Sample records for warrant special consideration

  1. The Recruitment and Retention of the 180A: The Special Forces Warrant Officer

    DTIC Science & Technology

    2015-03-01

    that are gained through unique institutions associated with the vocation itself. The professional individual is an expert who performs a service that...Warrant Officer. Research Report 1851. U.S. Army Research Institute . Glaser, B., & Strauss, A. (1967). The discovery of grounded theory : Strategies...the Special Forces Regiment. The watrant officer’s institutional knowledge--developed over years of operational experience-is essential to the success

  2. 46 CFR 190.01-15 - Special consideration.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Special consideration. 190.01-15 Section 190.01-15 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS CONSTRUCTION AND ARRANGEMENT Hull Structure § 190.01-15 Special consideration. (a) Special consideration will...

  3. 46 CFR 169.112 - Special consideration.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Special consideration. 169.112 Section 169.112 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS SAILING SCHOOL VESSELS General Provisions § 169.112 Special consideration. In applying the provisions of this part, the Officer in Charge...

  4. 46 CFR 169.112 - Special consideration.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Special consideration. 169.112 Section 169.112 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS SAILING SCHOOL VESSELS General Provisions § 169.112 Special consideration. In applying the provisions of this part, the Officer in Charge...

  5. Special considerations in paediatric burn patients

    PubMed Central

    Sharma, Ramesh Kumar; Parashar, Atul

    2010-01-01

    Burn injuries are a major cause of morbidity and mortality in children. In India, the figure constitutes about one-fourth of the total burn accidents. The management of paediatric burns can be a major challenge for the treating unit. One has to keep in mind that “children are not merely small adults”; there are certain features in this age group that warrant special attention. The peculiarities in the physiology of fluid and electrolyte handling, the uniqueness of the energy requirement and the differences in the various body proportions in children dictate that the paediatric burn management should be taken with a different perspective than for adults. This review article would deal with the special situations that need to be addressed while treating this special class of thermal injuries. We must ensure that not only the children survive the initial injury, but also the morbidity and complications are minimized. If special care is taken during the initial management of paediatric burn injuries, these children can be effectively integrated into the society as very useful and productive members. PMID:21321657

  6. 49 CFR 604.21 - Special considerations for advisory opinions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Desist Orders § 604.21 Special considerations for advisory opinions. Based on new facts involving significant financial considerations, the Chief Counsel may take appropriate enforcement action contrary to an... 49 Transportation 7 2010-10-01 2010-10-01 false Special considerations for advisory opinions. 604...

  7. 48 CFR 29.304 - Matters requiring special consideration.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Matters requiring special consideration. 29.304 Section 29.304 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION GENERAL CONTRACTING REQUIREMENTS TAXES State and Local Taxes 29.304 Matters requiring special...

  8. 48 CFR 29.304 - Matters requiring special consideration.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Matters requiring special consideration. 29.304 Section 29.304 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION GENERAL CONTRACTING REQUIREMENTS TAXES State and Local Taxes 29.304 Matters requiring special...

  9. 48 CFR 29.304 - Matters requiring special consideration.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Matters requiring special consideration. 29.304 Section 29.304 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION GENERAL CONTRACTING REQUIREMENTS TAXES State and Local Taxes 29.304 Matters requiring special...

  10. 48 CFR 29.304 - Matters requiring special consideration.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Matters requiring special consideration. 29.304 Section 29.304 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION GENERAL CONTRACTING REQUIREMENTS TAXES State and Local Taxes 29.304 Matters requiring special...

  11. 48 CFR 29.304 - Matters requiring special consideration.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Matters requiring special consideration. 29.304 Section 29.304 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION GENERAL CONTRACTING REQUIREMENTS TAXES State and Local Taxes 29.304 Matters requiring special...

  12. Special Consideration in Post-Secondary Institutions: Trends at a Canadian University

    ERIC Educational Resources Information Center

    Zimmermann, Joelle; Kamenetsky, Stuart B.; Pongracic, Syb

    2015-01-01

    This study examined trends in the practice of granting special consideration for missed tests and late papers in colleges and universities. We analyzed a database of 4,183 special consideration requests at a large Canadian university between 1998 and 2008. Results show a growing rate of requests per enrolment between 2001 and 2007. Although…

  13. 34 CFR 607.23 - What special funding consideration does the Secretary provide?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false What special funding consideration does the Secretary... Does the Secretary Make an Award? § 607.23 What special funding consideration does the Secretary... for library materials per full-time equivalent enrolled student which is less than the average...

  14. Special Educator Evaluation: Cautions, Concerns and Considerations

    ERIC Educational Resources Information Center

    Semmelroth, Carrie L.; Johnson, Evelyn s.; Allred, Keith W.

    2013-01-01

    There is currently little consensus on how special education teachers should be evaluated in a way that is effective, fair and responsive to their unique teaching responsibilities. In this paper, we explain several of the current approaches to teacher evaluation under consideration, and then provide an overview of the challenges associated with…

  15. 45 CFR 2400.45 - Special consideration: Junior Fellows' Plan of Study.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 4 2012-10-01 2012-10-01 false Special consideration: Junior Fellows' Plan of Study. 2400.45 Section 2400.45 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.45 Special...

  16. 45 CFR 2400.45 - Special consideration: Junior Fellows' Plan of Study.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 4 2013-10-01 2013-10-01 false Special consideration: Junior Fellows' Plan of Study. 2400.45 Section 2400.45 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.45 Special...

  17. 45 CFR 2400.45 - Special consideration: Junior Fellows' Plan of Study.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 4 2014-10-01 2014-10-01 false Special consideration: Junior Fellows' Plan of Study. 2400.45 Section 2400.45 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.45 Special...

  18. 45 CFR 2400.45 - Special consideration: Junior Fellows' Plan of Study.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 4 2011-10-01 2011-10-01 false Special consideration: Junior Fellows' Plan of Study. 2400.45 Section 2400.45 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.45 Special...

  19. 45 CFR 2400.45 - Special consideration: Junior Fellows' Plan of Study.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Special consideration: Junior Fellows' Plan of Study. 2400.45 Section 2400.45 Public Welfare Regulations Relating to Public Welfare (Continued) JAMES MADISON MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.45 Special...

  20. 75 FR 26320 - Fourteenth Plenary Meeting, RTCA Special Committee 205/EUROCAE WG 71: Software Considerations in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-11

    ... Special Committee 205/EUROCAE WG 71: Software Considerations in Aeronautical Systems AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of RTCA Special Committee 205/EUROCAE WG 71: Software... meeting of RTCA Special Committee 205/EUROCAE WG 71: Software Considerations in Aeronautical Systems...

  1. 75 FR 2924 - Thirteenth Plenary Meeting, RTCA Special Committee 205/EUROCAE WG 71: Software Considerations in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-19

    ... Special Committee 205/EUROCAE WG 71: Software Considerations in Aeronautical Systems AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of RTCA Special Committee 205/EUROCAE WG 71: Software... meeting of RTCA Special Committee 205/EUROCAE WG 71: Software Considerations in Aeronautical Systems...

  2. 48 CFR 915.404-4-72 - Special considerations for cost-plus-award-fee contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... cost-plus-award-fee contracts. 915.404-4-72 Section 915.404-4-72 Federal Acquisition Regulations System....404-4-72 Special considerations for cost-plus-award-fee contracts. (a) When a contract is to be awarded on a cost-plus-award-fee basis several special considerations are appropriate. Fee objectives for...

  3. 76 FR 50812 - Seventeenth Meeting: RTCA Special Committee 205/EUROCAE WG-71: Software Considerations in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-16

    ... Committee 205/EUROCAE WG-71: Software Considerations in Aeronautical Systems AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of RTCA Special Committee 205/EUROCAE WG-71 meeting: Software... of RTCA Special Committee 205/EUROCAE WG-71: Software Considerations in Aeronautical Systems Agenda...

  4. 76 FR 16469 - Sixteenth Meeting: RTCA Special Committee 205/EUROCAE WG-71: Software Considerations in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... Committee 205/EUROCAE WG-71: Software Considerations in Aeronautical Systems AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of RTCA Special Committee 205/EUROCAE WG-71 meeting: Software... of RTCA Special Committee 205/EUROCAE WG-71: Software Considerations in Aeronautical Systems Agenda...

  5. Regulation of Specialized Metabolism by WRKY Transcription Factors

    PubMed Central

    Schluttenhofer, Craig; Yuan, Ling

    2015-01-01

    WRKY transcription factors (TFs) are well known for regulating plant abiotic and biotic stress tolerance. However, much less is known about how WRKY TFs affect plant-specialized metabolism. Analysis of WRKY TFs regulating the production of specialized metabolites emphasizes the values of the family outside of traditionally accepted roles in stress tolerance. WRKYs with conserved roles across plant species seem to be essential in regulating specialized metabolism. Overall, the WRKY family plays an essential role in regulating the biosynthesis of important pharmaceutical, aromatherapy, biofuel, and industrial components, warranting considerable attention in the forthcoming years. PMID:25501946

  6. Wilderness Preparticipation Evaluation and Considerations for Special Populations.

    PubMed

    Joy, Elizabeth; Van Baak, Karin; Dec, Katherine L; Semakula, Barbara; Cardin, Ashlea D; Lemery, Jay; Wortley, George C; Yaron, Michael; Madden, Christopher

    2015-12-01

    Children, older adults, disabled and special needs athletes, and female athletes who participate in outdoor and wilderness sports and activities each face unique risks. For children and adolescents traveling to high altitude, the preparticipation physical evaluation should focus on risk assessment, prevention strategies, early recognition of altitude-related symptoms, management plans, and appropriate follow-up. As the risk and prevalence of chronic disease increases with age, both older patients and providers need to be aware of disease and medication-specific risks relative to wilderness sport and activity participation. Disabled and special needs athletes benefit from careful pre-event planning for the potential medical issues and equipment modifications that may affect their health in wilderness environments. Issues that demand special consideration for female adventurers include pregnancy, contraceptive use, menses, and ferritin levels at altitude. A careful preparticipation evaluation that factors in unique, population- specific risks will help special populations stay healthy and safe on wilderness adventures. The PubMed and SportDiscus databases were searched in 2014 using both MeSH terms and text words and include peer-reviewed English language articles from 1977 to 2014. Additional information was accessed from Web-based sources to produce this narrative review on preparticipation evaluation for special populations undertaking wilderness adventures. Key words include children, adolescent, pediatric, seniors, elderly, disabled, special needs, female, athlete, preparticipiation examination, wilderness medicine, and sports. Copyright © 2015. Published by Elsevier Inc.

  7. 41 CFR 301-11.300 - When is actual expense reimbursement warranted?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false When is actual expense reimbursement warranted? 301-11.300 Section 301-11.300 Public Contracts and Property Management Federal Travel... session is held; (b) Costs have escalated because of special events (e.g., missile launching periods...

  8. "Warrant" Revisited: Integrating Mathematics Teachers' Pedagogical and Epistemological Considerations into Toulmin's Model for Argumentation

    ERIC Educational Resources Information Center

    Nardi, Elena; Biza, Irene; Zachariades, Theodossios

    2012-01-01

    In this paper, we propose an approach to analysing teacher arguments that takes into account field dependence--namely, in Toulmin's sense, the dependence of warrants deployed in an argument on the field of activity to which the argument relates. Freeman, to circumvent issues that emerge when we attempt to determine the field(s) that an argument…

  9. 25 CFR 11.1101 - Warrant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Warrant. 11.1101 Section 11.1101 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER COURTS OF INDIAN OFFENSES AND LAW AND ORDER CODE Minor-in-Need-of-Care Procedure § 11.1101 Warrant. The children's court may issue a warrant, directing that...

  10. 36 CFR 1237.20 - What are special considerations in the maintenance of audiovisual records?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... considerations in the maintenance of audiovisual records? 1237.20 Section 1237.20 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.20 What are special considerations in the maintenance of audiovisual...

  11. The Construction of Deductive Warrant Derived from Inductive Warrant in Preservice-Teacher Mathematical Argumentations

    ERIC Educational Resources Information Center

    Tristanti, Lia Budi; Sutawidjaja, Akbar; As'ari, Abdur Rahman; Muskar, Makbul

    2016-01-01

    This study discusses the construction of deductive warrant derived from inductive warrant in mathematical argumentations expressed by pre-service teacher. In completing a mathematics task, a problem solver needs argumentation to determine, reveal, and support a reasonable solution. A mathematical argumentation can be analyzed by Toulmin scheme…

  12. 9 CFR 3.100 - Special considerations regarding compliance and/or variance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Special considerations regarding compliance and/or variance. 3.100 Section 3.100 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ANIMAL WELFARE STANDARDS Specifications for the Humane Handling...

  13. 9 CFR 3.100 - Special considerations regarding compliance and/or variance.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Special considerations regarding compliance and/or variance. 3.100 Section 3.100 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ANIMAL WELFARE STANDARDS Specifications for the Humane Handling...

  14. 9 CFR 3.100 - Special considerations regarding compliance and/or variance.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Special considerations regarding compliance and/or variance. 3.100 Section 3.100 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ANIMAL WELFARE STANDARDS Specifications for the Humane Handling...

  15. 9 CFR 3.100 - Special considerations regarding compliance and/or variance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Special considerations regarding compliance and/or variance. 3.100 Section 3.100 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ANIMAL WELFARE STANDARDS Specifications for the Humane Handling...

  16. 9 CFR 3.100 - Special considerations regarding compliance and/or variance.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Special considerations regarding compliance and/or variance. 3.100 Section 3.100 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE ANIMAL WELFARE STANDARDS Specifications for the Humane Handling...

  17. 46 CFR 170.295 - Special consideration for free surface of passive roll stabilization tanks.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Special consideration for free surface of passive roll stabilization tanks. 170.295 Section 170.295 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED... consideration for free surface of passive roll stabilization tanks. (a) The virtual increase in the vertical...

  18. 46 CFR 170.295 - Special consideration for free surface of passive roll stabilization tanks.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the moment of inertia of the free surface in the roll tank; (ii) (d) is the density of the liquid in... 46 Shipping 7 2014-10-01 2014-10-01 false Special consideration for free surface of passive roll...) SUBDIVISION AND STABILITY STABILITY REQUIREMENTS FOR ALL INSPECTED VESSELS Free Surface § 170.295 Special...

  19. 46 CFR 170.295 - Special consideration for free surface of passive roll stabilization tanks.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the moment of inertia of the free surface in the roll tank; (ii) (d) is the density of the liquid in... 46 Shipping 7 2012-10-01 2012-10-01 false Special consideration for free surface of passive roll...) SUBDIVISION AND STABILITY STABILITY REQUIREMENTS FOR ALL INSPECTED VESSELS Free Surface § 170.295 Special...

  20. 46 CFR 170.295 - Special consideration for free surface of passive roll stabilization tanks.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the moment of inertia of the free surface in the roll tank; (ii) (d) is the density of the liquid in... 46 Shipping 7 2013-10-01 2013-10-01 false Special consideration for free surface of passive roll...) SUBDIVISION AND STABILITY STABILITY REQUIREMENTS FOR ALL INSPECTED VESSELS Free Surface § 170.295 Special...

  1. 48 CFR 970.1504-1-3 - Special considerations: Laboratory management and operation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...: Laboratory management and operation. 970.1504-1-3 Section 970.1504-1-3 Federal Acquisition Regulations System DEPARTMENT OF ENERGY AGENCY SUPPLEMENTARY REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Contracting by Negotiation 970.1504-1-3 Special considerations: Laboratory management and operation. (a) For the management...

  2. 34 CFR 606.23 - What special funding consideration does the Secretary provide?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 3 2011-07-01 2011-07-01 false What special funding consideration does the Secretary provide? 606.23 Section 606.23 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION DEVELOPING HISPANIC-SERVING...

  3. 34 CFR 606.23 - What special funding consideration does the Secretary provide?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false What special funding consideration does the Secretary provide? 606.23 Section 606.23 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION DEVELOPING HISPANIC-SERVING...

  4. 76 FR 66350 - Eighteenth Meeting: RTCA Special Committee 205/EUROCAE WG-71: Software Considerations in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-26

    ... Committee 205/EUROCAE WG-71: Software Considerations in Aeronautical Systems AGENCY: Federal Aviation.../EUROCAE WG-71 meeting: Software Considerations in Aeronautical Systems. SUMMARY: The FAA is issuing this notice to advise the public of a meeting of RTCA Special Committee 205/EUROCAE WG-71: Software...

  5. Student Application for Special Consideration for Examination Performance Following a Natural Disaster

    ERIC Educational Resources Information Center

    Collings, David; Garrill, Ashley; Johnston, Lucy

    2018-01-01

    Universities have a long-established tradition of granting students special consideration when circumstances beyond their control negatively affect performance in assessments. Typically, such situations affect only one student (e.g. medical emergencies) but we consider the impact of a natural disaster that led to all students being eligible for…

  6. Warrants for pedestrian over and underpasses

    DOT National Transportation Integrated Search

    1984-07-01

    The purpose of this research was to develop warrants for pedestrian over and underpasses or grade separated pedestrian crossings (GSPCs). Currently there are no established nationally acceptable warrants to serve as standards in deciding whether or n...

  7. 40 CFR 58.30 - Special considerations for data comparisons to the NAAQS.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 5 2011-07-01 2011-07-01 false Special considerations for data comparisons to the NAAQS. 58.30 Section 58.30 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... characteristics (see appendix D to this part, section 4.7.1) impact how the resulting PM2.5 data can be compared...

  8. 40 CFR 58.30 - Special considerations for data comparisons to the NAAQS.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 5 2010-07-01 2010-07-01 false Special considerations for data comparisons to the NAAQS. 58.30 Section 58.30 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... characteristics (see appendix D to this part, section 4.7.1) impact how the resulting PM2.5 data can be compared...

  9. 36 CFR 1237.20 - What are special considerations in the maintenance of audiovisual records?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.20 What are special considerations in the maintenance of audiovisual... practices. (b) Protect audiovisual records, including those recorded on digital media or magnetic sound or...

  10. 36 CFR 1237.20 - What are special considerations in the maintenance of audiovisual records?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.20 What are special considerations in the maintenance of audiovisual... practices. (b) Protect audiovisual records, including those recorded on digital media or magnetic sound or...

  11. 19 CFR 162.12 - Service of search warrant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Service of search warrant. 162.12 Section 162.12 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) INSPECTION, SEARCH, AND SEIZURE Search Warrants § 162.12 Service of search warrant. A...

  12. 34 CFR 356.32 - What are the special considerations in selecting applications for funding under this part?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false What are the special considerations in selecting applications for funding under this part? 356.32 Section 356.32 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF...

  13. 21 CFR 1316.11 - Execution of warrants.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Execution of warrants. 1316.11 Section 1316.11 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF JUSTICE ADMINISTRATIVE FUNCTIONS, PRACTICES, AND PROCEDURES Administrative Inspections § 1316.11 Execution of warrants. An administrative...

  14. 36 CFR 1237.22 - What are special considerations in the storage and maintenance of cartographic and related records?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... considerations in the storage and maintenance of cartographic and related records? 1237.22 Section 1237.22 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.22 What are special considerations in the storage and...

  15. 36 CFR 1237.22 - What are special considerations in the storage and maintenance of cartographic and related records?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... considerations in the storage and maintenance of cartographic and related records? 1237.22 Section 1237.22 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.22 What are special considerations in the storage and...

  16. 36 CFR 1237.22 - What are special considerations in the storage and maintenance of cartographic and related records?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... considerations in the storage and maintenance of cartographic and related records? 1237.22 Section 1237.22 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.22 What are special considerations in the storage and...

  17. 36 CFR § 1237.20 - What are special considerations in the maintenance of audiovisual records?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.20 What are special considerations in the maintenance of... industry practices. (b) Protect audiovisual records, including those recorded on digital media or magnetic...

  18. 46 CFR 170.300 - Special consideration for free surface of spoil in hopper dredge hoppers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... hopper dredge hoppers. 170.300 Section 170.300 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY... Special consideration for free surface of spoil in hopper dredge hoppers. The calculations required by this subchapter for each self-propelled hopper dredge must include— (a) The free surface effect of...

  19. 46 CFR 170.300 - Special consideration for free surface of spoil in hopper dredge hoppers.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... hopper dredge hoppers. 170.300 Section 170.300 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY... Special consideration for free surface of spoil in hopper dredge hoppers. The calculations required by this subchapter for each self-propelled hopper dredge must include— (a) The free surface effect of...

  20. 46 CFR 170.300 - Special consideration for free surface of spoil in hopper dredge hoppers.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Special consideration for free surface of spoil in hopper dredge hoppers. 170.300 Section 170.300 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY STABILITY REQUIREMENTS FOR ALL INSPECTED VESSELS Free Surface § 170.300...

  1. Special Education Considerations in Student Discipline Procedures.

    ERIC Educational Resources Information Center

    Michigan State Dept. of Education, Lansing. Office of Special Education and Early Intervention Services.

    This policy statement from the Michigan Department of Education interprets federal provisions and the laws of the state as they may pertain to children receiving special education services. It describes disciplinary procedures for students already receiving special education services, students not yet eligible for special education, students…

  2. The ethics in qualitative health research: special considerations.

    PubMed

    Peter, Elizabeth

    2015-09-01

    A sound knowledge of the nature of qualitative research, along with an appreciation of some special ethical considerations, is needed for rigorous reviews to be conducted. The overall character of qualitative research is described with an emphasis on the tendency of qualitative researchers to explore sensitive topics using theoretically informed methods. A number of specific features of qualitative that require additional ethical attention and awareness are also examined including the following: 1) participants are frequently quite vulnerable and require protection because the data collection methods, such as in-depth interviews, can delve into personally and politically charged matters; 2) naturalistic observation can raise concerns regarding privacy and consent; 3) the potential for the identifiability of the results of this research may require extra efforts to maintain confidentiality. Ultimately, Reseach Ethics Committee members must be knowledgeable about qualitative approaches to be able to assess the potential harms and benefits in a protocol carefully. Without this knowledge gaining ethics approval can be overly difficult for researchers and the best practices for protecting human participants can be overlooked.

  3. Legal, ethical and practical considerations in research involving nurses with dyslexia.

    PubMed

    Gillin, Nicola

    2015-09-01

    To discuss the legal, ethical and practical considerations in UK studies involving nurses with dyslexia and medication administration errors (MAEs). Nurses with dyslexia are a vulnerable population as they are susceptible to misrepresentation in research, especially that which involves a sensitive topic such as MAEs. Nurses with dyslexia may be particularly vulnerable to research that could exploit, implicate or attribute unsafe practice to them and their disability. Special consideration should be exercised when researching this population. Despite the potential for legal, ethical and practical issues, MAEs and nurses with dyslexia are under-researched areas and warrant further research. Benefits can be gained, not only by participants but also those with a vested interest in how best to support dyslexic nurses in clinical practice. Through effective design, risks can be identified and minimised, and the research made viable, ethically sound and ultimately beneficial to all those involved.

  4. 36 CFR § 1237.22 - What are special considerations in the storage and maintenance of cartographic and related records?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... considerations in the storage and maintenance of cartographic and related records? § 1237.22 Section § 1237.22 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.22 What are special considerations in the...

  5. Food insecurity: special considerations for women.

    PubMed

    Ivers, Louise C; Cullen, Kimberly A

    2011-12-01

    Food security exists when all people, at all times, have physical, social, and economic access to sufficient, safe, and nutritious food that meets their dietary needs and food preferences for an active and healthy life. Food insecurity is the converse state, is often associated with poverty and low income, and has important implications for the health and nutrition of individuals. Given their contribution to food production and preparation, their role in society as child bearers and caregivers, the increasing number of female-headed households worldwide, and their disproportionately poor economic status, women need special consideration in discussions of food insecurity and its effect on health, nutrition, and behavior. This article reviews the scientific literature on issues related to women and food insecurity. Food insecurity is associated with obesity, anxiety, and depressive symptoms; risky sexual behavior; poor coping strategies; and negative pregnancy outcomes in women, although evidence about the direction and causality of associations is unclear. There is a lack of evidence and understanding of the effects of food insecurity in resource-poor settings, including its effect on weight, nutritional outcomes, and pregnancy outcomes, as well as its effect on progression of diseases such as HIV infection. More research is needed to guide efficient interventions that address food insecurity among women. However, practical experience suggests that both short-term assistance and longer-term strategies that improve livelihoods, address behavioral and coping strategies, acknowledge the mental health components of food insecurity, and attempt to ensure that women have the same economic opportunities, access to land, and economic power as men are important.

  6. 19 CFR 162.11 - Authority to procure warrants.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Authority to procure warrants. 162.11 Section 162.11 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) INSPECTION, SEARCH, AND SEIZURE Search Warrants § 162.11 Authority to procure...

  7. Taming the Warrant in Toulmin's Model of Argument

    ERIC Educational Resources Information Center

    Warren, James E.

    2010-01-01

    In the Toulmin model, arguments begin with a "claim" supported by "data." The movement from claim to data is authorized by a general, unstated proposition Stephen E. Toulmin calls the "warrant." Unlike all other components of the Toulmin model, warrants usually remain implicit in an argument; they are the unspoken assumptions that bind together…

  8. WARRANT OFFICER AND CIVILIAN HOUSING, QUARTERS L FRONT ELEVATION. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    WARRANT OFFICER AND CIVILIAN HOUSING, QUARTERS L FRONT ELEVATION. - Naval Magazine Lualualei, Headquarters Branch, Warrant Officer's & Civilians Quarters Type, Along Sixty-sixth Street between Amberjack & Constitution Streets, Pearl City, Honolulu County, HI

  9. Adaptation of warrant price with Black Scholes model and historical volatility

    NASA Astrophysics Data System (ADS)

    Aziz, Khairu Azlan Abd; Idris, Mohd Fazril Izhar Mohd; Saian, Rizauddin; Daud, Wan Suhana Wan

    2015-05-01

    This project discusses about pricing warrant in Malaysia. The Black Scholes model with non-dividend approach and linear interpolation technique was applied in pricing the call warrant. Three call warrants that are listed in Bursa Malaysia were selected randomly from UiTM's datastream. The finding claims that the volatility for each call warrants are different to each other. We have used the historical volatility which will describes the price movement by which an underlying share is expected to fluctuate within a period. The Black Scholes model price that was obtained by the model will be compared with the actual market price. Mispricing the call warrants will contribute to under or over valuation price. Other variables like interest rate, time to maturity date, exercise price and underlying stock price are involves in pricing call warrants as well as measuring the moneyness of call warrants.

  10. A VaR Algorithm for Warrants Portfolio

    NASA Astrophysics Data System (ADS)

    Dai, Jun; Ni, Liyun; Wang, Xiangrong; Chen, Weizhong

    Based on Gamma Vega-Cornish Fish methodology, this paper propose the algorithm for calculating VaR via adjusting the quantile under the given confidence level using the four moments (e.g. mean, variance, skewness and kurtosis) of the warrants portfolio return and estimating the variance of portfolio by EWMA methodology. Meanwhile, the proposed algorithm considers the attenuation of the effect of history return on portfolio return of future days. Empirical study shows that, comparing with Gamma-Cornish Fish method and standard normal method, the VaR calculated by Gamma Vega-Cornish Fish can improve the effectiveness of forecasting the portfolio risk by virture of considering the Gamma risk and the Vega risk of the warrants. The significance test is conducted on the calculation results by employing two-tailed test developed by Kupiec. Test results show that the calculated VaRs of the warrants portfolio all pass the significance test under the significance level of 5%.

  11. Special Operations Doctrine: Is it Needed

    DTIC Science & Technology

    2016-12-07

    and School . Ronald Dempsey is Chief Warrant Officer Three for C Co, 1st BN, 3rd Special Forces Group (Airborne). CLEVELAND, LINDER, AND DEMPSEY 6...Operations doctrine. Sixty years after the Army’s first special operations units were formed, the time had arrived for writing how Army special operations...at the urging of the then Commanding General of the Army’s John F. Kennedy Special Warfare Center and School , Major General Bennet SPECIAL

  12. Considerations for the Strategic Recruitment of Special Educators

    ERIC Educational Resources Information Center

    Zascavage, Victoria; Schroeder-Steward, Jennifer; Armstrong, Philip; Marrs-Butler, Kelly; Winterman, Kathy; Zascavage, M. L.

    2008-01-01

    According to the U.S. Department of Education, Office of Special Education Programs (2004), the United States is lacking 41,141 certified special educators. Texas is no exception to the national trend; in Texas alone, there is a shortage of 5,024 certified special educators (U.S. Department of Special Education). Any successful remediation of this…

  13. Toy Play in Infancy and Early Childhood: Normal Development and Special Considerations for Children with Disabilities.

    ERIC Educational Resources Information Center

    1994

    This paper presents a review of the literature on toy play in infancy and early childhood, with an emphasis on both normal development and special considerations for young children with disabilities. Specifically, it describes children's encounters with toys within a developmental framework, identifies characteristics of the child and aspects of…

  14. [Do Current German-Language Intelligence Tests Take into Consideration the Special Needs of Children with Disabilities?].

    PubMed

    Mickley, Manfred; Renner, Gerolf

    2015-01-01

    Do Current German-Language Intelligence Tests Take into Consideration the Special Needs of Children with Disabilities? A review of 23 German intelligence test manuals shows that test-authors do not exclude the use of their tests for children with disabilities. However, these special groups play a minor role in the construction, standardization, and validation of intelligence tests. There is no sufficient discussion and reflection concerning the issue which construct-irrelevant requirements may reduce the validity of the test or which individual test-adaptations are allowed or recommended. Intelligence testing of children with disabilities needs more empirical evidence on objectivity, reliability, and validity of the assessment-procedures employed. Future test construction and validation should systematically analyze construct-irrelevant variance in item format, the special needs of handicapped children, and should give hints for useful test-adaptations.

  15. A study of outstanding DWI warrants

    DOT National Transportation Integrated Search

    2001-07-01

    This final report documents a project on how outstanding warrants are handled for individuals who have been charged or convicted of offenses related to driving while impaired/intoxicated (DWI), but who have absconded or defaulted in either court appe...

  16. 34 CFR 403.172 - What special considerations must the State board give in approving projects, services, and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false What special considerations must the State board give in approving projects, services, and activities? 403.172 Section 403.172 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF...

  17. 34 CFR 356.32 - What are the special considerations in selecting applications for funding under this part?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... applications for funding under this part? 356.32 Section 356.32 Education Regulations of the Offices of the... Fellow? § 356.32 What are the special considerations in selecting applications for funding under this... outstanding or superior present a unique opportunity to effect a major advance in knowledge, address critical...

  18. 34 CFR 356.32 - What are the special considerations in selecting applications for funding under this part?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... applications for funding under this part? 356.32 Section 356.32 Education Regulations of the Offices of the... Fellow? § 356.32 What are the special considerations in selecting applications for funding under this... outstanding or superior present a unique opportunity to effect a major advance in knowledge, address critical...

  19. 34 CFR 356.32 - What are the special considerations in selecting applications for funding under this part?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... applications for funding under this part? 356.32 Section 356.32 Education Regulations of the Offices of the... Fellow? § 356.32 What are the special considerations in selecting applications for funding under this... outstanding or superior present a unique opportunity to effect a major advance in knowledge, address critical...

  20. Funding of drugs: do vaccines warrant a different approach?

    PubMed

    Beutels, Philippe; Scuffham, Paul A; MacIntyre, C Raina

    2008-11-01

    Vaccines have features that require special consideration when assessing their cost-effectiveness. These features are related to herd immunity, quality-of-life losses in young children, parental care and work loss, time preference, uncertainty, eradication, macroeconomics, and tiered pricing. Advisory committees on public funding for vaccines, or for pharmaceuticals in general, should be knowledgable about these special features. We discuss key issues and difficulties in decision making for vaccines against rotavirus, human papillomavirus, varicella-zoster virus, influenza virus, and Streptococcus pneumoniae. We argue that guidelines for economic evaluation should be reconsidered generally to recommend (1) modelling options for the assessment of interventions against infectious diseases; (2) a wider perspective to account for impacts on third parties, if relevant; (3) a wider scope of costs than health-care system costs alone, if appropriate; and (4) alternative discounting techniques to explore social time preference over long periods.

  1. Food insecurity: special considerations for women1234

    PubMed Central

    Cullen, Kimberly A

    2011-01-01

    Food security exists when all people, at all times, have physical, social, and economic access to sufficient, safe, and nutritious food that meets their dietary needs and food preferences for an active and healthy life. Food insecurity is the converse state, is often associated with poverty and low income, and has important implications for the health and nutrition of individuals. Given their contribution to food production and preparation, their role in society as child bearers and caregivers, the increasing number of female-headed households worldwide, and their disproportionately poor economic status, women need special consideration in discussions of food insecurity and its effect on health, nutrition, and behavior. This article reviews the scientific literature on issues related to women and food insecurity. Food insecurity is associated with obesity, anxiety, and depressive symptoms; risky sexual behavior; poor coping strategies; and negative pregnancy outcomes in women, although evidence about the direction and causality of associations is unclear. There is a lack of evidence and understanding of the effects of food insecurity in resource-poor settings, including its effect on weight, nutritional outcomes, and pregnancy outcomes, as well as its effect on progression of diseases such as HIV infection. More research is needed to guide efficient interventions that address food insecurity among women. However, practical experience suggests that both short-term assistance and longer-term strategies that improve livelihoods, address behavioral and coping strategies, acknowledge the mental health components of food insecurity, and attempt to ensure that women have the same economic opportunities, access to land, and economic power as men are important. PMID:22089447

  2. Benefits of an Air Force Contracting Warrant Officer Program

    DTIC Science & Technology

    2011-12-01

    effects of adding the warrant officer track into the contracting career field. The assessment uses personal interviews and surveys covering job...research investigates the perceived benefits and contrasting effects of adding the warrant officer track into the contracting career field. The...centered on cutting costs in the hopes of increasing revenues, which can be disastrous for both the private and public sectors , in addition to the

  3. Black-Scholes finite difference modeling in forecasting of call warrant prices in Bursa Malaysia

    NASA Astrophysics Data System (ADS)

    Mansor, Nur Jariah; Jaffar, Maheran Mohd

    2014-07-01

    Call warrant is a type of structured warrant in Bursa Malaysia. It gives the holder the right to buy the underlying share at a specified price within a limited period of time. The issuer of the structured warrants usually uses European style to exercise the call warrant on the maturity date. Warrant is very similar to an option. Usually, practitioners of the financial field use Black-Scholes model to value the option. The Black-Scholes equation is hard to solve analytically. Therefore the finite difference approach is applied to approximate the value of the call warrant prices. The central in time and central in space scheme is produced to approximate the value of the call warrant prices. It allows the warrant holder to forecast the value of the call warrant prices before the expiry date.

  4. Local anesthetics: special considerations in endodontics.

    PubMed

    Jeske, Arthur H

    2003-03-01

    Local anesthetics are essential for successful endodontic treatment, and their pharmacologic characteristics have special implications for the treatment of painful, chronically-inflamed or necrotic teeth. Their dosages must be limited to prevent toxicity, which may be enhanced by the coadministration of sedative agents or drugs which affect hepatic drug metabolism. Endodontic patients with established central and peripheral sensitization represent special challenges for pain control, since morphogenetic changes resulting from neurogenic inflammation can render pain fibers more resistant to local anesthesia. The use of vasconstrictors with conventional and alternative injection techniques, e.g., intraosseous injections, are necessary to prolong the duration of action of local anesthesia but can place patients with cardiovascular disease at some risk. An appreciation of all of these aspects of local anesthesia in endodontics will better prepare the operator for predictably safe and effective patient care.

  5. 8 CFR 287.9 - Criminal search warrant and firearms policies.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Criminal search warrant and firearms policies. 287.9 Section 287.9 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS FIELD OFFICERS; POWERS AND DUTIES § 287.9 Criminal search warrant and firearms policies. (a) A...

  6. Young Patients Detained under the Lieutenant Governor Warrant in Ontario.

    ERIC Educational Resources Information Center

    Phillips, Michael S.; Spears, Christopher

    1987-01-01

    Studied 24 patients being held on lieutenant governor warrants in Ontario, Canada who had been placed on warrants as juveniles. Found subjects to be predominantly male with histories of psychiatric illnesses, diagnosed mainly as antisocial personality, and to have been found not guilty by reason of insanity on charges primarily of murder or…

  7. WARRANT OFFICER AND CIVILIAN HOUSING, QUARTERS L FRONT ELEVATION W/POLE. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    WARRANT OFFICER AND CIVILIAN HOUSING, QUARTERS L FRONT ELEVATION W/POLE. - Naval Magazine Lualualei, Headquarters Branch, Warrant Officer's & Civilians Quarters Type, Along Sixty-sixth Street between Amberjack & Constitution Streets, Pearl City, Honolulu County, HI

  8. 32 CFR Appendix D to Part 275 - Obtaining Access By Search Warrant

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Obtaining Access By Search Warrant D Appendix D... OF 1978 Pt. 275, App. D Appendix D to Part 275—Obtaining Access By Search Warrant A. A Government... named in the attached search warrant were obtained by this [DoD office or activity] on [date] for the...

  9. 44 CFR 331.4 - Special consideration.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... HOMELAND SECURITY PREPAREDNESS PRESERVATION OF THE MOBILIZATION BASE THROUGH THE PLACEMENT OF PROCUREMENT... sells a significant proportion of its production to the Government is generally depressed or has a... hearing of interested parties, will give consideration to appropriate measures applicable to the entire...

  10. 36 CFR Appendix 2 to Part 801 - Special Procedures for Identification and Consideration of Archeological Properties in an Urban...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... OF THE URBAN DEVELOPMENT ACTION GRANT PROGRAM Pt. 801, App. 2 Appendix 2 to Part 801—Special...-urban natural environment, which would have had an effect on the location of prehistoric sites; b... Identification and Consideration of Archeological Properties in an Urban Context 2 Appendix 2 to Part 801 Parks...

  11. 36 CFR Appendix 2 to Part 801 - Special Procedures for Identification and Consideration of Archeological Properties in an Urban...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... OF THE URBAN DEVELOPMENT ACTION GRANT PROGRAM Pt. 801, App. 2 Appendix 2 to Part 801—Special...-urban natural environment, which would have had an effect on the location of prehistoric sites; b... Identification and Consideration of Archeological Properties in an Urban Context 2 Appendix 2 to Part 801 Parks...

  12. 36 CFR Appendix 2 to Part 801 - Special Procedures for Identification and Consideration of Archeological Properties in an Urban...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... OF THE URBAN DEVELOPMENT ACTION GRANT PROGRAM Pt. 801, App. 2 Appendix 2 to Part 801—Special...-urban natural environment, which would have had an effect on the location of prehistoric sites; b... Identification and Consideration of Archeological Properties in an Urban Context 2 Appendix 2 to Part 801 Parks...

  13. 36 CFR Appendix 2 to Part 801 - Special Procedures for Identification and Consideration of Archeological Properties in an Urban...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... OF THE URBAN DEVELOPMENT ACTION GRANT PROGRAM Pt. 801, App. 2 Appendix 2 to Part 801—Special...-urban natural environment, which would have had an effect on the location of prehistoric sites; b... Identification and Consideration of Archeological Properties in an Urban Context 2 Appendix 2 to Part 801 Parks...

  14. Diagnosing true virtue? Remote scenarios, warranted virtue attributions, and virtuous medical practice.

    PubMed

    Oakley, Justin

    2016-02-01

    Immanuel Kant argues in the Foundations that remote scenarios are diagnostic of genuine virtue. When agents commonly thought to have a particular virtue fail to exhibit that virtue in an extreme situation, he argues, they do not truly have the virtue at all, and our propensities to fail in such ways indicate that true virtue might never have existed. Kant's suggestion that failure to show, say, courage in extraordinary circumstances necessarily silences one's claim to have genuine courage seems to rely on an implausibly demanding standard for warranted virtue attributions. In contrast to this approach, some philosophers-such as Robert Adams and John Doris-have argued for probabilistic accounts of warranted virtue attributions. But despite the initial plausibility of such accounts, I argue that a sole reliance on probabilistic approaches is inadequate, as they are insufficiently sensitive to considerations of credit and fault, which emerge when agents have developed various insurance strategies and protective capacities against their responding poorly to particular eventualities. I also argue that medical graduates should develop the sorts of virtuous dispositions necessary to protect patient welfare against various countervailing influences (even where such influences might be encountered only rarely), and that repeated failures to uphold the proper goals of medicine in emergency scenarios might indeed be diagnostic of whether an individual practitioner does have the relevant medical virtue. In closing, I consider the dispositions involved in friendship. I seek to develop a principled way of determining when remote scenarios can be illuminating of genuine friendship and genuine virtue.

