalisation and emergency care were studied through the Andalusian Health Survey 2007 (pre-crisis) and 2011–2012 (crisis), using a composite income index as socioeconomic status (SES) indicator. Horizontal inequity indices (HII) were calculated to take differential healthcare needs into account, and a decomposition analysis of change in inequality between periods was performed. Results showed that before the crisis, the HII was positive (greater access for people with higher SES) for specialist visits but negative (greater access for people with lower SES) in the other three utilisation models. During the crisis no change was observed in inequalities in GP visits, but a pro-poor development was seen for the other types of utilisation, with hospital and emergency care showing significant inequality in favour of low income groups. Overall, the main contributors to pro-poor changes in utilisation were socio-economic variables and poor mental health, due to changes in their elasticities. Our findings show that inequalities in healthcare utilisation largely remained in favour of the less well-off, despite the cuts in welfare benefits and health services provision during the early years of the recession in Andalusia. Further research is needed to monitor the potential impact of such measures in subsequent years. PMID:29601609
Naval War College Research Guide, 1984-1985.

DTIC Science & Technology

1984-08-01

Washington: 1980. OECD N 4. Organization for Economic Cooperation and Develop- ment, Economic Surveys: Greece (Paris: 1983), p. 50. B Organization for...Amr, i iCa-In naItI ()n SC ca 1no t , mnU St 1not and Will not pefrmit beP es--tablishment o)f ano1()ther 1 Comm111U nis:t r- ;mcn t inr t hef Wes t
Capacity Analysis of Multihop Packet Radio Networks under a General Class of Channel Access Protocols and Capture Models

DTIC Science & Technology

1987-03-01

Gitman in [Gitm75]. The system considered consisted of a set of clusters (each with an infinite popula- tion of users) that communicate with a central...30, no. 5, pp. 985-995, May 1982. [Gitm75] I. Gitman , "On the Capacity of Slotted ALOHA Networks and Some Design Problems," IEEE Trans. Comm., vol
65th birthday Jack Steinberger

ScienceCinema

None

2017-12-09

Laudatio pour Jack Steinberger nÃ© le 25 mai 1921, Ã l'occasion de son 65me anniversaire et sa retraite officielle, pour sa prÃ©cieuse collaboration au Cern. NÃ©anmoins son principal activitÃ© continuera comme avant dans sa recherche au Cern. Plusieurs orateurs prennent la parole (p.ex. E.Picasso) pour le fÃ©liciter et lui rendre hommage
Development and comparison of TaqMan-based real-time PCR assays for detection and differentiation of Ralstonia solanacearum strains

USDA-ARS?s Scientific Manuscript database

Bacterial wilt caused by Ralstonia solanacearum is destructive to many plant species worldwide. The race 3 biovar 2 (r3b2) strains of R. solanacearum infect potatoes in temperature climates and are listed as select agents by the U.S. government. TaqMan-based real-time quantitative PCR (qPCR) is comm...
Species Profiles: Life Histories and Environmental Requirements of Coastal Fishes and Invertebrates (South Atlantic). Striped Bass

DTIC Science & Technology

1989-12-01

Benville, P.E., Jr., and S. Korn. 1977. The report for Proj. AFS-3. N.C. Wildi . Res. acute toxicity of six monocyclic aromatic Comm. 33 pp. crude oil...chains. Pages U.S. Fish Wildi . Serv. Biol. Serv. Program 309-320 in M. Wiley, ed. Estuarine FWS/OBS-78/12. 394 pp. processes. Vol. 11. Circulation
Software Project Management

DTIC Science & Technology

1989-07-01

incorporated into the sys- Kotler88 tem. Several interesting concepts are presented, but Kotler , P. Marketing Planning: Analysis, Planning, the bulk of the...Metzger87 Mantei, M. "The Effect of Programming Team Metzger, Philip W. Managing Programming Structures on Programming Tasks." Comm. ACM People: A Personal... Philips . Software Engi- Classic approach in organization theory. neering. Englewood Cliffs, N.J.: Prentice-Hall, 1988. Shannon75 An industrial approach
Handbook on Gopher Tortoise (Gopherus polyphemus): Health Evaluation Procedures for Use by Land Managers and Researchers

DTIC Science & Technology

2009-01-01

H12 Swollen forelimb (a) and hind limb (b)....................................................................................58 H13 Predator...tortoises have been impacted by incidental take permits issued to developers in the past 14 years (J. Berish, pers. comm.). The inherent impacts of...respect to the potential infectious diseases present within wild populations, the impact of disease status on relocation or reproduction of species
Analysis of Interactive Conflict Resolution Tool Usage in a Mixed Equipage Environment

NASA Technical Reports Server (NTRS)

Homola, Jeffrey; Morey, Susan; Cabrall, Christopher; Martin, Lynne; Mercer, Joey; Prevot, Thomas

2013-01-01

A human-in-the-loop simulation was conducted that examined separation assurance concepts in varying levels of traffic density with mixtures of aircraft equipage and automation. This paper's analysis focuses on one of the experimental conditions in which traffic levels were approximately fifty percent higher than today, and approximately fifty percent of the traffic within the test area were equipped with data communications (data comm) capabilities. The other fifty percent of the aircraft required control by voice much like today. Within this environment, the air traffic controller participants were provided access to tools and automation designed to support the primary task of separation assurance that are currently unavailable. Two tools were selected for analysis in this paper: 1) a pre-probed altitude fly-out menu that provided instant feedback of conflict probe results for a range of altitudes, and 2) an interactive auto resolver that provided on-demand access to an automation-generated conflict resolution trajectory. Although encouraged, use of the support tools was not required; the participants were free to use the tools as they saw fit, and they were also free to accept, reject, or modify the resolutions offered by the automation. This mode of interaction provided a unique opportunity to examine exactly when and how these tools were used, as well as how acceptable the resolutions were. Results showed that the participants used the pre-probed altitude fly-out menu in 14% of conflict cases and preferred to use it in a strategic timeframe on data comm equipped and level flight aircraft. The interactive auto resolver was also used in a primarily strategic timeframe on 22% of conflicts and that their preference was to use it on conflicts involving data comm equipped aircraft as well. Of the 258 resolutions displayed, 46% were implemented and 54% were not. The auto resolver was rated highly by participants in terms of confidence and preference. Factors such as aircraft equipage, ownership, and location of predicted separation loss appeared to play a role in the decision of controllers to accept or reject the auto resolver's resolutions.
The role of non-need factors in individual GP utilisation analysis and their implications for the pursuance of equity: a cross-country comparison.

PubMed

McGregor, P; McKee, P; O'Neill, C

2008-05-01

A substantial amount of health care resources is allocated within the UK using formulae that relate funding to measures of population need. The aim of this paper is to demonstrate the importance of non-need factors in determining utilisation of services at an individual level and explore the implications inclusion of such factors has in the consideration of equity. In the paper we develop a utility model that accords a role to non-health factors in the determination of service use. A series of functions incorporating non-health factors as explanatory variables in GP utilisation functions are estimated using data from the British Household Panel Survey. The functions are decomposed to ascertain the role of service structure and examine the role of income across the four countries of the UK in explaining utilisation. The implications of our findings for the pursuance of equity in the NHS when individual choice has an explicit role are discussed.
Demand and utilisation of labour analgesia service by Nigerian women.

PubMed

Imarengiaye, C O; Ande, A B A

2006-02-01

This study sought to determine the clinical correlates of the demand and utilisation of labour analgesia resources by Nigerian women in labour. All consenting women were interviewed on arrival at the Unit and while in labour. Biodata, options for relief of labour pain, request for analgesia, method of analgesia, VAS score and cervical score at time of request for analgesia were obtained. A total of 288 women in labour were studied. Of these, 108 (37.5%) patients were aware that the pain of labour can be relieved but only 26.0% had prenatal information on labour analgesia. However, 85.1% of the patients would want their pain of labour relieved. A total of 112 (38.9%) did receive analgesia during labour. Cervical dilatation of <4 cm at presentation to the Unit and nulliparity were likely factors for pain treatment during labour (p = 0.001, chi2 test). There is poor utilisation of labour analgesia services. Improved antenatal information on labour analgesia may boost the utilisation of these resources by Nigerian women in labour.
Are healthcare aides underused in long-term care? A cross-sectional study on continuing care facilities in Canada.

PubMed

Arain, Mubashir A; Deutschlander, Siegrid; Charland, Paola

2017-05-17

Over the last 10 years, appropriate workforce utilisation has been an important discussion among healthcare practitioners and policy-makers. The role of healthcare aides (HCAs) has also expanded to improve their utilisation. This evolving role of HCAs in Canada has prompted calls for standardised training, education and scope of practice for HCAs. The purpose of this research was to examine the differences in HCAs training and utilisation in continuing care facilities. From June 2014 to July 2015, we conducted a mixed-method study on HCA utilisation in continuing care. This paper presents findings gathered solely from the prospective cross-sectional survey of continuing care facilities (long-term care (LTC) and supportive living (SL)) on HCA utilisation. We conducted this study in a Western Canadian province. The managers of the continuing care facilities (SL and LTC) were eligible to participate in the survey. The pattern of HCAs involvement in medication assistance and other care activities in SL and LTC facilities. We received 130 completed surveys (LTC=64 and SL=52). Our findings showed that approximately 81% of HCAs were fully certified. We found variations in how HCAs were used in SL and LTC facilities. Overall, HCAs in SL were more likely to be involved in medication management such as assisting with inhaled medication and oral medication delivery. A significantly larger proportion of survey respondents from SL facilities reported that medication assistance training was mandatory for their HCAs (86%) compared with the LTC facilities (50%) (p value <0.01). The utilisation of HCAs varies widely between SL and LTC facilities. HCAs in SL facilities may be considered better used according to their required educational training and competencies. Expanding the role of HCAs in LTC facilities may lead to a cost-effective and more efficient utilisation of workforce in continuing care facilities. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Êtes-vous prêt pour un code bleu en cabinet?

PubMed Central

Moore, Simon

2015-01-01

Résumé Problème traité Les urgences médicales sont fréquentes dans le cabinet des médecins de famille, mais nombreux sont ceux qui ne sont pas préparés à répondre aux urgences. Une vidéo éducative en ligne traitant des urgences en cabinet pourrait améliorer la réponse des médecins et de leur personnel aux urgences. Un outil comme celui-là n’a jamais été décrit auparavant. Objectif du programme Utiliser les pratiques fondées sur les données probantes pour produire une vidéo éducative expliquant comment se préparer à parer à une urgence dans un cabinet médical, disséminer la vidéo en ligne et évaluer l’attitude des médecins et de leur personnel à l’égard de la vidéo. Description du programme Une vidéo de 6 minutes a été produite en s’appuyant sur une revue de la littérature récente et des politiques des organismes réglementaires canadiens. La vidéo décrit l’équipement d’urgence recommandé, l’amélioration de la réponse à l’urgence et la formation du personnel en cabinet. Les médecins et leur personnel ont été invités à visualiser la vidéo en ligne à www.OfficeEmergencies.ca. L’opinion de l’auditoire sur le format de la vidéo et son contenu a été évaluée par l’entremise d’un sondage (N = 275). Conclusion Les résultats du sondage indiquent que la vidéo était pertinente et bien présentée, et le format en ligne était pratique et satisfaisant. Les participants s’inscriraient à d’autres formations ayant recours à cette technologie et étaient d’accord pour dire que ce programme améliorerait les soins aux patients.
Kystes de l'ovaire: score échographique de malignité

PubMed Central

Dimassi, Kaouther; Bettaieb, Hajeur; Derbel, Mohammed; Triki, Amel; Gara, Mohammed Faouzi

2014-01-01

Les kystes de l'ovaire constituent l'un des motifs les plus fréquents de consultation en gynécologie. L’étape diagnostique repose principalement sur l’échographie. Nous proposons dans ce travail un score échographique reproductible prédictif de malignité. Nous évaluons la fiabilité de ce score après confrontations des données échographiques et histologiques. Il s'agit d'une étude rétrospective réalisée sur une période de 3 ans. Nous avons élaboré un score basé sur les signes échographiques décrits dans la littérature comme prédictifs de malignité et avons classé les examens échographiques préopératoires selon leurs scores respectifs. Les données échographiques étaient comparées aux résultats histologiques et un seuil prédictif de malignité a été déterminé pour le score adopté. 150 patientes ont été colligées. Les deux signes échographiques les plus prédictifs de malignité étaient: les végétations endo-kystiques, avec une Valeur Prédictive Positive (VPP) à 86,67% et une Valeur Prédictive Négative (VPN) à 100%, et le caractère vascularisé au Doppler couleur avec une VPP à 72,52% et une VPN à 100%. Le seuil retenu pour le score proposé était de 6 avec une spécificité de 100%, une sensibilité de 100%, une VPP de 100% et une VPN de 100%. L’échographie joue un rôle décisif dans la conduite à tenir devant une masse ovarienne. Seul un faisceau d'arguments permet d’évoquer la malignité lors de l'examen échographique. L'utilisation de scores basés sur des signes simples, reproductibles augmente la valeur diagnostique de l’échographie en matière de malignité. PMID:25419341
Identification des parametres du moteur de l'avion Cessna Citation X pour la phase de croisiere a partir des tests en vol et a base des reseaux de neurones =

NASA Astrophysics Data System (ADS)

Zaag, Mahdi

La disponibilite des modeles precis des avions est parmi les elements cles permettant d'assurer leurs ameliorations. Ces modeles servent a ameliorer les commandes de vol et de concevoir de nouveaux systemes aerodynamiques pour la conception des ailes deformables des avions. Ce projet consiste a concevoir un systeme d'identification de certains parametres du modele du moteur de l'avion d'affaires americain Cessna Citation X pour la phase de croisiere a partir des essais en vol. Ces essais ont ete effectues sur le simulateur de vol concu et fabrique par CAE Inc. qui possede le niveau D de la dynamique de vol. En effet, le niveau D est le plus haut niveau de precision donne par l'autorite federale de reglementation FAA de l'aviation civile aux Etats-Unis. Une methodologie basee sur les reseaux de neurones optimises a l'aide d'un algorithme intitule le "grand deluge etendu" est utilisee dans la conception de ce systeme d'identification. Plusieurs tests de vol pour differentes altitudes et differents nombres de Mach ont ete realises afin de s'en servir comme bases de donnees pour l'apprentissage des reseaux de neurones. La validation de ce modele a ete realisee a l'aide des donnees du simulateur. Malgre la nonlinearite et la complexite du systeme, les parametres du moteur ont ete tres bien predits pour une enveloppe de vol determinee. Ce modele estime pourrait etre utilise pour des analyses de fonctionnement du moteur et pourrait assurer le controle de l'avion pendant cette phase de croisiere. L'identification des parametres du moteur pourrait etre realisee aussi pour les autres phases de montee et de descente afin d'obtenir son modele complet pour toute l'enveloppe du vol de l'avion Cessna Citation X (montee, croisiere, descente). Cette methode employee dans ce travail pourrait aussi etre efficace pour realiser un modele pour l'identification des coefficients aerodynamiques du meme avion a partir toujours des essais en vol. None None None
Dispositif de mesure calorimétrique des pertes dans les condensateurs de puissance

NASA Astrophysics Data System (ADS)

Seguin, B.; Gosse, J. P.

1997-02-01

A calorimetric technique is used to measure the power losses in capacitors. The power dissipated in the component is measured as the difference between the heat powers delivered by a temperature regulation when the capacitor is energetized or not. The original feature of the apparatus lies in the use of the isothermal calorimetry and in the measurement of an electrical power, in condradistinction with previous and dissatisfacting attempts based on the measurement of a temperature increase. The result is an improvement of the accuracy and sensibility of the apparatus which can be used to determine the equivalent series resistance of capacitors having very low losses. Measurements realized on a polypropylene capacitor and a sinusoidal applied voltage have allowed us to separate the ohmic losses from the dielectric ones and to study their variations with temperature. Une technique de calorimétrie isotherme est appliquée à la mesure des pertes électriques dans les condensateurs. La puissance calorifique dissipée par le composant est mesurée comme la différence des puissances de chauffe délivrées par une régulation de température quand le condensateur est hors tension ou sous tension. L'originalité du dispositif réside dans l'utilisation du principe de calorimétrie isotherme et dans la nature de la grandeur physique mesurée qui est une puissance électrique alors que les tentatives antérieures de mesures calorimétriques reposaient sur la mesure d'une élévation de température. Il en résulte une amélioration de la précision et de la sensibilité de ce type d'appareillage qui peut être employé pour caractériser la résistance série équivalente des condensateurs à très faibles pertes. Une série de mesures, réalisée sur un condensateur au polypropylène soumis à une tension sinusoïdale, a permis de séparer les pertes ohmiques des pertes diélectriques et d'étudier leurs variations avec la température.
Conductivite dans le modele de Hubbard bi-dimensionnel a faible couplage

NASA Astrophysics Data System (ADS)

Bergeron, Dominic

Le modele de Hubbard bi-dimensionnel (2D) est souvent considere comme le modele minimal pour les supraconducteurs a haute temperature critique a base d'oxyde de cuivre (SCHT). Sur un reseau carre, ce modele possede les phases qui sont communes a tous les SCHT, la phase antiferromagnetique, la phase supraconductrice et la phase dite du pseudogap. Il n'a pas de solution exacte, toutefois, plusieurs methodes approximatives permettent d'etudier ses proprietes de facon numerique. Les proprietes optiques et de transport sont bien connues dans les SCHT et sont donc de bonne candidates pour valider un modele theorique et aider a comprendre mieux la physique de ces materiaux. La presente these porte sur le calcul de ces proprietes pour le modele de Hubbard 2D a couplage faible ou intermediaire. La methode de calcul utilisee est l'approche auto-coherente a deux particules (ACDP), qui est non-perturbative et inclue l'effet des fluctuations de spin et de charge a toutes les longueurs d'onde. La derivation complete de l'expression de la conductivite dans l'approche ACDP est presentee. Cette expression contient ce qu'on appelle les corrections de vertex, qui tiennent compte des correlations entre quasi-particules. Pour rendre possible le calcul numerique de ces corrections, des algorithmes utilisant, entre autres, des transformees de Fourier rapides et des splines cubiques sont developpes. Les calculs sont faits pour le reseau carre avec sauts aux plus proches voisins autour du point critique antiferromagnetique. Aux dopages plus faibles que le point critique, la conductivite optique presente une bosse dans l'infrarouge moyen a basse temperature, tel qu'observe dans plusieurs SCHT. Dans la resistivite en fonction de la temperature, on trouve un comportement isolant dans le pseudogap lorsque les corrections de vertex sont negligees et metallique lorsqu'elles sont prises en compte. Pres du point critique, la resistivite est lineaire en T a basse temperature et devient progressivement proportionnelle a T 2 a fort dopage. Quelques resultats avec sauts aux voisins plus eloignes sont aussi presentes. Mots-cles: Hubbard, point critique quantique, conductivite, corrections de vertex

Matériaux pour la dépollution des gaz d'échappement automobile

NASA Astrophysics Data System (ADS)

Mouaddib-Moral, N.; Gauthier, C.

2002-04-01

Les premières législations antipollution ont été mises en place suite à la détection, aux Etats Unis plus particulièrement en Californie, du smog photochimique et des pluies acides, néfastes pour la faune et la flore. Les estimations de la contribution de l'automobile aux émissions de composés, considérés comme précurseurs de ces phénomènes, ont été suffisantes pour provoquer la mise en place de normes draconiennes en matière d'émissions automobiles. Les matériaux catalytiques ont été évalués en tant que solution possible pour réduire les émissions à l'échappement. En Europe, l'utilisation des catalyseurs trois voies a été généralisée sur les véhicules essence fonctionnant à richesse stoechiométrique à partir de 1993. Une nouvelle génération de catalyseurs appelée piège à oxydes d'azote (NOx) est maintenant nécessaire pour le post-traitement des gaz d'échappement des motorisations à essence fonctionnant en mélange pauvre (combustion en présence d'un excès d'oxygène) pour diminuer la consommation et par conséquent réduire les émissions du CO2 connu pour son impact sur l'effet de serre. La dépollution des moteurs diesel via un catalyseur d'oxydation a été généralisée en Europe depuis 1996. La sévérisation des normes européennes impose pour les moteurs diesel le recours à des matériaux spécifiques pour le traitement des oxydes d'azotes et des particules par l'intermédiaire de filtres à particules dont l'efficacité de filtration est supérieure à 95%, mais doivent subir des régénérations périodiques.
Gestion des déchets ménagers dans l’aire de santé Bulaska à Mbuji-Mayi en République Démocratique du Congo

PubMed Central

Kangoy, Kasangye; Ngoyi, John; Mudimbiyi, Olive

2016-01-01

Introduction La présence des déchets ménagers dans les voies publiques a une influence sur l’hygiène de l’environnement, ils entrainent l’insalubrité et peuvent être facteurs des certaines maladies dont quelques-unes peuvent être épidémiques. Au cours des deux dernières décennies, la question de la gestion des déchets est devenue de plus en plus complexe autant pour les pays développés que ceux sous-développés. L’objectif de cette étude était de déterminer les types de déchets et le mode de gestion des déchets génère par les ménages. Méthodes Cette étude est descriptive transversale, réalisée dans l’aire de sante Bulaska, Kasaï oriental, c’est une approche prospective appuyée par l’interview et l’observation active. Le questionnaire a été adressé au responsable du ménage ou au délègue, du 21 au 25 juin 2010, sur 170 ménages ce qui constituent un échantillon de convenance. Résultats Cette étude a révélé ce qui suit: 94,7% des enquêtes qui avaient répondu a notre questionnaire étaient de sexe féminin; 47% des enquêtes avaient un niveau d’étude primaire; 41,1% des enquêtes étaient des ménagères; la taille médiane de ménage était de 7 personnes par ménage; dans 83,5% des cas les déchets génères étaient solides; 50% des ménages de l’aire de sante utilisent la voie publique comme poubelle. Conclusion Eu égard au résultat de cette étude, développer plus les programmes de sensibilisation sur l’assainissement de l’environnement s’avère nécessaire. PMID:27800105
Noble internal transport barriers and radial subdiffusion of toroidal magnetic lines

NASA Astrophysics Data System (ADS)

Misguich, J. H.; Reuss, J.-D.; Constantinescu, D.; Steinbrecher, G.; Vlad, M.; Spineanu, F.; Weyssow, B.; Balescu, R.

2003-11-01

Internal transport barriers (ITB's) observed in tokamaks are described by a purely magnetic approach. Magnetic line motion in toroidal geometry with broken magnetic surfaces is studied from a previously derived Hamiltonian map in situation of incomplete chaos. This appears to reproduce in a realistic way the main features of a tokamak, for a given safety factor profile and in terms of a single parameter L representing the amplitude of the magnetic perturbation. New results are given concerning the Shafranov shift as function of L. The phase space (psi ,θ ) of the "tokamap" describes the poloidal section of the line trajectories, where psi is the toroidal flux labelling the surfaces. For small values of L, closed magnetic surfaces exist (KAM tori) and island chains begin to appear on rational surfaces for higher values of L, with chaotic zones around hyperbolic points, as expected. Island remnants persist in the chaotic domain for all relevant values of L at the main rational q-values. Single trajectories of magnetic line motion indicate the persistence of a central protected plasma core, surrounded by a chaotic shell enclosed in a double-sided transport barrier: the latter is identified as being composed of two Cantori located on two successive “most-noble” numbers values of the perturbed safety factor, and forming an internal transport barrier (ITB). Magnetic lines which succeed to escape across this barrier begin to wander in a wide chaotic sea extending up to a very robust barrier (as long as Lprecsim 1) which is identified mathematically as a robust KAM surface at the plasma edge. In this case the motion is shown to be intermittent, with long stages of pseudo-trapping in the chaotic shell, or of sticking around island remnants, as expected for a continuous time random walk. For values of Lsucceq 1, above the escape threshold, most magnetic lines succeed to escape out of the external barrier which has become a permeable Cantorus. Statistical analysis of a large number of trajectories, representing the evolution of a bunch of magnetic lines, indicate that the flux variable psi asymptotically grows in a diffusive manner as (L2t) with a L2 scaling as expected, but that the average radial position rm(t) asymptotically grows as (L2t)^{1/4} while the mean square displacement around this average radius asymptotically grows in a subdiffusive manner as (L2t)^{1/2}. This result shows the slower dispersion in the present incomplete chaotic regime, which is different from the usual quasilinear diffusion in completely chaotic situations. For physical times t_{\\varphi } of the order of the escape time defined by xm(t_{\\varphi })sim 1, the motion appears to be superdiffusive, however, but less dangerous than the generally admitted quasi-linear diffusion. The orders of magnitude of the relevant times in Tore Supra are finally discussed. Barrières internes de transport " nobles " et sous-diffusion radiale des lignes magnétiques toroïdales Les barrières internes de transport observées dans les tokamaks sont décrites ici dans une approche purement magnétique. Le mouvement des lignes magnétiques en géométrie toroïdale avec brisure des surfaces magnétiques est étudié à partir d'une application hamiltonienne "tokamap" développée précédemment en situation de chaos incomplet, et dans laquelle le "temps" est représenté par la coordonnée toroïdale. Cette application reproduit de façon réaliste les principales caractéristiques d'un tokamak, pour un profil donné du facteur de sécurité q, et en terme d'un seul paramètre L représentant l'amplitude de la perturbation magnétique. On obtient des résultats nouveaux concernant le déplacement de Shafranov en fonction de L. L'espace des phases (psi,θ) du "tokamap" décrit la section poloïdale des trajectoires des lignes, où psisim r^2 est le flux toroïdal caractérisant les surfaces magnétiques (proportionnel au carré du rayon r de cette surface). Pour de faibles valeurs de L, des surfaces magnétiques fermées existent (tores de KAM) et des chaînes d'îlots commencent à apparaître sur les surfaces rationnelles pour des valeurs de L supérieures, avec, comme attendu, des zones chaotiques autour des points hyperboliques. Des résidus d'îlots magnétiques persistent dans le domaine chaotique pour toutes les valeurs de L, sur les surfaces caractérisées par les principales valeurs rationnelles de q. Des trajectoires individuelles de ligne magnétique indiquent la persistance d'un cœur protégé au sein du plasma, entouré d'une couche chaotique, incluse dans une double barrière de transport : celle-ci est composée de deux Cantori situés sur deux valeurs successives du facteur de sécurité perturbé que l'on a pu identifier comme étant les nombres "les plus nobles", formant ainsi une barrière de transport interne. Les lignes magnétiques qui réussissent à s'échapper à travers cette barrière commencent à voyager dans une vaste mer chaotique qui s'étend jusqu'à une barrière très robuste (tant que Lprecsim 1) qui a été identifiée mathématiquement comme étant une surface KAM robuste au bord du plasma. Dans ce cas le mouvement observé est intermittent, avec de longues périodes de pseudo-piégeage dans la couche chaotique, ou du collage (sticking) autour des îlots résiduels, comme attendu pour une marche aléatoire en temps continu. Pour des valeurs de Lsucceq 1, au-dessus du seuil d'échappement, la plupart des lignes magnétiques parviennent à s'échapper à travers la barrière externe qui est devenue un Cantorus perméable. L'analyse statistique d'un grand nombre de trajectoires, représentant l'évolution d'un faisceau de lignes magnétiques, indique qu'en moyenne la variable de flux psi croît asymptotiquement de manière diffusive (comme L^2t) avec une loi d'échelle en L^2 comme attendu, mais avec une position radiale moyenne r_m(t) croissant asymptotiquement comme (L^2t)^{1/4}, tandis que le déplacement quadratique moyen autour de ce rayon moyen croît asymptotiquement de manière sous-diffusive comme (L^2t)^{1/2}. Ce résultat indique une dispersion plus lente dans le cas étudié d'un régime de chaos incomplet, qui est différente de la diffusion quasi-linéaire en situation de chaos complet. Pour des temps physiques t_{\\varphi} de l'ordre du temps d'échappement, défini par r_m(t_{\\varphi}) sim 1, le mouvement apparaît comme super-diffusif, mais cependant moins " dangereux " que la diffusion quasi-linéaire généralement admise. On discute finalement les ordres de grandeur des temps caractéristiques dans le tokamak TORE SUPRA.
Mesophilic and thermophilic anaerobic digestion of sulphate-containing wastewaters.

PubMed

Colleran, E; Pender, S

2002-01-01

The effect of sulphate at an influent chemical oxygen demand (COD):sulphate ratio of 4 on the operational performance of anaerobic hybrid reactors treating molasses wastewater was investigated under mesophilic and thermophilic conditions in a long-term laboratory-scale study over a 1,081 day period. The presence of sulphate reduced the COD removal efficiency under both mesophilic and thermophilic conditions. At 55 degrees C, effluent acetate levels were consistently greater than 4000 mg l(-1) indicating that thermophilic acetate-utilising methane-producing bacteria (MPB) or sulphate-reducing bacteria (SRB) had not developed in the reactor under the conditions applied. At 37 degrees C, acetate was exclusively utilised by acetoclastic methanogens, whereas H2-utilising SRB predominated over H2-utilising MPB in the competition for hydrogen. By contrast, hydrogenotrophic MPB were shown to outcompete H2-utilising SRB during long-term thermophilic operation. 16SrDNA analysis of the seed sludge and reactor biomass on conclusion of the 37 degrees C and 55 degrees C trials illustrated that the dominant methanogen present on conclusion of the thermophilic trial in the absence of influent sulphate was related to Methanocorpusculum parvuum, and was capable of growth on both acetate and hydrogen. By contrast, an organism closely related to Methanobacterium thermoautotrophicum was the dominant methanogen present in the sulphate-fed reactor on completion of the thermophilic trial.
Health insurance determines antenatal, delivery and postnatal care utilisation: evidence from the Ghana Demographic and Health Surveillance data.

PubMed

Browne, Joyce L; Kayode, Gbenga A; Arhinful, Daniel; Fidder, Samuel A J; Grobbee, Diederick E; Klipstein-Grobusch, Kerstin

2016-03-18

This study aims to evaluate the effect of maternal health insurance status on the utilisation of antenatal, skilled delivery and postnatal care. A population-based cross-sectional study. We utilised the 2008 Demographic and Health Survey data of Ghana, which included 2987 women who provided information on maternal health insurance status. Utilisation of antenatal, skilled delivery and postnatal care. Multivariable logistic regression was applied to determine the independent association between maternal health insurance and utilisation of antenatal, skilled delivery and postnatal care. After adjusting for socioeconomic, demographic and obstetric factors, we observed that among insured women the likelihood of having antenatal care increased by 96% (OR 1.96; 95% CI 1.52 to 2.52; p value<0.001) and of skilled delivery by 129% (OR 2.29; 95% CI 1.92 to 2.74; p value<0.001), while postnatal care among insured women increased by 61% (OR 1.61; 95% CI 1.17 to 2.21; p value<0.01). This study demonstrated that maternal health insurance status plays a significant role in the uptake of the maternal, neonatal and child health continuum of care service. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries

PubMed Central

Postolovska, Iryna; Helleringer, Stéphane; Kruk, Margaret E; Verguet, Stéphane

2018-01-01

Background Measles supplementary immunisation activities (SIAs) are an integral component of measles elimination in low-income and middle-income countries (LMICs). Despite their success in increasing vaccination coverage, there are concerns about their negative consequences on routine services. Few studies have conducted quantitative assessments of SIA impact on utilisation of health services. Methods We analysed the impact of SIAs on utilisation of selected maternal and child health services using Demographic and Health Surveys and Multiple Indicator Cluster Surveys from 28 LMICs, where at least one SIA occurred over 2000–2014. Logistic regressions were conducted to investigate the association between SIAs and utilisation of the following services: facility delivery, postnatal care and outpatient sick child care (for fever, diarrhoea, cough). Results SIAs do not appear to significantly impact utilisation of maternal and child services. We find a reduction in care-seeking for treatment of child cough (OR 0.67; 95% CI 0.48 to 0.95); and a few significant effects at the country level, suggesting the need for further investigation of the idiosyncratic effects of SIAs in each country. Conclusion The paper contributes to the debate on vertical versus horizontal programmes to ensure universal access to vaccination. Measles SIAs do not seem to affect care-seeking for critical conditions. PMID:29755760
Migrant female head porters' enrolment in and utilisation and renewal of the National Health Insurance Scheme in Kumasi, Ghana.

PubMed

Boateng, Simon; Amoako, Prince; Poku, Adjoa Afriyie; Baabereyir, Anthony; Gyasi, Razak Mohammed

2017-01-01

As a social protection policy, Ghana's National Health Insurance Scheme (NHIS) aims to improve access to healthcare, especially for the vulnerable. Migrant female head porters ( kayayoo ), who are part of the informal economic workforce, are underscored as an ethnic minority and vulnerable group in Ghana. This study aimed to analyse the factors associated with enrolment in and renewal and utilisation of the NHIS among migrant female head porters in the Kumasi Metropolis. We purposively sampled 392 migrant female head porters in the Kejetia, Asafo and Bantama markets. We used a binary logit regression model to estimate associations among baseline characteristics, convenience and benefit factors and enrolment in and renewal and utilisation of the NHIS. Age and income significantly increased the probability of NHIS enrolment, renewal and utilisation. Long waiting times at NHIS offices significantly reduced the likelihood of renewal, while provision of drugs highly significantly increased the tendency for migrant female head porters to enrol in, renew and use the NHIS. Consulting and surgery also significantly increased renewal and utilisation of the NHIS. Political commitment is imperative for effective implementation of the decentralisation policy of the NHIS through the National Health Insurance Authority in Kumasi. We argue that retail offices should be well equipped with logistic facilities to ensure convenience in NHIS initial enrolment and renewal processes by citizenry, and by vulnerable groups in particular.
Resource Utilisation and Curriculum Implementation in Community Colleges in Kenya

ERIC Educational Resources Information Center

Kigwilu, Peter Changilwa; Akala, Winston Jumba

2017-01-01

The study investigated how Catholic-sponsored community colleges in Nairobi utilise the existing physical facilities and teaching and learning resources for effective implementation of Artisan and Craft curricula. The study adopted a mixed methods research design. Proportional stratified random sampling was used to sample 172 students and 18…
Redirecting Under-Utilised Computer Laboratories into Cluster Computing Facilities

ERIC Educational Resources Information Center

Atkinson, John S.; Spenneman, Dirk H. R.; Cornforth, David

2005-01-01

Purpose: To provide administrators at an Australian university with data on the feasibility of redirecting under-utilised computer laboratories facilities into a distributed high performance computing facility. Design/methodology/approach: The individual log-in records for each computer located in the computer laboratories at the university were…
76 FR 82279 - Electronic Delivery of Search Results From the United States Patent and Trademark Office to the...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-30

... 141 EPC and new Rule 70b EPC--utilisation scheme, OJ EPO 2010, 410. To assist U.S. applicants who... exemption under Rule 141(2) EPC from filing a copy of the search results--utilisation scheme, OJ EPO 2011...
Beyond Problem-Based Learning: Using Dynamic PBL in Chemistry

ERIC Educational Resources Information Center

Overton, Tina L.; Randles, Christopher A.