  15. 23 CFR 650.709 - Special considerations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... candidates in States that have not previously been allocated discretionary bridge funds. In addition, consideration will be given to candidates that receive additional funds or contributions from local, State... share of the project. These funds or contributions may be used to reduce the total project cost for use...

  16. 8 CFR 1241.32 - Warrant of deportation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Warrant of deportation. 1241.32 Section 1241.32 Aliens and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE... his or her mental or physical condition requires personal care and attention en route to his or her...

  17. 19 CFR 162.13 - Search of rooms not described in warrant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Search of rooms not described in warrant. 162.13 Section 162.13 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) INSPECTION, SEARCH, AND SEIZURE Search Warrants § 162.13 Search of...

  18. Therapeutic considerations in special patients.

    PubMed

    Little, J W; Falace, D A

    1984-07-01

    Careful attention to patients' histories and their medical problems and consultation with their physicians should provide sound bases for selection of drugs. Antibiotic prophylaxis for patients with cardiovascular disorders is described for American Heart Association standards, but for other indications sound judgment based on the principles of antibiotic prophylaxis must be the rule. Patients with end-stage renal disease and severe liver impairment may be at risk with certain drugs. The most critical time for consideration of use of drugs during pregnancy is the first trimester. However, careful selection of drugs for use during the balance of the term can reduce the risk of harm to the mother and fetus.

  19. Special Considerations for Mass Violence Events in Senior Living Facilities: A Case Report on the Pinelake Health and Rehab Center Shooting.

    PubMed

    Martin, Cody; Powell, David

    2017-02-01

    The 2009 Pinelake Health and Rehab Center shooting in Carthage, North Carolina, presents a unique case study for examining the specific considerations for mass violence events in senior living facilities. A variety of factors, including reduced sensory perception, reduced mobility, and cognitive decline, may increase the vulnerability of the populations of senior living facilities during mass violence events. Management of response aspects such as evacuation, relocation, and reunification also require special consideration in the context of mass violence at senior living facilities. Better awareness of these vulnerabilities and response considerations can assist facility administrators and emergency managers when preparing for potential mass violence events at senior living facilities. (Disaster Med Public Health Preparedness. 2017;11:150-152).

  20. 8 CFR 287.3 - Disposition of cases of aliens arrested without warrant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Disposition of cases of aliens arrested without warrant. 287.3 Section 287.3 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS FIELD OFFICERS; POWERS AND DUTIES § 287.3 Disposition of cases of aliens arrested without warrant...

  1. 48 CFR 301.603-71 - Waivers to warrant standards.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... of a warrant to an individual who does not fully meet the FAC-C or HHS SAC certification program requirements. Contracting activities shall provide any request for a waiver of the FAC-C program requirements...

  2. 48 CFR 301.603-71 - Waivers to warrant standards.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... of a warrant to an individual who does not fully meet the FAC-C or HHS SAC certification program requirements. Contracting activities shall provide any request for a waiver of the FAC-C program requirements...

  3. 48 CFR 301.603-71 - Waivers to warrant standards.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... of a warrant to an individual who does not fully meet the FAC-C or HHS SAC certification program requirements. Contracting activities shall provide any request for a waiver of the FAC-C program requirements...

  4. 48 CFR 301.603-71 - Waivers to warrant standards.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... of a warrant to an individual who does not fully meet the FAC-C or HHS SAC certification program requirements. Contracting activities shall provide any request for a waiver of the FAC-C program requirements...

  5. Preparing for influenza after 2009 H1N1: special considerations for pregnant women and newborns.

    PubMed

    Rasmussen, Sonja A; Kissin, Dmitry M; Yeung, Lorraine F; MacFarlane, Kitty; Chu, Susan Y; Turcios-Ruiz, Reina M; Mitchell, Elizabeth W; Williams, Jennifer; Fry, Alicia M; Hageman, Jeffrey; Uyeki, Timothy M; Jamieson, Denise J

    2011-06-01

    Pregnant women and their newborn infants are at increased risk for influenza-associated complications, based on data from seasonal influenza and influenza pandemics. The Centers for Disease Control and Prevention (CDC) developed public health recommendations for these populations in response to the 2009 H1N1 pandemic. A review of these recommendations and information that was collected during the pandemic is needed to prepare for future influenza seasons and pandemics. The CDC convened a meeting entitled "Pandemic Influenza Revisited: Special Considerations for Pregnant Women and Newborns" on August 12-13, 2010, to gain input from experts and key partners on 4 main topics: antiviral prophylaxis and therapy, vaccine use, intrapartum/newborn (including infection control) issues, and nonpharmaceutical interventions and health care planning. Challenges to communicating recommendations regarding influenza to pregnant women and their health care providers were also discussed. After careful consideration of the available information and individual expert input, the CDC updated its recommendations for these populations for future influenza seasons and pandemics. Published by Mosby, Inc.

  6. 17 CFR 270.10f-2 - Exercise of warrants or rights received on portfolio securities.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 17 Commodity and Securities Exchanges 3 2013-04-01 2013-04-01 false Exercise of warrants or rights... Exercise of warrants or rights received on portfolio securities. Any purchase or other acquisition of securities by a registered investment company pursuant to the exercise of warrants or rights to subscribe to...

  7. 17 CFR 270.10f-2 - Exercise of warrants or rights received on portfolio securities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 17 Commodity and Securities Exchanges 3 2011-04-01 2011-04-01 false Exercise of warrants or rights... Exercise of warrants or rights received on portfolio securities. Any purchase or other acquisition of securities by a registered investment company pursuant to the exercise of warrants or rights to subscribe to...

  8. 17 CFR 270.10f-2 - Exercise of warrants or rights received on portfolio securities.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 17 Commodity and Securities Exchanges 3 2012-04-01 2012-04-01 false Exercise of warrants or rights... Exercise of warrants or rights received on portfolio securities. Any purchase or other acquisition of securities by a registered investment company pursuant to the exercise of warrants or rights to subscribe to...

  9. 17 CFR 270.10f-2 - Exercise of warrants or rights received on portfolio securities.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 17 Commodity and Securities Exchanges 4 2014-04-01 2014-04-01 false Exercise of warrants or rights... Exercise of warrants or rights received on portfolio securities. Any purchase or other acquisition of securities by a registered investment company pursuant to the exercise of warrants or rights to subscribe to...

  10. 17 CFR 270.10f-2 - Exercise of warrants or rights received on portfolio securities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Exercise of warrants or rights... Exercise of warrants or rights received on portfolio securities. Any purchase or other acquisition of securities by a registered investment company pursuant to the exercise of warrants or rights to subscribe to...

  11. Use of warrants for breath test refusal : case studies

    DOT National Transportation Integrated Search

    2007-10-01

    This study investigated the use of warrants to obtain blood samples from drivers arrested for alcohol-impaired driving and who refuse to provide breath samples when requested to do so by law enforcement officers. Case studies were conducted in four S...

  12. Language Interpretation for Diverse Families: Considerations for Special Education Teachers

    ERIC Educational Resources Information Center

    More, Cori M.; Hart, Juliet E.; Cheatham, Gregory A.

    2013-01-01

    The special education field is challenged by a lack of attention to and recruitment of well-trained language interpreters in schools. As such, special education teachers need to take a leadership role in working with interpreters to ensure diverse families are collaborative members of individualized education program (IEP) teams. Using the…

  13. 21 CFR 1316.09 - Application for administrative inspection warrant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Application for administrative inspection warrant. 1316.09 Section 1316.09 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF JUSTICE ADMINISTRATIVE FUNCTIONS, PRACTICES, AND PROCEDURES Administrative Inspections § 1316.09 Application for...

  14. The Social Construction of Warranting Evidence in Two Classrooms

    ERIC Educational Resources Information Center

    Weyand, Larkin; Goff, Brent; Newell, George

    2018-01-01

    This study examines how instructional conversations revealed the ways two teachers' argumentative epistemologies (ideational and social process) shaped literacy events focused on the warranting of evidence. A microethnographic study of the literacy events within each teacher's respective instructional unit revealed that each teacher's epistemology…

  15. Some Sociological Contexts for Consideration When Designing a School Puberty/Sexuality Curriculum

    ERIC Educational Resources Information Center

    Collier-Harris, Christine A.; Goldman, Juliette D. G.

    2017-01-01

    Sociological contexts are key factors in education and schooling. Contemporary contexts of world-view, or "Weltanschauungen," such as human rights, public health, demographics, biosocial factors including earlier puberty and a developmentalist approach, and technological connectivity, warrant significant professional consideration by…

  16. The valuation of equity warrants under the fractional Vasicek process of the short-term interest rate

    NASA Astrophysics Data System (ADS)

    Xiao, Weilin; Zhang, Weiguo; Zhang, Xili; Chen, Xiaoyan

    2014-01-01

    Motivated by the empirical evidence of long range dependence in short-term interest rates and considering the long maturities of equity warrants, we propose the fractional Vasicek model to describe the dynamics of the short rate in the pricing environment of equity warrants. Using the partial differential equation approach, we present a valuation model for equity warrants under the assumption that the short rate follows the fractional Vasicek process. After identifying the pricing model for equity warrants, we provide the parameter estimation procedure for the proposed pricing model. Since obtaining the values of equity warrants from the proposed model needs to solve a nonlinear equation, we employ a hybrid intelligent algorithm to get around this optimization problem. Furthermore, to illustrate the practicality of our proposed model, we conduct an empirical study to ascertain the performance of our proposed model using the data from China’s warrant market and the China Foreign Exchange Trade System. The comparison of traditional models (such as the Black-Scholes model, the Noreen-Wolfson model, the Lauterbach-Schultz model, and the Ukhov model) with our proposed model is also presented. The empirical results show that the mean absolute percentage error of our pricing model is 10.30%. By contrast, the Black-Scholes model, the Noreen-Wolfson model, the Lauterbach-Schultz model, and the Ukhov model applied to the same warrant produce mean absolute errors of 35.26%, 37.67%, 33.40%, 32.81%, respectively. Thus the long memory property in stochastic interest rates cannot be ignored in determining the valuation of equity warrants.

  17. Children: Special Consumers but Not Special Treatment.

    ERIC Educational Resources Information Center

    Doran, Lee Anne; Dolan, Elizabeth M.

    1989-01-01

    Reviews several child-related consumer protection issues subject to industry short-sightedness and regulatory manipulation. Indicates that although it may be unrealistic to believe that child-related consumer protection should receive priority, children do merit special consideration as consumers. (JOW)

  18. Crash history after installation of traffic signals : warranted vs. unwarranted.

    DOT National Transportation Integrated Search

    2008-01-01

    The objective of this study was to determine the change in crash history at intersections after installation of a traffic signal. Signals installed based on the warrants from an engineering study resulted in a decrease in angle collisions with an inc...

  19. 28 CFR 2.15 - Petition for consideration of parole prior to date set at hearing.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... hearing. When a prisoner has served the minimum term of imprisonment required by law, the Bureau of... extraordinary circumstances that would warrant consideration of early parole. [42 FR 39809, Aug. 5, 1977, as...

  20. 28 CFR 2.15 - Petition for consideration of parole prior to date set at hearing.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... hearing. When a prisoner has served the minimum term of imprisonment required by law, the Bureau of... extraordinary circumstances that would warrant consideration of early parole. [42 FR 39809, Aug. 5, 1977, as...

  1. 28 CFR 2.15 - Petition for consideration of parole prior to date set at hearing.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... hearing. When a prisoner has served the minimum term of imprisonment required by law, the Bureau of... extraordinary circumstances that would warrant consideration of early parole. [42 FR 39809, Aug. 5, 1977, as...

  2. 28 CFR 2.15 - Petition for consideration of parole prior to date set at hearing.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... hearing. When a prisoner has served the minimum term of imprisonment required by law, the Bureau of... extraordinary circumstances that would warrant consideration of early parole. [42 FR 39809, Aug. 5, 1977, as...

  3. ADHD in school-aged youth: Management and special treatment considerations in the primary care setting.

    PubMed

    Weed, Elizabeth D

    Attention-deficit/hyperactivity disorder is considered one of the most common neurodevelopmental disorders of childhood. Primary care providers are in the unique position of providing comprehensive care-routine care, well child visits, immunizations, and other healthcare needs-to a majority of children and adolescents with attention-deficit/hyperactivity disorder. As such, primary care providers are pivotal in the diagnosis, management, and treatment of this population. This article will address special treatment considerations to aid in the management of attention-deficit/hyperactivity disorder in the primary care setting, including substance use disorders and diversion, cardiac issues and stimulant medication, medication holidays and follow-up monitoring. The database of PubMed was searched using keywords that included attention-deficit/hyperactivity disorder, children, prevalence, medication holidays, safety, cardiovascular, cardiac, blood pressure, substance use, diversion, adverse drug reactions; inclusion dates were January 1, 2011 to September 30, 2015. © The Author(s) 2016.

  4. 36 CFR 219.27 - Special designations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... National Forest System Land and Resource Management Planning Special Considerations § 219.27 Special... areas within the National Forest System that are identified for their unique or special characteristics... and may have specific requirements for their management. (b) Wilderness area reviews. Unless federal...

  5. 21 CFR 1316.07 - Requirement for administrative inspection warrant; exceptions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Requirement for administrative inspection warrant; exceptions. 1316.07 Section 1316.07 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF JUSTICE ADMINISTRATIVE FUNCTIONS, PRACTICES, AND PROCEDURES Administrative Inspections § 1316.07 Requirement for...

  6. 45 CFR 2400.46 - Special consideration: second master's degree.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... government, social studies, or political science teachers after having taught another subject and applicants... MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.46 Special... three years prior to the year in which the applicants would normally commence study under a fellowship...

  7. 45 CFR 2400.46 - Special consideration: second master's degree.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... government, social studies, or political science teachers after having taught another subject and applicants... MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.46 Special... three years prior to the year in which the applicants would normally commence study under a fellowship...

  8. 45 CFR 2400.46 - Special consideration: second master's degree.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... government, social studies, or political science teachers after having taught another subject and applicants... MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.46 Special... three years prior to the year in which the applicants would normally commence study under a fellowship...

  9. 45 CFR 2400.46 - Special consideration: second master's degree.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... government, social studies, or political science teachers after having taught another subject and applicants... MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.46 Special... three years prior to the year in which the applicants would normally commence study under a fellowship...

  10. 45 CFR 2400.46 - Special consideration: second master's degree.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... government, social studies, or political science teachers after having taught another subject and applicants... MEMORIAL FELLOWSHIP FOUNDATION FELLOWSHIP PROGRAM REQUIREMENTS Graduate Study § 2400.46 Special... three years prior to the year in which the applicants would normally commence study under a fellowship...

  11. Special considerations in pediatric lung transplantation.

    PubMed

    Wells, Audrey; Faro, Albert

    2006-10-01

    More than 1300 lung or heart-lung transplants have been performed in children to date, resulting in many years of improved quality of life. Increasing experience has demonstrated that this therapy is unique and differs from adult lung transplantation in terms of indications, complications, pharmacokinetics, and monitoring. Unlike adult lung transplant recipients, cystic fibrosis and pulmonary vascular disease are very common indications. Complications such as graft dysfunction and bronchiolitis obliterans occur similarly in children as in adults, but others such as posttransplant lymphoproliferative disorders, growth retardation, respiratory tract infections, and medical nonadherence appear to be more common in pediatric lung transplant recipients. In addition, infants and adolescents are two very distinct populations that require special attention. Although the new lung allocation system grants some preference to children, donor shortage remains a limiting factor. Living donor lobar transplantation is an alternative for select candidates. Survival rates are similar between adult and pediatric transplant recipients. Support for collaborative studies is critical if we are to improve long-term outcomes for our young patients.

  12. 15 CFR 716.3 - Consent to inspections; warrants for inspections.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 15 Commerce and Foreign Trade 2 2011-01-01 2011-01-01 false Consent to inspections; warrants for inspections. 716.3 Section 716.3 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) BUREAU OF INDUSTRY AND SECURITY, DEPARTMENT OF COMMERCE CHEMICAL WEAPONS CONVENTION REGULATIONS...

  13. 15 CFR 716.3 - Consent to inspections; warrants for inspections.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Consent to inspections; warrants for inspections. 716.3 Section 716.3 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) BUREAU OF INDUSTRY AND SECURITY, DEPARTMENT OF COMMERCE CHEMICAL WEAPONS CONVENTION REGULATIONS...

  14. 46 CFR 177.340 - Alternate design considerations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Alternate design considerations. 177.340 Section 177.340... TONS) CONSTRUCTION AND ARRANGEMENT Hull Structure § 177.340 Alternate design considerations. When the structure of vessel is of novel design, unusual form, or special materials, which cannot be reviewed or...

  15. Practical Considerations in Pediatric Surgery

    PubMed Central

    Louis, Matthew R.; Meaike, Jesse D.; Chamata, Edward; Hollier, Larry H.

    2016-01-01

    The care of pediatric patients requires special considerations that are often not addressed in the literature. Relatively straightforward tasks such as clinical evaluation, antibiotic use, splinting, wound closure, and care of simple burns become complicated in the pediatric population for several reasons. The authors seek to demystify some of these topics using the senior author's years of clinical experience treating pediatric patients by giving practical advice and general considerations when treating children. PMID:27895539

  16. Mechanisms of Change in Treatments of Personality Disorders: Commentary on the Special Section.

    PubMed

    Kealy, David; Ogrodniczuk, John S

    2018-01-01

    Considerable progress has been made in the psychotherapeutic treatment of patients with personality disorders (PDs). Once engendering a pervasive therapeutic nihilism, PDs are starting to be viewed as treatable with a much better prognosis than previously thought. Evidence from several randomized controlled trials demonstrating the effectiveness of various forms of psychotherapy, coupled with findings from several longitudinal studies, suggests that such increased clinical optimism is warranted. However, the persistent focus on treatment brands obscures our understanding of the mechanisms through which benefits are actually realized. This article considers emerging trends in PD treatment research, exemplified by the series of articles contained within this special section, that attempt to identify more precisely the mechanisms of therapeutic change. It is only through such work that we will be able to accomplish further refinement of effective strategies, create possibilities for true integration of therapies, and achieve real progress in the field for the betterment of our patients.

  17. Ethical Considerations Regarding the Biological Contamination of Climatically Recurrent Special Regions.

    NASA Astrophysics Data System (ADS)

    Clifford, S. M.

    2014-04-01

    With the dawn of planetary exploration, the international science community expressed concerns regarding the potential contamination of habitable planetary environments by the introduction of terrestrial organisms on robotic spacecraft. The initial concern was that such contamination would confound our efforts to find unambiguous evidence of life elsewhere in the Solar System, although, more recently, this concern has been expanded to include ethical considerations regarding the need to protect alien biospheres from potentially harmful and irreversible contamination. The international agreements which address this concern include the UN Space Treaty of 1967 and the Planetary Protection Policy of the International Council for Science's Committee on Space Research (COSPAR). In the context of Mars exploration, COSPAR calls a potentially habitable environment a 'Special Region', which it defines as: "A region within which terrestrial organisms are likely to propagate, or a region which is interpreted to have a high potential for the existence of extant Martian life forms." Specifically included in this definition are regions where liquid water is present or likely to occur and the Martian polar caps. Over the years, scientists have debated the level of cleanliness required for robotic spacecraft to investigate such environments with the goal of defining international standards that are strict enough to ensure the integrity of life-detection efforts during the period of 'biological exploration', which has been somewhat arbitrarily defined as 50 years from the arrival date of any given mission. More recently, NASA and ESA have adopted a definition of Special Regions as any Martian environment where liquid water is likely to exist within the next 500 years. While this appears to be a more conservative interpretation of the original COSPAR definition, it specifically excludes some environments where there is a high probability of liquid water on timescales greater than 500

  18. View port to starboard of compartment B127, warrant officers mess ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View port to starboard of compartment B-127, warrant officers mess room. Note sideboard, table and paneling. Port holes to engine room skylight area are on left of photograph. (086) - USS Olympia, Penn's Landing, 211 South Columbus Boulevard, Philadelphia, Philadelphia County, PA

  19. Shuttle considerations for the design of large space structures

    NASA Technical Reports Server (NTRS)

    Roebuck, J. A., Jr.

    1980-01-01

    Shuttle related considerations (constraints and guidelines) are compiled for use by designers of a potential class of large space structures which are transported to orbit and, deployed, fabricated or assembled in space using the Space Shuttle Orbiter. Considerations of all phases of shuttle operations from launch to ground turnaround operations are presented. Design of large space structures includes design of special construction fixtures and support equipment, special stowage cradles or pallets, special checkout maintenance, and monitoring equipment, and planning for packaging into the orbiter of all additional provisions and supplies chargeable to payload. Checklists of design issues, Shuttle capabilities constraints and guidelines, as well as general explanatory material and references to source documents are included.

  20. Inmate suicide and time spent in special disciplinary housing in New York State prison.

    PubMed

    Way, Bruce B; Sawyer, Donald A; Barboza, Sharen; Nash, Robin

    2007-04-01

    This study examined the number of days that prisoners spent in a special disciplinary housing unit in New York State prison before a suicide occurred. Suicides that occurred between 1993 and 2003 were reviewed. A total of 32 suicides occurred in one-person special housing cells during the 11-year period. Inmates spent a median of 63 days in a special disciplinary housing cell before committing suicide. The aggregate median sentence these inmates were serving in special housing at the time of suicide was 298.5 days. Because most suicides in a special housing unit occurred within eight weeks of placement, enhanced observation of special housing inmates is warranted in that period at a minimum.

  1. Psychosocial Research on the International Space Station: Special Privacy Considerations

    NASA Astrophysics Data System (ADS)

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

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

  2. 28 CFR 2.46 - Execution of warrant and service of summons.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 1 2012-07-01 2012-07-01 false Execution of warrant and service of summons. 2.46 Section 2.46 Judicial Administration DEPARTMENT OF JUSTICE PAROLE, RELEASE, SUPERVISION AND... procedural rights under the Commission's regulations and the possible actions which may be taken by the...

  3. 28 CFR 2.46 - Execution of warrant and service of summons.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Execution of warrant and service of summons. 2.46 Section 2.46 Judicial Administration DEPARTMENT OF JUSTICE PAROLE, RELEASE, SUPERVISION AND... procedural rights under the Commission's regulations and the possible actions which may be taken by the...

  4. 28 CFR 2.46 - Execution of warrant and service of summons.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Execution of warrant and service of summons. 2.46 Section 2.46 Judicial Administration DEPARTMENT OF JUSTICE PAROLE, RELEASE, SUPERVISION AND... procedural rights under the Commission's regulations and the possible actions which may be taken by the...

  5. 28 CFR 2.46 - Execution of warrant and service of summons.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Execution of warrant and service of summons. 2.46 Section 2.46 Judicial Administration DEPARTMENT OF JUSTICE PAROLE, RELEASE, SUPERVISION AND... procedural rights under the Commission's regulations and the possible actions which may be taken by the...

  6. 28 CFR 2.46 - Execution of warrant and service of summons.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Execution of warrant and service of summons. 2.46 Section 2.46 Judicial Administration DEPARTMENT OF JUSTICE PAROLE, RELEASE, SUPERVISION AND... procedural rights under the Commission's regulations and the possible actions which may be taken by the...

  7. Warrants, design, and safety of road ranger service patrols : draft final report.

    DOT National Transportation Integrated Search

    2016-11-01

    This research project created a decision support system for managers who must decide if a roadway warrants the addition of the Safety Service Patrol (SSP). Meetings with Florida Department of Transportation (FDOT) service patrol program manager...

  8. Deep down on a Caribbean reef: lower mesophotic depths harbor a specialized coral-endosymbiont community.

    PubMed

    Bongaerts, Pim; Frade, Pedro R; Hay, Kyra B; Englebert, Norbert; Latijnhouwers, Kelly R W; Bak, Rolf P M; Vermeij, Mark J A; Hoegh-Guldberg, Ove

    2015-01-07

    The composition, ecology and environmental conditions of mesophotic coral ecosystems near the lower limits of their bathymetric distributions remain poorly understood. Here we provide the first in-depth assessment of a lower mesophotic coral community (60-100 m) in the Southern Caribbean through visual submersible surveys, genotyping of coral host-endosymbiont assemblages, temperature monitoring and a growth experiment. The lower mesophotic zone harbored a specialized coral community consisting of predominantly Agaricia grahamae, Agaricia undata and a "deep-water" lineage of Madracis pharensis, with large colonies of these species observed close to their lower distribution limit of ~90 m depth. All three species associated with "deep-specialist" photosynthetic endosymbionts (Symbiodinium). Fragments of A. grahamae exhibited growth rates at 60 m similar to those observed for shallow Agaricia colonies (~2-3 cm yr(-1)), but showed bleaching and (partial) mortality when transplanted to 100 m. We propose that the strong reduction of temperature over depth (Δ5°C from 40 to 100 m depth) may play an important contributing role in determining lower depth limits of mesophotic coral communities in this region. Rather than a marginal extension of the reef slope, the lower mesophotic represents a specialized community, and as such warrants specific consideration from science and management.

  9. Warrant Officer Examinations. PR-4018

    DTIC Science & Technology

    1944-10-10

    ccouunting, Administrative - Clcorica1, Judge, Advo Ge~nc. De~ptsAdxiiniistrati~ve 1 icl Adi isrtv - Supp:ly, generaile8 ~ Administrativo ’ - Supply, Air...chronological index if action in processing special and summary records of trial. Answers teleph.’nic inquirie’s pertaining to subject matter contain- ed...reproduction by lithopraphy, black and white process printing, and gelatin duplication; moy couidinnte and supervise procurement, storage, and distribution of

  10. Special Vacation Advice for Families with Special Needs Children

    ERIC Educational Resources Information Center

    Barkin, Scott L.

    2010-01-01

    The excitement of going on a family vacation can be matched only by the stress parents experience as they prepare for the excursion. Parents of children with disabilities have special considerations to keep in mind, including the mode of transportation, the accessibility of accommodations, whether the activities will be appropriate for all members…

  11. Do systematic reviews on pediatric topics need special methodological considerations?

    PubMed

    Farid-Kapadia, Mufiza; Askie, Lisa; Hartling, Lisa; Contopoulos-Ioannidis, Despina; Bhutta, Zulfiqar A; Soll, Roger; Moher, David; Offringa, Martin

    2017-03-06

    Systematic reviews are key tools to enable decision making by healthcare providers and policymakers. Despite the availability of the evidence based Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA-2009 and PRISMA-P 2015) statements that were developed to improve the transparency and quality of reporting of systematic reviews, uncertainty on how to deal with pediatric-specific methodological challenges of systematic reviews impairs decision-making in child health. In this paper, we identify methodological challenges specific to the design, conduct and reporting of pediatric systematic reviews, and propose a process to address these challenges. One fundamental decision at the outset of a systematic review is whether to focus on a pediatric population only, or to include both adult and pediatric populations. Both from the policy and patient care point of view, the appropriateness of interventions and comparators administered to pre-defined pediatric age subgroup is critical. Decisions need to be based on the biological plausibility of differences in treatment effects across the developmental trajectory in children. Synthesis of evidence from different trials is often impaired by the use of outcomes and measurement instruments that differ between trials and are neither relevant nor validated in the pediatric population. Other issues specific to pediatric systematic reviews include lack of pediatric-sensitive search strategies and inconsistent choices of pediatric age subgroups in meta-analyses. In addition to these methodological issues generic to all pediatric systematic reviews, special considerations are required for reviews of health care interventions' safety and efficacy in neonatology, global health, comparative effectiveness interventions and individual participant data meta-analyses. To date, there is no standard approach available to overcome this problem. We propose to develop a consensus-based checklist of essential items which

  12. An Evaluation of the Limited Contract Warrant Experiment at March AFB.

    DTIC Science & Technology

    1986-09-01

    as booking entertainment, and contracting for food and beverages . (66:12) The only time a contracting officer was consulted was when the purchase...34-, , • % . , •, ", ’,. .. . - - "."- .- - ,- -~. .-.• - . *- *** -.- -, ~ -, v -,- .,- • ,.-, .- ,- % S% j%’..’ ,..p S-. AFIT/GLM/LSM/86S-70 AN EVALUATION OF THE LIMITED CONTRACT WARRANT EXPERIMENT AT MARCH AFB THESIS... v List of Abbreviations ........................................................... vi :% Abstract

  13. 21 CFR 1316.12 - Refusal to allow inspection with an administrative warrant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Refusal to allow inspection with an administrative warrant. 1316.12 Section 1316.12 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF JUSTICE ADMINISTRATIVE FUNCTIONS, PRACTICES, AND PROCEDURES Administrative Inspections § 1316.12 Refusal to allow...

  14. Specializations in Rehabilitation Counseling: One Program's Vision

    ERIC Educational Resources Information Center

    Bernacchio, Charles; Burker, Eileen J.; Falvo, Donna; Porter, Patricia; Carone, Stacia

    2008-01-01

    The option for specialization is explored to address expanding roles for rehabilitation counselors. Several important considerations are identified for Rehabilitation Counselor Education (RCE) program faculty opting for a specialization. Development of specialty tracks in psychiatric and developmental disabilities are offered as viable options for…

  15. Right-­turn traffic volume adjustment in traffic signal warrant analysis : final report.

    DOT National Transportation Integrated Search

    2016-05-06

    This report was based on the research project, Right-Turn Traffic Volume Adjustment in Traffic Signal Warrants, sponsored by the Nevada Department of Transportation (NDOT) and SOLARIS. Right-turn traffic does not affect intersection performance in th...

  16. Special Medical Problems of Athletes.

    ERIC Educational Resources Information Center

    Couch, Joan M.

    1987-01-01

    This article addresses the situations in which athletes with special needs and considerations participate in sports. The health problems discussed are diabetes mellitus, exercise-induced asthma, exercise-induced anaphylaxis, and epilepsy. (MT)

  17. Specialization in psychology and health care reform.

    PubMed

    Kaslow, Nadine J; Graves, Chanda C; Smith, Chaundrissa Oyeshiku

    2012-03-01

    This article begins by contextualizing specialization and board certification of psychologists, with attention paid to relevant definitions and expectations of other health care professionals. A brief history of specialization and board certification in professional psychology is offered. The benefits of board certification through the American Board of Professional Psychology are highlighted. Consideration is then given to the primary reasons for psychologists working in academic health sciences centers to specialize in the current health care climate and to obtain board certification as a mark of such specialization.

  18. Deep down on a Caribbean reef: lower mesophotic depths harbor a specialized coral-endosymbiont community

    PubMed Central

    Bongaerts, Pim; Frade, Pedro R.; Hay, Kyra B.; Englebert, Norbert; Latijnhouwers, Kelly R. W.; Bak, Rolf P. M.; Vermeij, Mark J. A.; Hoegh-Guldberg, Ove

    2015-01-01

    The composition, ecology and environmental conditions of mesophotic coral ecosystems near the lower limits of their bathymetric distributions remain poorly understood. Here we provide the first in-depth assessment of a lower mesophotic coral community (60–100 m) in the Southern Caribbean through visual submersible surveys, genotyping of coral host-endosymbiont assemblages, temperature monitoring and a growth experiment. The lower mesophotic zone harbored a specialized coral community consisting of predominantly Agaricia grahamae, Agaricia undata and a “deep-water” lineage of Madracis pharensis, with large colonies of these species observed close to their lower distribution limit of ~90 m depth. All three species associated with “deep-specialist” photosynthetic endosymbionts (Symbiodinium). Fragments of A. grahamae exhibited growth rates at 60 m similar to those observed for shallow Agaricia colonies (~2–3 cm yr−1), but showed bleaching and (partial) mortality when transplanted to 100 m. We propose that the strong reduction of temperature over depth (Δ5°C from 40 to 100 m depth) may play an important contributing role in determining lower depth limits of mesophotic coral communities in this region. Rather than a marginal extension of the reef slope, the lower mesophotic represents a specialized community, and as such warrants specific consideration from science and management. PMID:25564461

  19. Finally Making Good on the Promise of Qualitative Research in Special Education? A Response to the Special Issue

    ERIC Educational Resources Information Center

    Pugach, Marleen C.; Mukhopadhyay, Ananya; Gomez-Najarro, Joyce

    2014-01-01

    In this response to the special issue, we would like to offer two additional considerations to the discourse on qualitative research and special education this issue is meant to catalyze. First, we would like to further problematize the question of why qualitative research continues to be so sparsely represented in most prominent publications of…

  20. Special considerations--Induction of labor in low-resource settings.

    PubMed

    Smid, Marcela; Ahmed, Yusuf; Ivester, Thomas

    2015-10-01

    Induction of labor in resource-limited settings has the potential to significantly improve health outcomes for both mothers and infants. However, there are relatively little context-specific data to guide practice, and few specific guidelines. Also, there may be considerable issues regarding the facilities and organizational capacities necessary to support safe practices in many aspects of obstetrical practice, and for induction of labor in particular. Herein we describe the various opportunities as well as challenges presented by induction of labor in these settings. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. Evidence-Based Practices in Special Education: Current Assumptions and Future Considerations

    ERIC Educational Resources Information Center

    Russo-Campisi, Jacqueline

    2017-01-01

    Background: The research on evidence-based practices (EBP) in special education has shifted over the last decade from identifying efficacious interventions to exploring issues that impede implementation in the classroom. Common barriers to implementation include absence of training and resources, limited collaboration between researchers and…

  2. Defense Health Care: Evaluation of TRICARE Pharmacy Services Contract Structure is Warranted

    DTIC Science & Technology

    2013-09-01

    involves providing coordinated health care interventions and communications to patients who have chronic conditions, such as diabetes or asthma ...DEFENSE HEALTH CARE Evaluation of TRICARE Pharmacy Services Contract Structure Is Warranted Report to the...COVERED 00-00-2013 to 00-00-2013 4. TITLE AND SUBTITLE Defense Health Care : Evaluation of TRICARE Pharmacy Services Contract Structure Is

  3. Preparing Special Education Research Articles in APA Style.

    ERIC Educational Resources Information Center

    Algozzine, Bob; Spooner, Fred; Karvonen, Meagan

    2002-01-01

    This article addresses key considerations in preparing special education research articles for submission to professional journals in which the preferred style guide is the "Publication Manual of the American Psychological Association." The guidelines are drawn from special education literature, from editors, and from authors experienced in…

  4. Security Considerations for Archives: Rare Book, Manuscript, and Other Special Collections.

    ERIC Educational Resources Information Center

    Cupp, Christian M.

    The first of six sections in this guide to security for special collections in archives and libraries discusses the importance of security and the difficulty of preventing theft of archival materials. The second section, which focuses on planning, recommends an inservice training program for staff, a planned communications network between library…

  5. A review on Black-Scholes model in pricing warrants in Bursa Malaysia

    NASA Astrophysics Data System (ADS)

    Gunawan, Nur Izzaty Ilmiah Indra; Ibrahim, Siti Nur Iqmal; Rahim, Norhuda Abdul

    2017-01-01

    This paper studies the accuracy of the Black-Scholes (BS) model and the dilution-adjusted Black-Scholes (DABS) model to pricing some warrants traded in the Malaysian market. Mean Absolute Error (MAE) and Mean Absolute Percentage Error (MAPE) are used to compare the two models. Results show that the DABS model is more accurate than the BS model for the selected data.

  6. Right-\\0xADturn traffic volume adjustment in traffic signal warrant analysis : final report.

    DOT National Transportation Integrated Search

    2016-05-06

    This report was based on the research project, Right-Turn Traffic Volume Adjustment in : Traffic Signal Warrants, sponsored by the Nevada Department of Transportation (NDOT) : and SOLARIS. Right-turn traffic does not affect intersection performance i...

  7. Outreach training: the special interest group's report.

    PubMed

    Smith, M; Ash, P; Gilmour, A S M; Austin, T; Robinson, P G

    2011-05-01

    Following three sessions at ADEE Annual Meetings, the special interest group on outreach training presents a brief report of its proceedings. Outreach, here, is clinical teaching away from the home dental school. After covering the diversity and benefits of programmes, the report considers different models and the relationship between contexts and outcomes. It concludes that: outreach provides access to additional resources; programmes prepare students for the demands of the profession; a programme's design should harmonise with both its context and its objectives; and, the educational benefits warrant the additional organisation involved. © 2011 John Wiley & Sons A/S.

  8. Considerations for Integrating Women into Closed Occupations in the U.S. Special Operations Forces: Appendices

    DTIC Science & Technology

    2015-05-01

    106 ii . Attachment/Support/Other Specialized Roles for Women ............................................. 107 iii. Separate Men and... ii . Attachment/Support/Other Specialized Roles for Women Responses included in this category include those that described different deployment

  9. Funding Transparency under ESSA. Special Report

    ERIC Educational Resources Information Center

    Woods, Julie Rowland

    2018-01-01

    This special report explains the new requirements states have in reporting per-pupil expenditures under the Every Student Succeeds Act. It also provides key considerations for states and information about technical assistance and support.

  10. Translating human biology (introduction to special issue).

    PubMed

    Brewis, Alexandra A; Mckenna, James J

    2015-01-01

    Introducing a special issue on "Translating Human Biology," we pose two basic questions: Is human biology addressing the most critical challenges facing our species? How can the processes of translating our science be improved and innovated? We analyze articles published in American Journal of Human Biology from 2004-2013, and find there is very little human biological consideration of issues related to most of the core human challenges such as water, energy, environmental degradation, or conflict. There is some focus on disease, and considerable focus on food/nutrition. We then introduce this special volume with reference to the following articles that provide exemplars for the process of how translation and concern for broader context and impacts can be integrated into research. Human biology has significant unmet potential to engage more fully in translation for the public good, through consideration of the topics we focus on, the processes of doing our science, and the way we present our domain expertise. © 2014 Wiley Periodicals, Inc.

  11. From Special to Inclusive Education in Macau (SAR)

    ERIC Educational Resources Information Center

    Forlin, Chris

    2011-01-01

    The education for learners with special education needs (SEN) in Macau (SAR), China, has gradually transitioned over the past 30 years from a completely segregated approach to a more inclusive one. Following a review of the development of special education and the transition towards inclusion in Macau, consideration is given to the enactment of…

  12. 76 FR 1392 - Endangered and Threatened Species: Designation of Critical Habitat for Threatened Lower Columbia...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ... Columbia River. Although there is some level of reproductive isolation and ecological specialization... isolation of the remaining naturally produced fish confer considerable risks to LCR coho. Major habitat... changes are warranted, we will document the bases for the revisions and include this rationale as part of...

  13. Transplanting the Body: Preliminary Ethical Considerations.

    PubMed

    Miller, Lantz Fleming

    2017-11-01

    A dissociated area of medical research warrants bioethical consideration: a proposed transplantation of a donor's entire body, except head, to a patient with a fatal degenerative disease. The seeming improbability of such an operation can only underscore the need for thorough bioethical assessment: Not assessing a case of such potential ethical import, by showing neglect instead of facing the issue, can only compound the ethical predicament, perhaps eroding public trust in ethical medicine. This article discusses the historical background of full-body transplantation, documents the seriousness of its current pursuit, and builds an argument for why prima facie this type of transplant is bioethically distinct. Certainly, this examination can only be preliminary, indicating what should be a wide and vigorous discussion among practitioners and ethicists. It concludes with practical suggestions for how the medical and bioethics community may proceed with ethical assessment.

  14. Manufacturing considerations for AMLCD cockpit displays

    NASA Astrophysics Data System (ADS)

    Luo, Fang-Chen

    1995-06-01

    AMLCD cockpit displays need to meet more stringent requirements compared with AMLCD commercial displays in areas such as environmental conditions, optical performance and device reliability. Special considerations are required for the manufacturing of AMLCD cockpit displays in each process step to address these issues. Some examples are: UV stable polarizers, wide-temperature LC material, strong LC glue seal, ESS test system, gray scale voltage EEPROM, etc.

  15. Field Trips and the Law.

    ERIC Educational Resources Information Center

    Troy, Thomas D.; Schwaab, Karl E.

    1981-01-01

    Legal aspects of field trips are addressed, with special attention on planning and implementation aspects which warrant legal consideration. Suggestions are based on information obtained from studies which reviewed and analyzed court cases, with recommendations geared to lessen the likelihood that negligence suits will result if students sustain…

  16. 19 CFR 181.93 - Submission of advance ruling requests.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Court of Appeals for the Federal Circuit, or any court of appeal therefrom, or review by a judicial or... warrant and permit. Requests for special consideration made by telegram or electronic transmission will be... or electronic transmission. A telegram or electronic transmission must be followed up with a signed...