2015-01-01

This paper describes the development and implementation of a novel pedagogy, dynamic problem-based learning. The pedagogy utilises real-world problems that evolve throughout the problem-based learning activity and provide students with choice and different data sets. This new dynamic problem-based learning approach was utilised to teach…
Comment on “A similarity solution for laminar thermal boundary layer over a flat plate with a convective surface boundary condition” by A. Aziz, Comm. Nonlinear Sci. Numer. Simul. 2009;14:1064-8

NASA Astrophysics Data System (ADS)

Magyari, Eugen

2011-01-01

In a recent paper published in this Journal the title problem has been investigated numerically. In the present paper the exact solution for the temperature boundary layer is given in terms of the solution of the flow problem (the Blasius problem) in a compact integral form.
Assessing Stress Responses in Beaked and Sperm Whales in the Bahamas

DTIC Science & Technology

2012-09-30

acceptable extraction efficiency for steroids (Hayward et al. 2010; Wasser et al. 2010). The"small sample size" effect on hormone concentration was...efficiency ( Wasser pers. comm., Hunt et al. unpub. data). 4) Pilot test of hormone content in seawater removed from samples. The large volume of...2006), and Wasser et al. (2010), with extraction modifications discussed above. RESULTS Sample processing Using a consistent fecal:solvent
Community vs. Clinic-Based Modular Treatment of Children with Early-Onset ODD or CD: A Clinical Trial with 3-Year Follow-Up

ERIC Educational Resources Information Center

Kolko, David J.; Dorn, Lorah D.; Bukstein, Oscar G.; Pardini, Dustin; Holden, Elizabeth A.; Hart, Jonathan

2009-01-01

This study examines the treatment outcomes of 139, 6-11 year-old, clinically referred boys and girls diagnosed with Oppositional Defiant Disorder (ODD) or Conduct Disorder (CD) who were randomly assigned to a modular-based treatment protocol that was applied by research study clinicians either in the community (COMM) or a clinic office (CLINIC).…
Nonlinear Optics Technology. Phase 3. Volume 2. Phase Conjugated Optical Communication Link

DTIC Science & Technology

1991-01-12

experiments and mechanical design of the artificial turbulence generator (turbox), Dr. George M. Harpole who provided the technical design of the turbox, Dr...understanding of FWM PC comm link physics and to determine design requirements for a fieldable system. The system model demonstrated that phase...using photorefractive material was also designed , fabricated, and characterized. The efficiency of heterodyne mixing of an aberrated beacon beam was
2001 Mars Odyssey Mission

NASA Technical Reports Server (NTRS)

Varghese, Philip

2008-01-01

This viewgraph presentation reviews the 2001 Mars Odyssey Mission. The contents include: 1) Mission Overview; 2) Current Scope of Work: 3) Facilities; 4) Critical Role of DSN; 5) Relay as Mission Supplement; 6) Current Mars Telecom Infrastructure; 7) PHX EDL Comm Overview; 8) EDL Geometry (Entry through Landing); 9) Phoenix Support; 10) Preparations for Phoenix; 11) EDL Support Timeline; 12) One Year Rolling Schedule; 13) E3 Rationale; and 14) Spacecraft Status.
Perceptions of the Utilization of Family Nurse Practitioners by Current Air Force Outpatient Physicians

DTIC Science & Technology

1996-03-26

detection and management of acute self-limiting conditions and management of chronic stable conditions within a family . A FNP provides primary...APPROVAL SHEET Title of thesis: "Perceptions of the Utilization of Family Nurse Practitioners by Current Air Force Outpatient Physicians" Name...of Candidate: Patrick Edward Bertz Master of Science in Nursing Family Nurse Practitioner APPROVED, ~J.~ Comm~tte Chalrperson ·Committee Me her
Coprime and Nested Arrays: A New Paradigm for Sampling in Space and Time

DTIC Science & Technology

2015-09-14

International Conference on Computers and Devices for Communication (CODEC), Kolkata, India , December, 2015. 2) Plenary speaker at the Asia Pacific...National Symposium on Mathematical Methods and Applications, Chennai, India , Dec. 2013. This is held to honor the late Srinivasa Ramanujan every year...4) Plenary speaker at the International Conf. on Comm. and Signal Processing (ICCSP), Calicut, India , 2011. List of publications during the above
Automated Air Information Production System - Phase II.

DTIC Science & Technology

1980-10-01

Alphanumeric CRT terminals, 2 Gandalf Data Inc. Model LDS 250/3 56 Kbps synchronous short haul modems , 2 General Data Comm Industries TDM-1205 time...supplied encrypt/decrypt devices which would interface to the communications multiplexers supplied by Synectics. Synectics also supplied short haul modems ...During the development effort and throughput of the T&E period the high speed ( 56K bps) link would intermittently go out of synchronization. The problem
The dispersion-focalization theory of sound systems

NASA Astrophysics Data System (ADS)

Schwartz, Jean-Luc; Abry, Christian; Boë, Louis-Jean; Vallée, Nathalie; Ménard, Lucie

2005-04-01

The Dispersion-Focalization Theory states that sound systems in human languages are shaped by two major perceptual constraints: dispersion driving auditory contrast towards maximal or sufficient values [B. Lindblom, J. Phonetics 18, 135-152 (1990)] and focalization driving auditory spectra towards patterns with close neighboring formants. Dispersion is computed from the sum of the inverse squared inter-spectra distances in the (F1, F2, F3, F4) space, using a non-linear process based on the 3.5 Bark critical distance to estimate F2'. Focalization is based on the idea that close neighboring formants produce vowel spectra with marked peaks, easier to process and memorize in the auditory system. Evidence for increased stability of focal vowels in short-term memory was provided in a discrimination experiment on adult French subjects [J. L. Schwartz and P. Escudier, Speech Comm. 8, 235-259 (1989)]. A reanalysis of infant discrimination data shows that focalization could well be the responsible for recurrent discrimination asymmetries [J. L. Schwartz et al., Speech Comm. (in press)]. Recent data about children vowel production indicate that focalization seems to be part of the perceptual templates driving speech development. The Dispersion-Focalization Theory produces valid predictions for both vowel and consonant systems, in relation with available databases of human languages inventories.

Single atomic particle at rest in free space : new value for electron radius

NASA Astrophysics Data System (ADS)

Dehmelt, H.

Zero-point confinement in a suitable trap is briefly discussed as a quantum-mechanical equivalent of the classical single particle at rest in free space. So far, such confinement has been realized only for the 150 GHz cyclotron motion in geonium, a single electron permanently confined in a Penning trap. The most important result of mono-ion spectroscopy is a new, 10 000 times smaller, radius for the electron. This result was obtained by analyzing our g-factor data, g/2 = 1.001 159 652 193 (4), on the basis of a near-Dirac particle model. RF spectroscopy in geonium relies on the Continuous Stem Gerlach Effect in which a spin flip is detected as a small change in the ~ 60 MHz axial oscillation frequency of the electron in the trap. The Kaufmann Effect or relativistic mass shift may become a superior alternative : operating a geonium apparatus as a frequency selective mini-synchro-cyclotron has produced an easily detectable shift in the axial frequency. Like in Habann's 1926 split-anode magnetron, energy is quickly transferred from the oscillating electron to a resonant circuit, but by us for the purpose of detection, damping and cooling of the oscillatory motion. Conversely, localizing the electron to ~ 60 μm in the node of a standing wave in the trap cavity, where this cavity looks like a short, when it is resonant with the cyclotron motion, has made it possible to decrease the natural line width ten-fold. By driving the axial frequency not on resonance but on a side band higher by the ~ 12 kHz magnetron frequency, it has been possible to force the magnetron motion to absorb the excess in the photon energy and thereby shrink the magnetron radius to ~ 15 μm. By an analogous laser spectroscopic procedure the oscillation amplitude of a Ba+ ion in a different trap has been reduced to ~ 120 nm or less. Like in Nuclear Magnetic Resonance, confinement is now much smaller than the wave length and no motional side bands appear in the optical spectrum. Such a mono-ion oscillator, but using Tl+ or a similar ion, may make an optical frequency standard with a 1 000-day reproducibility of 10 -18 possible and thereby allow one to watch the expansion of the universe from one's laboratory. Nous décrivons brièvement l'équivalent quantique d'une particule classique unique au repos dans l'espace libre : le confinement de point zéro dans un piège. Jusqu'à maintenant, ce confinement n'a été réalisé que pour le mouvement cyclotron (150 GHz) du géonium. un électron unique confiné dans un piège de Penning. Le résultat le plus important de la spectroscopie de particules piégées est un nouveau rayon de l'électron, 10 000 fois plus petit. Ce résultat a été obtenu à partir des données concernant le facteur g, g/2 = 1,001 159 652 193 (4), et sur la base d'un modèle de particule voisin du modèle de Dirac. La spectroscopie RF du géonium repose à l'heure actuelle sur l'effet Stern et Gerlach continu, dans lequel un basculement de spin est détecté grâce au faible changement qu'il induit sur la fréquence d'oscillation axiale de l'électron dans le piège (60 MHz). La variation relativiste de la masse, ou effet Kaufmann, pourrait s'avérer être à la base d'une méthode plus sensible : l'utilisation du géonium comme un mini-synchro-cyclotron sélectif en fréquence permet en effet de produire un déplacement aisément détectable de la fréquence axiale. Comme dans le magnétron « split-anode » de Habann (1926), l'énergie est rapidement transférée de l'électron oscillant vers un circuit résonnant, ce transfert servant dans notre expérience à la détection, au freinage et au refroidissement du mouvement oscillant. Nous avons ainsi pu localiser l'électron sur 60 μm, au nœud d'une onde stationnaire formée dans la cavité du piège, cette cavité étant résonnante et se comportant alors comme un court-circuit; ceci a permis une diminution de la largeur naturelle de la raie détectée par un facteur 10. En excitant le mouvement axial par une raie décalée de la résonance « vers le bleu », d'une quantité égale à la fréquence magnétron (12 kHz), nous avons pu transférer au mouvement magnétron l'énergie correspondant au décalage de fréquence et ainsi réduire le rayon magnétron à 15 μm. Par une procédure analogue, en spectroscopie laser, l'amplitude d'oscillation d'un ion Ba+ piégé a été réduite à moins de 120 nm. Comme en RMN, la région de confinement est maintenant beaucoup plus petite que la longueur d'onde, et aucune raie latérale due au mouvement n'apparaît dans le spectre optique. Un tel oscillateur, fonctionnant avec un ion Tl+ ou un ion similaire, pourrait constituer un standard de fréquence optique avec une reproductibilité de 10-18 sur 1 000 jours et pourrait ainsi permettre l'observation de l'expansion de l'univers en laboratoire.
Teaching Harmonic Motion in Trigonometry: Inductive Inquiry Supported by Physics Simulations

ERIC Educational Resources Information Center

Sokolowski, Andrzej; Rackley, Robin

2011-01-01

In this article, the authors present a lesson whose goal is to utilise a scientific environment to immerse a trigonometry student in the process of mathematical modelling. The scientific environment utilised during this activity is a physics simulation called "Wave on a String" created by the PhET Interactive Simulations Project at…
Extent of ESL Teachers' Access To, Utilisation and Production of Research

ERIC Educational Resources Information Center

Sibanda, Jabulani; Begede, Martin P.

2015-01-01

This study employed the survey design on a purposive sample of 100 English Second Language (ESL) teachers from Swaziland and South Africa's Eastern Cape Province, to investigate the extent to which they accessed, utilised and conducted research to better their practice. A survey questionnaire and follow-up structured interviews generated…
Enhancing Student Employability through Ethics-Based Outreach Activities and Open Educational Resources

ERIC Educational Resources Information Center

Lewis, David I.

2011-01-01

This paper reports on how science communication final year undergraduate research projects and educational internships can be utilised to provide opportunities for students to develop and utilise key employability skills. In the current difficult economic climate, the report "Working towards your future: Making the most of your time in higher…
The Nature and Significance of Listening Skills in Accounting Practice

ERIC Educational Resources Information Center

Stone, Gerard; Lightbody, Margaret

2012-01-01

While surveys of the employers of accountancy graduates highlight the significance of listening skills, relatively little is known about how such skills are utilised in accounting practice. The present study attempts to address the above lacuna by utilising the findings of in-depth interviews with Australian public accountants about the nature of…
Utilising Planning and Financing Strategies in the Management of Community Development Projects in Enugu State, Nigeria

ERIC Educational Resources Information Center

Obetta, Chukwuemeka K.; Oreh, Catherine I.

2017-01-01

Utilisation of community management strategies is an approach to governance that is based on community and organisational involvement. Communities with development projects have formed community projects management committees (CPMCs) that are encouraged to adopt the community management strategy in the planning and financing of community…
Utilisation of Local Inputs in the Funding and Administration of Education in Nigeria

ERIC Educational Resources Information Center

Akiri, Agharuwhe A.

2014-01-01

The article discussed how, why and who is in charge of administering and funding schools in Nigeria. The author utilised the relevant statistical approach which examined and discussed various political and historical trends affecting education. Besides this, relevant documented statistical data were used to both buttress and substantiate related…
A Qualitative Exploration of Primary School Students' Experience and Utilisation of Mindfulness

ERIC Educational Resources Information Center

Bannirchelvam, Bavani; Bell, Karen L.; Costello, Shane

2017-01-01

Despite the increasing utilisation of mindfulness-based interventions in children, research investigating the impact of these interventions in children is still in its infancy. One significant gap in the literature is the general omission of the child's voice in how they experience and benefit from mindfulness-based intervention. Therefore, the…
Utilisation and Satisfaction with Rehabilitation Services in Children with Primary Language Impairment Transitioning to School: Parents' Perspective

ERIC Educational Resources Information Center

Mazer, Barbara; Dion, Karyne; Moryoussef, Aguy

2017-01-01

Children with disabilities require coordinated services to optimise transition into school. This study compared type, frequency and approach to service utilisation for children with primary language impairment transitioning from rehabilitation to the educational system, and examined parent satisfaction. Parents responded to a telephone…
Improving the Utilisation of Management Information Systems in Secondary Schools

ERIC Educational Resources Information Center

Bosker, R. J.; Branderhorst, E. M.; Visscher, A. J.

2007-01-01

Although most secondary schools do use management information systems (MISs), these systems tend not to be used to support higher order managerial activities but are currently primarily used for clerical purposes. This situation is unsatisfactory as MISs fully utilised could offer invaluable support to schools, which are increasingly being granted…
Closing the Gap between Research Evidence and Clinical Practice: Jordanian Nurses' Perceived Barriers to Research Utilisation

ERIC Educational Resources Information Center

Al Khalaileh, Murad; Al Qadire, Mohammad; Musa, Ahmad S.; Al-Khawaldeh, Omar A.; Al Qudah, Hani; Alhabahbeh, Atalla

2016-01-01

Background: The nursing profession is a combination of theory and practical skill, and nurses are required to generate and develop knowledge through implementing research into clinical practice. Considerable number of barriers could hind implementing research findings into practice. Barriers to research utilisation are not identified in the…
Ethnic Variation in Service Utilisation among Children with Intellectual Disability

ERIC Educational Resources Information Center

Dura-Vila, G.; Hodes, M.

2009-01-01

Background: This study examined whether service utilisation among children with intellectual disability (ID) varied by ethnic cultural group. Method: Survey carried out in four special schools in London. Information was provided by school teachers using case files, and 242 children aged 7 to 17 years with mild and moderate ID were identified.…
“Even if I were to consent, my family will never agree”: exploring autopsy services for posthumous occupational lung disease compensation among mineworkers in South Africa

PubMed Central

Banyini, Audrey V.; Rees, David; Gilbert, Leah

2013-01-01

Context In the South African mining sector, cardiorespiratory-specific autopsies are conducted under the Occupational Diseases in Mines and Works Act (ODMWA) on deceased mineworkers to determine eligibility for compensation. However, low levels of autopsy utilisation undermine the value of the service. Objective To explore enablers and barriers to consent that impact on ODMWA autopsy utilisation for posthumous monetary compensation. Methods In-depth interviews were conducted with mineworkers, widows and relatives of deceased mineworkers as well as traditional healers and mine occupational health practitioners. Results A range of socio-cultural barriers to consent for an autopsy was identified. These barriers were largely related to gendered power relations, traditional and religious beliefs, and communication and trust. Understanding these barriers presents opportunities to intervene so as to increase autopsy utilisation. Conclusions Effective interventions could include engagement with healthy mine-workers and their families and re-evaluating the permanent removal of organs. The study adds to our understanding of utilisation of the autopsy services. PMID:23364088
Linking Bacillus cereus Genotypes and Carbohydrate Utilization Capacity.

PubMed

Warda, Alicja K; Siezen, Roland J; Boekhorst, Jos; Wells-Bennik, Marjon H J; de Jong, Anne; Kuipers, Oscar P; Nierop Groot, Masja N; Abee, Tjakko

2016-01-01

We characterised carbohydrate utilisation of 20 newly sequenced Bacillus cereus strains isolated from food products and food processing environments and two laboratory strains, B. cereus ATCC 10987 and B. cereus ATCC 14579. Subsequently, genome sequences of these strains were analysed together with 11 additional B. cereus reference genomes to provide an overview of the different types of carbohydrate transporters and utilization systems found in B. cereus strains. The combined application of API tests, defined growth media experiments and comparative genomics enabled us to link the carbohydrate utilisation capacity of 22 B. cereus strains with their genome content and in some cases to the panC phylogenetic grouping. A core set of carbohydrates including glucose, fructose, maltose, trehalose, N-acetyl-glucosamine, and ribose could be used by all strains, whereas utilisation of other carbohydrates like xylose, galactose, and lactose, and typical host-derived carbohydrates such as fucose, mannose, N-acetyl-galactosamine and inositol is limited to a subset of strains. Finally, the roles of selected carbohydrate transporters and utilisation systems in specific niches such as soil, foods and the human host are discussed.
Linking Bacillus cereus Genotypes and Carbohydrate Utilization Capacity

PubMed Central

Warda, Alicja K.; Siezen, Roland J.; Boekhorst, Jos; Wells-Bennik, Marjon H. J.; de Jong, Anne; Kuipers, Oscar P.; Nierop Groot, Masja N.; Abee, Tjakko

2016-01-01

We characterised carbohydrate utilisation of 20 newly sequenced Bacillus cereus strains isolated from food products and food processing environments and two laboratory strains, B. cereus ATCC 10987 and B. cereus ATCC 14579. Subsequently, genome sequences of these strains were analysed together with 11 additional B. cereus reference genomes to provide an overview of the different types of carbohydrate transporters and utilization systems found in B. cereus strains. The combined application of API tests, defined growth media experiments and comparative genomics enabled us to link the carbohydrate utilisation capacity of 22 B. cereus strains with their genome content and in some cases to the panC phylogenetic grouping. A core set of carbohydrates including glucose, fructose, maltose, trehalose, N-acetyl-glucosamine, and ribose could be used by all strains, whereas utilisation of other carbohydrates like xylose, galactose, and lactose, and typical host-derived carbohydrates such as fucose, mannose, N-acetyl-galactosamine and inositol is limited to a subset of strains. Finally, the roles of selected carbohydrate transporters and utilisation systems in specific niches such as soil, foods and the human host are discussed. PMID:27272929
[TANDEM (TAsk force oN long Duration unemployment of Elderly People and Mental health) implementation of a cross-institutional pilot project for elderly long-term unemployed persons - presentation of the project procedure and the utilisation].

PubMed

Steil, C; Meiler, B; Wiesten, I; Wiltfang, J; Kis, B

2013-08-01

The aim of this study is to implement and examine the feasibility of a cross-institutional mental health intervention to comprehend and advance mental health of elderly long-term unemployed persons. Report on the procedure and on the observational study utilisation in a 14-month period. The structure and processes chosen could be implemented into practice successfully. Utilisation was high but 30% dropped out during the procedure. Of the unemployed persons surveyed, 96% received a psychiatric diagnosis. 85% were not having psychiatric treatment. The method chosen is feasible and was accepted by the target group. Project structure and processes proved to be applicable for the implementation of the project aims. The method chosen reaches an up to now "psychiatry-inexperienced" target group characterised by frequent incidence of mental disorders and low utilisation of psychiatric care. Thus, vocational reintegration programmes should be supported by psychiatric services. © Georg Thieme Verlag KG Stuttgart · New York.
To fractionate municipal solid waste incineration bottom ash: Key for utilisation?

PubMed

Sormunen, Laura Annika; Rantsi, Riina

2015-11-01

For the past decade, the Finnish waste sector has increasingly moved from the landfilling of municipal solid waste towards waste incineration. New challenges are faced with the growing amounts of municipal solid waste incineration bottom ash, which are mainly landfilled at the moment. Since this is not a sustainable or a profitable solution, finding different utilisation applications for the municipal solid waste incineration bottom ash is crucial. This study reports a comprehensive analysis of bottom ash properties from one waste incineration plant in Finland, which was first treated with a Dutch bottom ash recovery technique called advanced dry recovery. This novel process separates non-ferrous and ferrous metals from bottom ash, generating mineral fractions of different grain sizes (0-2 mm, 2-5 mm, 5-12 mm and 12-50 mm). The main aim of the study was to assess, whether the advanced bottom ash treatment technique, producing mineral fractions of different grain sizes and therefore properties, facilitates the utilisation of municipal solid waste incineration bottom ash in Finland. The results were encouraging; the bottom ash mineral fractions have favourable behaviour against the frost action, which is especially useful in the Finnish conditions. In addition, the leaching of most hazardous substances did not restrict the utilisation of bottom ash, especially for the larger fractions (>5 mm). Overall, this study has shown that the advanced bottom ash recovering technique can be one solution to increase the utilisation of bottom ash and furthermore decrease its landfilling in Finland. © The Author(s) 2015.
Identifying patterns of general practitioner service utilisation and their relationship with potentially preventable hospitalisations in people with diabetes: The utility of a cluster analysis approach.

PubMed

Ha, Ninh Thi; Harris, Mark; Preen, David; Robinson, Suzanne; Moorin, Rachael

2018-04-01

We aimed to characterise use of general practitioners (GP) simultaneously across multiple attributes in people with diabetes and examine its impact on diabetes related potentially preventable hospitalisations (PPHs). Five-years of panel data from 40,625 adults with diabetes were sourced from Western Australian administrative health records. Cluster analysis (CA) was used to group individuals with similar patterns of GP utilisation characterised by frequency and recency of services. The relationship between GP utilisation cluster and the risk of PPHs was examined using multivariable random-effects negative binomial regression. CA categorised GP utilisation into three clusters: moderate; high and very high usage, having distinct patient characteristics. After adjusting for potential confounders, the rate of PPHs was significantly lower across all GP usage clusters compared with those with no GP usage; IRR = 0.67 (95%CI: 0.62-0.71) among the moderate, IRR = 0.70 (95%CI 0.66-0.73) high and IRR = 0.76 (95%CI 0.72-0.80) very high GP usage clusters. Combination of temporal factors with measures of frequency of use of GP services revealed patterns of primary health care utilisation associated with different underlying patient characteristics. Incorporation of multiple attributes, that go beyond frequency-based approaches may better characterise the complex relationship between use of GP services and diabetes-related hospitalisation. Copyright © 2018 Elsevier B.V. All rights reserved.
Drug safety and the impact of drug warnings: An interrupted time series analysis of diabetes drug prescriptions in Germany and Denmark.

PubMed

Hostenkamp, Gisela; Fischer, Katharina Elisabeth; Borch-Johnsen, Knut

2016-12-01

To analyse the impact of drug safety warnings from the European Medicines Agency (EMA) on drug utilisation and their interaction with information released through national reimbursement bodies. Insurance claims data on anti-diabetic drug prescriptions in primary care in Germany and Denmark were analysed using interrupted time series analysis, with EMA drug warnings for thiazolidinediones (TZDs) in 2007 and 2011 as the intervention. Monthly drug utilisation data per substance in defined daily dosages (DDD) consumed per 1000 insurees were retrieved from the Danish national drug prescriptions register and one large statutory sickness fund in Germany. TZDs were generally reimbursed in Germany but restricted to individual reimbursement in Denmark. Consequently, utilisation of TZDs was much higher in Germany in 2007 compared with Denmark. For rosiglitazone, the drug warning had a significant impact on utilisation, reducing the number of DDD per 1000 insurees per day by -0.0105 in Denmark and -0.0312 in Germany (p-values<0.05). For pioglitazone, neither of the drug warnings had a significant effect on utilisation. The impact of EMA drug warnings differed across countries and might be mediated by information released through national reimbursement bodies and physician associations. Increasing complexity of new drugs and modified approval procedures require a strengthening of information exchange between drug regulation bodies and physicians to ensure patient safety. Copyright Â© 2016 Elsevier Ireland Ltd. All rights reserved.
Etude de faisabilite d'un systeme eolien diesel avec stockage d'air comprime

NASA Astrophysics Data System (ADS)

Benchaabane, Youssef

Le Systeme Hybride Eolien-Diesel avec Stockage d'Air Comprime (SHEDAC) utilise l'hybridation pneumatique pour remplacer la consommation des combustibles fossiles par de l'energie renouvelable, plus particulierement de l'energie eolienne. Le surplus de l'energie eolienne est utilise pour comprimer et stocker de l'air qui est utilise ensuite pour suralimenter le moteur diesel. Le memoire de maitrise est constitue de deux articles scientifiques. Le premier article presente le developpement d'un logiciel dedie a l'etude de faisabilite d'un systeme eolien-diesel avec stockage d'air comprime. Cette etude est basee sur l'analyse des couts et des revenus, des couts des equipements (eolienne, moteur diesel, systeme de stockage d'air). Elle est completee par une analyse de sensibilite aux differents parametres, une analyse des risques et des emissions des gaz a effet de serre (GES). Le deuxieme article est une application de ce logiciel pour l'installation d'un systeme SHEDAC au camp minier Esker au Quebec en remplacement des sources actuelles de production d'energie. L'utilisation du stockage d'air comprime a l'aide d'un systeme SHEDAC est le plus rentable par rapport a l'utilisation de l'energie eolienne seule ou d'une centrale thermique au diesel seule ou des deux combinees. Avec une valeur actuelle nette et un taux de rendement interne plus eleves, cette solution permet d'obtenir le plus bas cout de l'energie pour cette region eloignee. None None None

Shifting chronic disease management from hospitals to primary care in Estonian health system: analysis of national panel data.

PubMed

Atun, Rifat; Gurol-Urganci, Ipek; Hone, Thomas; Pell, Lisa; Stokes, Jonathan; Habicht, Triin; Lukka, Kaija; Raaper, Elin; Habicht, Jarno

2016-12-01

Following independence from the Soviet Union in 1991, Estonia introduced a national insurance system, consolidated the number of health care providers, and introduced family medicine centred primary health care (PHC) to strengthen the health system. Using routinely collected health billing records for 2005-2012, we examine health system utilisation for seven ambulatory care sensitive conditions (ACSCs) (asthma, chronic obstructive pulmonary disease [COPD], depression, Type 2 diabetes, heart failure, hypertension, and ischemic heart disease [IHD]), and by patient characteristics (gender, age, and number of co-morbidities). The data set contained 552 822 individuals. We use patient level data to test the significance of trends, and employ multivariate regression analysis to evaluate the probability of inpatient admission while controlling for patient characteristics, health system supply-side variables, and PHC use. Over the study period, utilisation of PHC increased, whilst inpatient admissions fell. Service mix in PHC changed with increases in phone, email, nurse, and follow-up (vs initial) consultations. Healthcare utilisation for diabetes, depression, IHD and hypertension shifted to PHC, whilst for COPD, heart failure and asthma utilisation in outpatient and inpatient settings increased. Multivariate regression indicates higher probability of inpatient admission for males, older patient and especially those with multimorbidity, but protective effect for PHC, with significantly lower hospital admission for those utilising PHC services. Our findings suggest health system reforms in Estonia have influenced the shift of ACSCs from secondary to primary care, with PHC having a protective effect in reducing hospital admissions.
The impact of reducing financial barriers on utilisation of a primary health care facility in Rwanda.

PubMed

Dhillon, Ranu S; Bonds, Matthew H; Fraden, Max; Ndahiro, Donald; Ruxin, Josh

2012-01-01

This study investigates the impact of subsidising community-based health insurance (mutuelle) enrolment, removing point-of-service co-payments, and improving service delivery on health facility utilisation rates in Mayange, a sector of rural Rwanda of approximately 25,000 people divided among five 'imidugudu' or small villages. While comprehensive service upgrades were introduced in the Mayange Health Centre between April 2006 and February 2007, utilisation rates remained similar to comparison sites. Between February 2007 and April 2007, subsidies for mutuelle enrolment established virtually 100% coverage. Immediately after co-payments were eliminated in February 2007, patient visits levelled at a rate triple the previous value. Regression analyses using data from Mayange and two comparison sites indicate that removing financial barriers resulted in about 0.6 additional annual visits for curative care per capita. Although based on a single local pilot, these findings suggest that in order to achieve improved health outcomes, key short-term objectives include improved service delivery and reduced financial barriers. Based on this pilot, higher utilisation rates may be affected if broader swaths of the population are enrolled in mutuelle and co-payments are eliminated. Health leaders in Rwanda should consider further studies to determine if the impact of eliminating co-payments and increasing subsidies for mutuelle enrolment as seen in Mayange holds at greater levels of scale. Broader studies to better elucidate the impact of enrolment subsidies and co-payment subsidies on utilisation, health outcomes, and costs would also provide policy insights.
[Dialin: infection surveillance network for haemodialysis patients. First results].

PubMed

Ayzac, Louis; Béruard, Michel; Girard, Raphaële; Hannoun, Jacques; Kuentz, François; Marc, Jean-Michel; Moreau-Gaudry, Xavier; Roche, Catherine; Tressières, Benoît; Uzan, Marc

2009-02-01

To show results of the first year of an infection surveillance network for haemodialysis patients (Dialin). In order to improve the security and quality of care, six haemodialysis centers have organized an infection watching network. The purpose of the network is to compare of the watching results between centers. This comparison includes vascular access infection (VAI), bacteraemia and C viral hepatitis. The heterogeneous pattern has been also taken into account. SURVEY TYPE: Multicenter prospective permanent survey. Six hundred and sixty-four haemodialyzed chronic patients, followed during one year (2005), in six voluntary haemodialysis centers. This survey has based on 71,688 treatment sessions corresponding to 6257.5 months of haemodialysis (HM). As with the heterogeneity among centers, the acquired infection standardized ratios (observed/expected) (AISR) and 95% confidence interval are computed with Cox model which includes confounding factors found in literature or in the preliminary stage of the survey. VAI crude rate was 0.47 per 100HM, 0.10 per 1000 native fistulae utilisation days, 0.45 per 1000 days of prosthetic graft utilisation and 0.44 per 1000 days of catheter utilisation. Bacteraemia crude incidence rate was 0.69 per 100HM, 0.02 per 1000 days of native fistulae utilisation, 0.00 per 1000 days of prosthetic graft utilisation and 0.39 per 1000 days of catheter utilisation. No new case of C viral hepatitis was found. Prevalence rate at the beginning of the survey was 5.3% (35 over 664). Two centers had a significantly high AISR for VAI and two centers had a significantly low AISR for VAI. One center had a significantly high AISR for bacteraemia and one center had a significantly low AISR for bacteraemia. The first year of Dialin running demonstrates the importance of standardised surveillance method in VAI and bacteraemia surveillance but not for viral hepatitis.
The association of smoking status with healthcare utilisation, productivity loss and resulting costs: results from the population-based KORA F4 study.