  17. 19 CFR 181.93 - Submission of advance ruling requests.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Court of Appeals for the Federal Circuit, or any court of appeal therefrom, or review by a judicial or... warrant and permit. Requests for special consideration made by telegram or electronic transmission will be... or electronic transmission. A telegram or electronic transmission must be followed up with a signed...

  18. Funding Special Education by Total District Enrollment: Advantages, Disadvantages, and Policy Considerations

    ERIC Educational Resources Information Center

    Dhuey, Elizabeth; Lipscomb, Stephen

    2013-01-01

    Several states and the federal government distribute aid for special education programs based primarily on total district enrollment and a fixed aid amount per student, a method called "census funding." In this policy brief, we address three questions to help policy makers, educators, and researchers better understand census-funding…

  19. Is Bringing Back Warrant Officers the Answer A Loot at How They Could Work in the Air Force Cyber Operations Career Field

    DTIC Science & Technology

    2017-03-16

    warrant officers in the Navy, they did lead directly to their place being cemented firmly in the Navy’s rank structure. The Navy exclusively...Dennis Steele , “The U.S. Army Warrant Officer Corps: Still a Work in Progress,” Army 62 no. 7 (July 2012), 40. 65. Department of the Army, The Army...force- cyber-secure.aspx. Steele , Dennis. “The U.S. Army Warrant Officer Corps: Still a Work in Progress.” Army 62 no. 7 (July 2012): 39-41

  20. 76 FR 81904 - Solicitation of New Safe Harbors and Special Fraud Alerts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ... of New Safe Harbors and Special Fraud Alerts AGENCY: Office of Inspector General (OIG), HHS. ACTION... Special Fraud Alerts. DATES: To assure consideration, public comments must be delivered to the address... and Special Fraud Alerts. Please assist us by referencing the file code OIG-120-N. Inspection of...

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

    PubMed

    Han, Jason J; Vapiwala, Neha

    2018-04-14

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

  2. Special Education's Role in Preparing Responsive Leaders for Inclusive Schools.

    ERIC Educational Resources Information Center

    Crockett, Jean B.

    2002-01-01

    This article examines special education's role in preparing leaders for inclusive schools that serve a wide range of students. A conceptual framework for special education leadership is presented, with suggestions for its use in planning cooperative leadership development. Key principles include ethical practice, individual consideration, equity,…

  3. Vancomycin Dosing in Obese Patients: Special Considerations and Novel Dosing Strategies.

    PubMed

    Durand, Cheryl; Bylo, Mary; Howard, Brian; Belliveau, Paul

    2018-06-01

    To review the literature regarding vancomycin pharmacokinetics in obese patients and strategies used to improve dosing in this population. PubMed, EMBASE (1974 to November 2017), and Google Scholar searches were conducted using the search terms vancomycin, obese, obesity, pharmacokinetics, strategy, and dosing. Additional articles were selected from reference lists of selected studies. Included articles were those published in English with a primary focus on vancomycin pharmacokinetic parameters in obese patients and practical vancomycin dosing strategies, clinical experiences, or challenges of dosing vancomycin in this population. Volume of distribution and clearance are the pharmacokinetic parameters that most often affect vancomycin dosing in obese patients; both are increased in this population. Challenges with dosing in obese patients include inconsistent and inadequate dosing, observations that the obese population may not be homogeneous, and reports of an increased likelihood of supratherapeutic trough concentrations. Investigators have revised and developed dosing and monitoring protocols to address these challenges. These approaches improved target trough attainment to varying degrees. Some of the vancomycin dosing approaches provided promising results in obese patients, but there were notable differences in methods used to develop these approaches, and sample sizes were small. Although some approaches can be considered for validation in individual institutions, further research is warranted. This may include validating approaches in larger populations with narrower obesity severity ranges, investigating target attainment in indication-specific target ranges, and evaluating the impact of different dosing weights and methods of creatinine clearance calculation.

  4. Special Care Dentistry Association consensus statement on sedation, anesthesia, and alternative techniques for people with special needs.

    PubMed

    Glassman, Paul; Caputo, Anthony; Dougherty, Nancy; Lyons, Ray; Messieha, Zakaria; Miller, Christine; Peltier, Bruce; Romer, Maureen

    2009-01-01

    Many people with special needs (PSN) have difficulty having good oral health or accessing oral health services because of a disability or medical condition. The number of people with these conditions living in community settings and needing oral health services is increasing dramatically due to advances in medical care, deinstitutionalization, and changing societal values. Many of these individuals require additional supports beyond local anesthesia in order to receive dental treatment services. The purpose of this consensus statement is to focus on the decision-making process for choosing a method of treatment or a combination of methods for facilitating dental treatment for these individuals. These guidelines are intended to assist oral health professionals and other interested parties in planning and carrying out oral health treatment for PSN. Considerations for planning treatment and considerations for each of several alternative modalities are listed. Also discussed are considerations for the use of combinations of modalities and considerations for the repeated or frequent use of these modalities. Finally, the need to advocate for adequate education and reimbursement for the full range of support alternatives is addressed. The Special Care Dentistry Association (SCDA) is dedicated to improving oral health and well being of PSN. The SCDA hopes that these guidelines can help oral health professionals and other interested individuals and groups to work together to ensure that PSN can achieve a "lifetime of oral health."

  5. U.S. Air Force Considerations in Implementing a Specialized Pilot Program.

    DTIC Science & Technology

    1980-06-06

    fighter force as they would be highly specialized and oriented to fulfill career slots in aviation units. Because of the far-reaching implications of...Isralies do it this way and claim a 60-1 kill ratio. The kill ratio of the United States pilots in SEA Southeast Asia was about 2.5-1. We believe that...Research Division at Lackland AFB, found tnat between the freshman and senior years AFOOT scores increased 4by an average of 20 to 30 points. While these

  6. Early Childhood Special Education. Dental and Oral Hygiene Procedures for Young Children with Special Needs.

    ERIC Educational Resources Information Center

    Sluder, R. S.; Luder, Linda C.

    1995-01-01

    Notes that children with special needs often require specific considerations with regard to dental care. Discusses some of the physical disabilities and how they interfere with dental hygiene, and how child caregivers can modify daily routines and assist disabled children with areas of hygiene the children may find difficult. (HTH)

  7. 41 CFR 302-6.105 - What is a “compelling reason” warranting extension of my authorized period for claiming an actual...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... reasonâ warranting extension of my authorized period for claiming an actual TQSE reimbursement? 302-6.105... is a “compelling reason” warranting extension of my authorized period for claiming an actual TQSE... problems (e.g., delay in settlement on the new residence, or short-term delay in construction of the...

  8. 41 CFR 302-6.105 - What is a “compelling reason” warranting extension of my authorized period for claiming an actual...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... reasonâ warranting extension of my authorized period for claiming an actual TQSE reimbursement? 302-6.105... is a “compelling reason” warranting extension of my authorized period for claiming an actual TQSE... problems (e.g., delay in settlement on the new residence, or short-term delay in construction of the...

  9. 41 CFR 302-6.105 - What is a “compelling reason” warranting extension of my authorized period for claiming an actual...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... reasonâ warranting extension of my authorized period for claiming an actual TQSE reimbursement? 302-6.105... is a “compelling reason” warranting extension of my authorized period for claiming an actual TQSE... problems (e.g., delay in settlement on the new residence, or short-term delay in construction of the...

  10. 41 CFR 302-6.105 - What is a “compelling reason” warranting extension of my authorized period for claiming an actual...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... reasonâ warranting extension of my authorized period for claiming an actual TQSE reimbursement? 302-6.105... is a “compelling reason” warranting extension of my authorized period for claiming an actual TQSE... problems (e.g., delay in settlement on the new residence, or short-term delay in construction of the...

  11. Geronimo: Planning Considerations for Employing Airborne Forces

    DTIC Science & Technology

    2017-05-25

    Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that... operation , a planner must adhere to joint planning considerations and understand the Air Force and Army requirements. Today the Army maintains only...one brigade and two battalions of deployable conventional airborne combat power. The special operations community also is airborne capable, and the

  12. Special Considerations with Response to Intervention and Instruction for Students with Diverse Backgrounds

    ERIC Educational Resources Information Center

    Hernandez Finch, Maria E.

    2012-01-01

    Response to Intervention (RtI) has been heralded as having significant promise for improving outcomes, reducing disproportional placement in special education, and making education more culturally responsive for culturally and linguistically diverse (CLD) youth. This article reviews the major recent empirical and qualitative research findings with…

  13. 75 FR 65706 - Fifteenth Plenary Meeting, RTCA Special Committee 205/EUROCAE WG 71: Software Considerations in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-26

    ..., Software Considerations in Airborne Systems and Equipment Certification ED-94B/DO-248B, Final Annual Report for Clarification of ED-94B/DO-178B ``Software Considerations In Airborne Systems And Equipment...

  14. What the Medical Records Revolution Means to Your Special Child

    ERIC Educational Resources Information Center

    Dorsett, Tom

    2008-01-01

    As every exceptional parent knows, the needs of a special child are, simply put, special. For every area of life, an extra amount of thought and care must be taken--whether it is education, traveling considerations, and, especially, healthcare. However, it is in the area of healthcare that parents say they face the most challenge. For years,…

  15. Transition Care for Children With Special Health Care Needs

    PubMed Central

    Davis, Alaina M.; Brown, Rebekah F.; Taylor, Julie Lounds; Epstein, Richard A.

    2014-01-01

    BACKGROUND: Approximately 750 000 children in the United States with special health care needs will transition from pediatric to adult care annually. Fewer than half receive adequate transition care. METHODS: We had conversations with key informants representing clinicians who provide transition care, pediatric and adult providers of services for individuals with special health care needs, policy experts, and researchers; searched online sources for information about currently available programs and resources; and conducted a literature search to identify research on the effectiveness of transition programs. RESULTS: We identified 25 studies evaluating transition care programs. Most (n = 8) were conducted in populations with diabetes, with a smaller literature (n = 5) on transplant patients. We identified an additional 12 studies on a range of conditions, with no more than 2 studies on the same condition. Common components of care included use of a transition coordinator, a special clinic for young adults in transition, and provision of educational materials. CONCLUSIONS: The issue of how to provide transition care for children with special health care needs warrants further attention. Research needs are wide ranging, including both substantive and methodologic concerns. Although there is widespread agreement on the need for adequate transition programs, there is no accepted way to measure transition success. It will be essential to establish consistent goals to build an adequate body of literature to affect practice. PMID:25287460

  16. 47 CFR 101.55 - Considerations involving transfer or assignment applications.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    .... (d) If a proposed transfer of radio facilities is incidental to a sale or other facilities or merger... SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses License Transfers, Modifications, Conditions and Forfeitures § 101.55 Considerations involving transfer or assignment applications. (a) Except...

  17. 47 CFR 101.55 - Considerations involving transfer or assignment applications.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... (d) If a proposed transfer of radio facilities is incidental to a sale or other facilities or merger... SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses License Transfers, Modifications, Conditions and Forfeitures § 101.55 Considerations involving transfer or assignment applications. (a) Except...

  18. 47 CFR 101.55 - Considerations involving transfer or assignment applications.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    .... (d) If a proposed transfer of radio facilities is incidental to a sale or other facilities or merger... SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses License Transfers, Modifications, Conditions and Forfeitures § 101.55 Considerations involving transfer or assignment applications. (a) Except...

  19. 47 CFR 101.55 - Considerations involving transfer or assignment applications.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    .... (d) If a proposed transfer of radio facilities is incidental to a sale or other facilities or merger... SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses License Transfers, Modifications, Conditions and Forfeitures § 101.55 Considerations involving transfer or assignment applications. (a) Except...

  20. 47 CFR 101.55 - Considerations involving transfer or assignment applications.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    .... (d) If a proposed transfer of radio facilities is incidental to a sale or other facilities or merger... SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Applications and Licenses License Transfers, Modifications, Conditions and Forfeitures § 101.55 Considerations involving transfer or assignment applications. (a) Except...

  1. Autonomy in the Preservice Teacher: A Retention Factor for Special Education

    ERIC Educational Resources Information Center

    Paige, Susan Mary

    2007-01-01

    The current shortage of teachers, owing primarily to retention and the shortfall in the field of special education, presents serious staffing concerns for serving children with special needs. Beyond supply considerations, teacher preparation programs are an integral part of the solution. Deci, Koestner, and Ryan (1999) described the role of…

  2. Strengthening Partnerships between Special Education Teacher Educators and Schools. Induction Insights. Supporting Special Education Teachers-Policymakers [PII-3

    ERIC Educational Resources Information Center

    National Center to Inform Policy and Practice in Special Education Professional Development, 2010

    2010-01-01

    Partnerships among institutions of higher education and school districts are desirable. Partnerships enable organizations to leverage their resources as well as expand and enhance their capabilities. They also provide opportunities for personnel with specialized areas of expertise to address shared challenges. Partnerships take considerable time,…

  3. Bilingual and Special Educational Needs in Inclusive Classrooms: Some Critical and Pedagogical Considerations

    ERIC Educational Resources Information Center

    Liasidou, Anastasia

    2013-01-01

    In the light of educational reforms aimed at promoting greater inclusive policies and practices, it is important to put a more pronounced emphasis on the needs of English language learners (ELLs) with special educational needs and/or disabilities. Simultaneously, a focus should also be placed on understanding and dealing with the disproportional…

  4. Initial Considerations for Navigation and Flight Dynamics of a Crewed Near-Earth Object Mission

    NASA Technical Reports Server (NTRS)

    Holt, Greg N.; Getchius, Joel; Tracy, William H.

    2011-01-01

    A crewed mission to a Near-Earth Object (NEO) was recently identified as a NASA Space Policy goal and priority. In support of this goal, a study was conducted to identify the initial considerations for performing the navigation and flight dynamics tasks of this mission class. Although missions to a NEO are not new, the unique factors involved in human spaceflight present challenges that warrant special examination. During the cruise phase of the mission, one of the most challenging factors is the noisy acceleration environment associated with a crewed vehicle. Additionally, the presence of a human crew necessitates a timely return trip, which may need to be expedited in an emergency situation where the mission is aborted. Tracking, navigation, and targeting results are shown for sample human-class trajectories to NEOs. Additionally, the benefit of in-situ navigation beacons on robotic precursor missions is presented. This mission class will require a longer duration flight than Apollo and, unlike previous human missions, there will likely be limited communication and tracking availability. This will necessitate the use of more onboard navigation and targeting capabilities. Finally, the rendezvous and proximity operations near an asteroid will be unlike anything previously attempted in a crewed spaceflight. The unknown gravitational environment and physical surface properties of the NEO may cause the rendezvous to behave differently than expected. Symbiosis of the human pilot and onboard navigation/targeting are presented which give additional robustness to unforeseen perturbations.

  5. [Why hospitalize stroke patients in a specialized unit?].

    PubMed

    Jaillard, A; Hommel, M

    1999-01-30

    A PUBLIC HEALTH CHALLENGE: Cerebral vascular events are the third most frequent cause of death in the adult population and the number one cause of disabilities, a public health challenge both in terms of health care service and health care expenditures. Structured health care facilities, particularly specialized hospital units, can lower mortality, limit residual disability and reduce the need for long-term institutionalization. Specialized research and teaching units are paradigmatic of the impact of health care organization. The limited number of such specialized units in France raises important ethical considerations about effective access to health care. Functioning units could be a useful criteria for auditing quality of hospital facilities.

  6. Collegiality and commerce: The culture of consideration amongst engineers

    NASA Astrophysics Data System (ADS)

    Nugent, Paul David

    This study is a participant observation ethnography of engineering relationships at a defense contracting plant that specializes in the design and manufacture of launch control systems for nuclear submarines. "Consideration" is presented as a unique mode of interaction enabling resource exchange and pivotal in developing and strengthening work relationships. Consideration differs from other modes of exchange such as markets, gift-giving, and charity primarily in that the bestowal of the resource involves little sacrifice. The manner in which consideration is enacted by the engineers, the structural and cultural conditions supporting consideration, and the social and economic consequences of consideration are presented. From these findings it is concluded that consideration is a unique form of economic exchange embedded in concrete relationships that forces us to rethink and extend current conceptualizations of trust, networks, social capital, and friendship in the workplace. The data for the analysis were drawn from twenty interviews and fieldnotes collected and transcribed over a twelve month period. Quotations from the interviews and exerpts from the fieldnotes are included to illustrate claims being made in the analysis as well as to familiarize the reader with the culture developed by engineers and managers in a defense contracting plant.

  7. Nonadditive entropies yield probability distributions with biases not warranted by the data.

    PubMed

    Pressé, Steve; Ghosh, Kingshuk; Lee, Julian; Dill, Ken A

    2013-11-01

    Different quantities that go by the name of entropy are used in variational principles to infer probability distributions from limited data. Shore and Johnson showed that maximizing the Boltzmann-Gibbs form of the entropy ensures that probability distributions inferred satisfy the multiplication rule of probability for independent events in the absence of data coupling such events. Other types of entropies that violate the Shore and Johnson axioms, including nonadditive entropies such as the Tsallis entropy, violate this basic consistency requirement. Here we use the axiomatic framework of Shore and Johnson to show how such nonadditive entropy functions generate biases in probability distributions that are not warranted by the underlying data.

  8. 20 CFR 416.934 - Impairments which may warrant a finding of presumptive disability or presumptive blindness.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Impairments which may warrant a finding of presumptive disability or presumptive blindness. 416.934 Section 416.934 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Determining Disability and Blindness Presumptive Disability and...

  9. 48 CFR 915.404-4-72 - Special considerations for cost-plus-award-fee contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... management and operating contracts or other contracts as determined by the Senior Procurement Executive, including those using the Construction, Construction Management, or Special Equipment Purchases/Subcontract... for construction and construction management contracts). However, the base amount should not normally...

  10. 48 CFR 915.404-4-72 - Special considerations for cost-plus-award-fee contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... management and operating contracts or other contracts as determined by the Senior Procurement Executive, including those using the Construction, Construction Management, or Special Equipment Purchases/Subcontract... for construction and construction management contracts). However, the base amount should not normally...

  11. 48 CFR 915.404-4-72 - Special considerations for cost-plus-award-fee contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... management and operating contracts or other contracts as determined by the Senior Procurement Executive, including those using the Construction, Construction Management, or Special Equipment Purchases/Subcontract... for construction and construction management contracts). However, the base amount should not normally...

  12. 48 CFR 915.404-4-72 - Special considerations for cost-plus-award-fee contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... management and operating contracts or other contracts as determined by the Senior Procurement Executive, including those using the Construction, Construction Management, or Special Equipment Purchases/Subcontract... for construction and construction management contracts). However, the base amount should not normally...

  13. Teaching Special Relativity Without Calculus

    NASA Astrophysics Data System (ADS)

    Ruby, Lawrence

    2009-04-01

    I 2007 many AAPT members received a booklet that is the first chapter of a physics textbook available on a CD. This book espouses the new educational philosophy of teaching special relativity as the first item in the topic of mechanics. Traditionally, special relativity is part of one or more modern physics chapters at the end of the text,2 and very often this material is never utilized due to time constraints. From a logical standpoint, special relativity is important in satellite communications and in cosmology, as well as in modern physics applications such as atomic theory and high-energy physics. The purpose of this paper is to show that the new philosophy can be carried out in a noncalculus physics course, by demonstrating that all of the principal results of special relativity theory can be obtained by simple algebra. To accomplish this, we shall propose alternate derivations for two results that are usually obtained with calculus. Textbooks2 typically obtain the equations for time dilation and for length contraction from simple considerations based on Einstein's second postulate.3 We shall start from this point.

  14. [Special considerations in generic substitution of immunosuppressive drugs in transplantation].

    PubMed

    Remport, Adám; Dankó, Dávid; Gerlei, Zsuzsa; Czebe, Krisztina; Kiss, István

    2012-08-26

    Long-term success in solid organ transplantation strongly depends on the optimal use of maintenance immunosuppressive treatment. Cyclosporin and tacrolimus are the most frequently administered immunosuppressants and they are designed to narrow therapeutic index drugs. The substitution of the branded formulation by their generic counterparts may lead to economic benefit only if equivalent clinical outcomes can be achieved. There is no published evidence to date on the guarantee of their long-term therapeutic equivalence and cases of therapeutic failures have been reported due to inadvertent drug conversion. The disadvantageous clinical consequences of a non medical, mechanistic forced switch from the original to generic formulation of tacrolimus and the estimated loss of the payer's presumed savings are presented in a kidney transplant recipient population. Special problems related to pediatric patients, drug interactions with concurrent medications and the burden of additional therapeutic drug monitoring and follow up visits are also discussed. The authors are convinced that the implementation of the European Society of Organ Transplantation guidelines on generic substitution may provide a safe way for patients and healthcare payers.

  15. Commonalities and Diversities among Asian Americans for Considerations in Special Education and Related Services.

    ERIC Educational Resources Information Center

    Leung, Esther Kau-To

    The paper examines diversities and commonalities among Asian Americans and draws implications relative to special education service for Asian minorities. The first section focuses on diversities and complexities in this group with subsections on origin, sociocultural background prior to migration, immigration and settlement history, degree and…

  16. Instructional Design Considerations in Converting Non-CBT Materials into CBT Courses.

    ERIC Educational Resources Information Center

    Ng, Raymond

    Instructional designers who are asked to convert existing training materials into computer-based training (CBT) must take special precautions to avoid making the product into a sophisticated page turner. Although conversion may save considerable time on subject research and analysis, courses to be delivered through microcomputers may require…

  17. Implementation of the Interdisciplinary Generalist Curriculum Project: considerations of structure, funding, and design.

    PubMed

    Wilson, M; Kahn, N; Wartman, S

    2001-04-01

    Implementation of the Interdisciplinary Generalist Curriculum (IGC) Project involved complex processes that reflect structural, funding, and intervention design considerations. Among structural considerations, the IGC Project benefited from a national structure above the level of the demonstration schools. Governance by committee was highly effective because it harnessed and balanced power. At the national level, governance by committee was enhanced by strong central coordination, and it had a role-modeling effect for governance at the school level. The IGC experience over the seven-year course of the project suggests that it is important to revisit the role of a national advisory committee over time and to revise that role as warranted. Funding considerations, including the importance of funding evaluation for a period of time long enough to measure intended impacts and the length and amount of funding to demonstration schools, are discussed. Prescription of the IGC intervention and the focus on years one and two of medical education are critical design considerations. The authors conclude that the IGC Project used relatively few federal dollars to demonstrate a highly prescribed intervention in a limited number of medical schools toward a clear and limited goal. IGC lessons apply to programs specifically targeting primary care education, but also to other medical school curricular innovations, and perhaps, to a larger framework of multi-site educational interventions.

  18. Is excision biopsy of fibroadenomas based solely on size criteria warranted?

    PubMed

    Neville, Grace; Neill, Cathleen O'; Murphy, Rosemary; Corrigan, Mark; Redmond, Paul H; Feeley, Linda; Bennett, Michael W; O'Connell, Fionnuala; Browne, Tara Jane

    2018-05-25

    Fibroadenomas (FA) are the most common benign tumor in the female breast. Most are managed conservatively provided there is clinical, radiologic, and pathologic concordance. However, surgical excision is typically recommended for cellular fibroepithelial lesions or those lesions with clinical, radiologic, or pathologic features concerning for phyllodes tumor (PT). Some studies have suggested surgical excision in all FA >30 mm to reduce core needle biopsy (CNB) sampling errors. The aim of our study was to evaluate, in the absence of any other concerning clinicopathologic features, whether surgical excision of FA was warranted based on size criteria alone. Cork University Hospital is a large academic center in Southern Ireland. Its breast cancer center provides both a screening and symptomatic service and diagnoses approximately 600 cancers per year. The breast histopathological data base was reviewed for all CNBs from January 1, 2010, to June 30, 2015, with a diagnosis of FA that went on to have excision at our institution. We excluded all cellular fibroepithelial lesions and those cases with co-existent lobular neoplasia, ductal carcinoma in situ, invasive carcinoma, atypical ductal hyperplasia, or lesions which would require excision in their own right. Cases in which the radiologic targeted mass was discordant with a diagnosis of FA were also excluded. Patient demographics and preoperative radiologic size and the radiologic target were recorded in each case. All radiology was reviewed by a breast radiologist prior to inclusion in the study, and there was histologic radiologic concordance with a diagnosis of FA in all cases. A total of 12,109 consecutive radiologically guided CNB were performed January 2010-June 2015; 3438 with a diagnosis of FA were identified of which 290 cases went on to have surgical excision. Of those 290 cases; 98.28% (n = 285) were confirmed as FA on excision. The remaining 1.72% (n = 5) had atypical features-FA with LCIS (n = 1

  19. Expeditionary Forensic Support to Joint Force Commanders: What Changes or Considerations are Warranted?

    DTIC Science & Technology

    2012-04-10

    builders . Human Intelligence (HUMINT) and Signals Intelligence (SIGINT) could then also be prioritized and employed accordingly for optimal 8...responsibility for digital and multimedia forensics, and DIA responsibility for forensic intelligence activities and programs.31 The Army is also currently...aligning functional oversight of Forensics, Biometrics, Law Enforcement, Detainee Operations, and Physical Security 11 under one overarching

  20. Safety and General Considerations for the Use of Antibodies in Infectious Diseases.

    PubMed

    Hey, Adam Seidelin

    2017-01-01

    Monocolonal antibodies are valuable potential new tools for meeting unmet needs in treating infectious dieseases and to provide alternatives and supplements to antibiotics in these times of growing resistance. Especially when considering the ability to screen for antibodies reacting to very diverse target antigens and the ability to design and engineer them to work specifically to hit and overcome their strategies, like toxins and their hiding in specific cells to evade the immuneresponse and their special features enabling killing of the infectious agents and or the cells harbouring them. Antibodies are generally very safe and adverse effects of treatments with therapeutic antibodies are usually related to exaggeration of the intended pharmacology. In this chapter general safety considerations for the use of antibodies is reviewed and the general procedures for nonclinical testing to support their clinical development. Special considerations for anti-infective mAb treatments are provided including the special features that makes nonclinical safety programs for anti-infective mAbs much more simple and restricted. However at a cost since only limited information for clinical safety and modeling can be derived from such programs. Then strategies for optimally designing antibodies are discussed including the use of combination of antibodies. Finally ways to facilitate development of more than the currently only three approved mAb based treatments are discussed with a special focus on high costs and high price and how collaboration and new strategies for development in emerging markets can be a driver for this.

  1. Special problems in aerosol delivery: neonatal and pediatric considerations.

    PubMed

    Cole, C H

    2000-06-01

    Identification of the determinants of efficient aerosol delivery and the specific challenges of aerosol delivery to infants and children can facilitate a systematic approach to optimize aerosol delivery to this population. There are inherent anatomical, physiologic, pathophysiologic, and technical limitations of aerosol efficiency in infants and young children. Nevertheless, one can enhance aerosol efficiency through application of sound principles of aerosol delivery and by exerting control over factors that are amenable to intervention. Improvements in aerosol formulations and delivery systems are being made that will enhance efficiency, decrease risk, and reduce waste and cost. Attention to aerosol particle size (1-3 microm mass median aerodynamic diameter and geometric standard deviation < 2 microm), and the concentration of this respirable particle fraction produced by an aerosol system may enhance delivery through endotracheal tubes and to the lower respiratory tract in infants and children with low V(T) and low inspiratory rates. Attention to the choice of delivery system and to details of proper MDI technique (shaking, priming, immediate actuation, and avoiding multiple actuations prior to inhalation), choice of the aerosol spacer and patient interface (type of face mask, endotracheal tube, mouthpiece), spacer cleaning, and consideration of the medicine to be aerosolized (solution or suspension, viscosity) permit adjustment of the aerosol regimen to optimize delivery. All the patient-related, system-related, and operator-dependent considerations combined can greatly impact aerosol delivery efficacy and improve therapeutic response. Therefore, education and motivation of medical personnel, parents and caregivers, and patients regarding factors that influence aerosol efficiency and teaching of proper technique must be prioritized in order to improve aerosol delivery. Aerosol therapy to all patients, especially infants and young children, would be well served

  2. On Engster's care-justification of the specialness thesis about healthcare.

    PubMed

    Rumbold, Benedict

    2017-08-01

    To say health is 'special' is to say that it has a moral significance that differentiates it from other goods (cars, say or radios) and, as a matter of justice, warrants distributing it separately. In this essay, I critique a new justification for the specialness thesis about healthcare (STHC) recently put forth by Engster. I argue that, regrettably, Engster's justification of STHC ultimately fails and fails on much the same grounds as have previous justifications of STHC. However, I also argue that Engster's argument still adds something valuable to the debate around STHC insofar as it reminds us that the moral significance of healthcare may be wider than simply its effect on the incidence of disability and disease: one further reason we may think healthcare is morally significant is because it concerns the treatment and care of those who are already unwell. 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/.

  3. Assessment of Adolescent Neurotoxicity: Rationale and Methodological Considerations

    PubMed Central

    Spear, Linda Patia

    2007-01-01

    This introduction to the special issue of Neurotoxicology and Teratology on “Risk of neurobehavioral toxicity in adolescence” begins by broadly considering the ontogeny and phylogeny of adolescence, and the potential value of animal models of adolescence. Major findings from the emerging neuroscience of adolescence are then highlighted to establish the importance of studies of adolescent neurotoxicity. A variety of methodological issues that are of particular relevance to adolescent exposures are then discussed. These include consideration of pharmacokinetic factors, inclusion of other-aged comparison group(s), and issues involving timing, route of administration, and exposure-induced alterations in growth rate. Despite such methodological challenges, research to determine whether adolescence is a time of increased vulnerability (or greater resiliency) to specific drugs and environmental toxicants is progressing rapidly, as exemplified by the work presented in the articles of this special issue. PMID:17222532

  4. Placing the pieces: Reconstructing the original property mosaic in a warrant and patent watershed

    USGS Publications Warehouse

    Bain, D.J.; Brush, G.S.

    2005-01-01

    Recent research shows that land use history is an important determinant of current ecosystem function. In the United States, characterization of land use change following European settlement requires reconstruction of the original property mosaic. However, this task is difficult in unsystematically surveyed areas east of the Appalachian Mountains. The Gwynns Falls watershed (Baltimore, MD) was originally surveyed in the 1600-1700s under a system of warrants and patents (commonly known as 'metes and bounds'). A method for the reconstruction and mapping of warrant and patent properties is presented and used to map the original property mosaic in the Gwynns Falls watershed. Using the mapped mosaic, the persistence of properties and property lines in the current Gwynns Falls landscape is considered. The results of this research indicate that as in agricultural areas, the original property lines in the Gwynns Falls watershed are persistent. At the same time, the results suggest that the property mosaic in heavily urbanized/suburbanized areas is generally 'reset.' Further, trends in surveying technique, parcel size, and settlement patterns cause property line density and property shape complexity to increase in the less urbanized upper watershed. The persistence of original patterns may be damping expression of heterogeneity gradients in this urban landscape. This spatial pattern of complexity in the original mosaic is directly opposite of hypothesized patterns of landscape heterogeneity arising from urbanization. The technique reported here and the resulting observations are important for landscape pattern studies in areas settled under unsystematic survey systems, especially the heavily urbanized areas of the eastern United States. ?? 2004 Kluwer Academic Publishers.

  5. Unreliable patient identification warrants ABO typing at admission to check existing records before transfusion.

    PubMed

    Ferrera-Tourenc, V; Lassale, B; Chiaroni, J; Dettori, I

    2015-06-01

    This study describes patient identification errors leading to transfusional near-misses in blood issued by the Alps Mediterranean French Blood Establishment (EFSAM) to Marseille Public Hospitals (APHM) over an 18-month period. The EFSAM consolidates 14 blood banks in southeast France. It supplies 149 hospitals and maintains a centralized database on ABO types used at all area hospitals. As an added precaution against incompatible transfusion, the APHM requires ABO testing at each admission regardless of whether the patient has an ABO record. The study goal was to determine if admission testing was warranted. Discrepancies between ABO type determined by admission testing and records in the centralized database were investigated. The root cause for each discrepancy was classified as specimen collection or patient admission error. Causes of patient admission events were further subclassified as namesake (name similarity) or impersonation (identity fraud). The incidence of ABO discrepancies was 1:2334 including a 1:3329 incidence of patient admission events. Impersonation was the main cause of identity events accounting for 90.3% of cases. The APHM's ABO control policy prevented 19 incompatible transfusions. In relation to the 48,593 packed red cell units transfused, this would have corresponded to a risk of 1:2526. Collecting and storing ABO typing results in a centralized database is an essential public health tool. It allows crosschecking of current test results with past records and avoids redundant testing. However, as patient identification remains unreliable, ABO typing at each admission is still warranted to prevent transfusion errors. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  6. [Controversial Issues in Economic Evaluation (III): health Care Interventions in Special Situations].

    PubMed

    Espín Balbino, Jaime; Brosa Riestra, Max; Oliva Moreno, Juan; Trapero-Bertran, Marta

    2015-01-01

    The development of the economic evaluation of health care interventions has become a support tool in making decisions on pricing and reimbursement of new health interventions. The increasingly extensive application of these techniques has led to the identification of particular situations in which, for various reasons, it may be reasonable to take into account special considerations when applying the general principles of economic evaluation. In this article, which closes a series of three, we will discuss, using the Metaplan technique, about the economic evaluation of health interventions in special situations such as rare diseases and end of life treatments, as well as consideration of externalities in assessments, finally pointing out some research areas to solve the main problems identified in these fields.

  7. Liberating the Oppressed: Research Knowledge Differentials and Ethical Investigation in Special Operations Forces Clinical Science.

    PubMed

    Kemplin, Kate Rocklein; Bowling, F Young

    Special Operations Forces (SOF) medics do not have preparation in research knowledge that enables them to independently initiate or generate their own studies. Thus, medics rely on evidence generated by others, who are removed from medics' practice environment. Here, salient literature on research self-efficacy and the genesis of institutional review boards (IRBs) are reviewed and interpreted for contextual applications to medics' practice and initiation of studies. More publications delving into research methods are warranted to promote medics' participation and initiation of selfdirected scientific investigation, in collaboration with research scientists. 2017.

  8. Occupational Stress, Negative Affectivity and Physical Health in Special and General Education Teachers in Greece

    ERIC Educational Resources Information Center

    Lazuras, Lambros

    2006-01-01

    Teacher stress has attracted considerable attention, yet few studies have focused on special education teachers. This article, by Lambros Lazuras of the South-East European Research Centre (SEERC) in Thessaloniki, reports research designed to explore differences in the stress levels of general and special educators in Greece and provides…

  9. The Advocacy Efforts of African American Mothers of Children with Disabilities in Rural Special Education: Considerations for School Professionals

    ERIC Educational Resources Information Center

    Stanley, Summer Lynn Gainey

    2015-01-01

    Legislation maintains expectations that educators form partnerships with parents, specifically within the field of special education (IDEA, 2004), and requires schools to allow parents to participate in all phases of educational assessment and planning for students who receive special education services. Many parents, however, encounter barriers…

  10. Common Core State Standards and Implications for Special Populations

    ERIC Educational Resources Information Center

    Best, Jane; Cohen, Courtney

    2013-01-01

    The goal of the Common Core State Standards is to address the academic needs of all students and prepare them for college and the workforce. Implementation guidance and professional training for teachers, particularly for those working with special populations of students, requires thoughtful consideration. While the Common Core allows teachers to…

  11. Percutaneous tracheostomy--special considerations.

    PubMed

    Ernst, Armin; Critchlow, Jonathan

    2003-09-01

    Percutaneous tracheostomy is safe and highly effective in well-trained hands in establishing a long-term artificial airway. Most alleged contraindications and some suggestions on how the procedures should be performed likely stem from early trials when only "perfect candidates" were chosen. Most of those contraindications should not be viewed as prohibitions, but as suggestions related to the skill level and training of the operator. We have used this technique in many situations where the small incision and tamponading effect of the tracheostomy tube has been quite beneficial, in selected patients with coagulapathies and severe venous congestion from superior cava syndromes as well as thyroid cancers, and in whom operative approaches would have been difficult. Knowing one's level of expertise and comfort in choosing and rejecting patients and procedures accordingly is the key to keeping PT a procedure with an excellent safety record. As the experience with PT grows, more and more perceived contraindications will disappear. Studies will address the role of PT in children and as a means of establishing emergent airway access. Also, the exact coagulation limits will need to be established. Few contraindications will most likely remain absolute, such as active infections over the proposed entry site, uncontrollable bleeding disorders and excessive ventilatory and oxygenation requirements. In our institution, taking into account these absolute contraindications, fewer than 5% of patients in need of a tracheostomy in the intensive care unit will undergo a primary open procedure.

  12. Conducting Science in Disasters: Recommendations from the NIEHS Working Group for Special IRB Considerations in the Review of Disaster Related Research.

    PubMed

    Packenham, Joan P; Rosselli, Richard T; Ramsey, Steve K; Taylor, Holly A; Fothergill, Alice; Slutsman, Julia; Miller, Aubrey

    2017-09-25

    Research involving human subjects after public health emergencies and disasters may pose ethical challenges. These challenges may include concerns about the vulnerability of prospective disaster research participants, increased research burden among disaster survivors approached by multiple research teams, and potentially reduced standards in the ethical review of research by institutional review boards (IRBs) due to the rush to enter the disaster field. The NIEHS Best Practices Working Group for Special IRB Considerations in the Review of Disaster Related Research was formed to identify and address ethical and regulatory challenges associated with the review of disaster research. The working group consists of a diverse collection of disaster research stakeholders across a broad spectrum of disciplines. The working group convened in July 2016 to identify recommendations that are instrumental in preparing IRBs to review protocols related to public health emergencies and disasters. The meeting included formative didactic presentations and facilitated breakout discussions using disaster-related case studies. Major thematic elements from these discussions were collected and documented into 15 working group recommendations, summarized in this article, that address topics such as IRB disaster preparedness activities, informed consent, vulnerable populations, confidentiality, participant burden, disaster research response integration and training, IRB roles/responsibilities, community engagement, and dissemination of disaster research results. https://doi.org/10.1289/EHP2378.

  13. 41 CFR 301-11.300 - When is actual expense reimbursement warranted?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... meals are procured at a prearranged place such as a hotel where a meeting, conference or training session is held; (b) Costs have escalated because of special events (e.g., missile launching periods...

  14. Ethical considerations in the prevention and management of genetic disorders with special emphasis on religious considerations.

    PubMed

    Albar, Mohammed A

    2002-06-01

    Genetic diseases include not only single gene disorders, but multifactorial, somatic cell genetic disorders, mitochondrial and even chromosomal. One in 4 adults will suffer from a multifactorial or a somatic cell genetic disease. The common diseases in the community have a hereditary component namely diabetes mellitus, hypertension, ischemic heart diseases and many types of cancer. Even monogenic diseases which affect a small number of the newborns (2%-3%), have a greater impact on childhood diseases up to age 15 years. Therefore, it is imperative to scrutinize the available methods of prevention and management of genetic disorders, their ethical implications, and since east Mediterranean region is mainly occupied by Arabs and muslims, religious considerations become of paramount importance. Islam differs from many other religions in providing a complete code of life, which encompasses the secular with spiritual, the mundane with the celestial and hence forms the basis of the ethical, moral and even juridical attitudes and laws towards any problem or situation. Islamic teachings carry a great deal of instructions for health promotion and disease prevention including hereditary and genetic disorders. This review discusses how the Islamic teachings play an important role in the prevention and management of genetic disorders and the type of ethical implications involved in such management namely premarital medical examination, the question of consanguinity, the genetic counseling, the question of preimplantation diagnosis, the question of abortion and the offering of alternative ways of reproduction.