PubMed

Wacker, Margarethe; Holle, Rolf; Heinrich, Joachim; Ladwig, Karl-Heinz; Peters, Annette; Leidl, Reiner; Menn, Petra

2013-07-17

Smoking is seen as the most important single risk to health today, and is responsible for a high financial burden on healthcare systems and society. This population-based cross-sectional study compares healthcare utilisation, direct medical costs, and costs of productivity losses for different smoking groups: current smokers, former smokers, and never smokers. Using a bottom-up approach, data were taken from the German KORA F4 study (2006/2008) on self-reported healthcare utilisation and work absence due to illness for 3,071 adults aged 32-81 years. Unit costs from a societal perspective were applied to utilisation. Utilisation and resulting costs were compared across different smoking groups using generalised linear models to adjust for age, sex, education, alcohol consumption and physical activity. Average annual total costs per survey participant were estimated as €3,844 [95% confidence interval: 3,447-4,233], and differed considerably between smoking groups with never smokers showing €3,237 [2,802-3,735] and former smokers causing €4,398 [3,796-5,058]. There was a positive effect of current and former smoking on the utilisation of healthcare services and on direct and indirect costs. Total annual costs were more than 20% higher (p<0.05) for current smokers and 35% higher (p<0.01) for former smokers compared with never smokers, which corresponds to annual excess costs of €743 and €1,108 per current and former smoker, respectively. Results indicate that excess costs for current and former smokers impose a large burden on society, and that previous top-down cost approaches produced lower estimates for the costs of care for smoking-related diseases. Efforts must be focused on prevention of smoking to achieve sustainable containment on behalf of the public interest.
Extreme climatic conditions and health service utilisation across rural and metropolitan New South Wales

NASA Astrophysics Data System (ADS)

Jegasothy, Edward; McGuire, Rhydwyn; Nairn, John; Fawcett, Robert; Scalley, Benjamin

2017-08-01

Periods of successive extreme heat and cold temperature have major effects on human health and increase rates of health service utilisation. The severity of these events varies between geographic locations and populations. This study aimed to estimate the effects of heat waves and cold waves on health service utilisation across urban, regional and remote areas in New South Wales (NSW), Australia, during the 10-year study period 2005-2015. We divided the state into three regions and used 24 over-dispersed or zero-inflated Poisson time-series regression models to estimate the effect of heat waves and cold waves, of three levels of severity, on the rates of ambulance call-outs, emergency department (ED) presentations and mortality. We defined heat waves and cold waves using excess heat factor (EHF) and excess cold factor (ECF) metrics, respectively. Heat waves generally resulted in increased rates of ambulance call-outs, ED presentations and mortality across the three regions and the entire state. For all of NSW, very intense heat waves resulted in an increase of 10.8% (95% confidence interval (CI) 4.5, 17.4%) in mortality, 3.4% (95% CI 0.8, 7.8%) in ED presentations and 10.9% (95% CI 7.7, 14.2%) in ambulance call-outs. Cold waves were shown to have significant effects on ED presentations (9.3% increase for intense events, 95% CI 8.0-10.6%) and mortality (8.8% increase for intense events, 95% CI 2.1-15.9%) in outer regional and remote areas. There was little evidence for an effect from cold waves on health service utilisation in major cities and inner regional areas. Heat waves have a large impact on health service utilisation in NSW in both urban and rural settings. Cold waves also have significant effects in outer regional and remote areas. EHF is a good predictor of health service utilisation for heat waves, although service needs may differ between urban and rural areas.
[Frequency of use of school cafeterias in middle and high schools in 3 French districts].

PubMed

Michaud, C; Feur, E; Gerbouin-Rérolle, P; Leynaud-Rouaud, C; Chateil, S; Gourdon, M

2000-09-01

Reports from the French Ministry of Education warn of a decrease in the use of school food services, especially in sensitive urban areas. They also suggest that this decline has led to cases of malnutrition. This article describes the characteristics of the current supply of school meals and measures the evolution of demand observed between 1992 and 1996 in relation to the economic situation of students' families. The study was carried out in 3 departments in France: Doubs, Herault, and Val de Marne. The administrators of all public and private middle and high schools in the 3 departments received a questionnaire asking them to describe the services offered in their cafeterias and to provide the corresponding statistical and accounting data. External food services near the schools were also taken into account. Seventy-nine percent of schools responded to the survey. Concerning the services offered, 91% of schools have their own cafeterias, of which 81% are managed by the schools. Concerning the evolution of utilisation, a significant decrease in the number of meals served in seen in middle schools. On the other hand, high schools have observed stable utilisation. The positive changes in utilisation are linked, in middle schools, to characteristics of the schools' internal food services (self-service, choice of main courses, modulation of seats). In high schools, positive changes in the utilisation of school services are linked to the lack of external food services near the schools. As middle schools and high schools control the logistics and management of food services offered to students, they are potentially in a position to influence a policy on this issue. The evolution in utilisation is very different among departments and between middle and high schools. While economic precariousness has a negative structural effect on utilisation, it doesn't seem to be a major factor in the evolution of the decrease observed over the past few years.
Caries experience, dental health behaviour and social status--three comparative surveys among Danish military recruits in 1972, 1982 and 1993.

PubMed

Antoft, P; Rambusch, E; Antoft, B; Christensen, H W

1999-06-01

To compare caries experience among young Danish men in 1972, 1982 and 1993; and on the same occasions to describe relationship between their utilisation of regular dental care and social status, as well as the relationship between their caries experience, utilisation of dental services and social status. During their routine health examinations in 1972, 1982 and 1993 all recruits enlisted in the Danish Air Force were subjected to an additional oral examination combined with a structured socio-dental questionnaire. Identical methods were applied in each of the three surveys. Dental clinics at air bases in Denmark. 4,103 male military recruits, aged 18 to 25 years. Caries was registered in accordance with the WHO Basic Methods 1971. The questionnaire provided information on age, place of residence during childhood, social origin, and patterns of utilisation of dental services. The findings indicated a considerable decrease in average caries experience from 16.6 DMFT in 1972 to 11.8 in 1982 and 6.2 in 1993. The results further documented markedly increased availability of public school dental health services, the coverage rising from 33% in 1972 to 65% in 1982 and 100% in 1993, as well as moderately increased utilisation of regular dental care with private practitioners, rising from 71% in 1972 to 86% in 1982 and 84% in 1993. In 1993 as in 1982 and 1972, recruits who used the public school dental health services and also received regular dental care after their school leaving age showed the lowest average caries experience. The findings indicate a marked decrease in average caries experience and an increased utilisation of dental services among Danish young men from 1972 to 1993. However, in 1993 the least privileged social group continued to maintain the highest average caries experience and the lowest rate of utilisation of regular dental care.
Does insurance enrolment increase healthcare utilisation among rural-dwelling older adults? Evidence from the National Health Insurance Scheme in Ghana.

PubMed

van der Wielen, Nele; Channon, Andrew Amos; Falkingham, Jane

2018-01-01

This paper examines the relationship between national health insurance enrolment and the utilisation of inpatient and outpatient healthcare for older adults in rural areas in Ghana. The Ghanaian National Health Insurance Scheme (NHIS) aims to improve affordability and increase the utilisation of healthcare. However, the system has been criticised for not being responsive to the needs of older adults. The majority of older adults in Ghana live in rural areas with poor accessibility to healthcare. With an ageing population, a specific assessment of whether the scheme has benefitted older adults, and also if the benefit is equitable, is needed. Using the Ghanaian Living Standards Survey from 2012 to 2013, this paper uses propensity score matching to estimate the effect of enrolment within the NHIS on the utilisation of inpatient and outpatient care among older people aged 50 and over. The raw results show higher utilisation of healthcare among NHIS members, which persists after matching. NHIS members were 6% and 9% more likely to use inpatient and outpatient care, respectively, than non-members. When these increases were disaggregated for outpatient care, the non-poor and females were seen to benefit more than their poor and male counterparts. For inpatient care, the benefits of enrolment were equal by poverty status and sex. However, overall, poor older adults use health services much less than the non-poor older adults even when enrolled. The results indicate that NHIS coverage does increase healthcare utilisation among rural older adults but that inequalities remain. The poor are still at a great disadvantage in their use of health services overall and benefit less from enrolment for outpatient care. The receipt of healthcare is significantly influenced by a set of auxiliary barriers to access to healthcare even where insurance should remove the financial burden of ad hoc out of pocket payments.
Does insurance enrolment increase healthcare utilisation among rural-dwelling older adults? Evidence from the National Health Insurance Scheme in Ghana

PubMed Central

van der Wielen, Nele; Channon, Andrew Amos; Falkingham, Jane

2018-01-01

Introduction This paper examines the relationship between national health insurance enrolment and the utilisation of inpatient and outpatient healthcare for older adults in rural areas in Ghana. The Ghanaian National Health Insurance Scheme (NHIS) aims to improve affordability and increase the utilisation of healthcare. However, the system has been criticised for not being responsive to the needs of older adults. The majority of older adults in Ghana live in rural areas with poor accessibility to healthcare. With an ageing population, a specific assessment of whether the scheme has benefitted older adults, and also if the benefit is equitable, is needed. Methods Using the Ghanaian Living Standards Survey from 2012 to 2013, this paper uses propensity score matching to estimate the effect of enrolment within the NHIS on the utilisation of inpatient and outpatient care among older people aged 50 and over. Results The raw results show higher utilisation of healthcare among NHIS members, which persists after matching. NHIS members were 6% and 9% more likely to use inpatient and outpatient care, respectively, than non-members. When these increases were disaggregated for outpatient care, the non-poor and females were seen to benefit more than their poor and male counterparts. For inpatient care, the benefits of enrolment were equal by poverty status and sex. However, overall, poor older adults use health services much less than the non-poor older adults even when enrolled. Conclusion The results indicate that NHIS coverage does increase healthcare utilisation among rural older adults but that inequalities remain. The poor are still at a great disadvantage in their use of health services overall and benefit less from enrolment for outpatient care. The receipt of healthcare is significantly influenced by a set of auxiliary barriers to access to healthcare even where insurance should remove the financial burden of ad hoc out of pocket payments. PMID:29527348
Modelling Pasture-based Automatic Milking System Herds: The Impact of Large Herd on Milk Yield and Economics.

PubMed

Islam, M R; Clark, C E F; Garcia, S C; Kerrisk, K L

2015-07-01

The aim of this modelling study was to investigate the effect of large herd size (and land areas) on walking distances and milking interval (MI), and their impact on milk yield and economic penalties when 50% of the total diets were provided from home grown feed either as pasture or grazeable complementary forage rotation (CFR) in an automatic milking system (AMS). Twelve scenarios consisting of 3 AMS herds (400, 600, 800 cows), 2 levels of pasture utilisation (current AMS utilisation of 15.0 t dry matter [DM]/ha, termed as 'moderate'; optimum pasture utilisation of 19.7 t DM/ha, termed as 'high') and 2 rates of incorporation of grazeable complementary forage system (CFS: 0, 30%; CFS = 65% farm is CFR and 35% of farm is pasture) were investigated. Walking distances, energy loss due to walking, MI, reduction in milk yield and income loss were calculated for each treatment based on information available in the literature. With moderate pasture utilisation and 0% CFR, increasing the herd size from 400 to 800 cows resulted in an increase in total walking distances between the parlour and the paddock from 3.5 to 6.3 km. Consequently, MI increased from 15.2 to 16.4 h with increased herd size from 400 to 800 cows. High pasture utilisation (allowing for an increased stocking density) reduced the total walking distances up to 1 km, thus reduced the MI by up to 0.5 h compared to the moderate pasture, 800 cow herd combination. The high pasture utilisation combined with 30% of the farm in CFR in the farm reduced the total walking distances by up to 1.7 km and MI by up to 0.8 h compared to the moderate pasture and 800 cow herd combination. For moderate pasture utilisation, increasing the herd size from 400 to 800 cows resulted in more dramatic milk yield penalty as yield increasing from c.f. 2.6 and 5.1 kg/cow/d respectively, which incurred a loss of up to $AU 1.9/cow/d. Milk yield losses of 0.61 kg and 0.25 kg for every km increase in total walking distance (voluntary return trip from parlour to paddock) and every one hour increase in MI, respectively. The high pasture utilisation combined with 30% of the farm in CFR in the farm increased milk yield by up to 1.5 kg/cow/d, thereby reducing loss by up to $0.5/cow/d (c.f. the moderate pasture and 800 cow herd scenario). Thus, it was concluded that the successful integration of grazeable CFS with pasture has the potential to improve financial performance compared to the pasture only, large herd, AMS.
C4I Community of Interest C2 Roadmap

DTIC Science & Technology

2015-03-24

QoS -based services – Digital policy-based prioritization – Dynamic bandwidth allocation – Automated network management April 15 Slide 9...Co-Site Mitigation) NC-3 • LPD/LPI Comms NC-4 • Increased Range NC-7 • Increased Loss Tolerance & Recovery NC-7 • Mobile Ad Hoc Networking NC-8...Algorithms and Software • Systems and Processes Networks and Communications • Radios and Apertures • Networks • Information April 15 Slide 8
Technical Transfer Report on a TNT Enzyluminescent Vapor Detection System

DTIC Science & Technology

1991-02-01

Library) ATN: DELSD-L Aberdeen Proving Ground , MD 21005 Fort Monouth, NJ 07703-5301 1 Comm er President US Army Aberden Proving Ground US Army Aation Ten...I Director, Technical Information ATTN: AMXSY-MP Defense Advanced Research Projects Agency Aberdeen Proving Ground , MD 21005-5071 1400 Wilson...Blvd.Arlington, VA 22209 1 Director US Ballistics Research Laboratory I Director ATN: AMXBR-OD-ST (STINFO) Defense Nuclear Agency Aberdeen Proving Ground , MD
Defence Output Measures: An Economics Perspective

DTIC Science & Technology

2011-11-01

Des budgets de la comptabilité des intrants, des extrants, de la gestion et des ressources ont été utilisés comme mesures relatives aux résultats...Sa Majesté la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2011 Abstract …….. This Contract Report...présent rapport de contrat examine la mesure des extrants en matière de
Species Profiles: Life Histories and Environmental Requirements of Coastal Fishes and Invertebrates (Pacific Northwest), Chum Salmon

DTIC Science & Technology

1988-03-01

respect, they are considerably unlike (J. Ames, 1984, WDF; pers. comm.). In sockeye, Oncorhynchus nerka , coho, Southern British Columbia, the average...NOMENCLATURE/TAXONOMY/RANGE MORPHOLOGY/IDENTIFICATION AIDS Scientific name.. Oncorhynchus keta Dorsal fin 10-13 rays; adipose . (Walbaum 1792) (Figure 1) fin... Oncorhynchus gorbuscha, spend minimal salmon that spawn in large river 1, time rearing in freshwater. In this systems is sometimes twice that long f
Lectures in Complex Systems (1991)

DTIC Science & Technology

1992-08-05

momentum term and the line required to reach termination criterion. Fig- ture 2 shows this function for the case where Lcarninglate = 1.0. Peeling and...Soc. Am., in press. 17. Peeling , S. M., and R. K. Moore. "Isolated Digit Recognition Experiments using the Multi-Layer Perceptron." Speech Comm. 7...surfaces which form the focal conic defects seen in Figure 1. These are the cyclides of Dupin. The surfaces go from banana -shaped to squashed doughnuts to
Ultrashort Pulse (USP) Laser-Matter Interactions

DTIC Science & Technology

2013-03-05

spectroscopy • Frequency/time transfer • High-capacity comms • Coherent LIDAR • Optical clocks • Calibration Material Science ultrashort, high...Laboratory 41 Laser -driven x-rays generation (0.1 – 10 MeV) • Scattering from a 300 MeV electron beam can Doppler shift a 1-eV energy laser ...1 Integrity  Service  Excellence Ultrashort Pulse (USP) Laser – Matter Interactions 5 MAR 2013 Dr. Riq Parra Program Officer AFOSR/RTB
Soft X-Ray Photoemission

DTIC Science & Technology

1977-07-01

Edward R, Hahn/MS-X22 Attn: Donald R. McMorrow/MS-G30 Attn: Samuel R. Crawford/MS-531 Ford Aerospace & Comm Operations Ford & Jamboree Roads...80933 Attn: Jerry I. Lubell Attn: Walter E. Ware Attn: John R. Hoffman Attn: Donald H. Bryce Attn: Albert P. Bridges Litton Systems, Inc...International Corp, P.O. Box 3105 Anaheim, CA 92803 Attn: George C. Messenger FB61 Attn: Donald J, Stevens FA70 Attn: K. F. Hull Attn: N. J
CRREL (Cold Regions Research and Engineering Laboratory) Technical Publications. Supplement

DTIC Science & Technology

1986-09-01

Utilization for Fresh Water Production, ROAD. CHIMCAL COMPOSITION OF DUST nical memorandum~ Mar. 1976, No. 116, Muske Re- Weather Modilicationt, and...it appeared in a J-9 core Commes a i elon teo kEvromna 516 on an unusual boundary layer showing in th core andaa PV.e sEvromns assessment of the...SEA ICE IN at lowbtrquencinsfroad nttrsnsmtterseadofthelnductive 37.4035 THE 50-15 MHZ RANGEL coupling between two loop ntennaus are describsed
Advanced Non-Intrusive Instrumentation for Propulsion Engines

DTIC Science & Technology

1998-05-01

pratique courante dans le secteur du developpement comme dans l’industrie. L’accent a ete mis sur le souhait de maintenir cette situation, et les...differentes installations de l’Alliance et autres, en vue de leur amelioration avant de proposer des applications plus larges dans les secteurs de...dans ’ une cellule statique oil les parametres P et T sont facilement mesurables, des mesures des trois parametres ont ete realisees sur un jet
Behavioral Variability, Learning Processes, and Creativity

DTIC Science & Technology

1992-03-01

socio- logiques, 6conomiques ou iddologiques auxquels n𔄀chappent pas les entreprises dducatives. Nous retrouvons IA trois themes de d~bat assez courants...pour ne pas dire traditionnels, dans les milieux pidagogiques, trois arguments que I’on pourrait reforinuler de la maniere suivante: 1 . Les...vain de concevoir I’enseignement comme un domaine d’ap- plication de la psychologie de I’apprentissage. Sans doute aucune de ces trois propositions ne

Computer Center CDC Libraries/NSRDC (Subprograms).