  15. The Perceptions of General Education Teachers about the Over-Representation of Black Students in Special Education

    ERIC Educational Resources Information Center

    Grice, David Roland

    2012-01-01

    Statement of the Problem: There is an over-representation of Black students in special education. Black students are typically referred for special education consideration by the end of the fourth grade. One effort to reduce the large number of referrals in Connecticut was "Courageous Conversations About Race." Courageous Conversations…

  16. Enhancing the Effectiveness of Special Education Programming for Children with Attention Deficit Hyperactivity Disorder Using a Daily Report Card

    ERIC Educational Resources Information Center

    Fabiano, Gregory A.; Vujnovic, Rebecca K.; Pelham, William E.; Waschbusch, Daniel A.; Massetti, Greta M.; Pariseau, Meaghan E.; Naylor, Justin; Yu, Jihnhee; Robins, Melissa; Carnefix, Tarah; Greiner, Andrew R.; Volker, Martin

    2010-01-01

    Children with attention deficit hyperactivity disorder (ADHD) make up a considerable proportion of students who receive special education services in schools. The present study aimed to enhance the outcomes of students with ADHD in special education settings by using a daily report card (DRC). Thirty-three children with ADHD in special education…

  17. PTSD in the military: special considerations for understanding prevalence, pathophysiology and treatment following deployment

    PubMed Central

    Yehuda, Rachel; Vermetten, Eric; McFarlane, Alexander C.; Lehrner, Amy

    2014-01-01

    Given the unique context of warzone engagement, which may include chronic threat, multiple and lengthy deployments, and loss, there is a need to understand whether and to what extent knowledge about PTSD derived from studies of civilian trauma exposure is generalizeable to the military. This special issue on PTSD in the military addresses a range of issues and debates related to mental health in military personnel and combat veterans. This article provides an overview of the issues covered in selected contributions that have been assembled for a special volume to consider issues unique to the military. Several leading scholars and military experts have contributed papers regarding: 1) prevalence rates of PTSD and other post-deployment mental health problems in different NATO countries, 2) the search for biomarkers of PTSD and the potential applications of such findings, and 3) prevention and intervention approaches for service members and veterans. The volume includes studies that highlight the divergence in prevalence rates of PTSD and other post-deployment mental health problems across nations and that discuss potential causes and implications. Included studies also provide an overview of research conducted in military or Veteran's Affairs settings, and overarching reviews of military-wide approaches to research, promotion of resilience, and mental health interventions in the Unites States and across NATO and allied ISAF partners. PMID:25206950

  18. Solid state sandwich concept: Designs, considerations and issues. [solar power satellite transmission

    NASA Technical Reports Server (NTRS)

    Maynard, O. E.

    1980-01-01

    Progress in analysis and design of solid state approaches to the solar power satellite microwave power transmission system is reviewed with special emphasis on the Sandwich concept and the issues of maintenance of low junction temperatures for amplifiers to assure acceptable lifetime. Ten specific issues or considerations are discussed and their resolution or status is presented.

  19. Consideration Sets and Their Role in Modelling Doctor Recommendations About Contraceptives.

    PubMed

    Fiebig, Denzil G; Viney, Rosalie; Knox, Stephanie; Haas, Marion; Street, Deborah J; Hole, Arne R; Weisberg, Edith; Bateson, Deborah

    2017-01-01

    Decisions about prescribed contraception are typically the result of a consultation between a woman and her doctor. In order to better understand contraceptive choice within this environment, stated preference methods are utilized to ask doctors about what contraceptive options they would discuss with different types of women. The role of doctors is to confine their discussion to a subset of products that best match their patient. This subset of options forms the consideration set from which the ultimate recommendation is made. Given the existence of consideration sets we address the issue of how to model appropriately the ultimate recommendations. The estimated models enable us to characterize doctor recommendations and how they vary with patient attributes and to highlight where recommendations are clear and when they are uncertain. The results also indicate systematic variation in recommendations across different types of doctors, and in particular we observe that some doctors are reluctant to embrace new products and instead recommend those that are more familiar. Such effects are one possible explanation for the relatively low uptake of more cost effective longer acting reversible contraceptives and indicate that further education and training of doctors may be warranted. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  20. Little Evidence and Big Consequences: Understanding Special Education Voucher Programs

    ERIC Educational Resources Information Center

    Braun, Matthew

    2017-01-01

    This report examines the characteristics of state special education voucher programs along with the evidence base on their impact, effectiveness, and quality. The report, which finds that the program characteristics differ considerably across states and that the research is small, dated, and often funded by voucher proponents, identifies major…

  1. A Visual Haptic System for Children with Learning Disabilities: Software and Hardware Design Considerations

    ERIC Educational Resources Information Center

    Subrahmaniyan, Neeraja; Krishnaswamy, Swetha; Chowriappa, Ashirwad; Srimathveeravalli, Govindarajan; Bisantz, Ann; Shriber, Linda; Kesavadas, Thenkurussi

    2012-01-01

    Research has shown that children with learning disabilities exhibit considerable challenges with visual motor integration. While there are specialized Occupational Therapy interventions aimed at visual motor integration, computer games and virtual toys have now become increasingly popular, forming an integral part of children's learning and play.…

  2. Planning Considerations. Sludge Treatment and Disposal Course #166. Instructor's Guide [and] Student Workbook.

    ERIC Educational Resources Information Center

    Carnegie, John W.

    This lesson deals with special considerations that should be made when choosing a sludge solids management program, briefly describing the source of solids in wastewater and why they must be dealt with. The various solids handling processes and ultimate disposal methods are also briefly described, followed by a detailed discussion of the technical…

  3. Appraisal Skills, Health Literacy and the Patient-Provider Relationship: Considerations as the Health Care Consumer Turns to the Internet to Inform their Care.

    PubMed

    O'Dell, Rosann

    2012-01-01

    Health care consumers increasingly obtain health information from the Internet to inform their health care; the health care consumer, who also has the role of patient, maintains the right to access information from sources of their choosing for this purpose. However, noteworthy considerations exist including information appraisal skills, health literacy and the patient-provider relationship. Awareness and education are warranted to assist the health care consumer in achieving proficiency as they turn to the Internet for health information.

  4. 48 CFR 915.404-4-70-5 - Special considerations-contracts with nonprofit organizations (other than educational institutions).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...-4-70-5 Federal Acquisition Regulations System DEPARTMENT OF ENERGY CONTRACTING METHODS AND CONTRACT TYPES CONTRACTING BY NEGOTIATION Contract Pricing 915.404-4-70-5 Special considerations—contracts with...

  5. Conducting Science in Disasters: Recommendations from the NIEHS Working Group for Special IRB Considerations in the Review of Disaster Related Research

    PubMed Central

    Rosselli, Richard T.; Ramsey, Steve K.; Taylor, Holly A.; Fothergill, Alice; Slutsman, Julia; Miller, Aubrey

    2017-01-01

    Summary: Research involving human subjects after public health emergencies and disasters may pose ethical challenges. These challenges may include concerns about the vulnerability of prospective disaster research participants, increased research burden among disaster survivors approached by multiple research teams, and potentially reduced standards in the ethical review of research by institutional review boards (IRBs) due to the rush to enter the disaster field. The NIEHS Best Practices Working Group for Special IRB Considerations in the Review of Disaster Related Research was formed to identify and address ethical and regulatory challenges associated with the review of disaster research. The working group consists of a diverse collection of disaster research stakeholders across a broad spectrum of disciplines. The working group convened in July 2016 to identify recommendations that are instrumental in preparing IRBs to review protocols related to public health emergencies and disasters. The meeting included formative didactic presentations and facilitated breakout discussions using disaster-related case studies. Major thematic elements from these discussions were collected and documented into 15 working group recommendations, summarized in this article, that address topics such as IRB disaster preparedness activities, informed consent, vulnerable populations, confidentiality, participant burden, disaster research response integration and training, IRB roles/responsibilities, community engagement, and dissemination of disaster research results. https://doi.org/10.1289/EHP2378 PMID:28949918

  6. Fighting Segregation in Special Needs Education in the Netherlands: The Effects of Different Funding Models

    ERIC Educational Resources Information Center

    Pijl, Sip Jan

    2016-01-01

    In the past few decades, the number of students attending segregated special schools in the Netherlands has risen considerably. In 1975, 2.2% of all students between 4 and 11 years old attended a special school, and this percentage almost doubled to 4.3% over the next 20 years. In order to stop further growth, two new education policies came into…

  7. Assessment of interpersonal aggression and violence: introduction to the special issue.

    PubMed

    Edens, John F; Douglas, Kevin S

    2006-09-01

    Violence and interpersonal aggression are considered major public health problems throughout the world. Yet there is considerable variability in how these terms are operationalized, measured, and studied in the social sciences, which can lead to ambiguity and confusion in the field. In this introduction to the special issue, the authors highlight some of the difficulties inherent in studying interpersonal aggression and violence and briefly review the heterogeneous nature of the research conducted in this area. The authors conclude with a summary of the key findings of the articles that appear in this special issue.

  8. Unveiling correlations between financial variables and topological metrics of trading networks: Evidence from a stock and its warrant

    NASA Astrophysics Data System (ADS)

    Li, Ming-Xia; Jiang, Zhi-Qiang; Xie, Wen-Jie; Xiong, Xiong; Zhang, Wei; Zhou, Wei-Xing

    2015-02-01

    Traders develop and adopt different trading strategies attempting to maximize their profits in financial markets. These trading strategies not only result in specific topological structures in trading networks, which connect the traders with the pairwise buy-sell relationships, but also have potential impacts on market dynamics. Here, we present a detailed analysis on how the market behaviors are correlated with the structures of traders in trading networks based on audit trail data for the Baosteel stock and its warrant at the transaction level from 22 August 2005 to 23 August 2006. In our investigation, we divide each trade day into 48 rolling time windows with a length of 5 min, construct a trading network within each window, and obtain a time series of over 11,600 trading networks. We find that there are strongly simultaneous correlations between the topological metrics (including network centralization, assortative index, and average path length) of trading networks that characterize the patterns of order execution and the financial variables (including return, volatility, intertrade duration, and trading volume) for the stock and its warrant. Our analysis may shed new lights on how the microscopic interactions between elements within complex system affect the system's performance.

  9. 12 CFR 7.1006 - Loan agreement providing for a share in profits, income, or earnings or for stock warrants.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Loan agreement providing for a share in profits, income, or earnings or for stock warrants. 7.1006 Section 7.1006 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY BANK ACTIVITIES AND OPERATIONS Bank Powers § 7.1006 Loan agreement...

  10. 12 CFR 7.1006 - Loan agreement providing for a share in profits, income, or earnings or for stock warrants.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 1 2011-01-01 2011-01-01 false Loan agreement providing for a share in profits, income, or earnings or for stock warrants. 7.1006 Section 7.1006 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY BANK ACTIVITIES AND OPERATIONS Bank Powers § 7.1006 Loan agreement...

  11. Appraisal Skills, Health Literacy and the Patient-Provider Relationship: Considerations as the Health Care Consumer Turns to the Internet to Inform their Care

    PubMed Central

    O’Dell, Rosann

    2012-01-01

    Health care consumers increasingly obtain health information from the Internet to inform their health care; the health care consumer, who also has the role of patient, maintains the right to access information from sources of their choosing for this purpose. However, noteworthy considerations exist including information appraisal skills, health literacy and the patient-provider relationship. Awareness and education are warranted to assist the health care consumer in achieving proficiency as they turn to the Internet for health information. PMID:23569625

  12. Preparing for the unexpected: special considerations and complications after sugammadex administration.

    PubMed

    Iwasaki, Hajime; Renew, J Ross; Kunisawa, Takayuki; Brull, Sorin J

    2017-10-17

    Sugammadex, a modified gamma-cyclodextrin, has changed clinical practice of neuromuscular reversal dramatically. With the introduction of this selective relaxant binding agent, rapid and reliable neuromuscular reversal from any depth of block became possible. Sugammadex can reverse neuromuscular blockade without the muscarinic side effects typically associated with the administration of acetylcholinesterase inhibitors. However, what remained unchanged is the incidence of residual neuromuscular blockade. It is known that sugammadex cannot always prevent its occurrence, if appropriate dosing is not chosen based on the level of neuromuscular paralysis prior to administration determined by objective neuromuscular monitoring. Alternatively, excessive doses of sugammadex administered in an attempt to ensure full and sustained reversal may affect the effectiveness of rocuronium in case of immediate reoperation or reintubation. In such emergent scenarios that require onset of rapid and reliable neuromuscular blockade, the summary of product characteristics (package insert) recommends using benzylisoquinolinium neuromuscular blocking agents or a depolarizing agent. However, if rapid intubation is required, succinylcholine has a significant number of side effects, and benzylisoquinolinium agents may not have the rapid onset required. Therefore, prior administration of sugammadex introduces a new set of potential problems that require new solutions. This novel reversal agent thus presents new challenges and anesthesiologists must familiarize themselves with specific issues with its use (e.g., bleeding risk, hypermagnesemia, hypothermia). This review will address sugammadex administration in such special clinical situations.

  13. Update on Zika Virus: Considerations for the Traveling Athlete.

    PubMed

    Toresdahl, Brett G; Asif, Irfan M

    2016-09-01

    As public health experts work to contain the outbreak of Zika virus in South America and minimize the devastating prenatal complications, the international sports community prepares for the 2016 Summer Olympic and Paralympic Games in Rio de Janeiro, Brazil. Athletes have publicly expressed concern regarding the health risks of competition in Zika-endemic areas.(33) Ensuring the safety of the athletes during training and competition is the primary role of the team physician. Special consideration is needed for sports teams preparing for travel to areas affected by Zika virus. © 2016 The Author(s).

  14. Special Medicare reimbursement and fraud and abuse considerations for management services organizations, medical foundations, and integrated delivery systems.

    PubMed

    DeMuro, P R; Owens, J F

    1994-01-01

    This chapter discusses certain Medicare reimbursement and fraud and abuse considerations for management services organizations (MSOs), medical foundations, and integrated delivery systems. It stresses the necessity of a business plan, the sources of capitalization that might be used in creating an integrated delivery system, and their effect on Medicare reimbursement. It also discusses related party principles and considerations and the Medicare "incident to" regulations. Furthermore, it discusses the application of certain Medicare safe harbor regulations on MSOs' structures and services, and those of medical foundations and integrated delivery systems.

  15. Introduction to the Special Issue: Interventions to Reduce Challenging Behavior Among Individuals With Autism Spectrum Disorder.

    PubMed

    Davis, Tonya N; Rispoli, Mandy

    2018-05-01

    The prevalence of autism spectrum disorder (ASD) is on the rise. In addition to the social communication skill deficits and restrictive repetitive behaviors and interests, many individuals with ASD engage in challenging behavior. Challenging behavior is associated with a multitude of negative outcomes. Challenging behavior may cause harm to the individual with ASD as well as limit opportunities for educational, vocational, and social participation and development. In addition, caregivers experience high stress and low quality of mental health. As a result, challenging behavior warrants intervention that is specifically tailored to the unique characteristics of individuals with ASD. The purpose of this Special Issue is to showcase recent research in the treatment of challenging behavior for individuals with ASD. This two-part Special Issue contains 12 studies that range from systematic and quality reviews of the intervention literature, to innovative treatment approaches, to studies that develop and evaluate treatments for restrictive and repetitive behaviors and interests.

  16. Research Ethics in Behavioral Interventions Among Special Populations: Lessons From the Peer Approaches to Lupus Self-Management Study.

    PubMed

    Faith, Trevor D; Egede, Leonard; Williams, Edith M

    2018-02-01

    Research involving a homogenous cohort of participants belonging to a special population must make considerations to recruit and protect the subjects. This study analyses the ethical considerations made in the peer approaches to lupus self-management project which pilot tested a peer mentoring intervention for African American women with systemic lupus erythematosus. Considerations made at the outset of the project are described and their justifications and reasoning are given. Through analysis of feedback from a postintervention focus group and mentors' logs, implications on program outcomes and participant satisfaction are discussed. Feedback indicated the importance of recruiting and training capable mentors, consistent contact from study staff to avert adverse events and avert fear or mistrust and careful consideration that must go into the pairing of mentors and mentees. Participant feedback also indicated that sensitive topics must be addressed carefully to prevent distress and dissatisfaction. Applying the lessons learned from this work as well as the considerations that proved successful may improve the contextualization and ethical conduct of behavioral interventions in special populations resulting in improved tailoring and acceptability toward historically underserved individuals. Published by Elsevier Inc.

  17. Timescales alter the inferred strength and temporal consistency of intraspecific diet specialization

    USGS Publications Warehouse

    Novak, Mark; Tinker, M. Tim

    2015-01-01

    Many populations consist of individuals that differ substantially in their diets. Quantification of the magnitude and temporal consistency of such intraspecific diet variation is needed to understand its importance, but the extent to which different approaches for doing so reflect instantaneous vs. time-aggregated measures of individual diets may bias inferences. We used direct observations of sea otter individuals (Enhydra lutris nereis) to assess how: (1) the timescale of sampling, (2) under-sampling, and (3) the incidence- vs. frequency-based consideration of prey species affect the inferred strength and consistency of intraspecific diet variation. Analyses of feeding observations aggregated over hourly to annual intervals revealed a substantial bias associated with time aggregation that decreases the inferred magnitude of specialization and increases the inferred consistency of individuals’ diets. Time aggregation also made estimates of specialization more sensitive to the consideration of prey frequency, which decreased estimates relative to the use of prey incidence; time aggregation did not affect the extent to which under-sampling contributed to its overestimation. Our analyses demonstrate the importance of studying intraspecific diet variation with an explicit consideration of time and thereby suggest guidelines for future empirical efforts. Failure to consider time will likely produce inconsistent predictions regarding the effects of intraspecific variation on predator–prey interactions.

  18. A Study of Self-Perceived Transformational Leadership Behaviors of Special Education Directors

    ERIC Educational Resources Information Center

    Williams, Kristen E.

    2014-01-01

    The special education director is responsible for a myriad of responsibilities related to the education of students with disabilities. Little is known about the leadership behaviors associated with this position. Considerable research has been done to document the many benefits of transformational leadership behaviors on organizational climate and…

  19. Preferences of Young Adults With First-Episode Psychosis for Receiving Specialized Mental Health Services Using Technology: A Survey Study.

    PubMed

    Lal, Shalini; Dell'Elce, Jennifer; Tucci, Natasha; Fuhrer, Rebecca; Tamblyn, Robyn; Malla, Ashok

    2015-01-01

    information online (eg, text, video, visual graphics). Young people diagnosed with FEP express interest in using the Internet, social media, and mobile technologies for receiving mental health-related services. Increasing the awareness of young people in relation to various forms of technology-enabled mental health care warrants further attention. A consideration for future research is to obtain more in-depth knowledge on young people's perspectives, which can help improve the design, development, and implementation of integrated technological health innovations within the delivery of specialized mental health care.

  20. Special Considerations for Using Functional Behavior Assessment and Functionally-Indicated Interventions with Students in Alternative Educational Settings

    ERIC Educational Resources Information Center

    Ennis, Robin Parks; Jolivette, Kristine; Swoszowski, Nicole Cain

    2017-01-01

    Functional behavior assessment (FBA) is the process of collecting data to determine the function of an individual's behavior to develop a functionally-indicated behavioral intervention (BIP). Special adaptations may be needed to conduct FBA and implement BIPs in alternative educational settings. In this article, we highlight suggestions for…

  1. A New Challenge for Special Education Teacher Training in Turkey: The Newest and Applied Master's Degree Program's Effects

    ERIC Educational Resources Information Center

    Sari, Hakan; Er, Rukiye Konuk

    2016-01-01

    After the new education reform made in Turkey in 2012 under the leadership of the Minister of National Education Prof. Dr. Omer DINCER, considerable steps have been taken in training teachers who will work in the field of special education. According to Sari (2013), it is known that 48% of approximately 5580 teachers in 2468 special education…

  2. 41 CFR 302-9.171 - If circumstances warrant an authorization to transport a POV to my post of duty after my...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Federal Travel Regulation System RELOCATION ALLOWANCES TRANSPORTATION AND STORAGE OF PROPERTY 9-ALLOWANCES... Transportation Subsequent to the Time of Assignment § 302-9.171 If circumstances warrant an authorization to... signed at the time of your assignment to the post of duty. Violation of that service agreement, however...

  3. 41 CFR 302-9.171 - If circumstances warrant an authorization to transport a POV to my post of duty after my...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Federal Travel Regulation System RELOCATION ALLOWANCES TRANSPORTATION AND STORAGE OF PROPERTY 9-ALLOWANCES... Transportation Subsequent to the Time of Assignment § 302-9.171 If circumstances warrant an authorization to... signed at the time of your assignment to the post of duty. Violation of that service agreement, however...

  4. 41 CFR 302-9.171 - If circumstances warrant an authorization to transport a POV to my post of duty after my...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Federal Travel Regulation System RELOCATION ALLOWANCES TRANSPORTATION AND STORAGE OF PROPERTY 9-ALLOWANCES... Transportation Subsequent to the Time of Assignment § 302-9.171 If circumstances warrant an authorization to... signed at the time of your assignment to the post of duty. Violation of that service agreement, however...

  5. 41 CFR 302-9.171 - If circumstances warrant an authorization to transport a POV to my post of duty after my...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Federal Travel Regulation System RELOCATION ALLOWANCES TRANSPORTATION AND STORAGE OF PROPERTY 9-ALLOWANCES... Transportation Subsequent to the Time of Assignment § 302-9.171 If circumstances warrant an authorization to... signed at the time of your assignment to the post of duty. Violation of that service agreement, however...

  6. 41 CFR 302-9.171 - If circumstances warrant an authorization to transport a POV to my post of duty after my...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Federal Travel Regulation System RELOCATION ALLOWANCES TRANSPORTATION AND STORAGE OF PROPERTY 9-ALLOWANCES... Transportation Subsequent to the Time of Assignment § 302-9.171 If circumstances warrant an authorization to... signed at the time of your assignment to the post of duty. Violation of that service agreement, however...

  7. Influencing the Future: Special Considerations for IPY Education and Outreach

    NASA Astrophysics Data System (ADS)

    Beitler, J.

    2004-12-01

    The International Geophysical Year (IGY) of 1957-1958 created a valuable legacy, by not only advancing the sciences involved, but by also stimulating interest in and support for science, and by inspiring many to enter science careers. Successful education and outreach efforts in conjunction with IGY transmitted this energy to the public and helped researchers to create this legacy. The International Polar Year (IPY) for 2007-2008 again holds promise to generate new scientific insights and leave a similar legacy -- if the sciences are once again successful in connecting with the public. Despite the fine example of the IGY of 1958 -1959, the way forward for meaningful education and outreach for IPY isn't entirely clear. Every element affecting science education and outreach today is considerably more complex, and the distinct challenges and opportunities of today may not always be addressed by simply extending what has been helpful in the past. Whether a large research group or an individual researcher, whether working with a dedicated outreach staff or conducting outreach more informally, whether already operating successful outreach programs or starting from scratch, any project intending an education and outreach effort will significantly increase its relevance and effectiveness by taking pause to formulate specific goals and objectives for IPY. Such thinking shouldn't be entirely delegated to non-researchers. The engagement of the scientists themselves in setting objectives for education and outreach will provide the strongest outcome. This discussion analyzes the communication setting for IPY as it affects outreach and education efforts, and proposes a model for discussing and formulating outreach and education objectives. It poses the key questions that should be asked and answered in order to ensure that researchers take full advantage of education and outreach opportunities with IPY, whatever the scope of their efforts. Education and outreach programs that

  8. Assessment of the Warrant Officer Technical and Tactical Certification Course (WOTTC)

    DTIC Science & Technology

    2009-06-01

    training and deployment as part of an operational detachment. In addition, SF candidates who attended the WOCS tended to be older, more experienced...and able to demonstrate higher levels of task and skill proficiency than Soldiers from other MOSs. Leaders at the U.S. Army Special Operations ...deployment as part of an operational detachment. In addition, SF candidates who attended the WOCS tended to be older, more experienced, and able to

  9. Added Qualifications in Microsurgery: Consideration for Subspecialty Certification in Microvascular Surgery in Europe.

    PubMed

    Heidekrueger, Paul I; Tanna, Neil; Weichman, Katie E; Szpalski, Caroline; Tos, Pierluigi; Ninkovic, Milomir; Broer, P Niclas

    2016-07-01

    Background While implementation of subspecializations may increase expertise in a certain area of treatment, there also exist downsides. Aim of this study was, across several disciplines, to find out if the technique of microsurgery warrants the introduction of a "Certificate of Added Qualifications (CAQ) in microsurgery." Methods An anonymous, web-based survey was administered to directors of microsurgical departments in Europe (n = 205). Respondents were asked, among other questions, whether they had completed a 12-month microvascular surgery fellowship and whether they believed a CAQ in microvascular surgery should be instituted. Results The response rate was 57%, and 33% of the respondents had completed a 12-month microvascular surgery fellowship.A total of 61% of all surgeons supported a CAQ in microsurgery. Answers ranged from 47% of support to 100% of support, depending on the countries surveyed. Discussion This is one of the few reports to evaluate the potential role of subspecialty certification of microvascular surgery across several European countries. The data demonstrate that the majority of directors of microsurgical departments support such a certificate. There was significantly greater support for a CAQ in microsurgery among those who have completed a formal microvascular surgery fellowship themselves. Conclusion This study supports the notion that further discussion and consideration of subspecialty certification in microvascular surgery appears necessary. There are multiple concerns surrounding this issue. Similar to the evolution of hand surgery certification, an exploratory committee of executive members of the respective medical boards and official societies may be warranted. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  10. Who Will Put Humpty Together Again? Professional Liability under Canadian and Ontario Special Law.

    ERIC Educational Resources Information Center

    Wilson, Anne Keeton; Usher, Leila

    1985-01-01

    The authors question whether mandatory special education in Ontario is likely to result in increased litigation against school boards. Two areas of educational litigation, negligence claims and appeal hearings, are examined taking into consideration cases from Canada and the United States. (Author)

  11. Revisiting Mitochondrial pH with an Improved Algorithm for Calibration of the Ratiometric 5(6)-carboxy-SNARF-1 Probe Reveals Anticooperative Reaction with H+ Ions and Warrants Further Studies of Organellar pH

    PubMed Central

    Żurawik, Tomasz Michał; Pomorski, Adam; Belczyk-Ciesielska, Agnieszka; Goch, Grażyna; Niedźwiedzka, Katarzyna; Kucharczyk, Róża; Krężel, Artur; Bal, Wojciech

    2016-01-01

    Fluorescence measurements of pH and other analytes in the cell rely on accurate calibrations, but these have routinely used algorithms that inadequately describe the properties of indicators. Here, we have established a more accurate method for calibrating and analyzing data obtained using the ratiometric probe 5(6)-carboxy-SNARF-1. We tested the implications of novel approach to measurements of pH in yeast mitochondria, a compartment containing a small number of free H+ ions. Our findings demonstrate that 5(6)-carboxy-SNARF-1 interacts with H+ ions inside the mitochondria in an anticooperative manner (Hill coefficient n of 0.5) and the apparent pH inside the mitochondria is ~0.5 unit lower than had been generally assumed. This result, at odds with the current consensus on the mechanism of energy generation in the mitochondria, is in better agreement with theoretical considerations and warrants further studies of organellar pH. PMID:27557123

  12. Introduction to special issue: moving forward in pediatric neuropsychology.

    PubMed

    Daly, Brian P; Giovannetti, Tania; Zabel, T Andrew; Chute, Douglas L

    2011-08-01

    This special issue of The Clinical Neuropsychologist focuses on advances in the emerging subspecialty of pediatric neuropsychology. The national and international contributions in this issue cover a range of key clinical, research, training, and professional issues specific to pediatric neuropsychology. The genesis for this project developed out of a series of talks at the Philadelphia Pediatric Neuropsychology Symposium in 2010, hosted by the Stein Family Fellow, the Department of Psychology of the College of Arts and Sciences at Drexel University, and the Philadelphia Neuropsychology Society. Articles that explore clinical practice issue focus on the assessment of special medical populations with congenital and/or acquired central nervous system insults. Research articles investigate the core features of developmental conditions, the use of technology in neuropsychological research studies, and large sample size genomic, neuropsychological, and imaging studies of under-represented populations. The final series of articles examine new considerations in training, advocacy, and subspecialty board certification that have emerged in pediatric neuropsychology. This introductory article provides an overview of the articles in this special issue and concluding thoughts about the future of pediatric neuropsychology.

  13. 3D refractive index measurements of special optical fibers

    NASA Astrophysics Data System (ADS)

    Yan, Cheng; Huang, Su-Juan; Miao, Zhuang; Chang, Zheng; Zeng, Jun-Zhang; Wang, Ting-Yun

    2016-09-01

    A digital holographic microscopic chromatography-based approach with considerably improved accuracy, simplified configuration and performance stability is proposed to measure three dimensional refractive index of special optical fibers. Based on the approach, a measurement system is established incorporating a modified Mach-Zehnder interferometer and lab-developed supporting software for data processing. In the system, a phase projection distribution of an optical fiber is utilized to obtain an optimal digital hologram recorded by a CCD, and then an angular spectrum theory-based algorithm is adopted to extract the phase distribution information of an object wave. The rotation of the optic fiber enables the experimental measurements of multi-angle phase information. Based on the filtered back projection algorithm, a 3D refraction index of the optical fiber is thus obtained at high accuracy. To evaluate the proposed approach, both PANDA fibers and special elliptical optical fiber are considered in the system. The results measured in PANDA fibers agree well with those measured using S14 Refractive Index Profiler, which is, however, not suitable for measuring the property of a special elliptical fiber.

  14. Considerations in development of expert systems for real-time space applications

    NASA Technical Reports Server (NTRS)

    Murugesan, S.

    1988-01-01

    Over the years, demand on space systems has increased tremendously and this trend will continue for the near future. Enhanced capabilities of space systems, however, can only be met with increased complexity and sophistication of onboard and ground systems. Artificial Intelligence and expert system techniques have great potential in space applications. Expert systems could facilitate autonomous decision making, improve in-orbit fault diagnosis and repair, enhance performance and reduce reliance on ground support. However, real-time expert systems, unlike conventional off-line consultative systems, have to satisfy certain special stringent requirements before they could be used for onboard space applications. Challenging and interesting new environments are faced while developing expert system space applications. This paper discusses the special characteristics, requirements and typical life cycle issues for onboard expert systems. Further, it also describes considerations in design, development, and implementation which are particularly important to real-time expert systems for space applications.

  15. Forest Service special agents, assistant special agents in charge, senior special agents, and supervisory special agents report: nationwide study

    Treesearch

    Deborah J. Chavez; Joanne F. Tynon

    2007-01-01

    This is the fourth in a series of studies to evaluate perceptions of U.S. Department of Agriculture Forest Service law enforcement personnel of the roles, responsibilities, and issues related to their jobs. An e-mail survey was administered to the 89 Forest Service special agents, assistant special agents in charge, senior special agents, and supervisory special agents...

  16. Satellite sound broadcasting system study: Mobile considerations

    NASA Technical Reports Server (NTRS)

    Golshan, Nasser

    1990-01-01

    Discussed here is the mobile reception part of a study to investigate a satellite sound broadcast system in the UHF or L bands. Existing propagation and reception measurements are used with proper interpretation to evaluate the signaling, coding, and diversity alternatives suitable for the system. Signal attenuation in streets shadowed by buildings appear to be around 29 db, considerably higher than the 10 db adopted by CCIR. With the marriage of proper technologies, an LMSS class satellite can provide substantial direct satellite audio broadcast capability in UHF or L bands for high quality mobile and portable indoor reception by low cost radio receivers. This scheme requires terrestrial repeaters for satisfactory mobile reception in urban areas. A specialized bandwidth efficient spread spectrum signalling technique is particularly suitable for the terrestrial repeaters.

  17. Toward a universal antiretroviral regimen: special considerations of pregnancy and breast feeding.

    PubMed

    Slogrove, Amy L; Clayden, Polly; Abrams, Elaine J

    2017-07-01

    As optimized antiretroviral therapy (ART) regimens are prepared for introduction in low-income and middle-income countries (LMIC), we consider the current evidence related to dosing, efficacy and safety during pregnancy and breastfeeding of next-generation first-line and second-line ART regimens proposed for imminent introduction in the global marketplace. Pregnancy pharmacokinetic considerations include potentially insufficient efavirenz exposure if dosed at 400 mg/day, the need for twice daily darunavir dosing and the paucity of data related to tenofovir alafenamide and dolutegravir dosing, safety and efficacy. Increasingly evidence suggests an association with adverse birth outcomes, particularly in women conceiving on ART, and with varying risk by drug and drug combination. Clinical trials and studies are in progress or planned that aim to determine dosing, safety and efficacy of several new antiretrovirals (ARVs). Having a universal, highly potent and safe ART regimen for all individuals living with HIV in LMIC including pregnant women is clearly the most beneficial strategy to keep mothers alive and healthy and to prevent transmission of HIV to their children. It will have to be determined whether the use of this next generation of optimized ARVs will also optimize health outcomes of pregnant women and their children.

  18. Drug samples in dermatology: special considerations and recommendations for the future.

    PubMed

    Alikhan, Ali; Sockolov, Mary; Brodell, Robert T; Feldman, Steven R

    2010-06-01

    The use of drug samples is a controversial issue in medicine. We sought to determine the pros and cons of drug sampling, and how drug sampling in general medicine differs from dermatology. Literature searches were conducted on PubMed, Google, and Yahoo!. Articles were found pertaining to drug sampling in general, and for dermatology specifically. Numerous pros and cons for drug sampling were found in the literature search. We divided these by cost-related issues, such as the industry-wide cost of sampling and the use of sampling to assist the underinsured and poor, and quality of care issues, such as adherence, patient education, and safety considerations. Articles also suggested that dermatology may differ from general medicine as topical treatments have fewer side effects, are more complicated to use, and come in different vehicles. We identified few studies specifically focused on issues relevant to sampling in dermatology. There are strong arguments for and against drug sampling involving both cost and quality of care issues. Dermatology-specific medications clearly differ from oral medications in several regards. We ultimately conclude that the benefits of drug sampling outweigh the risks, but give recommendations on how drug sampling can be done ethically and effectively, including limiting personal use, not selling samples, properly documenting sample release, teaching patients about proper use, teaching students and residents ethical use of samples, working with pharmaceutical representatives in an ethical manner, prescribing the drug that is best for the patient, and securing samples appropriately to prevent theft and misuse. Copyright 2010 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

  19. A new analysis of Mars "Special Regions": findings of the Second MEPAG Special Regions Science Analysis Group (SR-SAG2)

    USGS Publications Warehouse

    Rummel, John D.; Beaty, David W.; Jones, Melissa A.; Bakermans, Corien; Barlow, Nadine G.; Boston, Penelope J.; Chevrier, Vincent F.; Clark, Benton C.; de Vera, Jean-Pierre P.; Gough, Raina V.; Hallsworth, John E.; Head, James W.; Hipkin, Victoria J.; Kieft, Thomas L.; McEwen, Alfred S.; Mellon, Michael T.; Mikucki, Jill A.; Nicholson, Wayne L.; Omelon, Christopher R.; Peterson, Ronald; Roden, Eric E.; Lollar, Barbara Sherwood; Tanaka, Kenneth L.; Viola, Donna; Wray, James J.

    2014-01-01

    A committee of the Mars Exploration Program Analysis Group (MEPAG) has reviewed and updated the description of Special Regions on Mars as places where terrestrial organisms might replicate (per the COSPAR Planetary Protection Policy). This review and update was conducted by an international team (SR-SAG2) drawn from both the biological science and Mars exploration communities, focused on understanding when and where Special Regions could occur. The study applied recently available data about martian environments and about terrestrial organisms, building on a previous analysis of Mars Special Regions (2006) undertaken by a similar team. Since then, a new body of highly relevant information has been generated from the Mars Reconnaissance Orbiter (launched in 2005) and Phoenix (2007) and data from Mars Express and the twin Mars Exploration Rovers (all 2003). Results have also been gleaned from the Mars Science Laboratory (launched in 2011). In addition to Mars data, there is a considerable body of new data regarding the known environmental limits to life on Earth—including the potential for terrestrial microbial life to survive and replicate under martian environmental conditions. The SR-SAG2 analysis has included an examination of new Mars models relevant to natural environmental variation in water activity and temperature; a review and reconsideration of the current parameters used to define Special Regions; and updated maps and descriptions of the martian environments recommended for treatment as "Uncertain" or "Special" as natural features or those potentially formed by the influence of future landed spacecraft. Significant changes in our knowledge of the capabilities of terrestrial organisms and the existence of possibly habitable martian environments have led to a new appreciation of where Mars Special Regions may be identified and protected. The SR-SAG also considered the impact of Special Regions on potential future human missions to Mars, both as locations

  20. A new analysis of Mars "Special Regions": findings of the second MEPAG Special Regions Science Analysis Group (SR-SAG2).

    PubMed

    Rummel, John D; Beaty, David W; Jones, Melissa A; Bakermans, Corien; Barlow, Nadine G; Boston, Penelope J; Chevrier, Vincent F; Clark, Benton C; de Vera, Jean-Pierre P; Gough, Raina V; Hallsworth, John E; Head, James W; Hipkin, Victoria J; Kieft, Thomas L; McEwen, Alfred S; Mellon, Michael T; Mikucki, Jill A; Nicholson, Wayne L; Omelon, Christopher R; Peterson, Ronald; Roden, Eric E; Sherwood Lollar, Barbara; Tanaka, Kenneth L; Viola, Donna; Wray, James J

    2014-11-01

    A committee of the Mars Exploration Program Analysis Group (MEPAG) has reviewed and updated the description of Special Regions on Mars as places where terrestrial organisms might replicate (per the COSPAR Planetary Protection Policy). This review and update was conducted by an international team (SR-SAG2) drawn from both the biological science and Mars exploration communities, focused on understanding when and where Special Regions could occur. The study applied recently available data about martian environments and about terrestrial organisms, building on a previous analysis of Mars Special Regions (2006) undertaken by a similar team. Since then, a new body of highly relevant information has been generated from the Mars Reconnaissance Orbiter (launched in 2005) and Phoenix (2007) and data from Mars Express and the twin Mars Exploration Rovers (all 2003). Results have also been gleaned from the Mars Science Laboratory (launched in 2011). In addition to Mars data, there is a considerable body of new data regarding the known environmental limits to life on Earth-including the potential for terrestrial microbial life to survive and replicate under martian environmental conditions. The SR-SAG2 analysis has included an examination of new Mars models relevant to natural environmental variation in water activity and temperature; a review and reconsideration of the current parameters used to define Special Regions; and updated maps and descriptions of the martian environments recommended for treatment as "Uncertain" or "Special" as natural features or those potentially formed by the influence of future landed spacecraft. Significant changes in our knowledge of the capabilities of terrestrial organisms and the existence of possibly habitable martian environments have led to a new appreciation of where Mars Special Regions may be identified and protected. The SR-SAG also considered the impact of Special Regions on potential future human missions to Mars, both as locations of

  1. Designing drug regimens for special intensive care unit populations

    PubMed Central

    Erstad, Brian L

    2015-01-01

    This review is intended to help clinicians design drug regimens for special populations of critically ill patients with extremes of body size, habitus and composition that make drug choice or dosing particularly challenging due to the lack of high-level evidence on which to make well-informed clinical decisions. The data sources included a literature search of MEDLINE and EMBASE with reviews of reference lists of retrieved articles. Abstracts of original research investigations and review papers were reviewed for their relevance to drug choice or dosing in the following special critically ill populations: patients with more severe forms of bodyweight or height, patients with amputations or missing limbs, pregnant patients, and patients undergoing extracorporeal membrane oxygenation or plasma exchange. Relevant papers were retrieved and evaluated, and their associated reference lists were reviewed for citations that may have been missed through the electronic search strategy. Relevant original research investigations and review papers that could be used to formulate general principles for drug choice or dosing in special populations of critically ill patients were extracted. Randomized studies with clinically relevant endpoints were not available for performing quantitative analyses. Critically ill patients with changes in body size, habitus and composition require special consideration when designing medication regimens, but there is a paucity of literature on which to make drug-specific, high-level evidence-based recommendations. Based on the evidence that is available, general recommendations are provided for drug choice or dosing in special critically ill populations. PMID:25938029

  2. A randomized trial of specialized versus standard neck physiotherapy in cervical dystonia.

    PubMed

    Counsell, Carl; Sinclair, Hazel; Fowlie, Jillian; Tyrrell, Elaine; Derry, Natalie; Meager, Peter; Norrie, John; Grosset, Donald

    2016-02-01

    Anecdotal reports suggested that a specialized physiotherapy technique developed in France (the Bleton technique) improved primary cervical dystonia. We evaluated the technique in a randomized trial. A parallel-group, single-blind, two-centre randomized trial compared the specialized outpatient physiotherapy programme given by trained physiotherapists up to once a week for 24 weeks with standard physiotherapy advice for neck problems. Randomization was by a central telephone service. The primary outcome was the change in the total Toronto Western Spasmodic Torticollis Rating (TWSTR) scale, measured before any botulinum injections that were due, between baseline and 24 weeks evaluated by a clinician masked to treatment. Analysis was by intention-to-treat. 110 patients were randomized (55 in each group) with 24 week outcomes available for 84. Most (92%) were receiving botulinum toxin injections. Physiotherapy adherence was good. There was no difference between the groups in the change in TWSTR score over 24 weeks (mean adjusted difference 1.44 [95% CI -3.63, 6.51]) or 52 weeks (mean adjusted difference 2.47 [-2.72, 7.65]) nor in any of the secondary outcome measures (Cervical Dystonia Impact Profile-58, clinician and patient-rated global impression of change, mean botulinum toxin dose). Both groups showed large sustained improvements compared to baseline in the TWSTR, most of which occurred in the first four weeks. There were no major adverse events. Subgroup analysis suggested a centre effect. There was no statistically or clinically significant benefit from the specialized physiotherapy compared to standard neck physiotherapy advice but further trials are warranted. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Bridging Body and Mind: Considerations for Trauma-Informed Yoga.

    PubMed

    Justice, Lauren; Brems, Christiane; Ehlers, Karrie

    2018-02-08

    Individuals who suffer from trauma-related symptoms are a unique population that could benefit from the mind-body practice of yoga-or have their symptoms reactivated by it, depending on the type of yoga. Trauma-informed yoga (TIY), that is, yoga adapted to the unique needs of individuals working to overcome trauma, may ameliorate symptoms by creating a safe, tailored practice for students to learn how to respond, rather than react, to symptoms and circumstances. Yoga not thus adapted, on the other hand, may increase reactivity and activate symptoms such as hyperarousal or dissociation. This article reports on expert input about adapting yoga for individuals with trauma, with special considerations for military populations. Eleven experts, recruited based on literature review and referrals, were interviewed in person or via telephone and asked seven questions about trauma-informed yoga. Verbatim transcripts were subjected to open-coding thematic analysis and a priori themes. Findings revealed that TIY needs to emphasize beneficial practices (e.g., diaphragmatic breath and restorative postures), consider contraindications (e.g., avoiding sequences that overly engage the sympathetic nervous system), adapt to limitations and challenges for teaching in unconventional settings (e.g., prisons, VA hospitals), and provide specialized training and preparation (e.g., specialized TIY certifications, self-care of instructors/therapists, adaptions for student needs). TIY for veterans must additionally consider gender- and culture-related barriers, differing relationships to pain and injury, and medication as a barrier to practice.

  4. The students' interest for 2012 and 2013 cohort in construction engineering vocational education program Universitas Negeri Semarang in choosing the subject specialization

    NASA Astrophysics Data System (ADS)

    Julianto, Eko Nugroho; Salamah, Ummu

    2017-03-01

    On the 2012 curriculum, Vocational Education Program Universitas Negeri Semarang allowed the students to choose subjects for their specialization according to their ability. The subject specialization was given at the 6th semester to provide students in performing field work experience. Each course has its own enthusiasts specialization, students have certain considerations in selecting the course. The consideration of each of them is different from one another because they have their own talents, interests, aspirations and perceptions or a different view in assessing a subject specialization offered by Construction Engineering Vocational Education Program. The purpose of this study was to determine the amount of interest caused by intrinsic and extrinsic factors on 2012 and 2013 students' cohort in selecting subjects of specialization. This research is descriptive with quantitative approach, which is carried out to determine the magnitude of the interest students in choosing courses of specialization. Research conducted at the Civil Engineering Department Universitas Negeri Semarang, with research subjects that students PTB forces in 2012 and 2013, with a total sample of 87 students. The results showed that the interest of the student of 2012 and 2013 in selecting subjects of specialization is equal to 68.06% with the criteria are interested in contributions from intrinsic factors indicate the yield at 35.48% and 64.52% extrinsic factors.

  5. A cost-benefit analysis on the specialization in departments of obstetrics and gynecology in Japan.

    PubMed

    Shen, Junyi; Fukui, On; Hashimoto, Hiroyuki; Nakashima, Takako; Kimura, Tadashi; Morishige, Kenichiro; Saijo, Tatsuyoshi

    2012-03-27

    In April 2008, the specialization in departments of obstetrics and gynecology was conducted in Sennan area of Osaka prefecture in Japan, which aims at solving the problems of regional provision of obstetrical service. Under this specialization, the departments of obstetrics and gynecology in two city hospitals were combined as one medical center, whilst one hospital is in charge of the department of gynecology and the other one operates the department of obstetrics. In this paper, we implement a cost-benefit analysis to evaluate the validity of this specialization. The benefit-cost ratio is estimated at 1.367 under a basic scenario, indicating that the specialization can generate a net benefit. In addition, with a consideration of different kinds of uncertainty in the future, a number of sensitivity analyses are conducted. The results of these sensitivity analyses suggest that the specialization is valid in the sense that all the estimated benefit-cost ratios are above 1.0 in any case.

  6. Practical guidance and considerations for transitioning patients from oxcarbazepine or carbamazepine to eslicarbazepine acetate--Expert opinion.

    PubMed

    Peltola, Jukka; Holtkamp, Martin; Rocamora, Rodrigo; Ryvlin, Philippe; Sieradzan, Kasia; Villanueva, Vicente

    2015-09-01

    There is currently a lack of guidance on methodology and special considerations for transitioning patients from oxcarbazepine (OXC) or carbamazepine (CBZ) to eslicarbazepine acetate (ESL), if deemed clinically necessary. An advisory panel of epilepsy experts was convened to share their experience on the use of adjunctive ESL in clinical practice and to provide practical recommendations to help address this gap. When changing over from OXC to ESL, an OXC:ESL dose ratio of 1:1 should be employed to calculate the ESL target dose, and the changeover can take place overnight. No changes to comedication are required. Since CBZ has a different mechanism of action to ESL and is a stronger inducer of cytochrome P450 (CYP) enzymes, the transitioning of patients from CBZ to ESL requires careful consideration on a patient-by-patient basis. In general, a CBZ:ESL dose ratio of 1:1.3 should be employed to calculate the ESL target dose, and patients should be transitioned over a minimum period of 1-2weeks. Special considerations include adjustment of titration schedule and target dose in elderly patients and those with hepatic or renal impairment and potential adjustment of comedications metabolized by CYP enzymes. In summary, due to structural distinctions between ESL, OXC, and CBZ, which affect mechanism of action and tolerability, there are clinical situations in which it may be appropriate to consider transitioning patients from OXC or CBZ to ESL. Changing patients over from OXC to ESL is generally more straightforward than transitioning patients from CBZ to ESL, which requires careful consideration. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Crew considerations in the design for Space Station Freedom modules on-orbit maintenance

    NASA Technical Reports Server (NTRS)

    Stokes, Jack W.; Williams, Katherine A.

    1992-01-01

    The paper presents an approach to the maintenance process currently planned for the Space Station Freedom modules. In particular, it describes the planned crew interfaces with maintenance items, and the anticipated implications for the crew in performing the interior and exterior maintenance of modules developed by U.S., ESA, and NASDA. Special consideration is given to the maintenance requirements, allocations, and approach; the maintenance design; the Maintenance Workstation; the robotic mechanisms; and the developemnt of maintenance techniques.

  8. Considerations for blending data from various sensors

    USGS Publications Warehouse

    Bauer, Brian P.; Barringer, Anthony R.

    1980-01-01

    A project is being proposed at the EROS Data Center to blend the information from sensors aboard various satellites. The problems of, and considerations for, blending data from several satellite-borne sensors are discussed. System descriptions of the sensors aboard the HCMM, TIROS-N, GOES-D, Landsat 3, Landsat D, Seasat, SPOT, Stereosat, and NOSS satellites, and the quantity, quality, image dimensions, and availability of these data are summaries to define attributes of a multi-sensor satellite data base. Unique configurations of equipment, storage, media, and specialized hardware to meet the data system requirement are described as well as archival media and improved sensors that will be on-line within the next 5 years. Definitions and rigor required for blending various sensor data are given. Problems of merging data from the same sensor (intrasensor comparison) and from different sensors (intersensor comparison), the characteristics and advantages of cross-calibration of data, and integration of data into a product matrix field are addressed. Data processing considerations as affected by formation, resolution, and problems of merging large data sets, and organization of data bases for blending data are presented. Examples utilizing GOES and Landsat data are presented to demonstrate techniques of data blending, and recommendations for future implementation of a set of standard scenes and their characteristics necessary for optimal data blending are discussed.

  9. Is an aggressive surgical approach to the patient with gastric lymphoma warranted?

    PubMed Central

    Rosen, C B; van Heerden, J A; Martin, J K; Wold, L E; Ilstrup, D M

    1987-01-01

    At the Mayo Clinic, from 1970 through 1979, 84 patients (52 males and 32 females) had abdominal exploration for primary gastric lymphoma. All patients were observed a minimum of 5 years or until death. The histologic findings for all 84 patients were reviewed. Forty-four patients had "curative resection," and 40 patients had either biopsy alone or a palliative procedure. The probability of surviving 5 years was 75% for patients after potentially curative resection and 32% for patients after biopsy and palliation (p less than 0.001). The operative mortality rate was 5% overall and 2% after potentially curative resection. Increased tumor size (p less than 0.02), increased tumor penetration (p less than 0.01), and lymph node involvement (p less than 0.02) decreased the probability of survival, whereas histologic classification did not affect survival. Radiation therapy after surgery did not significantly affect the survival rate for the entire group or the survival rate for patients who had potentially curative resection. Resectability was associated with increased patient survival--independent of other prognostic factors--when our experience was analyzed by the Cox proportional-hazards model (p less than 0.005). It was concluded that an aggressive surgical attitude in the treatment of primary gastric lymphoma is warranted. The role of radiotherapy remains in question. PMID:3592805

  10. 26 CFR 1.988-1 - Certain definitions and special rules.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  11. Considerations for multiple hypothesis correlation on tactical platforms

    NASA Astrophysics Data System (ADS)

    Thomas, Alan M.; Turpen, James E.

    2013-05-01

    Tactical platforms benefit greatly from the fusion of tracks from multiple sources in terms of increased situation awareness. As a necessary precursor to this track fusion, track-to-track association, or correlation, must first be performed. The related measurement-to-track fusion problem has been well studied with multiple hypothesis tracking and multiple frame assignment methods showing the most success. The track-to-track problem differs from this one in that measurements themselves are not available but rather track state update reports from the measuring sensors. Multiple hypothesis, multiple frame correlation systems have previously been considered; however, their practical implementation under the constraints imposed by tactical platforms is daunting. The situation is further exacerbated by the inconvenient nature of reports from legacy sensor systems on bandwidth- limited communications networks. In this paper, consideration is given to the special difficulties encountered when attempting the correlation of tracks from legacy sensors on tactical aircraft. Those difficulties include the following: covariance information from reporting sensors is frequently absent or incomplete; system latencies can create temporal uncertainty in data; and computational processing is severely limited by hardware and architecture. Moreover, consideration is given to practical solutions for dealing with these problems in a multiple hypothesis correlator.

  12. Specialization in and within sexual offending in England and Wales.

    PubMed

    Howard, Philip D; Barnett, Georgia D; Mann, Ruth E

    2014-06-01

    Existing evidence suggests that offenders tend not to specialize in sexual offending in general but that there is some specialization in particular types of sexual offending. This study examined the sexual histories and reoffending of a large, national data set of offenders convicted of a sexual offense and managed in England and Wales by the National Offender Management Service (N = 14,804). The study found that specialization in sexual offending compared to nonsexual offending was most evident for offenders with convictions for accessing indecent images. We also found considerable evidence of specialization within sexual offending, most notably for noncontact offenders, especially again indecent images offenders. Crossover between sexual offense types was very rare for those with contact adult offenses and for noncontact offenders although those with child contact offenses sometimes crossed over to indecent images reoffending. If specialization within sexual offending exists, the use of single risk assessment instruments to predict all types of sexual recidivism may be less effective than previously assumed. A comparison of different prediction models indicated that some items presently used in one-size-fits-all risk tools to predict any sexual reoffending only effectively predict certain subtypes of sexual offending. Statistically there appear to be some potential benefits to creating specialist risk predictors for different subtypes of offending, but further work is needed to justify the implementation demands that would be caused by abandoning one-size-fits-all tools.

  13. The development of a gender identity psychosocial clinic: treatment issues, logistical considerations, interdisciplinary cooperation, and future initiatives.

    PubMed

    Leibowitz, Scott F; Spack, Norman P

    2011-10-01

    Few interdisciplinary treatment programs that tend to the needs of youth with gender nonconforming behaviors, expressions, and identities exist in academic medical centers with formal residency training programs. Despite this, the literature provides evidence that these youth have higher rates of poor psychosocial adjustment and suicide attempts. This article explores the logistical considerations involved in developing a specialized interdisciplinary service to these gender minority youth in accordance with the existing treatment guidelines.Demographic data will be presented and treatment issues will be explored. The impact that a specialized interdisciplinary treatment program has on clinical expansion, research development, education and training, and community outreach initiatives is discussed.

  14. Special considerations for prophylaxis for and treatment of anthrax in pregnant and postpartum women.

    PubMed

    Meaney-Delman, Dana; Zotti, Marianne E; Creanga, Andreea A; Misegades, Lara K; Wako, Etobssie; Treadwell, Tracee A; Messonnier, Nancy E; Jamieson, Denise J

    2014-02-01

    In August 2012, the Centers for Disease Control and Prevention, in partnership with the Association of Maternal and Child Health Programs, convened a meeting of national subject matter experts to review key clinical elements of anthrax prevention and treatment for pregnant, postpartum, and lactating (P/PP/L) women. National experts in infectious disease, obstetrics, maternal fetal medicine, neonatology, pediatrics, and pharmacy attended the meeting, as did representatives from professional organizations and national, federal, state, and local agencies. The meeting addressed general principles of prevention and treatment for P/PP/L women, vaccines, antimicrobial prophylaxis and treatment, clinical considerations and critical care issues, antitoxin, delivery concerns, infection control measures, and communication. The purpose of this meeting summary is to provide updated clinical information to health care providers and public health professionals caring for P/PP/L women in the setting of a bioterrorist event involving anthrax.

  15. 36 CFR 1237.22 - What are special considerations in the storage and maintenance of cartographic and related records?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... considerations in the storage and maintenance of cartographic and related records? 1237.22 Section 1237.22 Parks... maintenance of cartographic and related records? Agencies must: (a) Maintain permanent and unscheduled... Adelphi Road, College Park, MD 20740, phone number (301) 837-1785 for preservation, storage, and treatment...

  16. Dental considerations in cardiovascular patients: A practical perspective.

    PubMed

    Chaudhry, Swantika; Jaiswal, Ritika; Sachdeva, Surender

    2016-01-01

    Cardiovascular disease trends, complications, and associated therapeutics impact the dental health and treatment. Such patients require special consideration with regard to when and which dental treatment is appropriate and what precautions are required. Alertness to potential oral adverse drug reactions enables referral of patient's to his physician or cardiologist. Cardiovascular drugs are also known to have mild to potentially fatal drug interactions. Dental professionals may be the first line of defense in the detection and referral of a patient suspected of having cardiovascular disease, an uncontrolled disease status, or oral adverse drug reactions, and they have a key role to play in oral and systemic disease prevention and treatment, in partnership with the patient and his physician. Copyright © 2015 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

  17. Discussion of the Special Issue on Growth Models for Longitudinal Data in Educational Research

    ERIC Educational Resources Information Center

    Molenaar, Peter C. M.; Campbell, Cynthia G.

    2008-01-01

    In his introduction to this special issue, Roger Millsap has given an excellent summary of its contents. This eases our task considerably. In what follows, we first present some general observations about growth curve modeling of longitudinal data. Among other things, we will address the criticism that the popular latent growth curve model may…

  18. Rare Presentations of Primary Melanoma and Special Populations: A Systematic Review

    PubMed Central

    Kottschade, Lisa A.; Grotz, Travis E.; Dronca, Roxana S.; Salomao, Diva R.; Pulido, Jose S.; Wasif, Nabil; Jakub, James W.; Bagaria, Sanjay P.; Kumar, Riten; Kaur, Judith S.; Morita, Shane Y.; Moran, Steven L.; Nguyen, Jesse T.; Nguyen, Emily C.; Hand, Jennifer L.; Erickson, Lori A.; Brewer, Jerry D.; Baum, Christian L.; Miller, Robert C.; Swanson, David L.; Lowe, Val; Markovic, Svetomir N.

    2013-01-01

    A subset of patients with melanoma present in rare and unique clinical circumstances requiring specific considerations with respect to diagnostic and therapeutic interventions. Herein we present our review of patients with: (1) primary mucosal melanoma of the head and neck, gastrointestinal and genitourinary tracts; (2) primary melanoma of the eye; (3) desmoplastic melanoma; (4) subungual melanoma; (5) melanoma in special populations: children, non-Caucasians, as well as a discussion of familial melanoma. PMID:23563206

  19. Mental Health Services, Free Appropriate Public Education, and Students with Disabilities: Legal Considerations in Identifying, Evaluating, and Providing Services

    ERIC Educational Resources Information Center

    Yell, Mitchell; Smith, Carl; Katsiyannis, Antonis; Losinski, Mickey

    2018-01-01

    In the past few years, the provision of mental health services in public schools has received considerable attention. When students with disabilities are eligible for special education and related services under the Individuals With Disabilities Education Act (IDEA), mental health services are required if such services are needed to provide…

  20. Biocontainment laboratory risk assessment: perspectives and considerations.

    PubMed

    Patterson, Amy; Fennington, Kelly; Bayha, Ryan; Wax, Diane; Hirschberg, Rona; Boyd, Nancy; Kurilla, Michael

    2014-07-01

    The ability to respond to public health emergencies involving infectious diseases as well as our ability to adequately prepare for as yet unknown or unrecognized emerging infectious diseases requires suitable facilities within which scientific investigations can take place. To ensure the safe conduct of such investigations so that laboratory workers and the general public are protected from potential consequences of accidental or intentional release of high consequence pathogens, special containment facilities have been designed and constructed. Evaluation of the adequacy of containment for these types of investigations requires a risk assessment (RA) as part of the overall construction project for these types of laboratories. A discussion of the RA process along with considerations that impact the design of such studies and the overall results is presented. Published 2014. This article is a US Government work and is in the public domain in the USA.

  1. Introduction to an Updated Analysis of Planetary Protection: "Special Regions" on Mars

    NASA Astrophysics Data System (ADS)

    Beaty, D. W.; Rummel, J. D.; Viola, D.

    2014-03-01

    Since the beginning of human activity in space science and exploration, there has been an appreciation of the negative consequences of transferring life from one planet to another. Given the unknown consequences of contact between two life forms and the fundamental value of studying a new form life, thoughtfulness and caution are warranted. The "special regions" concept is a component of the International Council for Science's Committee on Space Research (COSPAR) Planetary Protection Policy, as it applies to Mars. These are regions "within which terrestrial organisms are likely to replicate" as well as "any region which is interpreted to have a high potential for the existence of extant martian life." Robotic missions planning to have direct contact with such special regions are given planetary protection categorization (IVc), with stringent cleanliness constraints on the portions of the mission contacting such regions. The current, quantitative definition of "special regions based on temperature and water activity limits was adopted by COSPAR in 2008 after a two-year process that included meetings of the Mars Exploration Planning and Analysis Group's (MEPAG) Special Regions Science Analysis Group (SR-SAG) and COSPAR's Panel on Planetary Protection. In this study, the MEPAG SR-SAG2 will review and update the technical information that underlie NASA's and COSPAR's definition of special regions on Mars, enabling interpretations of when and where they could occur in light of new discoveries since 2007. This will include updates of current understanding in (1) the known physical limits to life on Earth, including low temperature and low water activity, the biological capture/use of vapor-phase water, and survival over long time scales with short periods of growth; (2) observational data sets and new models from Mars that could be relevant to our understanding of the natural variations on Mars of water activity and temperature, including recurring slope lineae (RSL

  2. SMARTPHONE-BASED DILATED FUNDUS PHOTOGRAPHY AND NEAR VISUAL ACUITY TESTING AS INEXPENSIVE SCREENING TOOLS TO DETECT REFERRAL WARRANTED DIABETIC EYE DISEASE.

    PubMed

    Toy, Brian C; Myung, David J; He, Lingmin; Pan, Carolyn K; Chang, Robert T; Polkinhorne, Alison; Merrell, Douglas; Foster, Doug; Blumenkranz, Mark S

    2016-05-01

    To compare clinical assessment of diabetic eye disease by standard dilated examination with data gathered using a smartphone-based store-and-forward teleophthalmology platform. 100 eyes of 50 adult patients with diabetes from a health care safety-net ophthalmology clinic. All patients underwent comprehensive ophthalmic examination. Concurrently, a smartphone was used to estimate near visual acuity and capture anterior and dilated posterior segment photographs, which underwent masked, standardized review. Quantitative comparison of clinic and smartphone-based data using descriptive, kappa, Bland-Altman, and receiver operating characteristic analyses was performed. Smartphone visual acuity was successfully measured in all eyes. Anterior and posterior segment photography was of sufficient quality to grade in 96 and 98 eyes, respectively. There was good correlation between clinical Snellen and smartphone visual acuity measurements (rho = 0.91). Smartphone-acquired fundus photographs demonstrated 91% sensitivity and 99% specificity to detect moderate nonproliferative and worse diabetic retinopathy, with good agreement between clinic and photograph grades (kappa = 0.91 ± 0.1, P < 0.001; AUROC = 0.97, 95% confidence interval, 0.93-1). The authors report a smartphone-based telemedicine system that demonstrated sensitivity and specificity to detect referral-warranted diabetic eye disease as a proof-of-concept. Additional studies are warranted to evaluate this approach to expanding screening for diabetic retinopathy.

  3. Specialized science.

    PubMed

    Casadevall, Arturo; Fang, Ferric C

    2014-04-01

    As the body of scientific knowledge in a discipline increases, there is pressure for specialization. Fields spawn subfields that then become entities in themselves that promote further specialization. The process by which scientists join specialized groups has remarkable similarities to the guild system of the middle ages. The advantages of specialization of science include efficiency, the establishment of normative standards, and the potential for greater rigor in experimental research. However, specialization also carries risks of monopoly, monotony, and isolation. The current tendency to judge scientific work by the impact factor of the journal in which it is published may have roots in overspecialization, as scientists are less able to critically evaluate work outside their field than before. Scientists in particular define themselves through group identity and adopt practices that conform to the expectations and dynamics of such groups. As part of our continuing analysis of issues confronting contemporary science, we analyze the emergence and consequences of specialization in science, with a particular emphasis on microbiology, a field highly vulnerable to balkanization along microbial phylogenetic boundaries, and suggest that specialization carries significant costs. We propose measures to mitigate the detrimental effects of scientific specialism.

  4. Specialized Science

    PubMed Central

    Fang, Ferric C.

    2014-01-01

    As the body of scientific knowledge in a discipline increases, there is pressure for specialization. Fields spawn subfields that then become entities in themselves that promote further specialization. The process by which scientists join specialized groups has remarkable similarities to the guild system of the middle ages. The advantages of specialization of science include efficiency, the establishment of normative standards, and the potential for greater rigor in experimental research. However, specialization also carries risks of monopoly, monotony, and isolation. The current tendency to judge scientific work by the impact factor of the journal in which it is published may have roots in overspecialization, as scientists are less able to critically evaluate work outside their field than before. Scientists in particular define themselves through group identity and adopt practices that conform to the expectations and dynamics of such groups. As part of our continuing analysis of issues confronting contemporary science, we analyze the emergence and consequences of specialization in science, with a particular emphasis on microbiology, a field highly vulnerable to balkanization along microbial phylogenetic boundaries, and suggest that specialization carries significant costs. We propose measures to mitigate the detrimental effects of scientific specialism. PMID:24421049

  5. "Three Grandes Dames" or Dayton, Ohio, as a Well-Spring of Women Special Librarians.

    ERIC Educational Resources Information Center

    Jackson, Eugene B.

    This historical consideration of the role of women librarians in three Dayton special libraries centers on three figures: (1) Caroline W. Lutz, librarian of the General Motors Research Corporation from 1922 to 1956; (2) Hope Thomas, head librarian of the United States Air Force McCook Field Library in the mid-1940's; and (3l Emma Wedenbine,…

  6. Lyme Disease: Emergency Department Considerations.

    PubMed

    Applegren, Nathan D; Kraus, Chadd K

    2017-06-01

    Lyme disease (LD) is the most common vector-borne illness in North America. Reported cases of LD have increased from approximately 10,000 cases annually in 1991 to >25,000 cases in 2014. Greater recognition, enhanced surveillance, and public education have contributed to the increased prevalence, as have geographic expansion and the number of infected ticks. Cases are reported primarily in the Northeastern United States, Wisconsin, and Minnesota, with children having the highest incidence of LD among all age groups. The increased incidence and prevalence of LD in the United States makes it increasingly more common for patients to present to the emergency department (ED) for tick bites and LD-related chief complaints, such as the characteristic erythema migrans skin manifestation. We sought to review the etiology of LD, describe its clinical presentations and sequela, and provide a practical classification and approach to ED management of patients with LD-related presentations. In this review, ED considerations for LD are presented and clinical presentations and management of the disease at different stages is discussed. Delayed sequelae that have significant morbidity, including Lyme carditis and Lyme neuroborreliosis, are discussed. Diagnostic tests and management are described in detail. The increasing prevalence and growing geographic reach of Lyme disease makes it critically important for emergency physicians to consider the diagnosis in patients presenting with symptoms suggestive of LD and to initiate appropriate treatment to minimize the potential of delayed sequelae. Special consideration should be made for the epidemiology of LD and a high clinical suspicion should be present for patients in endemic areas or with known exposures to ticks. Emergency physicians can play a critical role in the recognition, diagnosis, and treatment of LD. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Conflicting and complementary ethics of animal welfare considerations in reintroductions.

    PubMed

    Harrington, Lauren A; Moehrenschlager, Axel; Gelling, Merryl; Atkinson, Rob P D; Hughes, Joelene; Macdonald, David W

    2013-06-01

    Despite differences in focus, goals, and strategies between conservation biology and animal welfare, both are inextricably linked in many ways, and greater consideration of animal welfare, although important in its own right, also has considerable potential to contribute to conservation success. Nevertheless, animal welfare and animal ethics are not always considered explicitly within conservation practice. We systematically reviewed the recent scientific peer-reviewed and online gray literature on reintroductions of captive-bred and wild-caught animals (mammals, birds, amphibians, and reptiles) to quantify the occurrence of animal welfare issues. We considered monitoring that could be indicative of the animal's welfare status and supportive management actions that could improve animal welfare (regardless of whether the aim was explicitly animal-welfare orientated). Potential welfare issues (of variable nature and extent) were recorded in 67% of 199 projects reviewed; the most common were mortality >50%, dispersal or loss of animals, disease, and human conflict. Most (>70%) projects monitored survival, 18% assessed body condition, and 2% monitored stress levels. Animal welfare, explicitly, was referred to in 6% of projects. Supportive actions, most commonly use of on-site prerelease pens and provision of supplemental food or water, were implemented in 79% of projects, although the extent and duration of support varied. Practitioners can address animal-welfare issues in reintroductions by considering the potential implications for individual animals at all stages of the release process using the decision tree presented. We urge practitioners to report potential animal-welfare issues, describe mitigation actions, and evaluate their efficacy to facilitate transparent evaluation of common moral dilemmas and to advance communal strategies for dealing with them. Currently, comparative mortality rates, health risks, postrelease stress, effectiveness of supportive measures

  8. 75 FR 57859 - Specially Adapted Housing and Special Home Adaptation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-23

    ... Home Adaptation AGENCY: Department of Veterans Affairs. ACTION: Final rule. SUMMARY: The Department of... specially adapted housing and special home adaptation grants. This final rule incorporates certain... regulations pertaining to eligibility for specially adapted housing (SAH) grants and special home adaptation...

  9. Computer considerations for real time simulation of a generalized rotor model

    NASA Technical Reports Server (NTRS)

    Howe, R. M.; Fogarty, L. E.

    1977-01-01

    Scaled equations were developed to meet requirements for real time computer simulation of the rotor system research aircraft. These equations form the basis for consideration of both digital and hybrid mechanization for real time simulation. For all digital simulation estimates of the required speed in terms of equivalent operations per second are developed based on the complexity of the equations and the required intergration frame rates. For both conventional hybrid simulation and hybrid simulation using time-shared analog elements the amount of required equipment is estimated along with a consideration of the dynamic errors. Conventional hybrid mechanization using analog simulation of those rotor equations which involve rotor-spin frequencies (this consititutes the bulk of the equations) requires too much analog equipment. Hybrid simulation using time-sharing techniques for the analog elements appears possible with a reasonable amount of analog equipment. All-digital simulation with affordable general-purpose computers is not possible because of speed limitations, but specially configured digital computers do have the required speed and consitute the recommended approach.

  10. [The personality of obese persons in psychological tests with special consideration on latent obesity].

    PubMed

    Pudel, V; Metzdorff, M; Oetting, M

    1975-01-01

    The results of psychological tests of the obese are inconsistent and no characteristic personality structure of the obese can be deduced from them. Investigations in childhood obesity failed to establish a general psychogenetic model of obesity. Yet overweight and ideal weight-subjects differ in spontaneous eating behaviour. Appetite and satiety of obese subjects are controlled by external stimuli to a far greater extent than in nonobese. From a behavioural scientific viewpoint it is proposed that learning experiences during childhood socialisation generate the disposition for obesity which can manifest itself later, after interaction with a special environment. At this stage, however, individual reactions to starting overweight are insolved; this process is strongly influenced by individual personality structures: an inadequate conflict management favours obesity; by cognitive control normal weight can be preserved in spite of the acquired disposition for obesity. Taking these "latently obese" as an example the role of personality structure and wrong eating habits is discussed and related to possible therapeutic strategies. A model of the psychogenetic basis of obesity is proposed. In this model eating-related learning experience is attributed a primary role and individual personality structure a secondary role in the psychogenesis of obesity.

  11. Pharmacokinetic and Pharmacodynamic Considerations in the Treatment of Chronic Lymphocytic Leukemia: Ibrutinib, Idelalisib, and Venetoclax.

    PubMed

    Waldron, Madeline; Winter, Allison; Hill, Brian T

    2017-11-01

    Management of chronic lymphocytic leukemia has changed markedly over the last several years with the emergence of several novel oral agents targeting B-cell receptor and Bcl-2 signaling pathways. For patients requiring treatment, ibrutinib, idelalisib, and venetoclax offer unique clinical benefits with a different set of therapeutic considerations compared with traditional parenteral therapy. Despite the conveniences afforded by oral therapy, these agents also carry unique logistical obstacles. Drug interactions with agents that are metabolized via the cytochrome P450 3A4 pathway are possible with all three agents. Unique treatment-related adverse events including bleeding and atrial fibrillation with ibrutinib, hepatotoxicity with idelalisib, and tumor lysis syndrome with venetoclax can be severe and dose limiting. Furthermore, dose adjustments for organ dysfunction may also be warranted. Here, we review the available literature on the pharmacokinetic and pharmacodynamic properties of these novel agents to guide the reader in the appropriate use of ibrutinib, idelalisib, and venetoclax.

  12. Design considerations in clustering nuclear rocket engines

    NASA Technical Reports Server (NTRS)

    Sager, Paul H.

    1992-01-01

    An initial investigation of the design considerations in clustering nuclear rocket engines for space transfer vehicles has been made. The clustering of both propulsion modules (which include start tanks) and nuclear rocket engines installed directly to a vehicle core tank appears to be feasible. Special provisions to shield opposite run tanks and the opposite side of a core tank - in the case of the boost pump concept - are required; the installation of a circumferential reactor side shield sector appears to provide an effective solution to this problem. While the time response to an engine-out event does not appear to be critical, the gimbal displacement required appears to be important. Since an installation of three engines offers a substantial reduction in gimbal requirements for engine-out and it may be possible to further enhance mission reliability with the greater number of engines, it is recommended that a cluster of four engines be considered.

  13. Design considerations in clustering nuclear rocket engines

    NASA Astrophysics Data System (ADS)

    Sager, Paul H.

    1992-07-01

    An initial investigation of the design considerations in clustering nuclear rocket engines for space transfer vehicles has been made. The clustering of both propulsion modules (which include start tanks) and nuclear rocket engines installed directly to a vehicle core tank appears to be feasible. Special provisions to shield opposite run tanks and the opposite side of a core tank - in the case of the boost pump concept - are required; the installation of a circumferential reactor side shield sector appears to provide an effective solution to this problem. While the time response to an engine-out event does not appear to be critical, the gimbal displacement required appears to be important. Since an installation of three engines offers a substantial reduction in gimbal requirements for engine-out and it may be possible to further enhance mission reliability with the greater number of engines, it is recommended that a cluster of four engines be considered.

  14. Defining Elements of Value in Health Care-A Health Economics Approach: An ISPOR Special Task Force Report [3].

    PubMed

    Lakdawalla, Darius N; Doshi, Jalpa A; Garrison, Louis P; Phelps, Charles E; Basu, Anirban; Danzon, Patricia M

    2018-02-01

    The third section of our Special Task Force report identifies and defines a series of elements that warrant consideration in value assessments of medical technologies. We aim to broaden the view of what constitutes value in health care and to spur new research on incorporating additional elements of value into cost-effectiveness analysis (CEA). Twelve potential elements of value are considered. Four of them-quality-adjusted life-years, net costs, productivity, and adherence-improving factors-are conventionally included or considered in value assessments. Eight others, which would be more novel in economic assessments, are defined and discussed: reduction in uncertainty, fear of contagion, insurance value, severity of disease, value of hope, real option value, equity, and scientific spillovers. Most of these are theoretically well understood and available for inclusion in value assessments. The two exceptions are equity and scientific spillover effects, which require more theoretical development and consensus. A number of regulatory authorities around the globe have shown interest in some of these novel elements. Augmenting CEA to consider these additional elements would result in a more comprehensive CEA in line with the "impact inventory" of the Second Panel on Cost-Effectiveness in Health and Medicine. Possible approaches for valuation and inclusion of these elements include integrating them as part of a net monetary benefit calculation, including elements as attributes in health state descriptions, or using them as criteria in a multicriteria decision analysis. Further research is needed on how best to measure and include them in decision making. Copyright © 2018 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  15. Teaching Experiences of Students with Special Educational Needs in Co-Taught and Non-Co-Taught Classes

    ERIC Educational Resources Information Center

    Strogilos, Vasilis; Avramidis, Elias

    2016-01-01

    Co-teaching has gained considerable interest as a service delivery model for promoting the inclusion of students with special educational needs (SEN) in mainstream classrooms. This study examines whether co-teaching has an effect on the teaching experiences of 12 students with autism spectrum disorder (ASD) and 10 students with intellectual…

  16. Cardiopulmonary bypass considerations for pediatric patients on the ketogenic diet.

    PubMed

    Melchior, R W; Dreher, M; Ramsey, E; Savoca, M; Rosenthal, T

    2015-07-01

    There is a population of children with epilepsy that is refractory to anti-epileptic drugs. The ketogenic diet, a high-fat, low-carbohydrate regimen, is one alternative treatment to decrease seizure activity. Special considerations are required for patients on the ketogenic diet undergoing cardiopulmonary bypass (CPB) to prevent exposure to glucose substrates that could alter ketosis, increasing the risk of recurrent seizures. A 2-year-old, 9 kilogram male with a history of infantile spasms with intractable epilepsy, trisomy 21 status post tetralogy of Fallot repair, presented to the cardiac operating room for closure of a residual atrial septal defect. All disciplines of the surgical case minimized the use of carbohydrate-containing and contraindicated medications. Changes to the standard protocol and metabolic monitoring ensured the patient maintained ketosis. All disciplines within cardiac surgery need to be cognizant of patients on the ketogenic diet and prepare a modified protocol. Future monitoring considerations include thromboelastography, electroencephalography and continuous glucose measurement. Key areas of focus with this patient population in the cardiac surgical theater are to maintain a multidisciplinary approach, alter the required CPB prime components, address cardiac pharmacological concerns and limit any abnormal hematological occurrences. © The Author(s) 2014.

  17. Emollient treatment of atopic dermatitis: latest evidence and clinical considerations

    PubMed Central

    Kung, Jeng Sum Charmaine; Ng, Wing Gi Gigi; Leung, Ting Fan

    2018-01-01

    Aim To review current classes of emollients in the market, their clinical efficacy in atopic dermatitis (AD) and considerations for choice of an emollient. Methods PubMed Clinical Queries under Clinical Study Categories (with Category limited to Therapy and Scope limited to Narrow) and Systematic Reviews were used as the search engine. Keywords of ‘emollient or moisturizer’ and ‘atopic dermatitis’ were used. Overview of findings Using the keywords of ‘emollient’ and ‘atopic dermatitis’, there were 105 and 36 hits under Clinical Study Categories (with Category limited to Therapy and Scope limited to Narrow) and Systematic Reviews, respectively. Plant-derived products, animal products and special ingredients were discussed. Selected proprietary products were tabulated. Conclusions A number of proprietary emollients have undergone trials with clinical data available on PubMed-indexed journals. Most moisturizers showed some beneficial effects, but there was generally no evidence that one moisturizer is superior to another. Choosing an appropriate emollient for AD patients would improve acceptability and adherence for emollient treatment. Physician’s recommendation is the primary consideration for patients when selecting a moisturizer/emollient; therefore, doctors should provide evidence-based information about these emollients. PMID:29692852

  18. [Theoretical and practical considerations in rational polytherapy for epilepsy].

    PubMed

    Rajna, Péter

    2011-11-30

    Author analyses the consideration of rational polytherapy for epilepsy. Among the theoretical aspects he points the different effect of seizure inhibitory drugs on the epilepsy models but didn't find data enough for the basis of any successful combination. Combinations of compounds having different way of action are more promising. Rational polytherapy can serve also the epileptic patients' tailored therapy in the daily routine. There have already been some proved synergisms concerning drug interactions. Based on detailed analysis of side effects a possibility occurs for neutralization of side effects when anticonvulsants with side effects of opposite nature are combined. Considering both the side effect profiles and the different (somatic and psychic) habits of the patients we can create a special list of favourable combinations. Co-morbid states and their treatments play a significant role in the application of rational polytherapy. Combination of anticonvulsants of lower potential but without drug-interactions can be the choice in these cases. The non-epileptic indications of the anticonvulsants can also be utilized in polymorbid patients. Based on the theoretical and practical considerations the author defines the ten-step-cognitive-preparation-process in planning the optimal (poly)therapy. On speculative basis he suggests eight beneficial versions of seizure inhibitory rational polytherapy.

  19. Special considerations for children with hyperhidrosis.

    PubMed

    Bohaty, Benjamin R; Hebert, Adelaide A

    2014-10-01

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

  20. Sinusitis: Special Considerations for Aging Patients

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  1. 15 CFR 2301.5 - Special consideration.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., and participation in public telecommunications entities by minorities and women. Ownership and... the entity's involvement of women and minorities in public telecommunications through its programming strategies as meeting the needs and interests of those groups. Minorities include American Indians or Alaska...

  2. [Awake craniotomy. Considerations in special situations].

    PubMed

    Solera Ruiz, I; Uña Orejón, R; Valero, I; Laroche, F

    2013-01-01

    Awake craniotomy was the earliest surgical procedure known, and it has become fashionable again. In the past it was used for the surgical management of intractable epilepsy, but nowadays, its indications are increasing, and it is a widely recognized technique for the resection of mass lesions involving the eloquent cortex, and for deep brain stimulation. The procedure is safe, provides excellent results, and saves money and resources. The anesthesiologist should know the principles underlying neuroanesthesia, the technique of scalp blockade, and the sedation protocols, as well as feeling comfortable with advanced airway management. The main anesthetic aim is to keep patients cooperating when required (analgesia-based anesthesia). This review attempts to summarize the most recent evidence from the clinical literature, a long as the number of patients undergoing craniotomies in the awake state are increasing, specifically in the pediatric population. Copyright © 2011 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

  3. 40 CFR 133.103 - Special considerations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... total flow to the POTW (i.e., wastewater plus inflow plus infiltration) is less than 275 gallons per... influent wastewater does not result from either excessive infiltration or clear water industrial discharges... excessive infiltration is discussed in 40 CFR 35.2005(b)(28), plus the additional criterion that either 40...

  4. 40 CFR 133.103 - Special considerations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... total flow to the POTW (i.e., wastewater plus inflow plus infiltration) is less than 275 gallons per... influent wastewater does not result from either excessive infiltration or clear water industrial discharges... excessive infiltration is discussed in 40 CFR 35.2005(b)(28), plus the additional criterion that either 40...