DTIC Science & Technology

1981-02-01

TRANSFORM." COMM, OF THE ACM, VOL, 10, NO. 10, OCTOBER 1967. 3. SYSTEM/360 SCIENTIFIC SUBROUTINE PACKAGE, IBM TECHNICAL PUBLICATONS DEPARTMENT, 1967...VARIABLE 3) UP TO 9 DEPENDENT VARIABLES PER PLOT. FUNCTIONAL CATEGORIES: J5 LANGUAGE: FORTRAN IV USAGE COMMON /PLO/ NRUN, NPLOT, ITP .6), ITY(6), ITX(61...PLO/ NRUN - NUMBER OF THIS RUN iDEFAULT: 1) NPLOT - NUMBER OF PLOT (DEFAULT: 1 ITP - PAGE TITLE (DEFAULT: BLANK) ITY - Y TITLE (DEFAULT: BLANK) ITX - X
Info Based Med Emergency Decision Tools, Rural Mobil Comm

DTIC Science & Technology

2006-10-01

through its ability to deliver and manage a wide variety of environmental sensors – in short, a robotic equivalent of hearing, sight, smell, taste, and...spread of infection . Panasonic Rugged Laptop: At the time of the evaluation, the Panasonic Toughbook was regarded as the industry standard for...a patient’s systolic and diastolic blood pressure, pulse rate, temperature, and oxygen saturation ( SpO2 ). The front of the device contains an LCD
Space-Based Blue-Green Laser.

DTIC Science & Technology

1981-10-01

Helvajian , H . and Wittig, C., Opt. Comm. 30, p. 189 (1979). 45 .AVCO...Measure- , ment 45 h . Gain Measurement: Stimulated Emission Cross Section 49 i. Absorption Measurements 51 j. Electron Quenching 56 k. Lower Level...34. .- .". .-*.". - . ’- .-".- , ...’-",."-..-..’.-"- . " .- . .. ."., " -". ,, . ’ "’,. ,.... . . . .’,...". -.. " -’ "-,,. +’. ’ ’ ,’"_-".." . ... £4. 3. 1 M Device Experiments 68 a. Summary 68 h .
The Politics of Defence Budgeting: A Study of Organisation and Resource Allocation in the United Kingdom and the United States,

DTIC Science & Technology

1983-01-01

fourth responsible for guided weapons and electronics across-the-board. Each controller would be an accounting officer directly responsible to... electronics . Thereafter, as Hastie Smith says, "the identification of the systems controllers with their Service boards [the committees corporately...COMM. COMD. ASST SECDEF CNTR & INTEL) (HEALTH AFFAIRS) ASST TO THE SECDEF (ATOMIC ENERGY ) R DEFENSE LLIGENCE SE AGENCIES DEESEDFES)EFENSE DEFENSE
Quantitative Determination of Engine Water Ingestion.

DTIC Science & Technology

1986-12-01

4II- lIII.s;I.I. iN [ I I.S( NIC ID) LINIA.) 4 5v1fil I [:,SS(I~r. III.G’I.141 ) lS;; NE141I))=NI IF" (i’* IIw JI)).I.’".N2) ESINE [LI)-1NZ %t...Tulsa, OK 74150 Be. hMr. Ronald Cam Allied Pilot Association BASF Wyandotte CorporationEquipment Evaluation Comm.":" .O.Box 5241609 Biddle Avenue P.O
Mobility and Molecular Ions of Dimethyl Methyl Phosphonate, Methyl Salicylate, and Acetone.

DTIC Science & Technology

1983-06-01

MICRCOP REOUIO.ET1HR NICOCOPY BRESOUIO EST CHAR T AD .-..., CHEMICOL f.. SYSTEMS US Army Armament 11..: LABORATORY Research and Development Command _NTR...ORGANIZATION NAME AND ADDRESS 10. PROGRAM ELEMENT PROJECT, TASK Commnde, Cemicl Sstes LaoraoryAREA & WORK U NIT’NUMBERS CommNder DARCemia Systems Laborato...Chemical Systems Laboratory, ATTN: DRDAR-CLJ-IR, Aberdeen Proving Ground, Maryland 21010. However, the Defense Technical Information Center and National
Newly designed launch and entry suit (LES) modeled by technician

NASA Image and Video Library

1988-11-14

Space shuttle orange launch and entry suit (LES), a partial pressure suit, is modeled by a technician. LES was designed for STS-26, the return to flight mission, and subsequent missions. Included in the crew escape system (CES) package are launch and entry helmet (LEH) with communications carrier (COMM CAP), parachute pack and harness, life raft, life preserver unit (LPU), LES gloves, suit oxygen manifold and valves, boots, and survival gear.
On Spaces of Commuting Elements in Lie Groups

DTIC Science & Technology

2014-02-25

G given by θ(g, t) = gtg −1 = tg, with more details given in Section 2. Definition 1.6. Define Θ : G×NT Assoc(T )→ Comm(G) by the formula Θ(g, (t1...conjugation θn : G× Tn → Hom(Zn, G)1G g × (t1, . . . , tn) 7→ (tg1, . . . , tgn), ON SPACES OF COMMUTING ELEMENTS IN LIE GROUPS 11 where tg = gtg −1. An n
The Restricted Isometry Property for Time-Frequency Structured Random Matrices

DTIC Science & Technology

2011-06-16

tests illustrating the use of Ψg for compressive sensing are presented in [41]. They illustrate that empirically Ψg performs very similarly to a...E.J., J., Tao, T., Romberg , J.: Robust uncertainty principles: exact signal reconstruction from highly incomplete frequency information. IEEE Trans...Inform. Theory 52(2), 489–509 (2006) [12] Candès, E.J., Romberg , J., Tao, T.: Stable signal recovery from incomplete and inaccurate mea- surements. Comm
Evolution from Packet Utilisation to Mission Operation Services

NASA Astrophysics Data System (ADS)

Cooper, Sam; Forwell, Stuart D.

2012-08-01

The ECSS Packet Utilisation Standard (PUS) and the forthcoming CCSDS Mission Operations (MO) Services occupy a very similar domain. This paper discusses the history of the two standards, their relationship and how the two can co-exist in the near term and long terms. It also covers implications with implementing MO services in current and future on-board architectures.
Understanding Teachers' Perspectives of Factors That Influence Parental Involvement Practices in Special Education in Barbados

ERIC Educational Resources Information Center

Blackman, Stacey; Mahon, Erin

2016-01-01

Parental involvement has been defined in various ways by researchers and is reported to have many advantages for children's education. The research utilises a case study strategy to investigate teachers' perspectives of parental involvement at four case sites in Barbados. In-depth interviews were done with teachers and analysis utilised content…
Public Health Knowledge Utilisation by Policy Actors: An Evaluation Study in Midden-Holland, the Netherlands

ERIC Educational Resources Information Center

de Goede, Joyce; Steenkamer, Betty; Treurniet, Henriëtte; Putters, Kim; van Oers, Hans

2011-01-01

A comprehensive report has been prepared on the state of public health and healthcare in the Midden-Holland region of the Netherlands. This study describes the development of the report and the mechanisms behind public health knowledge utilisation by three groups of health policy actors: local authorities, public health professionals and regional…
Experiences in the Dissemination and Utilisation of Information and Communication Technology (ICT) Research Findings from Three Southern African Universities

ERIC Educational Resources Information Center

Kaino, Luckson M.; Mtetwa, David; Kasanda, Choshi

2014-01-01

The dissemination and utilisation of research knowledge produced at universities has been debated in recent times. Recent changes and developments at universities suggest an entrepreneurial model of academic research production in which universities have the responsibility not only to carry out research and teaching but also to disseminate…
The Pivotal Position of 'Liaison People': Facilitating a Research Utilisation Intervention in Policy Agencies

ERIC Educational Resources Information Center

Haynes, Abby; Butow, Phyllis; Brennan, Sue; Williamson, Anna; Redman, Sally; Carter, Stacy; Gallego, Gisselle; Rudge, Sian

2018-01-01

This paper explores the enormous variation in views, championing behaviours and impacts of liaison people: staff nominated to facilitate, tailor and promote SPIRIT (a research utilisation intervention trial in six Australian health policy agencies). Liaison people made cost/benefit analyses: they weighed the value of participation against its…
Ethnic Factors in Mental Health Service Utilisation among People with Intellectual Disability in High-Income Countries: Systematic Review

ERIC Educational Resources Information Center

Dura-Vila, G.; Hodes, M.

2012-01-01

Background: An emerging literature suggests that ethnic and cultural factors influence service utilisation among people with intellectual disability (ID), but this has not previously been reviewed. Aims: To investigate possible ethnic variation in uptake of mental health services in children, adolescents and adults with ID in high-income…
Télèmetre utilisant une diode laser à balayage continu en fréquence et un double interférométre

NASA Astrophysics Data System (ADS)

Hafidi, Abdeslam; Pfeiffer, Pierre; Meyrueis, Patrick

2018-04-01

This paper, "Télèmetre utilisant une diode laser à balayage continu en fréquence et un double interférométre," was presented as part of International Conference on Space Optics—ICSO 1997, held in Toulouse, France.
Exploring the Extent to Which ELT Students Utilise Smartphones for Language Learning Purposes

ERIC Educational Resources Information Center

Yaman, Ismail; Senel, Müfit; Yesilel, Deren Basak Akman

2015-01-01

The advent of smartphones has had dramatic influences on our daily lives and has rendered human beings "walking computers." This holds important reflections in the realm of language learning, as well as in many other areas. This study aimed to explore the extent to which English Language Teaching (ELT) students utilise smartphones for…
Utilising Benchmarking to Inform Decision-Making at the Institutional Level: A Research-Informed Process

ERIC Educational Resources Information Center

Booth, Sara

2013-01-01

Benchmarking has traditionally been viewed as a way to compare data only; however, its utilisation as a more investigative, research-informed process to add rigor to decision-making processes at the institutional level is gaining momentum in the higher education sector. Indeed, with recent changes in the Australian quality environment from the…
Impediments to Effective Utilisation of Information and Communication Technology Tools in Selected Universities in the North-Eastern Nigeria

ERIC Educational Resources Information Center

Momoh, Mustapha

2010-01-01

This study examined the impediments to effective use of Information and Communication Technology (ICT) tools in Nigerian universities. Series of research conducted on the factors militating against computerisation indicated that, there were impediments to effective utilisation of ICT tools in most developing countries. In the light of this, the…
Correlate of Resource Utilization and Students' Learning Outcome in Colleges of Education in South West Nigeria

ERIC Educational Resources Information Center

Ibukun, W. O.; Akinfolarin, C. A.; Alimi, O. S.

2011-01-01

This study investigated resource utilisation in vocational and technical education as a correlate of student learning outcome in selected colleges of education in south west Nigeria. The study examined the relationship between time, space and physical resource utilisation and perceived student learning outcome. The study used the descriptive…

Science Teachers' Utilisation of Innovative Strategies for Teaching Senior School Science in Ilorin, Nigeria

ERIC Educational Resources Information Center

Oyelekan, Oloyede Solomon; Igbokwe, Emoyoke Faith; Olorundare, Adekunle Solomon

2017-01-01

Efforts have been made to improve science teaching in secondary schools in Nigeria, yet, students continue to perform poorly in science subjects. Many innovative teaching strategies have been developed by educators and found to impact significantly on students' academic performance when utilised. Hence, this study was aimed at examining science…
The Schooling Experience of Adolescent Boys with AD/HD: An Australian Case Study

ERIC Educational Resources Information Center

Gibbs, Kathryn; Mercer, K. Louise; Carrington, Suzanne

2016-01-01

This study explored the experience of schooling of six adolescent boys diagnosed with AD/HD from the perspectives of the boys, their mothers and their teachers. The study utilised social constructionism as the theoretical orientation and the Dynamic Developmental Theory (DDT) of AD/HD as the explanatory framework. Utilising a multiple,…
VO2 thermochromic smart window for energy savings and generation

PubMed Central

Zhou, Jiadong; Gao, Yanfeng; Zhang, Zongtao; Luo, Hongjie; Cao, Chuanxiang; Chen, Zhang; Dai, Lei; Liu, Xinling

2013-01-01

The ability to achieve energy saving in architectures and optimal solar energy utilisation affects the sustainable development of the human race. Traditional smart windows and solar cells cannot be combined into one device for energy saving and electricity generation. A VO2 film can respond to the environmental temperature to intelligently regulate infrared transmittance while maintaining visible transparency, and can be applied as a thermochromic smart window. Herein, we report for the first time a novel VO2-based smart window that partially utilises light scattering to solar cells around the glass panel for electricity generation. This smart window combines energy-saving and generation in one device, and offers potential to intelligently regulate and utilise solar radiation in an efficient manner. PMID:24157625
VO₂ thermochromic smart window for energy savings and generation.

PubMed

Zhou, Jiadong; Gao, Yanfeng; Zhang, Zongtao; Luo, Hongjie; Cao, Chuanxiang; Chen, Zhang; Dai, Lei; Liu, Xinling

2013-10-24

The ability to achieve energy saving in architectures and optimal solar energy utilisation affects the sustainable development of the human race. Traditional smart windows and solar cells cannot be combined into one device for energy saving and electricity generation. A VO2 film can respond to the environmental temperature to intelligently regulate infrared transmittance while maintaining visible transparency, and can be applied as a thermochromic smart window. Herein, we report for the first time a novel VO2-based smart window that partially utilises light scattering to solar cells around the glass panel for electricity generation. This smart window combines energy-saving and generation in one device, and offers potential to intelligently regulate and utilise solar radiation in an efficient manner.
Sludge utilisation in agriculture: possibilities and prospects in Greece.

PubMed

Andreadakis, A D; Mamals, D; Gavalaki, E; Kampylafka, S

2002-01-01

The paper presents the prospects for agricultural utilisation of the sludge produced from wastewater treatment plants in Greece and more specifically focuses on a critical review of the legislatory framework, determination of the quantitative and qualitative characteristics of the produced sludges, examination of possible sludge treatment methods and evaluation of the possibilities and prospects of sludge utilisation on the basis of the above considerations. Landfilling is practically the only route to sludge disposal in Greece. However, in view of the anticipated future restrictions for landfilling within the European Union, this method is clearly a short-term solution and alternative options, including agricultural reuse, must be implemented. The results of a recent survey are presented and discussed in relation to this need.
Intrinsic and extrinsic carbohydrates in the vagina: A short review on vaginal glycogen.

PubMed

Tester, Richard; Al-Ghazzewi, Farage H

2018-06-01

The reasons for (i) the presence and (ii) mechanisms of utilisation of glycogen by the lactic acid bacteria in the human vaginal tract are not well understood. It is probable that the vaginal epithelia produce both glycogen and α-amylase where the enzyme depolymerises the polysaccharide within the vagina itself. Only these depolymerised residues are then utilised for growth by the lactic acid bacteria. The lactic acid bacteria cannot metabolise the glycogen directly due to their incapacity to produce the α-amylase enzyme. These bacteria may, however, metabolise exogenous carbohydrates (such as prebiotics) selectively for growth effectively. These carbohydrate utilisation issues within the vagina are considered in this short review. Copyright © 2018 Elsevier B.V. All rights reserved.
Distinct fermentation and antibiotic sensitivity profiles exist in salmonellae of canine and human origin.