  5. 40 CFR 133.103 - Special considerations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... total flow to the POTW (i.e., wastewater plus inflow plus infiltration) is less than 275 gallons per... influent wastewater does not result from either excessive infiltration or clear water industrial discharges... excessive infiltration is discussed in 40 CFR 35.2005(b)(28), plus the additional criterion that either 40...

  6. 40 CFR 133.103 - Special considerations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... total flow to the POTW (i.e., wastewater plus inflow plus infiltration) is less than 275 gallons per... influent wastewater does not result from either excessive infiltration or clear water industrial discharges... excessive infiltration is discussed in 40 CFR 35.2005(b)(28), plus the additional criterion that either 40...

  7. 40 CFR 133.103 - Special considerations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... total flow to the POTW (i.e., wastewater plus inflow plus infiltration) is less than 275 gallons per... influent wastewater does not result from either excessive infiltration or clear water industrial discharges... excessive infiltration is discussed in 40 CFR 35.2005(b)(28), plus the additional criterion that either 40...

  8. 15 CFR 2301.5 - Special consideration.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., and participation in public telecommunications entities by minorities and women. Ownership and... the entity's involvement of women and minorities in public telecommunications through its programming strategies as meeting the needs and interests of those groups. Minorities include American Indians or Alaska...

  9. 15 CFR 2301.5 - Special consideration.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., and participation in public telecommunications entities by minorities and women. Ownership and... the entity's involvement of women and minorities in public telecommunications through its programming strategies as meeting the needs and interests of those groups. Minorities include American Indians or Alaska...

  10. 15 CFR 2301.5 - Special consideration.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., and participation in public telecommunications entities by minorities and women. Ownership and... the entity's involvement of women and minorities in public telecommunications through its programming strategies as meeting the needs and interests of those groups. Minorities include American Indians or Alaska...

  11. 15 CFR 2301.5 - Special consideration.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., and participation in public telecommunications entities by minorities and women. Ownership and... the entity's involvement of women and minorities in public telecommunications through its programming strategies as meeting the needs and interests of those groups. Minorities include American Indians or Alaska...

  12. Sinusitis: Special Considerations for Aging Patients

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  13. Special Considerations in Neonatal Mechanical Ventilation.

    PubMed

    Dalgleish, Stacey; Kostecky, Linda; Charania, Irina

    2016-12-01

    Care of infants supported with mechanical ventilation is complex, time intensive, and requires constant vigilance by an expertly prepared health care team. Current evidence must guide nursing practice regarding ventilated neonates. This article highlights the importance of common language to establish a shared mental model and enhance clear communication among the interprofessional team. Knowledge regarding the underpinnings of an open lung strategy and the interplay between the pathophysiology and individual infant's response to a specific ventilator strategy is most likely to result in a positive clinical outcome. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. 40 CFR 152.408 - Special considerations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... charged the full new chemical registration review fee. (b) If two or more applicants apply for a new... registration review fee for one product and one old chemical registration review fee for each additional...) If two or more applicants apply for a new chemical registration for products having the same active...

  15. 40 CFR 152.408 - Special considerations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... charged the full new chemical registration review fee. (b) If two or more applicants apply for a new... registration review fee for one product and one old chemical registration review fee for each additional...) If two or more applicants apply for a new chemical registration for products having the same active...

  16. 40 CFR 152.408 - Special considerations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... charged the full new chemical registration review fee. (b) If two or more applicants apply for a new... registration review fee for one product and one old chemical registration review fee for each additional...) If two or more applicants apply for a new chemical registration for products having the same active...

  17. 40 CFR 152.408 - Special considerations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... charged the full new chemical registration review fee. (b) If two or more applicants apply for a new... registration review fee for one product and one old chemical registration review fee for each additional...) If two or more applicants apply for a new chemical registration for products having the same active...

  18. 40 CFR 152.408 - Special considerations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... charged the full new chemical registration review fee. (b) If two or more applicants apply for a new... registration review fee for one product and one old chemical registration review fee for each additional...) If two or more applicants apply for a new chemical registration for products having the same active...

  19. Special considerations for hiring an associate.

    PubMed

    Hills, Laura Sachs

    2004-01-01

    If you 're thinking about hiring an associate for your medical practice, you will have many things to consider and many decisions to make. This article weighs the pros and cons of associateships and provides a 12-question quiz to help you determine whether an associate will be a good fit for your goal, philosophy, needs, and personality. It suggests helpful tips for recruiting and interviewing top-notch applicants to your associateship, including effective interview questions. It also offers advice about evaluating associateship applicants and suggests typical compensation arrangements. This article also includes questions to answer in your associateship contract and practical advice about restrictive covenants and externships. Finally, the article offers 12 suggestions for getting your new associate up to speed right away in your practice.

  20. Special Considerations in Children with Vitiligo.

    PubMed

    Taïeb, Alain; Seneschal, Julien; Mazereeuw-Hautier, Juliette

    2017-04-01

    Childhood vitiligo differs from adult-onset vitiligo for several features including increased incidence of the segmental variant, higher prevalence of halo nevi, and more common family history for autoimmune diseases and atopic diathesis. The major differential diagnoses are the postinflammatory hypomelanoses for nonsegmental vitiligo and nevus depigmentosus for segmental vitiligo. From a therapeutic standpoint, early awareness of the diagnosis seems to correlate with a good treatment outcome in this age group. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. SCAI expert consensus statement: Evaluation, management, and special considerations of cardio-oncology patients in the cardiac catheterization laboratory (Endorsed by the Cardiological Society of India, and Sociedad Latino Americana de Cardiologıa Intervencionista).

    PubMed

    Iliescu, Cezar; Grines, Cindy L; Herrmann, Joerg; Yang, Eric H; Cilingiroglu, Mehmet; Charitakis, Konstantinos; Hakeem, Abdul; Toutouzas, Konstantinos; Leesar, Massoud A; Marmagkiolis, Konstantinos

    2016-04-01

    In the United States alone, there are currently approximately 14.5 million cancer survivors, and this number is expected to increase to 20 million by 2020. Cancer therapies can cause significant injury to the vasculature, resulting in angina, acute coronary syndromes (ACS), stroke, critical limb ischemia, arrhythmias, and heart failure, independently from the direct myocardial or pericardial damage from the malignancy itself. Consequently, the need for invasive evaluation and management in the cardiac catheterization laboratory (CCL) for such patients has been increasing. In recognition of the need for a document on special considerations for cancer patients in the CCL, the Society for Cardiovascular Angiography and Interventions (SCAI) commissioned a consensus group to provide recommendations based on the published medical literature and on the expertise of operators with accumulated experience in the cardiac catheterization of cancer patients. © 2015 Wiley Periodicals, Inc.

  2. SCAI Expert consensus statement: Evaluation, management, and special considerations of cardio-oncology patients in the cardiac catheterization laboratory (endorsed by the cardiological society of india, and sociedad Latino Americana de Cardiologıa intervencionista).

    PubMed

    Iliescu, Cezar A; Grines, Cindy L; Herrmann, Joerg; Yang, Eric H; Cilingiroglu, Mehmet; Charitakis, Konstantinos; Hakeem, Abdul; Toutouzas, Konstantinos P; Leesar, Massoud A; Marmagkiolis, Konstantinos

    2016-04-01

    In the United States alone, there are currently approximately 14.5 million cancer survivors, and this number is expected to increase to 20 million by 2020. Cancer therapies can cause significant injury to the vasculature, resulting in angina, acute coronary syndromes (ACS), stroke, critical limb ischemia, arrhythmias, and heart failure, independently from the direct myocardial or pericardial damage from the malignancy itself. Consequently, the need for invasive evaluation and management in the cardiac catheterization laboratory (CCL) for such patients has been increasing. In recognition of the need for a document on special considerations for cancer patients in the CCL, the Society for Cardiovascular Angiography and Interventions (SCAI) commissioned a consensus group to provide recommendations based on the published medical literature and on the expertise of operators with accumulated experience in the cardiac catheterization of cancer patients. © 2016 Wiley Periodicals, Inc.

  3. Special populations: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement.

    PubMed

    Dries, David; Reed, Mary Jane; Kissoon, Niranjan; Christian, Michael D; Dichter, Jeffrey R; Devereaux, Asha V; Upperman, Jeffrey S

    2014-10-01

    Past disasters have highlighted the need to prepare for subsets of critically ill, medically fragile patients. These special patient populations require focused disaster planning that will address their medical needs throughout the event to prevent clinical deterioration. The suggestions in this article are important for all who are involved in large-scale disasters or pandemics with multiple critically ill or injured patients, including frontline clinicians, hospital administrators, and public health or government officials. Key questions regarding the care of critically ill or injured special populations during disasters or pandemics were identified, and a systematic literature review (1985-2013) was performed. No studies of sufficient quality were identified. Therefore, the panel developed expert opinion-based suggestions using a modified Delphi process. The panel did not include pediatrics as a separate special population because pediatrics issues are embedded in each consensus document. Fourteen suggestions were formulated regarding the care of critically ill and injured patients from special populations during pandemics and disasters. The suggestions cover the following areas: defining special populations for mass critical care, special population planning, planning for access to regionalized service for special populations, triage and resource allocation of special populations, therapeutic considerations, and crisis standards of care for special populations. Chronically ill, technologically dependent, and complex critically ill patients present a unique challenge to preparing and implementing mass critical care. There are, however, unique opportunities to engage patients, primary physicians, advocacy groups, and professional organizations to lessen the impact of disaster on these special populations.

  4. 7 CFR 810.405 - Special grades and special grade requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OFFICIAL UNITED STATES STANDARDS FOR GRAIN United States Standards for Corn Special Grades and Special Grade Requirements § 810.405 Special grades and special grade requirements. (a) Flint corn. Corn that consists of 95 percent or more of flint corn. (b) Flint and dent corn. Corn that consists of a mixture of...

  5. 7 CFR 810.405 - Special grades and special grade requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OFFICIAL UNITED STATES STANDARDS FOR GRAIN United States Standards for Corn Special Grades and Special Grade Requirements § 810.405 Special grades and special grade requirements. (a) Flint corn. Corn that consists of 95 percent or more of flint corn. (b) Flint and dent corn. Corn that consists of a mixture of...

  6. Misdiagnosed bipolar disorder in adolescents in a special educational school and treatment program.

    PubMed

    Isaac, G

    1992-04-01

    Twelve adolescents found to be the most problematic, crisis prone, and treatment resistant were comprehensively reevaluated in the special educational day school and treatment program they were attending. This reevaluation took place over a 6-month period and was done to arrive upon a more comprehensive diagnostic understanding so that more relevant and effective treatment measures could be instituted. The author conducted semistructured interviews with the adolescents on multiple occasions as the clinical situations warranted. All information available, recorded or otherwise, was comprehensively reviewed and reevaluated. The children were observed informally in and out of their classrooms throughout the period. All parents available were interviewed to clarify the children's present and past symptomatology and to assess the nature of psychiatric disorders, if any, in first- and second-degree family members. The reevaluation showed that 8 of the 12 youngsters clearly satisfied DSM-III-R criteria for bipolar disorder, which had been misdiagnosed mainly as attention-deficit hyperactivity disorder (ADHD) and conduct disorder. Three other youngsters showed significant bipolar features though not fully satisfying the criteria for this disorder. Bipolar disorder may be very common among highly problematic adolescents in special educational and outpatient treatment facilities for emotionally disturbed youngsters but may still be misdiagnosed very often as ADHD and conduct disorder, with all the negative consequences of such misdiagnosis.

  7. Exact special twist method for quantum Monte Carlo simulations

    NASA Astrophysics Data System (ADS)

    Dagrada, Mario; Karakuzu, Seher; Vildosola, Verónica Laura; Casula, Michele; Sorella, Sandro

    2016-12-01

    We present a systematic investigation of the special twist method introduced by Rajagopal et al. [Phys. Rev. B 51, 10591 (1995), 10.1103/PhysRevB.51.10591] for reducing finite-size effects in correlated calculations of periodic extended systems with Coulomb interactions and Fermi statistics. We propose a procedure for finding special twist values which, at variance with previous applications of this method, reproduce the energy of the mean-field infinite-size limit solution within an adjustable (arbitrarily small) numerical error. This choice of the special twist is shown to be the most accurate single-twist solution for curing one-body finite-size effects in correlated calculations. For these reasons we dubbed our procedure "exact special twist" (EST). EST only needs a fully converged independent-particles or mean-field calculation within the primitive cell and a simple fit to find the special twist along a specific direction in the Brillouin zone. We first assess the performances of EST in a simple correlated model such as the three-dimensional electron gas. Afterwards, we test its efficiency within ab initio quantum Monte Carlo simulations of metallic elements of increasing complexity. We show that EST displays an overall good performance in reducing finite-size errors comparable to the widely used twist average technique but at a much lower computational cost since it involves the evaluation of just one wave function. We also demonstrate that the EST method shows similar performances in the calculation of correlation functions, such as the ionic forces for structural relaxation and the pair radial distribution function in liquid hydrogen. Our conclusions point to the usefulness of EST for correlated supercell calculations; our method will be particularly relevant when the physical problem under consideration requires large periodic cells.

  8. Some chronobiological considerations related to physical exercise.

    PubMed

    Reilly, T; Atkinson, G; Gregson, W; Drust, B; Forsyth, J; Edwards, B; Waterhouse, J

    2006-01-01

    Variables associated with physical activity show circadian rhythms in resting subjects; these rhythms have both exogenous (due to the individual's lifestyle and environment) and endogenous (due to the "body clock") components. During exercise, many of the rhythms persist, even though some show decreasing amplitude with increasing severity of exercise. Whilst the value of physical fitness is not disputed (for elite athletes, for individuals who just want to be physically fit, or for patients undertaking physical rehabilitation regimens), there are certain times of the day when special care is needed. These times are soon after waking--when there is the possibility of an increased risk of cardiovascular morbidity and damage to the spine--and late in the day--when there is an increased risk of respiratory difficulties. Since physical exercise is inextricably linked with thermoregulation, there are special considerations to bear in mind when exercise takes place in cold or hot environments. Further, due to the effects of the body clock, exercise and activity during night work and after time-zone transitions presents problems peculiar to these circumstances. In addition, the menstrual cycle affects physical performance, and these circatrigintan rhythms interact with the circadian ones. Bearing in mind these factors, advice that is based upon knowledge of circadian and circatrigintan rhythms can be given to all those contemplating physical activity. Chronobiologically, there is advantage in undertaking physical activity programmes towards the middle of the waking day and not at times when a sleep or nap has just been taken.

  9. A special class of solutions in F( R)-gravity

    NASA Astrophysics Data System (ADS)

    Calzà, Marco; Rinaldi, Massimiliano; Sebastiani, Lorenzo

    2018-03-01

    We consider a special class of vacuum F( R)-modified gravity models. The form of their Lagrangian is such that the field equations are trivially satisfied when the Ricci scalar is constant. There are many interesting F( R)-models for inflation and dark energy that fall in this class. However, little is known outside the domain of cosmology therefore we aim to explore the class of solutions that are static and spherically symmetric. After some general considerations, we investigate in more detail black hole solutions, traversable wormhole metrics and, finally, configurations that can match the anomalous rotation curves of galaxies.

  10. Contexts, Funding History, and Implications for Evaluating the Office of Special Education Program's Investment in Personnel Preparation

    ERIC Educational Resources Information Center

    Kleinhammer-Tramill, Jeannie; Tramill, James; Brace, Heather

    2010-01-01

    In this article, the authors explore contexts that have shaped the federal program for personnel preparation in special education. A brief review is provided of the historical, political, and policy considerations that influenced the directions, implementation, and impacts of the federal personnel preparation program funding at particular points…

  11. Lessons From Love Canal: Considerations for the Effective Use of Institutional Controls

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

    Fil, Richard M.

    The purpose of this paper is to provide background on a well-known failure of an institutional control (IC), an overview of the types and potential shortcomings of individual ICs, provide some considerations for more effectively selecting and maintaining appropriate ICs in the context of a decommissioning project (including those that may be subject to various federal and state requirements). In light of these considerations, it should be clear that the potential liabilities arising from the failure to comply with ICs may be very significant, even if such failure is not directly caused by the party responsible for the pre-existing conditions.more » A number of options exist to help manage risk at sites where impacts will remain in place following the completion of active decommissioning efforts. It is important to involve all appropriate professionals early on and throughout the process and to consult with other relevant parties (e.g., regulatory agencies, the community, and potential site owners and occupants) to evaluate the most appropriate ICs available. This is particularly critical in the context of a long-term decommissioning project involving a large number of contractors, personnel turnover or departure, potential isolation of individuals with focused technical or regulatory expertise, or other factors that may affect more ideal communication. Mechanisms for ensuring long-term compliance with ICs, as well as reliable approaches for enforcing their terms, also warrant early and on-going attention. However, even with a detailed and thoughtful approach, it must be recognized under certain circumstances that a more realistic goal may be to continue to reasonably minimize potential risks rather than absolutely avoid all risks for all time.« less

  12. Development of a Mobile-Optimised Website to Support Students with Special Needs Transitioning from Primary to Secondary Settings

    ERIC Educational Resources Information Center

    Chambers, Dianne; Coffey, Anne

    2013-01-01

    With an increasing number of students with special needs being included in regular classroom environments, consideration of, and planning for, a smooth transition between different school settings is important for parents, classroom teachers and school administrators. The transition between primary and secondary school can be difficult for…

  13. Ethnic and Gender Considerations in the Use of Facial Injectables: African-American Patients.

    PubMed

    Burgess, Cheryl; Awosika, Olabola

    2015-11-01

    The United States is becoming increasingly more diverse as the nonwhite population continues to rise faster than ever. By 2044, the US Census Bureau projects that greater than 50% of the US population will be of nonwhite descent. Ethnic patients are the quickest growing portion of the cosmetic procedures market, with African-Americans comprising 7.1% of the 22% of ethnic minorities who received cosmetic procedures in the United States in 2014. The cosmetic concerns and natural features of this ethnic population are unique and guided by differing structural and aging processes than their white counterparts. As people of color increasingly seek nonsurgical cosmetic procedures, dermatologists and cosmetic surgeons must become aware that the Westernized look does not necessarily constitute beauty in these diverse people. The use of specialized aesthetic approaches and understanding of cultural and ethnic-specific features are warranted in the treatment of these patients. This article will review the key principles to consider when treating African-American patients, including the average facial structure of African-Americans, the impact of their ethnicity on aging and structure of face, and soft-tissue augmentation strategies specific to African-American skin.

  14. Future specialization interests among medical students in southern India.

    PubMed

    Subba, S H; Binu, V S; Kotian, M S; Joseph, N; Mahamood, A B; Dixit, N; George, A; Kumar, P; Acharya, S; Reddy, P

    2012-01-01

    A consideration of the future specialization interests of undergraduate medical students might help to understand the needs of higher medical education and future manpower availability for healthcare. A cross-sectional study was conducted among 373 undergraduate students of a medical college in southern India using a self-administered questionnaire. Of the 373 students, 188 (50.4%) were men. Almost all of them (370 [99.2%]) wanted to pursue postgraduation. Of these, 267 (72.4%) wanted to pursue postgraduation in India. Overall, the first choice subject was surgery (120 [32.2%]) followed by internal medicine (85 [22.8%]) and paediatrics (43 [11.5%]). The third preference for men and women differed, with men choosing orthopaedics and women choosing obstetrics and gynaecology. The factors that influenced the choice of specialization were interest in the speciality (Likert scale score 4.7), job satisfaction (4.6), employment opportunities (4.0), job security (4) and high income potential (3.9). It was evident from the proportion of students desiring to do postgraduation and their choice of specialties that most of them will end up working at hospitals instead of at primary healthcare centres. The deficiencies of certain specialists such as ophthalmologists are likely to persist. This is a cause for concern as the majority of our population lives in rural areas and there is already a maldistribution of doctors. Copyright 2012, NMJI.

  15. Mental health care services for children with special health care needs and their family members: prevalence and correlates of unmet needs.

    PubMed

    Ganz, Michael L; Tendulkar, Shalini A

    2006-06-01

    To estimate the prevalence and correlates of unmet needs for mental health care services for children with special health care needs and their families. We use the National Survey of Children With Special Health Care Needs to estimate the prevalence of unmet mental health care needs among children with special health care needs (1-17 years old) and their families. Using logistic-regression models, we also assess the independent impact of child and family factors on unmet needs. Substantial numbers of children with special health care needs and members of their families have unmet needs for mental health care services. Children with special health care needs who were poor, uninsured, and were without a usual source of care were statistically significantly more likely to report that their mental health care needs were unmet. More severely affected children and those with emotional, developmental, or behavioral conditions were also statistically significantly more likely to report that their mental health care needs went unmet. Families of severely affected children or of children with emotional, developmental, or behavioral conditions were also statistically significantly more likely to report that their mental health care needs went unmet. Our results indicate that children with special health care needs and their families are at risk for not receiving needed mental health care services. Furthermore, we find that children in families of lower socioeconomic status are disproportionately reporting higher rates of unmet needs. These data suggest that broader policies to identify and connect families with needed services are warranted but that child- and family-centered approaches alone will not meet the needs of these children and their families. Other interventions such as anti-poverty and insurance expansion efforts may be needed as well.

  16. Hearing Assistive Technology Considerations for Older Individuals With Dual Sensory Loss

    PubMed Central

    Kricos, Patricia B.

    2007-01-01

    This article focuses on the current state of the science related to audiologic rehabilitation of individuals with dual sensory impairment, with an emphasis on considerations for provision of appropriate hearing assistive technology for this population. A substantial increase in the number of older adults is predicted in the coming years, many of whom will have significant age-related impairments in hearing and vision. Thus, hearing care professionals will be called on increasingly to attend to the special needs of people with dual sensory impairment to ensure maximal quality of life and independence for these individuals. Access to sound is critical for individuals who live with compromises in both vision and hearing. Hearing assistive technology may improve not only their speech perception but also their connection and orientation to the environment, as well as enable greater mobility. Thus, the audiologist's provision of appropriate and carefully selected hearing assistive technology may contribute dramatically to the quality of life of the individual with dual sensory loss. Prefitting, fitting, and postfitting considerations in providing hearing aids and other assistive technology to individuals with dual sensory impairment are reviewed. PMID:18080391

  17. SPECIAL CLASSES FOR STUDENTS WITH SPECIAL NEEDS.

    ERIC Educational Resources Information Center

    DOWELL, G.L.

    A SPECIAL 3-YEAR TRAINING PROGRAM IN FARM POWER AND MACHINERY WAS DEVELOPED TO PROVIDE FOR DIFFERENT LEVELS OF STUDENT ACHIEVEMENT AND TO HELP MEET THE NEED FOR SKILLED WORKERS IN THE MISSISSIPPI DELTA AREA. CHANGES IN THE LEARNING ENVIRONMENT OF STUDENTS TRANSFERRED FROM REGULAR VOCATIONAL AGRICULTURE CLASSES TO THE SPECIAL CLASSES PROVIDE A MORE…

  18. Contamination of the environment by special purpose centrifuges used in clinical laboratories.

    PubMed Central

    Harper, G J

    1981-01-01

    The generation of aerosols and the contamination of surfaces arising from the use of a number of special purpose centrifuges have been measured. Except when sealed containers were used all the equipment tested generated airborne particles and contaminated surrounding surfaces. The magnitude of this contamination was shown to be associated with several factors, and it could be considerably reduced by the use of sealed containers, and by fitting air filters. The significance of these findings and their application are discussed. PMID:7031096

  19. Ethical considerations of e-cigarette use for tobacco harm reduction.

    PubMed

    Franck, Caroline; Filion, Kristian B; Kimmelman, Jonathan; Grad, Roland; Eisenberg, Mark J

    2016-05-17

    Due to their similarity to tobacco cigarettes, electronic cigarettes (e-cigarettes) could play an important role in tobacco harm reduction. However, the public health community remains divided concerning the appropriateness of endorsing a device whose safety and efficacy for smoking cessation remain unclear. We identified the major ethical considerations surrounding the use of e-cigarettes for tobacco harm reduction, including product safety, efficacy for smoking cessation and reduction, use among non-smokers, use among youth, marketing and advertisement, use in public places, renormalization of a smoking culture, and market ownership. Overall, the safety profile of e-cigarettes is unlikely to warrant serious public health concerns, particularly given the known adverse health effects associated with tobacco cigarettes. As a result, it is unlikely that the population-level harms resulting from e-cigarette uptake among non-smokers would overshadow the public health gains obtained from tobacco harm reduction among current smokers. While the existence of a gateway effect for youth remains uncertain, e-cigarette use in this population should be discouraged. Similarly, marketing and advertisement should remain aligned with the degree of known product risk and should be targeted to current smokers. Overall, the available evidence supports the cautionary implementation of harm reduction interventions aimed at promoting e-cigarettes as attractive and competitive alternatives to cigarette smoking, while taking measures to protect vulnerable groups and individuals.

  20. Marfan Syndrome: Clinical, Surgical, and Anesthetic Considerations.

    PubMed

    Castellano, José M; Silvay, George; Castillo, Javier G

    2014-09-01

    Marfan syndrome is a multisystem connective tissue disorder, with primary involvement of the cardiovascular, ocular, and skeletal systems. This autosomal heritable disease is mainly attributable to a defect in the FBN1 gene. Clinical diagnosis of Marfan syndrome has been based on the Ghent criteria since 1996. In 2010, these criteria were updated, and the revised guidelines place more emphasis on aortic root dilation, ectopia lentis, and FBN1 mutation testing in the diagnostic assessment of Marfan syndrome. Among its many different clinical manifestations, cardiovascular involvement deserves special consideration, owing to its impact on prognosis. Recent molecular, surgical, and clinical research has yielded profound new insights into the pathological mechanisms that ultimately lead to tissue degradation and weakening of the aortic wall, which has led to exciting new treatment strategies. Furthermore, with the increasing life expectancy of patients with Marfan syndrome, there has been a subtle shift in the spectrum of medical problems. Consequently, this article focuses on recent advances to highlight their potential impact on future concepts of patient care from a clinical, surgical, and anesthetic perspective. © The Author(s) 2013.

  1. Mitral and tricuspid valve surgery in homozygous sickle cell disease: perioperative considerations for a successful outcome.

    PubMed

    Sachithanandan, Anand; Nanjaiah, Prakash; Wright, Christine J; Rooney, Stephen J

    2008-01-01

    Homozygous sickle cell disease (SCD) presents a multitude of challenges in patients undergoing cardiac surgery with cardiopulmonary bypass. Special consideration must be made in such patients and routine practice modified to prevent hypoxia, hypothermia, acidaemia and low-flow states which may potentially trigger a fatal sickling crisis perioperatively. We discuss several perioperative management strategies including a preoperative exchange transfusion, high flow normothermic bypass and warm blood cardioplegia that was utilized in a woman with homozygous SCD who underwent a successful double valve procedure.

  2. Ending Special Educators' Isolation

    ERIC Educational Resources Information Center

    Hansen, Spencer D.

    2007-01-01

    This article talks about the "special" support that special educators need from administrators. Special educators need the same type of support that regular teachers receive. Pairing regular and special education teachers allows special education teachers to contribute to and receive support from the other teachers in a school. Ensuring that…

  3. Are life-extending treatments for terminal illnesses a special case? Exploring choices and societal viewpoints.

    PubMed

    McHugh, Neil; van Exel, Job; Mason, Helen; Godwin, Jon; Collins, Marissa; Donaldson, Cam; Baker, Rachel

    2018-02-01

    Criteria used by the National Institute for Health and Care Excellence (NICE) to assess life-extending, end-of-life (EoL) treatments imply that health gains from such treatments are valued more than other health gains. Despite claims that the policy is supported by societal values, evidence from preference elicitation studies is mixed and in-depth research has shown there are different societal viewpoints. Few studies elicit preferences for policies directly or combine different approaches to understand preferences. Survey questions were designed to investigate support for NICE EoL guidance at national and regional levels. These 'Decision Rule' and 'Treatment Choice' questions were administered to an online sample of 1496 UK respondents in May 2014. The same respondents answered questions designed to elicit their agreement with three viewpoints (previously identified and described) in relation to provision of EoL treatments for terminally ill patients. We report the findings of these choice questions and examine how they relate to each other and respondents' viewpoints. The Decision Rule questions described three policies: DA - a standard 'value for money' test, applied to all health technologies; DB - giving special consideration to all treatments for terminal illnesses; and DC - giving special consideration to specific categories of treatments for terminal illnesses e.g. life extension (as in NICE EoL guidance) or those that improve quality-of-life (QoL). Three Treatment Choices were presented: TA - improving QoL for patients with a non-terminal illness; TB - extending life for EoL patients; and TC - improving QoL at the EoL. DC received most support (45%) with most respondents giving special consideration to EoL only when treatments improved QoL. The most commonly preferred treatment choices were TA (51%) and TC (43%). Overall, this study challenges claims about public support for NICE's EoL guidance and the focus on life extension at EoL and substantiates

  4. Methodological considerations in observational comparative effectiveness research for implantable medical devices: an epidemiologic perspective.

    PubMed

    Jalbert, Jessica J; Ritchey, Mary Elizabeth; Mi, Xiaojuan; Chen, Chih-Ying; Hammill, Bradley G; Curtis, Lesley H; Setoguchi, Soko

    2014-11-01

    Medical devices play a vital role in diagnosing, treating, and preventing diseases and are an integral part of the health-care system. Many devices, including implantable medical devices, enter the market through a regulatory pathway that was not designed to assure safety and effectiveness. Several recent studies and high-profile device recalls have demonstrated the need for well-designed, valid postmarketing studies of medical devices. Medical device epidemiology is a relatively new field compared with pharmacoepidemiology, which for decades has been developed to assess the safety and effectiveness of medications. Many methodological considerations in pharmacoepidemiology apply to medical device epidemiology. Fundamental differences in mechanisms of action and use and in how exposure data are captured mean that comparative effectiveness studies of medical devices often necessitate additional and different considerations. In this paper, we discuss some of the most salient issues encountered in conducting comparative effectiveness research on implantable devices. We discuss special methodological considerations regarding the use of data sources, exposure and outcome definitions, timing of exposure, and sources of bias. © The Author 2014. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  5. Mentoring Special Populations

    ERIC Educational Resources Information Center

    Whitfield, Keith E.; Edwards, Christopher L.

    2011-01-01

    Mentorship is critical for career development. Members of special populations are at increased risk of information shortfalls and advice that is not framed with cultural sensitivity. Special knowledge and skills are needed to successfully mentor members of ethnic minority and other special populations. Midlevel and senior scientists need…

  6. American Higher Education: Servant of the People or Protector of Special Interests? Contributions to the Study of Education, Number 9.

    ERIC Educational Resources Information Center

    Wallenfeldt, E. C.

    Current conditions at U.S. colleges and universities are discussed. Consideration is given to the nature of special interests and factions in American society and the system-wide influences of corporate power, militarization, racism, sexism, and overquantification as they pertain to higher education. The internal and external governance of…

  7. Uninterruptible Power Systems: Operational and Cost Considerations.

    DTIC Science & Technology

    1977-03-01

    functions are degraded by power line disturbances to an extent that some type of power conditioning equipment is warranted. Possibly, the management policy...disasters, or attack; i.e., at exactly the times when commercial power utility service is most likely to be disrupted or degraded . In the past... degradation of readiness in emergencies are more pertinent criteria, but unfortunately are not readily comparable to the cost of equipment required

  8. Principals' and Special Education Teachers' Perceptions of Special Education Teachers' Roles and Responsibilities

    ERIC Educational Resources Information Center

    Mott, Japhia

    2013-01-01

    This explanatory mixed methods study focuses on the perceptions of principals and special education teachers about special education teachers' roles and responsibilities. An online survey was conducted with 11 principals and 41 special education teachers (Resource Specialists and Special Day Class teachers). Independent semi-structured interviews…

  9. 77 FR 323 - Agency Information Collection (Application in Acquiring Specially Adapted Housing or Special Home...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-04

    ... (Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant) Activity Under OMB Review....'' SUPPLEMENTARY INFORMATION: Title: Application in Acquiring Specially Adapted Housing or Special Home Adaptation... assistance in acquiring specially adapted housing or the special home adaptation grant. VA will use the data...

  10. Considerations for planning and conducting clinic-based research in physical therapy.

    PubMed

    Fitzgerald, G K; Delitto, A

    2001-08-01

    There is growing demand to increase the volume of clinic-based research in physical therapy. Special considerations, unique to the planning and conduct of clinic-based research, need to be addressed to increase the likelihood that these studies will be completed successfully. The purposes of this perspective are to discuss factors affecting clinic-based research and to offer suggestions for addressing these problems when designing and conducting research studies in a clinical setting. This perspective discusses issues such as patient management, determining the availability of target patient populations, acquiring support from physical therapists and physicians, reporting and managing research-related injury or illness, and modifying or terminating projects. Some of the points made in this perspective are illustrated using examples from the authors' experiences in conducting clinical research.

  11. Medical management of chronic liver diseases (CLD) in children (part II): focus on the complications of CLD, and CLD that require special considerations.

    PubMed

    El-Shabrawi, Mortada H F; Kamal, Naglaa M

    2011-12-01

    with antibiotics, use of vasopressin analogs (terlipressin), and renal replacement therapy if needed. Hepatopulmonary syndrome and portopulmonary hypertension are best managed by liver transplantation. Provision of an adequate caloric supply, nutrition, and vitamin/mineral supplements for the management of growth failure, required vaccinations, and special care for ensuring psychologic well-being should be ensured. Anticoagulation might be attempted in acute portal vein thrombosis. Some CLDs, such as extrahepatic biliary atresia (EHBA), Crigler-Najjar syndrome, and Indian childhood cirrhosis, require special considerations. For EHBA, Kasai hepatoportoenterostomy is the current standard surgical approach in combination with nutritional therapy and supplemental fat and water soluble vitamins, minerals, and trace elements. In type 1 Crigler-Najjar syndrome, extensive phototherapy is the mainstay of treatment, in association with adjuvant therapy to bind photobilirubin such as calcium phosphate, cholestyramine, or agar, until liver transplantation can be carried out. Treating Indian childhood cirrhosis with penicillamine early in the course of the disease and at doses similar to those used to treat Wilson disease decreases the mortality rate by half. New hopes for the future include extracorporeal liver support devices (the molecular adsorbent recirculating system [MARS®] and Prometheus®), hepatocyte transplantation, liver-directed gene therapy, genetically engineered enzymes, and therapeutic modalities targeting fibrogenesis. Hepapoietin, a naturally occurring cytokine that promotes hepatocyte growth, is under extensive research.

  12. Special Education in Korea.

    ERIC Educational Resources Information Center

    Kim, Byung Ha, Ed.; Yeo, Kwang Eung

    The text on special education in Korea is divided into four major sections--a brief history of special education in Korea, the present status of special education in Korea, the special education plan of the Young Kwang Educational Foundation, and directory of schools and classes for the exceptional in Korea. Topics covered include the following:…

  13. Pharmaceutical sales representatives and physicians: ethical considerations of a relationship.

    PubMed

    Peppin, J F

    1996-02-01

    Since their appearance in 1850, Pharmaceutical Sales Representatives (PSR) interactions with physicians have engendered intense emotional responses. The controversy has continued unabated since that time. Arguments in favor of the moral impermissibility of the PSR-physician relationship can be divided into four general categories; (1) influence, (2) patients pay but they do not choose, (3) violation of principlism, and (4) the erosion of the patient-physician relationship. None of the arguments that have thus far been proposed against the moral permissibility of these interactions gives sufficient warrant to avoid them (or pursue them). It may be the case that PSR-physician interactions place the patient-physician relationship in jeopardy. This would constitute enough warrant, from a pragmatic perspective, to shun such relationships. However, no research supports this contention. A careful evaluation of the literature leaves one ambivalent at best.

  14. 47 CFR 90.655 - Special licensing requirements for Specialized Mobile Radio systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Mobile Radio systems. 90.655 Section 90.655 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES PRIVATE LAND MOBILE RADIO SERVICES Regulations Governing... Bands § 90.655 Special licensing requirements for Specialized Mobile Radio systems. End users of...

  15. Nutrition and Gaelic football: review, recommendations, and future considerations.

    PubMed

    Beasley, Kevin J

    2015-02-01

    Gaelic football is the second most popular team sport in Ireland in terms of participation. However, very little research exists on the nutritional considerations for elite male Gaelic footballers. Gaelic football is an intermittent type field game played by two teams of fifteen players. Although amateurs, elite players may train and compete 4-5 times per week and may play for several teams. Research suggests that elite footballers are similar anthropometrically and in fitness to professional soccer players. Work-rate analysis shows that footballers experience longer durations of high-intensity (HI) activity (5-7s) and shorter rest durations than soccer players. Recent data suggests that half-forward/backs perform a greater amount of HI work during games than players in other positions. Fatigue is apparent between the first and second halves and the first and fourth quarters. The limited amount of nutritional studies conducted implies that footballers may be deficient in energy intake and may be at the lower end of recommended carbohydrate intakes to support training. A wide variety of sweat rates have been measured during training, demonstrating the importance of individual hydration strategies. Ergogenic aids such as creatine and caffeine may prove beneficial to performance, although data are extrapolated from other sports. Due to the lack of research in Gaelic football, further population specific studies are required. Future areas of research on the impact of nutrition on Gaelic football performance are examined. In particular, the creation of a test protocol mimicking the activity patterns and intensity of a Gaelic football game is warranted.

  16. Editorial: 3rd Special Issue on behavior change, health, and health disparities.

    PubMed

    Higgins, Stephen T

    2016-11-01

    This Special Issue of Preventive Medicine (PM) is the 3rd that we have organized on behavior change, health, and health disparities. This is a topic of critical importance to improving U.S. population health. There is broad scientific consensus that personal behaviors such as cigarette smoking, other substance abuse, and physical inactivity/obesity are among the most important modifiable causes of chronic disease and its adverse impacts on population health. Hence, effectively promoting health-related behavior change needs to be a key component of health care research and policy. There is also broad recognition that while these problems extend throughout the population, they disproportionately impact economically disadvantaged populations and other vulnerable populations and represent a major contributor to health disparities. Thus, behavior change represents an essential step in curtailing health disparities, which receives special attention in this 3rd Special Issue. We also devote considerable space to the longstanding challenges of reducing cigarette smoking and use of other tobacco and nicotine delivery products in vulnerable populations, obesity, and for the first time food insecurity. Across each of these topics we include contributions from highly accomplished policymakers and scientists to acquaint readers with recent accomplishments as well as remaining knowledge gaps and challenges. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Special considerations for hiring an office manager.

    PubMed

    Sachs Hills, Laura

    2004-01-01

    Medical practice office managers come in many varieties. They can be hired from the outside or promoted from within. They can have a great deal of experience working in medical practices or practically none. Which type of office manager is the best choice for your practice? This article will help you decide. It describes three types of office managers and considers the pros and cons of each. It explores the characteristics, advantages, and disadvantages of lay administrators hired from the outside, office managers promoted from the ranks, and "super-aides" who are asked to manage while doing their old jobs. This article also offers a list of 10 characteristics to look for in office manager candidates, as well as six areas of overall responsibility for your office manager. Finally, it includes a quick checklist of 20 required duties of typical medical practice office managers that can help you shape your office manager's job description.

  18. Special Considerations in Distracted Driving with Teens

    PubMed Central

    Durbin, Dennis R; McGehee, Daniel V; Fisher, Donald; McCartt, Anne

    2014-01-01

    Novice teen drivers have long been known to have an increased risk of crashing, as well as increased tendencies toward unsafe and risky driving behaviors. Teens are unique as drivers for several reasons, many of which have implications specifically in the area of distracted driving. This paper reviews several of these features, including the widespread prevalence of mobile device use by teens, their lack of driving experience, the influence of peer passengers as a source of distraction, the role of parents in influencing teens’ attitudes and behaviors relevant to distracted driving and the impact of laws designed to prevent mobile device use by teen drivers. Recommendations for future research include understanding how engagement in a variety of secondary tasks by teen drivers affects their driving performance or crash risk; understanding the respective roles of parents, peers and technology in influencing teen driver behavior; and evaluating the impact of public policy on mitigating teen crash risk related to driver distraction. PMID:24776228

  19. 32 CFR 169a.15 - Special considerations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... outcome of a study. (1) Notification—(i) Congressional notification. DoD Components shall notify Congress... the performance work statement (PWS) and management study, consult with DoD civilian employees who... preparation of the PWS and management study. DoD Components may consult with such employees more frequently...

  20. 32 CFR 169a.15 - Special considerations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... outcome of a study. (1) Notification—(i) Congressional notification. DoD Components shall notify Congress... the performance work statement (PWS) and management study, consult with DoD civilian employees who... preparation of the PWS and management study. DoD Components may consult with such employees more frequently...

  1. 32 CFR 169a.15 - Special considerations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... outcome of a study. (1) Notification—(i) Congressional notification. DoD Components shall notify Congress... the performance work statement (PWS) and management study, consult with DoD civilian employees who... preparation of the PWS and management study. DoD Components may consult with such employees more frequently...

  2. 32 CFR 169a.15 - Special considerations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... outcome of a study. (1) Notification—(i) Congressional notification. DoD Components shall notify Congress... the performance work statement (PWS) and management study, consult with DoD civilian employees who... preparation of the PWS and management study. DoD Components may consult with such employees more frequently...

  3. 32 CFR 169a.15 - Special considerations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... outcome of a study. (1) Notification—(i) Congressional notification. DoD Components shall notify Congress... the performance work statement (PWS) and management study, consult with DoD civilian employees who... preparation of the PWS and management study. DoD Components may consult with such employees more frequently...

  4. Defunct Grants-Special Considerations for Termination Effectiveness.

    ERIC Educational Resources Information Center

    Whittington, Ronaele R.; Brand, Chrystal R.

    1980-01-01

    Charts the phases of denial, anger, bargaining, depression, acceptance, and hope in a rural work-study program for disadvantaged youth that lost its funding. An overview of national studies and reports on client terminations and program terminations is outlined. Closure-oriented tasks for the practitioner and implications for program…

  5. System issues and considerations associated with design of ground mobile strategic satellite communication terminals

    NASA Astrophysics Data System (ADS)

    Poliakon, J. A.

    The current national defense doctrine calls for increased use of ground mobile strategic satellite communication earth terminals. This paper discusses some of the key communication terminal system issues and considerations associated with the design of nuclear hardened strategic ground mobile earth terminals. It considers system requirements such as nuclear hardness, rapid mobility, low profile, signal interference resistance, high availability, and long term independent operation. It also discusses impacts and implications associated with these requirements when imposed on a satellite earth terminal. It gives special focus to the ramifications of imposing mobility on earth terminals and its relationship to the system design approach used to arrive at an optimal system solution.

  6. Public Health Policies and Practices of the Ottoman Empire with Special Reference to the Gallipoli Campaign.

    PubMed

    Aboul-Enein, Basil; Puddy, William

    2015-06-01

    To review the selected historiographic and contemporary literature that examined the Ottoman public health practices and policies with special reference to the Gallipoli campaign during the First World War. To date, no work has been published surrounding the Ottoman public health policies and responses during the battle of Gallipoli. A historiographic methodology was used to examine relevant primary and secondary publications using ten academic electronic databases. The literature discussed pre-war Hapsburg efforts to improve the Ottoman medical infrastructure, the activities of military medical students and units at Gallipoli, quarantine and vaccination procedures, and general medical issues throughout the empire during the war. Access to the official Turkish archives and translating relevant official documents into English are warranted. This represents an opportunity for military and public health historians to examine and identify relevant public health practices and policies that the Ottoman Empire implemented during the First World War and, in particular, the Gallipoli campaign.

  7. Referral patterns and general anesthesia in a specialized paediatric dental service.

    PubMed

    Alkilzy, Mohammad; Qadri, Ghalib; Horn, Janina; Takriti, Moutaz; Splieth, Christian

    2015-05-01

    The caries patterns of child populations in Germany have changed during the last 20 years. This affects the referrals and provision of specialist dental care for children. This study has two aims: first, to investigate referrals received by a specialized pediatric dental institution in 1995 and 2008, and second, to assess the treatments performed during full oral rehabilitations under general anesthesia in this institution from 2007 to 2008. All data of referred patients were evaluated for 1995 and 2008 separately. Comparisons were carried out for different socio-demographic, medical, and dental parameters. All patients treated under general anesthesia (GA) between March/2007 and December/2008 were examined retrospectively and their data were analyzed. In 1995 (n = 191), significantly older children were referred to specialized pediatric dental care compared to 2008 (n = 179). In addition, a shift of surgical referrals to very young children with high caries levels was clearly noticed, resulting in considerably more oral rehabilitation performed under GA in 2008 (n = 73). Thus, the mean values of 6.4 fillings and 2.7 extractions per child were quite high. Preventive treatment approaches for primary dentition in Germany need further improvement by focusing on high caries-risk groups, as specialized pediatric dentistry bears the great burden of providing oral rehabilitations under GA in young children. © 2014 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  8. An approach to developing the market for space shuttle payloads: Business/public policy issues and international marketing considerations

    NASA Technical Reports Server (NTRS)

    Krebs, W. A. W.

    1974-01-01

    The business and public policies were assessed that were determined to be important for NASA to consider in the design of a program for stimulating use of the space transportation system (STS) among potential users in the U.S. private sector and in foreign countries, in preparation for operations of the space shuttle in the early 1980's. Salient factors related to international cooperation in space are identified for special consideration in the development of user potential of the STS.

  9. A special protection scheme utilizing trajectory sensitivity analysis in power transmission

    NASA Astrophysics Data System (ADS)

    Suriyamongkol, Dan

    In recent years, new measurement techniques have provided opportunities to improve the North American Power System observability, control and protection. This dissertation discusses the formulation and design of a special protection scheme based on a novel utilization of trajectory sensitivity techniques with inputs consisting of system state variables and parameters. Trajectory sensitivity analysis (TSA) has been used in previous publications as a method for power system security and stability assessment, and the mathematical formulation of TSA lends itself well to some of the time domain power system simulation techniques. Existing special protection schemes often have limited sets of goals and control actions. The proposed scheme aims to maintain stability while using as many control actions as possible. The approach here will use the TSA in a novel way by using the sensitivities of system state variables with respect to state parameter variations to determine the state parameter controls required to achieve the desired state variable movements. The initial application will operate based on the assumption that the modeled power system has full system observability, and practical considerations will be discussed.

  10. Groundwater recharge with reclaimed municipal wastewater: health and regulatory considerations.

    PubMed

    Asano, Takashi; Cotruvo, Joseph A

    2004-04-01

    Groundwater recharge with reclaimed municipal wastewater presents a wide spectrum of technical and health challenges that must be carefully evaluated prior to undertaking a project. This review will provide a discussion of groundwater recharge and its management with special reference to health and regulatory aspects of groundwater recharge with reclaimed municipal wastewater. At present, some uncertainties with respect to health risk considerations have limited expanding use of reclaimed municipal wastewater for groundwater recharge, especially when a large portion of the groundwater contains reclaimed wastewater that may affect the domestic water supply. The proposed State of California criteria for groundwater recharge are discussed as an illustration of a cautious approach. In addition, a summary is provided of the methodology used in developing the World Health Organization's Guidelines for Drinking Water Quality to illustrate how numerical guideline values are generated for contaminants that may be applicable to groundwater recharge.

  11. Special Libraries.

    ERIC Educational Resources Information Center

    Foskett, D. J.

    The Special Library is distinguished from other libraries as being a library serving a particular group of readers, who have an existence as a group outside of their readership of the library, and whose members direct at least some of their activities towards a common purpose. Thus, the special librarian's first and major responsibility is to know…

  12. 76 FR 63354 - Proposed Information Collection (Application in Acquiring Specially Adapted Housing or Special...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ... (Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant) Activity: Comment Request... or special home adaptation grant. DATES: Written comments and recommendations on the proposed... Housing or Special Home Adaptation Grant, VA Form 26-4555. OMB Control Number: 2900-0132. Type of Review...

  13. Considerations for 21st-Century Disciplinary Policy and Practice

    ERIC Educational Resources Information Center

    Englehart, Joshua M.

    2014-01-01

    While the conceiving of 21st-century schools has rightly included much discussion on curriculum and instruction, changing demands and conditions also present necessary changes in the way that student behavior is managed. A review of the literature on student discipline over the past decade reveals three particular issues that warrant attention in…

  14. 7 CFR 810.207 - Special grades and special grade requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Section 810.207 Agriculture Regulations of the Department of Agriculture (Continued) GRAIN INSPECTION, PACKERS AND STOCKYARD ADMINISTRATION (FEDERAL GRAIN INSPECTION SERVICE), DEPARTMENT OF AGRICULTURE OFFICIAL UNITED STATES STANDARDS FOR GRAIN United States Standards for Barley Special Grades and Special...

  15. Incorporating Social Support in the Treatment of Anorexia Nervosa: Special Considerations for Older Adolescents and Young Adults

    PubMed Central

    Pisetsky, Emily M.; Utzinger, Linsey M.; Peterson, Carol B.

    2016-01-01

    Currently, research support is strongest for family-based treatment (FBT) for the treatment of anorexia nervosa (AN) in adolescents. However, a strong evidence base for treatments for older adolescents and young adults with AN is lacking. Emphasizing social support in the treatment of AN may be beneficial for older adolescents and young adults with AN. This paper provides a brief review of the literature on FBT for adolescent AN and provides a case example of adolescent AN treated with FBT. We then discuss novel treatments that have incorporated social support for older adolescents and young adults with AN, such as modified FBT and couples-based interventions. We provide case studies of each of these novel treatment approaches as well. Additionally, this paper highlights and discusses developmental considerations and challenges in working with older adolescents and young adults with AN. PMID:27429544

  16. Disgust discussed: introduction to the special section.

    PubMed

    Pole, Nnamdi

    2013-03-01

    The author introduces a special section of Psychological Bulletin devoted to the study of disgust. After discussing conflicts between its supposed role as a basic emotion and its more recently understood involvement in responding to moral transgressions, the author summarizes 3 articles contained in the special section. Widen and Russell (2013) present a developmental account of disgust highlighting the ages at which children experience, express, understand, verbalize, and recognize disgust. The article shows that disgust is present early but that recognition of disgust in others is considerably delayed. Chapman and Anderson (2013) review evidence pertaining to the question of whether genuine disgust is elicited by moral transgressions. Their review covers data from self-report, brain imaging, facial behavior, and implicit measures gathered from both experimental and correlational studies. They conclude that moral transgressions elicit genuine disgust. Russell and Giner-Sorolla (2013) ask what types of moral transgressions are most likely to elicit pure disgust. They find that moral transgressions involving body violations are more likely than others to elicit such disgust. Moreover, they suggest that disgust elicited by body violations is likely to be more resistant to modification by context, situation, and efforts at rationalization. Taken together, the reviews support the view that rudiments of disgust to physical objects are present early in life but later become adapted to social influence and new moral purposes. Social implications are discussed. © 2013 American Psychological Association

  17. Specialness of Special Education.

    ERIC Educational Resources Information Center

    Sodhi, S. S.

    The brief critical examination focuses on existing special education practices in schools in which diagnosis is said to have become a suspicion confirming exercise. Labeling-categorization of children with either mild or severe degrees of exceptionality is singled out as a harmful practice. Ethical and legal issues then considered are the variance…

  18. Stennis hosts 2010 Special Olympics

    NASA Technical Reports Server (NTRS)

    2010-01-01

    B.J. Matherne, 27, of Gulfport, scores a soccer goal during one of the 2010 Special Olympic games at NASA's John C. Stennis Space Center on March 27. Stennis serves as an annual host for the special needs event. Each year, local, regional and national Special Olympics events are hosted in more than 150 countries for persons with special needs. An international Special Olympics competition is held every two years.

  19. Advances in Special Education Volume 11, Issues, Practices and Concerns in Special Education.

    ERIC Educational Resources Information Center

    Rotatori, Anthony F., Ed.; Schwenn, John O., Ed.; Burkhardt, Sandra, Ed.

    This volume presents 14 papers which address current issues and practices in special education. The papers are: (1) "National Educational Reform: General and Special Education" (Joyce Fiddler and Freddie W. Litton); (2) "Linguistically Appropriate Special Education" (Herbert Grossman); (3) "Portfolio Assessment: An Individualized Approach for…

  20. 7 CFR 868.315 - Special grades and special grade requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... REGULATIONS AND STANDARDS FOR CERTAIN AGRICULTURAL COMMODITIES United States Standards for Milled Rice Special....314. Such special grades for milled rice are established and determined as follows: (a) Coated milled rice. Coated milled rice shall be rice which is coated, in whole or in part, with substances that are...

  1. 7 CFR 868.315 - Special grades and special grade requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... REGULATIONS AND STANDARDS FOR CERTAIN AGRICULTURAL COMMODITIES United States Standards for Milled Rice Special....314. Such special grades for milled rice are established and determined as follows: (a) Coated milled rice. Coated milled rice shall be rice which is coated, in whole or in part, with substances that are...

  2. Promoting Positive Special Education Practices

    ERIC Educational Resources Information Center

    Conderman, Greg; Pedersen, Theresa

    2005-01-01

    Special education is defined as specialized instruction for students with disabilities. Sometimes, however, legal requirements as well as the day-to-day demands of teaching secondary students with disabilities cloud the real intent of special education. This article acknowledges some poor practices occurring in secondary special education and…

  3. Prospective Special Education Teachers' Metaphorical Perceptions on the Concept of Special Education Teacher

    ERIC Educational Resources Information Center

    Deniz, Levent

    2016-01-01

    The aim of this research is to define the perceptions of prospective special education teachers regarding special education teacher through metaphors. Phenomenology design was used in this research. The study group comprised 116 third year prospective special education teachers studying at Marmara University, Ataturk Faculty of Education, Special…

  4. Special Libraries and Multitype Networks.

    ERIC Educational Resources Information Center

    Segal, JoAn S.

    1989-01-01

    Describes the history of multitype library networks; examines the reasons why special libraries and other network participants have resisted the inclusion of special libraries in these networks; and discusses the benefits to both special libraries and to other libraries in the network that would result from special library participation. (17…

  5. Special Needs: A Philosophical Analysis

    ERIC Educational Resources Information Center

    Vehmas, Simo

    2010-01-01

    This paper attempts to illuminate a central concept and idea in special education discourse, namely, "special needs". It analyses philosophically what needs are and on what grounds they are defined as "special" or "exceptional". It also discusses whether sorting needs into ordinary and special is discriminatory. It is argued that individualistic…

  6. 47 CFR 4.5 - Definitions of outage, special offices and facilities, and 911 special facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... facilities, and 911 special facilities. 4.5 Section 4.5 Telecommunication FEDERAL COMMUNICATIONS COMMISSION... Definitions of outage, special offices and facilities, and 911 special facilities. (a) Outage is defined as a... government facilities.” 911 special facilities are addressed separately in paragraph (e) of this section. (c...

  7. Sports Specialization in Young Athletes

    PubMed Central

    Jayanthi, Neeru; Pinkham, Courtney; Dugas, Lara; Patrick, Brittany; LaBella, Cynthia

    2013-01-01

    Context: Sports specialization is intense training in 1 sport while excluding others. Sports specialization in early to middle childhood has become increasingly common. While most experts agree that some degree of sports specialization is necessary to achieve elite levels, there is some debate as to whether such intense practice time must begin during early childhood and to the exclusion of other sports to maximize potential for success. There is a concern that sports specialization before adolescence may be deleterious to a young athlete. Evidence Acquisition: PubMed and OVID were searched for English-language articles from 1990 to 2011 discussing sports specialization, expert athletes, or elite versus novice athletes, including original research articles, consensus opinions, and position statements. Results: For most sports, there is no evidence that intense training and specialization before puberty are necessary to achieve elite status. Risks of early sports specialization include higher rates of injury, increased psychological stress, and quitting sports at a young age. Sports specialization occurs along a continuum. Survey tools are being developed to identify where athletes fall along the spectrum of specialization. Conclusion: Some degree of sports specialization is necessary to develop elite-level skill development. However, for most sports, such intense training in a single sport to the exclusion of others should be delayed until late adolescence to optimize success while minimizing injury, psychological stress, and burnout. PMID:24427397

  8. Lidar Remote Sensing for Characterizing Forest Vegetation - Special Issue. Foreword

    NASA Technical Reports Server (NTRS)

    Popescu, Sorin C.; Nelson, Ross F.

    2011-01-01

    , and 6) forest inventory, (7) silvicultural and ecological applications, and (8) terrestrial lidar applications. Within the constraint limiting the number of papers that could be fitted into the special issue we attempted to select those papers that best represented these conference topics and sections, giving special consideration to studies using forestry lidar data collected from each of the three platforms -- terrestrial, airborne, and spaceborne. Reflecting the international participation and reach of the conference, the studies presented here took place in the USA, Canada, Taiwan, the UK, and China.

  9. The Play of Children with Special Needs in Mainstream and Special Education Settings

    ERIC Educational Resources Information Center

    Bray, Paula; Cooper, Rodney

    2007-01-01

    Educators and occupational therapists regard play as a primary occupation of childhood, which in the case of children with special needs has not been well studied. The aim of this descriptive study was to observe the free-play behaviour of children with special needs in both special education and mainstream education settings. The Revised…

  10. Why Special Education? Exploring the Influence of Motivation on Choosing Special Education as a Career

    ERIC Educational Resources Information Center

    Bremer, Cheryl L.

    2012-01-01

    Teacher shortage in special education has been an ongoing dilemma considered critical and severe. The demand for fully qualified special education teachers continues to rise due to various federal mandates as well as an increase in the number of students requiring special education services. The supply of fully qualified special education teachers…

  11. Contributions to the Content Analysis of Gender Roles: An Introduction to a Special Issue

    PubMed Central

    Popova, Lucy; Linz, Daniel G.

    2011-01-01

    This special issue on gender-related content analysis is the second of two parts (see Rudy et al. 2010b). The current special issue is more diverse than was the first in the number of countries that are represented and in the variety of media genres and content types that are included. The primary aim of this paper is to outline some of the contributions of the individual papers in this second special issue. Some of these advancements and innovations include (a) examining underresearched measures, countries, time spans, sexual orientations, and individual media programs; (b) addressing both international and intranational differences in gender-role portrayals; (c) comparing multiple content formats within the same media unit; (d) updating past findings to take into consideration the current media landscape; (e) employing established measures in novel ways and novel contexts; (f) uncovering limitations in established intercultural measures and media-effects theories; (g) suggesting variables that could predict additional differences in gender-role portrayals; (h) adopting virtually identical methods and measures across distinct content categories in order to facilitate comparisons; (i) conducting multiple tests of a given hypothesis; (j) examining, from multiple perspectives, the implications of racial differences in gender portrayals; and (k) examining the implications of underrepresentation of women and the perspectives that women hold. In addition to the original content-analytical research presented in this special issue, two reviews, one methodological and the other analytical, offer recommendations of procedures and perspectives to be implemented in future research. PMID:21423330

  12. Contributions to the Content Analysis of Gender Roles: An Introduction to a Special Issue.

    PubMed

    Rudy, Rena M; Popova, Lucy; Linz, Daniel G

    2011-02-01

    This special issue on gender-related content analysis is the second of two parts (see Rudy et al. 2010b). The current special issue is more diverse than was the first in the number of countries that are represented and in the variety of media genres and content types that are included. The primary aim of this paper is to outline some of the contributions of the individual papers in this second special issue. Some of these advancements and innovations include (a) examining underresearched measures, countries, time spans, sexual orientations, and individual media programs; (b) addressing both international and intranational differences in gender-role portrayals; (c) comparing multiple content formats within the same media unit; (d) updating past findings to take into consideration the current media landscape; (e) employing established measures in novel ways and novel contexts; (f) uncovering limitations in established intercultural measures and media-effects theories; (g) suggesting variables that could predict additional differences in gender-role portrayals; (h) adopting virtually identical methods and measures across distinct content categories in order to facilitate comparisons; (i) conducting multiple tests of a given hypothesis; (j) examining, from multiple perspectives, the implications of racial differences in gender portrayals; and (k) examining the implications of underrepresentation of women and the perspectives that women hold. In addition to the original content-analytical research presented in this special issue, two reviews, one methodological and the other analytical, offer recommendations of procedures and perspectives to be implemented in future research.

  13. Dental care utilization and expenditures in children with special health care needs.

    PubMed

    Beil, Heather; Mayer, Michelle; Rozier, R Gary

    2009-09-01

    The authors compared children with special health care needs (CSHCN) and children without special health care needs (SHCN) with respect to the odds, amount and determinants of having any dental care and dental care expenditures. The authors assessed data from the 2004 Medical Expenditures Panel Survey, Agency for Healthcare Research and Quality, to identify a sample of 8,518 children aged 2 to 17 years. The authors used logistic regression to determine the effect of having SHCN on the probability of having any dental care expenditure, for total dental care expenditures and procedure-specific expenditures. They tested the modifying effect between CSHCN and other variables on the probability of having any dental care expenditure. Compared with children without SHCN, CSHCN did not differ in the probability (odds ratio = 0.91, 95 percent confidence interval [CI] = 0.76 to 1.09) or amount (beta = 30.17, 95 percent CI = -162.93 to 223.27) of total dental care expenditures. Likewise, CSHCN did not differ in their likelihood of having undergone a preventive, restorative, diagnostic or other procedure. Known determinants of dental care utilization did not modify the relationships between having SCHN and any dental care expenditure. Despite the reported difficulty in CSHCN's accessing dental care, the authors found that CSHCN had dental care utilization and expenditures that were comparable with those of children without SHCN. Furthermore, the association of CSHCN status and any dental care expenditure was not modified by known determinants of dental care utilization. Future research should focus on characterizing risk for dental disease among CSHCN more accurately and identifying factors that affect dental care utilization in CSHCN, including provider and parent characteristics. The study results highlight low rates of dental care utilization among all young children, including CSHCN. Efforts to increase dental care utilization among children are warranted and need to

  14. Design of a specialized computer for on-line monitoring of cardiac stroke volume

    NASA Technical Reports Server (NTRS)

    Webb, J. A., Jr.; Gebben, V. D.

    1972-01-01

    The design of a specialized analog computer for on-line determination of cardiac stroke volume by means of a modified version of the pressure pulse contour method is presented. The design consists of an analog circuit for computation and a timing circuit for detecting necessary events on the pressure waveform. Readouts of arterial pressures, systolic duration, heart rate, percent change in stroke volume, and percent change in cardiac output are provided for monitoring cardiac patients. Laboratory results showed that computational accuracy was within 3 percent, while animal experiments verified the operational capability of the computer. Patient safety considerations are also discussed.

  15. Ocular and visual status among children in special schools in Wales: the burden of unrecognised visual impairment.

    PubMed

    Woodhouse, J Margaret; Davies, Nathan; McAvinchey, Aideen; Ryan, Barbara

    2014-06-01

    The high prevalence of visual defects among children with special needs is well reported and guidelines for vision screening are in place. However, recent research has suggested that vision care for such children is neglected. This study set out to evaluate the current status of vision screening and eye care in special schools in Wales. In phase 1, all 44 special schools in Wales received a questionnaire on current vision screening practices. In phase 2, full eye examinations were conducted with 173 pupils of five schools with no screening service; the pupils were aged 2-21 years. In phase 3, feedback about the service was obtained from all schools and from 15 parents whose children took part. In phase 1, vision screening was patchy and inconsistent among the 39 schools responding. In phase 2, there is a high proportion of pupils (42%) reporting no previous eye examination. Overall, 17% of the pupils in the five schools presented with low vision (WHO definition, poorer than 0.3 LogMAR), 50% needed a first-time or updated spectacle prescription and 51% had some ocular abnormality that was either sight-limiting or warranted action to prevent risk to sight. In phase 3, school staff and parents reported that school-based eye examinations were valuable and, for those children with previous experience, likely to be more successful than clinic-based or practice-based examinations for this particular population. There is an urgent need for a school-based optometric service for this vulnerable group of children and young people. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  16. 48 CFR 801.690-2 - General.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... special and limited delegations of authority. (c) Warrant levels are synonymous with the Federal Acquisition Certification in Contracting Program certification levels specified in the OFPP Memorandum dated... on the following levels and types of authority: (1) Level I warrant. Authority for expenditures at or...

  17. Let's Find the Special People: Identifying and Locating the Special Needs Learners. "It Isn't Easy Being Special." Research & Development Series No. 176.

    ERIC Educational Resources Information Center

    Campbell-Thrane, Lucille, Ed.

    This publication presents a data collection system useful in measuring the success of vocational programs for special needs populations as well as current descriptive/demographic information on special needs populations nationwide. The first of four chapters provides a general characterization of special populations and specific definitions for…

  18. Considerations for automated machine learning in clinical metabolic profiling: Altered homocysteine plasma concentration associated with metformin exposure.

    PubMed

    Orlenko, Alena; Moore, Jason H; Orzechowski, Patryk; Olson, Randal S; Cairns, Junmei; Caraballo, Pedro J; Weinshilboum, Richard M; Wang, Liewei; Breitenstein, Matthew K

    2018-01-01

    With the maturation of metabolomics science and proliferation of biobanks, clinical metabolic profiling is an increasingly opportunistic frontier for advancing translational clinical research. Automated Machine Learning (AutoML) approaches provide exciting opportunity to guide feature selection in agnostic metabolic profiling endeavors, where potentially thousands of independent data points must be evaluated. In previous research, AutoML using high-dimensional data of varying types has been demonstrably robust, outperforming traditional approaches. However, considerations for application in clinical metabolic profiling remain to be evaluated. Particularly, regarding the robustness of AutoML to identify and adjust for common clinical confounders. In this study, we present a focused case study regarding AutoML considerations for using the Tree-Based Optimization Tool (TPOT) in metabolic profiling of exposure to metformin in a biobank cohort. First, we propose a tandem rank-accuracy measure to guide agnostic feature selection and corresponding threshold determination in clinical metabolic profiling endeavors. Second, while AutoML, using default parameters, demonstrated potential to lack sensitivity to low-effect confounding clinical covariates, we demonstrated residual training and adjustment of metabolite features as an easily applicable approach to ensure AutoML adjustment for potential confounding characteristics. Finally, we present increased homocysteine with long-term exposure to metformin as a potentially novel, non-replicated metabolite association suggested by TPOT; an association not identified in parallel clinical metabolic profiling endeavors. While warranting independent replication, our tandem rank-accuracy measure suggests homocysteine to be the metabolite feature with largest effect, and corresponding priority for further translational clinical research. Residual training and adjustment for a potential confounding effect by BMI only slightly modified

  19. Supporting Online AP Students: The Rural Facilitator and Considerations for Training

    ERIC Educational Resources Information Center

    Hendrix, Nicole; Degner, Katherine

    2016-01-01

    Online courses supplemented by on-site facilitators help many rural students pursue advanced coursework, but research is warranted to better understand facilitator role and training needs. This study examined facilitation experiences, demographic characteristics, and professional development activities of rural on-site facilitators associated with…

  20. De Sitter Invariant Special Relativity

    NASA Astrophysics Data System (ADS)

    Yan, Mu-Lin

    2015-06-01

    Einstein's Special Relativity is one of the cornerstones of modern physics. There is one universal parameter c (i.e., speed of light) in the Einstein's Special Relativity (E-SR), which serves as the maximal velocity of physics. One might be curious about whether there is another universal parameter R that serves as the maximal length in physics besides the universal maximal velocity limit c. The answer is yes. This book intends to describe a special theory of relativity with two universal parameters c and R. Such a theory is called the de Sitter Invariant Special Relativity, or the Special Relativity with Cosmology Constant...

  1. [Gender specific differences in coping with colon cancer--empirical findings with special consideration of religious coping].

    PubMed

    Murken, S; Namini, S; Gross, S; Körber, J

    2010-04-01

    The present study investigated whether women and men differ with regard to non-religious and religious coping with cancer, here: colon cancer--a question on which only little research has been done so far. 341 patients filled in a questionnaire during inpatient oncological rehabilitation. Statistical analyses showed that women reported higher mental strain than men. They used more bagatellization and wishful thinking, more depressive and less active problem-oriented coping strategies. A higher use of religious coping among women was to a high degree associated with their generally stronger religiosity. Correlations between coping strategies and measures of mental health indicated commonalities and differences. In particular, a positive correlation between active problem-oriented coping and mental health was found for men but not for women. In accordance with women's higher religiosity, the data indicate a stronger correlation between religious coping and adaptation among women than among men. The results suggest that gender differences and religiosity can be relevant in the context of treatment but that their significance must not be overinterpreted. In terms of patient orientation they speak for the necessity to individually assess the need for support, also with regard to the consideration of religiosity in the treatment process. Georg Thieme Verlag KG Stuttgart.New York.

  2. Ethical Considerations in Technology Transfer.

    ERIC Educational Resources Information Center

    Froehlich, Thomas J.

    1991-01-01

    Examines ethical considerations involved in the transfer of appropriate information technology to less developed countries. Approaches to technology are considered; two philosophical frameworks for studying ethical considerations are discussed, i.e., the Kantian approach and the utilitarian perspective by John Stuart Mill; and integration of the…

  3. Papilloma diagnosed at MRI-guided vacuum-assisted breast biopsy: is surgical excision still warranted?

    PubMed

    Brennan, Sandra B; Corben, Adriana; Liberman, Laura; Dershaw, D David; Brogi, Edi; Van Zee, Kimberly J; Morris, Elizabeth

    2012-10-01

    The objective of our study was to determine the frequency of cancer at surgery in breast lesions yielding papilloma at MRI-guided 9-gauge vacuum-assisted biopsy (VAB) and to determine whether any features are associated with cancer upgrade. For this study, 1487 MRI-guided vacuum-assisted biopsies performed from January 2004 to March 2011 were reviewed. Lesions yielding papilloma were identified and classified as papilloma with or without atypia. Surgical findings were reviewed to determine the cancer rate. Statistical analysis was performed and 95% CIs were calculated. Papilloma was identified in 75 of the 1487 MRI-guided vacuum-assisted biopsies (5%). These 75 papillomas occurred in 73 women with a median age of 49 years (age range, 27-70 years). Of the 75 papillomas, 25 (33%) had atypia and 50 (67%) did not on core needle biopsy. Subsequent surgery of 67 of the 75 papillomas (89%) yielded ductal carcinoma in situ (DCIS) in four (6%; 95% CI, 2-15%). Surgery yielded DCIS in two of 23 papillomas with atypia (9%; 95% CI, 1-28%) at MRI-guided VAB and in two of 44 papillomas without atypia (5%; 95% CI, 0.4-16%) at MRI-guided VAB; these cancer rates did not differ significantly (p=0.6). Postmenopausal status (p=0.04) and histologic size of less than 0.2 cm (p=0.04) had a significant association with the cancer upgrade rate. Papilloma with or without atypia was found in 5% of patients who underwent MRI-guided VAB during the study period. Surgery revealed cancer in 6%. DCIS was found at surgery in 9% of lesions yielding papilloma with atypia versus 5% of lesions yielding papilloma without atypia. For lesions yielding papilloma with or without atypia at MRI-guided VAB, surgical excision is warranted.

  4. The Ethics of Introducing GMOs into sub-Saharan Africa: Considerations from the sub-Saharan African Theory of Ubuntu.

    PubMed

    Komparic, Ana

    2015-11-01

    A growing number of countries in sub-Saharan Africa are considering legalizing the growth of genetically modified organisms (GMOs). Furthermore, several projects are underway to develop transgenic crops tailored to the region. Given the contentious nature of GMOs and prevalent anti-GMO sentiments in Africa, a robust ethical analysis examining the concerns arising from the development, adoption, and regulation of GMOs in sub-Saharan Africa is warranted. To date, ethical analyses of GMOs in the global context have drawn predominantly on Western philosophy, dealing with Africa primarily on a material level. Yet, a growing number of scholars are articulating and engaging with ethical theories that draw upon sub-Saharan African value systems. One such theory, Ubuntu, is a well-studied sub-Saharan African communitarian morality. I propose that a robust ethical analysis of Africa's agricultural future necessitates engaging with African moral theory. I articulate how Ubuntu may lead to a novel and constructive understanding of the ethical considerations for introducing GMOs into sub-Saharan Africa. However, rather than reaching a definitive prescription, which would require significant engagement with local communities, I consider some of Ubuntu's broader implications for conceptualizing risk and engaging with local communities when evaluating GMOs. I conclude by reflecting on the implications of using local moral theory in bioethics by considering how one might negotiate between universalism and particularism in the global context. Rather than advocating for a form of ethical relativism, I suggest that local moral theories shed light on salient ethical considerations that are otherwise overlooked. © 2015 John Wiley & Sons Ltd.

  5. International Conference on Harmonisation; Guidance on E7 Studies in Support of Special Populations; Geriatrics; Questions and Answers; availability. Notice.

    PubMed

    2012-02-21

    The Food and Drug Administration (FDA) is announcing the availability of a guidance entitled ``E7 Studies in Support of Special Populations: Geriatrics; Questions and Answers.'' The guidance was prepared under the auspices of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). The questions and answers (Q&A) guidance addresses special considerations for the design and conduct of clinical trials of drugs likely to have significant use in the elderly. The Q&As are intended to provide guidance on the use of geriatric data to adequately characterize and represent the safety and efficacy of a drug for a marketing application, including data collected postmarketing.

  6. 32 CFR 643.53 - Consideration.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., the consideration for a lease of real estate will be the appraised fair market rental value. However, the value of the maintenance, protection, repair, or restoration by the lessee of the property leased... all or part of the consideration. The value of the maintenance, protection, repair or restoration...

  7. 32 CFR 643.53 - Consideration.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., the consideration for a lease of real estate will be the appraised fair market rental value. However, the value of the maintenance, protection, repair, or restoration by the lessee of the property leased... all or part of the consideration. The value of the maintenance, protection, repair or restoration...

  8. Air Force Special Operations Command > Home > POTFF

    Science.gov Websites

    Air Force Special Operations Command Air Force Special Operations Command Join the Air Force Home Sheets AFSOC Senior Leaders AFSOC Heritage Units 1st Special Operations Wing 24th Special Operations Wing 27th Special Operations Wing 352nd Special Operations Wing 353rd Special Operations Group 492nd Special

  9. Sport Specialization, Part I

    PubMed Central

    Myer, Gregory D.; Jayanthi, Neeru; Difiori, John P.; Faigenbaum, Avery D.; Kiefer, Adam W.; Logerstedt, David; Micheli, Lyle J.

    2015-01-01

    Context: There is increased growth in sports participation across the globe. Sports specialization patterns, which include year-round training, participation on multiple teams of the same sport, and focused participation in a single sport at a young age, are at high levels. The need for this type of early specialized training in young athletes is currently under debate. Evidence Acquisition: Nonsystematic review. Study Design: Clinical review. Level of Evidence: Level 4. Conclusion: Sports specialization is defined as year-round training (greater than 8 months per year), choosing a single main sport, and/or quitting all other sports to focus on 1 sport. Specialized training in young athletes has risks of injury and burnout, while the degree of specialization is positively correlated with increased serious overuse injury risk. Risk factors for injury in young athletes who specialize in a single sport include year-round single-sport training, participation in more competition, decreased age-appropriate play, and involvement in individual sports that require the early development of technical skills. Adults involved in instruction of youth sports may also put young athletes at risk for injury by encouraging increased intensity in organized practices and competition rather than self-directed unstructured free play. Strength-of-Recommendation Taxonomy (SORT): C. PMID:26502420

  10. Special Education Technology Specialist. Careers in Special Education and Related Services.

    ERIC Educational Resources Information Center

    National Clearinghouse for Professions in Special Education, Reston, VA.

    Designed for high school students interested in careers in special education and related services, this guide outlines the role of the special education technology specialist. It addresses the nature of the work, the education required, personal qualities that technology specialists should have, job outlook and advancement, and how to prepare for…

  11. Specialization in general practice *

    PubMed Central

    Hart, Julian Tudor

    1980-01-01

    Ideas about general practitioner specialism may have been hampered in the past because of the three models of general practitioner specialism — in the hospital service, the fee-earning specialoid or the general practitioner obstetrician — none of which is satisfactory. However, general practitioner specialism can be justified in guaranteeing standards by concentrating groups of patients, accepting responsibility, and planning care. Medico-political changes may be needed to achieve improvement in clinical standards. PMID:7411511

  12. The Voices of Special Educators: How Do Special Educators Teach English Language Learners Who Are Receiving Special Education Services?

    ERIC Educational Resources Information Center

    DuBois, Elizabeth Ann

    2017-01-01

    Disproportionality in special education has been examined from various perspectives over a 50-year period. English Language Learner (ELL) students have been included in the discussion among researchers in the past two decades as a disproportionate number of ELL students are referred to special education. Though the problem of disproportionality…

  13. Effective Special Teacher Characteristics: Perceptions of Preschool Special Educators in Greece

    ERIC Educational Resources Information Center

    Soulis, Spiridon-Georgios

    2009-01-01

    The aim of the present study was to evaluate six characteristics of effective special pre-school teachers, similar to those used in the relevant literature. The study participants were all special teachers (n = 226), serving in Greek state and community pre-primary educational institutions (i.e. kindergartens and day nurseries) for children with…

  14. Methodological Considerations in Screening for Cumulative Environmental Health Impacts: Lessons Learned from a Pilot Study in California

    PubMed Central

    August, Laura Meehan; Faust, John B.; Cushing, Lara; Zeise, Lauren; Alexeeff, George V.

    2012-01-01

    Polluting facilities and hazardous sites are often concentrated in low-income communities of color already facing additional stressors to their health. The influence of socioeconomic status is not considered in traditional models of risk assessment. We describe a pilot study of a screening method that considers both pollution burden and population characteristics in assessing the potential for cumulative impacts. The goal is to identify communities that warrant further attention and to thereby provide actionable guidance to decision- and policy-makers in achieving environmental justice. The method uses indicators related to five components to develop a relative cumulative impact score for use in comparing communities: exposures, public health effects, environmental effects, sensitive populations and socioeconomic factors. Here, we describe several methodological considerations in combining disparate data sources and report on the results of sensitivity analyses meant to guide future improvements in cumulative impact assessments. We discuss criteria for the selection of appropriate indicators, correlations between them, and consider data quality and the influence of choices regarding model structure. We conclude that the results of this model are largely robust to changes in model structure. PMID:23202671

  15. Sex-related responses after traumatic brain injury: Considerations for preclinical modeling.

    PubMed

    Späni, Claudia B; Braun, David J; Van Eldik, Linda J

    2018-05-18

    Traumatic brain injury (TBI) has historically been viewed as a primarily male problem, since men are more likely to experience a TBI because of more frequent participation in activities that increase risk of head injuries. This male bias is also reflected in preclinical research where mostly male animals have been used in basic and translational science. However, with an aging population in which TBI incidence is increasingly sex-independent due to falls, and increasing female participation in high-risk activities, the attention to potential sex differences in TBI responses and outcomes will become more important. These considerations are especially relevant in designing preclinical animal models of TBI that are more predictive of human responses and outcomes. This review characterizes sex differences following TBI with a special emphasis on the contribution of the female sex hormones, progesterone and estrogen, to these differences. This information is potentially important in developing and customizing TBI treatments. Copyright © 2018 Elsevier Inc. All rights reserved.

  16. Trends in Special Library Buildings.

    ERIC Educational Resources Information Center

    Cohen, Elaine; Cohen, Aaron

    1987-01-01

    Examines special library facilities, noting impact of organizational structure, and discusses the concept of information resources management in this context. Development of online and telecommunications systems, corporate and government campuses, and special library systems are identified as reasons for growth of special libraries. Furniture and…

  17. Biofuel Production: Considerations for USACE Civil Works Business Lines

    DTIC Science & Technology

    2014-12-01

    observers to see the big picture by looking at a smaller part of it. Indicators are often quantitative measures such as physical or economic data...however, the end use of collected biomass as feedstock for biofuels is seldom considered. The USACE Aquatic Plant Control Research Program has a ...collection equipment, and proximity to transportation and biofuels processing plants , use of aquatic plant biomass as a feedstock may be warranted

  18. 75 FR 55786 - Office of Special Education Programs, Office of Special Education and Rehabilitative Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-14

    ... DEPARTMENT OF EDUCATION Office of Special Education Programs, Office of Special Education and Rehabilitative Services, Department of Education; Notice of Final Extension of Project Period and Waiver for the... Transition Technical Assistance Center (NSTTAC). Currently, the Office of Special Education Programs (OSEP...