PubMed

Wallis, Corrin V; Lowden, Preena; Marshall-Jones, Zoe V; Hilton, Anthony C

2018-02-26

Salmonella enterica is a recognised cause of diarrhoea in dogs and humans, yet the potential for transfer of salmonellosis between dogs and their owners is unclear, with reported evidence both for and against Salmonella as a zoonotic pathogen. A collection of 174 S. enterica isolates from clinical infections in humans and dogs were analysed for serotype distribution, carbon source utilisation, chemical and antimicrobial sensitivity profiles. The aim of the study was to understand the degree of conservation in phenotypic characteristics of isolates across host species. Serovar distribution across human and canine isolates demonstrated nine serovars common to both host species, 24 serovars present in only the canine collection and 39 solely represented within the human collection. Significant differences in carbon source utilisation profiles and ampicillin, amoxicillin and chloramphenicol sensitivity profiles were detected in isolates of human and canine origin. Differences between the human and canine Salmonella collections were suggestive of evolutionary separation, with canine isolates better able to utilise several simple sugars than their human counterparts. Generally higher minimum inhibitory concentrations of three broad-spectrum antimicrobials, commonly used in veterinary medicine, were also observed in canine S. enterica isolates. Differential carbon source utilisation and antimicrobial sensitivity profiles in pathogenic Salmonella isolated from humans and dogs are suggestive of distinct reservoirs of infection for these hosts. Although these findings do not preclude zoonotic or anthroponotic potential in salmonellae, the separation of carbon utilisation and antibiotic profiles with isolate source is indicative that infectious isolates are not part of a common reservoir shared frequently between these host species.
Patients’ subjective concepts about primary healthcare utilisation: the study protocol of a qualitative comparative study between Norway and Germany

PubMed Central

Herrmann, Wolfram J; Haarmann, Alexander; Flick, Uwe; Bærheim, Anders; Lichte, Thomas; Herrmann, Markus

2013-01-01

Background In Germany, utilisation of ambulatory healthcare services is high compared with other countries: While a study based on the process data of German statutory health insurances showed an average of 17.1 physician-patient-contacts per year, the comparable figure for Norway is about five. The usual models of healthcare utilisation, such as Rosenstock's Health Belief Model and Andersen's Behavioural Model, cannot explain these differences adequately. Organisational factors of the healthcare system, such as gatekeeping, do not explain the magnitude of the differences. Our hypothesis is that patients’ subjective concepts about primary healthcare utilisation play a major role in explaining different healthcare utilisation behaviour in different countries. Hence, the aim of this study is to explore these subjective concepts comparatively, between Germany and Norway. Methods/design With that aim in mind, we chose a comparative qualitative study design. In Norway and Germany, we are going to interview 20 patients each with qualitative episodic interviews. In addition, we are going to conduct participant observation in four German and four Norwegian primary care practices. The data will be analysed by thematic coding. Using selected categories, we are going to conduct comparative case and group analyses. Ethics and dissemination The study adheres to the Declaration of Helsinki. All interviewees will sign informed consent forms and all patients will be observed during consultation. Strict rules for data security will apply. Developed theory and policy implications are going to be disseminated by a workshop, presentations for experts and laypersons and publications. PMID:23794555
Effects of drug price reduction and prescribing restrictions on expenditures and utilisation of antihypertensive drugs in Korea

PubMed Central

Yoo, Ki-Bong; Lee, Sang Gyu; Park, Sohee; Kim, Tae Hyun; Ahn, Jeonghoon; Cho, Mee-Hyun; Park, Eun-Cheol

2015-01-01

Objectives To evaluate the quantitative effects of the drug price reduction on pharmaceutical expenditures and the new guidelines to restrict prescribing on drug utilisation for antihypertensive drugs. Design We used an interrupted time series design with the National patient sample data of Health Insurance Review and Assessment Service in South Korea. Methods 54 295 participants who were with primary hypertension from the National patient sample data of Health Insurance Review and Assessment Service were included. The study period was from March 2011 to December 2013. The dependent variables were antihypertensive drug costs, antihypertensive drug cost per prescribing day, daily drug utilisation, average number of drugs per month, percentage of original drugs per prescription, drug overutilisation and prohibited combinations. Segmented regression analysis was used. Results The drug price reduction reduced expenditure (US$−1.51, −10.2%), and the new guidelines reduced expenditures even more (US$−2.13; −16.2%). These policies saved US$4.22 (28%) of antihypertensive drug costs per patient in December 2013 compared to March 2012. Drug price reduction policy was introduced in April 2012. We established the policy effect by comparing it before (March 2012) with after(21 months later-December 2012). The effects of the guidelines decreased expenditures, daily drug utilisation and the average number of drugs per month more than did the drug price reduction. Conclusions Both policies saved money. The guidelines were more effective over time and had fewer side effects such as increasing daily drug utilisation and number of drugs than the effects of drug price reduction. PMID:26179644
Optimising the laboratory supply chain: The key to effective laboratory services

PubMed Central

Williams, Jason; Smith, Peter; Kuritsky, Joel

2014-01-01

Background The Supply Chain Management System (SCMS) is a contract managed under the Partnership for Supply Chain Management (PFSCM) consortium by the United States Agency for International Development (USAID). SCMS procures commodities for programmes supported by the US President’s Emergency Plan for AIDS Relief (PEPFAR). From 2005 to mid-2012, PEPFAR, through SCMS, spent approximately $384 million on non-pharmaceutical commodities. Of this, an estimated $90m was used to purchase flow cytometry technology, largely for flow cytometry platforms and reagents. Objectives The purpose of this paper is to highlight the cost differences between low, medium and high utilisation rates of common CD4 testing instruments that have been procured though PEPFAR funding. Method A scale of costs per test as a function of test volume through the machine was calculated for the two most common CD4 testing machines used in HIV programmes: Becton Dickinson (BD) FACSCount™ and BD FACSCalibur™. Instrument utilisation data collected at the facility level in three selected countries were then used to calculate the onsite cost-per-test experienced in each country. Results Cost analyses indicated that a target of at least 40% utilisation for FACSCount™ and 15% utilisation for FACSCalibur™, respectively, closely approach maximal per-test cost efficiency. The average utilisation rate for CD4 testing instruments varies widely by country, level of laboratory and partner (0% − 68%). Conclusion Our analysis indicates that, because cost-per-test is related inversely to sample throughput, the underutilisation of flow cytometry machines is resulting in an increase in average cost-per-test for many instruments. PMID:29043175
The impact of reducing financial barriers on utilisation of a primary health care facility in Rwanda

PubMed Central

Dhillon, Ranu S.; Bonds, Matthew H.; Fraden, Max; Ndahiro, Donald; Ruxin, Josh

2011-01-01

This study investigates the impact of subsidising community-based health insurance (mutuelle) enrolment, removing point-of-service co-payments, and improving service delivery on health facility utilisation rates in Mayange, a sector of rural Rwanda of approximately 25,000 people divided among five ‘imidugudu’ or small villages. While comprehensive service upgrades were introduced in the Mayange Health Centre between April 2006 and February 2007, utilisation rates remained similar to comparison sites. Between February 2007 and April 2007, subsidies for mutuelle enrolment established virtually 100% coverage. Immediately after co-payments were eliminated in February 2007, patient visits levelled at a rate triple the previous value. Regression analyses using data from Mayange and two comparison sites indicate that removing financial barriers resulted in about 0.6 additional annual visits for curative care per capita. Although based on a single local pilot, these findings suggest that in order to achieve improved health outcomes, key short-term objectives include improved service delivery and reduced financial barriers. Based on this pilot, higher utilisation rates may be affected if broader swaths of the population are enrolled in mutuelle and co-payments are eliminated. Health leaders in Rwanda should consider further studies to determine if the impact of eliminating co-payments and increasing subsidies for mutuelle enrolment as seen in Mayange holds at greater levels of scale. Broader studies to better elucidate the impact of enrolment subsidies and co-payment subsidies on utilisation, health outcomes, and costs would also provide policy insights. PMID:21732708
Mental Health Status, Health Care Utilisation, and Service Satisfaction among Immigrants in Montreal: An Epidemiological Comparison.

PubMed

Whitley, Rob; Wang, JiaWei; Fleury, Marie-Josee; Liu, Aihua; Caron, Jean

2017-08-01

To examine variations between immigrants and nonimmigrants in 1) prevalence of common mental disorders and other mental health variables; 2) health service utilisation for emotional problems, mental disorders, and addictions, and 3) health service satisfaction. This article is based on a longitudinal cohort study conducted from May 2007 to the present: the Epidemiological Catchment Area Study of Montreal South-West (ZEPSOM). Participants were followed up at 4 time points (T1, n = 2433; T4, n = 1095). Core exposure variables include immigrant status (immigrant vs. nonimmigrant), duration of residence, and region of origin. Key outcome variables included mental health status, health service utilisation, and health service satisfaction. Data were analysed both cross-sectionally and longitudinally. Immigrants had been in Canada for 20 years on average. Immigrants had significantly lower rates of high psychological distress (32.6% vs. 39.1%, P = 0.016), alcohol dependence (1.4% vs. 3.9%, P =0.010), depression (5.2% vs. 9.2%, P = 0.008), and various other mental disorders. They had significantly higher scores of mental well-being (48.9 vs. 47.1 score, P = 0.014) and satisfaction with social (34.0 vs. 33.4 score, P = 0.021) and personal relationships (16.7 vs. 15.6 score, P < 0.001). Immigrants had significantly lower rates of health service utilisation for emotional problems, mental disorders, and addictions and significantly higher rates of health service satisfaction at all time points. Asian and African immigrants had particularly low rates of utilisation and high rates of satisfaction. Immigrants had better overall mental health than nonimmigrants.
Utilisation of health services and the poor: deconstructing wealth-based differences in facility-based delivery in the Philippines.

PubMed

Hodge, Andrew; Firth, Sonja; Bermejo, Raoul; Zeck, Willibald; Jimenez-Soto, Eliana

2016-07-06

Despite achieving some success, wealth-related disparities in the utilisation of maternal and child health services persist in the Philippines. The aim of this study is to decompose the principal factors driving the wealth-based utilisation gap. Using national representative data from the 2013 Philippines Demographic and Health Survey, we examine the extent overall differences in the utilisation of maternal health services can be explained by observable factors. We apply nonlinear Blinder-Oaxaca-type decomposition methods to quantify the effect of differences in measurable characteristics on the wealth-based coverage gap in facility-based delivery. The mean coverage of facility-based deliveries was respectively 41.1 % and 74.6 % for poor and non-poor households. Between 67 and 69 % of the wealth-based coverage gap was explained by differences in observed characteristics. After controlling for factors characterising the socioeconomic status of the household (i.e. the mothers' and her partners' education and occupation), the birth order of the child was the major factor contributing to the disparity. Mothers' religion and the subjective distance to the health facility were also noteworthy. This study has found moderate wealth-based disparities in the utilisation of institutional delivery in the Philippines. The results confirm the importance of recent efforts made by the Philippine government to implement equitable, pro-poor focused health programs in the most deprived geographic areas of the country. The importance of addressing the social determinants of health, particularly education, as well as developing and implementing effective strategies to encourage institutional delivery for higher order births, should be prioritised.
The effect of overbooking on idle dental chair capacity in the Pretoria region of the Gauteng Oral Health Services.

PubMed

Holtshousen, W S J; Coetzee, E

2012-09-01

An analysis of annual reports revealed that on average 20% of patient appointments with oral hygienists in the Department of Health in the Pretoria region were not utilised due to patient noncompliance (i.e. broken appointments). Many solutions have been considered to address the high rate of noncompliance and the resulting idle chair capacity. One solution selected to overcome some of the negative consequences of broken appointments was deliberate overbooking. The aim of our study was to determine the effect of overbooking on idle dental chair capacity by measuring the utilisation rate over a three month period (July to September) after 25% overbooking was introduced in the Pretoria region. A statistical analysis was conducted on our results to determine an overbooking rate that would ensure full utilisation of the available dental chair capacity. The available time units over the three month study period amounted to 1365, allocated to 1427 patients resulting in an overal overbooking rate of 4.54%. The overall utilisation rate was found to be 79.2%. The calculated regression line estimated that there would be full utilisation of dental chair capacity at an overbooking rate of 26.7%. Overbooking at the levels applied in this study had a minimal overall effect on idle dental chair capacity. Our results confirm the need for careful planning and management in addressing noncompliance. In a manner similar to the clinical situation, organisational development requires a correct diagnosis in order that an appropriate and effective intervention may be designed.
Sociodemographic and health behavioural factors associated with access to and utilisation of eye care in Korea: Korea Health and Nutrition Examination Survey 2008–2012

PubMed Central

Rim, Tyler Hyungtaek; Choi, Moonjung; Yoon, Jin Sook; Kim, Sung Soo

2015-01-01

Objective To determine the sociodemographic and health behavioural factors associated with access to and utilisation of eye care in Korea. Design Nationwide cross-sectional study Methods 25 752 Koreans over the age of 30 were assessed from a national representative survey. We analysed independent variables of self-reporting eye clinic visits through multivariable analyses of sociodemographic factors. The time since the last visit to an eye clinic was used to assess access to and utilisation of eye care. Results Of the 25 752 respondents, 8237 (32.0%) visited an eye clinic in the past year, 11 028 (42.8%) were seen more than 1 year ago, while 6487 (25.2%) had never seen an ophthalmologist. Eye clinic utilisation was statistically associated with older age, female sex, higher household income, higher education levels, living in an urban area, and having comorbidities including diabetes and hypertension. Middle-aged men between 30 and 49 years were found to be less likely to receive eye care compared to the rest of the population, and the proportion that did plummeted after the financial crisis of 2007. Conclusions There is a substantial sociodemographic disparity in eye care utilisation in Korea, and men with low financial income and education level are especially at risk. Use of eye care among middle-aged men has decreased since the global financial crisis that began in 2007, and therefore healthcare policies and public interventions should be targeted at vulnerable groups to promote access to medical care. PMID:26185177
The Effect of Urban Basic Medical Insurance on Health Service Utilisation in Shaanxi Province, China: A Comparison of Two Schemes

PubMed Central

Gao, Jianmin; Yang, Xiaowei; Yan, Ju'e; Xue, Qinxiang; Chen, Gang

2014-01-01

Background Urban population in China is mainly covered by two medical insurance schemes: the Urban Employee Basic Medical Insurance (UEBMI) for urban employees in formal sector and the Urban Resident Basic Medical Insurance (URBMI) for the left urban residents, mainly the unemployed, the elderly and children. This paper studies the effects of UEBMI and URBMI on health services utilisation in Shaanxi Province, Western China. Methods Cross-sectional data from the 4th National Health Services Survey - Shaanxi Province was studied. The propensity score matching and the coarsened exact matching methods have been used to estimate the average medical insurance effect on the insured. Results Compared to the uninsured, robust results suggest that UEBMI had significantly increased the outpatient health services utilisation in the last two weeks (p<0.10), whilst the significant effect on hospitalisation was evident in the CEM method (p<0.10). The effect of URBMI was limited in that although being insured was associated with higher health services utilisation, compared with the uninsured, none of the improvement was statistically significant (p>0.10). It was also found that compared with the uninsured, basic medical insurance enrollees were more likely to purchase inpatient treatments in lower levels of hospitals, consistent with the incentive of the benefit package design. Conclusion Basic Medical insurance schemes have shown a positive but limited effect on increasing health services utilisation in Shaanxi Province. The benefit package design of higher reimbursement rates for lower level hospitals has induced the insured to use medical services in lower level hospitals for inpatient services. PMID:24740282
The effects of new pricing and copayment schemes for pharmaceuticals in South Korea.

PubMed

Lee, Iyn-Hyang; Bloor, Karen; Hewitt, Catherine; Maynard, Alan

2012-01-01

This study examined the effect of new Korean pricing and copayment schemes for pharmaceuticals (1) on per patient drug expenditure, utilisation and unit prices of overall pharmaceuticals; (2) on the utilisation of essential medications and (3) on the utilisation of less costly alternatives to the study medication. Interrupted time series analysis using retrospective observational data. The increasing trend of per patient drug expenditure fell gradually after the introduction of a new copayment scheme. The segmented regression model suggested that per patient drug expenditure might decrease by about 12% 1 year after the copayment increase, compared with the absence of such a policy, with few changes in overall utilisation and unit prices. The level of savings was much smaller when the new price scheme was included, while the effects of a price cut were inconclusive due to the short time period before an additional policy change. Based on the segmented regression models, we estimate that the number of patients filling their antihyperlipidemics prescriptions decreased by 18% in the corresponding period. Those prescribed generic and brand-named antihyperlipidemics declined by around 16 and 19%, respectively, indicating little evidence of generic substitution resulting from the copayment increase. Few changes were found in the use of antihypertensives. The policies under consideration appear to contain costs not by the intended mechanisms, such as substituting generics for brand name products, but by reducing patients' access to costly therapies regardless of clinical necessity. Thus, concerns were raised about potentially compromising overall health and loss of equity in pharmaceutical utilisation. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Characteristics of coal mine ventilation air flows.

PubMed

Su, Shi; Chen, Hongwei; Teakle, Philip; Xue, Sheng

2008-01-01

Coal mine methane (CMM) is not only a greenhouse gas but also a wasted energy resource if not utilised. Underground coal mining is by far the most important source of fugitive methane emissions, and approximately 70% of all coal mining related methane is emitted to the atmosphere through mine ventilation air. Therefore, research and development on mine methane mitigation and utilisation now focuses on methane emitted from underground coal mines, in particular ventilation air methane (VAM) capture and utilisation. To date, most work has focused on the oxidation of very low concentration methane. These processes may be classified based on their combustion kinetic mechanisms into thermal oxidation and catalytic oxidation. VAM mitigation/utilisation technologies are generally divided into two basic categories: ancillary uses and principal uses. However, it is possible that the characteristics of ventilation air flows, for example the variations in methane concentration and the presence of certain compounds, which have not been reported so far, could make some potential VAM mitigation and utilisation technologies unfeasible if they cannot cope with the characteristics of mine site ventilation air flows. Therefore, it is important to understand the characteristics of mine ventilation air flows. Moreover, dust, hydrogen sulphide, sulphur dioxide, and other possible compounds emitted through mine ventilation air into the atmosphere are also pollutants. Therefore, this paper presents mine-site experimental results on the characteristics of mine ventilation air flows, including methane concentration and its variations, dust loadings, particle size, mineral matter of the dust, and other compounds in the ventilation air flows. The paper also discusses possible correlations between ventilation air characteristics and underground mining activities.
The effect of urban basic medical insurance on health service utilisation in Shaanxi Province, China: a comparison of two schemes.