  19. Transnasal endoscopy: Technical considerations, advantages and limitations.

    PubMed

    Atar, Mustafa; Kadayifci, Abdurrahman

    2014-02-16

    Transnasal endoscopy (TNE) is an upper endoscopy method which is performed by the nasal route using a thin endoscope less than 6 mm in diameter. The primary goal of this method is to improve patient tolerance and convenience of the procedure. TNE can be performed without sedation and thus eliminates the risks associated with general anesthesia. In this way, TNE decreases the cost and total duration of endoscopic procedures, while maintaining the image quality of standard caliber endoscopes, providing good results for diagnostic purposes. However, the small working channel of the ultra-thin endoscope used for TNE makes it difficult to use for therapeutic procedures except in certain conditions which require a thinner endoscope. Biopsy is possible with special forceps less than 2 mm in diameter. Recently, TNE has been used for screening endoscopy in Far East Asia, including Japan. In most controlled studies, TNE was found to have better patient tolerance when compared to unsedated endoscopy. Nasal pain is the most significant symptom associated with endoscopic procedures but can be reduced with nasal pretreatment. Despite the potential advantage of TNE, it is not common in Western countries, usually due to a lack of training in the technique and a lack of awareness of its potential advantages. This paper briefly reviews the technical considerations as well as the potential advantages and limitations of TNE with ultra-thin scopes.

  20. Transnasal endoscopy: Technical considerations, advantages and limitations

    PubMed Central

    Atar, Mustafa; Kadayifci, Abdurrahman

    2014-01-01

    Transnasal endoscopy (TNE) is an upper endoscopy method which is performed by the nasal route using a thin endoscope less than 6 mm in diameter. The primary goal of this method is to improve patient tolerance and convenience of the procedure. TNE can be performed without sedation and thus eliminates the risks associated with general anesthesia. In this way, TNE decreases the cost and total duration of endoscopic procedures, while maintaining the image quality of standard caliber endoscopes, providing good results for diagnostic purposes. However, the small working channel of the ultra-thin endoscope used for TNE makes it difficult to use for therapeutic procedures except in certain conditions which require a thinner endoscope. Biopsy is possible with special forceps less than 2 mm in diameter. Recently, TNE has been used for screening endoscopy in Far East Asia, including Japan. In most controlled studies, TNE was found to have better patient tolerance when compared to unsedated endoscopy. Nasal pain is the most significant symptom associated with endoscopic procedures but can be reduced with nasal pretreatment. Despite the potential advantage of TNE, it is not common in Western countries, usually due to a lack of training in the technique and a lack of awareness of its potential advantages. This paper briefly reviews the technical considerations as well as the potential advantages and limitations of TNE with ultra-thin scopes. PMID:24567791

  1. Assessing Special Events.

    ERIC Educational Resources Information Center

    Neff, Bonita Dostal

    Special events defined as being "newsworthy events" are becoming a way of American life. They are also a means for making a lot of money. Examples of special events that are cited most frequently are often the most minor of events; e.g., the open house, the new business opening day gala, or a celebration of some event in an organization.…

  2. Preparing Special Educators for Teacher Consultation.

    ERIC Educational Resources Information Center

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

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

  3. 38 CFR 21.3104 - Special training.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Special training. 21.3104.... Chapter 35 Counseling § 21.3104 Special training. (a) Initial counseling. A counseling psychologist or..., spouse's or surviving spouse's need for a course of specialized vocational training or special...

  4. 38 CFR 21.3104 - Special training.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Special training. 21.3104.... Chapter 35 Counseling § 21.3104 Special training. (a) Initial counseling. A counseling psychologist or..., spouse's or surviving spouse's need for a course of specialized vocational training or special...

  5. 48 CFR 239.7409 - Special assembly.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Special assembly. 239.7409... Services 239.7409 Special assembly. (a) Special assembly is the designing, manufacturing, arranging... general use equipment. (b) Special assembly rates and charges shall be based on estimated costs. The...

  6. 48 CFR 239.7409 - Special assembly.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Special assembly. 239.7409... Services 239.7409 Special assembly. (a) Special assembly is the designing, manufacturing, arranging... general use equipment. (b) Special assembly rates and charges shall be based on estimated costs. The...

  7. 48 CFR 239.7409 - Special assembly.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Special assembly. 239.7409... Services 239.7409 Special assembly. (a) Special assembly is the designing, manufacturing, arranging... general use equipment. (b) Special assembly rates and charges shall be based on estimated costs. The...

  8. 48 CFR 239.7409 - Special assembly.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Special assembly. 239.7409... Services 239.7409 Special assembly. (a) Special assembly is the designing, manufacturing, arranging... general use equipment. (b) Special assembly rates and charges shall be based on estimated costs. The...

  9. 48 CFR 239.7409 - Special assembly.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Special assembly. 239.7409... Services 239.7409 Special assembly. (a) Special assembly is the designing, manufacturing, arranging... general use equipment. (b) Special assembly rates and charges shall be based on estimated costs. The...

  10. The treatment of hospital wastewater: an appraisal.

    PubMed

    Pauwels, B; Verstraete, W

    2006-12-01

    Hospitals discharge considerable amounts of chemicals and microbial agents in their wastewaters. Problem chemicals present in hospital wastewater belong to different groups, such as antibiotics, X-ray contrast agents, disinfectants and pharmaceuticals. Many of these chemical compounds resist normal wastewater treatment. They end up in surface waters where they can influence the aquatic ecosystem and interfere with the food chain. Humans are particularly exposed by the drinking water, produced from surface water. Microbial agents of special concern are multiresistant microbial strains. The latter are suspected to contribute to the spread of antibiotic resistance. In this paper, we will discuss the different approaches towards hospital wastewater treatment. The principle of uncoupling hospitals from public sewers warrants indepth evaluation by technologists and ecotoxicologists as well as public health specialists.

  11. Special Education and Student Services.

    ERIC Educational Resources Information Center

    Brazeau, Karen; And Others

    This report examines the current status and plans for special education, student services, and special projects and studies in Oregon. The first section offers an overview of special education long-range planning in secondary and transition programs, the student population with severe emotional disturbance, low incidence populations, families, the…

  12. 27 CFR 40.425 - Special.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... TOBACCO Manufacture of Cigarette Papers and Tubes Operations by Manufacturers § 40.425 Special. A special report, covering the unreported period to the day preceding the date of any special inventory required by an appropriate TTB officer, shall be made with such inventory. Another report, covering the period...

  13. The Practice of Special Education.

    ERIC Educational Resources Information Center

    Swann, Will, Ed.

    Intended for use with an Open University (England) course, the book contains 27 papers on issues affecting handicapped students in special education. Topics considered include the individual and his/her relationship to the environment; the history of special education in the United Kingdom; varieties of special programs; relationships among…

  14. Replication Research and Special Education

    ERIC Educational Resources Information Center

    Travers, Jason C.; Cook, Bryan G.; Therrien, William J.; Coyne, Michael D.

    2016-01-01

    Replicating previously reported empirical research is a necessary aspect of an evidence-based field of special education, but little formal investigation into the prevalence of replication research in the special education research literature has been conducted. Various factors may explain the lack of attention to replication of special education…

  15. 28 CFR 2.21 - Reparole consideration guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Reparole consideration guidelines. 2.21....21 Reparole consideration guidelines. (a)(1) If revocation is based upon administrative violation(s... analogy with listed federal offense behaviors. (b) The guidelines for parole consideration specified at 28...

  16. External Corrosion Direct Assessment for Unique Threats to Underground Pipelines

    DOT National Transportation Integrated Search

    2007-11-01

    External corrosion direct assessment process (ECDA) implemented in accordance with the NACE Recommended Practice RP0502-02 relies on above ground DA techniques to prioritize locations at risk for corrosion. Two special cases warrant special considera...

  17. Factors That Drive Youth Specialization.

    PubMed

    Padaki, Ajay S; Popkin, Charles A; Hodgins, Justin L; Kovacevic, David; Lynch, Thomas Sean; Ahmad, Christopher S

    Specialization in young athletes has been linked to overuse injuries, burnout, and decreased satisfaction. Despite continued opposition from the medical community, epidemiological studies suggest the frequency is increasing. Extrinsic pressures in addition to individual aspirations drive this national trend in sports specialization. Descriptive epidemiology study. Level 3. A novel instrument assessing the driving factors behind youth specialization was generated by an interdisciplinary team of medical professionals. Surveys were administered to patients and athletes in the department's sports medicine clinic. The survey was completed by 235 athletes between 7 and 18 years of age, with a mean age of 13.8 ± 3.0 years. Athletes specialized at a mean age of 8.1 years, and 31% of athletes played a single sport while 58% played multiple sports but had a preferred sport. More than 70% of athletes had collegiate or professional ambitions, and 60% played their primary sport for 9 or more months per year, with players who had an injury history more likely to play year-round ( P < 0.01). Approximately one-third of players reported being told by a coach not to participate in other sports, with specialized athletes reporting this significantly more often ( P = 0.04). Half of the athletes reported that sports interfered with their academic performance, with older players stating this more frequently ( P < 0.01). Young athletes are increasingly specializing in a single sport before starting high school. While intrinsic drive may identify healthy aspirations, extrinsic influences are prevalent in specialized athletes. Extrinsic factors contributing to youth specialization were identified and compounded the deleterious sequelae of youth athlete specialization.

  18. Factors affecting dance exercise performance in students at a special needs school.

    PubMed

    Ito, Yukiko; Hiramoto, Izumi; Kodama, Hideya

    2017-09-01

    In Japan, dance exercise has been introduced as a compulsory element of health and physical education, but there is a considerable discrepancy in the levels of performance among students with intellectual disability (ID) at special needs schools. The aim of this study was therefore to identify the factors affecting the performance of dance exercise in students with ID. A 4 month dance exercise program was implemented for junior high school students at a special needs school, and the performance of 32 students at 22 sessions was assessed quantitatively according to calorie use during exercise and performance proficiency score. The measures were compared according to gender, age, body mass index, diagnosis, and development quotient (DQ) score. Performance in many students improved with repetition and reached the highest attainment level at around the third month. Male gender and older age had a significant positive impact on calorie use, whereas diagnosis of Down syndrome and higher DQ score had a significant positive impact on proficiency score. Four students with poor performance were all female students with autism. This study provides some possible explanations for differences in the levels of dance performance among students with ID. © 2017 Japan Pediatric Society.

  19. Desperately Seeking Special Ed Teachers

    ERIC Educational Resources Information Center

    Butler, Kevin

    2008-01-01

    It's no secret that the dearth of special education teachers has created huge headaches for district human resources departments, especially in suburban and rural areas. In addition to insufficient numbers of candidates applying for special education jobs, retention of special education teachers is an ever-greater problem, as research indicates…

  20. Virtual Reality and Special Needs

    ERIC Educational Resources Information Center

    Jeffs, Tara L.

    2009-01-01

    The use of virtual environments for special needs is as diverse as the field of Special Education itself and the individuals it serves. Individuals with special needs often face challenges with attention, language, spatial abilities, memory, higher reasoning and knowledge acquisition. Research in the use of Virtual Learning Environments (VLE)…

  1. Special Education in Nigeria.

    ERIC Educational Resources Information Center

    Abang, Theresa B.

    1992-01-01

    This article discusses the special education system in Nigeria, focusing on integration; training of special educators; medical, health, and welfare services for children with disabilities; recreational facilities; employment opportunities; national planning; and problems and successes. (JDD)

  2. 50 CFR 100.19 - Special actions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 8 2011-10-01 2011-10-01 false Special actions. 100.19 Section 100.19... § 100.19 Special actions. (a) Emergency special actions. In an emergency situation, if necessary to... recommendations on the proposed emergency special action. Such a Council recommendation, if any, will be subject...

  3. 2011 Special Olympics

    NASA Image and Video Library

    2011-03-19

    A military color guard opens the 2011 John C. Stennis Area III Track and Field Competitions on March 19. Stennis Space Center is an annual host for the Special Olympics games, which draws special athletes from Hancock, Harrison, Pearl River, and Stone counties and involves hundreds of volunteers and sponsors. The 2011 event was sponsored by the NASA Shared Services Center, located at Stennis.

  4. Merging Regular and Special Education Teacher Preparation Programs: The Integrated Special Education-English Project (ISEP).

    ERIC Educational Resources Information Center

    Miller, Darcy E.

    1991-01-01

    Describes the Integrated Special Education-English Project (ISEP) which facilitated the gradual integration of special education and English teacher preparation programs. A description of the ISEP model and a case study are included. The case study indicated student teachers who participated in the ISEP improved special education and English…

  5. Manual for Special Education Nurses.

    ERIC Educational Resources Information Center

    Schnetter, Vicki A., Ed.

    This manual aims (1) to provide a standard, well-referenced resource for Iowa special education nurses and (2) to provide direction and continuity for health services to pupils with special needs. The first chapter provides an overview of the special education nurse's role, including philosophy, definitions of assignments, levels of service, and…

  6. An Examination of the Special Education Teacher Training Programs in Turkey and European Union Member Countries in Terms of Language Development and Communication Education

    ERIC Educational Resources Information Center

    Akmese, Pelin Pistav; Kayhan, Nilay

    2016-01-01

    The academic terms and the periods of the courses related to the language development and communication differs considerably in the programs of the countries which train teachers for the special education department. The aim of this study is to examine the contents and credits of the communication and the language development courses in Teacher…

  7. Special Considerations for Networking Multimedia CD-ROM Titles.

    ERIC Educational Resources Information Center

    Wolfe, Janet L.

    1994-01-01

    Discusses issues to be considered when networking multimedia CD-ROMs. Topics addressed include CD-ROM networking software; license concerns; configurations for CD-ROM servers; data caching; SCSI devices; CD-ROM drives; workstation configurations, including minimum requirements for five popular CD-ROM titles; and system setup troubleshooting tips.…

  8. Nutrition considerations in special environments for aquatic sports.

    PubMed

    Stellingwerff, Trent; Pyne, David B; Burke, Louise M

    2014-08-01

    Elite athletes who compete in aquatic sports face the constant challenge of arduous training and competition schedules in difficult and changing environmental conditions. The huge range of water temperatures to which swimmers and other aquatic athletes are often exposed (16-31 °C for open-water swimming), coupled with altered aquatic thermoregulatory responses as compared with terrestrial athletes, can challenge the health, safety, and performance of these athletes. Other environmental concerns include air and water pollution, altitude, and jetlag and travel fatigue. However, these challenging environments provide the potential for several nutritional interventions that can mitigate the negative effects and enhance adaptation and performance. These interventions include providing adequate hydration and carbohydrate and iron intake while at altitude; optimizing body composition and fluid and carbohydrate intake when training or competing in varying water temperatures; and maximizing fluid and food hygiene when traveling. There is also emerging information on nutritional interventions to manage jetlag and travel fatigue, such as the timing of food intake and the strategic use of caffeine or melatonin. Aquatic athletes often undertake their major global competitions where accommodations feature cafeteria-style buffet eating. These environments can often lead to inappropriate choices in the type and quantity of food intake, which is of particular concern to divers and synchronized swimmers who compete in physique-specific sports, as well as swimmers who have a vastly reduced energy expenditure during their taper. Taken together, planned nutrition and hydration interventions can have a favorable impact on aquatic athletes facing varying environmental challenges.

  9. Tourette syndrome in children and adolescents: special considerations.

    PubMed

    Eapen, Valsamma; Crncec, Rudi

    2009-12-01

    Tourette syndrome (TS) affects people of all ages, with onset in early childhood and continuing through the different stages of the life cycle into adolescence and adults. This review focuses on barriers to diagnosis and challenges in the management of young patients with TS. Barriers to identification occur at multiple levels, including detection in the community setting (including schools), parents' help-seeking behavior, and cultural influences on such behavior, as well as diagnosis by the medical provider. Challenges to management include unfamiliarity of primary care providers, inconsistencies in the diagnosis and management plan, and failure to recognize comorbid conditions, as well as inadequate knowledge and lack of resources to effectively deal with comorbidities. In addition to the complexities posed by pharmacological interactions, there are unique psychosocial challenges experienced by young people with TS and their families. Effective communication and collaboration between families, health care providers, and school personnel, as well as supportive communities, are essential components of comprehensive management.

  10. Exercise Following a Heart Attack: Some Special Considerations.

    ERIC Educational Resources Information Center

    Fardy, Paul S.

    This paper presents information on the effectiveness of exercise programs for heart attack victims. Some of the observations come from unpublished results of a two year experiment of the National Exercise and Heart Disease Project. The paper first establishes that a group exercise program with trained supervision is advantageous for people with…

  11. Ischemic Heart Disease: Special Considerations in Cardio-Oncology.

    PubMed

    Giza, Dana Elena; Boccalandro, Fernando; Lopez-Mattei, Juan; Iliescu, Gloria; Karimzad, Kaveh; Kim, Peter; Iliescu, Cezar

    2017-05-01

    The interplay and balance between the competing morbidity and mortality of cardiovascular diseases and cancer have a significant impact on both short- and long-term health outcomes of patients who survived cancer or are being treated for cancer. Ischemic heart disease in patients with cancer or caused by cancer therapy is a clinical problem of emerging importance. Prompt recognition and optimum management of ischemic heart disease mean that patients with cancer can successfully receive therapies to treat their malignancy and reduce morbidity and mortality due to cardiovascular disease. In this sense, the presence of cancer and cancer-related comorbidities (e.g., thrombocytopenia, propensity to bleed, thrombotic status) substantially complicates the management of cardiovascular diseases in cancer patients. In this review, we will summarize the current state of knowledge on the management strategies for ischemic disease in patients with cancer, focusing on the challenges encountered when addressing these complexities.

  12. 48 CFR 31.205-40 - Special tooling and special test equipment costs.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Special tooling and special test equipment costs. 31.205-40 Section 31.205-40 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION GENERAL CONTRACTING REQUIREMENTS CONTRACT COST PRINCIPLES AND PROCEDURES Contracts With Commercial Organizations 31.205-40...

  13. Comparative Studies in Special Education.

    ERIC Educational Resources Information Center

    Mazurek, Kas, Ed.; Winzer, Margret A., Ed.

    This text presents 26 case studies which examine special education provisions for children in the world today. The reports focus on the current state of special education in selected nations and major issues and controversies in the field of special education within those nations. Each case study addresses the following themes: (1) prevalence of…

  14. 50 CFR 100.19 - Special actions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Special actions. 100.19 Section 100.19... § 100.19 Special actions. (a) The Board may restrict, close, or reopen the taking of fish and wildlife.... Requests for Special Action that do not meet these conditions will be rejected; however, a rejected Special...

  15. Ethical considerations in the regulation of euthanasia and physician-assisted death in Canada.

    PubMed

    Landry, Joshua T; Foreman, Thomas; Kekewich, Michael

    2015-11-01

    On February 6th 2015 the Supreme Court of Canada (SCC) released their decision on Carter v Canada (Attorney General) to uphold a judgment from a lower court which determined that the current prohibition in Canada on physician-assisted dying violated the s. 7 [Charter of Rights and Freedoms] rights of competent adults whose medical condition causes intolerable suffering. The purpose of this piece is to briefly examine current regulations from Oregon (USA), Belgium, and the Netherlands, in which physician-assisted death and/or euthanasia is currently permitted, as well as from the province of Quebec which recently passed Bill-52, "An Act Respecting End-of-Life Care." We present ethical considerations that would be pertinent in the development of policies and regulations across Canada in light of this SCC decision: patient and provider autonomy, determining a relevant decision-making standard for practice, and explicating challenges with the SCC criteria for assisted-death eligibility with special consideration to the provision of assisted-death, and review of assisted-death cases. [It is not the goal of this paper to address all questions related to the regulation and policy development of euthanasia and assisted death in Canada, but rather to stimulate and guide the conversations in these areas for policy makers, professional bodies, and regulators.]. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  16. Alternative Fuels Data Center: Hydrogen Benefits and Considerations

    Science.gov Websites

    Benefits and Considerations to someone by E-mail Share Alternative Fuels Data Center: Hydrogen Benefits and Considerations on Facebook Tweet about Alternative Fuels Data Center: Hydrogen Benefits and Considerations on Twitter Bookmark Alternative Fuels Data Center: Hydrogen Benefits and Considerations on Google

  17. High Voltage Design Considerations for the Electrostatic Septum for the Mu2e Beam Resonant

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

    Alvarez, Matthew L.; Jensen, C.; Morris, D.

    aTwo electrostatic septa (ESS) are being designed for the slow extraction of 8GeV proton beam for the Mu2e experiment at Fermilab. Special attention is given to the high voltage components that affect the performance of the septa. The components under consideration are the high voltage (HV) feedthrough, cathode standoff (CS), and clearing electrode ceramic standoffs (CECS). Previous experience with similar HV systems at Fermilab was used to define the evaluation criteria of the design of the high voltage components. Using electric field simulation software, high E-field intensities on the components and integrated field strength along the surface of the dielectricmore » material were minimized. Here we discuss the limitations found and improvements made based on those studies.« less

  18. The relationship between hospital specialization and hospital efficiency: do different measures of specialization lead to different results?

    PubMed

    Lindlbauer, Ivonne; Schreyögg, Jonas

    2014-12-01

    This study investigated the relationship between hospital specialization and technical efficiency using different measures of specialization, including two novel approaches based on patient volumes rather than patient proportions. It was motivated by the observation that most studies to date have quantified hospital specialization using information about hospital patients grouped into different categories based on their diagnosis, and in doing so have used proportions-thus indirectly assuming that these categories are dependent on one other. In order to account for the diversification of organizations and the idea that hospitals can be specialized in terms of professional expertise or technical equipment within a given diagnosis category, we developed our two specialization measures based on patient volume in each category. Using a one-step stochastic frontier approach on randomly selected data from the annual reports of 1,239 acute care German hospitals for the years 2000 through 2010, we estimated the relationship of inefficiency to exogenous variables, such as specialization. The results show that specialization as quantified by our novel measures has effects on efficiency that are the opposite of those obtained using earlier measures of specialization. These results underscore the importance of always providing an exact definition of specialization when studying its effects. Additionally, a Monte Carlo simulation based on three scenarios is provided to facilitate the choice of a specialization measure for further analysis.

  19. Design control considerations for biologic-device combination products.

    PubMed

    Anderson, Dave; Liu, Roger; Anand Subramony, J; Cammack, Jon

    2017-03-01

    Combination products are therapeutic and diagnostic medical products that combine drugs, devices, and/or biological products with one another. Historically, biologics development involved identifying efficacious doses administered to patients intravenously or perhaps by a syringe. Until fairly recently, there has been limited focus on developing an accompanying medical device, such as a prefilled syringe or auto-injector, to enable easy and more efficient delivery. For the last several years, and looking forward, where there may be little to distinguish biologics medicines with relatively similar efficacy profiles, the biotechnology market is beginning to differentiate products by patient-focused, biologic-device based combination products. As innovative as biologic-device combination products are, they can pose considerable development, regulatory, and commercialization challenges due to unique physicochemical properties and special clinical considerations (e.g., dosing volumes, frequency, co-medications, etc.) of the biologic medicine. A biologic-device combination product is a marriage between two partners with "cultural differences," so to speak. There are clear differences in the development, review, and commercialization processes of the biologic and the device. When these two cultures come together in a combination product, developers and reviewers must find ways to address the design controls and risk management processes of both the biologic and device, and knit them into a single entity with supporting product approval documentation. Moreover, digital medicine and connected health trends are pushing the boundaries of combination product development and regulations even further. Despite an admirable cooperation between industry and FDA in recent years, unique product configurations and design features have resulted in review challenges. These challenges have prompted agency reviewers to modernize consultation processes, while at the same time, promoting

  20. Optomechanical Design and Analysis Considerations on the Lunar Orbiter Laser Altimeter

    NASA Technical Reports Server (NTRS)

    Schmidt. Stephen; Mamakos, William; Matzinger, Elizabeth; Wall, Sheila

    2007-01-01

    This paper presents the mechanical design and analysis work completed on the Lunar Orbiter Laser Altimeter (LOLA). LOLA is one of six instruments on the Lunar Reconnaissance Orbiter (LRO), scheduled to launch in 2008. LOLA's main objective is to produce a high-resolution global lunar topographic model to aid in safe landings and enhance surface mobility in future exploration missions. LOLA will also look for evidence of ice water in the permanently shadowed regions around the lunar poles. Beryllium was chosen as the primary material for the LOLA Optical Transmitter Assembly to take advantage of the material's low mass density for light weight optical instrument design and for CTE matching of the refractive optical components. In addition, the thermal conductivity and specific heat of beryllium minimizes thermal gradients and thermal excursions. Special consideration must be made for the planning and preparation to fabricate beryllium components, as well as the preparation and cleaning of the components for gold plating. Assembly challenges include handling, precision cleaning and integration and testing. Structural analysis considerations include following General Environmental Verification Specification (GEVS) guidelines for GSFC payloads. The GEVS random environment for LOLA has an acceptance level of 10.0 Grms, which was analyzed for higher frequency transients. The low frequency transients were analyzed using a Mass Acceleration Curve to obtain an equivalent static loading. In addition, Structural-Thermal-Optical analysis, commonly referred to as STOP analysis, was completed to predict optical performance under the instrument's operational thermal environment. This included stress and distortion analysis on the receiver telescope lens.

  1. Value choices and considerations when limiting intensive care treatment: a qualitative study.

    PubMed

    Halvorsen, K; Førde, R; Nortvedt, P

    2009-01-01

    To shed light on the values and considerations that affect the decision-making processes and the decisions to limit intensive care treatment. Qualitative methodology with participant observation and in-depth interviews, with an emphasis on eliciting the underlying rationale of the clinicians' actions and choices when limiting treatment. Informants perceived over-treatment in intensive care medicine as a dilemma. One explanation was that the decision-making base was somewhat uncertain, complex and difficult. The informants claimed that those responsible for taking decisions from the admitting ward prolonged futile treatment because they may bear guilt or responsibility for something that had gone wrong during the course of treatment. The assessments of the patient's situation made by physicians from the admitting ward were often more organ-oriented and the expectations were less realistic than those of clinicians in the intensive care unit who frequently had a more balanced and overall perspective. Aspects such as the personality and the speciality of those involved, the culture of the unit and the degree of interdisciplinary cooperation were important issues in the decision-making processes. Under-communicated considerations jeopardise the principle of equal treatment. If intensive care patients are to be ensured equal treatment, strategies for interdisciplinary, transparent and appropriate decision-making processes must be developed in which open and hidden values are rendered visible, power structures disclosed, employees respected and the various perspectives of the treatment given their legitimate place.

  2. The First 2 Years of Activity of a Specialized Organ Procurement Center: Report of an Innovative Approach to Improve Organ Donation.

    PubMed

    Marsolais, P; Durand, P; Charbonney, E; Serri, K; Lagacé, A-M; Bernard, F; Albert, M

    2017-06-01

    The number of patients requiring organ transplants continues to outgrow the number of organs donated each year. In an attempt to improve the organ donation process and increase the number of organs available, we created a specialized multidisciplinary team within a specialized organ procurement center (OPC) with dedicated intensive care unit (ICU) beds and operating rooms. The OPC was staffed with ICU nurses, operating room nurses, organ donor management ICU physicians, and multidisciplinary staff. All organ donors within a designated geographic area were transferred to and managed within the OPC. During the first 2 years of operation, 126 patients were referred to the OPC. The OPC was in use for a total of 3527 h and involved 253 health workers. We retrieved 173 kidneys, 95 lungs, 68 livers, 37 hearts, and 13 pancreases for a total of 386 organs offered for transplantation. This translates to a total of 124.6 persons transplanted per million population, which compares most favorably to recently published numbers in developed countries. The OPC clearly demonstrates potential to increase the number of deceased donor organs available for transplant. Further studies are warranted to better understand the exact influence of the different components of the OPC on organ procurement. © 2016 The American Society of Transplantation and the American Society of Transplant Surgeons.

  3. Performance of warranted asphalt pavements : smoothness and performance of Indiana warranted asphalt pavements.

    DOT National Transportation Integrated Search

    2016-06-01

    In the early 1990s the Indiana Department of Transportation (INDOT) developed a five-year warranty specification for asphalt pavements : with the first project being built in 1996. In 2004, results indicated that the asphalt pavements built with the ...

  4. Safety of plant-made pharmaceuticals: product development and regulatory considerations based on case studies of two autologous human cancer vaccines.

    PubMed

    Tusé, Daniel

    2011-03-01

    Guidelines issued by regulatory agencies for the development of plant-made pharmaceutical (PMP) products provide criteria for product manufacturing and characterization, safety determination, containment and mitigation of environmental risks. Features of plant-made products do not always enable an easy fit within the criteria subscribed to by regulators. The unconventional nature of plant-based manufacturing processes and peculiarities of plant biology relative to that of traditional biological production systems have led to special considerations in the regulatory scrutiny of PMP. Presented in this review are case studies of two plant-made autologous (patient-specific) cancer vaccines, the nature of which introduced challenges to conventional and standardized development and preclinical evaluation routes. The rationale presented to FDA by the sponsors of each vaccine to build consensus and obtain variances to existing guidelines is discussed. While development of many plant-made biologics can be accomplished within the existing regulatory framework, the development of specialized products can be defended with rational arguments based on strong science.

  5. Preface: ISBB Special Issue

    USDA-ARS?s Scientific Manuscript database

    This special issue is published for the International Society of Biocatalysis and Biotechnology (ISBB). The ISBB special issue is devoted to all areas of biocatalysis and agricultural biotechnology in which biological systems are developed and/or used for the provision of commercial goods or serv...

  6. Wicked Problems in Special and Inclusive Education

    ERIC Educational Resources Information Center

    Armstrong, David

    2017-01-01

    This special paper provides a critical overview of wicked problems in special and inclusive education. Practically, this paper provides a strategic framework for future special issues in the "Journal of Special Educational Needs". Critical attention is also given to the concept of a wicked problem when applied to research in special and…

  7. Editorial: 2nd Special Issue on behavior change, health, and health disparities.

    PubMed

    Higgins, Stephen T

    2015-11-01

    This Special Issue of Preventive Medicine (PM) is the 2nd that we have organized on behavior change, health, and health disparities. This is a topic of fundamental importance to improving population health in the U.S. and other industrialized countries that are trying to more effectively manage chronic health conditions. There is broad scientific consensus that personal behavior patterns such as cigarette smoking, other substance abuse, and physical inactivity/obesity are among the most important modifiable causes of chronic disease and its adverse impacts on population health. As such behavior change needs to be a key component of improving population health. There is also broad agreement that while these problems extend across socioeconomic strata, they are overrepresented among more economically disadvantaged populations and contribute directly to the growing problem of health disparities. Hence, behavior change represents an essential step in curtailing that unsettling problem as well. In this 2nd Special Issue, we devote considerable space to the current U.S. prescription opioid addiction epidemic, a crisis that was not addressed in the prior Special Issue. We also continue to devote attention to the two largest contributors to preventable disease and premature death, cigarette smoking and physical inactivity/obesity as well as risks of co-occurrence of these unhealthy behavior patterns. Across each of these topics we included contributions from highly accomplished policy makers and scientists to acquaint readers with recent accomplishments as well as remaining knowledge gaps and challenges to effectively managing these important chronic health problems. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Introduction to the special section: sustainability of work with chronic health conditions.

    PubMed

    Shaw, William S; Tveito, Torill H; Boot, Cécile R L

    2013-06-01

    The increasing prevalence of older workers and chronic health conditions represents a growing occupational health concern. More research is needed to understand risk factors, apply and adapt theories, and test workplace-focused interventions that might prevent work disability and disengagement among chronically ill workers. A 2-h roundtable symposium involving 28 participants was held at an international conference (Second Scientific Conference on Work Disability Prevention & Integration, Groningen, The Netherlands) in October 2012. In that symposium, small groups of participants were invited to discuss theoretical, methodological, and implementation considerations for studying workplace function and well-being among workers with chronic health conditions. As a follow-up to the symposium, the organizers invited authors to submit original articles to a Special Section of the Journal of Occupational Rehabilitation for peer review and publication. Results of the symposium reflected the need to address social, not just physical, aspects of the workplace, to include both individual-level and organizational interventions, and to integrate employer perspectives and operational models. Contributions to the Special Issue focus on outcome measurement, symptom self-management at work, job accommodations, prognostic factors for disability escalation, and the perceived needs of affected workers. The content of the Special Section reflects an evolving body of research that continues to grapple with basic issues around choice of outcome measures, level of intervention, and the optimal ways to meet the needs of workers with chronic health conditions, including supporting efforts to manage symptoms and function at work. Future research should focus on integrating organizational and individual-level interventions.

  9. Applied Computational Electromagnetics Society Journal (ACES); Special Issue on Electromagnetics and High Performance Computing. Vol. 13, No. 2

    DTIC Science & Technology

    1998-07-01

    author’s responsibility to obtain written permission to reproduce such material. 1 " vssmwmato srÄmaöNfTT fWi««-ii|<.1iw »■■«. i-i...interesting to compare papers in the issue with previous special issues of other jour- nals and monographs, for example [ 1 , 2]. HPC issues first attracted...environment, in particular the Kendall Square Research KSR- 1 . Fast algorithms have attracted considerable atten- tion in the CEM community, since they

  10. Pre-adaptations and the evolution of pollination by sexual deception: Cope's rule of specialization revisited.

    PubMed

    Vereecken, Nicolas J; Wilson, Carol A; Hötling, Susann; Schulz, Stefan; Banketov, Sergey A; Mardulyn, Patrick

    2012-12-07

    Pollination by sexual deception is arguably one of the most unusual liaisons linking plants and insects, and perhaps the most illustrative example of extreme floral specialization in angiosperms. While considerable progress has been made in understanding the floral traits involved in sexual deception, less is known about how this remarkable mimicry system might have arisen, the role of pre-adaptations in promoting its evolution and its extent as a pollination mechanism outside the few groups of plants (primarily orchids) where it has been described to date. In the Euro-Mediterranean region, pollination by sexual deception is traditionally considered to be the hallmark of the orchid genus Ophrys. Here, we introduce two new cases outside of Ophrys, in plant groups dominated by generalized, shelter-mimicking species. On the basis of phylogenetic reconstructions of ancestral pollination strategies, we provide evidence for independent and bidirectional evolutionary transitions between generalized (shelter mimicry) and specialized (sexual deception) pollination strategies in three groups of flowering plants, and suggest that pseudocopulation has evolved from pre-adaptations (floral colours, shapes and odour bouquets) that selectively attract male pollinators through shelter mimicry. These findings, along with comparative analyses of floral traits (colours and scents), shed light on particular phenotypic changes that might have fuelled the parallel evolution of these extraordinary pollination strategies. Collectively, our results provide the first substantive insights into how pollination sexual deception might have evolved in the Euro-Mediterranean region, and demonstrate that even the most extreme cases of pollinator specialization can reverse to more generalized interactions, breaking 'Cope's rule of specialization'.

  11. Individual specialization in diet by a generalist marine predator reflects specialization in foraging behaviour.

    PubMed

    Woo, Kerry J; Elliott, Kyle Hamish; Davidson, Melissa; Gaston, Anthony J; Davoren, Gail K

    2008-11-01

    1. We studied chick diet in a known-age, sexed population of a long-lived seabird, the Brünnich's guillemot (Uria lomvia), over 15 years (N = 136; 1993-2007) and attached time-depth-temperature recorders to examine foraging behaviour in multiple years (N = 36; 2004-07). 2. Adults showed specialization in prey fed to offspring, described by multiple indices calculated over 15 years: 27% of diet diversity was attributable to among-individual variation (within-individual component of total niche width = 0.73); average similarity of an individual's diet to the overall diet was 65% (mean proportional similarity between individuals and population = 0.65); diet was significantly more specialized than expected for 70% of individuals (mean likelihood = 0.53). These indices suggest higher specialization than the average for an across-taxa comparison of 49 taxa. 3. Foraging behaviour varied along three axes: flight time, dive depth and dive shape. Individuals showed specialized individual foraging behaviour along each axis. These foraging strategies were reflected in the prey type delivered to their offspring and were maintained over scales of hours to years. 4. Specialization in foraging behaviour and diet was greater over short time spans (hours, days) than over long time spans (years). Regardless of sex or age, the main component of variation in foraging behaviour and chick diet was between individuals. 5. Plasma stable isotope values were similar across years, within a given individual, and variance was low relative to that expected from prey isotope values, suggesting adult diet specialized across years. Stable isotope values were similar among individuals that fed their nestlings similar prey items and there was no difference in trophic level between adults and chicks. We suggest that guillemots specialize on a single foraging strategy regardless of whether chick-provisioning and self-feeding. With little individual difference in body mass and physiology

  12. Special Education in Bangladesh.

    ERIC Educational Resources Information Center

    Zaman, Sultana S.; Munir, Shirin Z.

    1992-01-01

    This review of special education in Bangladesh describes the prevalence of major disabilities and government and nongovernment programs for children with various types of disabilities. The paper concludes that most special education is supported by nongovernment organizations and that implementation has been restricted by economic constraints.…

  13. Special Libraries Division. Papers.

    ERIC Educational Resources Information Center

    International Federation of Library Associations, The Hague (Netherlands).

    In "How Special Libraries Use Networks," a paper presented at the 1982 International Federation of Library Associations (IFLA) conference, David R. Bender (United States) advocates cooperation among academic, public, school, and special libraries in the areas of information management, staff services, and acquisition of technology. He…

  14. Projectiles, pendula, and special relativity

    NASA Astrophysics Data System (ADS)

    Price, Richard H.

    2005-05-01

    The kind of flat-earth gravity used in introductory physics appears in an accelerated reference system in special relativity. From this viewpoint, we work out the special relativistic description of a ballistic projectile and a simple pendulum, two examples of simple motion driven by earth-surface gravity. The analysis uses only the basic mathematical tools of special relativity typical of a first-year university course.

  15. Using the DOE Knowledge Base for Special Event Analysis

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

    Armstrong, H.M.; Harris, J.M.; Young, C.J.

    1998-10-20

    The DOE Knowledge Base is a library of detailed information whose purpose is to support the United States National Data Center (USNDC) in its mission to monitor compliance with the Comprehensive Test Ban Treaty (CTBT). One of the important tasks which the USNDC must accomplish is to periodically perform detailed analysis of events of high interest, so-called "Special Events", to provide the national authority with information needed to make policy decisions. In this paper we investigate some possible uses of the Knowledge Base for Special Event Analysis (SEA), and make recommendations for improving Knowledge Base support for SEA. To analyzemore » an event in detail, there are two basic types of data which must be used sensor-derived data (wave- forms, arrivals, events, etc.) and regiohalized contextual data (known sources, geological characteristics, etc.). Cur- rently there is no single package which can provide full access to both types of data, so for our study we use a separate package for each MatSeis, the Sandia Labs-developed MATLAB-based seismic analysis package, for wave- form data analysis, and ArcView, an ESRI product, for contextual data analysis. Both packages are well-suited to pro- totyping because they provide a rich set of currently available functionality and yet are also flexible and easily extensible, . Using these tools and Phase I Knowledge Base data sets, we show how the Knowledge Base can improve both the speed and the quality of SEA. Empirically-derived interpolated correction information can be accessed to improve both location estimates and associated error estimates. This information can in turn be used to identi~ any known nearby sources (e.g. mines, volcanos), which may then trigger specialized processing of the sensor data. Based on the location estimate, preferred magnitude formulas and discriminants can be retrieved, and any known blockages can be identified to prevent miscalculations. Relevant historic events can be identilled

  16. 32 CFR 637.12 - Legal considerations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 4 2011-07-01 2011-07-01 false Legal considerations. 637.12 Section 637.12... CRIMINAL INVESTIGATIONS MILITARY POLICE INVESTIGATION Investigations § 637.12 Legal considerations. (a... of establishing a legal opinion as to whether sufficient credible evidence has been established to...

  17. 32 CFR 637.12 - Legal considerations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Legal considerations. 637.12 Section 637.12... CRIMINAL INVESTIGATIONS MILITARY POLICE INVESTIGATION Investigations § 637.12 Legal considerations. (a... of establishing a legal opinion as to whether sufficient credible evidence has been established to...

  18. 32 CFR 637.12 - Legal considerations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 4 2014-07-01 2013-07-01 true Legal considerations. 637.12 Section 637.12... CRIMINAL INVESTIGATIONS MILITARY POLICE INVESTIGATION Investigations § 637.12 Legal considerations. (a... of establishing a legal opinion as to whether sufficient credible evidence has been established to...

  19. 32 CFR 637.12 - Legal considerations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 4 2013-07-01 2013-07-01 false Legal considerations. 637.12 Section 637.12... CRIMINAL INVESTIGATIONS MILITARY POLICE INVESTIGATION Investigations § 637.12 Legal considerations. (a... of establishing a legal opinion as to whether sufficient credible evidence has been established to...

  20. 32 CFR 637.12 - Legal considerations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 4 2012-07-01 2011-07-01 true Legal considerations. 637.12 Section 637.12... CRIMINAL INVESTIGATIONS MILITARY POLICE INVESTIGATION Investigations § 637.12 Legal considerations. (a... of establishing a legal opinion as to whether sufficient credible evidence has been established to...

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