PubMed

Zhou, Zhongliang; Zhou, Zhiying; Gao, Jianmin; Yang, Xiaowei; Yan, Ju'e; Xue, Qinxiang; Chen, Gang

2014-01-01

Urban population in China is mainly covered by two medical insurance schemes: the Urban Employee Basic Medical Insurance (UEBMI) for urban employees in formal sector and the Urban Resident Basic Medical Insurance (URBMI) for the left urban residents, mainly the unemployed, the elderly and children. This paper studies the effects of UEBMI and URBMI on health services utilisation in Shaanxi Province, Western China. Cross-sectional data from the 4th National Health Services Survey - Shaanxi Province was studied. The propensity score matching and the coarsened exact matching methods have been used to estimate the average medical insurance effect on the insured. Compared to the uninsured, robust results suggest that UEBMI had significantly increased the outpatient health services utilisation in the last two weeks (p<0.10), whilst the significant effect on hospitalisation was evident in the CEM method (p<0.10). The effect of URBMI was limited in that although being insured was associated with higher health services utilisation, compared with the uninsured, none of the improvement was statistically significant (p>0.10). It was also found that compared with the uninsured, basic medical insurance enrollees were more likely to purchase inpatient treatments in lower levels of hospitals, consistent with the incentive of the benefit package design. Basic Medical insurance schemes have shown a positive but limited effect on increasing health services utilisation in Shaanxi Province. The benefit package design of higher reimbursement rates for lower level hospitals has induced the insured to use medical services in lower level hospitals for inpatient services.
Shifting chronic disease management from hospitals to primary care in Estonian health system: analysis of national panel data

PubMed Central

Atun, Rifat; Gurol–Urganci, Ipek; Hone, Thomas; Pell, Lisa; Stokes, Jonathan; Habicht, Triin; Lukka, Kaija; Raaper, Elin; Habicht, Jarno

2016-01-01

Background Following independence from the Soviet Union in 1991, Estonia introduced a national insurance system, consolidated the number of health care providers, and introduced family medicine centred primary health care (PHC) to strengthen the health system. Methods Using routinely collected health billing records for 2005–2012, we examine health system utilisation for seven ambulatory care sensitive conditions (ACSCs) (asthma, chronic obstructive pulmonary disease [COPD], depression, Type 2 diabetes, heart failure, hypertension, and ischemic heart disease [IHD]), and by patient characteristics (gender, age, and number of co–morbidities). The data set contained 552 822 individuals. We use patient level data to test the significance of trends, and employ multivariate regression analysis to evaluate the probability of inpatient admission while controlling for patient characteristics, health system supply–side variables, and PHC use. Findings Over the study period, utilisation of PHC increased, whilst inpatient admissions fell. Service mix in PHC changed with increases in phone, email, nurse, and follow–up (vs initial) consultations. Healthcare utilisation for diabetes, depression, IHD and hypertension shifted to PHC, whilst for COPD, heart failure and asthma utilisation in outpatient and inpatient settings increased. Multivariate regression indicates higher probability of inpatient admission for males, older patient and especially those with multimorbidity, but protective effect for PHC, with significantly lower hospital admission for those utilising PHC services. Interpretation Our findings suggest health system reforms in Estonia have influenced the shift of ACSCs from secondary to primary care, with PHC having a protective effect in reducing hospital admissions. PMID:27648258

The Effect of Children's Rights Training on Primary School Students' Utilisation and Knowledge Level about Children's Rights

ERIC Educational Resources Information Center

Ozmen, Suna Kaymak; Ocal, Tugba; Ozmen, Ahmet

2014-01-01

Recently, children's rights issue has taken attention. In this study, main purpose was to investigate the utilisation and knowledge level of 4th and 5th grade primary school students after children's rights training. The participants of this survey study were selected randomly from 10 schools. Results indicated that students had the chance to…
Teachers' Perceptions of the Utilisation of Emotional Intelligence by Their School Principals to Manage Mandated Curriculum Change Processes

ERIC Educational Resources Information Center

Grobler, Bennie; Moloi, Connie; Thakhordas, Sunita

2017-01-01

This quantitative study investigates teachers' perceptions of how Emotional Intelligence (EI) was utilised by their school principals to manage mandated curriculum change processes in schools in the Johannesburg North district of Gauteng in South Africa. Research shows that EI consists of a range of fundamental skills that could enable school…
Developing and Testing a New Measurement Instrument for Documenting Instrumental Knowledge Utilisation: The Degrees of Knowledge Utilization (DoKU) Scale

ERIC Educational Resources Information Center

Bøllingtoft Knudsen, Søren

2018-01-01

Focus on evidence-based policymaking is greater than ever, and public spending on evaluations is rising. A primary merit of these expenditures is that politicians actually use new knowledge instrumentally--to influence and inform decision making. Nevertheless, we know surprisingly little about whether and how research-based knowledge is utilised.…
Motivational Strategies and Utilisation of Internet Resources as Determinants of Research Productivity of Lecturers in Universities of Agriculture in Nigeria

ERIC Educational Resources Information Center

Ajegbomogun, Fredrick Olatunji; Popoola, Sunday Olarenwaju

2013-01-01

This study examined motivational strategies and utilisation of Internet resources as determinants of research productivity of lecturers in universities of agriculture in Nigeria. One thousand, one hundred and thirty two (1,132) copies of the questionnaire were administered on the lecturers in universities of agriculture in Nigeria. Eight hundred…
Utilisation and Impact of the Essential Electronic Agricultural Database (TEEAL) on Library Services in a Nigerian University of Agriculture

ERIC Educational Resources Information Center

Oduwole, A. A.; Sowole, A. O.

2006-01-01

Purpose: This study examined the utilisation of the Essential Electronic Agricultural Library database (TEEAL) at the University of Agriculture Library, Abeokuta, Nigeria. Design/methodology/approach: Data collection was by questionnaire following a purposive sampling technique. A total of 104 out 150 (69.3 per cent) responses were received and…
Demystifying the Rubric: A Five-Step Pedagogy to Improve Student Understanding and Utilisation of Marking Criteria

ERIC Educational Resources Information Center

Jones, Lorraine; Allen, Bill; Dunn, Peter; Brooker, Lesley

2017-01-01

Marking-criteria rubrics are commonly used to judge the quality of student work, but few students receive instruction to effectively use and apply rubrics. This study investigates an intervention designed to encourage effective utilisation of rubrics. The study, completed over two years (2011: n = 189 respondents; 2012: n = 464 respondents) in a…
Pilot Study Evaluation of Suicide Prevention Gatekeeper Training Utilising STORM in a British University Setting

ERIC Educational Resources Information Center

Gask, Linda; Coupe, Nia; McElvenny, Damien; Green, Gill

2017-01-01

Recent years have seen increasing awareness of the wide range of mental health problems faced by students. Gatekeeper training has been shown to have a positive impact on knowledge and attitudes about suicide prevention, although the evidence for skills acquisition is limited. We utilised the STORM® training package in an exploratory study to…
Skill Formation and Utilisation in the Post-Soviet Transition: Higher Education Planning in Post-Soviet Georgia

ERIC Educational Resources Information Center

Gvaramadze, Irakli

2010-01-01

Changes in the former Soviet system had a dramatic influence on higher education in Georgia. The main objective of the current article is to analyse implications of the post-Soviet transition for the skill formation and skill utilisation system in Georgia. In particular, the study analyses recent trends in Georgian higher education including…
A stroke in the woods.

PubMed

McQueen, Carl; Roberts, David; Evans, Daniel; Wyse, Matthew

2013-06-01

Responding to incidents where access by conventional land-based ambulance assets is limited is an important facet of helicopter emergency medical services operations in rural areas. Often in such cases extra resources must be utilised to enable access to patients and facilitate egress to transport platforms. This case illustrates the importance of coordination and integration with additional resources that can be utilised in remote rural locations.
[The influence of the type of insurance access on health and of education on health services utilization patterns].

PubMed

Rodríguez, Marisol; Stoyanova, Alexandrina

2004-05-01

This study analyses the utilisation of health services by gender, type of insurance access and the level of education. Descriptive and logistic regression analysis of the National Health Interview Survey, 1997, confirms that women go more often to the doctor than men. Differences are greater in the case of general practitioners (versus specialists) and public doctors (versus private). However, there are hardly any differences in hospitalisations and emergency visits. Having private access has no impact on hospitalisations, emergency visits or the probability of a visit (except for women), but it increases the probability of visits to specialists (mainly among women) and to private doctors (especially among men), confirming the existence of gender differences in the impact of this variable. In fact, the utilisation patterns by men and women with only public access resemble each other more than those of men and women with only private or dual coverage. Education is to a certain extent inversely related to the probability of a medical visit, visits to a GP and hospitalisations, but directly related to the utilisation of specialists and private doctors. Here, there are also gender disparities: differences in utilisation by educational level are more prominent among men.
Caregiver perceptions of mental health problems and treatment utilisation in siblings of children with mental health problems.

PubMed

Ma, Nylanda; Furber, Gareth; Roberts, Rachel; Winefield, Helen

2016-01-01

Siblings of children with mental health problems (MHPs) have been found to have higher rates of psychopathology and impaired psychosocial functioning compared to control children. It is not yet known how these siblings are managed within the clinical service context (e.g., are they assessed for mental health problems? Do they receive appropriate psychological treatment?). The following brief report describes a pilot study which aimed to explore (a) the rate of caregiver-identified MHPs in siblings and (b) the proportion of siblings receiving psychiatric or psychosocial treatment or support (i.e., treatment utilisation). Eighty-five caregivers of children receiving treatment at CAMHS were interviewed about the mental health and treatment utilisation of their siblings. The findings revealed a high rate of caregiver-identified MHPs in siblings (34.1%) and a high rate of treatment utilisation (85.7%). The findings suggest that, for the vast majority, when siblings of children with MHPs are identified by their caregivers as having MHPs, they are receiving some kind of support and treatment. Implications for mental health service costs are discussed and recommendations for future research are outlined.
Environmental aspects of the geothermal energy utilisation in Poland

NASA Astrophysics Data System (ADS)

Sowiżdżał, Anna; Tomaszewska, Barbara; Drabik, Anna

2017-11-01

Geothermal energy is considered as a strategic and sustainable source of renewable energy that can be effectively managed in several economic sectors. In Poland, despite the abundant potential of such resources, its share in the energy mix of renewable energy sources remains insubstantial. The utilisation of geothermal resources in Poland is related to the hydrogeothermal resources, however, numerous researches related to petrogeothermal energy resources are being performed. The utilisation of each type of energy, including geothermal, has an impact on the natural environment. In case of the effective development of geothermal energy resources, many environmental benefits are pointed out. The primary one is the extraction of clean, green energy that is characterised by the zero-emission rate of pollutants into the atmosphere, what considering the current environmental pollution in many Polish cities remains the extremely important issue. On the other hand, the utilisation of geothermal energy might influence the natural environment negatively. Beginning from the phase of drilling, which strongly interferes with the local landscape or acoustic climate, to the stage of energy exploitation. It should be noted that the efficient and sustainable use of geothermal energy resources is closely linked with the current law regulations at national and European level.
Peer-Delivered Linkage Case Management and Same-Day ART Initiation for Men and Young Persons with HIV Infection - Eswatini, 2015-2017.

PubMed

MacKellar, Duncan; Williams, Daniel; Bhembe, Bonsile; Dlamini, Makhosazana; Byrd, Johnita; Dube, Lenhle; Mazibuko, Sikhathele; Ao, Trong; Pathmanathan, Ishani; Auld, Andrew F; Faura, Pamela; Lukhele, Nomthandazo; Ryan, Caroline

2018-06-15

To achieve epidemic control of human immunodeficiency virus (HIV) infection, sub-Saharan African countries are striving to diagnose 90% of HIV infections, initiate and retain 90% of HIV-diagnosed persons on antiretroviral therapy (ART), and achieve viral load suppression* for 90% of ART recipients (90-90-90) (1). In Eswatini (formerly Swaziland), the country with the world's highest estimated HIV prevalence (27.2%), achieving 90-90-90 depends upon improving access to early ART for men and young adults with HIV infection, two groups with low ART coverage (1-3). Although community-based strategies test many men and young adults with HIV infection in Eswatini, fewer than one third of all persons who test positive in community settings enroll in HIV care within 6 months of diagnosis after receiving standard referral services (4,5). To evaluate the effectiveness of peer-delivered linkage case management † in improving early ART initiation for persons with HIV infection diagnosed in community settings in Eswatini, CDC analyzed data on 651 participants in CommLink, a community-based, mobile HIV-testing, point-of-diagnosis HIV care, and peer-delivered linkage case management demonstration project, and found that after diagnosis, 635 (98%) enrolled in care within a median of 5 days (interquartile range [IQR] = 2-8 days), and 541 (83%) initiated ART within a median of 6 days (IQR = 2-14 days), including 402 (74%) on the day of their first clinic visit (same-day ART). After expanding ART eligibility to all persons with HIV infection on October 1, 2016, 96% of 225 CommLink clients initiated ART, including 87% at their first clinic visit. Compared with women and adult clients aged ≥30 years, similar high proportions of men and persons aged 15-29 years enrolled in HIV care and received same-day ART. To help achieve 90-90-90 by 2020, the United States President's Emergency Plan for AIDS Relief (PEPFAR) is supporting the national scale-up of CommLink in Eswatini and recommending peer-delivered linkage case management as a potential strategy for countries to achieve >90% early enrollment in care and ART initiation after diagnosis of HIV infection (6).
Towards a healthy water cycle in China.

PubMed

Zhang, J; Xiong, B Y

2006-01-01

Water shortage and water environment deterioration are becoming the bottleneck of the continuous socioeconomic growth of China in the 21st Century. Based on the development of water utilisation and the natural matter cycle rule, the authors argued that the fundamental approach to resolve the water crises and achieve the sustainable utilisation of water resource is to establish a healthy water cycle. The key strategy to establish this is advanced wastewater treatment and recycling to entire cities. The successional researches and practices of sustainable water utilisation and water environment restoration in Dalian, Shenzhen, Beijing and the north-east region were presented. These projects were the initial applications of the primary healthy water cycle theory, and indicated that the Chinese water industry gradually tends to the water environment restoration and water recycling.
MulVAL Extensions for Dynamic Asset Protection

DTIC Science & Technology

2006-04-01

called Skybox Security and an AI-based project called CycSecure were identified as interesting and relatively mature projects, which deserve closer...dynamic asset protection solution. A critique of the Skybox Security and CycSecure solutions, with respect to the requirements of dynamic asset...particulièrement, un produit du commerce appelé Skybox Security et un projet d’IA appelé CycSecure ont été désignés comme étant des projets
Collaboration in Technology. An Exploratory Study of United States Involvement in International Cooperative Technology Programs.

DTIC Science & Technology

1980-05-01

needs. Relationships with fellow students were rich and though pro- yoking. Two, in particular, I am indebted to for their w isdom and v assistance... Relationships 182 0 Implications for Government and Industrial Pol icymakers 183 Implications for International Cooperative Technology Program Managers 184...comm..itotl. The content of the communicatlon and its$ relationship t saess or productivity in projects is more elusive. Lrmtenfeld (1970aJ gests that
Forecasting Effects of Influence Operations: A Generative Social Science Methodology

DTIC Science & Technology

2012-03-22

that can be made in a turn (commAttempts). Two forms of this agent are used in this case study : a pamphlet distributor and an internet campaigner. The...model Echo (1995). Echo captures the behavior of complex adaptive systems by using a digital analogue to genetics. As agents replicate, “child...Sugarscape model demonstrated a new paradigm for the study of the social sciences using ABM, which they call generative social science (GSS). In
Adaptive Topological Configuration of an Integrated Circuit/Packet-Switched Computer Network.

DTIC Science & Technology

1984-01-01

Gitman et al. [45] state that there are basically two approaches to the integrated network design problem: (1) solve the link/capacity problem for...1972), 1385-1397. 33. Frank, H., and Gitman , I. Economic analysis of integrated voice and data networks: a case study. Proc. of IEEE 66 , 11 (Nov. 1978...1974), 1074-1079. 45. Gitman , I., Hsieh, W., and Occhiogrosso, B. J. Analysis and design of hybrid switching networks. IEEE Trans. on Comm. Com-29
Approximation of Viscoelastic Stresses from Newtonian Turbulent Kinematics

DTIC Science & Technology

1988-09-01

birefringence of polyethylene oxide solutions in a four roll mill. J.Poly.Sci.:Poly.Phys.Ed. 14, 1111-1119. Dandridge, A., Meeten , G.H., Layec-Raphalen, M.N...flows. Poly. Comm. 25, 144-146. Metzner, A.B., & Astarita, G . 1967 External flow of viscoelastic materials: fluid property restrictions on the use of...dumbbell model for dilute solutions. Rheol.Acta 23, 151-162. Philippoff, W. 1956 Flow-birefringence and stress. Nature 178 , 811-812. Ryskin, G . 1987a
Eliminating NVA Requirements & Improving the Inspection System

DTIC Science & Technology

2011-01-27

Wg ISPR Blood Pgm QA JTAC Stan/Eval Formal Joint Comm AAAHC SCI Security Pgm Review Pathologists WII Ed & Dev Inter vent. Servi ces FDA Pubs...his/her tour  Balanced mix of scheduled & no-notice inspections  Units will be inspected for Readiness and Compliance every 24 months  Readiness...a whole  IG Team Chiefs drive team effectiveness, are the most visible direct representatives of MAJCOM CCs & should be selected by CIP or a board

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